Objective To explore the application effect of discharge preparation service based on the health promotion model in elderly patients with chronic obstructive pulmonary disease (COPD). Methods A total of 77 elderly COPD patients admitted to the department of respiratory and critical care medicine of the Second Affiliated Hospital of Soochow University between June 2023 and June 2024 were selected as the research subjects. According to their order of admission, 37 admitted between June and December 2023 were chosen into the control group, while 40 treated between January and June 2024 were selected into the intervention group. Both groups received conventional treatment and health education, while the intervention group was additionally given discharge preparation service based on the health promotion model. The quality of discharge guidance, the degree of discharge preparation service, self-management ability, life quality and readmission rate were compared between the two groups. Results After the intervention, the quality of discharge guidance and the score of self-management in the intervention group were both significantly higher than those of the control group (t=-4.910, P<0.001; t=-4.744, P<0.001), and the life quality was also significantly better than that of the control group (t=2.197, P=0.031). However, there were no significant differences in the readiness for discharge and readmission rate between the two groups (all P>0.05). Conclusion Discharge preparation service based on the guidance of the health promotion model can improve the quality of discharge guidance for elderly COPD patients, and enhance their self-management ability and life quality.

Objective To explore the clinical efficacy of direct current iontophoresis combined with meibomian gland massage in the treatment of evaporative dry eye disease. Methods A total of 242 patients with evaporative dry eye disease who received treatment at the Ruibao Street Community Health Service Center in Haizhu District between January 2024 and January 2025 were randomly divided into an observation group and a control group, each of 121. Both groups received meibomian gland massage, while the observation group additionally underwent direct current iontophoresis. Then, the ocular surface disease index (OSDI) score, dry eye-related quality of life score (DEQS) and tear secretion test results were compared between the two groups. Results The observation group had a significantly lower OSDI score than the control group(t=22.076, P<0.001), but significantly higher tear secretion volume (t=-23.180, P<0.001), DEQS score (t=-17.350, P<0.001). Conclusion Direct current iontophoresis combined with meibomian gland massage can significantly relieve symptoms, better life quality and tear secretion in patients with evaporative dry eye disease. Its efficacy is superior to traditional treatment. Therefore, it is worthy of clinical application and promotion.

Objective To explore the application effect of standardized oral hydration pathways in patients undergoing interventional treatment for cerebrovascular diseases. Methods A total of 120 patients with cerebrovascular diseases and receiving interventional treatment in the department of neurology of the First People′s Hospital of Hechi between May 2024 and May 2025 were selected as the research subjects. They were divided into a control group and an observation group, each of 60, according to a random number table. The control group received conventional oral hydration care, while the observation group received standardized oral hydration pathway intervention. Then, the hydration compliance, hydration qualification rate and renal function indicators were compared between the two groups. Results Both the hydration compliance and qualified hydration rate of the observation group were significantly higher than those of the control group (Z=2.974, P=0.003; χ²=10.568, P=0.001). Moreover, twenty-four hours after the interventional treatment, the serum creatinine of the observation group was significantly lower than that of the control group (t=4.537, P<0.001), while the glomerular filtration rate was significantly higher than the latter group (t=-4.025, P<0.001). Conclusion The standardized oral hydration pathway can improve the hydration compliance and hydration qualification rate of patients undergoing interventional therapy for cerebrovascular diseases, relieve the adverse effects of interventional therapy on their renal function. Therefore, it is worthy of clinical promotion and application.

Objective To understand of the experience of fall alertness among elderly stroke survivors, so as to provide a reference for developing targeted fall prevention strategies. Methods A phenomenological research method was adopted. Fourteen elderly stroke survivors were selected using purposive sampling, and were conducted in-depth, face-to-face interviews. Then the Colaizzi seven-step method was applied for data analysis and theme extraction. Results Four main themes and ten sub-themes were extracted: perceived susceptibility and severity of falls (cognitive differences in perceived susceptibility and severity); perceived benefits and barriers to fall alertness (multiple perceived benefits of fall alertness, perceived barriers to fall alertness); confidence and ability in fall prevention (fluctuations in confidence during rehabilitation,efficacy enhancement of family/social support,increased confidence from skill mastery); action cues triggering the experience of fall alertness (direct triggers from disease experience, indirect warnings from others′ experience and authoritative guidance from professionals). Conclusion Clinical medical staff should understand the risk perception, benefit perception, and action cues related to fall awareness in elderly stroke patients. By integrating patients′ belief characteristics, they can strengthen risk perception, reduce behavioral barriers, activate multiple action cues, and enhance self-efficacy to develop personalized fall prevention strategies, thereby improving fall awareness and lowering the risk of falls.

Objective To explore the impact of group psychological intervention based on Satir′s iceberg theory on the internship stress and professional identity of nursing students. Methods Sixty-eight nursing students in internship at Anning Chinese Medicine Hospital between June 2024 and June 2025 were selected, and randomly divided into a control group and an intervention group, each of 34, according to a random number table. Both groups received conventional internship training, while the intervention group additionally underwent group psychological intervention based on Satir′s iceberg theory. The internship pressure and professional identity were then compared between the two groups. Results After the intervention, the internship stress score of the intervention group was significantly lower than that of the control group (t=4.881,P<0.001), while the professional identity score was higher than the latter(t=-2.810,P=0.006). Conclusion Group psychological counseling based on Satir′s iceberg theory can effectively relieve the internship pressure of nursing students and enhance their professional identity. Therefore, it is worthy of clinical promotion and application.

Objective To explore the experience of pediatric nurses regarding their work dilemmas and coping methods in the context of public hospital resource integration, with the aim of providing a basis for stabilizing and cultivating a high quality, resilient, and flexibly deployable pediatric nursing workforce. Methods Through purposive sampling, 15 pediatric nurses were recruited from a Grade-A tertiary hospital in Wuhan for semi-structured in-depth interviews. The Colaizzi′s seven-step analysis method was employed to analyze the interview data. Results The work dilemmas of pediatric nurses consisted of three themes and six sub-themes: occupational crisis (job instability and income decline), role adaptation conflicts (mismatch between professional competencies and job demands, environmental adaptation and anxiety about job proficiency), and restricted career development(lack of specialty growth and invalidation of career planning). Their coping experiences covered two themes and four sub-themes: positive adaptation and proactive breakthroughs (skill diversification and transformation readiness, innovative service and value reconstitution), and negative coping and passive depletion(occupational burnout and emotional exhaustion,passive acceptance and psychological detachment). Conclusion With the decline in fertility rate and the progress of medical resource integration,pediatric nurses are confronted with unprecedented professional challenges. Their coping approaches exhibit a dichotomy between positive adaptation and negative depletion. Therefore, hospitals should establish a support framework that balances professional peculiarities and individual requirements, thereby offering empirical evidence for optimizing the allocation of pediatric nursing human resources, enhancing their professional well-being, and ensuring the sustainable development and innovation of the pediatric medical service system.

Objective To summarize the relevant evidence on non-pharmacology intervention for cognitive impairment in patients with Parkinson′s disease, so as to provide evidence-based basis for clinical practice. Methods Following the "6S" evidence model, literature related to non-pharmacological intervention for cognitive impairment in patients with Parkinson′s disease was retrieved from relevant domestic and international guideline websites, professional society websites and databases, with the time limit from inception to February 6, 2025. The literature was screened, its quality was evaluated, and evidence was extracted and summarized. Results A total of 17 articles were included, among which there was 1 clinical decision, 1 guideline, 3 systematic reviews, 7 Meta analyses, and 5 randomized controlled trials. Thirty pieces of evidence were summarized from six aspects: cognitive assessment, physical exercise, intervention with appropriate traditional Chinese medicine techniques, cognitive training, physical stimulation, and combined intervention. Conclusion The best evidence of non-pharmacological intervention for cognitive impairment in patients with Parkinson's disease summarized in this study can provide a reference for clinical medical staff in the assessment and non-pharmacological intervention of cognitive impairment in Parkinson′s disease.

Objective To explore the potential category characteristics of fear of childbirth in pregnant women with gestational diabetes mellitus (GDM) and its influencing factors. Methods A total of 393 pregnant women with GDM who visited the obstetrics department of three tertiary hospitals in Hengyang city between June 2024 and February 2025 were selected as the research subjects. They were surveyed using a general information questionnaire, the general self-efficacy scale, the childbirth attitudes questionnaires, the pregnancy-related anxiety questionnaire, the perceived social support scale. A potential profile analysis was conducted on their fear of childbirth, and multivariate Logistic regression was used to analyze the influencing factors. Results All pregnant women could be classified into 3 groups of low fear of childbirth-hyposensitivity to external factors group (29.8%), moderate fear of childbirth-worrying about the child group (41.5%), and high fear of childbirth-worrying about the child group (28.7%). Moreover, pregnancy-related anxiety, perceived level of social support, whether pregnancy was well planned, pregnancy preparation, and daily activity time were the influencing factors of the potential categories of fear of childbirth. Conclusion The fear of childbirth among pregnant women with GDM has obvious classification characteristics. Healthcare personnel should reduce their level of fear of childbirth based on their different influencing factors of different categories.

Objective To understand the current status of eHealth literacy and health education competency among healthcare professionals and analyze the influencing factors of their health education competency. Methods From March 4 to March 7, 2025, a questionnaire survey was conducted among 641 healthcare professionals at Tianyou Hospital Affiliated to Wuhan University of Science and Technology using the general information questionnaire, the Chinese version of the eHealth literacy scale, and the healthcare professionals′ health education competency assessment questionnaire. Results The median score for health education competency among healthcare professionals was 135.00(116.00, 145.00) points, and the median score for eHealth literacy was 44.00 (38.00, 50.00) points. Quantile regression analysis showed that eHealth literacy had a positive effect on health education competency at the 10%, 25%, 50%, 75% quantiles, with coefficients of 2.21, 2.66, 2.28, 1.45, respectively. Salary satisfaction had a positive effect on health education competency at the 10% and 25% quantiles, with coefficients of 3.19 and 1.04, respectively. Interpersonal relationships had a positive effect on health education competency at the 10% quantile, with a coefficient of 3.18. Conclusion The impact of healthcare professionals′ eHealth literacy on their health education competency exhibits a threshold effect. It is recommended to implement targeted initiatives to enhance eHealth literacy, thereby improving the health education competency of healthcare professionals. Concurrently, attention should be paid to improving work environment factors such as salary satisfaction and interpersonal relationships, fostering a supportive organizational climate to further promote the effective implementation of health education in hospitals.

Objective To construct a risk prediction model for suicidal ideation in lung cancer patients undergoing chemotherapy based on nomograms. Methods By the convenience sampling method, 277 lung cancer patients receiving chemotherapy in Nanjing Drum Tower Hospital Group Suqian Hospital between March 1, 2023 and March 31, 2025 were selected as the research subjects. Binary Logistic regression were used to screen out the influencing factors, so as to establish a relevant nomogram model. Results The incidence of suicidal ideation among 277 lung cancer patients undergoing chemotherapy was 24.55%. The Logistic regression results showed that female (OR=2.190), per capita monthly income of the family ≤3 000 yuan (OR=2.334), high TNM staging (OR=2.718), more than 3 major discomfort symptoms (OR=4.581), depression (OR=3.544), and low level of social support (OR=2.025) were risk factors for suicidal ideation in patients with lung cancer undergoing chemotherapy. The area under the receiver operating characteristic curve (AUC) was 0.834 (95%CI: 0.780~0.889). The Hosmer-Lemeshow test yielded a chi-square value of 3.335(P=0.912), indicating good calibration. Decision curve analysis revealed that the nomogram provided a higher net benefit than the 'none' strategy across threshold probabilities ranging from 0% to 95%. Conclusion The nomogram prediction model constructed in this study has a good predictive value for the risk of suicidal ideation in lung cancer patients undergoing chemotherapy, providing a reliable tool for medical staff to predict the occurrence of suicidal ideation.

Conceptual teaching refers to an evidence-based teaching strategy that centers on students, takes concepts as the core, and applies them to all aspects of curriculum construction, design, as well as theoretical and practical teaching. This article introduces the theoretical basis of conceptual teaching and its application paradigm in higher nursing education, as well as its advantages and challenges in application, with the aim of providing new ideas for the development and reform of nursing education.

This paper summarized the nursing experience of a patient with multiple system atrophy complicated with tracheoesophageal fistula. It mainly included implementing refined artificial airway care, precisely regulating the pressure of the airbag, and standardizing the management of the ventilator pipeline, adjusting the method of nutritional infusion catering to the patient's high risk of aspiration and history of gastrointestinal bleeding, implementing infection control measures by conducting cluster care in venous access, urinary tract and respiratory tract. Moreover, individualized nutritional support combined with blood glucose management was implemented to stabilize the patient's nutritional status and blood glucose levels. Measures such as turning and pressure relief, as well as skin care, were taken to effectively prevent the occurrence of pressure injuries. Through active treatment and comprehensive care, the patient's vital signs remained stable, the infection was controlled, and the nutritional status improved. The patient was successfully transferred to pneumology department for further treatment.