Abstract:Objective To explore the application effect of pre-rehabilitation in children undergoing enterostomy surgery.Methods By using the convenience sampling method,84 children who underwent enterostomy surgery and were admitted to Wuhan Children's Hospital Affiliated to Tongji Medical College,Huazhong University of Science and Technology between June 2021 and June 2024 were selected as the research subjects.Those 43 operated between June 2021 and February 2023 were set as the control group,while another 41 operated between March 2023 and June 2024 were set as the observation group.Both groups received conventional care,while the observation group was additionally provided with pre-rehabilitation nursing intervention.The skin conditions around the stoma,the time of first spontaneous defecation and first water intake after secondary fistula closure surgery,and the occurrence of postoperative complications were compared between the two groups.Results The degree of skin injury around the stoma in the observation group was significantly milder than that of the control group(Z=-8.216,P＜0.001),the incidences of postoperative complications was significantly lower(x2=4.385,P=0.036),while the time of first spontaneous defecation and first water intake after secondary fistula closure was significantly earlier than the latter(t=5.318,P＜0.001;t=2.660,P=0.010).Conclusion Pre-rehabilitation nursing can reduce the degree of skin injury around the stoma in children with enterostomy,lower the incidence of complications after fistula closure surgery,and promote their recovery of intestinal function.

Abstract:Objective To explore the intervention effect of the self-reliance support care model combined with emotional intervention on patients with Alzheimer's disease.Methods A total of 126 patients with Alzheimer's disease and admitted to Suzhou Guangji hospital between June 2022 and May 2024 were selected as the research subjects.They were randomly divided into a control group and an observation group,each of 63,according to a random number table.Both groups were given the conventional care,while the observation group was additionally given the new self-reliance support care combined with emotinal intervention.The cognitive function,negative emotions,independence ability and life quality were compared between the two groups.Results After the intervention,the scores of the cognitive function,independence ability and life quality of the observation group were significantly higher than those of the control group(t=-3.944,P＜0.001;t=-2.767,P=0.007;t=-4.642,P＜0.001),while those of anxiety and depression were significantly lower than the latter(t=4.405,P＜0.001;t=5.096,P＜0.001).Conclusion The self-reliance support care model combined with emotional intervention can improve the cognitive function of patients with Alzheimer's disease,alleviate their negative emotions,and enhance their life quality.Therefore,it is worthy of clinical promotion and application.

Abstract:This article reviews the assessment tools for sleep and cognitive function,the correlations between sleep characteristics and cognitive function in elder adults,as well as the underlying mechanisms,aiming to provide references for the early identification and formulation of sleep intervention strategies to delay the decline of cognitive function in older adults.

Abstract:Objective To summarize the relevant evidence on exercise intervention for patients with endometrial cancer and provide a reference for medical staff for future intervention.Method Articles on exercise intervention for patients with endometrial cancer were searched from relevant domestic and foreign guideline websites,databases and related professional websites.The retrieval period was from the inception of the database to October 2024.The literature quality evaluation,evidence extraction and integration were conducted by two independent researchers.Result A total of 12 articles were ultimately screened out,including 2 guidelines,2 systematic reviews,3 expert consensuses,and 5 randomized controlled trials.Twenty-three best pieces of evidence were summarized from six aspects:the necessity of exercise,indications and contraindications of exercise,multi-faceted exercise assessment,types of exercise,ways and intensities of exercise,and management and supervision of exercise.Conclusion This study summarizes the best evidence on exercise intervention for patients with endometrial cancer,which is scientific and comprehensive.Medical staff can guide such patients to engage in scientific exercise by applying the best evidence and fully combine clinical scenarios.

Abstract:Objective To evaluate and summarize evidence regarding blood gas analysis collection in critically ill children,so as to provide references for clinical practice.Methods Articles on blood gas analysis collection in critically ill children were searched in domestic and international databases,guideline networks and relevant professional websites,with the time setting from inception to June 30,2023.Results A total of 6 articles were included,covering 1 clinical decision,2 guidelines,2 evidence summaries and 1 group standard.Finally,18 pieces of evidence were found,grouped into 6 aspects of assessment preparation,blood collection routes and methods,blood vessel selection,disinfection,sample handling and quality control.Conclusion The best evidence collected in this study can be used for standardized clinical practice management.

Abstract:Objective To explore the illness experience and feelings of patients with the first recurrence of generalized myasthenia gravis(GMG).Methods A phenomenological research method was adopted.From December 2023 to March 2024,16 patients with first-relapse GMG in the neurointensive care unit of the First Affiliated Hospital of Zhengzhou University were selected through purposive sampling for semi-structured in-depth interviews.The Colaizzi seven-step method was used to analyze the data and extract the themes.Results A total of 3 themes and 7 sub-themes were extracted:obvious self-depletion(negative thinking patterns and burnout of health-promoting behaviors),difficulty in identifying recurrent symptoms(concealed symptoms and excessive focus on physical symptoms),and unmet needs for continuing care(difficulty in obtaining disease information,lack of exercise guidance and incomplete drug supply guarantee).Conclusion The experiences and feelings of patients with the first recurrence of GMG include significant self-depletion,difficulty in identifying recurrence symptoms,and unmet needs for continuing care.It is recommended to provide targeted intervention measures and psychological support,to enhance the patients' ability to monitor their symptoms,give exercise guidance and drug guarantee,thereby reducing the risk of disease recurrence.

Abstract:Objective To explore the impact of exercise intervention based on the Fogg behavior model on cardiac function,self-efficacy and life quality of patients with chronic heart failure(CHF).Methods A convenience sampling method was used to select 192 CHF patients admitted to the department of cardiology of Tongji Medical College,Huazhong University of Science and Technology between November 2023 and October 2024.They were randomly divided into a control group and an observation group,according to a random number table.The control group received conventional intervention,while the observation group received exercise intervention based on the Fogg behavior model on top of the control group's intervention.Cardiac function,self-efficacy,exercise compliance and life quality were compared between the two groups.Results After intervention,the left ventricular ejection fraction,N-terminal pro-B-type natriuretic peptide,and 6-minute walk distance,as well as self-efficacy and exercise compliance in the observation group were all better than those of the control group(t=-5.478,P＜0.001;t=39.378,P＜0.001;t=—6.781,P＜0.001;t=-7.829,P＜0.001;t=-19.521,P＜0.001),while the Minnesota living with heart failure questionnaire score was lower in the observation group(t=24.398,P＜0.001).Conclusion Exercise intervention based on the Fogg behavior model can enhance exercise self-efficacy,exercise compliance,cardiac function and life quality of patients with chronic heart failure,and is worthy of clinical promotion and application.

Abstract:Objective To explore the application effect of feedforward risk control nursing in patients with severe pneumonia undergoing mechanical ventilation.Methods By using the convenience sampling method,60 severe pneumonia patients undergoing mechanical ventilation and admitted to the intensive care unit of Zhongshan Hospital Affiliated to Xiamen University in 2023 were selected as the research subjects.They were randomly divided into a control group and an observation group,each of 30,according to their admission order.The control group received routine nursing,while the observation group received feedforward risk control nursing.The incidence of complications,mechanical ventilation time,ICU stay time and total hospital stay time were compared between the two groups.Results The incidence of complications in the observation group was significantly lower than that of the control group(x2=7.680,P=0.006),while the durations of the mechanical ventilation,ICU stay and total hospital stay were significantly shorter than the latter(t=7.432,P＜0.001;t=7.959,P＜0.001;t=7.013,P＜0.001).Conclusion The feedforward risk control nursing can effectively reduce the incidence of mechanical ventilation complications in severe pneumonia patients and promote their rehabilitation.

Abstract:Objective To analyze the risk factors of residual pain after vertebral augmentation in patients with osteoporotic vertebral compression fracture by systematic review.Methods The articles in PubMed,Embase,Web of Science,CNKI,Wanfang Database,VIP Web,and Chinese Biomedical Literature Database were searched to identify the risk factors of residual vertebral pain after reinforcement in patients with osteoporotic vertebral compression fracture,with the time setting from inception till October 31,2024.Meta-analysis was performed using RevMan 5.2 software.Results Eighteen articles were included.The results of meta-analysis showed that the risk factors were thoracolumbar fascial injury[OR=3.40,95％CI(2.67,4.33)],intravertebral vacuum cleft[OR=2.94,95％CI(2.09,4.12)],low bone mineral density[OR=1.82,95％CI(1.27,2.60)],decreased body mass index[OR=1.08,95％CI(1.03,1.14)],unsatisfactory bone cement distribution[OR=2.17,95％CI(1.75,2.71)],postoperative complications[OR=4.27,95％CI(2.86,6.38)],paravertebral muscle degeneration[OR=6.49,95％CI(4.03,10.47)],postoperative vertebral height recovery rate[OR=1.09,95％CI(1.04,1.15)]and multiple vertebral fractures[OR=3.13,95％CI(2.07,4.73)].Conclusion Residual pain in patients with osteoporotic vertebral compression fracture after vertebral reinforcement is affected by many risk factors,and medical staff should take targeted preventive and therapeutic measures to reduce its incidence.

Abstract:Objective To explore the clinical effect of applying goal attainment theory-based swallowing and ingestion management in dysphagia patients after oral cancer surgery.Methods Totally 120 dysphagia patients after their oral cancer surgery in Affiliated Stomatological Hospital of Nanjing Medical University between June 2021 and June 2024,were selected and divided into a routine group and an observation group,each of 60,according to a random number table.Both groups received routine nursing,while the observation group was additionally provided with goal attainment theory-based swallowing and ingestion management.Then both groups were evaluated swallowing function and life quality using the Mann assessment of swallowing ability-oral cancer(MASA-OC),and the swallowing quality of life(SWAL-QOL).Meanwhile,the levels of serum total protein(TP),hemoglobin(Hb)and albumin(ALB)were compared between the two groups.Results After one-month intervention,the MASA-OC and SWAL-QOL scores of the observation group were significantly higher than those of the routine group(t=-4.856,P＜0.001;t=-4.781,P＜0.001).Moreover,the levels of TP,Hb and ALB in the observation group were significantly higher than the latter(t=-5.237,P＜0.001;t=-4.825,P＜0.001;t=-5.425,P＜0.001).Conclusion Goal attainment theory-based swallowing and ingestion management can relieve dysphagia of patients with dysphagia after oral cancer surgery,better their nutritional status,promote their life quality.

Abstract:Objective To explore the real experience of pediatric nurses in the development of children's health science popularization works,aiming to provide basis for optimizing pediatric health science popularization work and enhancing the science popularization ability of nurses.Methods Between January and May 2025,26 pediatric nurses working in Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology were selected as the research subjects and given a semi-structured interview.The interview data were analyzed using the Colaizzi's seven-step analysis method,and the themes were refined and summarized.Results Three themes and ten sub-themes were extracted:participation experience(role advantages of pediatric nurses,frustration and stress,and sense of professional benefits),creative dilemmas(difficulty in child adaptation,shortage of knowledge and skill innovation,resources and cost limitations,ethical and privacy protection risks),and support and needs(training needs,material and collaboration support,institutional guarantees and incentive mechanisms).Conclusion Pediatric nurses play an indispensable role in health science popularization work.However,their participation and the exertion of their professional advantages require breaking through in technical limitations and establishing institutional guarantees.Medical institutions should achieve nursing and health science popularization through institutional empowerment and technical training.

Abstract:Objective To develop an emergency nurse disaster preparedness measurement scale,and test its reliability and validity,so as to provide a reference for evaluating emergency nurses' disaster preparedness.Methods The draft of the scale was formed after literature review,qualitative research and Delphi method.Then,between September and October 2024,310 emergency nurses were chosen from 8 grade-A tertiary hospitals in Fujian province and surveyed to test its reliability and validity.Results The final scale consisted of 5 dimensions and 23 items,with a total Cronbach's alpha of 0.879 and a retest reliability of 0.902.The overall content validity index of the scale was 0.822,and exploratory factor analysis extracted 5 factors with a cumulative variance contribution rate of 70.11％.Conclusion The emergency nurse disaster preparedness scale has scientificity,practicality and good reliability and validity.

Abstract:Objective To explore the dilemmas in training transfer among oncology specialist nurses and put forward five-loop intervention strategies based on training transfer theory and transformative learning theory,aiming to provide theoretical insights for optimizing nursing talent development systems.Methods A descriptive research design was adopted.Semi-structured interviews were conducted with 17 oncology specialist nurses and 8 nursing education managers from a grade-A tertiary hospital in Tianjin.The data were analyzed using Colaizzi's seven-step analysis method.Results The training was faced with four dimension-collaborative dilemmas:cognitive-ability transformation dilemma(the gap between training and practical application results in challenges for knowledge reconstruction),dynamic imbalance between capability and resources(demand overload and triple support failure),evaluation-culture inhibition(experience dependence solidification and evidence-based transformation obstruction)and cultural-cognition vicious cycle(developmental assessment rupture and reflective ecological inhibition).Conclusion The five loop intervention strategy of"cognitive transformation-ability construction-evaluation innovation-resource collaboration-cultural reshaping"should be constructed,with critical reflection and situational training as the core,aiming to improve patients' outcomes through a dynamic feedback-driven evaluation system.It integrates interdisciplinary collaboration and evidence-based practice,while simultaneously fostering a supportive organizational environment and innovative incentive mechanisms.The ultimate goal is to facilitate the transition of oncology specialty nurses from passive knowledge acquisition to active practice transformation.

Abstract:Objective To explore the intervention effect of staged rehabilitation exercise on postoperative patients with rotator cuff tear(RCT).Methods A total of 117 RCT patients admitted to Yixing People's Hospital in year 2022 and 2023 were selected,and randomly divided into a control group of 58 and an intervention group of 59.The control group received routine rehabilitation,while the intervention group underwent staged rehabilitation.Then,the shoulder joint function,life quality and incidence of complications were compared between the two groups.Results After intervention,the scores of the Constant-Murley shoulder score system and the generic quality of life inventory-74 of the intervention group were significantly higher than those of the control group(t=-5.715,P＜0.001;t=-3.196,P=0.002),while the incidence of complications was significantly lower than the latter(x2=4.376,P=0.036).Conclusion The application of staged rehabilitation exercise can promote the recovery of shoulder joint function in patients after RCT surgery,improve their life quality,and reduce the incidence of complications.

Abstract:Objective To explore the categories of psychological detachment among the main caregivers of patients with breast cancer after chemotherapy and analyze its influencing factors.Methods A convenience sampling method was used to select 220 main caregivers of patients with breast cancer and who were treated in Suzhou Hospital Affiliated to Nanjing Medical University between December 2023 and June 2024 as the research subjects.They were surveyed using a general information questionnaire,the psychological detachment scale,the self-rating anxiety scale,the self-rating depression scale,Zarit caregiver burden scale,the social support rating scale,and the family adaptability and cohesion scale.Moreover,the latent profile analysis was used to explore the potential category characteristics of psychological detachment among the main caregivers,and multiple Logistic regression analysis was used to analyze the influencing factors of different potential categories.Results The psychological detachment of the main caregivers of patients with breast cancer after chemotherapy can be divided into three potential categories:low detachment group(45.45％),medium detachment group(35.45％),and high detachment group(19.10％).The results of multiple Logistic regression analysis showed that total care duration,daily care time,care burden,and social support were the influencing factors of psychological detachment among the main caregivers.Conclusion There are obvious classification characteristics of psychological detachment among the main caregivers of patients with breast cancer after chemotherapy.Clinical nursing staff can take targeted intervention accordingly to improve their level of psychological detachment.

Abstract:Objective To construct evaluation index system of nursing service quality in interventional catheterization rooms based on the service quality gap model.Methods Based on the service quality gap model,the initial draft of the evaluation index system for the nursing service quality of the interventional catheterization room was drafted after literature research and semi-structured interviews.The Delphi method was adopted to revise and determine the index system,and analytic hierarchy process was employed to determine the weight of evaluation indicators at all levels.Results The positive coefficients of the experts in the two rounds of letter consultations were 92.59％and 96.00％respectively,while the expert authority coefficients were 0.908 and 0.940 respectively.Moreover,the Kendall's harmony coefficients of the first-level indicators were 0.285 and 0.282 respectively,and those of the second-level were 0.243 and 0.255 respectively.The final established evaluation system included 6 first-level indicators,namely tangibility,reliability,responsiveness,assurance,empathy and economy,as well as 39 second-level indicators.Conclusion The constructed evaluation indicator system is objective and comprehensive in content,with good scientificity,reliability,and practicability.It can be used for the evaluation and continuous improvement of the nursing quality in related fields.

Abstract:Objective To establish the norms of the skin tear knowledge assessment instrument(OASES)for clinical nurses in Henan province,and to provide standards for evaluating clinical nurses' knowledge of skin tears.Methods A stratified cluster sampling method was used to select a total of 1 675 clinical nurses from the eastern,western,southern,northern and central of Henan province.Then,they were surveyed using the revised version of the OASES,and the mean,percentiles,grading and group norm scores were identified.Results The mean norm of the total score was(12.63±3.74)points,and the percentile norms(P25,P50 and P75)of the total score were 10.00,13.00 and 15.00 points,respectively.Moreover,the knowledge level was classified into the five categories of low,relatively low,medium,relatively high,and high.Finally,norms were also provided for subgroups including age,gender,department,education,professional title,working years,position,experience of learning knowledge about wounds,stomas and incontinence,as well as that of learning knowledge about skin tears.Conclusion The norms established in this study can be used to evaluate the knowledge level of clinical nurses on skin tears.

Abstract:Objective To investigate the current situation of needs for death education and empathy abilities among intern nursing students,and analyze the correlation between them,so as to provide references for carrying out death education for them.Methods A total of 316 intern nursing students were surveyed using a general information questionnaire,the Jefferson scale of physician empathy-nursing students(JSPE-NS),and the death education needs scale.Results The total scores of empathy ability and needs for death education were(96.65±9.30)and(175.80±15.67)points,respectively.Moreover,empathy ability was positively correlated with needs for death education(r=0.661,P＜0.001).Meanwhile,educational background,internship duration,attitude towards nursing work,experience of patients' death,empathy,and emotional care were the influencing factors of their needs for death education(R2=0.717,adjusted R2=0.703,F=50.593,P＜0.001).Conclusion The empathy ability of nursing interns needs to be improved,and they have a high demand for death education.Therefore,it is necessary to strengthen the understanding and application of empathy among nursing interns,and help them establish a correct view of life and death,actively facing the care of terminally ill patients and meeting the needs of nursing career development.

Abstract:Objective To explore the intervention effect of music-dance therapy on children with post-traumatic stress disorder(PTSD)after earthquakes.Methods Ninety-six PTSD children admitted to Xinjiang Hotian district people's hospital in 2023 were selected,and divided into a control group and an observation group,each of 48,according to a random number table.Both groups received conventional psychological intervention,while the observation group was additionally provided with characteristic music-dance therapy.After the intervention,the degree of psychological trauma,post-traumatic growth and mental health were compared between the two groups.Results After the intervention,the psychological trauma score of the observation group was significantly lower than that of the control group(t=7.235,P＜0.001),while the post-traumatic growth score and the degree of mental health were significantly better than the latter(t=-9.048,P＜0.001;t=5.297,P＜0.001).Conclusion Music-dance therapy can alleviate the degree of psychological trauma in children with post-traumatic stress disorder after earthquakes,and promote their post-traumatic growth and mental health.

Abstract:This article summarizes the nursing care of a diabetes patient with dilated cardiomyopathy who underwent subcutaneous implantable cardioverter defibrillator implantation.The key points of nursing include the treatment of original pocket infections,the management of postoperative incisions and arrhythmias,as well as cardiac rehabilitation nursing.After meticulous care,the patient had no complications and was discharged 7 days after the operation.