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    Special Planning
  • Special Planning
    Construction of a prediction model for sarcopenia risk in patients with coronary heart disease and its validation
    ZHAO Jing, WANG Yanzhe, JI Chunxiao, WANG Pingfan, LIU Wencai, LIU Qingning, HAO En'gang, YANG Xiu
    2025, 17(8): 463-469. https://doi.org/10.3969/j.issn.1674-3768.2025.08.001
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    Objective To explore the influencing factors of sarcopenia in discharged coronary heart disease patients,so as to construct a predictive model. Methods A total of 472 patients with coronary heart disease who received treatment in the cardiovascular medicine departments of three general hospitals in Shandong province between June 2023 and July 2023 were selected as the study subjects by convenience sampling. Logistic regression was used to screen for influencing factors, while R 4.1.2 software was employed to construct a risk prediction model and draw a nomogram to visualize the model. Then the predictive performance of the model was validated using the receiver operating characteristics (ROC) and Hosmer-Lemeshow test. Results Among the 330 cases in the modeling group, 73 cases developed sarcopenia, with an incidence of 22.12%. Logistic regression analysis showed that age (OR=1.054), Charlson comorbidity index(OR=1.413),body mass index(OR=0.545),albumin(OR=0.485),diabetes(OR=2.144),nutritional status(OR=2.003),NYHA cardiac function grade (OR=1.685) were the influencing factors for sarcopenia in patients with coronary heart disease after discharge. The area under the receiver operating characteristic curve was 0.820 in internal validation and 0.837 in external validation. The Hosmer-Lemeshow test results showed: χ2=14.281(P=0.075) for internal validation and χ2=7.734(P=0.460) for external validation. Conclusion The risk prediction model for sarcopenia in coronary heart disease patients constructed in this study has a good predictive effect,which can help clinical nursing staff identify high-risk patients early and provide guidance for timely intervention.
  • Special Planning
    Health promotion behavior management of patients after percutaneous coronary intervention based on integrated theory of health behavior change: a qualitative study
    YANG Ningjia, LI Yi, GUO Ting, HUANG Rui, LI Jing, ZHENG Bing
    2025, 17(8): 470-475. https://doi.org/10.3969/j.issn.1674-3768.2025.08.002
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    Objective Based on the integrated theory of health behavior change, this paper explores the current status of health promotion behavior management in patients after percutaneous coronary intervention (PCI),so as to provide references for promotion. Methods Using phenomenological research methods,15 patients who underwent PCI in department of cardiology the second affiliated hospital between March and April 2024 were selected for semi-structured interviews,and the data collected were analyzed using the Colaizzi 7-step method. Results Four main themes were extracted, including insufficient awareness of diseases, self-efficacy guiding management belief, self-regulation ability needing improvement, and multiple factors influencing health promotion behaviors. Conclusion Healthcare professionals should implement personalized education,to enhance patients' self-efficacy, guide them to establish positive beliefs and cultivate their self-regulation skills, so as to improve their health promotion behaviors.
  • Special Planning
    The application of family-participatory care and risk warning management in elderly patients after PCI for acute myocardial Infarction
    SHEN Yan, XU Jiayan, WU Jun
    2025, 17(8): 476-481. https://doi.org/10.3969/j.issn.1674-3768.2025.08.003
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    Objective To explore the application effect of family-participatory care and risk warning management in elderly patients after percutaneous coronary intervention (PCI) for acute myocardial infarction(AMI). Methods By using the convenience sampling method, 80 elderly AMI patients admitted to the department of cardiology of Wuxi people's hospital affiliated to Nanjing medical university between March and December 2023 were selected as the research objects. They were randomly divided into a control group and an observation group, each of 40, according to a random number table. Both groups were given routine rehabilitation care after PCI, while the observation group was additionally provided with family-participatory care and risk warning management. The cardiac function, exercise endurance, life quality and the incidence of adverse cardiovascular events were compared between the two groups. Results After the intervention, the left ventricular ejection fraction, left ventricular end systolic diameters, left ventricular end-diastolic diameter and cardiac output of the observation group were better than those of the control group(t=-6.652,P<0.001; t=7.324,P<0.001;t=6.756,P<0.001;t=-7.231,P<0.001), 6-minute walking distance was longer than the latter(t=-3.537,P<0.001), and each dimension of life quality of the observation group were all significantly better than those of the control group (P<0.001 for all), while the incidence of adverse cardiovascular events was significantly lower than the latter (χ2=5.000, P=0.025). Conclusion The adoption of family-participatory care and risk warning management for elderly AMI patients after PCI is beneficial for improving their cardiac function and exercise endurance, enhancing their quality of life, and reducing the incidence of adverse cardiovascular events. It is worthy of clinical promotion and application.
    • Specialized Nursing
  • Specialized Nursing
    The intervention effect of music-dance therapy on children with post-traumatic stress disorder after earthquake
    WEI Lan, ZHAO Ying
    2025, 17(8): 482-486. https://doi.org/10.3969/j.issn.1674-3768.2025.08.004
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    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.
  • Specialized Nursing
    The application effect of the early warning supervision mechanism combined with contradictory intention training in patients with severe pneumonia complicated with respiratory failure undergoing mechanical ventilation
    FAN Kui, CAI Wei
    2025, 17(8): 487-490. https://doi.org/10.3969/j.issn.1674-3768.2025.08.005
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    Objective To explore the application effect of the early warning supervision mechanism combined with contradictory intention training in patients with severe pneumonia complicated with respiratory failure undergoing mechanical ventilation. Methods A total of 90 severe pneumonia patients with respiratory failure undergoing mechanical ventilation and admitted to the first people's hospital of Jiujiang city, Jiangxi province between October 2022 and September 2024 were selected as the research objects. They were randomly divided into a control group and an experimental group, each of 45, according to a random number table. Both groups were given conventional mechanical ventilation care, while the experimental group was additionally offered early warning supervision mechanism care combined with contradictory intention training. The hope level, treatment compliance, occurrence of complications and rehabilitation process of the two groups were compared. Results After the intervention, the hope level and treatment compliance of the experimental group were significantly higher than those of the control group (t=-35.410, P<0.001; Z=-4.534, P<0.001), while the incidence of complications was significantly lower (χ2=4.865, P=0.027), with the duration of mechanical ventilation and the total hospital stay significantly shorter than that of the control group(t=7.833, P<0.001; t=6.268, P<0.001). Conclusion The early warning supervision mechanism combined with contradictory intention training can improve the patients' hope levels and treatment compliance, and reduce the incidence of complications, promoting their rehabilitation.
  • Specialized Nursing
    Qualitative study on dietary management of maintenance hemodialysis patients for over 5 years
    LUO Jiajia, TAN Xuehui, SHAO Shuai, ZHANG Qiuyin, YANG Taoxian, ZHAO Qingqiong
    2025, 17(8): 491-495. https://doi.org/10.3969/j.issn.1674-3768.2025.08.006
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    Objective To observe daily dietary management of long-term maintenance hemodialysis (MHD), aiming to develop targeted interventions for such patients. Methods Fourteen MHD patients for over 5 years were selected using the purposive sampling and given face-to-face, semi-structured in-depth interviews. The data were collected, analyzed, summarized and extracted themes using the Nvivo 15.0 software. Results Two main themes and nine sub-themes were identified. Theme one was of the personal level, including the six sub-themes of gradual neglect of dietary management, the impact of dietary restrictions on life quality, difficulties in keeping a personal food log, negative emotions and dietary management during dialysis, the impact of impaired self-esteem on dietary management and the need for personalized dietary management. The second theme was of the social and family level, covering three sub-themes: the impact of medical cost burdens on dietary management, the importance of family support for dietary management and the impact of the effectiveness of information on dietary management. Conclusion MHD patients over 5 years face multiple challenges in dietary management, such as dietary restrictions, emotional fluctuations, economic pressure, and difficulties in obtaining information. The patients' compliance, support from their families and guidance from healthcare providers are needed to solve such problems and achieve better dietary management.
    • Nursing Education
  • Nursing Education
    Application of Learn-Think-Express combined with I-E-O teaching model in clinical training of emergency department intern nursing students
    LI Ying, JIANG Wei, ZHU Ju, LIU Di, LI Yangyujing
    2025, 17(8): 496-500. https://doi.org/10.3969/j.issn.1674-3768.2025.08.007
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    Objective To explore the application effect of Learn-Think-Express combined with the I-E-O teaching model in clinical teaching of emergency nursing students. Methods A total of 76 nursing students who practiced in the emergency department of Wuhan central hospital from October 2023 to March 2024 were selected and divided into an experimental group and a control group, each of 38, according to the parity of their rotation months. The control group was given the traditional clinical teaching, while the experimental group underwent Learn-Think-Express combined with the I-E-O teaching for 4 weeks. Then, the theoretical knowledge scores, practical skill scores, and core job competency were compared between the two groups. Results After training, the theoretical knowledge and practical skill scores of the experimental group were significantly higher than those of the control group(t=-5.483,P<0.001; t=-5.103,P＜0.001). Moreover, the scores of all dimensions and the total score of core competency were also significantly better than those of the control group(all P＜0.001). Conclusion The new teaching method can significantly improve the theoretical knowledge, practical skills and core job competency of emergency nursing students, and it is worth clinical promotion.
  • Nursing Education
    The application of childbirth virtual simulation software based on ARCS model in standardized trainning for obstetric nurses with higher vocational education
    SHEN Jie, LIU Jiyuan
    2025, 17(8): 501-504. https://doi.org/10.3969/j.issn.1674-3768.2025.08.008
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    Objective To explore the effect of the childbirth virtual simulation training program based on the ARCS motivation model in the standardized clinical training for obstetric nurses with higher vocational education. Methods Sixty-four obstetric nurses to undergo standardized clinical training at Hebi people's hospital in Henan province were selected as the study subjects. Thirty-two nurses trained in the first 3 month of 2023 were chosen into the control group, while the rest 32 taught in the following 3 months were selected into the observation group. The control group was trained in the traditional method, while the observation group was provided with virtual simulation training based on the ARCS motivation model. After training, the theoretical and practical assessment scores of both groups were compared, along with their training satisfaction. Results The observation group achieved significantly better scores in theoretical and practical skill assessments than those of the control group(t=-4.139, P＜0.001; t=-6.594, P＜0.001), with significantly higher satisfaction than the latter(t=-18.810,P＜0.001). Conclusion The virtual simulation training based on the ARCS model can enhance trainees' mastery of theoretical knowledge and practical skills, thereby improving their training satisfaction.
    • Literature research
  • Literature research
    Summary of the best evidence for the management of swallowing disorders in patients with amyotrophic lateral sclerosis
    ZHONG Qianmei, LI Hong, ZHOU Ke, ZHOU Bin, PU Jia
    2025, 17(8): 505-511. https://doi.org/10.3969/j.issn.1674-3768.2025.08.009
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    Objective To summarize the relevant evidence on the management of dysphagia in patients with amyotrophic lateral sclerosis (ALS), so as to provide a basis for formulating targeted management strategies in the clinical practice. Methods Articles on the management of dysphagia in ALS patients were searched systematically from relevant domestic and foreign guideline websites, professional association websites, and Chinese and English databases, with the time setting from inception till October 31, 2024. After the quality evaluation, the articles were subjected to evidence extraction, induction and summary. Results Ultimately, 14 articles were found, including 8 guidelines, 3 clinical decisions, 1 expert consensus, and 2 systematic reviews. Finally, a total of 24 best pieces of evidence were formed in six aspects: multidisciplinary team collaboration, screening and evaluation, swallowing rehabilitation training, nutrition management, oral care and health education. Conclusion The best evidence on the management of swallowing disorders in patients with ALS can provide evidence-based reference for clinical practice. It is recommended that medical staff should assess the clinical context and combine professional judgement in the process of translating the evidence into practice, thus to provide scientific management of dysphnagia for patients.
  • Literature research
    Research hotspots and trends of continuous care among stroke survivors in China based on CiteSpace
    XIONG Yuanfang, PAN Mingxia, PENG Huan, LI Na, HU Ziping, GUO Yuqin, LIU Hanjiao
    2025, 17(8): 512-516. https://doi.org/10.3969/j.issn.1674-3768.2025.08.010
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    Objective To explore the research hotspots and trends of continuous care for stroke survivors in China using CiteSpace visualization analysis, so as to provide references for its better implementation in the future. Methods Articles on continuous care for stroke patients were retrieved from CNKI, VIP, Wanfang, and China Biomedical Literature Database, with the time from inception to May 1, 2024. Then, CiteSpace 6.3.R1 was used to analyze the authors, publishing institutions and keywords, and draw the maps. Results A total of 1 882 articles were included. The annual publication volume showed an upward trend initially and then declined from 2009 to 2024. There were 17 core authors, but no core author group was formed. The research institution with the most publications was the fifth affiliated hospital of Xinjiang medical university, and the connections among institutions were not close. Moreover, the research hotspots mainly focused on intervention effect, psychological state and compliance of patients, with the research frontiers being swallowing function and home-based rehabilitation. Conclusion The research on continuous care for stroke patients in China is in a period of rapid development, but the cooperation among authors and institutions is not close enough. Therefore, in the future, it is necessary to strengthen cross-regional and cross-institutional cooperation and exchanges to promote its implementation and development.
    • Investigative Journalism
  • Investigative Journalism
    The current situation of needs for death education and empathy abilities of intern nursing students and its relationship
    SUN Min, LI Fang, WANG Hongqin, CHEN Yinzhi, LI Na, LIU Dandan
    2025, 17(8): 517-521. https://doi.org/10.3969/j.issn.1674-3768.2025.08.011
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    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.
    • Review
  • Review
    Research progress on the current situation of body image dissonance in patients with gynecological cancers
    WANG Xuejiao, MA Qian, LI Xianwen, LYU Ya, SHI Xiaoyun, JIANG Ling
    2025, 17(8): 522-526. https://doi.org/10.3969/j.issn.1674-3768.2025.08.012
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    This article reviews the current research status of body image disorder in gynecological cancer patients, assessment tools, their impact on gynecological cancer patients, and intervention measures, with the aim of providing a reference for medical staff in managing body image disorder in gynecological cancer patients.
    • Case Nursing
  • Case Nursing
    Nursing care of one dilated cardiomyopathy patient complicated with diabetes mellitus who underwent subcutaneous implantable cardioverter defibrillator implantation
    ZHANG Wenwen, LIANG Meiqiong
    2025, 17(8): 527-529. https://doi.org/10.3969/j.issn.1674-3768.2025.08.013
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    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.
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