ISSN 1672-9234 CN 10-1655/R
主管:中国科协技术协会
主办:中华护理学会

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    Chinese Journal of Emergency and Critical Care Nursing    2022, 3 (6): 497-501.  
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    Chinese Journal of Emergency and Critical Care Nursing    2023, 4 (2): 136-139.  
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    Interpretation of group standards for skin care of adult incontinence
    GAO Yanhong, ZHAO Nuo, LIU Chunmei, WANG Ling, ZHOU Yujie, WANG Xia, GUO Tong, WEI Li, ZHANG Su, WANG Zhiwen, ZHANG Zhixia, HUANG Zheng, JI Huiru, GUO Shuli, JIANG Qixia, XU Honglian, HU Hongyang, ZHANG Hongmei, HU Ailing, SUN Hongling, FU Xiaojin, WU Xinjuan
    Chinese Journal of Emergency and Critical Care Nursing    2023, 4 (7): 620-624.   DOI: 10.3761/j.issn.2096-7446.2023.07.010
    Abstract593)           
    The unified and standardized skin care norms and procedures for incontinence patients provide clinical standard guidance for nursing staff,and are also the guiding basis for reducing the incidence of skin complications of patients. In 2022,the Third Medical Center of the General Hospital of the People’s Liberation Army collaborated with 16 hospitals nationwide to write the group standard of the Chinese Research Hospital Association “skin care norms for adult incontinence patient (T/CRHA 016-2023)”,which was released in January 2023. It mainly standardized the overall evaluation of skin care for adult incontinence patients,the selection of nursing products,the standard process and the key points of nursing. This article explained the important parts and items in this standard in detail to facilitate users’ understanding and promote the standardized practice of skin care for patients with clinical incontinence.
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    Chinese Journal of Emergency and Critical Care Nursing    2022, 3 (6): 520-524.  
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    Chinese Journal of Emergency and Critical Care Nursing    2022, 3 (6): 513-519.  
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    Chinese Journal of Emergency and Critical Care Nursing    2022, 3 (5): 389-395.  
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    Chinese Journal of Emergency and Critical Care Nursing    2022, 3 (6): 502-507.  
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    Chinese Journal of Emergency and Critical Care Nursing    2023, 4 (10): 909-912.  
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    Optimization and effect evaluation of arterial puncture catheterization process for invasive blood pressure monitoring
    YANG Fei, SUN Qingmei, PAN Jian, SU Wei, LÜ Ying, ZHAO Qun, MA Yingqin, ZHANG Yingying
    Chinese Journal of Emergency and Critical Care Nursing    2023, 4 (11): 988-992.   DOI: 10.3761/j.issn.2096-7446.2023.11.005
    Abstract425)           
    Objective To optimize the invasive blood pressure monitoring arterial cannulation procedure using catheter tip intracavitary electrocardiogram (ECG) positioning technology and to evaluate its effectiveness. Methods From June 2021 to June 2022,60 patients each from a tertiary level A hospital and a secondary level A hospital in Xinjiang Uygur Autonomous Region undergoing invasive blood pressure monitoring were selected. Based on the cannulation method,they were randomly divided into the optimization group(60 patients) and the traditional group(60 patients) by the random number table method. The optimization group optimized the connection process be- tween arterial puncture cannula and pressure transducer,and introduced intracavitary electrogram localization tech- nology at the tip of arterial puncture. The traditional group used penetrating arterial puncture catheterization. The primary evaluation indicators included first-attempt cannulation success rate,post-puncture bruising,puncture bleed- ing,pain score,and patient satisfaction. Results Compared to the traditional group,the first-attempt cannulation suc- cess rate in the optimization group significantly increased(95.0% vs 83.3%,P=0.04). The post-puncture bruising rate significantly decreased(5.0% vs 28.3%,P=0.01). The puncture bleeding rate significantly decreased(0 vs 100.0%,P= 0.04). The proportion of patients with mild pain significantly increased(95.0% vs 75.0%,P=0.02),while the propor- tion with moderate pain significantly decreased (5.0% vs 25.0%,P=0.02). Patient satisfaction also improved(95.0% vs 75.0%,P=0.01). Conclusion Optimizing the procedure of arterial cannulation for invasive blood pressure moni- toring can effectively improve the first-attempt puncture success rate,reduce complications,and enhance patient sat- isfaction. It offers a safer and more efficient cannulation method.
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    Chinese Journal of Emergency and Critical Care Nursing    2023, 4 (6): 562-.  
    Abstract398)           
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    Chinese Journal of Emergency and Critical Care Nursing    2023, 4 (2): 112-118.  
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    Chinese Journal of Emergency and Critical Care Nursing    2022, 3 (6): 550-555.  
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    Chinese Journal of Emergency and Critical Care Nursing    2023, 4 (5): 473-.  
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    Chinese Journal of Emergency and Critical Care Nursing    2022, 3 (4): 381-.  
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    Chinese Journal of Emergency and Critical Care Nursing    2022, 3 (4): 341-.  
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    Chinese Journal of Emergency and Critical Care Nursing    2023, 4 (11): 1006-.  
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    Chinese Journal of Emergency and Critical Care Nursing    2023, 4 (11): 1011-.  
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    Chinese Journal of Emergency and Critical Care Nursing    2023, 4 (10): 869-873.  
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    Establishment of quality evaluation indicator system of analgesia and sedation care in adult ICUs
    WANG Li, HE Xuehua, CHEN Xiangping, GONG Xiaoyan, ZHANG Kai, SUN Lei, SHEN Yunxia
    Chinese Journal of Emergency and Critical Care Nursing    2023, 4 (9): 773-778.   DOI: 10.3761/j.issn.2096-7446.2023.09.001
    Abstract271)           
    Objective To construct a quality evaluation indicator system of analgesia and sedation care in adult ICUs,and to provide a reference standard for monitoring and management of nursing quality of analgesia and sedation in adult ICUs. Methods From February to November 2022,the content and weights of quality evaluation indicators of analgesia and sedation care in adult ICUs were determined by using literature review,expert meeting method,Delphi method and analytic hierarchy method based on the three-dimensional “structure-process-outcome” quality model. Results The effective recovery rates of 2 rounds of questionnaires were 100% and 92% ,the authority coefficients were 0.87 and 0.88,the variation coefficients were 0.04~0.32 and 0~0.21,and the Kendall harmony coefficients were 0.245 and 0.260. The final quality evaluation indicator system of analgesia and sedation care in adult ICUs included 3 first-level indicators,11 second-level indicators and 45 third-level indicators. Conclusion The quality evaluation indicator system of analgesia and sedation care in adult ICUs has high Scientificity and reliability,reflects professionalism and specificity,and has a reference value on evaluating the nursing quality of analgesia and sedation in ICU.
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    A field study of the status and contents of nursing practice in the management of blood glucose in critically ill adults
    HUANG Miao, GAN Xiuni, ZHANG Chuanlai, ZHOU Wen
    Chinese Journal of Emergency and Critical Care Nursing    2024, 5 (2): 101-107.   DOI: 10.3761/j.issn.2096-7446.2024.02.001
    Abstract271)           
    Objective To understand the status and contents of current nursing practice in the management of blood glucose in critically ill adult patients in China. Methods From September 2021 to April 2022,an 8-month non-participatory observation of glucose management practice in the intensive care units of four tertiary care hospitals in Chongqing was conducted using field research. Quantitative data were collected using the ICU patient glucose management profile form and nursing staff glucose management practice record form. We repeatedly read the field notes and summarized existing nursing practices and existing problems in current blood glucose management nursing practices,further categorized and conducted in-depth analysis of the data. Results All four field observation sites had paper-based insulin infusion protocols,and the mean duration of the use of the protocols was(9±2.92) years,and the contents of the protocols differed across the fields. A total of 60 hyperglycemic patients were observed,and there were no statistically significant differences in the duration of hyperglycemia,the time required to reach target blood glucose level,and the maintenance of the target blood glucose range among patients from different field sites. The main tasks of the 12 nurses in glucose management included insulin infusion and adjustment,glucose monitoring,patient nutrition management,and hypoglycemia treatment. However,there was still a gap with the best evidence on blood glucose monitoring method,insulin use,whether nutritional support should be combined with insulin infusion,etc. Conclusion Nursing staff need to enhance their clinical decision-making skills,and further construct and implement a comprehensive and standardized practice plan for glucose management in critically ill adult patients based on the best evidence. This is a main solution to address current glucose management practice issues in the field sites.
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