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Theoretical research

Theoretical research on integrative medicine, including medical hypotheses, medical thinking assumptions, etc
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Surgical Site Infection Prevention Practices and Associated Factors among Nurses Working in Government Hospitals of Harari Regional State and Dire Dawa City Administration, Eastern Ethiopia
Getaneh Desalew, Biftu Geda, Bezatu Mengistie, Asmamaw Demis, Solomon Demis
3TMR Integrative Nursing    2019, 3 (6): 214-225.   https://doi.org/10.12032/TMRIN20191209
Abstract HTML PDF (661KB)  

Highlights

This study assessed surgical site infection prevention practices and associated factors among nurses working in government hospitals of Harari Regional State and Dire Dawa City Administration, Eastern Ethiopia from March 01 to 28, 2019.

Editor’s summary

Nurses play a major comprehensive role and spans the continuum of care in preventing Surgical site infections. nurses should adhere to evidence based practice towards SSI prevention but, according to literatures there is paucity of information regarding to nurses surgical site infections prevention practices.

ABSTRACT

Background: Surgical site infections are the most frequent type of preventable hospital acquired infections with a serious and undesirable outcome of surgery associated with increase morbidity, mortality rate, hospital stay, readmission and excess cost. Surgical site infection prevention is one of the most important challenge in delivering optimal nursing care. Studies suggest that the nurses’ practices of surgical site infection prevention is not well addressed. Moreover, there is clearly paucity of information, in Africa including the study area. Objective: The aim of this study was to assess surgical site infection prevention practices and associated factors among nurses working in government hospitals of Harari Regional State and Dire Dawa City Administration, Eastern Ethiopia from March 01 to 28, 2019. Method and Materials: An institutional based cross-sectional study design was employed for a total of 515 nurses. Simple random sampling method was used to select study participants. Data were collected using pretested structured self-administered questionnaire supplemented by observation. Data were checked, coded, entered and cleaned using Epi-data version 3.1 and exported to SPSS version 20 for analysis. Bivariate and multivariate analysis were undertaken and P values less than 0.05 at 95% confidence interval were considered as statistically significant. Result: The overall self-reported level of SSI prevention practice was found to be 40.8% (95% CI: 36.9%, 45.4%). Nurses with BSc and above [Adjusted odds ratio (AOR) = 2.52, 95% CI (1.14, 5.54)], trained on infection prevention [AOR = 2.22, 95% CI (1.29, 3.82)], good knowledge [AOR = 2.21, 95% CI (1.32, 3.71)], good attitude [AOR = 5.11, 95%CI (3.05, 8.57)], got supply of personal protective equipment [AOR = 2.57, 95% CI (1.46, 4.49)], had management support [AOR = 3.41, 95% CI (1.90, 6.12)], experience of 5 to 10 years [AOR = 5.38, 95%CI (2.82, 10.27)] and ≥ 11 years [AOR = 3.48, 95% CI (1.47, 8.25), were found to be statistically and positively associated with nurses SSI prevention practice. Conclusion: In this study, the level of surgical site infection prevention practice was poor. Being BSc and above, being knowledgeable and good attitude, got personal protective equipment, had management support, serving for ≥ 5 years and trained on infection prevention were found to be significantly associated with surgical site infection prevention practice. Updating knowledge and practice of nurses through in-service education and training on latest evidence-based practice, regularly supplying of personal protective equipment, developing hospital policy and procedures for surgical site infection prevention practice is recommended.

Analysis of the present situation and influencing factors of self-perceived burden in primary glaucoma patients
Fu-Liang Sun, Xiao-Hui An, Shu-Qing Cao
3TMR Integrative Nursing    2020, 4 (1): 15-21.   https://doi.org/10.12032/TMRIN20200218
Abstract HTML PDF (445KB)  

Highlights

This study was to examine the current situation of self-perceived burden in primary glaucoma patients and its related factors. The results showed that the patients with primary glaucoma had a heavy burden of self-perception. It was helpful to improve the patients' awareness of negative experience and actively cope with the disease.

Abstract

Objective: To explore the status of self-perceived burden (SPB) in primary glaucoma patients and to analyze its influencing factors. Subject and setting: A questionnaire survey was administered to 236 inpatients from a tertiary general hospital and a eye hospital in Tianjin. The investigation was conducted after obtaining informed consent from each participant. Instruments: They were investigated using general data questionnaire, Self-Perceived Burden Scale (SPBS), Medical Coping Modes Questionnaire (MCMQ). Design: A descriptive cross-sectional design was used to gather data in this study. Results: The total SPBS score of primary glaucoma patients was (31.10±9.34) was medium. Regression consults showed that avoidance and surrender coping style, medical burden and right eye vision were the influencing factors of patients’ SPB (P<0.05). Conclusion: Patients with primary glaucoma have a relatively heavy SPB, so medical staff should encourage them to actively face it. Tailored strategies in line with the patient’s economic and visual conditions to reduce the SPB.

Early diagnosis and management of Congenital diaphragmatic hernia
Aisha Alshdefat, Hilal Al- Mandhari, Judie Arulappan
3TMR Integrative Nursing    2020, 4 (1): 33-37.   https://doi.org/10.12032/TMRIN20200213
Abstract HTML PDF (323KB)  

Highlights

This case report describes the case of a full term girl baby with left congenital diaphragmatic hernia, which was identified during the fetal life and managed appropriately in the neonatal period. This case report study emphasizes the importance of finding such congenital abnormalities in time, and these abnormalities can be diagnosed by ultrasound before delivery, so as to get effective treatment.

Abstract

This case report describes the case of a full term girl baby with left congenital diaphragmatic hernia (CDH) born to a 36-year-old mother at 38 weeks of gestation. The baby at birth had an APGAR 8 and birth weight 2.930 kgs. Pre operatively, the baby was ventilated and was kept Nil per oral and continued with Total parenteral nutrition. Nasogastric tube continuous suction was done. The parents were counselled for the surgical repair of CDH. On the third day of life, exploratory laparotomy was performed. 5 cm diaphragmatic defect was found. The stomach, pancreas, small bowel, large bowel, and spleen were successfully restored from the left thoracic cavity and the diaphragmatic defect was closed. Post operatively, the baby was breastfed well, thermo regulated, maintained saturation, passed urine and stool and was discharged.

Cross-cultural nursing's systematic model and its application in minority patients in China
Lyu Cheng, Wen-Jiao Li, Yun Ning, Han Wang, Chang-De Jin
3TMR Integrative Nursing    2020, 4 (1): 9-14.   https://doi.org/10.12032/TMRIN20191105
Abstract HTML PDF (323KB)  

Highlights

This review summarizes the concept, advantages, application in teaching and clinic of cross-cultural nursing theory and the special nursing needs of Tibetan and Hui patients.

Abstract

Ethnic diversity and cultural diversity have become a prominent feature of today's society. Patients from different cultural backgrounds have brought new challenges to the nursing career, and it has become an inevitable trend to carry out cross-cultural nursing. This review summarizes the concept, advantages, application in teaching and clinic of cross-cultural nursing theory and the special nursing needs of Tibetan and hui patients. This review aims to sort out the application status of cross-cultural nursing theory in ethnic minorities and provide reference for carrying out standardized cross-cultural nursing in ethnic minority patients.

基于伤寒六经辨证之三阴病辨治溃疡性结肠炎理论探讨
徐晓
经典中医研究    2018, 1 (1): 1-4.   https://doi.org/10.12032/CCMR20180101
Abstract PDF (790KB)  
溃疡性结肠炎是病因不明的难治性疾病,现代医学应用糖皮质激素、 甚至生物制剂可以有效缓解炎症反应,控制病情,但是此类药物需长期应用并且可导致肝肾损害、使人体长期处于免疫抑制状态等副作用日渐明显,临床观察采用中西医结合方法治疗溃结取得显著疗效,本文尝试从《伤寒论》六经之三阴病角度阐述溃疡性结肠炎各个阶段的病理变化,意为启发思维。
基于六经模型对太阴虚劳小建中汤条文的探讨
沈佳
经典中医研究    2018, 1 (1): 13-17.   https://doi.org/10.12032/CCMR20180104
Abstract PDF (784KB)  
对仲景太阴虚劳小建中汤条文的理解,学术界有多种看法,本文基于六经模型,结合《伤寒论》与《金匮要略》相关条文,对小建中汤条文进行探讨,以期剖析其内在含义。
虞抟辨治郁证探析
雷靖宇
经典中医研究    2019, 2 (1): 1-4.   https://doi.org/10.12032/CCMR20190101
Abstract PDF (1011KB)  
中国明代医家虞抟撰写《医学正传》一书,该书对郁证的辨治颇有特色。通过对该书及相关医案文献探讨研究发现,虞氏对郁证辨治遵从《内经》观点,崇尚朱丹溪之法,结合临床证候相关经验,并旁引李东垣、张子和等多家先贤方论,从郁证的病因病机出发,多方面阐述郁证的临床病理变化及治法方药,对当代中医药治疗郁证有着十分重要的参考价值。
从燥邪论治干眼的理论与治疗探讨
陈立浩
经典中医研究    2019, 2 (1): 5-10.   https://doi.org/10.12032/CCMR20190102
Abstract PDF (1209KB)  
从伏邪与六经理论论治过敏性鼻炎
贾鲁栋, 李扬滔
经典中医研究    2019, 2 (2): 31-34.   https://doi.org/10.12032/CCMR20190203
Abstract PDF (627KB)  
过敏性鼻炎发病率呈逐年上升趋势,已成为严重影响人类健康及生活质量的隐患之一。 过敏性鼻炎多病情迁延不愈,反复发作。本文从伏邪和六经理探讨过敏性鼻炎的治疗。
基于升降学说探讨糖尿病肾病的治疗
蔡慧姿
经典中医研究    2019, 2 (2): 35-39.   https://doi.org/10.12032/CCMR20190204
Abstract PDF (735KB)  
糖尿病肾病是 1 型及 2 型糖尿病最常见的微血管并发症之一,也是导致终末期肾病的主 要原因。目前,西医治疗仍难以从根本上改变糖尿病肾病的进程,研究发现中医药辨证治疗糖 尿病肾病具有显著的疗效,尤其与西医联合疗效更为显著。升降学说是中医理论体系中的重要 部分,调整气机升降复常是中医治疗疾病的基本治则之一,本文通过梳理历代医家对糖尿病肾 病的相关论述,探讨糖尿病肾病的演变规律与升降学说的关系,总结现代医家应用升降学说论 治糖尿病肾病的经验。
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