Abstract:Objective:To explore the core symptoms and nursing strategies in the symptom network in first stroke patients,so as to provide a basis for precise symptom intervention and nursing.Methods:A total of 255 patients with first stroke who were hospitalized in the neurology department of a tertiary grade A general hospital in Zhengzhou from October 2023 to June 2024 were conveniently selected as the investigation subjects.The Stroke Symptom Experience Scale was used for the investigation,and R software was applied for symptom network analysis,including network relationship analysis,core symptoms analysis,and accuracy and stability analysis of the network structure.Results:Symptom network analysis showed that the symptom"unable to do what one wants due to illness or hospitalization"has the highest incidence,and"decreased self-care ability"is the most severe symptom.A total of three symptom clusters,namely physical dysfunction,cognitive and speech dysfunction,and psychological dysfunction were extracted.Symptoms"limited limb movement A1"(rs=1.440),"decreased attention B2"(rs=1.175),and"lack of confidence in recovery C3"(rs=1.185)were the more intense symptoms among the three symptom clusters.After inspection,the accuracy and stability of the network were good,and the network model was relatively reliable.Conclusions:This study utilized the symptom network analysis method to explore the symptom network of patients with first stroke.For the symptoms with the strongest relationship and high predictability in the network,it suggested that nursing staff should prevtively cut off the strong connections among these symptoms during the intervention process to improve the intervention efficiency."Limited limb movement"is the most core symptom in the network,suggesting that in future research,this symptom should be targeted for intervention,and scientific intervention measures should be formulated to promote the improvement of patients'health conditions.

Abstract:Objective:To explore the spiritual well-being needs of the elderly in care institutions from the perspective of inter-generational care,and to provide a basis for formulating inter-generational care activity plans suitable for the elderly in care institutions in China.Methods:By using the interpretive phenomenological method and the purposive sampling method,12 elderly people,5 staff members and 5 college student volunteers in a medical and elderly care integrated care institution were selected for semi-structured in-depth interviews from November 2023 to March 2024.The Van Manen method was used for data analysis.Results:A total of 3 themes(the need for spiritual comfort,the need for self-actualization,and the need for educational and cultural and entertainment participation)and 7 sub-themes were extracted.Conclusion:The spiritual well-being needs of the elderly in care institutions are diverse and have not been fully met.Medical staff should take the mental care needs of the elderly as the orientation,fully integrate various resources,and construct an inter-generational care model for care institutions that suits China's national conditions,with the aim of improving the mental health of the elderly and promoting healthy aging.

Abstract:Objective:To observe the application effect of the auditory hallucination interview guidance sheet combined with the coping card in patients with schizophrenia accompanied by auditory hallucination symptoms.Methods:A total of 94 patients diagnosed with schizophrenia and accompanied by auditory hallucinations in the department of psychiatry of a tertiary grade A specialized mental hospital in Jiangsu province from October 2023 to October 2024 were selected as the research subjects.They were divided into the control group and the observation group according to the order of admission time.46 patients admitted from October 2023 to March 2024 were taken as the control group.48 patients admitted from April to October 2024 were selected as the observation group.The patients in control group were given routine care,while the patients in observation group were intervened with the auditory hallucination interview guidance sheet combined with the response card on the basis of routine care.The incidence of protective restraint caused by auditory hallucinations during hospitalization,patients' satisfaction with care,and the auditory hallucination risk score of the two groups were observed.Results:The incidence of protective restraint caused by auditory hallucinations during hospitalization in the observation group was 18.75％,which was lower than 36.96％in the control group(P＜0.05).The duration of patient restraint in the observation group was(9.8±3.9)hours,which was significantly lower than that in the control group[(19.6±4.2)hours](P＜0.05).The satisfaction of patients in the observation group with the professional knowledge ability and health education ability of nurses was higher than that in the control group(P＜0.05).The score of auditory hallucination risk of patients in the observation group at discharge was(16.13±3.14),which was significantly lower than that of the control group[(18.26±3.26)](P＜0.05).Conclusion:The application of the auditory hallucination interview guidance sheet combined with the coping card in patients with schizophrenia accompanied by auditory hallucination symptoms can improve the nursing satisfaction of patients,reduce the incidence of protective restraint and the risk of auditory hallucination,and shorten the duration of restraint.

Abstract:Objective:To develop a comprehensive comprehension of the cognition and requirements of elderly patients with mental disorders regarding the"Internet+nursing service",and provide reference for high-quality and efficient online nursing service.Methods:The researchers utilized phenomenological research method to purposively select a sample of 16 elderly patients with mental disorders from a tertiary psychiatric hospital in Tianjin between October 2022 and June 2023.Semi-structured interviews were conducted with the participants,and the data obtained were subjected to analysis using the Colaizzi content analytical method.Results:The requirements of elderly patients with mental disorders regarding the"Internet+nursing service"were classified into three main themes:inadequate understanding of the"Internet+nursing service"varying levels of willingness to utilize it,and inconsistent willingness to pay for it.These patients expressed the need for a competent and reliable"Internet+nursing service",which encompasses the expertise of healthcare professionals,the quality of the Internet platform's services,and the content of the provided assistance.Furthermore,these patients expressed significant needs for psychological,emotional,and social support,along with a strong desire for supportive relationships.Conclusion:Elderly mental disorder patients exhibit a significant need for the"Internet+nursing service".It is crucial to promptly establish and execute an appropriate online nursing service specifically designed for these patients.Attention should be given to addressing their psychological requirements in order to enhance their overall quality of life and good health in old age.

Abstract:Objective:To construct risk prediction models for peritoneal dialysis-associated peritonitis(PDAP)based on different machine learning(ML)algorithms,providing a reference for identifying high-risk patients.Methods:Retrospectively collect patients who underwent peritoneal dialysis in Guizhou Provincial People's Hospital from December 2009 to May 2024.Randomly divide them into a training set and a validation set at a ratio of 7∶3.In the training set,independent variables were screened through Lasso regression.Risk prediction models for PDAP were constructed based on six machine-learning algorithms,namely Logistic regression(LR),decision tree,support vector machines,random forest(RF),extreme gradient boosting,and artificial neural network.The performance of the models was evaluated based on the area under the receiver operating characteristic curve(AUC),accuracy,precision,recall,and F1-score,and the optimal model was selected.Results:A total of 982 peritoneal dialysis patients were included,among whom 221 patients developed PDAP,with an incidence rate of 22.51%.After five independent variables were screened out by LASSO regression based on ten-fold cross-validation,six ML models were constructed.In the training set,LR(AUC=0.800)performed the best compared with other models.In the validation set,RF(AUC=0.772)had the best performance.The LR model had a relatively high AUC value in the training set,which might indicate over-fitting.Further,based on the RF model,the feature variables were ranked in terms of importance,in the order of dialysis vintage,white blood cell count,contact-line contamination,catheter exit-site infection and/or tunnel infection,and constipation or diarrhea.Conclusion:The PDAP risk prediction model constructed based on the RF algorithm has the optimal performance,which can assist clinical medical staff in early assessment and prevention of PDAP.

Abstract:Objective:To retrieve,evaluate,and summarize the best evidence for frailty management in elderly patients with ovarian cancer.Methods:Following the"6S"pyramid model,a systematic search was conducted across relevant databases and websites,both domestic and international.The search covered literature from database inception to January 31,2025.Two researchers independently performed literature screening,data extraction,and evidence synthesis.Results:A total of 12 articles were included.Nineteen best practice recommendations were summarized across six domains:frailty screening and assessment,nutritional intervention,exercise intervention,multidisciplinary team intervention,medication management,and psychological care.Conclusion:This study synthesizes the best evidence for frailty management in elderly patients with ovarian cancer,providing a basis for developing personalized frailty management plans for this population.

Abstract:Objective:To establish a risk prediction model for hypostatic pneumonia in patients with severe craniocerebral injury undergoing tracheotomy,and to verify its effect.Methods:Convenient sampling was used to select 188 and 55 patients with severe craniocerebral injury who underwent tracheotomy at Friendliness Hospital Yangzhou in Jiangsu Province from January 2022 to October 2024 and November 2024 to January 2025,respectively.A modeling group and a verification group were established respectively.The patient information was collected by general data questionnaire and the number of patients with hypostatic pneumonia was counted.The risk factors of hypostatic pneumonia in patients with severe craniocerebral injury were screened by univariate and multivariate logistic regression analysis,and the risk prediction model was constructed based on the results of regression analysis,and its effect was verified.Results:The statistics showed that 22 patients had hypostatic pneumonia,the incidence was 11.70%.Univariate and multivariate logistic regression analysis showed that age≥60 years old,diabetes mellitus,Glasgow Coma Scale(GCS)score<7,hypoproteinemia,use of more than 2 types of antibiotics,and regular sputum aspiration were the risk factors for hypostatic pneumonia in patients with severe craniocerebral injury undergoing tracheotomy(P<0.05).The area under the receiver operating characteristic(ROC)curve of the subjects in the modeling group and the verification group were 0.821[95%CI(0.772,0.869)]and 0.817[95%CI(0.814,0.821)],respectively,and the Youden index were 0.568 and 0.600,respectively.The Hosmer-Lemeshow test of the modeling group and the verification group showed that P was>0.05,and the difference was not statistically significant.The calibration curve showed that the calibration curve was close to the reference line,and the prediction probability was in good consistency with the actual occurrence probability.This suggests that the model had good calibration degree and clinical practicability.Conclusion:Patients with severe craniocerebral injury have the risk of hypostatic pneumonia,and its risk factors are complex.The risk prediction model of hypostatic pneumonia in patients with severe craniocerebral injury undergoing tracheotomy established in this study has a good calibration degree and differentiation degree,which can effectively predict the risk of hypostatic pneumonia,provide a reliable basis for clinical nursing,and help strengthen the prevention effect,reduce the incidence of hypostatic pneumonia.

Abstract:Objective:To design an insulin pen voice prompt device for elderly diabetic patients during self-injection,providing a reference for enhancing patients'insulin injection knowledge and behaviors,improving blood glucose control,and enhancing quality of life.Methods:Using a convenience sampling method,a total of 84 elderly diabetic patients hospitalized in the endocrinology department of a tertiary hospital in Hangzhou from June 2024 to January 2025 were selected as study subjects.They were divided into an observation group and a control group(42 cases each)based on admission order.The observation group used the insulin pen voice prompt device,while the control group received traditional health education.Insulin injection knowledge-behavior scores,blood glucose levels(fasting blood glucose,2-hour postprandial blood glucose,glycated hemoglobin),and quality of life scores were compared between the two groups before and after the intervention.Results:All 84 patients completed the study.After the intervention,the observation group demonstrated higher insulin injection knowledge-behavior scores than the control group(P<0.05),superior control of fasting blood glucose,2-hour postprandial blood glucose,and glycated hemoglobin levels(P<0.05),and higher quality of life scores(P<0.05).Conclusions:The insulin pen voice prompt device designed in this study effectively improves insulin injection knowledge and behaviors in elderly diabetic patients,aids in better blood glucose management,and enhances their quality of life.

Abstract:Objective:To explore the effect of medical game-assisted narrative nursing on anxiety and coping style in parents of children with first hypospadias surgery.Methods:A total of 114 groups of children and their parents who underwent the first hypospadias surgery in hospital from January 2024 to March 2025 were included.According to the order of admission,they were divided into the routine group(57 groups,routine intervention was carried out for their parents)and the study group(57 groups,medical game-assisted narrative nursing was carried out for their parents on the basis of the routine group).Among the subjects,1 case of parents in the routine group fell off,and 3 cases of parents in the study group fell off.Finally,110 groups of children and parents were included(56 groups in the routine group and 54 groups in the study group).The parents'Self-Rating Anxiety Scale score,Medical Coping Modes Questionnaire score,preoperative medical fear score and postoperative pain score were compared between the two groups.Results:On the morning of operation,the anxiety score of parents of children in the study group(51.30±4.42)points was lower than(53.45±4.96)points in the routine group,and the difference was statistically significant(P<0.05).On the morning of operation and 3 days after operation,the face scores of parents of children in the study group were(18.56±4.38)points and(21.67±5.15)points respectively,which were higher than that of the routine group(16.95±3.51)points and(18.36±4.86)points;the avoidance scores of parents of children in the study group were(17.41±2.83)points and(14.61±2.76)points,respectively,which were lower than those of the routine group(18.86±3.34)points and(17.09±2.94)points;the yield scores of parents of children in the study group were(12.15±2.06)points and(9.81±1.87)points,respectively,which were lower than those of the routine group(13.38±2.27)points and(11.55±2.13)points,the differences were statistically significant(P<0.05).On the morning of operation,the medical fear score of the children in the study group(22.17±3.57)points was lower than(24.79±4.25)points in the routine group,and the difference was statistically significant(P<0.05).The proportion of children in the study group with a pain score of≤3 points 24 hours after the operation was 83.33%,which was higher than 58.93%in the routine group,and the difference was statistically significant(P<0.05).Conclusion:Medical game-assisted narrative nursing can significantly reduce the preoperative anxiety of parents of children with first hypospadias surgery,improve their perioperative coping style,and indirectly reduce the preoperative medical fear and postoperative pain of children by optimizing parent-child interaction.

Abstract:Objective:To explore the current situation and potential characteristics of mental flexibility among maintenance hemodialysis(MHD)patients,and analyze its related influencing factors,thereby providing a reference for clinical intervention practices.Methods:A total of 150 patients with chronic renal failure who received MHD treatment in the Department of Nephrology,the Second Affiliated Hospital of Xuzhou Medical University from July 2021 to July 2024 were selected as the investigation group by convenient sampling method.General Information Questionnaire,Chinese version of Acceptance and Action Questionnaire-2nd Edition(AAQ-Ⅱ),Medical Coping Modes Questionnaire(MCMQ)and Perceived Social Support Scale(PSSS)were used to investigate the problem.The potential profile of patients'psychological flexibility was analyzed,and the influencing factors were further analyzed by multiple Logistic regression.Results:The AAQ-Ⅱ scores of MHD patients were(5.02±0.89).There were three potential categories of mental flexibility in MHD patients:low flexibility group(28.00%),medium flexibility group(44.67%)and high flexibility group(27.33%).Education level,family annual income,the face dimension and yield dimension in MCMQ,and perceived social support were the influencing factors for different categories of mental flexibility in MHD patients.Conclusion:The mental flexibility of MHD patients is at the medium level,and there is heterogeneity among groups.Medical staff should effectively identify MHD patients with different levels of mental flexibility and conduct targeted interventions according to the characteristics of the patients.

Abstract:Objective:To study the effects of systematic voice training combined with six-character formula voice correction on voice quality and language function in patients without recurrent laryngeal nerve injury after thyroid surgery.Methods:From June 2022 to June 2024,a total of 106 patients with no recurrent laryngeal nerve injury after thyroid surgery in hospital were selected and divided by random number table method.A total of 53 patients in the conventional group were given systematic voice training,and 53 patients in the combined group were given systematic voice training combined with six-character formula voice correction.The recovery of language function,voice quality,oral aero dynamics and dynamic laryngoscopy indexes of the two groups were compared.Results:After intervention,the level of fundamental frequency perturbation and amplitude perturbation in combined group was lower than that in conventional group,and the severity index of voice disturbance(DSI)was higher than that in conventional group(P<0.05).After intervention,the emotional,functional and physiological scores of the combined group were lower than those of the conventional group(P<0.05).After intervention,the glottic efficiency and glottic resistance of the combined group were higher than those of the conventional group,and the oral pressure and sound flow rate were lower than those of the conventional group(P<0.05).After intervention,the scores of vocal cord closure,vocal cord mucosal wave,vocal cord motion symmetry and vocal cord vibration regularity in the combined group were lower than those in the conventional group(P<0.05).Conclusion:Systematic voice training combined with six-character formula voice correction can effectively improve the oral aerodynamics of patients without recurrent laryngeal nerve injury after thyroid surgery,promote the recovery of language function and improve voice quality.

Abstract:Objective:To investigate the current status and influencing factors of knowledge,attitude,and practice(KAP)regarding mechanical ventilation nebulization inhalation among ICU nurses,and to provide a basis for standardizing the nursing practice of nebulization inhalation in mechanically ventilated patients.Methods:A self-designed questionnaire on knowledge,attitude,and practice(KAP)of mechanical ventilation nebulization inhalation was distributed to ICU nurses from 16 hospitals in Guangxi Zhuang Autonomous Region using the convenience sampling method in February 2025.Results:A total of 485 ICU nurses were included.The scores for the knowledge,attitude,and practice dimensions were(69.83±15.14),(83.65±8.75),and(84.27±13.30)points,respectively.The results of multiple linear regression analysis showed that the frequency of mechanical ventilation nebulization inhalation training,nurses'work experience,and operational experience were influencing factors for knowledge of mechanical ventilation nebulization inhalation.The frequency of training and operational experience influenced attitude of mechanical ventilation nebulization inhalation,while gender,knowledge and attitude of mechanical ventilation nebulization inhalation influenced practice toward mechanical ventilation nebulization inhalation.Conclusion:ICU nurses demonstrated positive attitudes and practices toward mechanical ventilation nebulization inhalation,but their knowledge remained incomplete.It is recommended to implement stratified training programs tailored to nurse demographics to enhance knowledge,thereby improving attitudes and practices,and ensuring the safety of nebulization therapy for critically ill patients.

Abstract:Objective:To analyze the distribution of research literature on patient journey maps included in the WOS core database,scientifically evaluate the current research and development status,hotspots and frontiers in this field,and provide reference for in-depth research on patient journey mapping in the future.Methods:Literature on patient journey mapping was retrieved from the Web of Science Core Collection database from its inception to June 2024.Analysis was performed using CiteSpace 6.3 R1 software,focusing on keyword statistics,keyword clustering analysis,time evolution analysis,and research frontier analysis.Results:A total of 1013 relevant articles were included,with the annual publication volume showing an overall upward trend.Research hotspots mainly focused on patients' quality of life,subjective experience and nursing pathways.Digital health may become a future research trend in patient journey mapping.Conclusion:Patient journey maps,as a patient-oriented technology and form that measures and visualizes an individual's experience throughout the entire medical service process,are receiving increasing attention from researchers.This study analyzed the research hotspots and frontiers of patient journey mapping using CiteSpace,providing valuable reference and guidance for future research directions in the field of patient medical experience in China.

Abstract:Objective:To analyze and explore the concept and content of digital self-management for patients with chronic obstructive pulmonary disease(COPD)using Rodgers'concept analysis method.Methods:Relevant literature was systematically retrieved from CNKI,Wanfang Database,VIP Database,PubMed,Web of Science,and CINAHL databases.The analysis and definition were based on Rodgers' evolutionary method from database inception to May 2025.Results:Digital self-management for COPD patients included four conceptual attributes:patient-centered,data-driven,continuous monitoring and feedback,and support for behavioral change.Outcomes included changes in clinical outcomes,changes in patient behavior,improved quality of life(QOL),and reduced economic burden.Conclusion:By analyzing and clarifying the key elements of the concept,it helps to avoid the disconnection between the technical design of digital self-management and the needs of patients,assists clinical workers in understanding the role of digitalization in the self-management of patients with chronic obstructive pulmonary disease,promotes the construction of a standardized framework for digital intervention,and improves the health outcomes and quality of life of patients.

Abstract:Objective:To analyze risk factors for combined hypotension during the arginine stimulation test(AST)in children with short stature,build a decision tree model,and implement targeted nursing strategies.Methods:A total of 898 children with short stature admitted to the hospital from November 2020 to December 2024 were included in the study.All children underwent AST and were divided into a hypotension group(n=155)and a non-hypotension group(n=743)based on whether hypotension occurred during the test.Clinical data from both groups were collected.Univariate and multivariate logistic regression analysis were performed to identify risk factors for hypotension.A decision tree risk prediction model was created using SPSS Modeler software,and its predictive performance was evaluated.Results:Multivariate logistic regression revealed that malnutrition,insufficient rest,inadequate pre-test education,and body position changes during the first full meal were risk factors for hypotension during AST in children with short stature,while high-quality nursing was a protective factor(P<0.05).The decision tree model included five variables,with six levels and 15 nodes,with the first meal being the most influential factor.The area under the curve(AUC)for the decision tree was 0.681,compared to 0.650 for the logistic regression model.The Delong test showed Z=2.179,P=0.029 3.Conclusion:Malnutrition,inadequate rest the day before the test,insufficient pre-test education,body position changes during the procedure,and having a full meal after the first meal are risk factors for hypotension during AST in children with short stature.High-quality nursing serves as a protective factor.The decision tree model based on these risk factors demonstrates strong predictive power and can provide a theoretical basis for reducing hypotension during AST in children with short stature and guiding targeted nursing interventions.

Abstract:Objective:To investigate the incidence and influencing factors of sarcopenia(SP)in non-acute stroke patients in community rehabilitation institutions.Methods:A cross-sectional study was conducted,selecting 156 non-acute stroke patients admitted to the Nan'ao Rehabilitation Institution of Shenzhen Second People's Hospital,Dapeng New District,from August 2023 to June 2024.Patients were divided into the SP group and the non-SP group by using the strength,assistance with walking,rising from a chair,climbing stairs,and falls(SARC-F)sarcopenia screening questionnaire.General demographic data,laboratory indicators,and anthropometric data were collected.Univariate and multivariate logistic regression analysis were used to compare the differences between the two groups and analyze the influencing factors of SP.Results:The incidence of SP in non-acute stroke patients was 59.61%,with a significantly higher prevalence in males than in females(64.50%vs 35.50%,P<0.05).Multivariate analysis showed that Activities of Daily Living(ADL)score at admission[OR=0.932,95%CI(0.901,0.965),P<0.001],albumin/globulin ratio[OR=0.057,95%CI(0.009,0.380),P<0.001],and calf circumference[OR=0.682,95%CI(0.568,0.819),P<0.001]were independent influencing factors for SP.Conclusion:The incidence of SP is high in non-acute stroke patients in community rehabilitation institutions.Medical staff should focus on ADL score,low albumin/globulin ratio,and calf circumference at admission of stroke patients,and implement targeted muscle intervention measures to improve rehabilitation outcomes and enhance patients' quality of life.

Abstract:Objective:To explore the characteristics and correlations of fall events in hospitalized cancer patients,providing a theoretical basis for developing fall prevention strategies.Methods:Data mining principles and the Apriori algorithm were used to mine data from 138 adverse fall events reported by a tertiary grade A hospital in Hunan province from April 2022 to July 2024.The effectiveness of association rules was evaluated based on screening criteria and the chi-square test.Finally,strong association rules were determined based on clinical significance.Results:A total of 11 strong association rules were obtained,including stage Ⅳ cancer,distant metastasis,no use of assistive devices before the fall,combined treatment with multiple drugs,malnutrition,cancer-related fatigue,two nurses on duty,etc.Conclusion:Falls among hospitalized cancer patients exhibit certain characteristics.A fall risk early warning model for hospitalized cancer patients should be constructed to dynamically assess and effectively manage their fall risk.Special attention should be paid to patients undergoing combination therapy with multiple drugs,providing nutritional support to further reduce the occurrence of falls.

Abstract:Objective:To explore the incidence and influencing factors of urinary tract infection(UTI)in female nurses and construct a nodal plot model,aiming to provide relevant suggestions for the prevention of UTI in female nurses.Methods:A convenience sampling method was used to select 738 female nurses from 5 tertiary and 3 secondary hospitals in Gansu province as the research subjects.A general information questionnaire,a Female Lower Urinary Tract Symptoms Questionnaire,and a Urine Retention Behavior Scale were used to investigate the risk factors for UTI in female nurses.The nodal plot model was constructed using Rstudio 4.2.2.Results:The incidence of UTI in female nurses was 57.72%.Logistic regression analysis showed that years of service,urinary retention,urinary urgency,dysuria,bladder pain,and frequency of urinary leakage were independent risk factors for UTI in female nurses(P<0.05).The area under the curve(AUC)was 0.75,with a 95%CI[0.714,0.786],indicating good discrimination.The Calibration curve was close to the ideal curve,and the Decision Curve Analysis(DCA)curve showed a high net benefit of the model.Conclusion:The incidence of UTI is higher among female nurses,and nomograms can effectively predict the risk factors for UTI in female nurses.

Abstract:Objective:To establish a quality evaluation system for in-service training of geriatric nursing for nurses in general hospitals and improve the quality of geriatric nursing.Methods:A research team was formed based on the CIPP model.Through literature review,semi-structured interviews,Delphi expert consultation,and analytic hierarchy process,the content of the quality evaluation system and the weight of each indicator were determined.Results:The effective questionnaire recovery rate for two rounds of expert consultation was 100%,with an expert authority coefficient of 0.913.The Kendall harmony coefficients were 0.233～0.427 and 0.233～0.328(P<0.001).Ultimately,a quality evaluation system for in-service training in geriatric nursing at general hospitals was constructed,consisting of 4 primary indicators,16 secondary indicators,and 59 tertiary indicators.Conclusion:The evaluation system established by this study is scientific,reliable,and practical,aiming to provide a unified standard for comprehensive and efficient quality evaluation of in-service training in geriatric nursing at general hospitals.

Abstract:Objective:To understand the potential categories and characteristics of social isolation in patients with differentiated thyroid carcinoma treated after iodine-131 treatment,and to analyze the influencing factors of different potential categories.Methods:Convenience sampling was used to select differentiated thyroid carcinoma patients treated with iodine-131 after surgery at a tertiary Grade A hospital in Jiangxi province from September to December 2024 as the research subjects.General information survey,Patient-Reported Outcomes Measurement Information System-Social Isolation Short Form,Mishel Uncertainty in Illness Scale,Hospital Anxiety Depression Scale,and Perceived Social Support Scale were used for investigation.Latent profile analysis was conducted using Mplus 8.3 software,and single factor analysis and multiple Logistic regression were used to analyze the influencing factors of social isolation in patients with differentiated thyroid carcinoma treated with iodine-131 after surgery.Results:A total of 335 patients were included,of which 158(47.16%)had a sense of social isolation,manifested in three different potential categories,"low social isolation level-positive and optimistic type"(22.09%),"moderate social isolation level-accepting type"(51.64%),and"high social isolation level-anxiety and fear type"(26.27%).Family monthly income level,occupational status,lymph node metastasis,anxiety and depression level,disease uncertainty,and social support level were the influencing factors of social isolation in patients with differentiated thyroid carcinoma treated with iodine-131 after surgery.Conclusion:The incidence of social isolation in patients with differentiated thyroid carcinoma treated with iodine-131 after surgery is relatively high and there are significant group differences.Medical staff need to develop personalized intervention plans based on different characteristics of patients to reduce the level of social isolation.