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Research Article
Interventional Study of Raphani Semen Hot Compress Combined with Low-Frequency Neuromuscular Therapy in Neurogenic Bladder After Spinal Cord Injury
Issue:
Volume 15, Issue 4, August 2026
Pages:
83-91
Received:
9 June 2026
Accepted:
24 June 2026
Published:
17 July 2026
Abstract: Objective: To investigate the effects of Raphani Semen hot compress combined with low-frequency neuromuscular therapy in patients with neurogenic bladder (NB) after spinal cord injury (SCI), and to provide a reference for early rehabilitation nursing. Methods: Sixty patients with NB after SCI admitted to our hospital from June 2023 to June 2025 were selected as the study participants. They were allocated by the random-number table method into an experimental group and a control group, with 30 patients in each group. The control group received routine treatment and nursing care, whereas the experimental group received Raphani Semen hot compress combined with low-frequency neuromuscular therapy in addition to the interventions provided to the control group. The intervention lasted 2 weeks in both groups. The incidence of urinary tract infection, recovery of bladder function, and improvement in quality of life were compared between the two groups. Results: The incidence of urinary tract infection was 3.33% in the experimental group and 10.00% in the control group, with a statistically significant difference between the two groups (P < 0.05). The residual urine volume was higher, bladder capacity was lower, and catheter indwelling duration was longer in the control group than in the experimental group, and the differences were statistically significant (P < 0.05). The maximum bladder capacity and maximum urinary flow rate were significantly higher in the experimental group than in the control group, whereas detrusor pressure during filling and maximum urethral pressure were significantly lower in the experimental group than in the control group; all differences were statistically significant (P < 0.05). The scores for the bother, limitations, fears, and feelings dimensions, as well as the total score, were significantly lower in the experimental group than in the control group (P < 0.05). Conclusion: Raphani Semen hot compress combined with low-frequency neuromuscular therapy is conducive to early rehabilitation in patients with NB and has favorable clinical effects in preventing urinary tract infection and improving bladder function.
Abstract: Objective: To investigate the effects of Raphani Semen hot compress combined with low-frequency neuromuscular therapy in patients with neurogenic bladder (NB) after spinal cord injury (SCI), and to provide a reference for early rehabilitation nursing. Methods: Sixty patients with NB after SCI admitted to our hospital from June 2023 to June 2025 wer...
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Research Article
Determinants of Clinical Learning Environment: Evidence from BScN Students in Selected Public Universities in Kenya
Issue:
Volume 15, Issue 4, August 2026
Pages:
92-96
Received:
20 July 2026
Accepted:
3 August 2026
Published:
20 August 2026
Abstract: Background: A constructive clinical learning environment (CLE) with a focus on student learning needs is vital for nursing education. Understanding the features of a healthy CLE for under graduate nursing students continues to be a challenge for healthcare organizations and educators in application of theory to practice. Objective: The objective of the study was to investigate the determinants of the clinical learning environment as perceived by BScN students in selected public universities in Kenya Methods: A descriptive quantitative cross-sectional design was employed where data was collected from consenting participants from two selected public universities in Kenya, using a pre-tested modified clinical learning environment inventory tool. The target population comprised of 125 fourth-year Bachelor of Science nursing students. The census technique will be used in this study. Quantitative data will be analyzed using SPSS version 27 for frequencies mean and percentages then presented using tables, charts, and graphs Results: The findings indicate that ward leadership style had a significant influence on clinical learning environment (F = 9.09; t = 3.63; p = 0.000 <0.05), ward culture had an influence on the clinical learning environment (F = 8.46; t = 10.76; p = 0.000 <0.05) and supervisory relationship influenced clinical learning environment (F = 1.13; t = 1.98; p = 0.020 <0.05) Conclusions: Ward leadership style, positive ward culture and supervisory relationships can foster a supportive clinical learning environment Recommendations: Strengthening leadership support for students while creating a supportive learning environment that promotes and maintain a collaborative learning culture is needed.
Abstract: Background: A constructive clinical learning environment (CLE) with a focus on student learning needs is vital for nursing education. Understanding the features of a healthy CLE for under graduate nursing students continues to be a challenge for healthcare organizations and educators in application of theory to practice. Objective: The objective of...
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Research Article
Nurses’ Knowledge Regarding Hospital Waste Management at a Specialized Hospital in Dhaka, Bangladesh
Issue:
Volume 15, Issue 4, August 2026
Pages:
97-107
Received:
29 June 2026
Accepted:
30 July 2026
Published:
22 August 2026
DOI:
10.11648/j.ajns.20261504.13
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Abstract: The hospital waste management have become a remarkable concern for the nurses and others health care personnel as it carries a higher risk of infection and injury. Hospital waste must be properly identified and disposed to selected point of origin as possible. To assess the level of nurses’ knowledge regarding hospital waste management at a specialized hospital in Dhaka. Methods: A descriptive type of cross-sectional study was conducted with 50 samples through convenient sampling technique from total number of populations at National Institute of Diseases of the Chest and Hospital (NIDCH), Dhaka, Bangladesh. A structured questionnaire was used for data collection and descriptive statistics was used for analysis. The mean age of the respondents was 35.5 years old. The overall findings showed that 30% of respondents had average knowledge, 28% of respondents had good knowledge, 26% of respondents had poor knowledge, 10% of respondents had very good knowledge and only 6% of respondents had excellent knowledge regarding hospital waste management. The study findings concluded that, the knowledge of nurses about management of hospital waste is crucial to ensure that such waste is managed properly. Finally, it is suggested to arrange in service training on hospital waste management to increase the level of nurses' knowledge regarding hospital waste management so that nurses can play a vital role in providing quality care to patients as well as save themselves from risk factors.
Abstract: The hospital waste management have become a remarkable concern for the nurses and others health care personnel as it carries a higher risk of infection and injury. Hospital waste must be properly identified and disposed to selected point of origin as possible. To assess the level of nurses’ knowledge regarding hospital waste management at a special...
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Research Article
Evidence-based Practice of Pain Management in Postoperative Patients with Gastric Cancer
Wang Xicheng
,
Xiao Fang*
Issue:
Volume 15, Issue 4, August 2026
Pages:
108-114
Received:
28 July 2026
Accepted:
5 August 2026
Published:
22 August 2026
DOI:
10.11648/j.ajns.20261504.14
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Abstract: Objective: To construct an evidence based practice protocol for pain management in patients following gastric cancer surgery and evaluate its clinical application effects. Methods: Evidence-based nursing methods were employed to systematically retrieve, evaluate, and summarize evidence regarding post-gastric surgery pain management. Patient outcomes were compared before (June-September 2025, n = 70) and after (October-December 2025, n = 70) protocol implementation, alongside an evaluation of implementation processes among 28 on-duty nurses. Results: A total of 17 articles were included, yielding 10 pieces of best evidence across four themes: organizational and system management, pain screening and assessment, pain intervention, and health education and training. Post-implementation, patients' pain scores at 48–72 h postoperatively decreased from (3.61 ± 1.82) to (2.09 ± 2.16) points. Concurrently, patients' scores for pain control knowledge and analgesia self-management behaviors increased from (22.62 ± 4.42) to (29.69 ± 3.36) points and from (27.37 ± 6.53) to (38.71 ± 4.49) points, respectively. Furthermore, nurses' knowledge and attitude scores regarding pain management increased from (19.43 ± 5.06) to (29.82 ± 6.74) points. Conclusion: Implementing an evidence-based pain management protocol effectively enhances nurses' professional competence, optimizes ward pain management workflows, empowers patient self-management, and ameliorates postoperative pain outcomes.
Abstract: Objective: To construct an evidence based practice protocol for pain management in patients following gastric cancer surgery and evaluate its clinical application effects. Methods: Evidence-based nursing methods were employed to systematically retrieve, evaluate, and summarize evidence regarding post-gastric surgery pain management. Patient outcome...
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