Abstract:To meet the demands of nursing specialization and address bottlenecks in the training of advanced practice nurses(APN),such as inconsistent standards and insufficient clinical practice,our hospital collaborated with the Peking University School of Nursing to develop and implement a"one-two-three-four"training model since 2023.This model is centered on core APN competencies,supported by a dual-mentorship system involving both academic and clinical experts,and delivered through three integrated curriculum modules and a four-stage clinical practice pathway(observation,co-management,independent management,and leadership).Thirty nurses underwent systematic training under this framework.Practice outcomes demonstrate that the model effectively enhanced participants' clinical decision-making,specialized nursing,and research capabilities,while also improving departmental nursing quality and patient satisfaction.This article shares key practices and insights from implementing the model,aiming to provide a practical reference for peer hospitals engaged in APN training.

Abstract:Objective To explore the application effect of the demand card game combined with early rehabilitation nursing in patients with traumatic brain injury.Methods A total of 240 patients with traumatic brain injury and admitted to the department of neurosurgery of Zhongshan Hospital Affiliated to Xiamen University between November 2023 and November 2024 were selected as the research subjects.The patients were grouped according to their admission order.Among them,120 patients admitted between November 2023 and May 2024 were set as the control group,while the rest were selected into the study group.Both groups received conventional care for early rehabilitation nursing for craniocerebral injury,while the study group was additionally provided with the demand card game intervention.Then,the degree of nerve injury,psychological resilience and self-care ability were compared between the two groups.Results After the intervention,the score of nerve injury degree in the study group was significantly lower than that of the control group(t=16.769,P＜0.001),while the scores of psychological resilience and self-care in daily life were significantly higher than the latter group(t=-19.847,P＜0.001;t=-12.247,P＜0.001).Conclusion The application of demand card game combined with early rehabilitation nursing in patients with craniocerebral injury can improve the neurological function of patients,enhance their psychological resilience and self-care ability in daily life.

Abstract:Objective To explore the application effect of a rehabilitation management program based on the medical Internet of Things in patients with neurogenic bladder caused by spinal cord injury.Methods By using the convenience sampling method,60 neurogenic bladder patients caused by spinal cord injury and admitted to the rehabilitation ward of Tai'an Central Hospital Affiliated to Qingdao University between January and July 2024 were selected as the research subjects.The patients were grouped by different wards.Thirty patients from the medical and elderly care area were set as the control group,and 30 from the main hospital were set as the experimental group.The control group adopted the conventional rehabilitation management plan,while the experimental group underwent the rehabilitation management plan based on the medical Internet of Things.The self-management and bladder functions of the two groups were compared after the intervention.Results After the intervention,the self-management score,as well as the bladder capacity and bladder compliance of the experimental group were significantly higher than those of the control group(t=-16.925,P＜0.001;t=-7.709,P＜0.001;t=-7.721,P＜0.001),while the residual urine volume was less than the latter(t=5.387,P＜0.001).Conclusion Rehabilitation management based on the medical Internet of Things can enhance the self-management of neurogenic bladder patients with spinal cord injury and improve their bladder function.

Abstract:Objective To establish the training program for advanced specialist nurses of extracorporeal membrane oxygenation based on the Delphi method,so as to provide references for the training of ECMO advanced specialist nurses.Methods Based on literature review,as well as clinical practice experience and actual needs of ECMO senior specialist nurses,the first draft was finished.After revision through the Delphi method,and the final training program was established.Results The final scheme included 7 first-class indicators,24 second-class and 79 third-class ones.It covered seven core modules of trainees,training objectives,training content,training implementation plan,assessment and evaluation,training resources,effect evaluation and continuous improvement mechanism.Conclusion The training program established in this study is scientific and practical clinically,which can standardize the training of ECMO advanced nurses.Moreover,it can enhance their core professional competencies and emergency response capabilities,provide a replicable practice reference for the standardization and systematization of ECMO nursing training in China.

Abstract:Objective　To develop an operational pain management protocol for suctioning in mechanically ventilated adults and evaluate its clinical efficacy.Methods　Mechanically ventilated patients admitted to the intensive care unit(ICU)of the Third People's Hospital of Hubei Province were selected as research subjects.A total of 208 patients treated in the first half of 2024 were assigned to the control group and received conventional suctioning procedures,while another 208 patients admitted in the second half of 2024 were chosen into the observation group and given an operational pain management protocol constructed based on evidence-based summary and Delphi method.The behavioral pain scale(BPS)scores were compared between the two groups at 1 min before suctioning,during suctioning,and at 1 min,5 min,and 15 min after suctioning.The incidence of airway mucosal injury,induced cough,and suctioning intervals were also compared.Results　The BPS score of the observation group was significantly lower than that of the control group(Fintergroup＝710.209,P＜0.001).Moreover,the incidence of airway mucosal injury and irritating cough of the observation group were significantly lower than the latter group(χ2＝17.903,P＜0.001;χ2＝20.779,P＜0.001).Meanwhile,the suctioning interval in the observation group was significantly longer than the latter(t＝－9.982,P＜0.001).Conclusion　The protocol in this study is safe and feasible.It can reduce the degree of suctioning pain and provide a reference for clinical management of suctioning pain in patients undergoing mechanical ventilation.

Abstract:Objective　To summarize the relevant evidence of intensive lifestyle intervention in alleviating type 2 diabetes and provide evidence-based basis for clinical practice.Methods　According to the＂6 S＂model of evidence resources,all evidence related to the alleviation of type 2 diabetes through intensified lifestyle intervention was systematically retrieved from domestic and foreign databases and websites.The retrieval period was from the inception of databases to February 29,2024.Literature screening,quality evaluation,and evidence extraction and integration were completed by two independent researchers.Results　A total of 15 articles were selected,including 5 guidelines,6 expert consensuses and 4 systematic reviews.Ultimately,a total of 30 pieces of best evidence were formed,covering five aspects:target population,diet management,exercise management,weight loss management,as well as follow-up and monitoring.Conclusion　This study summarizes the best evidence for strengthening lifestyle intervention to alleviate type 2 diabetes from five aspects.The aim is to identify the target population through early screening,and to manage diet,exercise,weight loss,follow-up and monitoring well,so as to alleviate their condition.It provides an evidence-based basis for medical staff to implement scientific lifestyle management for diabetic patients.

Abstract:Objective　To explore the efficacy of rehabilitation training based on a wearable spinal activity monitoring system on postoperative function rehabilitation in patients with degenerative lumbar spinal stenosis(DLSS).Methods　A total of 80 DLSS patients admitted to the department of orthopedics at Taihe Hospital from December 2023 to December 2024 were randomly divided into a control group(n＝40)and an observation group(n＝40).The control group was given conventional rehabilitation nursing,and the observation group was given rehabilitation training based on a wearable spinal activity monitoring system in addition.The Oswestry disability index(ODI),modified Barthel index(MBI),percentage of multifidus muscle maximal voluntary contraction,and incidence of adverse events were compared between the two groups.Results　After intervention,the ODI score and the incidence of adverse events of the observation group were lower than those of the control group(Fintergroup＝67.324,P＜0.001;χ2 ＝15.238,P＜0.001),the percentage of multifidus muscle maximal voluntary contraction and MBI were higher than the latter(t＝－9.281,P＜0.001;t＝－9.072,P＜0.001).Conclusion　Rehabilitation training based on a wearable spinal activity monitoring system accelerates functional recovery,enhances daily living capacity and reduces adverse events in DLSS patients postoperatively.

Abstract:Objective　To explore the application effect of group nursing based on the psychological capital intervention model on patients with gestational diabetes mellitus.Methods　A total of 120 patients with gestational diabetes mellitus admitted to the Second Affiliated Hospital of Guangdong Medical University between August 2022 and August 2024 were selected and divided into a control group and an observation group,each of 60,according to a random number table.Both groups received routine care,while the observation group additionally underwent group care based on the psychological capital intervention model.The psychological capital,blood glucose indicators and adverse pregnancy outcomes of the two groups were compared.Results 　 After the intervention,the psychological capital score of the observation group was significantly higher than that of the control group(t＝－6.130,P＜0.001),and the fasting blood glucose,2-hour postprandial blood glucose and glycated hemoglobin,as well as the incidence of adverse pregnancy were significantly lower than the latter(t＝5.422,P＜0.001;t＝4.818,P＜0.001;t＝4.835,P＜0.001;χ2 ＝11.368,P＜0.001).Conclusion　The group nursing based on the psychological capital intervention model can effectively enhance the positive psychological capital of patients with gestational diabetes,improve their blood glucose levels,and reduce the incidence of adverse pregnancy outcomes.Therefore,it is worthy of clinical promotion and application.

Abstract:Objective　To explore the design and application effect of an intelligent network management platform for nursing staff promotion.Methods　The nursing staff to undergo hierarchical promotion and the nursing managers involved in the procedure in 2023－2024 of Henan Provincial People's Hospital were selected.The 150 nursing staff and 40 nursing managers who underwent hierarchical promotion in 2023 were set as the traditional paper group,and they completed the hierarchical promotion through paper-based material submission.The 150 nursing staff and 40 nursing managers who underwent hierarchical promotion in 2024 were set as the information group and they conducted the procedure through the intelligent network management platform.The material preparation time of the nursing staff,review time of the nursing managers,and the material qualification rate were compared between the two groups.Moreover,the system usability was evaluated using the system usability scale(SUS)score.Results　The time spent on preparing materials and reviewing them in the information group were significantly shorter than those in the traditional paper group(t＝52.924,P＜0.001;t＝6.508,P＜0.001),and the qualified rate of materials preparation was significantly higher than the latter group(χ2＝5.672,P＝0.017).The SUS scores of the nursing staff and managers for the intelligent network management platform for hierarchical promotion were(73.10±5.94)and(74.40±7.02)points,respectively.Conclusion　The design and clinical trial operation of the hierarchical promotion system can effectively save time for nursing promotion personnel and material reviewers,and significantly improve the work efficiency of nursing workers.Therefore,it is worthy of application.

Abstract:This article reviews the research progress on psychological resuscitation of nurses as second victims of nursing safety adverse events,including its concepts,influencing factors,and the intervention strategies for psychological resuscitation.The article aims to provide professional support strategies for nursing managers in China to assist nurses who have been negatively affected by nursing adverse events,and to offer certain references and guidance for stabilizing the nursing human resources.

Abstract:Objective　To understand the obstacles to preventing non-suicidal self-injury(NSSI)in adolescents by psychiatric nurses in open wards.Methods　Sixteen clinical nurses working in open wards of Qingdao Mental Health Center were selected by purposive sampling method.They were given semi-structured interviews using the Vincent clinical event analysis model and the descriptive qualitative research method.Then the data were analyzed by using the content analysis method.Results　7 themes were extracted in this study:lack of industry standards for open psychiatric ward management,the management model of open psychiatric wards increasing the difficulty of controlling dangerous goods,difficulties in coordinating patient rights with ward management systems,insufficient risk prediction abilities of nurses,the complex psychological motivations behind patients'self-harm behaviors increasing nursing challenges,poor patient compliance with treatment,and negligence in family supervision.Conclusion　The health administration department should improve industry standards.The nursing managers should innovate risk control measures,enhance the training system for psychiatric nurses,and strengthen health education for patients and their families,in order to reduce self-injurious behavior among adolescents with NSSI in open psychiatric wards.

Abstract:Objective　To explore the application effect of continuous nursing based on WeChat mini-program in patients with tumor PICC catheterization.Methods　By using the convenience sampling method,100 patients with tumor chemotherapy and admitted to Northern Jiangsu People's Hospital between April 2022 and April 2023 were selected as the research objects.They were randomly divided into a control group and an observation group by using the random number table method.Both groups received conventional intervention and follow-up,while the observation group was additionally provided with continuous care based on WeChat mini-program.Then,the self-management ability and the occurrence of PICC complications were compared between the two groups.Results After the intervention,the score of self-management ability in the observation group was significantly higher than that of the control group(t＝－5.265,P＜0.001),while the incidence of PICC complications was significantly lower than the latter(χ2＝4.166,P＝0.041).Conclusion　The continuous nursing based on WeChat mini-program can improve the self-management ability of patients with tumor PICC catheterization and reduce their incidence of PICC complications.

Abstract:Objective　To observe the application effect of health empowerment nursing combined with lecture-demonstration-action-follow-up pulmonary rehabilitation management in patients with chronic obstructive pulmonary disease(COPD).Methods　Using the convenience sampling method,80 COPD patients admitted to Jiujiang First People's Hospital between April 2022 and March 2024 were selected as the research subjects.They were divided into the control group and the experimental group,each of 40,according to a random number table.Both groups received routine care for COPD patients,while the experimental group additionally underwent lecture-demonstration-action-follow-up pulmonary rehabilitation management.After the intervention,the health self-management ability,pulmonary function indicators and life quality were compared between the two groups.Results After the intervention,the score of health self-management ability,forced vital capacity(FVC),forced expiratory volume in 1 second(FEV1)as forced respiratory volume in one second,and FVC/FEV1 as the ratio of forced vital capacity to forced respiratory volume in one second in the experimental group were significantly higher than those of the control group(t＝－12.358,P＜0.001;t＝－14.736,P＜0.001;t＝－86.434,P＜0.001;t＝－22.229,P＜0.001),and the life quality was significantly better than the latter(t＝19.938,P＜0.001).Conclusion　The intervention of health empowerment nursing combined with lecture-demonstration-do-follow-up pulmonary rehabilitation management for COPD patients can enhance the patients'self-management ability of health,as well as improve their lung function and life quality.

Abstract:This article reviews the concept of mobile healthcare,its application forms in the health management of chronic obstructive pulmonary disease(COPD)patients,application effects,as well as the limitations and challenges of mobile medicine applications,aiming to provide references for promoting its development and offering more comprehensive and efficient services for COPD patients.

Abstract:This article summarizes the nursing experience of 29 patients with cardiac implantable electronic device infections who underwent cardiac electrode removal via intravenous approach.The key points of nursing include multidisciplinary collaboration and precise preoperative assessment,infection control nursing,prevention of surgery-related complications and early rehabilitation training.After active treatment and meticulous care,all patients completed the surgery successfully.Finally,27 patients recovered and were discharged after the operation,while 2 patients gave up treatment due to their illness.

Abstract:Objective　To evaluation of the effectiveness of virtual reality(VR)technology in relieving pain during wound dressing changes in children.Methods　 Randomized controlled trials on VR technology relieving pain during wound dressing changes in children were searched in PubMed,Embase,Cochrane Library,Web of Science,CNKI,Wanfang database,and VIP database,with the time setting from the inception till April 30,2025.Then the literature screening and data extraction was performed by 2 researchers independently,and RevMan 5.4 software was used to implement the Meta analysis.Results　A total of 11 articles were screened out,including 695 children.It was found that VR technology could lower the degree of pain and heart rate during dressing change[SMD＝－1.02,95%CI(－1.47,－0.58),P＜0.001;MD＝－9.77,95%CI(－12.54,－6.99),P＜0.001].The subgroup analysis results indicated that the children's pain levels were reduced during both the interactive game intervention using head-mounted VR and the VR video intervention[SMD＝－0.84,95%CI(－1.09,－0.58),P＜0.001;SMD＝－0.77,95%CI(－1.28,－0.26),P＝0.003].Conclusion　VR technology can lower the level of pain and heart rate during wound dressing changes in children,but further research is needed to determine its effect on the level of anxiety and the time of wound dressing changes.

Abstract:Objective　To explore the application effect of fire dragon cupping in patients with chronic pelvic inflammatory disease of cold-dampness stagnation pattern.Methods　A total of 86 patients with chronic pelvic inflammatory disease of cold-dampness stagnation pattern and admitted to the gynecology outpatient clinic of the Second People's Hospital of Beilun District between April 2024 and June 2025 were selected as the study subjects.They were randomly divided into a control group and an observation group,each of 43,using the random number table method.Both groups received conventional drug therapy,while the observation group was additionally provided with the fire dragon cupping therapy.After the intervention,the treatment efficacy,traditional Chinese medicine(TCM)syndrome scores and life quality were compared between the two groups.Results　After the intervention,the treatment efficacy and the life quality in the observation group were significantly better than those of the control group(Z＝－2.104,P＝0.035;t＝－9.274,P＜0.001),while the total TCM syndrome score was significantly lower than the latter(t＝11.639,P＜0.001).Conclusion　The fire dragon cupping can improve the treatment efficacy for chronic pelvic inflammatory disease,alleviate their symptoms,and enhance their life quality.Therefore,it is worthy of clinical promotion.

Abstract:Objective To systematically retrieve,analyze and summarize the evidence of exercise rehabilitation in patients with hypertrophic cardiomyopathy,in order to provide a reference for the practice of exercise rehabilitation inpatients with hypertrophic cardiomyopathy.Methods According to the"6S"model of the evidence pyramid,articles on exercise rehabilitation in patients with hypertrophic cardiomyopathy were searched from guideline websites,domestic and foreign databases and professional society websites with the time setting from the inception of the database till May 31,2025,including guidelines,expert consensus,clinical decisions,systematic reviews,evidence summaries and randomized controlled trials.Results A total of 11 articles were included,including 4 guidelines,1 expert consensus,2 clinical decisions,2 systematic reviews and 2 randomized controlled trials.A total of 23 pieces of evidence were summarized from 5 aspects,consisting of pre-exercise evaluation,exercise type and intensity,exercise safety,exercise follow-up,and multidisciplinary collaborative management.Conclusion This study summarizes the best evidence of exercise rehabilitation in patients with hypertrophic cardiomyopathy.It is suggested that clinical medical staff should develop appropriate training programs according to the patient's condition and exercise adaptability,and monitor and evaluate the rehabilitation effect regularly.

Abstract:Objective To construct an evaluation index system for evaluating the quality of venous thromboembolism care for critically ill patients,so as to provide reference for the future evaluation and improvement.Methods Based on the three-dimensional quality structure theory,the original indicator pool was established after literature review.Then an expert questionnaire was prepared after the initial indicators were drafted and discussed by the research team.Delphi method expert consultation was adopted to construct the evaluation index system for the quality of venous thrombosis care in critically ill patients.Results The system constructed contained 3 first-level indexes,6 second-level and 37 third-level indexes.The positive coefficients for the 2 rounds of expert consultation were 100％and 91.4％.Moreover,their coefficients of authority were 0.854 and 0.863,while those of Kendall's coefficient of concordance were 0.213 and 0.235(P＜0.001 for both).Conclusion The index system established in this study is scientific and reliable,and can provide a reference for the evaluation and improvement of the nursing quality in venous thrombosis care for critically ill patients.

Abstract:This article summarizes the nursing experience of a patient with extremely preterm caused by uterine and bladder rupture due to invasive placenta accreta.The main points of nursing care include preoperative differential diagnosis and nursing,nursing for special medication,emergency treatment under multidisciplinary collaboration,postoperative support nursing,nursing for infection prevention and personalized psychological nursing.After multi-disciplinary collaborative treatment and meticulous care,the outcomes of both the mother and the baby were favorable.