Abstract:Objective To understand the current status of alarm fatigue among nurses in surgical intensive care units(SICU).Methods A self-designed questionnaire on the status of alarm fatigue among SICU nurses was used to surveyed 93 clinical nurses that working in the SICU of a tertiary general hospital in Beijing.Results The total score of alarm fatigue among SICU nurses was(67.27±9.00).Among the dimensions,the score for visual information fatigue was(33.02±4.99)and that for alert response fatigue was(34.25±10.20),Years of work experience was an influencing factor of alarm fatigue(P<0.05).Conclusion The work of SICU nurses is under long-term high noise levels,high alarm frequency and heavy workload environment,they are generally face with varying degrees of alarm fatigue risk which need urgent attention.It is recommended to optimize nursing management measures of warning signs and alarm messages,in order to provide a more scientific basis for improving SICU nurses'alarm response capability and patient safety.

Abstract:Objective To understand the application status of evidence related to exercise compliance in patients after interventional surgery for lower extremity arteriosclerosis obliterans and to analyze the obstacle factors and promoting factors,so as to provide reference for the clinical transformation of evidence.Methods Through the summary of previous literature,19 pieces of evidences were included and 20 review indicators were formulated.Based on clinical baseline review,the obstacles factors were analyzed and the corresponding reform strategies were formulated.Results Among the 20 review indicators,the implementation rate of 14 of them was less than 60%.The main obstacle factors included the lack of standardized assessment tools and specific regulations and procedures in the department,the failure of medical staff to promptly update their evidence-based knowledge,insufficient attention to the exercise compliance of patients after interventional surgery for lower extremity arteriosclerotic occlusion,and the absence of corresponding incentive measures.Conclusion There is a significant gap between the best evidence regarding exercise compliance in patients with lower extremity arteriosclerotic occlusion and the current clinical nursing practice.A comprehensive and scientific assessment of the obstacles and facilitators in clinical practice should be conducted,and corresponding transformation strategies should be formulated.It can effectively promote the application of evidence in clinical settings.

Abstract:Objective To investigate the current status of empathy ability among hospice nurses and explore its influencing factors.Methods A convenience sampling method was used to enroll 725 hospice nurses as study subjects from October to December 2021,who were investigated by a general information questionnaire,the Empathy Ability Scale for Hospice Nurses,and the Nurse Professional Quality of Life Scale.Results The score of empathy ability among hospice nurses was(123.29±23.45),which was influenced by the period of working in hospice care,interest in hospice care work,and satisfaction with compassion(P<0.05).Conclusion The empathy ability of hospice nurses is at a moderate level which is closely related to their professional quality of life.In the future,it is necessary to explore and design strategies to empower nurses'empathy ability,reduce negative experiences,improve their professional quality of life,and enhance their empathy ability.

Abstract:Objective To explore the latent class and influencing factors of nurses'attitudes towards palliative care in a county-level hospital.Methods A total of 496 clinical nurses in a county-level hospital in Jiangsu Province were selected with the convenience sampling method.The survey was investigated by the general information questionnaire,the Hospice Attitude Scale of Medical Staff and Chinese version of Death Attitude Profile-Revised Questionnaire.The latent profile analysis of the attitudes of nurses in a county-level hospital towards hospice care was conducted using Mplus 8.3 software.And to explore the influencing factors of different latent profiles of hospice care attitudes.Results The attitudes towards palliative care could be classified into three potential categories,including the group that recognized the benefits of palliative care and had a positive attitude(23.39%),the group that weighed the benefits and drawbacks and had a neutral attitude(48.39%),and the group that perceived the obstacles of palliative care and had a negative attitude(28.22%).Whether having received education or training related to palliative care,death fear,death avoidance,and natural acceptance were the influencing factors of the potential profile categories of nurses'attitudes towards palliative care in county-level hospital(P<0.05).Conclusion There is heterogeneity in the attitudes of nurses in county-level hospitals towards hospice care.It is suggested that nursing managers should adopt targeted intervention measures based on different potential profiles and influencing factors.They should focus on the groups with negative attitudes towards hospice care,provide systematic and comprehensive training to correct their attitudes towards death,enhance their understanding of the meaning of life and the value of death,and improve the level of hospice care attitudes of nurses in county-level hospitals.

Abstract:Objective To explore the application effect of pain trajectory-based precision nursing intervention on children with patellar dislocation during arthroscopic minimally invasive treatment.Methods A total of 98 children with patellar dislocation who received treatment in a hospital from January 1,2023 to December 30,2024 were selected and randomized into experimental group(n=49,receiving routine nursing and pain trajectory-based precision nursing intervention)and control group(n=49,receiving routine nursing).The degree of pain,compliance with postoperative rehabilitation exercises,postoperative recovery situation,incidence of postoperative complications,and parental satisfaction in the two groups were compared.Results The time points of pain scores and the differences between two groups were statistically significant(P<0.05).The pain scores of the experimental group at 2～3 hours after surgery and 20 minutes before the early functional exercise were lower than those of the control group,and the compliance rate of the experimental group was higher than that of the control group(P<0.05).Compared with the control group,the experimental group had longer active functional exercise time,24-hour sleep time,and the time firstly spent getting out of bed.The incidence of postoperative complications was lower,and the parental satisfaction in the experimental group was higher(P<0.05).Conclusion Pain trajectory-based precision nursing intervention can reduce the degree of postoperative pain in children with patellar dislocation,improve the compliance of functional exercise,promote the postoperative recovery,reduce the incidence rate of postoperative complications,and enhance the parental satisfaction,and can be widly used in clinic.

Abstract:Objective To evaluate the effectiveness of different game methods in the rehabilitation of children with asthma through a network Meta-analysis.Methods Randomized controlled studies on the impact of different game methods on the rehabilitation of children with asthma were retrieved from The Cochrane Library,PubMed,Embase,Web of Science,EBSCO,CBM,CNKI,Wanfang,VIP,and other databases.The search period was from the establishment of the databases to March 13,2025.The quality of the literature was evaluated using the literature quality assessment tool of the Australian JBI Evidence-Based Health Care Center,and a network Meta-analysis was conducted using Stata 16.0 software.Results A total of 12 studies were included,involving 9 game training methods.The results showed that medical games could better improve the asthma control ability of children,game levels could enhance children's asthma knowledge the best,asthma education video games had the most optimal effect in improving the quality of life,FeNO levels,and behaviors of children with asthma,group games significantly improved the psychological coping ability of children.Conclusion Game training breaks through the limitations of traditional asthma education that is boring and passive,achieving a comprehensive improvement in the disease control and other abilities of children with asthma.In the future,the game intervention design can be further optimized,and the training method can be selected based on the expected goals,providing strong support for improving the health outcome and quality of life of children..

Abstract:Objective To investigate the current situation of resilience of new nurses and its influencing factors.Methods From May to November 2024,a total of 433 new nurses from two tertiary grade A general hospitals in Shandong province were selected as the subjects using the convenience sampling method.The general information questionnaire,Connor-Davidson Resilience Scale,the Simple Coping Style Questionnaire,and the Big Five Personality Scale were used to investigate the nurses.Linear regression was used to analyze the influencing factors of new nurses with different characteristics.Results The score of resiliencein new nurses was(55.48±12.63).Positive coping styles of new nurses,as well as the personality traits of extra version,agreeableness,rigor and openness were positively correlated with resilience,whereas negative coping styles and the score of neuroticism personality were negatively correlated with resilience(P<0.01).Multiple stepwise regression analysis showed that the significant predictors of resilience levels among new nurses included education background,sleep quality,whether they liked nursing work,coping style,extroversion,agreeableness and rigor openness in personality traits(P<0.01).Conclusion The resilience of new nurses is at a moderate low level and needs to be further improved.Managers can formulate interventions according to the main influencing factors to improve their resilience and promote physical and mental health.

Abstract:Objective To investigate the implementation status and influencing factors of the local standard"Management Specifications for Hospice Care Wards"in Hu'nan Province,and to provide references for standardizing hospice care wards construction and refining relevant regulations.Methods A self-developed questionnaire was used to investigate the system construction and implementation status of hospice care ward management standards across 93 medical institutions in Hu'nan Province.Results Among 93 institutions,86.02%had established systems related to the local standard,77.42%had set up dedicated management departments,54.84%had designated dedicated personnel for promoting and implementing the standard,79.57%of the 93 managers demonstrated a comprehensive understanding of the standard content.The score of the local standard was 3.68(3.03,3.93),indicating a moderate level of implementation.Among the evaluation dimensions,the score in the dimension of safety management was the highest,whereas the dimension of personnel management was the lowest.Multiple linear regression analysis showed that whether medical institutions have established systems for promoting and implementing the local standard(P<0.05)and whether medical institutions have dedicated personnel responsible for promoting and implementing the local standard(P<0.01)were the main influencing factors for standard implementation.Conclusion Hu'nan Province has made initial progress in establishing and refining systems for hospice care ward management.However,whether medical institutions have established systems and whether medical institutions have dedicated personnel responsible for promoting and implementing the local standard remain weak links.It is suggested to systematically advance the work including system construction,establishment of full-time positions,hierarchical training,and quantitative evaluation to enhance standard implementation effectiveness.

Abstract:Objective To explore the application effect of the improved and localized satir model on the psychological state of cervical cancer patients undergoing chemotherapy.Methods A total of 152 patients who were admitted to a tertiary first-class hospital in Chengdu for cervical cancer chemotherapy from November 2022 to April 2023 were selected as the research subjects.They were divided into a control group(n=75)and an observation group(n=77)using a random number table.The control group received routine nursing care,while the observation group received nursing intervention based on the Satir model.Psychological distress,psychological resilience,social alienation,and quality of life were compared between the two groups before and after the intervention.Results After the intervention,the levels of psychological distress and social alienation in both groups were lower than before the intervention(P<0.05),while the levels of psychological resilience and quality of life were higher than before the intervention(P<0.05).The observation group showed lower levels of psychological distress and social alienation(P<0.05),and higher levels of psychological resilience and quality of life(P<0.05).Conclusion The implementation of the satir model can effectively reduce psychological distress and social alienation,enhance psychological resilience,and improve the quality of life in cervical cancer patients undergoing chemotherapy.

Abstract:Objective To analyze the potential categories of health behaviors and influencing factors among high-risk groups for stroke.Methods A survey was conducted among a total of 229 people at high risk of stroke using a general information questionnaire,Health Promoting Lifestvle Profile Ⅱ,Stroke Knowledge Questionnaire,and General Self-Efficacy Scale.Latent profile analysis was applied to establish a two-class latent model of health behaviors in high-risk populations for stroke,and binary Logistic regression analysis was used to explore the influencing factors of health behavior categories in these high-risk groups.Results The high-risk groups for stroke were divided into the stable health behavior group(17.47％)and the low health behavior group(82.53％).Divorce or widowhood,knowledge about stroke health,and general self-efficacy were the influencing factors of health behaviors in high-risk groups for stroke.Conclusion The health behavior of people at high risk of stroke is at a relatively low level,with significant individual differences.Medical staff can formulate targeted intervention measures according to the characteristics of health behavior categories of people at high risk of stroke to improve their health behavior levels.

Abstract:Objective To explore the mediating effect of discharge teaching quality on the relationship between family function and discharge readiness in patients after total knee arthroplasty(TKA).Methods A general information questionnaire,the Family Adaptation,Partnership,Growth,Affection,Resolve(APGAR)index,the Quality of Discharge Teaching Scale(QDTS),and the Readiness for Hospital Discharge Scale(RHDS)were used to collect a total of 240 patients who underwent TKA from two tertiary grade A hospitals in Shandong Province.Results The scores for family function,discharge teaching quality,and discharge readiness in TKA patients were(7.97±2.29),(134.26±33.74),and(89.52±19.18),respectively.Family function was positively correlated with both discharge teaching quality and discharge readiness(r1=0.305,r2=0.360,r3=0.815,all P<0.01).Discharge teaching quality partially mediated the relationship between family function and discharge readiness,accounting for 56.71%of the total effect.Conclusion The discharge readiness of TKA patients is at a moderate level.Discharge teaching quality serves as a mediating variable between family function and discharge readiness.In clinical practice,attention should be paid to the assessment and intervention of family functioning.By improving the discharge teaching quality,patients'discharge readiness can be enhanced,thereby facilitating a smooth transition from hospital to home.

Abstract:Objective To screen and summarize the evidence of frailty assessment and management in elderly patients with heart failure,and to provide evidence-based basis for medical staff to formulate practical plans for assessment and management.Methods The Chinese and English databases and the professional website of the cardiovascular disease society were systematically searched for the best evidence of senile heart failure complicated with frailty.The search period was from the establishment of the database to May 13,2025.Two researchers independently completed literature screening,quality evaluation,evidence extraction and summary.Results A total of 15 articles were included,including 1 guideline,6 expert consensuses,7 systematic reviews,and 1 clinical decision.Seven themes and 39 evidences were included from multidisciplinary team,evaluation,polypharmacy management,nutrition management,exercise management,cognitive and psychological management,and health education.Conclusion The best evidence of frailty assessment and management in elderly patients with heart failure summarized in the study is conducive to clinical practice.Clinical medical staff should formulate a reasonable practice plan based on clinical situation,hospital medical conditions and patients'willingness to choose evidence to improve the quality of life of patients.

Abstract:Objective To explore the clinical effect of salt-separated moxibustion combined with Traditional Chinese Medicine acupoint application therapy in preventing nausea and vomiting caused by chemotherapy in breast cancer patients.Methods Eighty breast cancer patients were divided into the observation group and the control group by random number table method,with 40 cases in each group.The control group adopted the conventional antiemetic drug prevention plan,while the observation group was additionally treated with the salt-separated moxibustion combined with Traditional Chinese Medicine acupoint application therapy.The incidence and severity of nausea and vomiting were compared between the two groups of patients,and the chemotherapy compliance was evaluated.Results The incidence and severity of nausea and vomiting in the observation group on the first day of chemotherapy and from the second to the fifth days of chemotherapy were significantly lower than those in the control group(P<0.05),and the chemotherapy compliance was higher than that in the control group(P<0.05).Conclusion Salt-separated moxibustion combined with Traditional Chinese Medicine acupoint application therapy can effectively reduce the incidence and severity of nausea and vomiting in breast cancer patients undergoing chemotherapy,and improve their chemotherapy compliance at the same time.The method is simple,safe and reliable,with good potential for clinical application.

Abstract:Objective To explore the current status of medication literacy among elderly patients undergoing maintenance hemodialysis and analyze its influencing factors.Methods A total of 234 elderly maintenance hemodialysis patients from five general hospitals in Suqian were surveyed using a general information questionnaire,the Medication Literacy Questionnaire,and the Self-Efficacy for Appropriate Medication Use Scale.Results The medication literacy score of elderly maintenance hemodialysis patients was 3.00(2.00,6.00)points,and the self-efficacy for appropriate medication use score was(26.29±7.05)points.Medication literacy was positively correlated with self-efficacy for appropriate medication use(r=0.442,P<0.001).Multiple linear regression analysis revealed that age,education level,number of medication types,monthly household income,and self-efficacy for appropriate medication use were significant influencing factors of medication literacy in elderly maintenance hemodialysis patients(P<0.05).Conclusion The medication literacy level among elderly maintenance hemodialysis patients is moderate and requires further improvement.Healthcare administrators are advised to implement targeted intervention strategies to enhance medication literacy and ensure medication safety in this population.

Abstract:Objective To explore the risk factors of massive bleeding during hepatectomy in patients with hepatocellular carcinoma,and to construct and verify a risk early warning model based on this.Methods A total of 186 patients with hepatocellular carcinoma who underwent hepatectomy in a hospital from March 2021 to October 2023 were selected as the model group.They were divided into the bleeding group(n=33)and the non-bleeding group(n=153)according to whether massive hemorrhage occurred during the operation.Univariate and multivariate Logistic regression analyses were used to identify influencing factors and construct a predictive model.Another 79 hepatocellular carcinoma patients undergoing liver resection were included as the validation group.Results The incidence of massive hemorrhage during hepatectomy in patients with hepatocellular carcinoma in the model group was 17.74%(33/186).The results of multivariate analysis showed that tumor diameter>5.0 cm,preoperative PLT<100×109/L,operation time≥5 hours,tumor location in the inferior vena cava of the right posterior lobe of the liver,and a large extent of liver resection were all independent risk factors for massive hemorrhage during liver resection in patients with hepatocellular carcinoma(P<0.05).The area under the ROC curve of the model construction group was 0.800,the sensitivity was 0.697,and the specificity was 0.791.The goodness-fit test results of H-L showed that χ2=7.486,P=0.485.The fitting of the predictive model was good,the consistency was good,and the clinical application value was high.Conclusion The incidence of massive bleeding during liver resection in hepatocellular carcinoma patients warrants attention.The predictive model constructed based on five independent risk factors has strong clinical practical value and can assist healthcare professionals in identifying high-risk patients preoperatively and formulating targeted intervention measures.

Abstract:Objective To summarize the best evidence for nutritional management in peritoneal dialysis patients.Methods The literature on nutritional management of peritoneal dialysis patients was retrieved from domestic and international databases and guideline websites.The retrieval time was from the establishment of the database to November 26,2024.Two researchers independently completed literature screening and quality evaluation to extract the best evidence.Results A total of 12 articles were included,including 6 guidelines,1 expert consensuses,4 systematic reviews,and 1 clinical decision.And 35 items of practical evidence were extracted from four aspects:nutritional screening and evaluation,nutritional support,nutritional monitoring and adjuvant therapy.Conclusion The best evidence for nutritional management of peritoneal dialysis patients is helpful in optimizing the nutritional management plan and implementing nutritional interventions more scientifically.It is possible that the evidence will be transformed into practice,thereby benefiting the patients.

Abstract:Objective To explore the current status of clinical nurses'participation intention in"Internet+nursing Service"and analyze the potential differences and influencing factors in participation intention among different types of nurses.Methods A total of 624 nurses from three tertiary grade A hospitals in Tianjin were selected as the subjects of the survey.The general information questionnaire,nurses'participation intention scale for"Internet+nursing Service",and the swork-related quality of life scale-2 were used for investigation.Latent profile analysis was used to identify potential classifications of participation intention,and multiple logistic regression analysis was employed to examine the influencing factors of different categories.Results The participation intention of nurses could be divided into three categories:negative intention group(25.32%),potential intention group(35.58%),and positive intention group(39.10%).Work-related quality of life,cognitive level of the service,nursing experience,and age were influencing factors of the potential profile classification of participation intention(P<0.05).Conclusion There are three potential categories of nurses'participation intention in"Internet+nursing Service".The medical management institutions and nursing managers should pay attention to the characteristics of different nurses'participation intention,take targeted measures to optimize supporting policies and systems to enhance their participation intention,and promote the"Internet+nursing Service"orderly development.

Abstract:Objective To analyze the effect of care dependency level on discomfort symptoms in convalescent patients after aortic dissection surgery.Methods Convenience sampling was used to select a total of 213 patients who underwent aortic dissection surgery in two tertiary grade A hospitals in Shandong Province from March 2023 to February 2024.General Information Questionnaire,the Self-Rating Scale for Discomfort Symptoms in Convalescent Patients After Aortic Dissection Surgery and Care Dependency Scale were used to investigate them.Results The total score of self-rating scale for discomfort symptoms in convalescent patients after aortic dissection surgery was(18.23±2.65),and the total score of care dependence in patients after aortic dissection surgery was(51.29±7.46).The results of stratified regression showed that gender,education level,living situation,dissection type,surgical method and care dependency were the main influencing factors of discomfort symptoms in convalescent patients after aortic dissection surgery,among which care dependence had a significant negative impact on discomfort symptoms(P<0.05).Conclusion The occurrence of discomfort symptoms in convalescent patients after aortic dissection surgery is affected by the level of patient care dependency.Planned intervention is needed to improve the patient's care dependency level to reduce the occurrence of discomfort symptoms.

Abstract:Objective To investigate the current situation and influencing factors of humanization nursing ability of nursing interns in the pre-internship period,and to provide reference for formulating promotion strategies.Methods Based on the theory of empathy dynamics,412 nursing interns in the pre-internship period of four tertiary grade A hospitals in Zhejiang Province were investigated from July to September 2023 by using the General Information Questionnaire,the Healthcare Professional Humanization Scale for Nursing and the Self-Compassion Scale.Results The total score of humanization nursing ability of nursing interns in the pre-internship period was(63.50±8.57),and the total score of self-compassion was(83.48±10.89).There was a positive correlation between humanization nursing ability and self-compassion(r=0.612,P<0.01).Gender,personality,whether being a student cadre,attitude towards the nursing profession,the degree of respect for the nursing profession and self-compassion were the main influencing factors of humanization nursing ability of nursing interns in the pre-internship period(all P<0.05),which together explained 48.9%of the total variation of humanization nursing ability.Conclusion The humanization nursing ability of nursing interns in the pre-internship period needs to be improved,and self-compassion related training is helpful to improve their humanized nursing ability.

Abstract:Objective To systematically analyze and describe the current status of research related to post-traumatic stress disorder in spinal cord injury patients at home and abroad,and to provide a reference for subsequent related research in this field.Methods According to the research method of the scoping review,the Cochrane Library,CINAHL,PubMed,Embase,Web of Science,Scopus,China Biological Medicine Database,China National Knowledge Internet,Wanfang Database,VIP Chinese Science and Technology Journal Database and other Chinese and English databases were searched by computer system.The retrieval time was from the establishment of the database to December 31,2024.Two researchers independently screened the literature and extracted the basic characteristics of the literature,and screened,classified and analyzed the literature.Results A total of 16 studies were included,including 12 cross-sectional studies and 4 randomized control trials.The incidence of post-traumatic stress disorder in patients with spinal cord injury was 7.1%to 35%,and the incidence reported by different studies varies greatly.A total of 11 assessment tools were used,and the most frequently used tool was the Post-traumatic Stress Disorder Checklist-Civilian Version.The influencing factors of post-traumatic stress disorder in patients with spinal cord injury could be divided into three categories:demographic factor,disease-related factor,and psychosocial factor.Intervention methods include cognitive behavioral intervention and music therapy.Conclusion There are still some shortcomings in the research on post-traumatic stress disorder in patients with spinal cord injury.Future researchers should focus on the development of specific assessment tools,pay attention to the dynamic changes of post-traumatic stress disorder level in patients with spinal cord injury,construct scientific,reasonable and sustainable intervention programs,and verify the effectiveness of intervention programs.