Top Read Articles

Published in last 1 year |

In last 2 years |

In last 3 years |

All

Please wait a minute...


For Selected: Download Citations EndNote Ris BibTeX Toggle Thumbnails

Select

Expert consensus on the prevention and nursing of postoperative delirium in adults Surgical Nursing Professional Committee of Chinese Nursing Association , Nursing Department/Neurosurgery/Vascular Surgery/Critical Care Medicine，The First Affiliated Hospital of Chongqing Medical University , Department of Nursing，Tongji Hospital，Tongji Medical College，Huazhong University of Science and Technology , （Writing Committee：LIU Liping，ZHANG Ping，ZHU Hua，WU Qiansheng，ZHANG Chuanlin，LIU Jiali，QIN Jingwen，LIU Meiyan） Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (7): 837-842.   DOI: 10.3761/j.issn.2096-7446.2025.07.011 Abstract （1058）   HTML （12）    PDF（pc） （978KB）（29）       Knowledge map    Save Objective To develop an expert consensus on the prevention and nursing care of postoperative delirium in adults（hereinafter referred to as the“consensus”），to guide the nursing of postoperative delirium in adults. Methods The guidelines，expert consensuses，systematic reviews，and original studies related to postoperative delirium in adults were searched in domestic and international databases and related websites，with the search period from the establishment of the database to May 2024. The first draft of the consensus was written through literature review，stakeholder interviews and expert meeting. From December 2024 to January 2025，19 experts were invited to conduct two rounds of letter consultation，revise and improve the content of the first draft，determine the level of evidence and recommendation strength，and form the final draft of the consensus. Results The content of the “consensus” includes five aspects：classification，risk factors，assessment and identification，prevention，and nursing care of postoperative delirium in adults. Conclusion This consensus can provide practical guidance for clinical nursing staff in the prevention and nursing care of postoperative delirium in adults. Reference | Related Articles | Metrics | Comments（0）

Select

Construction and validation of a risk assessment tool for acute skin failure in ICU patients ZHANG Jian, WANG Xiaoping, SHI Xusheng, XUE Xue, GAI Yubiao, GAO Silong, Guo Xiaojing, WEI Lili Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (5): 517-523.   DOI: 10.3761/j.issn.2096-7446.2025.05.001 Abstract （991）   HTML （0）    PDF（pc） （1238KB）（4）       Knowledge map    Save Objective To develop and validate a risk assessment tool for acute skin failure in ICU patients，aiming to provide a scientific assessment tool for evaluating the risk of acute skin failure in ICU patients. Methods Based on the theory of risk management，combined with literature review and Delphi expert consultation，an initial assessment tool was formed. Using convenience sampling，217 patients in the ICU of a tertiary general hospital in Shandong Province from June to July 2023 were selected as the research subjects，and item analysis and reliability and validity tests were conducted. A preliminary validation was carried out on 1，036 patients in the ICU of the same hospital from August 2023 to February 2024 to test the predictive value of the assessment tool and verify its predictive value. Results The assessment tool for acute skin failure in ICU patients included 6 first-level indicators and 15 second-level indicators. The Cronbach’s α coefficient of the tool was 0.757，and the content validity index was 0.940. The area under the receiver operating characteristic curve was 0.976（95%CI：0.968~0.985），Kappa coefficient was 0.861（P<0.001）. with a sensitivity of 92.1% and a specificity of 95.7%. The optimal cut-off value was 12 points，and the total score risk level was classified into low risk（12~15 points），medium risk 16~20 points），high risk（21~27 points）. The higher the score，the higher the risk of acute skin failure in ICU patients. Conclusion The risk assessment tool for ICU patients developed in this study has good reliability and validity，and has good sensitivity and practicality，which can effectively predict the occurrence of acute skin failure in ICU patients. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

Select

Construction and usability evaluation of knowledge graph and intelligent Q&A system for ventilator alarm management WANG Hanmin, ZHANG Yumei, WANG Qiaohong, WANG Jian, YU Lujiang, LI Li Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (6): 659-664.   DOI: 10.3761/j.issn.2096-7446.2024.06.003 Abstract （932）   HTML （16）    PDF（pc） （1973KB）（11）       Knowledge map    Save Objective To construct a knowledge graph based intelligent Q&A system for ventilator alarm management in intensive care units，to improve healthcare professionals’ ability to recognize and handle ventilator alarms，and to enhance patient safety and treatment outcomes. Methods We integrated knowledge from various sources such as thesis，guidelines，standards，clinical practice cases，device user manuals，etc.，and developed the knowledge framework through expert interviews and expert meetings. We used a combination of automation and manual review to construct entities，extract and integrate knowledge，and input data into the Neo4j graph database as “entity-relationship-entity” ternary data for storage. And for the semantic understanding and parsing of natural language questions，the knowledge graph Cypher query statement was created，so that the knowledge graph has intelligent question and answer functions. The system usability scale was used to test the usability of the Q&A system. Results The constructed knowledge graph covered six fields，including ventilation mode，parameter settings，alarm types，alarm causes，treatment measures，and equipment maintenance，and contains 206 knowledge entities，15 kinds of inter-entity relationships，and 256 linkages of knowledge points，and a web-side intelligent Q&A system has been developed based on the knowledge graph. The mean score of the System Usability Scale was （76.44 ± 13.17）. Conclusion The knowledge graph based intelligent Q&A system for ventilator alarm management constructed in this study has certain scientific validity and usability. Through the visualization of knowledge system functions，intelligent question and answer，and personalized recommendation，it provides an auxiliary decision support tool for healthcare professionals to effectively identify and accurately deactivate the alarms，and improves the safety of clinical alarms. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

Select

The predictive value of glycemic variability in early enteral feeding intolerance in critically ill patients ZHU Lihong, ZHUANG Yiyu Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (6): 645-652.   DOI: 10.3761/j.issn.2096-7446.2025.06.001 Abstract （878）   HTML （3）    PDF（pc） （1356KB）（7）       Knowledge map    Save Objective To explore the value of glycemic variability（GV） in predicting early enteral feeding intolerance（EFI） in critically ill patients，and provide a basis for precision nutrition management. Methods The 283 patients who initiated enteral nutrition in the ICU between June 2022 and June 2024 were enrolled. Patients were divided into a tolerance group and an intolerance group based on the occurrence of enteral feeding intolerance（EFI）. Data collected included general patient characteristics，laboratory parameters，clinical treatments，and blood glucose values，with glycemic variability（GV） calculated. Logistic regression and Cox proportional hazards regression analyses were used to identify independent risk factors for EFI，while receiver operating characteristic （ROC） curves was employed to evaluate the predictive efficacy of GV for EFI. Results Among the 283 patients，156 tolerated enteral feeding，while 127 developed EFI. The incidence of EFI was 44.87%，with primary manifestations of gastric retention（50.39%） and diarrhea（36.22%），mostly occurring between days 2 and 3 after nutrition initiation. Logistic and Cox regression indicated that pre-nutrition glucose standard deviation（GLUsd）（β=0.218，OR=1.244） and APACHE Ⅱ score（β=0.078，OR=1.081） were independent risk factors for EFI. ROC analysis showed that the AUCs for APACHE Ⅱ score and pre-nutrition GLUsd were 0.696 and 0.657，respectively，increasing to 0.723 when combined. Correspondingly，accuracy improved from 67.137% and 63.984% to 70.115%，with more balanced sensitivity and specificity. GV indicators during nutrition initiation did not show significant predictive value. Conclusion APACHE Ⅱ score and pre-nutrition GLUsd are both significant predictors of early enteral feeding intolerance，and their combination further enhances diagnostic efficacy. Clinically，the dual-dimensional assessment of metabolic stability and disease severity should be emphasized prior to nutrition support，in order to optimize nutritional management，reduce the incidence of EFI，and improve outcomes in critically ill patients. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

Select

Practice of tracking based multidisciplinary collaborative team nursing rounds in the care of critically ill patients with comorbidities TIAN Jinping, WANG Rong, ZHENG Yaping, LU Jingxian, SHI Lifeng, ZHENG Danping Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (4): 470-474.   DOI: 10.3761/j.issn.2096-7446.2025.04.016 Abstract （832）   HTML （1）    PDF（pc） （719KB）（2）       Knowledge map    Save Objective To summarize our experience in implementing tracking based multidisciplinary team（MDT） nursing rounds for critically ill patients with comorbidities，and provide reference for related process establishment and clinical practice. Methods A nursing rounds special team for critically ill patients with comorbidities was established to analyze the problems existing in routine nursing rounds，and optimize measures from various aspects such as pre-consultation organizational methods，consultation process and difficult point discussions，post-consultation tracking management，and nursing round summary discussions. A process for tracking multidisciplinary team（MDT） nursing rounds was established and quality control was carried out，which was applied in seven departments. Results From June 2022 to May 2024，we conducted tracking based MDT nursing rounds for 18 critically ill patients with comorbidities，the length of hospital stay of critically ill patients in the experimental group[（18.50±2.15） d] was shorter than that of the routine nursing rounds group[（19.72±2.08） d]. The incidence of inconti-nence dermatitis decreased from 30.56% to 5.56%，and the incidence of oral mucositis decreased from 19.44% to 0，nursing job satisfaction score increased from（41.72±3.44） points to（47.22±2.53） points. Conclusion The application of tracking based MDT nursing rounds can shorten the hospitalization time of critically ill patients with comorbidities and reduce the incidence of nursing related complications，improve satisfaction with nursing care. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

Select

Construction and applicability analysis of whole-process nursing plan from pre-hospital first aid to in-hospital rehabilitation for emergency severe trauma patients HE Shasha, WANG Zhimin, JIANG Dandan, LIU Jing, TAN Caixia, ZOU Licheng Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (3): 275-282.   DOI: 10.3761/j.issn.2096-7446.2025.03.003 Abstract （787）   HTML （1）    PDF（pc） （1239KB）（6）       Knowledge map    Save Objective To construct a whole-process nursing program from pre-hospital first aid to in-hospital rehabilitation for emergency severe trauma patients based on the theory of ‘Timing It Right’，and to provide reference for clinical nursing work. Methods Guided by the theory of ‘Timing It Right’，the first draft of the intervention plan was drawn up on the basis of literature research and semi-structured interviews. From March to April 2024，18 medical and nursing experts from Hunan，Guangxi，Guangdong，Jilin，Heilongjiang Province and Beijing were consulted by Delphi experts for two rounds，and the final draft of the program was formed. Results The effective recovery rates of the two rounds of consultation were 94.73% and 100% respectively，and the expert authority coefficients were 0.919 and 0.917 respectively. The Kendall harmony coefficients of the importance and operability of the two rounds of consultation were 0.100，0.091，and 0.072，0.073 respectively，all P<0.05. The final intervention program includes 5 first-level items，17 second-level items and 72 third-level items. Conclusion The whole-process nursing program for emergency severe trauma patients based on the theory of ‘Timing It Right’ is scientific，reliable，targeted and continuous，which can meet the nursing needs of patients，and provide reference for improving the nursing quality of patients with severe trauma and improving the treatment effects of patients. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

Select

Development and validation of a risk prediction model of central venous catheter-associated skin injury in adult patients in the intensive care unit HUANG Hui, JI Chaona, CHEN Lichan, CHEN Yanhong, CHEN Xisui Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (4): 389-395.   DOI: 10.3761/j.issn.2096-7446.2025.04.001 Abstract （714）   HTML （4）    PDF（pc） （1180KB）（9）       Knowledge map    Save Objective This study developed and validated a risk prediction model of central venous catheter-associated skin injury（CVC-CASI） in patients in the intensive care unit. Methods Using convenience sampling，clinical data were obtained for ICU patients who were admitted to a tertiary grade A hospital in Guangdong Province between January 2023 and October 2023. Independent risk factors for CVC-CASI were identified by univariate and binary logistic regression analyses. And a risk prediction model was constructed. The discrimination and calibration of the model was evaluated by the area under the receiver-operating characteristic（ROC） curve and calibration curve，and the clinical effectiveness was assessed by the clinical decision curve. Results 68 of the 434 patients who were included in the study developed CVC-CASI，giving an incidence rate of 15.7%. 74 cases of CVC-CASI occurred，with non-infectious exudation accounting for 54 cases（73.0%）. Model variables included catheter dwelling time，catheterization site，prone ventilation，skin edema，serum albumin，prothrombin time，activated partial thromboplastin time，and puncture frequency. The model validation results showed that the area under the ROC curve was 0.838（95% confidence interval 0.784-0.893） with a sensitivity of 77.9% and a specificity of 81.1%. The Youden index was 0.59. Conclusion The incidence of CVC-CASI in ICU patients is relatively high. Our prediction model has good prediction efficiency and can provide theoretical basis for early identification of high-risk populations and timely intervention for clinical medical staff. Table and Figures | Reference | Supplementary Material | Related Articles | Metrics | Comments（0）

Select

Research progress on digitization and intelligence of ICU alarm management WENG Chengjie, PAN Xiangying, WANG Jinning, JIN Jiajia, ZHAO Xuehong Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (3): 380-384.   DOI: 10.3761/j.issn.2096-7446.2025.03.022 Abstract （712）   HTML （0）    PDF（pc） （800KB）（2）       Knowledge map    Save ICU alarm management is an important safety guarantee for patients during ICU stay. Benefiting from the development and application of artificial intelligence，machine learning，5G and other technologies in recent years，ICU alerts are no longer limited to the traditional guardianship alert function. This paper reviewed the history of ICU alarm technology，common alarm systems and limitations in ICU，automatic data recording and safe storage under digital management，data integration and analysis for smart alarms，data-driven indicator alarms to risk warnings，smart wearable devices for alarms in the Internet of Things，smart learning and algorithms to reduce false alarms，smart alarm management based on individualized needs of patients and doctors，existing problems and future challenges. The aim is to increase the interaction of smart alerts in treatment and prevention for optimal patient monitoring. Reference | Related Articles | Metrics | Comments（0）

Select

Summary of best evidence for management of blood pressure after mechanical embolectomy in patients with acute ischemic stroke ZHU Xiaojuan, YU Yang, WANG Cong, YIN Junlian, ZHEN Yushan, WANG Desheng, BAI Huihua Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (3): 365-371.   DOI: 10.3761/j.issn.2096-7446.2025.03.019 Abstract （694）   HTML （2）    PDF（pc） （1103KB）（10）       Knowledge map    Save Objective To retrieve，evaluate and summarize the evidence for management of blood pressure after mechanical embolectomy in patients with acute ischemic stroke，and provide evidence-based basis for clinical practice. Methods Clinical decisions，guidelines，evidence summaries，systematic reviews，expert consensus and meta-analyses on blood pressure management after mechanical thrombectomy in patients with acute ischemic stroke were searched by computer from domestic and foreign databases. The search period was from the establishment of the database to April 2024. Two researchers trained in evidence-based nursing independently performed quality assessment，evidence extraction and evidence synthesis on the included literature. Results A total of 13 articles were selected，including 7 guidelines，2 systematic reviews，and 4 expert consensus articles. Finally，26 pieces of evidence were summarized from 7 dimensions：disease assessment，blood pressure target，intervention measures，medication management，non-pharmacological treatment，quality control and continuous management. Conclusion This study summarized the best evidence of blood pressure management after mechanical embolectomy in patients with acute ischemic stroke. Medical staff should apply the evidence in a personalized way according to the actual situation of patients，standardize the postoperative blood pressure management behavior and ultimately improve the clinical outcome of patients. Table and Figures | Reference | Supplementary Material | Related Articles | Metrics | Comments（0）

Select

Development and testing the reliability and validity of the Knowledge，Attitude，and Practice（KAP） Questionnaire for the Nursing Care of Vasoactive Agents Infusions CHEN Yi, FANG Yaping, MOU Junjie, AI Zhongping, SU Zhonglin, LIU Dan, ZHU Dairong, LIU Li, HUANG Yanfang Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (3): 317-322.   DOI: 10.3761/j.issn.2096-7446.2025.03.009 Abstract （681）   HTML （1）    PDF（pc） （1024KB）（6）       Knowledge map    Save Objective To develop and test the reliability and validity of a Knowledge，Attitude，and Practice （KAP） Questionnaire for the Nursing Care of Vasoactive Agents Infusions. Methods Using the KAP theory framework，an initial questionnaire was developed through literature review，expert panel，item analysis，and a pilot survey. A convenience sample was used to select 239 clinical nurses specializing in critical care and cardiovascular nursing from six tertiary and three secondary hospitals in Sichuan Province from February to June 2024. The reliability and validity of the questionnaire were tested. Additionally，20 participants were re-surveyed two weeks after the initial round to gather test-retest reliability data. Results The final questionnaire comprised 33 items under three dimensions，including 15 items on knowledge，5 on attitude and 13 on practice. Exploratory factor analysis（EFA） showed that the cumulative variance contribution rate of the three common factors was 78.03%，with item loadings ranging from 0.56 to 0.89. The item-level content validity index（I-CVI） ranged from 0.91 to 1.00，and the scale-level content validity index（S-CVI/Ave） was 0.98. The Cronbach’s alpha coefficient for the entire questionnaire was 0.974，with each dimension’s Cronbach’s alpha ranging from 0.965 to 0.979. The intraclass correlation coefficient（ICC） for test-retest reliability was 0.889 for the entire questionnaire，and it ranged from 0.890 to 0.989 for each dimension. Conclusion The KAP Questionnaire for the Nursing Care of Vasoactive Agents Infusions demonstrates excellent reliability and validity，making it a suitable tool for assessing clinical nurses’ knowledge，attitudes，and practices regarding the nursing care of vasoactive agents infusions. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

Select

Investigation on the current status of nursing human resources in emergency departments of medical institutions in Zhejiang Province WANG Ping, LU Zhihong, WANG Yuwei, WANG Sa, ZHANG Yukun, FANG Jue, ZHOU Shuaishuai, JIN Jingfen Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (3): 290-296.   DOI: 10.3761/j.issn.2096-7446.2025.03.005 Abstract （681）   HTML （0）    PDF（pc） （1475KB）（1）       Knowledge map    Save Objective To understand the current situation of the allocation of nursing human resources in the emergency departments of medical institutions in Zhejiang Province，and to provide reference for further strengthening the construction of nursing team in the emergency departments. Methods 104 hospitals from 11 prefecture-level cities in Zhejiang Province were selected by simple random sampling method from September to October 2022，and the nursing managers of emergency departments were investigated by using the questionnaire of nursing human resources allocation in emergency departments of medical institutions in Zhejiang Province. Results The average ratio of bed to nurse in emergency room was 1 ∶ 2.6. Among the 2 735 emergency nurses，21.06% were under 25 years old，73.02% had bachelor’s degree，0.54% had master’s degree，and only 3.11% had senior professional title. Among the 104 hospitals，49.04% had ICU，only 7.69% had assistant nurses，and only 1.00% had nursing managers with postgraduate degree in emergency departments. There were significant differences among different levels of medical institutions in total number of beds，number of beds in emergency and rescue rooms，total number of nurses in emergency and rescue rooms，observation beds，ICU beds，average daily visits and average daily number of patients treated in emergency and rescue rooms（P<0.05）. There were significant differences among different levels of medical institutions in the age，professional title and educational level of nurses（P<0.05）. The night shift frequency of nurses in different levels of medical institutions was statistically different（P<0.05）. There was statistical significance in the composition ratio of nursing managers’ professional titles among the emergency departments of different medical institutions（P<0.05）. Conclusion The number of nursing human resources in the emergency departments of Zhejiang Province meets the requirements of relevant national documents. The nurses’ education is mainly bachelor’s degree，and the composition of nurses is characterized by youthfulness and a “pyramid” of professional titles. There is an urgent need to increase the number of assistant nurses for front-line personnel and the construction of emergency intensive care unit beds in secondary and tertiary medical institutions. At the same time，there is room for improving the education level of nursing managers. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

Select

Summary of best evidence for proper management and use of tourniquets in prehospital trauma care SHI Mei, HU Xiaohua, YANG Fang Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (4): 441-447.   DOI: 10.3761/j.issn.2096-7446.2025.04.009 Abstract （678）   HTML （3）    PDF（pc） （1085KB）（18）       Knowledge map    Save Objective To search，evaluate and summarize the relevant evidence of the application of tourniquet in pre-hospital trauma treatment，and provide reference and evidence-based basis for pre-hospital treatment practice. Methods Chinese and English databases，guideline websites and professional association websites were searched. The retrieval period was from January 2015 to December 2023，and the literature types included clinical decision support，guidelines，systematic reviews，randomized controlled trials or quasi-experimental studies，and so on. Two researchers respectively evaluated the quality of the literature and extracted the evidence. Results A total of 16 literatures were included，including a clinical decision，a guideline and 3 expert consensuses，4 systematic reviews，3 randomized controlled trials and 4 quasi-experimental studies. Twenty-two pieces of evidence were summarized from 12 aspects，including indications for tourniquet use，contraindications for tourniquet use，rapid assessment of bleeding severity，selection of tourniquet，location and method of dressing，effective criteria and pressure settings of tourniquets，time settings，dynamic evaluation，clear marking，removal，monitoring and re-evaluation of tourniquet，and recording. Conclusion The evidence summary of tourniquet application in pre-hospital trauma treatment is scientific and practical，which can provide evidence for pre-hospital trauma treatment practice，provide reference for popularization and training of first aid knowledge. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

Select

Application and effect evaluation of relocation stress nursing program for family members of patients with severe traumatic brain injury transferred from ICU ZHU Dongping, SHAO Peng, QIAO Yuehua, WANG Haixia, ZHANG Weiying Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (3): 261-267.   DOI: 10.3761/j.issn.2096-7446.2025.03.001 Abstract （657）   HTML （0）    PDF（pc） （1068KB）（2）       Knowledge map    Save Objective To evaluate the effects of a relocation stress nursing program on the coping relocation stress of family members of patients with severe traumatic brain injury（STBI） transferred from ICU. Methods A total of 108 family members of patients who met the inclusion and exclusion criteria and were transferred out of the ICU in a tertiary general hospital in Shanghai from August 2022 to July 2023 were selected as study subjects. 54 family members from February 2023 to July 2023 were assigned to the experimental group，and 54 family members from August 2022 to January 2023 were assigned to the control group. The control group received routine care，while the experimental group received the relocation stress nursing program. Differences in relocation stress levels，social support levels，coping styles，and caregiving abilities between the two groups were compared. Results After the intervention，the experimental group showed significantly better relocation stress levels，social support levels，coping styles，and caregiving abilities compared to the control group，with statistically significant differences（P<0.001）. Conclusion The relocation stress nursing program developed in this study effectively reduced the relocation stress levels of family members，improved their coping styles，increased their social support levels and caregiving abilities，thereby creating a more favorable family support environment for patient recovery. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

Select

Development and validation of the Knowledge，Attitude and Practice Questionnaire on the Prevention and Management of Oral Mucosal Pressure Injuries in Orotracheal Intubation Patients REN Meixia, ZHAO Wenfang, HAO Bin, YUAN Lirong, MENG Xiaohong, LI Jiaqi, LI Yuling Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (4): 396-402.   DOI: 10.3761/j.issn.2096-7446.2025.04.002 Abstract （609）   HTML （1）    PDF（pc） （1075KB）（4）       Knowledge map    Save Objective To develop and test the Knowledge，Attitude and Practice Questionnaire for ICU Nurses on the Prevention and Management of Oral Mucosal Pressure Injuries（OMPI） in Orotracheal Intubation（OTI） Patients. Methods Based on the theory of knowledge，attitude and practice，the first draft of the questionnaire was developed through a literature review，semi-structured interviews，2 rounds of Delphi expert correspondence，and a pre-survey. 441 ICU nurses were recruited to take the survey from January to February 2024，the items were analyzed and reliability and validity were tested. Results A final questionnaire consisting of 3 dimensions and 36 items was developed. The exploratory factor analysis revealed that the cumulative variance contribution rate of the four common factors was 81.330%. The confirmatory factor analysis demonstrated that the chi-square degrees of freedom ratio（χ2/df） was 2.557，the root mean square error of approximation（RMSEA） was 0.084，the root mean square residual（RMR） was 0.040，the incremental fit index（IFI） was 0.912，the comparative fit index（CFI） was 0.912，and Tucker-Lewis Index（TLI） was 0.903，indicating good model fit. The average content validity index（CVI） of the questionnaire was 0.993，with item-level CVIs ranging from 0.875 to 1.000. The overall Cronbach’s alpha was 0.965，with split-half reliability of 0.730 and test-retest reliability of 0.981. Conclusion The questionnaire developed in this study has good reliability and validity and is suitable for investigating the current status of ICU nurses’ knowledge，attitude and practices regarding the prevention and management of OMPI in OTI patients. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

Select

Expert consensus on nursing management of trauma resuscitation units in emergency rooms Emergency Nursing Committee of Chinese Nursing Association , Department of Nursing/Department of Emergency，The Second Affiliated Hospital，Zhejiang University School of Medicine , （Writing Committee：WANG Sa，WANG Yuwei，YAN Danping，WU Zuojia，FENG Xiuqin，LAN Meijuan，JIN Jingfen） Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (7): 830-836.   DOI: 10.3761/j.issn.2096-7446.2025.07.010 Abstract （593）   HTML （0）    PDF（pc） （1074KB）（9）       Knowledge map    Save Objective To formulate the expert consensus on nursing management of trauma resuscitation units in emergency rooms，providing a reference for standardizing trauma center nursing management and improving the quality of care for severe trauma patients. Methods Based on previous research and an analysis of the needs for trauma unit development，this consensus was developed by reviewing domestic and international studies，guidelines，expert consensus，and clinical practices related to trauma resuscitation unit construction and nursing management over the past ten years. An evidence-based analysis was conducted，and the final consensus was established through a Delphi expert consultation process. Results The consensus consists of 31 recommendations in five key areas，including definition of concepts，configuration and functions of the trauma resuscitation unit，construction and management of basic functions in trauma resuscitation units，construction and management of trauma nursing teams，and development and management of trauma nursing systems. Among these，there were 25 recommendations with Grade A，and 6 with Grade B. Conclusion This consensus is scientific and practical，and it provides guidance for the nursing management of trauma resuscitation units in trauma centers. Reference | Related Articles | Metrics | Comments（0）

Select

Summary of the best evidence for dysphagia rehabilitation training in ICU patients after extubation of orotracheal intubation ZHENG Yanmin, HUANG Zexi, HUANG Yaruo, CUI Nianqi, MA Xueqin, SHA Ruiqin, LIU Yonggang, TIAN Ying Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (4): 487-493.   DOI: 10.3761/j.issn.2096-7446.2025.04.019 Abstract （585）   HTML （1）    PDF（pc） （1156KB）（4）       Knowledge map    Save Objective To retrieve，evaluate，and summarize the best evidence for swallowing rehabilitation training in ICU patients with post-extubation dysphagia，providing a reference for clinical application. Methods To address the issues related to swallowing rehabilitation training for ICU patients with post-extubation dysphagia，we systematically searched the clinical decision-making systems，guideline websites，professional association websites，and databases for clinical decisions，guidelines，best practice，expert consensus，evidence summaries，systematic reviews，and original studies. The search period was from database inception to September 9，2024. Four evidence-based trained researchers independently conducted quality assessment of the literature and evidence extraction. Results A total of 20 studies were included，and 22 pieces of evidence were summarized across six dimensions：multidisciplinary teams for swallowing rehabilitation，training assessment，training measures，outcome evaluation，health education，and precautions. Conclusion The best evidence summarized in this study for swallowing rehabilitation training in ICU patients with post-extubation dysphagia demonstrates scientific rigor and practicality. In clinical practice，evidence should be applied selectively based on specific circumstances to improve patient outcomes and enhance the quality of care. Table and Figures | Reference | Supplementary Material | Related Articles | Metrics | Comments（0）

Select

Application of continuous intra-abdominal pressure monitoring and warning system in enteral nutrition for prone mechanical ventilation patients CHEN Jianqin, DAI Zhenjuan, WANG Jie, LIU Yimeng, CHENG Yongjing, XU Shenting Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (7): 798-804.   DOI: 10.3761/j.issn.2096-7446.2025.07.005 Abstract （576）   HTML （5）    PDF（pc） （1139KB）（6）       Knowledge map    Save Objective To explore the application effect of a continuous intra-abdominal pressure monitoring and warning system in enteral nutrition for prone mechanical ventilation patients.Methods The research enlisted 80 patients who were subjected to prone position mechanical ventilation in the Intensive Care Unit of a tertiary hospital in Shanghai from July 2022 to May 2024. Using the Random number table method，they were divided into intervention group and control group. The intervention group used the continuous intra-abdominal pressure monitoring and warning system in enteral nutrition and the control group used the conventional enteral nutrition treatment. The feeding compliance rates，the incidence of feeding intolerance symptoms within 7 days and nutritional indicators were compared between the two groups. Results The feeding compliance rate in intervention group was higher than the control group（86.75% VS 55.48%，P<0.001）. The incidence of feeding intolerance symptoms in intervention group was lower than the control group（37.84% VS 64.86%，P=0.020）. On the 8th day，the nutritional indicators in intervention group had higher levels of pre-albumin and albumin than the control group，the differences were statistically significant（P<0.05）. The difference in calf circumference between the two groups was not statistically significant（P>0.05）. Conclusion The application of continuous intra-abdominal pressure monitoring and warning system can help to improve the rate of feeding compliance，reduce the incidence of feeding intolerance，and enhance the indicators of nutrition. It has clinical guidance significance for the implementation of enteral nutrition in prone mechanical ventilation patients. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

Select

A scoping review of kinesiophobia research in stroke patients ZHANG Xiaping, LUO Songna Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (5): 624-630.   DOI: 10.3761/j.issn.2096-7446.2025.05.021 Abstract （554）   HTML （0）    PDF（pc） （1055KB）（14）       Knowledge map    Save Objective To conduct a scoping review of the research on kinesiophobia in stroke patients，and sort out the status quo，influencing factors，assessment tools and intervention methods of kinesiophobia，so as to provide reference for promoting active rehabilitation of stroke patients. Methods Guided by the scoping review methodology，the databases of CNKI，Wanfang Database，Chinese Biomedical Literature database，web of Science，PubMed，CINAHL and Cochrane Library were searched by computer. The retrial limit was from the establishment of the databases until May 17，2024. The included literature was screened，summarized and analyzed. Results Fifteen literatures were included. The incidence of kinesiophobia in stroke patients ranged from 24.17% to 78.3%. Tampa Scale for Kinesiophobia and the Tampa Scale for Kinesiophobia Heart were used to evaluate kinesiophobia. The influencing factors of kinesiophobia in stroke patients included demographic factors，social psychological factors，physical health factors and disease history. Intervention methods included stimulating care，pain neuroscience education，and cognitive behavioral therapy. Conclusion The research on kinesiophobia in stroke patients is still in the development stage. The incidence of kinesiophobia is high and affected by multiple factors. It is necessary to strengthen the research on localized assessment tools in stroke patients，increase the study sample size，timely identify kinesiophobia in stroke patients and conduct intervention，and develop and improve it at the level of family，community and Internet technology in the future. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

Select

Construction and application of a nutritional management program based on the disease trajectory for severely injured patients HUANG Xiaoxia, TANG Jiaying, JIANG Libing, GAO Mengke, ZHU Mengting, WU Longqin, FENG Xiuqin Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (4): 414-420.   DOI: 10.3761/j.issn.2096-7446.2025.04.005 Abstract （550）   HTML （4）    PDF（pc） （1244KB）（10）       Knowledge map    Save Objective To construct a nutritional management program based on the disease trajectory for severely injured patients and explore its application effects. Methods A non-synchronous before-and-after control study was conducted. Severely injured patients admitted to a tertiary class A hospital in Hangzhou from April to June 2023 were conveniently selected as the experimental group，and those admitted from January to March 2023 as the control group. The control group received a goal-directed early nutritional management program，while the experimental group received a nutritional management program based on the disease trajectory of severely injured patients. Nutritional-related indicators were compared between the two groups. Results A total of 84 patients were included in the experimental group and 87 in the control group. After the intervention，the experimental group had shorter initiation time for enteral nutrition support（t=2.335，P=0.017），fewer feeding interruption episodes within 7 d（Z=3.194，P=0.024），shorter feeding interruption duration（Z=3.865，P<0.001），lower blood glucose variability coefficient within 72 h（t=-2.432，P=0.016），and lower total insulin dosage（t=-4.664，P=0.035），and a lower incidence of feeding intolerance（χ2=5.554，P=0.021） compared to the control group. The 7 d target energy achievement rate（χ2=7.875，P=0.009） and serum prealbumin levels（t=4.129，P=0.016） were higher in the experimental group. Body composition analysis showed that the phase angle of the experimental group was higher than that of the control group（t=1.976，P=0.040）. There were no statistically significant differences in lean body mass，mechanical ventilation time，ICU length of stay，or improvement in the condition. Conclusion The program improve the implementation and quality of enteral nutrition，shorten the time to start enteral nutrition，enhance the target caloric achievement rate，and improve the nutritional status of severely injured patients，promoting their recovery. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

Select

Construction and applicability analysis of nursing quality evaluation index system of severe trauma care CHEN Huijuan, HUANG Wei, LIU Yue, ZHAO Feifan, CHENG Jing, SUN Libing Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (4): 428-433.   DOI: 10.3761/j.issn.2096-7446.2025.04.007 Abstract （547）   HTML （1）    PDF（pc） （1032KB）（8）       Knowledge map    Save Objective To construct nursing quality evaluation index system for severe trauma care and provide an evaluation basis for the monitoring and control of nursing quality in the whole process of trauma care. Methods Based on the frame work of the three-dimensional “structure-process-outcome” quality model，this study used literature review，Delphi method and analytic hierarchy to determine the content and the weight of indicators. Results A total of 20 medical，nursing and management experts from 16 hospitals at national，provincial，city and county trauma care systems were included，and two rounds of consultations were conducted. The effective recovery rates were 100% and 95%，respectively. The expert authority coefficients were 0.897 and 0.911，respectively. The variation coefficients of each item ranged from 0.045~0.291 and 0.045~0.217. The Kendall harmony coefficients were 0.273 and 0.206（P<0.001）. In this study，a total of 54 nursing quality indicators for severe trauma care were formed，including 19 structural indicators，25 process indicators and 10 result indicators. Conclusion The evaluation indicators are scientific and practical，which can provide objective，scientific and effective evaluation basis for the quality control of trauma care，and provide data support for the construction of trauma database and data-oriented trauma treatment quality control system. Table and Figures | Reference | Related Articles | Metrics | Comments（0）