|| Early enteral nutrition supplemented with probiotics improved the clinical outcomes in patients with severe head injury: protocol for a meta-analysis of randomized controlled trials
TMR Integrative Nursing. 2017, 1 (2): 30-35.
The aim of this systematic review of randomized controlled trials (RCTs) is to determine the effects of early enteral nutrition supplemented with probiotics on clinical outcomes in patients with SHI.
Methods and analysis:
A systematic search will be carried out in PubMed, Cochrane Central Register of Controlled Trials (CENTRAL), China National Knowledge Infrastructure (CNKI), WanFang database, and Chinese Biomedical Literature (CBM) in order to identify the randomized controlled trials (RCTs) investigated the potential of early enteral nutrition supplemented with probiotics on patients with severe head injury, as well as we will also manually check the bibliographies of eligible studies and topic-related reviews. We will assign two investigators to independently search all potential citations, extracted data, and appraised risk of bias accordingly, and then STATA software version 12.0 will be used to statistically analyze all data.
Ethics and dissemination:
The ethics approval and patient written informed consent will not be required because all analyses in the present study will be performed based on data from published studies. We will submit our systematic review to a peer-reviewed scientific journal for publication.
|| The effect of traditional Chinese medicine washing combined with massage for neonatal jaundice: a meta-analysis
TMR Integrative Nursing. 2017, 1 (2): 36-44.
Objective: To systematically assess the effect of traditional Chinese medicine washing (TCM washing) combined with massage for the treatment of neonatal jaundice.
Methods and analysis: Databases, including PubMed, the Cochrane Library, Embase, Web of Science, the Chinese Biomedical Literature Database (CBM), CNKI, and Wanfang Data were electronically searched for randomized controlled trials (from inception to July 2017). The methodological qualities of included trials were evaluated by the Cochrane risk of bias assessment tool. The meta-analysis was performed by using RevMan 5.3 software.
Results: Overall, thirteen trials with a total of 1998 participants were included. The results of meta-analysis indicated that TCM washing combined with massage group was significantly superior to the control group in the first meconium time (MD, -16.67; 95% CI, -24.59 to -8.74; P<0.001), time for transformation of meconium (MD, -15.44; 95% CI, -23.59 to -7.28; P<0.001), transcutaneous bilirubin index changes [after treating three days (MD, -1.99; 95% CI, -2.57 to -1.40; P<0.001), after treating four days (MD, -1.86; 95% CI, -2.77 to -0.95; P<0.001), after treating five days (MD, -2.44; 95% CI, -3.47 to -1.42; P<0.001), after treating six days (MD, -2.23; 95% CI, -3.30 to -1.16; P<0.001), and the changes of serum bilirubin levels [after treating five days (MD, -3.17; 95% CI, -5.83 to -0.50; P=0.02), after treating six days (MD, -1.63; 95% CI, -3.10 to -0.16; P=0.03), after treating fifteen days (MD,-1.20; 95% CI, -1.99 to -0.41; P=0.003).
Conclusions: TCM washing combined with massage may be an effective therapy for the treatment of neonatal jaundice. It can accelerate the excretion of meconium, shorten the time for transformation of meconium, and decrease transcutaneous bilirubin index and the level of serum bilirubin. But it should be careful to interpreting these findings. Well-designed RCTs are needed to further clarify the conclusion.
|| Attitudes and Actions of Hospitalized Patients on Management of Their Safety: A Cross-sectional Study
TMR Integrative Nursing. 2017, 1 (2): 50-58.
Background and aims: Patient plays an important role in preventing the adverse events (AEs) and harms occurred during medical care; however, the incidence of AEs and harms can be effectively reduced if patients actively and successfully participate in their care. Organizations of safety management for patients and authorities of health system agree that involve patients into the management on their care can obviously prevent medical error; whereas, the attitudes and actual actions of hospitalized patients for the view remain controversial. In this study, we aimed to explored patients’ attitudes and actual actions participate in their own safety and whether patients with positive attitude are more likely to take action than others?
Methods: In the present cross-sectional study, convenience sampling method was adopted to recruit a sample size consist of 2052 patients from two teaching hospitals affiliated to Medical College of Shantou University located in Shantou China. We used a questionnaire consist of 7 items to investigate the attitudes and actual actions of hospitalized patients participating in their care. Then the actual actions between patients with positive and negative attitudes were analyzed using descriptive analysis and independent t-test.
Results: Most patients have a positive attitude on engaging in their safety management activity. Although most patients have positive attitude, fewer can take actual actions. Patients with positive attitude are more likely to take actions, but there are not statistical significant difference for positive and negative attitudes patients in terms of some items, such as “Ask doctor or nurse to wash their hands” and “Ask nurse or doctor to confirm your identity”, etc.
Conclusions: Positive attitude is an important factor that improves the rate of participating in the medical care activity for patients. Based on the results of current study, interventions that improve the attitude of patient are needed to improve patients’ attitude and what is more important is how to convert attitude into actual action. When making plan of interventions, cultural background of patients need to be taken into account.