Summary: Background: Evidence-based practice (EBP) implementation plays a crucial role in bridging the knowledge-action gaps and reducing health inequities. Little is known about its development in China. This study aims to provide an overview of the EBP implementation research progress in healthcare in China and identify gaps for future studies. Methods: We conducted a scoping review following the Joanna Briggs Institute scoping review methodology and the Cochrane Collaboration's guidance on living reviews. We performed a literature search in four Chinese databases (i.e., China National Knowledge Infrastructure, Wan Fang Database, The VIP Database, and China Biology Medicine) and three English databases (i.e., Ovid MEDLINE, the Cumulative Index to Nursing and Allied Health Literature, and EMBASE), Google scholar, and Baidu scholar from 1996 to 2021. We included EBP implementation studies conducted in healthcare settings in China and were published in Chinese and English literature. The search will be run on a regular basis to monitor the development of new literature and determine when to update the review. Findings: Of the 11,276 records identified, we finally included 309 papers. The publications were on a sharp rise since 2013 and were predominantly from the nursing field (292/309, 94.50%). The commonly researched areas were symptom management (75/309, 24.27%), tube care (46/309, 14.89%), perioperative care (43/309, 13.92%), and fundamental care (43/309, 13.92%). Joanna Briggs Institute model was the most frequently used model to guide the implementation process (92/159, 59.75%). A median number of 8 people often comprised an implementation team, with 113 studies (36.57%) taking a multidisciplinary approach. 204 studies reported utilizing audit criteria to assist evaluation of evidence implementation rate with diversified methods measuring the criteria. Lack of knowledge, skills, and resources, and incomplete procedures or pathways were top barriers impeding EBP implementation. Leadership support was considered the most common facilitator. Education and training were the most frequently described implementation strategies for healthcare professionals and patients. Optimizing workflows and developing evaluation tools were the primary strategies adopted by organizations. 291 studies measured patient outcomes and 174 studies measured healthcare professional outcomes. Interpretation: To our knowledge, this scoping review is the first one to systematically examine the EBP implementation research progress in healthcare in China. Based on this review, we identified contributions that Chinese EBP implementation research made to the global community, and provided eight recommendations for Chinese researchers in conducting implementation studies in the future. Funding: None.

Objective:To systematic review the efficacy and safety of external application of traditional Chinese medicine on treatment of breast cancer related lymphedema.Methods:CNKI, Wanfang Data, VIP, Sino-Med, The Cochrane Library, PubMed, Web of Science were searched for related randomized controlled trials, the retrieval time was from inception to May 25, 2020. Two researchers independently screened and evaluated the included studies. Meta-analysis was performed by RevMan 5.4 software.Results:A total of 16 studies involving 1 315 patients with breast cancer related lymphedema were included, and the methodological quality of the included studies was not high. Compared with conventional treatment, external application of traditional Chinese medicine combined with conventional treatment had advantages in improving the total efficiency( P<0.01) and quality of life( P<0.01), reducing pain( P<0.01) and improving upper limb function( P<0.01), without obvious adverse reactions( P>0.05), but there was no improvement in depression( P>0.05). Compared with conventional treatment, external application of traditional Chinese medicine could improve the total efficiency( P<0.01). Compared with placebo sticker combined with conventional treatment, external application of traditional Chinese medicine combined with conventional treatment can reduce circumference( P<0.05) and reduce pain( P<0.01), without obvious adverse reactions( P>0.05). Conclusions:Available evidence suggests that external application of traditional Chinese medicine may be a potential treatment method for breast cancer related lymphedema. Due to the poor methodological quality of the included studies, high-quality randomized controlled trials are still needed.

本文对6个国内外早产儿疼痛特异性评估量表进行综述,并对疼痛评估量表的应用情况、量表比较分析和应用启示进行论述.旨在为早产儿疼痛管理提供参考,并为早产儿疼痛特异性量表的本土化发展提供借鉴.

目的 对涉及胃癌术后化疗自我管理的相关指南进行质量评价和内容分析,为制订我国胃癌术后化疗患者自我管理方案提供参考.方法 检索国内外临床实践指南网站、胃癌专业协会网站及部分中英文数据库,搜集胃癌术后化疗患者自我管理相关指南,检索期限为2015年7月至2020年6月.采用AGREE Ⅱ评价指南质量,并对各指南推荐意见进行汇总分析.结果 共纳入8部指南,总体质量评价为A级2部,B级3部,C级3部.胃癌术后化疗患者自我管理相关推荐意见涉及解决自身健康问题、如何进行决策、获取资源、建立医患合作关系、制订行动计划、自我监测6个方面35条.结论 纳入的指南部分质量较高,但指南开发的应用性、严谨性、参与人员等领域亟待加强.未来可借鉴国外质量较高指南进行本土化实践,并遵循国际标准尽快构建适应我国国情的胃癌术后化疗患者自我管理指南.

目的 对乳腺癌相关淋巴水肿评估与管理的相关指南进行质量评价和内容分析,为我国本土化乳腺癌相关淋巴水肿评估与管理指南的制定提供参考.方法 计算机检索国内外指南网站、相关专业协会网站及中英文数据库,搜集乳腺癌相关淋巴水肿评估与管理相关指南.采用AGREE Ⅱ评价纳入指南的质量,并对各指南推荐意见进行汇总分析.结果 最终纳入4部指南,2部A级,2部B级.推荐意见涉及评估、治疗与健康指导3个方面.结论 纳入的指南质量较高,纳入的指南涵盖了较为全面的乳腺癌相关淋巴水肿评估方法,对我国临床实践有一定的指导意义,但治疗方法不全,可进一步补充中医护理等方面内容,开发本土化乳腺癌相关淋巴水肿评估与管理指南.

Objective:To explore the development status and research hotspots of international mobile medical application, so as to provide references for domestic research on mobile medical applications.Methods:We systematically searched English documents included in the Web of Science core database from 2009 to 2019, and the document type was the article. CiteSpace (V.5.6.R2 version) software was used to visually analyze research institutions, source journals, cited documents and keywords of international mobile medical applications.Results:A total of 4 705 documents were included. Research on international mobile medical applications continued to increase. The institution and journal with the most publications were the University of Washington and JMIR Mhealth and Uhealth respectively. Through the keyword co-occurrence clustering of related literature, four research hotspots were obtained: the feasibility study of mobile medical applications, the intervention research of mobile medical applications, disease management and self-care, and the evaluation of mobile medical applications. Conclusions:In order to promote the development of mobile medical application in China, it is recommended that future researchers should pay attention to the research result of international authoritative institutions and journals in a timely manner, learn from the knowledge base of international mobile medical application research, and explore the road of application development in line with my country's national conditions.At the same time, it is necessary to standardize the design of research programs, carry out high-quality intervention research, and build my country's mobile medical application evaluation system as soon as possible.

目的 系统评价俯卧位对早产儿喂养的有效性和安全性.方法 计算机检索中国知网、万方数据库、维普网、中国生物医学文献数据库、PubMed、Cochrane图书馆、Embase数据库中有关不同体位对早产儿胃潴留影响的随机对照试验.检索时限从建库至2020年3月18日.由2名经过培训的研究员独立筛选文献、提取资料并评价文献质量,采用RevMan5.3软件、StataMP16软件进行Meta分析.结果 共纳入28项随机对照试验和3项随机交叉试验,包括3178例研究对象.与仰卧位相比,俯卧位能够降低早产儿胃潴留量、发生率[RR =0.34,95％CI(0.17,0.70),P=0.003];呕吐次数和发生率[RR=0.30,95％CI(0.19,0.46),P=0.000];腹胀次数、发生率[RR =0.28,95％CI(0.17,0.44),P=0.000];呼吸暂停次数和发生率[RR=0.36,95％CI(0.25,0.52),P=0.000].与侧卧位相比,俯卧位能够降低早产儿胃潴留量.结论 俯卧位可有效减少早产儿胃潴留、呕吐、腹胀及呼吸暂停的发生,但受纳入研究数量和质量的影响,上述结论尚需开展更多高质量研究予以进一步证实.

目的 通过检索国内外胃癌移动医疗应用程序的相关文献,了解该领域的研究现状和发展动态,并对可用性评价进行重点分析,以期为今后相关研究提供参考.方法 检索2010年1月至2020年4月发表的胃癌移动医疗应用程序相关的中、英文文献,检索的中文数据库包括中国知网、万方、重庆维普数据库和中国生物医学文献数据库,英文数据库包括Web of Science、PubMed、Embase、Medline、Science Direct、Springer Link及Cochrane Library等.结果 经过文献筛选,本研究共纳入15篇英文文献.胃癌移动医疗应用程序的功能以自我监测、疼痛管理、健康教育、营养咨询和监测以及加强体育锻炼为主.应用程序的可用性评价以量性评价为主,评价方法多采用问卷调查的方式进行,评价对象大多针对目标患者用户,评价持续时间差异较大,可用性评价要素以可用性、可行性、有效性和满意度为主.结论 胃癌移动医疗应用程序相关研究呈持续性增加趋势,仅适用于胃癌患者的移动医疗应用程序相对不足.应用程序设计时应在尽可能考虑胃癌患者全面需求的同时注重个性化服务,应用程序的可用性评价应贯穿应用程序研发的全过程,且如何规范实施移动医疗应用程序可用性评价应受到相关研究人员的重视.

目的 了解新型冠状病毒肺炎(COVID-19)出院患者社会支持现状及其影响因素,提出中医特色干预措施,为制定新型冠状病毒肺炎出院患者健康干预计划提供参考.方法 于2020年2-3月,采用方便抽样法,对湖北省COVID-19定点收治医院湖北省中西医结合医院、武汉市中西医结合医院、武汉市江夏方舱医院3家单位治愈出院的171例患者进行社会支持水平问卷调查,利用SPSS 22.0统计软件进行数据分析.结果 COVID-19出院患者社会支持水平得分区间为12～40分,得分中位数为30分,处于中等社会支持水平,社区情感支持相对不足.影响COVID-19出院患者的社会支持状况的因素主要有教育程度、婚姻状态.结论 应建立并完善COVID-19出院患者社会支持网络;重视精神支持和人文关怀;积极探索社区居家康复新模式;充分发挥中医情志护理的优势作用.

目的:系统评价穴位按摩治疗产后缺乳的疗效.方法:计算机检索中国知网(CNKI)、万方数据(WANFANG DA-TA)、维普中文科技期刊数据库(VIP)、PubMed、The Cochrane Library、中国生物医学文献服务系统(Sinomed)等数据库中有关穴位按摩应用于产后缺乳患者的随机对照试验,检索时限为建库至2020年2月10日.由2位研究者独立进行文献筛选、资料提取和方法学质量评价.采用RevMan 5.3软件进行数据分析.结果:最终纳入6篇文献,共586例患者.Meta分析结果显示:与治疗前相比,穴位按摩联合常规护理可有效提高产后缺乳患者血清泌乳素含量,差异有统计学意义[MD=59.69,95％CI(56.94,62.45),P＜0.00001].对产后缺乳患者泌乳量、乳房充盈度及乳汁黏稠度的影响通过描述性分析发现,穴位按摩可增加产后缺乳患者泌乳量,改善乳房充盈度和增加乳汁黏稠度.结论:穴位按摩治疗产后缺乳可能存在优势,但纳入研究的方法学质量普遍偏低,仍需开展高质量的研究来进一步验证其疗效和安全性.

This report introduced and summarized the nursing care experience for a senior patient with lung cancer and developed programmed cell death protein 1 (PD-1) immunotherapy-related myocarditis combined with coronary heart disease (CHD) after receiving said treatment. In this case, immune myocarditis with CHD occurred shortly after implementing the PD-1 immunotherapy, yet the patient presented no clinical symptoms. Frequent nursing attention and close observation are so required for monitoring the patient's status and updating the physicians for a swift control of the myocarditis. For this case, nursing care procedures vital for the successful recovery of the patient included condition observation, position management, pre- and postcoronary angiography care, infection prevention, hemorrhage prevention, venous access port maintenance, pain care, trachea care, psychological care, diet care, environment management, and health education. After receiving effective, successful treatment and care, the patient was discharged after 13 days of treatment with generally satisfying overall conditions.

Recently, probiotics are more and more used in low birth weight infants, we reviewed the safety and effectiveness of probiotics in low-birth-weight infants from the aspects of intestinal flora characteristics, promoting growth and development, prevention and treatment of related diseases, economic safety, and nursing countermeasures.

Objective:To systematically evaluate effects of auricular acupoint pressing on improving perimenopausal insomnia.Methods:The randomized controlled trials of auricular plaster therapy to improve perimenopausal insomnia was searched by computer in domestic and foreign databases, and the search time was from the establishment of each database to October 25, 2018. Two researchers independently screened the literature, extracted data and evaluated the risk of bias in the included literature and RevMan 5.3 analysis software was used for data analysis.Results:A total of 6 Chinese literatures were included. Meta-analysis results showed that there was no statistically significant difference in Pittsburgh Sleep Quality Index (PSQI) score reduction by auricular acupoint pressing compared with estazolam ( WMD=-0.06, 95% CI: -0.96-0.84, P=0.90) .Auricular acupoint pressing was better than Anshen Buxin capsule in reducing PSQI score ( WMD=-5.16, 95% CI: -7.37--2.95, P<0.000 01) . Auricular acupoint pressing could effectively improve perimenopausal insomnia, and the difference was statistically significant ( RR=1.19, 95% CI: 1.08-1.31, P=0.000 4) . Auricular acupoint pressing with beans combined with oral modified Huanglian Ejiao Decoction was better than oral modified Huanglian Ejiao Decoction alone in reducing Athens Insomnia Scale (AIS) scores ( WMD=-2.60, 95% CI: -4.42--0.78, P=0.005) . Compared with modified Chaihu Guizhi Longgu Muli Decoction treatment, auricular acupoint pressing combined with modified Chaihu Guizhi Longgu Muli Decoction could effectively reduce the modified Kupperman score ( WMD=-4.07, 95% CI: -6.36--1.78, P=0.000 5) . In terms of reducing the scores of the social support scale, there was no statistically significant difference between the auricular acupoint pressing with beans and estazolam ( WMD=-0.16, 95% CI: -1.26-0.94, P=0.78) . Conclusions:Auricular acupoint pressing has advantages in improving the total effective rate, reducing PSQI score and AIS score and improving Kupperman score. Limited by the quantity and quality of the included literatures, more large-sample high-quality studies with long-term follow-ups are needed for verification.

Objective? To understand the research status of experiential teaching applied in nursing course teaching at home and abroad, and to explore the existing problems so as to provide information and direction for further researches and development. Methods? Literatures were retrieved in China national knowledge infrastructure (CNKI), WanFang database, VIP, SinoMed and PubMed from building database to June 2018. We extracted related literatures and analyzed them by bibliometric analysis. Results? A total of 228 literatures were included with 207 Chinese and 21 English papers. The number of papers published after 2010 was upward trend. The number of core journals (29) and SCIs (6) was less. Research methods focused on empirical research with 126 papers accounting for 55.26%. A total of 31 kinds of course applied this teaching method. The teaching effects were mainly evaluated with the questionnaire. Conclusions? The application of experiential teaching in nursing courses was paid more attention to. The teaching was applied in diverse courses, but the quality of literatures needed to be improved. In the future,researchers should lay emphasis on scientific rigorous design and diverse evaluation methods so as to improve the objectivity and reliability of teaching effects.