Objective To explore the nursing experience of family caregivers in different stages of female enterostomy disease, so as to provide references for designing corresponding nursing support programs. Methods Forty-one family caregivers of female enterostomy patients treated between February and December 2022 were selected from Benxi central hospital, and given a non-structured interview. The Colaizzi 7-step analysis method was applied to analyze, summarize and extract the themes. Results Four themes were extracted for patients in different stages: lack of disease cognition, decreased diet and sleep quality in the perioperative period, increased fatigue when preparing for discharge, longing for professional guidance in the adjustment period, as well as post-traumatic growth in the adaptive period. Conclusion The care experience of family caregivers of female enterostomy patients at different stages is dynamic,and medical staff should provide individualized technical guidance as well as emotional and social support,so as to help them overcome the difficulties and improve the quality of continuous care services.

Objective To investigate the life space of elderly patients with ischemic stroke (IS) after discharge, and to analyze its influencing factors. Methods Totally 340 elderly IS patients were selected at 1 year after discharge, and surveyed using a general situation questionnaire, Hamilton anxiety scale and Hamilton depression scale, Connor-Davidson resilience scale, exercise self-efficacy scale, and life space assessment scale. Results The life space score of elderly patients with IS after discharge was(42.49±10.93) points. Multiple linear regression analysis showed that age, degree of education, complications with other chronic diseases, living condition, monthly income per capita, depression, quality of home care, mental resilience and exercise self-efficacy were independent influencing factors (F=260.208,P＜0.001). Conclusion The life space of elderly patients with ischemic stroke is low, which can be bettered by providing good family rehabilitation nursing, psychological support and improving the living condition, then improving life space of elderly patients with IS.

Objective To explore the application effect of electronic puncture atlas in patients with arteriovenous fistula hemodialysis. Methods Among 177 patients who underwent hemodialysis through arteriovenous fistula in the hemodialysis center of the author′s hospital, 85 patients treated in the first half of 2021 were selected as the control group, while 92 in the second half of 2021 were selected as the observation group. The control group underwent hemodialysis management using the paper puncture atlas, while the observation group received hemodialysis management uisng the electronic puncture atlas. The failure rate of arteriovenous fistula puncture, the occurrence of complications related to arteriovenous fistula and the satisfaction of nurses with the use of puncture atlas were compared between the two groups. Results The puncture failure rate and complication rate of arteriovenous fistula in the observation group were significantly lower than that of the control group (χ²=18.067,P<0.001; χ²=33.282, P<0.001). Moreover, the satisfaction of nurses to electronic puncture atlas was higher than paper puncture atlas (Z=27.500, P<0.001). Conclusion The use of electronic puncture atlas for the management of hemodialysis patients can reduce the puncture failure rate and the incidence of complications of arteriovenous fistula. Moreover, nurses have a high satisfaction with the electronic puncture atlas system, and it can be widely used in clinical practice.

Objective To explore the effect of mobile terminal-based health education program on the health information literacy and life quality of young and middle-aged patients after percutaneous coronary intervention (PCI), so as to provide a reference for clinical cardiac rehabilitation care. Methods Using the convenience sampling method,64 young and middle-aged patients receiving PCI in the department of cardiology of the first affiliated hospital of Nanchang university between August 2021 and November 2021 were selected, and randomly divided into an observation group and a control group, each of 32. Both groups were given routine management, while the observation group was additionally provided with mobile terminal-based health education program. After 12-week intervention, the scores of health information literacy and life quality were compared between the two groups. Results After 12 weeks of the intervention, the total scores of health information literacy and life quality of the observation group were significantly higher than that of the control group (Z=-4.448, P＜0.001; t=-3.343, P=0.001). Conclusion The education program based on mobile terminal can effectively improve the health information literacy and life quality of young and middle-aged patients after PCI.

Objective To explore the psychological experience of new head nurses in general hospitals during their tenure, so as to provide a basis for developing a psychological support program for them. Methods Fourteen new head nurses were selected from 6 general hospitals in Nanjing using the purposive sampling method, and were conducted face-to-face and semi-structured interviews. Colaizzi 7-step analysis method was adopted to analyze, summarize and extract the theme. Results The psychological experience of the new head nurses can be summarized into four themes: negative experience (prominent negative emotion, intensified work-family conflict, and insufficient emotion management), positive experience (self-reflection promoted improvement, improved problem solving ability), psychological counseling needs and support from all parties to promote empowerment. Conclusion During the tenure of new head nurses, they experience negative emotion, intensified work-family conflict and insufficient emotional coping ability, as well as improved self-reflection, and increased needs for support. It is suggested that senior hospital managers should take intervention measures, and actively explore the targeted new mode of psychological support system for them.

Objective To summarize the evidence related to dietary management in patients with urolithiasis, so as to provide references for clinical nursing intervention. Methods Studies on dietary management for patients with urolithiasis were searched systematically in domestic and international databases, with the time setting from inception to May 2023. Then the quality evaluation and evidence grading were conducted using the Joanna Briggs institute qualitative assessment and review instrument. Results A total of 13 papers were included, covering 3 clinical decisions, 5 guidelines, 1 evidence summary, and 4 systematic evaluations. They resulted in the summary of 27 pieces of best evidence for dietary management of urolithiasis patients in such seven areas as risk assessment, fluid management, nutrient recommendations, specific prevention strategies based on stone composition, dietary patterns, lifestyle management, teamwork and education. Conclusion The best evidence summarized in this study can provide standardized guidelines for dietary management of urolithiasis patients. Moreover, it is recommended that healthcare professionals select evidence by taking into account the clinical context, facilitators and impediments of evidence, and patients' wills when applying the evidence to reduce the risk of recurrence and better the clinical outcomes.

Objective To investigate the status quo of workplace psychosis of psychiatric nurses and analyze its influencing factors, so as to provide references for the construction of intervention schemes. Methods A total of 277 psychiatric nurses from Xiamen Xianyue hospital were selected by using the convenience sampling method, and surveyed using a general information questionnaire, workplace spirituality scale (WSS), spiritual leadership questionnaire, survey of perceived organizational support and general self-efficacy scale. Results The total WSS score was (108.31±20.03) points. Moreover, Pearson correlation analysis showed that the WSS score was positively correlated with the scores of spiritual leadership, organizational support and self-efficacy(r=0.886, P<0.001; r=0.827, P<0.001; r=0.800, P<0.001). The results of multiple linear regression analysis showed that gender, job level, job type, average number of night shifts per month, spiritual leadership, sense of organizational support and sense of self-efficacy were independent influencing factors of workplace spirituality of psychiatric nurses (R²=0.870, adjusted R²=0.867; F=7.308, P<0.001). Conclusion The workplace spirituality of psychiatric nurses is above the average level with various influencing factors. Therefore, nursing managers, in addition to the improvement of their spiritual leadership, should pay attention to female psychiatric nurses with low job level, sense of organizational support or self-efficacy, as well as those of many night shifts to promote their workplace spirituality.

Coronary artery bypass grafting is currently one of the most commonly used and effective methods for treating coronary artery diseases. Patients undergoing coronary artery bypass grafting surgery may face various symptoms perioperatively, which seriously affects their treatment compliance and long-term prognosis. This article reviews the manifestations, assessment tools, influencing factors and intervention measures of symptom clusters, aiming to provide references for future management.

The article provided a comprehensive review of the concept, target population, training principles and methods of free water protocol, as well as its application effects among patients with dysphagia. The aim is to provide references for its future research.

Infiltration in punctual sites is one of the common complications after PICC. In this paper, the concept, classification and risk factors of PICC infiltration were reviewed, so as to provide references for future prevention and treatment.

This paper summarizes the nursing care based on the traditional Chinese medicine for a case of systemic eczema complicated with liver disease. With the guidance of TCM syndrome differentiation and care, personalized skin, oral Chinese medicine preparation, moxibustion, ear tip bloodletting, five elements music intervention, diet and daily living care were administered to the patient. After the implementation, the patient's eczema relieved significantly, and his liver function returned to normal level. After 3-week intervention, the patient′s pruritus significantly relieved with lichenificated skin shedding off. One month after discharge, part of the patient's limbs were still recovering from eczema, without lichenification and obvious pruritus.