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Chinese Journal of Emergency and Critical Care Nursing    2023, 4 (1): 17-21.   Abstract （199）      PDF（pc） （531KB）（555）       Knowledge map    Related Articles | Metrics

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Chinese Journal of Emergency and Critical Care Nursing    2023, 4 (3): 232-238.   Abstract （102）      PDF（pc） （6390KB）（311）    PDF（mobile） （6390KB）（23）    Knowledge map    Related Articles | Metrics

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Chinese Journal of Emergency and Critical Care Nursing    2022, 3 (6): 550-555.   Abstract （386）            Knowledge map    Related Articles | Metrics

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The levels of psychological resilience and influencing factors path analysis in ICU patients with physical restrain CHEN Qiaoling, LIN Ruyu, ZHU Xuanjing, BIE Yuanyuan, ZHAO Huiling Chinese Journal of Emergency and Critical Care Nursing    2024, 5 (1): 10-15.   DOI: 10.3761/j.issn.2096-7446.2024.01.001 Abstract （148）            Knowledge map    Objective To describe the level of psychological resilience in ICU physically restrained patients and to explore the influencing factors. Methods A general information questionnaire，Connor-Davidson Resilience Scale， Social Support Rating Scale，General Self-Efficacy Scale，Medical Coping Modes Questionnaire，and the Chinese short version of the Eysenck Personality Questionnaire were used to investigate 301 physically restrained patients admit- ted to the Department of Intensive Care Medicine of a tertiary class A hospital in Fujian Province from December 2021 to December 2022. Structural equation modelling was used to conduct the path analyses for the various influ- encing factors. Results Total psychological resilience score of ICU physically restrained patients was （53.17 ± 17.41），self-efficacy score was （25.16±7.96），social support score was （38.93±15.12），medical coping total score was （44.15±15.21），and Eysenck's personality total score was （23.68±2.98）. The total psychological resilience score of ICU physically restrained patients was positively correlated with the total social support score （r=0.585，P<0.001）， positively correlated with the total self-efficacy score （r=0.545，P<0.01），positively correlated with the confrontation dimension of the medical coping styles （r=0.602，P<0.01），and negatively correlated with the yielding and avoidance dimensions （r=-0.567，P<0.01；r=-0.627，P<0.01），positively correlated with the introversion and extroversion dimen- sions of personality traits（r=0.326，P<0.01），and negatively correlated with neuroticism，psychoticism，and dissimulation scores （r=-0.395，P<0.01；r=-0.338，P<0.01；r=-0.362，P<0.01）. The model was well-fitted，social support had direct and indirect effects on psychological resilience（r=0.546，P<0.001；r=0.267，P<0.001），self-efficacy had a direct effect onpsychological resilience （ r=0.218，P<0.001）. Confrontation coping style had a direct positive effect on psychological resilience（ r=0.415，P<0.001），avoidance coping style had a direct negative effect（ r=-0.216，P=0.007） and resignation coping style had a direct negative effect on psychological resilience （ r=-0.431，P<0.001）. Personality traits had a significant negative effect on psychological resilience（r=-0.606，P<0.001）。 Conclusion The overall level of psychologi- cal resilience of ICU physical restraint patients is low. Social support，self-efficacy，coping styles，and personality traits are important influencing factors on the psychological resilience of ICU physical restraint patients. Improving the level of their psychological resilience can be approached from these four factors. Related Articles | Metrics

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Summary of the best evidence for vasoactive drug infusion in adult patients WANG Fang, ZHANG Shuzeng, NIE Anliu, SU Xiangfen Chinese Journal of Emergency and Critical Care Nursing    2024, 5 (3): 275-282.   DOI: 10.3761/j.issn.2096-7446.2024.03.016 Abstract （117）            Knowledge map    Objective To summarize the best evidence for safe infusion of vasoactive drugs in adult patients，and to provide evidence support for clinical nursing work. Methods We searched UpToDate，BMJ Best Practice，Joanna Briggs Institute library，Cochrane Library，National Guideline Clearinghouse，Centers for Disease Control and Preven- tion，National Institute for Health and Care Excellence，Guideline International Network，CINAHL，Embase，Registered Nurses’ Association of Ontario，UK Intensive Care Society，American Intravenous Nurses Society，PubMed，Web of Science，CNKI，Wanfang Database，VIP，Chinese Nursing Association，SinoMed，Yimaitong to collect guidelines，expert consensuses，group standards，systematic reviews，evidence summaries and original study on vasoactive drug infusionin adult patients. The retrial limit was from January 1，2013 to March 10，2023.Literature quality evaluation and ev- idence screening were conducted independently by two researchers with evidence-based nursing research back- ground，and the evidence was classified and integrated by the team after summary. Results A total of 12 litera- tures were included，and 29 pieces of evidence were summarized from five dimensions：training and education，evalu- ation，vascular access selection，infusion scheme and complications management. Conclusion This study summarizes the best evidence of vasoactive drug infusion in adult patients，which can provide medical staff with scientific infu- sion regimen，ensure patient safety and improve the quality of care. Related Articles | Metrics

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Study on the application effect of different sealing solutions in the totally implantable venous access portamong tumor patients ZHU Wei, QIN Xiaoying, HUANG Peipei, XIANG Xiaoyan, LU Qi, CHEN Lijiao, CUI Zhiping, ZHANG Ye Chinese Journal of Emergency and Critical Care Nursing    2023, 4 (7): 581-586.   DOI: 10.3761/j.issn.2096-7446.2023.07.001 Abstract （250）            Knowledge map    Objective To compare the application effects of different sealing solutions in totally implantable venous access port among tumor patients. Methods A randomized sampling was used to select 414 patients who were maintained infusion port in outpatient department of a tertiary Grade A hospital in Zhejiang Province from December 2018 to December 2022. They were divided into three groups，A，B，and C，with 138 cases in each group，using a random number table method. Patients were treated with 5 ml 0.9% sodium chloride for positive pressure sealing during intermittent maintenance in group A，and 5 ml heparin（10 U/ml） for positive pressure sealing in group B，and 5ml heparin（100 U/ml） positive pressure sealing in group C. To observe coagulation function and catheter blockage in patients among three groups. Results There were statistically significant differences in prothrombin time and activated partial thrombin time among the three groups（P<0.05）. There was no significant difference in D-dimer quantity and platelet count（P>0.05）. The pair comparison of prothrombin time among the three groups showed that there was no statistical significance between group A and group B（t=-34.409，P>0.05），but there were statistically significant differences between group A and group C（t=-179.308，P<0.001） and between group B and group C（t=-144.899，P<0.001）. The pairwise comparison of activated partial thromboplastin time among the three groups showed that there was no statistical significance between group A and group B（t=1.406，P>0.05）， but there were statistically significant differences between group A and group C（t=-35.493，P<0.05） and between group B and group C（t=-36.899，P<0.05）. Conclusion Among cancer patients with totally implantable access port during intermittent maintenance period，the use of heparin solution（100 U/ml） can prolong prothrombin time andactivated partial thromboplastin time. It is recommended that clinical nursing staff seal the tube with 0.9% sodium chloride or heparin solution（10 U/ml） in outpatient patients undergoing intermittent maintenance. Related Articles | Metrics

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Latent profile analysis and factors influencing early post-traumatic growth in young and middle-aged accidental trauma patients SU Xin, GAO Yufang, LIU Dun Chinese Journal of Emergency and Critical Care Nursing    2024, 5 (2): 115-120.   DOI: 10.3761/j.issn.2096-7446.2024.02.003 Abstract （74）            Knowledge map    Objective Based on potential profile analysis，to understand the category characteristics of post- traumatic growth level of young and middle-aged accidental trauma patients，and to explore the influencing factors of different categories of post-traumatic growth level in accidental trauma patients. Methods Through a cross- sectional study，225 young and middle-aged accidental trauma patients in the Department of Trauma Surgery of a tertiary hospital in Qingdao City from October 2022 to March 2023 were selected by convenience sampling method. A general information questionnaire and the simplified Chinese version of the Posttraumatic Growth Rating Scale were used for survey. Results The results of potential profile analysis showed that the posttraumatic growth characteristics of young and middle-aged accidental trauma patients could be categorized into four potential categories：low-growth group （1.8%），medium-growth group （62.3%），medium-growth-high-relationship group （32.6%）， and high-growth group （3.4%）. The results of the multiple logistic regression analysis showed that age，per capitamonthly family income，payment method，and type of trauma were the influencing factors of posttraumatic growth in young and middle-aged accidental trauma patients （P<0.05）. Conclusion There is obvious heterogeneity in the level of post-traumatic growth of young and middle-aged accidental trauma patients，and it is recommended that healthcare professionals carry out interventions such as psychological counseling and appropriate information support according to the characteristics of different post-traumatic growth categories in patients in order to improve the level of post-traumatic growth of patients. Related Articles | Metrics

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Chinese Journal of Emergency and Critical Care Nursing    2023, 4 (6): 573-.   Abstract （103）            Knowledge map    Related Articles | Metrics

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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 Abstract （596）            Knowledge map    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. Related Articles | Metrics

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Development and psychometric testing of a questionnaire measuring knowledge，belief and practice of prone position ventilation for patients with ARDS among ICU medical staf LI Yajun, WU Qiang, ZHANG Jing, CHEN Lianfang, LI Xiuchuan Chinese Journal of Emergency and Critical Care Nursing    2023, 4 (7): 587-593.   DOI: 10.3761/j.issn.2096-7446.2023.07.002 Abstract （206）            Knowledge map    Objective To develop a questionnaire measuring the knowledge，belief，and practice of prone position ventilation for patients with ARDS among ICU medical staff，and to conduct reliability and validity testing. Methods Based on the knowledge，belief，and behavior theory model，an initial questionnaire was formed through literature study，theoretical analysis，expert interviews，Delphi expert consultation，and preliminary surveys. From October to November 2022，426 ICU medical staff from 7 tertiary comprehensive hospitals in Anhui Province were selected as the research subjects for reliability and validity testing. From January to February 2023，another 455 ICU medical staff from 7 tertiary comprehensive hospitals were selected as the survey subjects for confirmatory factor analysis. Results The final questionnaire consisted of three dimensions：knowledge，belief，and behavior，with a total of 41 items. The cumulative variance contribution rate of the three factors in exploratory factor analysis was 65.319%，and all fitting indicators in confirmatory factor analysis were within an acceptable range （χ2/df=2.504，RMSEA=0.058， RMR =0.014，IFI =0.933，CFI =0.933，PGFI =0.740，PNFI =0.846，PCFI =0.883）. Questionnaire Cronbach’s α coefficient was 0.982，the retest reliability was 0.995，and the split half reliability was 0.950. Conclusion This questionnaire has good reliability and validity，and is suitable for investigating the current status of ICU medical staff’s knowledge，belief，and practice of prone ventilation in ARDS patients. Related Articles | Metrics

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The effect of prehospital process optimization on treatment delay in patients with ischemic stroke：a Meta- analysis GUO Zhiting, JIN Jingfen, LIU Yuanfei, FU Yujia, WANG Xuyang, GUO Erling, ZHANG Yuping Chinese Journal of Emergency and Critical Care Nursing    2023, 4 (7): 644-652.   DOI: 10.3761/j.issn.2096-7446.2023.07.016 Abstract （65）            Knowledge map    Objective To investigate the effect of prehospital procedure optimization on treatment delay and clinical outcome of ischemic stroke. Methods We searched PubMed，Embase，Cochrane Library，Web of Science， China Biomedical Literature Database，Wanfang data knowledge service platform，China National Knowledge Infrastructure，VIP database to collect intervention studies or cohort studies related to pre-hospital workflow optimization. The search period was from the database establishment to November 2022. Two evidence-based trained researchers independently screened literature，extracted data，and evaluated quality according to inclusion and exclusion criteria. Meta-analysis was performed using RevMan 5.3 software. Results Twenty-four literatures with a total of 197 154 patients were included. The results showed that prehospital procedure optimization could improve the rate of reperfusion therapy in patients with ischemic stroke[OR=1.98，95%CI（1.57，2.49），Z=5.75，P<0.001］ and shorten the time from symptom onset to thrombolytic therapy[WMD=-21.64，95%CI（-33.32，-9.97），Z=3.63，P<0.001］， the time from ambulance call to thrombolytic therapy[WMD=-30.29，95%CI（-44.14，-16.45），Z=4.29，P<0.001］ and the time of intra-hospital thrombolytic therapy or intravascular therapy to improve the clinical outcome of patients [OR=1.99，95%CI（1.29，3.05），Z=3.12，P=0.002］，but had no significant effect on the improvement of entry time from symptom onset to emergency room[WMD=-6.88，95%CI（-16.62，2.86），Z=1.38，P=0.17］. Conclusion Prehospital procedure optimization can effectively improve the reperfusion treatment rate and prognosis of patients with ischemic stroke，but the improvement of prehospital time is small，suggesting that the prehospital process needs to be further optim Related Articles | Metrics

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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 Abstract （272）            Knowledge map    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. Related Articles | Metrics

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Chinese Journal of Emergency and Critical Care Nursing    2023, 4 (1): 5-6.   Abstract （74）            Knowledge map    Related Articles | Metrics

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Chinese Journal of Emergency and Critical Care Nursing    2023, 4 (1): 7-9.   Abstract （49）            Knowledge map    Related Articles | Metrics

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Chinese Journal of Emergency and Critical Care Nursing    2023, 4 (1): 10-16.   Abstract （187）            Knowledge map    Related Articles | Metrics

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Chinese Journal of Emergency and Critical Care Nursing    2023, 4 (1): 36-39.   Abstract （66）            Knowledge map    Related Articles | Metrics

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Chinese Journal of Emergency and Critical Care Nursing    2023, 4 (3): 207-212.   Abstract （180）            Knowledge map    Related Articles | Metrics

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Chinese Journal of Emergency and Critical Care Nursing    2023, 4 (5): 389-.   Abstract （150）            Knowledge map    Related Articles | Metrics

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Chinese Journal of Emergency and Critical Care Nursing    2023, 4 (3): 269-276.   Abstract （101）            Knowledge map    Related Articles | Metrics

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Chinese Journal of Emergency and Critical Care Nursing    2022, 3 (4): 305-.   Abstract （157）            Knowledge map    Related Articles | Metrics