中华现代护理杂志最新文献

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Application of narrative nursing in a COVID-19 patient with acute stress disorder 叙事护理在1例新冠肺炎急性应激障碍患者中的应用
中华现代护理杂志 Pub Date : 2020-04-14 DOI: 10.3760/CMA.J.CN115682-20200221-00932
Zimei Zheng, Li-hua Zheng, Shuxian Jiang, Na He, Lili Li
{"title":"Application of narrative nursing in a COVID-19 patient with acute stress disorder","authors":"Zimei Zheng, Li-hua Zheng, Shuxian Jiang, Na He, Lili Li","doi":"10.3760/CMA.J.CN115682-20200221-00932","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115682-20200221-00932","url":null,"abstract":"This article reported the application of narrative nursing in one case of patient with corona virus disease 2019 (COVID-19) and acute stress disorder. There were three times of narrative persuasion for the patient during his hospitalization according to narrative theory model of narrative nursing with significant intervention effects. The patient could correctly face stress event, copy with negative emotions and receive psychosomatic rehabilitation. \u0000 \u0000Key words: \u0000Nursing care; Narrative nursing; COVID-19; Stress disorders, traumatic, acute","PeriodicalId":10070,"journal":{"name":"中华现代护理杂志","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46913074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Influence of COVID-19 knowledge, attitude on protective behavior among clinical nurses 新冠肺炎知识、态度对临床护士防护行为的影响
中华现代护理杂志 Pub Date : 2020-04-14 DOI: 10.3760/CMA.J.CN115682-20200225-01057
Lei Wang, Shengxiao Nie, Chao Sun, Xia Wang, Wang Zhenhui, Huixiu Hu, Xuedong Yang
{"title":"Influence of COVID-19 knowledge, attitude on protective behavior among clinical nurses","authors":"Lei Wang, Shengxiao Nie, Chao Sun, Xia Wang, Wang Zhenhui, Huixiu Hu, Xuedong Yang","doi":"10.3760/CMA.J.CN115682-20200225-01057","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115682-20200225-01057","url":null,"abstract":"Objective \u0000To explore the corona virus disease 2019 (COVID-19) knowledge and attitude, and its influences on protective behavior among clinical nurses so as to provide a reference for developing effective intervention strategy. \u0000 \u0000 \u0000Methods \u0000Cross-sectional investigation was used to hospital-wide nurses selected by convenience sampling in February 2020 through sending a link of Wenjuanxing to work WeChat group of Nursing Department of Beijing Hospital and to circle of friends. Clinical nurses met the inclusion and exclusion criteria were invited to fill in the questionnaire. The self-designed COVID-19 related knowledge, attitude and behavior questionnaire was used to the investigation. \u0000 \u0000 \u0000Results \u0000Among 750 clinical nurses, the self-assessment of COVID-19 related knowledge was≥7, with 70.04% for the average percentage. There were 91.6% of nurses with the confidence to fight with epidemic situation. After COVID-19 broke out, 94.1% of nurses strictly carried out the hand hygiene. Behavior changes in \"wearing gloves when potentially contacting bloods, body fluids, secretions and excreta\" , \"wearing goggles and protective clothing when bloods, body fluids, secretions and excreta potentially splashing\" accounted for 89.2%, 81.5% and 71.6% respectively. Pearson correlation analysis showed that COVID-19 related knowledge of 750 nurses had no correlations with three dimensions \"worrying about infecting COVID-19\" , \"effectiveness of standard precaution\" and \"influencing factors of taking standard precaution\" of attitude with no statistical differences (r=-0.053, 0.036,0.014;P>0.05).Variance analysis results showed that COVID-19 related knowledge had an influence on \"views on COVID-19\" , and had no influence on hand hygiene with no statistical difference (P>0.05), and had influences on \"wearing gloves when potentially contacting bloods, body fluids, secretions and excreta\" , \"wearing goggles and protective clothing when bloods, body fluids, secretions and excreta potentially splashing\" with statistical differences (P 0.05). \u0000 \u0000 \u0000Conclusions \u0000COVID-19 related knowledge of clinical nurses need to be improved and protective behavior should be changed further. \u0000 \u0000 \u0000Key words: \u0000Nurses; COVID-19; Knowledge; Attitude; Behavior","PeriodicalId":10070,"journal":{"name":"中华现代护理杂志","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47073351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
The role of grid management in community epidemic prevention and control and its implication to community health service systems 网格化管理在社区疫情防控中的作用及其对社区卫生服务体系的启示
中华现代护理杂志 Pub Date : 2020-04-14 DOI: 10.3760/CMA.J.CN115682-20200219-00847
Xiuying Hu, Huat-Tatt Gan, Nansheng Cheng
{"title":"The role of grid management in community epidemic prevention and control and its implication to community health service systems","authors":"Xiuying Hu, Huat-Tatt Gan, Nansheng Cheng","doi":"10.3760/CMA.J.CN115682-20200219-00847","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115682-20200219-00847","url":null,"abstract":"In the battle against Coronavirus Disease 2019 (COVID-19) outbreak in China, the community has become a frontline to combat the epidemic. By leveraging the advantages of grid management, including household connection, clear responsibility, leaving no dead ends and all-round implementation, \"early detection, early reporting, early quarantine, and early treatment\" for the epidemic has been guaranteed. Grid management has played an important role in the battle against COVID-19, and meanwhile enabled the timely and accurate service of epidemic prevention and control in the community health service system. It indicates that the scientificity, integrity, accuracy, feasibility and timeliness of community health services may be enhanced by embedding the community health service system into the community grid. \u0000 \u0000Key words: \u0000Community health service; Infectious disease control; Grid management; 2019 Novel Coronavirus; Coronavirus Disease 2019; Epidemic prevention and control","PeriodicalId":10070,"journal":{"name":"中华现代护理杂志","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41586336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Bibliometric analysis of clinical practice ability of Chinese graduate nursing students 我国护理研究生临床实践能力的文献计量分析
中华现代护理杂志 Pub Date : 2020-04-06 DOI: 10.3760/CMA.J.CN115682-20191018-03763
Yanhua Luo, Minyi Li, Sijing Yan, Feifei Lu, Xueyi Zhong
{"title":"Bibliometric analysis of clinical practice ability of Chinese graduate nursing students","authors":"Yanhua Luo, Minyi Li, Sijing Yan, Feifei Lu, Xueyi Zhong","doi":"10.3760/CMA.J.CN115682-20191018-03763","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115682-20191018-03763","url":null,"abstract":"Objective \u0000To explore the status quo and development trends of clinical practice ability research of Chinese nursing graduate students. \u0000 \u0000 \u0000Methods \u0000Articles about the clinical practice ability of nursing graduate students were searched from China National Knowledge Infrastructure (CNKI) , Chinese BioMedical Database (CBM) , Wanfang and VIP databases. Bibliometric analysis was performed over the year, journal, author, region and institution, fund, methods and contents of these articles. \u0000 \u0000 \u0000Results \u0000Totally 67 valid articles were included, including 46 studies. 41 journal articles were distributed in 18 journals, and Chinese Nursing Research had the largest number of papers. There were 10 core authors, accounting for a co-authorship rate of 64.18% and a cooperation degree of 2.72. The first authors came from 16 provinces, municipalities and autonomous regions, and most of the research institutions were medical schools. The fund support rate was 52.17%. The top 7 keywords were professional degree, clinical practice model, Delphi method, training model, education, evaluation indicator and analytical hierarchy process. Research topics could be divided into 5 categories. \u0000 \u0000 \u0000Conclusions \u0000The study of the clinical practice ability of Chinese graduate nursing students generally shows an upward trend, and the distribution of research regions and institutions is imbalanced. The core author group has not yet been formed, and the degree of cooperation research is not high. The research content is rich, but the quality and depth of research still needs to be improved. \u0000 \u0000 \u0000Key words: \u0000Nursing care; Education; Graduate; Clinical practice ability; Bibliometrics","PeriodicalId":10070,"journal":{"name":"中华现代护理杂志","volume":"26 1","pages":"1381-1387"},"PeriodicalIF":0.0,"publicationDate":"2020-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46690603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of nursing based on PRECEDE-PROCEED in community patients with type 2 diabetes mellitus 基于pre - proceed的社区2型糖尿病患者护理效果
中华现代护理杂志 Pub Date : 2020-04-06 DOI: 10.3760/CMA.J.CN115682-20190815-02932
M. Cao, Guofang Wei, Qigang Zhou, Huiping Liu, Yi-qing Qiu
{"title":"Effects of nursing based on PRECEDE-PROCEED in community patients with type 2 diabetes mellitus","authors":"M. Cao, Guofang Wei, Qigang Zhou, Huiping Liu, Yi-qing Qiu","doi":"10.3760/CMA.J.CN115682-20190815-02932","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115682-20190815-02932","url":null,"abstract":"Objective \u0000To implement PRECEDE-PROCEED based intervention in community patients with type 2 diabetes mellitus (T2DM) and explore its effects on patients' diabetes knowledge and self-efficacy. \u0000 \u0000 \u0000Methods \u0000Totally 86 T2DM patients treated in a community health service center in Hangzhou between May and October 2014 were selected using convenient sampling and divided into intervention group (n=43) and control group (n=43) . Patients in the intervention group received 6-month intervention based on PRECEDE-PROCEED, while patients in the control group received a regular community health education course once during the same period. The diabetes knowledge and self-efficacy scores were evaluated between the two groups before and 3 and 6 months after intervention. At last, a total of 40 patients in the intervention group and 42 patients in the control group completed the study. \u0000 \u0000 \u0000Results \u0000Repeated measures analysis of variance showed that there were time-dependent, between-group and combined effects in diabetes knowledge and self-efficacy scores in the two groups (P 0.05) , but there were statistically significant differences in diabetes knowledge and self-efficacy scores between the two groups 3 and 6 months after intervention (P<0.05) . \u0000 \u0000 \u0000Conclusions \u0000The PRECEDE-PROCEED based intervention can effectively improve the diabetes knowledge and self-efficacy of T2DM patients, which is worth promoting in clinical practice. \u0000 \u0000 \u0000Key words: \u0000Diabetes mellitus, type 2; Community intervention; PTECEDE-PROCEED; Diabetes knowledge; Self-efficacy","PeriodicalId":10070,"journal":{"name":"中华现代护理杂志","volume":"12 12","pages":"1281-1285"},"PeriodicalIF":0.0,"publicationDate":"2020-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41268744","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of power feedback method on knowledge, attitude, practice and quality of life in patients with permanent colostomy for rectal cancer 功率反馈法对直肠癌永久性结肠造口患者知识、态度、行为及生活质量的影响
中华现代护理杂志 Pub Date : 2020-04-06 DOI: 10.3760/CMA.J.CN115682-20191021-03796
Qing-qing Wang, Linjuan Wang, Haiqing Xu, Yuping Shang, Ming-xia Shang
{"title":"Effects of power feedback method on knowledge, attitude, practice and quality of life in patients with permanent colostomy for rectal cancer","authors":"Qing-qing Wang, Linjuan Wang, Haiqing Xu, Yuping Shang, Ming-xia Shang","doi":"10.3760/CMA.J.CN115682-20191021-03796","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115682-20191021-03796","url":null,"abstract":"Objective \u0000To explore the effects of power feedback method on knowledge, attitude, practice and quality of life in patients with permanent colostomy for rectal cancer. \u0000 \u0000 \u0000Methods \u0000Totally 110 patients receiving permanent colostomy for rectal cancer in the Second People's Hospital of Lianyungang from April 2018 to March 2019 were selected by convenient sampling. The 55 patients admitted between April and September 2018 were divided into control group, while the 55 patients admitted from October 2018 to March 2019 were divided into observation group. Patients in the control group learned the knowledge about colostomy care by presentation to group, while patients in the observation group received interventions based on the power feedback method. Colostomy Patient Colostomy Knowledge Attitude and Practice Scale (CPCKAPS) and City of Hope-Quality of life-Ostomy Questionnaire (COH-QOL-OQ) were used to compare the effects of intervention. \u0000 \u0000 \u0000Results \u0000The CPCKAPS scores in the observation group were higher than those in the control group after intervention, and the difference was statistically significant (P 0.05) . \u0000 \u0000 \u0000Conclusions \u0000The power feedback method can improve the level of knowledge, attitude and practice of patients with permanent colostomy for rectal cancer, and further large-scale and long-term research is needed to explore its effects on the quality of life of patients. \u0000 \u0000 \u0000Key words: \u0000Rectal neoplasms; Power feedback method; Colostomy; Knowledge, attitude and practice; Quality of life","PeriodicalId":10070,"journal":{"name":"中华现代护理杂志","volume":"26 1","pages":"1368-1371"},"PeriodicalIF":0.0,"publicationDate":"2020-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48943458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Effects of Cox interaction model of client health behavior-based nursing intervention on health outcomes among patients receiving liver transplantation 基于客户健康行为的护理干预Cox交互模型对肝移植患者健康结果的影响
中华现代护理杂志 Pub Date : 2020-04-06 DOI: 10.3760/CMA.J.CN115682-20190802-02764
Dandan Zhang, Ying Yu, Wentao Li
{"title":"Effects of Cox interaction model of client health behavior-based nursing intervention on health outcomes among patients receiving liver transplantation","authors":"Dandan Zhang, Ying Yu, Wentao Li","doi":"10.3760/CMA.J.CN115682-20190802-02764","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115682-20190802-02764","url":null,"abstract":"Objective \u0000To explore the effects of Cox interaction model of client health behavior (Cox-IMCHB) -based nursing intervention on health outcomes and quality of life (QOL) among patients receiving liver transplantation. \u0000 \u0000 \u0000Methods \u0000From October 2014 to August 2016, this study selected 65 patients met the inclusion and exclusion criteria in the First Bethune Hospital of Jilin University as subjects. Patients were divided into control group (n=32) and observation group (n=33) according to surgery order. Control group carried out the routine nursing for patients receiving liver transplantation, while observation group implemented the comprehensive nursing based on the Cox-IMCHB theory. Treatment compliance, follow-up rate and nursing service satisfaction of patients between two groups were observed one month and six months after surgery. \u0000 \u0000 \u0000Results \u0000One month after surgery, there was no statistical difference in the compliance of patients between two groups (P>0.05) . Six months after surgery, the total score of treatment compliance, scores of self-monitoring compliance, living habits compliance and follow-up compliance in observation group were 42.00 (40.00, 43.00) , 2.00 (2.00, 3.00) , 17.00 (16.00, 18.00) and 7.00 (7.00, 8.00) higher than those in control group with statistical differences (P 0.05) . Six months after surgery, the patient satisfaction and rate of follow-up in observation group were higher than those in control group with statistical differences (P<0.05) . \u0000 \u0000 \u0000Conclusions \u0000Cox-IMCHB-based nursing intervention for patients receiving liver transplantation can improve patients' long-term treatment compliance and patient satisfaction with utilization of medical service resource as well as nursing care so as to promote favorable outcomes. \u0000 \u0000 \u0000Key words: \u0000Liver transplantation; Quality of life; Health outcome; Cox interaction model of client health behavior; Compliance; Satisfaction; Follow-up","PeriodicalId":10070,"journal":{"name":"中华现代护理杂志","volume":"26 1","pages":"1344-1349"},"PeriodicalIF":0.0,"publicationDate":"2020-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45467864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Current situation and influencing factors of compassion fatigue in ICU nurses ICU护士同情疲劳的现状及影响因素
中华现代护理杂志 Pub Date : 2020-04-06 DOI: 10.3760/CMA.J.CN115682-20200106-00101
Lili Sun, Z. Ding, Hua Qu
{"title":"Current situation and influencing factors of compassion fatigue in ICU nurses","authors":"Lili Sun, Z. Ding, Hua Qu","doi":"10.3760/CMA.J.CN115682-20200106-00101","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115682-20200106-00101","url":null,"abstract":"Objective \u0000To investigate current situation of compassion fatigue of ICU nurses and to analyze its influencing factors. \u0000 \u0000 \u0000Methods \u0000By convenient sampling, a self-designed general information questionnaire, Chinese version of the Compassion Fatigue Short Scale (C-CFSS) , Ego-Resilience Scale (ERS) and Perceived Social Support Scale (PSSS) were used to investigate 194 ICU nurses in a ClassⅢ Grade A hospital in Yantai from May 2019 to June 2019. The t-test, one-way ANOVA, Pearson correlation analysis and multiple linear regression were used for statistical analysis. \u0000 \u0000 \u0000Results \u0000The total C-CFSS score of ICU nurses is (58.85±36.2) . ICU nurses had a moderate compassion fatigue level. The ICU nurse's ERS score was (39.96±7.65) , the PSSS score was (61.15±14.65) . The univariate analysis showed that there were statistically significant differences in C-CFSS scores among nurses of different ages, department beds, final education, self-perceived health status, monthly income, parenting (P<0.05) ; Correlation analysis showed that ICU nurse ERS score was negatively correlated with C-CFSS score (r=-0.200, P<0.01) ; PSSS score was negatively correlated with C-CFSS score (r=-0.278, P<0.01) . The results of multivariate analysis showed that age, the number of beds in the department, final education, self-perceived health status, and understanding of social support were the main influencing factors of compassion fatigue among ICU nurses, which together explained 30.1% of the total variation of compassion fatigue (F=9.673, P<0.01) . \u0000 \u0000 \u0000Conclusions \u0000The overall degree of compassion fatigue of ICU nurses is moderate. As nursing managers, they should pay attention to ICU nurses with different characteristics such as age, educational background and health status, carry out lectures and training on compassion fatigue, increase the social support of ICU nurses and formulate corresponding preventive intervention measures, so as to reduce the occurrence of compassion fatigue. \u0000 \u0000 \u0000Key words: \u0000Intensive care unit; Nurses; Compassion fatigue; Ego-resilience; Social support","PeriodicalId":10070,"journal":{"name":"中华现代护理杂志","volume":"26 1","pages":"1274-1280"},"PeriodicalIF":0.0,"publicationDate":"2020-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41666487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Application of three kinds of scoring system for prognostic evaluation of patients with acute exacerbation of chronic obstructive pulmonary disease 三种评分系统在慢性阻塞性肺疾病急性加重期患者预后评价中的应用
中华现代护理杂志 Pub Date : 2020-04-06 DOI: 10.3760/CMA.J.CN115682-20191027-03866
Q. Hao, Lifang Wang
{"title":"Application of three kinds of scoring system for prognostic evaluation of patients with acute exacerbation of chronic obstructive pulmonary disease","authors":"Q. Hao, Lifang Wang","doi":"10.3760/CMA.J.CN115682-20191027-03866","DOIUrl":"https://doi.org/10.3760/CMA.J.CN115682-20191027-03866","url":null,"abstract":"Objective \u0000To compare the prognostic efficacy of CRB-65 (Confusion, Uremia, Respiratory, BP, Age 65 Years) , BAP-65 (BUN, Altered Mental Status, Pulse, and Age 65 years) and DECAF (Extended MRC Dyspnea Score, Eosinopenia, Consolidation, Acidaemia, and Atrial Fibrillation) scoring systems in patients with acute exacerbation of chronic obstructive pulmonary disease (AECOPD) . \u0000 \u0000 \u0000Methods \u0000Clinical data, CRB-65, BAP-65 and DECAF scoring rubrics of 181 AECOPD patients hospitalized in the Department of Respiratory Medicine, the First Affiliated Hospital of Zhengzhou University from January 2017 to December 2018 were retrospectively collected. According to the outcomes, the patients were divided into stable disease group (patients discharged, n=121) and critically ill group (patients transferred to ICU or died, n=60) . The clinical data and scores were compared between the two groups. The sensitivity, specificity and accuracy of CRB-65, BAP-65 and DECAF scoring systems in predicting the prognosis of the patients was calculated with the death and admission into ICU as the observation endpoints. The receiver operating characteristic curves (ROC) of the three scoring systems were drawn, and the area under the curve (AUC) was calculated to identify the best cut-off point in predicting the prognosis. \u0000 \u0000 \u0000Results \u0000The acute exacerbation frequency, CRB-65 score, DECAF score, and BAP-65 score in the past year in the critically ill group were higher than those in the stable disease group (t=-4.899, -31.748, -34.611, 7.227; P<0.001) . The best cutoff points of CRB-65 score, BAP-65 score and DECAF score for predicting the patients' outcome were ≥3, ≥Ⅲ, ≥3 (sensitivity=70.00%, 81.67%, 90.00%; specificity=61.16%, 77.69%, 83.47%; accuracy=64.09%, 79.00%, 85.63%) . The AUC of DECAF score, BAP-65 score and CRB-65 score for predicting the prognosis of AECOPD patients was 0.811 (95%CI: 0.845-0.948) , 0.774 (95%CI: 0.707-0.869) , and 0.669 (95%CI: 0.595-0.779) , and the AUC of DECAF score for predicting the prognosis of AECOPD patients was higher than those of BAP-65 score and CRB-65 score (Z=3.891, 4.799; P=0.026, 0.005) . \u0000 \u0000 \u0000Conclusions \u0000CRB-65, BAP-65 and DECAF scores are of certain clinical value in predicting the prognosis of AECOPD patients. Among them, DECAF has the highest predictive efficacy, while CRB-65 is faster and more convenient. \u0000 \u0000 \u0000Key words: \u0000Pulmonary disease, chronic obstructive; Acute exacerbation; Clinical score; Prognostic efficacy; Prognosis","PeriodicalId":10070,"journal":{"name":"中华现代护理杂志","volume":"26 1","pages":"1315-1319"},"PeriodicalIF":0.0,"publicationDate":"2020-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41950710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A systematic review of incidence and influencing factors of nurses' job burnout in emergency department in China 我国急诊科护士工作倦怠发生率及影响因素的系统评价
中华现代护理杂志 Pub Date : 2020-04-06 DOI: 10.3760/CMA.J.CN115682-20191104-04003
Xiaoye Wang, Shanshan Hu, Zheng Li, Xiubin Tao
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