Abstract:Objective:To systematically search and evaluate risk prediction models for anesthesia emergence agitation(EA)in children,and provide a reference for clinical selection of appropriate risk assessment tools.Methods:We systematically searched EMbase,PubMed,Web of Science,Cochrane Library,CINAHL,CNKI,VIP,CBM,and Wanfang Data for studies on pediatric emergence agitation risk prediction models from database inception to May 1,2025.Researchers screened literature according to inclusion and exclusion criteria and independently performed data extraction and quality assessment using risk of bias assessment tools.Results:A total of 8 articles were included,involving 14 risk prediction models for anesthesia EA in children.The sample size ranged from 120 to 54 776 cases,and the AUC from 0.72 to 0.97.Common predictors in the included models included age,postoperative pain,and surgical procedure.The 8 studies showed good overall applicability,but all had a risk of bias.This risk primarily stemmed from factors such as small sample sizes,unreported processing of missing date,model selection,and model validation.Conclusion:The risk prediction models for anesthesia EA in children generally exhibits good applicability,calibration,and discrimination,but also has methodological limitations and a risk of bias.

Abstract:Objective:To retrieve,evaluate,and summarize relevant evidence for traditional Chinese medicine(TCM)rehabilitation nursing for patients with myasthenia gravis,and provide a reference for clinical practice.Methods:Evidence related to TCM rehabilitation nursing for patients with myasthenia gravis was systematically retrieved from relevant domestic and international guideline websites,professional association websites,and databases from the inception to March 13,2025.Two researchers who had been trained in evidence-based medicine used evaluation tools to assess the quality of the included literature and summarize the evidence.Results:A total of 25 articles were included,including 17 systematic reviews,7 expert consensus reports,and 1 guideline.A total of 21 pieces of best evidence were integrated from seven aspects:assessment,treatment principles and prescriptions,external TCM therapies,rehabilitation exercises,emotional regulation,dietary therapy based on syndrome differentiation,and daily life.Conclusions:The evidence for TCM rehabilitation nursing for patients with myasthenia gravis summarized in this study is relatively scientific and comprehensive.Medical staff should select appropriate TCM rehabilitation nursing techniques based on clinical practice and patient preferences to promote patient recovery.

Abstract:Objective:To summarize the best evidence for peristomal skin management in neonates undergoing enterostomy,and to provide evidence-based support for standardizing peristomal skin care practices.Methods:Literature related to peristomal skin management in neonates undergoing enterostomy was retrieved systematically from domestic and international databases,guideline websites,and relevant academic society websites,including clinical decision-makings,guidelines,expert consensuses,evidence summaries,systematic reviews,and Meta-analyses and RCTs.The searched period was from January 31,2010 to January 31,2025.Two researchers who had received systematic evidence-based training independently performed literature screening,quality assessment,and evidence extraction and summarization.Results:A total of 13 articles were included,comprising 1 clinical decision-making article,4 guidelines,4 expert consensuses,2 evidence summaries,1 systematic review,and 1 RCT.A total of 25 pieces of best evidence were summarized across 5 aspects:stoma location,skin assessment,skin care,ostomy products,and nutritional support.Conclusions:Current evidence shows that the best evidence summarized in this study for peristomal skin management in neonates undergoing enterostomy is scientific,professional,and practical,which can provide evidence-based support for nurses to implement scientific management for peristomal skin.

Abstract:Objective:To investigate the clinical effectiveness of the best evidence in nursing management of patients with zoster-associated pain(ZAP)and to provide reliable evidence-based medical support for pain management in ZAP patients.Methods:A total of 36 ZAP patients who were treated in the pain department from April to June 2024 were included as the pre-application group.A targeted change strategy was constructed by conducting an in-depth analysis from the three levels of organizers,practitioners,and patients.A total of 35 ZAP patients who were treated from September to November 2024 were selected as the post-application group.An evidence-based practice was conducted by 19 best evidence and 13 review indicators summarized by the retrieval database and professional websites.The nursing results of the two groups were compared.Results:The scores of Visual Analogue Scale(VAS),pain care management satisfaction,Short Form 36 Health Survey(SF-36),Pittsburgh Sleep Quality Index(PSQI),Generalized Anxiety Disorder(GAD-7),and patient health questionnaire-9(PHQ-9)of the two groups of patients were different,and the differences are statistically significant(P<0.001).The total score of pain management knowledge,the correctness rate of the total questionnaire,and the comparative difference in the implementation rate of the review indicators 3～13 of the two groups of nurses were different,and the differences are statistically significant(P<0.05).Conclusions:Using the best evidence in pain management for ZAP patients enhances pain control,improves nursing staff's knowledge,and raises the review indicator compliance rate.

Abstract:Objective:To construct an scale for benefit finding of menopausal syndrome patients,providing a scientific and objective tool for evaluating their benefit finding.Methods:Strictly following scale development guidelines,an initial item pool was formed through systematic literature review,qualitative interviews,and group meetings.The items were iteratively optimized using two rounds of Delphi expert consultation to ensure content validity.Results:The return rates of the two rounds of expert consultation questionnaires were 100.00%and 96.00%,respectively.The expert suggestion rates were 81.50%and 73.20%,respectively.The authority coefficients of the two rounds of expert consultation were 0.89 and 0.90,respectively.The Kendall's coefficients of the expert opinions for the two rounds of items were 0.144 and 0.099,respectively(P<0.01).The final assessment resulted in a 28-item scale for assessing the benefit finding of menopausal syndrome,including 4 dimensions:symptom management efficacy,sense of control over disease coping,social support and adjustment efficacy,and individual growth and development.Conclusions:The constructed scale for assessing the benefit finding of menopausal syndrom based on the Delphi method is reliable and scientific,which can serve as an objective assessment tool for evaluating the perceived benefits of menopausal syndrome.

Abstract:Objective:To retrieve,organize,and synthesize evidence on the management of perioperative deep vein thrombosis(DVT)of the lower extremities in patients with liver cancer,providing a reference for clinical practice in this area.Methods:A comprehensive search was conducted using the"6S"evidence-based pyramid model across BMJ Best Practice,UpToDate,Cochrane Library,PubMed,CBM and so on.The search period was from January 2019 to December 2024.Search content included guidelines,systematic reviews,evidence summaries,and clinical practice.A total of 3 trained researchers independently assessed quality using standardized tools,then extracted and synthesized evidence according to established consensus.Results:A total of 13 articles were ultimately included,comprising 8 guidelines,2 systematic reviews,2 evidence summaries,and 1 clinical practice.The final evidence encompassed 21 pieces of best evidence across 7 dimensions,including risk factor control,assessment,primary prevention,mechanical prevention,pharmacological prevention,health education,and team training.Conclusion:Management of perioperative DVT of lower extremities in patients with liver cancer requires comprehensive consideration of surgical type,individual risk,and postoperative recovery.Implementing multi-tiered prevention and treatment measures optimizes perioperative DVT management strategies,effectively reducing perioperative incidence of DVT of lower extremities and improving patient outcomes.