Abstract:Objective To retrieve,evaluate and summarize the relevant evidence on catheter management in pa‐tients undergoing catheter-directed thrombolysis for lower extremity deep vein thrombosis(DVT),and provide evidence-based basis for clinical standardized management of thrombolytic catheter.Methods Referring to the"6S"evidence pyr‐amid model system,the evidences of catheter management of patients with DVT in lower limbs in domestic and foreign da‐tabases were retrieved,including clinical decision-making,recommended practice,guidelines and expert consensus.The search period extended from the establishment of the databases to July 2024.Four researchers in the study team indepen‐dently evaluated the quality of the included literature,while three researchers extracted and summarized the evidence.Re-sults A total of 12 documents were included,consisting of 1 clinical decision,6 guidelines,and 5 expert consensus pa‐pers.In the five areas of proper catheter fixation,maintaining catheter patency,sterile procedures,prevention and man‐agement of catheter-related complications,and timely catheter removal,a total of 23 pieces of evidence were summarized.Conclusion This study summarizes the best available evidence for catheter management in patients undergoing catheter-directed thrombolysis for lower extremity DVT,providing a reference for standardizing the management of thrombolysis catheters by nursing staff.

Abstract:Objective To systematically review the prevalence and influencing factors of frailty in elderly patients with diabetes and comorbidities.Methods CNKI,VIP,Wanfang,CBM,Embase,The Cochrane Library,Web of Sci‐ence,and PubMed were searched for randomized controlled trials,cross-sectional studies,and cohort studies on the preva‐lence and influencing factors of frailty in elderly patients with diabetes and comorbidities.The search period was from the inception of each database to April 9,2025.Two researchers independently screened the literature,assessed the quality,and extracted relevant data.Meta-analysis was conducted using RevMan 5.4 software.Results A total of 20 studies were included,comprising 18 cross-sectional studies and 2 cohort studies.Among older adults with diabetes comorbidi‐ties,there were 3 115 cases of frailty and 158 cases of pre-frailty.Meta-analysis showed that the overall incidence of frailty in older adults with diabetes comorbidities was 50%(95%CI:32%-78%,P=0.002).The following factors were the influ‐encing factors for frailty in older adults with diabetes comorbidities:age(OR=1.42,95%CI:1.22-1.65,P<0.001),smoking history(OR=2.44,95%CI:1.80-3.31,P<0.001),depression(OR=2.02,95%CI:1.27-3.22,P=0.003),glycated hemoglobin(OR=1.68,95%CI:1.07-2.62,P=0.02),social support(OR=2.41,95%CI:2.27-2.55,P<0.001),moderate dependence in activities of daily living(OR=3.52,95%CI:1.97-6.32,P<0.001),severe depen‐dence in activities of daily living(OR=6.47,95%CI:3.38-12.40,P<0.001),cardiovascular disease(OR=1.59,95%CI:1.07-2.35,P=0.02),osteoporosis(OR=1.18,95%CI:1.01-1.37,P=0.03),white blood cell count(OR=1.05,95%CI:1.01-1.10,P=0.02),erythrocyte sedimentation rate(OR=1.01,95%CI:1.00-1.03,P=0.02),and health literacy(OR=0.93,95%CI:0.90-0.96,P<0.001).The results of the sensitivity analysis showed that,age(OR=2.58,95%CI:1.83-3.63),malnutrition(OR=4.26,95%CI:2.83-6.43),depression(OR=2.27,95%CI:1.78-2.88),physical function(OR=3.16,95%CI:2.08-4.80),cardiovas cular disease(OR=2.64,95%CI:1.72-4.04)and mental activity(OR=0.12,95%CI:0.06-0.24)were the influencing factors for frailty in older adults with diabetes co‐morbidities(all P<0.01).Conclusions Frailty in elderly patients with diabetes and comorbidities is influenced by mul‐tiple aspects,including physiological,psychological,and social factors.Age,smoking history,depression,glycated he‐moglobin,social support,activities of daily living,cardiovascular diseases,osteoporosis,white blood cells,erythrocyte sedimentation rate,malnutrition and body function are risk factors for frailty in elderly patients with diabetes comorbidi‐ties,while health literacy and mental activity are protective factors for frailty.Healthcare professionals should conduct a comprehensive assessment of patients,individually screen for relevant factors,and intervene early to prevent the occur‐rence of frailty.

Abstract:Objective To explore the status quo and influencing factors of nutritional risk in elderly inpatients in Lu‐zhou City,and to provide a basis for formulating targeted clinical nutritional intervention strategies.Methods A total of 712 inpatients in the department of geriatrics of the Affiliated Hospital of Southwest Medical University from May 2023 to April 2024 were selected by fixed-point sampling.The nutritional risk screening 2022(NRS2002)tool was used to assess the nutritional risk,and demographic data,clinical indicators,laboratory test results and nutritional support status were collected.Logistic regression analysis was used to identify the influencing factors of nutritional risk.Results The preva‐lence of nutritional risk was 65.3%.Logistic regression analysis showed that lack of self-care ability[moderate depen‐dence(OR=2.749,95%CI:1.265-5.972);severe dependence(OR=6.544,95%CI:2.041-20.980)],critical illness(OR=1.650,95%CI:1.032-2.641),prolonged length of hospital stay(OR=1.148,95%CI:1.082-1.218),and ele‐vated white blood cell count(OR=1.094,95%CI:1.019-1.175)were risk factors for nutritional risk.Education level of junior middle school and above(OR=0.344,95%CI:0.142-0.836),urban residential status(OR=0.630,95%CI:0.399-0.996)and higher prealbumin level(OR=0.988,95%CI:0.984-0.992)were protective factors(all P<0.05).Conclusions The prevalence of nutritional risk is high among elderly inpatients in Luzhou City.Early screening and mul‐tidisciplinary intervention should be carried out for these patients to optimize nutritional support strategies.

Abstract:Objective To analyze the domestic and international research progress in the field of late-life depression(LLD)over the past decade,with the aim of providing targeted references for future research in this field.Methods A comprehensive search was conducted in the CNKI databases and Web of Science Core Collection for literature related to LLD published from January 1,2015,to August 25,2024.Bibliometric analyses were performed using CiteSpace and VOSviewer software through methods such as author and country collaboration networks,keyword co-occurrence networks,clustering analysis,and burst term analysis.A cross-linguistic comparative analysis was then carried out on the included Chinese and English literature.Results A total of 495 Chinese literature and 4 446 English literature were included in this study.The annual output of Chinese literature remained relatively stable with small fluctuations and a significantly low‐er total volume.The annual publication volume of English literature showed a steady slow upward trend over the decade.Core author teams and collaboration networks have been formed in both Chinese and English research communities;never‐theless,English-language research demonstrated greater breadth,depth,and interdisciplinary diversity.Social support,pharmacotherapy,and anxiety were identified as common research hotspots in both literatures.Notably,Chinese literature focused more on special populations and social determinants,while English literature formed distinct research clusters cov‐ering epidemiological characteristics,cognitive impairment associations,risk factors,anxiety comorbidity,and interven‐tion approaches.Conclusions The field of LLD has accumulated substantial research achievements over the past de‐cade.However,further in-depth exploration is still required regarding the unique social and physiological characteristics of elderly patients and the development of more optimized and individualized therapeutic strategies.Chinese-language re‐search remains in the initial stage of development,and thus requires enhanced academic attention,improved systematic‐ness,and enrichment of clinical evidence for novel antidepressant drugs to advance the field.For English-language re‐search,there is an urgent need to strengthen studies specifically targeting the LLD population.

Abstract:Objective To investigate differences in clinical characteristics between patients with vascular vertigo/dizziness(VVD)and vestibular neuritis(VN)during the acute phase,to provide evidence-based support for rapid differ‐ential diagnosis.Methods A total of 127 patients admitted to the Department of Neurology at Beijing First Hospital of In‐tegrated Traditional Chinese and Western Medicine between January 2022 and June 2025 for acute vertigo or dizziness were enrolled.Patients were classified into the VVD group(n=74)and the VN group(n=53)according to established in‐ternational diagnostic criteria.Demographic data,clinical symptoms and signs,vascular risk factors,ABCD2 scores,and laboratory parameters were collected and compared between groups.Results The age of the VVD group[(68.91±11.03)years]was higher than that of the VN group[(56.64±12.71)years],and the proportion of males(67.6%)was also higher than that of the VN group(45.3%)(all P<0.05).The prevalence rates of hypertension,diabetes,hyperlipid‐emia,hyperhomocysteinemia,prior cerebral infarction or transient ischemic attack,and alcohol consumption were higher in the VVD group than in the VN group(all P<0.05).The VVD group had a greater number of vascular risk factors[4.5(4,5)]and a higher ABCD2 score[5(4,6)]than the VN group[2(2,4)and 3(2,4),respectively](all P<0.001).The VN group had higher rates of vertigo,unsteadiness,and autonomic symptoms(all P<0.001),while visual disturbanc‐es were more common in the VVD group(P=0.036).Signs suggestive of central nervous system involvement:including dysarthria or dysphagia,central facial palsy,sensory deficits,limb weakness,ataxia,and gaze-evoked nystagmus were more common in the VVD group,whereas patients with VN predominantly exhibited unidirectional horizontal nystagmus(all P<0.05).Additionally,the VVD group had lower high-density lipoprotein cholesterol and low-density lipoprotein cho‐lesterol levels but higher homocysteine levels than the VN group(all P<0.05).Conclusions Age at onset,sex,burden of vascular risk factors,ABCD2 score,specific clinical manifestations,and select laboratory parameters are valuable for differentiating VVD from VN.These features may facilitate early identification of high-risk VVD patients and guide target‐ed diagnostic evaluation.

Abstract:Objective This scoping review aims to synthesize existing studies on the application of tongue muscle training in patients with post-stroke dysphagia,identify the types of tongue muscle training,key components of interven‐tion content,and outcome measures.Methods Following the methodological framework of scoping reviews,systematic searches were conducted in Chinese and English databases,including CNKI,Wanfang,VIP,CBM,PubMed,Embase,Web of Science,and The Cochrane Library.The search period covered from the establishment of each database to Septem‐ber 17,2025.Data extraction and comprehensive analysis were performed on the included studies.Results A total of 21 studies were finally included.The tongue muscle training methods identified included resistance training,tongue pres‐sure profile training,and tongue pressure strength and accuracy training.Most interventions adopted combined approach‐es,such as electrical stimulation,kinesiology taping,repetitive transcranial magnetic stimulation(rTMS),ice stimula‐tion,traditional Chinese medicine(TCM)acupuncture,swallowing process training,and coordinated training with head and neck muscles.The intervention duration was mostly 4 weeks.Objective indicators were mainly include tongue muscle function indicators,swallowing function indicators,dysphagia assessment indicators,tongue muscle morphology indica‐tors,and functional oral intake ability indicators.Conclusions This study clarifies the advantages of existing tongue muscle training protocols.In the future,it is still necessary to further optimize the efficacy evaluation system and the per‐sonalized intervention system,so as to provide more accurate evidence-based references for clinical practice.

Abstract:Objective To develop and validate a risk prediction model for incident depressive symptoms among mi‐grant elderly and verify its predictive efficacy.Methods By adopting the convenient cluster sampling method,613 mi‐grant elderly without depressive symptoms were enrolled from 2 community health service centers in Jinan City to establish a cohort and conduct a 2-year follow-up.The research data were randomly divided into a training set and a testing set at a ratio of 3∶1,with the training set used for model fitting and the testing set for internal validation.Univariate analysis and multivariate logistic regression analysis were applied to screen the influencing factors of new-onset depressive symptoms in migrant elderly.A prediction model was constructed on the training set using the three-time five-fold cross-validation.The receiver operating characteristic(ROC)curve and the area under the ROC curve(AUC)were used to verify the model effi‐cacy.Results A total of 78 migrant elderly developed new-onset depressive symptoms during the follow-up period.Mul‐tivariate logistic regression analysis showed that compared with the highest quartile(Q4)of upward intergenerational sup‐port,those in Q(1 OR=1.23,95%CI:1.04-1.45,P<0.01)and Q(2 OR=1.12,95%CI:1.01-1.24,P=0.03)had a higher risk of new-onset depressive symptoms;compared with Q4 of bidirectional emotional support,those in Q1(OR=1.15,95%CI:1.06-1.27,P=0.02)and Q2(OR=1.10,95%CI:1.01-1.23,P=0.03)had an elevated risk of new-onset depres‐sive symptoms.The AUC of the constructed risk prediction model in the testing set was 0.801 1(95%CI:0.767 4-0.834 9),with an accuracy of 76.19%,a sensitivity of 75.96% and a specificity of 71.78%.The efficacy of the training set was com‐parable to that of the testing set,suggesting a stable predictive performance of the model.Conclusions Upward intergen‐erational support and bidirectional emotional support are relatively important predictors of depressive symptoms in migrant elderly.The risk prediction model constructed in this study has good predictive efficacy,which can provide a reliable tool and scientific evidence for communities to accurately identify migrant elderly at high risk of depression and formulate multi-target intervention strategies.

Abstract:Objective Summarize the self-neglect assessment tools for the elderly both at home and abroad to pro‐vide a selection reference for medical staff in choosing appropriate assessment tools for the self-neglect of the elderly.Methods PubMed,CINAHL,Embase,Web of Science,The Cochrane Library,CNKI,Wanfang,VIP,and CBM were systematically searched to cllect the literatures about the self-neglect assessment tools of the elderly.The search period ranged from the establishment of each database to April 1,2025.Two researchers independently screened the literature,extractied and analyzed the data.Results A total of 18 articles were included,which involved 18 assessment tools for self-neglect among the elderly.Among them,16 articles were about the development and validation of the assessment tools,and 2 articles were about the localized application of the assessment tools.The assessment content mainly focused on personal hygiene,environment,and health care.The 18 assessment tools showed good reliability,but most of them did not report the validity.It was recommended to further verify the reliability and validity before clinical application.Conclu-sions Self-neglect assessment tools for the elderly each have their own characteristics,but the assessment contents are not comprehensive,and their clinical application value is limited.They still need to be further improved.Medical staff should,in light of the actual situation,reasonably draw on,quote or develop assessment tools to accurately identify self-ne‐glect of the elderly at an early stage.

Abstract:Objective A systematic retrieval,extraction,and integration of evidence pertaining to postoperative de‐lirium prevention and management in elderly patients with gastrointestinal malignancies.Methods According to the"6S"evidence pyramid model,relevant literatures on the prevention and management of postoperative delirium in elderly patients with gastrointestinal malignancies were retrieved from domestic and foreign databases by computer,including clini‐cal decisions,best practices,guidelines and evidence summaries.The search was from the establishment of the database to April 30,2025.Then conducted the quality assessment of the included literature,followed by evidence extraction and synthesis.Results A total of 12 articles were included,including 4 guidelines,1 systematic review,1 quasi-experimen‐tal study,and 6 cohort studies.The evidence was summarized from four aspects:preoperative prediction and evaluation,preoperative intervention and preparation,intraoperative monitoring and management,and postoperative management.And 21 pieces of evidence were formed.Conclusion This integrates evidence on the prevention and management of post‐operative delirium in elderly patients with gastrointestinal malignancies,providing a basis for clinical healthcare profession‐als to prevent and manage postoperative delirium in patients.

Abstract:Objective To construct a physical activity management plan for elderly people with mild disability in nursing homes and explore its application effect.Methods Based on literature analysis and expert consultation,a physi‐cal activity management plan for elderly people with mild disability in nursing homes was formed.From December 2024 to February 2025,100 elderly people with mild disability from a certain nursing home in Tangshan City were selected as the research subjects and randomly divided into an intervention group and a control group,each with 50 cases,using the ran‐dom number table method.The control group received routine nursing activities along with physical activity education and routine physical activity guidance,while the intervention group implemented the physical activity management plan on the basis of routine nursing activities.Before and after the intervention,the 6-minute walk test,grip strength test,30-second chair stand test,Berg Balance Scale,and Activities of Daily Living Scale were used for assessment.Results The final version of the exercise management plan for mildly disabled elderly people in nursing homes constructed by this study con‐tains 11 modules and 43 items.A total of 97 research subjects completed the study,including 48 in the intervention group and 49 in the control group.After the intervention,the 6-minute walk test distance of the intervention group was(320.04±25.45)m,which was higher than that of the control group[(298.51±21.95)m](P<0.001).The grip strength of the in‐tervention group was(23.26±4.38)kg,which was higher than that of the control group[(20.58±3.62)kg](P=0.001).The 30-second chair stand test of the intervention group was(9.29±1.07)times,which was higher than that of the control group[(8.86±1.04)times](P=0.046).The Berg Balance Scale score of the intervention group was(45.23±1.42)points,which was higher than that of the control group[(42.96±2.32)points](P<0.001).The scores of the intervention group in the physical self-care ability scale,instrumental activities of daily living scale and activities of daily living scale were all lower than those of the control group(all P<0.001).Conclusions The physical activity management plan for el‐derly people with mild disability in nursing homes is scientific and feasible.This plan can effectively improve the physical condition of elderly people with mild disability and enhance their ability to perform activities of daily living.

Abstract:With the acceleration of global aging,the burden of chronic diseases among the elderly has been continu‐ously rising.Seeking safe and effective exercise interventions has become an important direction for health management and disease prevention.Baduanjin,an important component of traditional Chinese health qigong,features simple move‐ments,moderate intensity,and integrated mind-body regulation.After synthesizing recent progress on the application of Baduanjin in common geriatric diseases,this review suggests that Baduanjin is a safe and well-accepted mind-body exer‐cise with substantial potential for application in clinical rehabilitation and community-based settings.

Abstract:Objective To understand the prevalence and risk factors of obesity and abdominal obesity among com‐munity-dwelling elderly patients with type 2 diabetes mellitus(T2DM),and to provide a basis for formulating targeted health management strategies.Methods A multi-stage cluster random sampling method was used to select 2 009 elderly patients with T2DM under the management of three community health service centers in Hongkou District,Shanghai as the research subjects.A questionnaire survey and physical examination were conducted for them from February 28 to April 30,2023.Logistic regression was used to analyze the influencing factors of abdominal obesity in these patients.Results The prevalence of obesity among community-dwelling elderly patients with T2DM was 12.34%;the prevalence of abdominal obesity was 53.86%.Monthly per capita household income of<5 000 yuan(OR=1.262,95%CI:1.022-1.558),alcohol consumption(OR=2.349,95%CI:1.633-3.380),poor taste preferences(OR=2.011,95%CI:1.381-2.926),and sedentary behavior(OR=1.797,95%CI:1.419-2.276)were risk factors for abdominal obesity(all P<0.05).Conclusions Abdominal obesity is the main type of obesity among community-dwelling elderly patients with T2DM.The risk factors include monthly per capita household income,alcohol consumption,poor taste preferences,and sedentary be‐havior.

Abstract:Objective To conduct a meta-analysis on the prevalence of frailty and its influencing factors among el‐derly stroke patients,and to provide evidence-based references for early identification and intervention.Methods Com‐puterized searches were performed in CNKI,WanFang,VIP,CBM,PubMed,Web of Science,Embase,The Cochrane Library,and CINAHL databases.The search period covered from the establishment of each database to March 2025.Stata 12.0 and RevMan 5.4 software were used to perform the meta-analysis of frailty prevalence and its influencing factors.Results A total of 24 articles were included.Meta-analysis showed that the prevalence of frailty in elderly stroke patients was 45%.Age(OR=1.26,95%CI:1.17-1.35),sleep disorder(OR=3.06,95%CI:1.95-4.81),impaired self-care ability(OR=1.29,95%CI:1.17-1.41),depression(OR=4.07,95%CI:2.37-6.97),malnutrition(OR=5.64,95%CI:3.14-10.14),taking≥3 types of medications(OR=3.96,95%CI:1.56-10.06),living alone(OR=4.36,95%CI:3.15-6.03),multimorbidity(OR=4.71,95%CI:2.25-9.87),cognitive impairment(OR=7.54,95%CI:5.32-10.70),high National Institutes of Health Stroke Scale(NIHSS)scores(OR=2.98,95%CI:1.40-6.36),diabe‐tes mellitus(OR=4.07,95%CI:1.77-9.34),dysphagia(OR=2.10,95%CI:2.02-2.18),and history of falls(OR=4.34,95%CI:2.75-6.87)were risk factors for frailty in elderly stroke patients;while physical exercise(OR=0.35,95%CI:0.26-0.46)and dietary guidance(OR=0.27,95%CI:0.08-0.94)were protective factors(all P<0.05).Conclusion The prevalence of frailty in elderly stroke patients is relatively high,clinicians need to establish a continu‐ous frailty assessment mechanism to provide scientific support for long-term health management of elderly stroke patients.

Abstract:With the rapid development of information technology and the wide application of digital health technology,the elderly are prone to digital health technology anxiety when using digital health technology due to their declining cogni‐tive ability,low acceptance of technology and insufficient proficiency in operation.This article systematically reviews the concept of digital health technology anxiety,the current research status and assessment tools of digital health technology anxiety among the elderly at home and abroad.To analyze multiple factors influencing digital health technology anxiety among the elderly,and summarize the intervention strategies for alleviating digital health technology anxiety.

Abstract:Objective To explore the influencing factors of activation levels in patients with chronic disease.Meth-ods Literature on the influencing factors of activation levels in patients with chronic diseases were retrieved from databas‐es including CNKI,VIP,Wanfang,CBM,PubMed,and The Cochrane Library,with the search period spanning from the inception of each database to October 15,2024.After literature screening,data extraction,and quality assessment,Rev‐Man 5.3 software was used for meta-analysis.Results A total of 21 studies were included.The meta-analysis revealed that patients aged over 65 years(OR=0.98,95%CI:0.96-0.99,P<0.000 01),disease severity(OR=0.45,95%CI:0.22-0.93,P=0.008),comorbidities(OR=0.31,95%CI:0.19-0.50,P<0.000 01),anxiety and depression(OR=0.57,95%CI:0.36-0.90,P=0.02)were the negative factors for the activation level of patients with chronic diseases.While educational level(OR=10.98,95%CI:6.34-19.00,P<0.000 01),residing in the city(OR=8.94,95%CI:2.53-31.54,P=0.000 7),social support(OR=1.30,95%CI:1.19-1.43,P<0.000 01),health literacy(OR=1.26,95%CI:1.14-1.39,P<0.000 01),monthly household income per capita≥1 000 yuan(OR=25.26,95%CI:14.17-45.03,P<0.000 01),and long disease duration(OR=4.60,95%CI:2.35-8.99,P<0.000 01)were the promoting fac‐tors for the activation level of patients with chronic diseases.Conclusions Patient activation level in chronic disease pa‐tients is influenced by multiple factors.Age over 65 years old,educational level of high school or below,severe illness,living in rural areas,having complications,low health literacy,anxiety and depression,and a per capita monthly family in‐come<1 000 yuan are their negative factors,while social support and a long course of disease are their promoting factors.Healthcare professionals should dynamically assess patients'activation levels and implement targeted,individualized inter‐ventions to enhance activation,thereby improving self-management abilities and quality of life.

Abstract:Objective To investigate the predictive value of models constructed based on the Comprehensive Geriat‐ric Assessment(CGA)for short-term prognosis in older adults with community-acquired pneumonia(CAP).Methods A prospective cohort study was conducted,enrolling 100 older adults with CAP.CGA indicators were collected,and follow-up was performed on the length of hospital stay,unplanned outpatient/emergency visits,and unplanned readmissions with‐in 3 months after discharge.Using univariable analyses(Spearman rank correlation,Mann-Whitney U test,and univari‐able binary logistic regression)for screening and multivariable analyses(multiple linear regression and multivariable bina‐ry logistic regression)for modeling,prediction models were constructed and evaluated via internal validation for discrimi‐nation,calibration,and robustness.Results The prediction model for length of hospital stay incorporated comorbidi‐ties,frailty,and Activities of Daily Living(ADL),explaining 50.7% of the variance.The risk prediction model for un‐planned emergency/outpatient visits within 3 months after discharge included frailty and depression score(AUC=0.78,95%CI:0.68-0.88).The risk prediction model for unplanned readmission within 3 months after discharge included de‐pression score,ADL,and number of medications(AUC=0.839,95%CI:0.662-1.000).All models showed stable perfor‐mance in internal validation.Conclusion The CGA-based prediction models can effectively identify the risk of short-term adverse outcomes in older adults with CAP,providing a reference for clinical risk assessment and intervention.

Abstract:Objective To develop and preliminarily apply a functional rehabilitation program for elderly patients with functional ankle instability,and to evaluate its effectiveness.Methods Based on the International Classification of Functioning,Disability and Health(ICF),a rehabilitation exercise program for elderly patients with functional ankle insta‐bility was developed using methods such as literature review and expert consultation.Using convenience sampling,64 el‐derly patients with functional ankle instability who visited the Rehabilitation Medicine Department of the Second Affiliated Hospital of Bengbu Medical University between December 2023 and August 2024 were selected as study subjects.Patients who visited between December 2023 and March 2024 were assigned to the control group and underwent conventional reha‐bilitation training.Patients admitted from April to August 2024 formed the intervention group,receiving training based on the developed exercise rehabilitation program.Each group comprised 32 patients.Before and after the intervention compar‐isons were conducted for the Cumberland Ankle Instability Test(CAIT)scores,Y Balance Test(YBT)distance,and Foot and Ankle Functional Measure(FAAM)scores between the two groups.Results After intervention,CAIT scores in‐creased in both groups,with the intervention group scoring higher than the control group(P<0.05).The measured distanc‐es in the anterior-posterior medial and posterior-lateral directions on the YBT increased in both groups,with the interven‐tion group showing greater increases than the control group(P<0.05).The total FAAM scores,along with scores on the Daily Activities and Physical Activities scales,increased in both groups,with the intervention group showing greater in‐creases than the control group(P<0.05).Conclusions An exercise program for functional ankle instability developed based on the ICF framework can effectively improve foot and ankle function in elderly patients with functional ankle insta‐bility.It enhances muscle strength,flexibility,and coordination in older adults,improves their balance,and increases their ability to perform daily activities.

Abstract:Safe eating behaviours in stroke patients with swallowing disorders are a key aspect of their nutritional sta‐tus and quality of life.This paper reviews the current status of safe eating behaviour,assessment tools,influencing factors and intervention strategies in this group.Currently,specific assessment tools such as the Safe Eating Behaviour Evaluation Scale for Stroke Patients with Dysphagia are applicable to those who eat orally,but the scope of application is limited;while the Knowledge,Attitude,and Behaviour Scale for Safe Eating for Older Adults with Dysphagia,although concise and easy to understand,needs to be further validated and promoted.There are fewer studies on influencing factors,indi‐vidual,environmental and disease-related variables need to be explored in depth.Existing intervention strategies cover multidimensional measures,but there is less high-quality clinical evidence due to methodological heterogeneity and vari‐able quality.In the future,universal assessment tools should be developed,influencing factor studies should be strength‐ened,and standardised intervention protocols should be constructed through multicentre randomised controlled trials in or‐der to improve patients'safe eating behaviours.

Abstract:Chronic obstructive pulmonary disease(COPD)is a prevalent chronic respiratory condition in China.With the intensification of population aging,oral health issues among elderly COPD patients have become increasingly promi‐nent.This article provides a review of the conceptual definition and assessment tools for oral health literacy,as well as the oral health literacy levels,influencing factors,and intervention strategies for elderly COPD patients.It aims to offer in‐sights for improving oral health literacy among elderly COPD patients and optimizing oral health management strategies.

Abstract:In recent years,with the increasing number of orthopedic surgeries,the demand for bone graft materials has gradually increased.In addition,the number of bone defects caused by various traumatic factors and bone tumor dis‐eases is increasing.Simple autologous bone tissue is difficult to meet surgical needs,and the preparation of new bone de‐fect repair materials has become one of the current research hotspots.At present,the main bone grafting materials used in clinical practice include autologous bone,allogeneic bone,decalcified bone matrix,artificial bone replacement materials and stem cells,etc.This article provides a comprehensive review of its research application situation.