Abstract:Objective:To systematically retrieve and integrate evidence-based data on perioperative blood glucose management in spinal surgery at home and abroad,and provide targeted blood glucose management practice guidance for clinical medical staff.Methods:According to the"6S"evidence model,comprehensive searches were conducted on the decision-making system,domestic and foreign guideline websites,professional society websites,and Chinese and English databases.The search period was from the establishment of the databases to May 28,2025.Subsequently,the quality evaluation,evidence extraction,and summary of the included literature were carried out.Results:A total of 15 articles were included,including 1 clinical decision-making article,6 guideline articles,5 expert consensus articles,and 3 randomized controlled trials.A total of 19 pieces of evidence were summarized from 5 aspects,including preoperative period,intraoperative period,postoperative period,special populations,and post-discharge blood glucose management.Conclusion:The evidence on perioperative blood glucose management in spinal surgery formed in this study can provide evidence-based support for clinical standardization of blood glucose management during spinal surgery,reduction of complications caused by blood glucose fluctuations,promotion of patients'rapid recovery,and formulation of precise management plans.

Abstract:Objective:To explore the risk factors for neonatal hypoglycemia in pregnant women with gestational diabetes mellitus(GDM).Methods:CNKI,WanFang Data,VIP,CBM,PubMed,Web of Science,Cochrane Library,EMbase were systematically searched.The search period was from the establishment of the databases to April 2025.Meta-analysis was conducted using R 4.3.3.Results:A total of 13 studies were included.Meta-analysis results showed that poor blood glucose control,pre-pregnancy overweight or obesity,gestational hypertension,cesarean section,HbA1c>6%,premature birth,neonatal hypothermia,low birth weight,and improper feeding were risk factors for neonatal hypoglycemia in GDM pregnant women.Conclusion:The existing evidence indicates that the neonatal hypoglycemia in pregnant women with GDM is influenced by multiple factors.Clinically,it is necessary to strengthen perinatal dynamic monitoring and management for the above high-risk factors to reduce the risk of neonatal hypoglycemia.

Abstract:Objective:To systematically evaluate level of unmet needs and its influencing factors in cancer patients.Methods:Studies on the influencing factors of unmet needs in cancer patients were retrieved from CNKI,WanFang Data,VIP,CBM,Web of Science,CINAHL,Cochrane Library,PubMed,and EMbase.The search period was from the establishment of the databases to December 20,2024.Meta-analysis was conducted using RevMan 5.4 and Stata 18.0 software.Results:A total of 18 articles were included,involving 4 439 patients and 38 influencing factors.Meta-analysis results showed that the total score of unmet needs of cancer patients was 63.51(95%CI 54.83-72.18).The influencing factors of unmet needs of cancer patients included gender,age,educational level,monthly per capita income of the family,cancer stage,disease duration,family environment,and anxiety.Conclusion:Existing evidence indicates that the level of unmet needs of cancer patients is relatively high,and there are many influencing factors.Nursing staff should dynamically assess the level of unmet needs of cancer patients,accurately identify high-risk groups and influencing factors,and combine the multidisciplinary collaboration model to provide personalized and precise intervention measures,to reduce the level of unmet needs,and to improve the quality of life.

Abstract:Objective:To systematically evaluate the experiences of cancer recurrence fear among gynecological cancer patients,and to provide a theoretical basis for the construction of evidence-based support programs.Methods:Qualitative studies on the fear of cancer recurrence among gynecological cancer patients were retrieved from PubMed,EMbase,Web of Science,Cochrane Library,CNKI,WanFang Data,VIP,and CBM.The search period was from the establishment of the databases to July 2025.The quality evaluation criteria for qualitative research of the Australian Joanna Briggs Institute(JBI)for evidence-based health care were adopted to evaluate the included literature,and the Meta-synthesis method was used for the integration and summarization of the results.Results:A total of 18 articles were included,and 77 research results were extracted,which were ultimately classified into 10 new categories and merged into 3 integrated results,including multidimensional manifestations,multiple triggering factors,and multiple coping strategies of cancer recurrence fear in gynecological cancer patients.Conclusion:Gynecological cancer patients have complex emotional,cognitive,and behavioral changes in fear of cancer recurrence,which are influenced by multiple triggering factors.Medical staff should pay attention to the real experiences and needs of patients'fear of cancer recurrence,accurately identify,intervene and eliminate patients'uncertainty of recurrence,encourage them to bravely face the fear,and ultimately promote their adaptive psychological growth.

Abstract:Objective:To retrieve,evaluate,and summarize the best evidence for non-pharmacological interventions for psychological distress in patients with advanced cancer,and provide a basis for clinical practice.Methods:Following the"6S"evidence model,literature related to non-pharmacological interventions for psychological distress in patients with advanced cancer was retrieved from domestic and international databases,guideline websites,computer decision-making systems,and professional society websites systematically,including clinical decisions,best practices,guidelines,evidence summaries,systematic reviews,and expert consensuses.The search period was from the inception to February 28,2025.Two researchers independently completed the methodological quality assessment,evidence extraction,and literature summarization.Results:A total of 21 articles were included,including 4 clinical decision articles,6 guideline articles,2 evidence summaries,and 9 systematic reviews.A total of 32 pieces of evidence were summarized from 5 aspects:health education,exercise interventions,psychosocial interventions,traditional Chinese medicine(TCM)nursing interventions,and multi-strategy intervention.Conclusions:Current evidence shows that the summarized best evidence on non-pharmacological interventions for psychological distress in patients with advanced cancer can provide evidence-based support for clinical nursing interventions.Nurses should consider the actual situation,professional skills,and patient preferences when implementing non-pharmacological intervention programs to alleviate patients'psychological distress and improve their quality of life.