Objective To explore the effect of plantar reflex area and hand point massage in the nursing care of neonates with hyperbilirubinemia. Methods A total of 112 neonates with hyperbilirubinemia and admitted to the neonatal intensive care unit of the Third People′s Hospital of Yunnan Province between March and July 2024 were selected as study subjects. They were randomly divided into a control group and an experimental group, each of 56, according to a random number table. Both groups received conventional blue light therapy, while the experimental group was additionally provided with plantar reflex area and hand point massage. Then, the transcutaneous bilirubin levels, total serum bilirubin levels, jaundice resolution time, length of hospital stay, frequency of defecation and incidence of adverse symptoms were compared between the two groups. Results The experimental group showed significantly lower transcutaneous bilirubin levels and total serum bilirubin levels than those of the control group (F_group=27.690, P<0.001; F_group=83.178, P<0.001). Moreover, the jaundice resolution time and length of hospital stay of the experimental group were significantly shorter than those of the control group(t=6.131, P<0.001; t=5.559, P<0.001), while the incidence of adverse symptoms was significantly lower than the latter(χ²=5.617,P=0.018). Meanwhile, the frequency of defecation in the experimental group was significantly more than that in the control group (t=-2.819, P=0.006). Conclusion The plantar reflex area and hand point massage demonstrates significant efficacy in the treatment of neonatal hyperbilirubinemia. It effectively reduces bilirubin levels, promotes defecation to accelerate jaundice resolution, shortens hospital stays and alleviates clinical discomfort symptoms.

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(χ²=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.

Objective To explore the effect of non-nutritive sucking combined with music therapy on the pain of dorsal hand vein puncture in neonates. Methods By using the convenience sampling method, 146 newborns admitted to the NICU of Fujian Children′s Hospital between March 2024 and March 2025 were selected, and randomly divided into a control group (n=48), a non-nutritive sucking group(n=49), and a combination group(n=49) according to a random number table. All groups received conventional venipuncture, while the non-nutritive sucking and combination groups were additionally provided with non-nutritive sucking intervention, and non-nutritive sucking + music therapy intervention, respectively. The degree of pain from venipuncture and the fluctuations in heart rate were compared among the three groups. Results At the time of puncture and 5 minutes after that, there were significant differences in pain scores and heart rates among the three groups (F=10.949, P<0.001; F=3.623, P=0.030; F=7.666, P<0.001; F=9.853, P<0.001). Conclusion Non-nutritive sucking combined with music therapy can alleviate the pain of dorsal hand vein puncture in newborns and maintain heart rate stability. It is worthy of clinical promotion and application.

Objective To explore the impact of online group cognitive behavioral therapy for insomnia on negative emotions, sleep quality and life quality of patients with insomnia and anxiety. Methods A total of 80 patients with insomnia and anxiety and admitted to the fourth people′s hospital of Yancheng city between September 2023 and October 2024 were selected and randomly divided into a control group and a study group by the random number table method, each of 40. Both groups received conventional intervention, while the study group was additionally provided with online group cognitive behavioral therapy for insomnia. The negative emotional, insomnia severity and life quality were compared between the two groups. Results After 4 weeks of intervention, the anxiety score and the severity of insomnia in the study group were significantly lower than those of the control group (t=3.571, P=0.001; t=3.864, P<0.001), while the scores of each dimension of life quality were significantly higher than the latter (t=-3.544, P=0.001; t=-3.580, P<0.001). Conclusion The application of online group cognitive behavioral therapy for insomnia in patients with insomnia and anxiety can alleviate the anxiety and severity of insomnia, and enhance their life quality.

Objective To investigate the application effect of Southern Shaolin cervical spine health exercises in young patients with upper crossed syndrome. Methods A total of 90 patients with upper crossed syndrome and admitted to Quanzhou Orthopedic-traumatological Hospital between April 2023 and April 2024 were selected using convenience sampling. They were divided into an observation group and a control group, each of 45, according to a random number table. The control group received conventional cervical spine health exercises, while the observation group received Southern Shaolin cervical spine health exercises. The forward head angle, rounded shoulder angle, neck pain, and neck disability index were compared between the two groups. Results After 8 weeks of intervention, the observation group showed significantly lower forward head angle and forward shoulder angle compared to the control group (t=3.387, P=0.003; t=3.525, P=0.002). Moreover, the scores of neck pain and neck disability index of the observation group were significantly lower than those of the control group(t=7.721, P<0.001; t=5.259,P<0.001). Conclusion Southern Shaolin cervical spine health exercises are effective in relieving neck pain, improving poor posture and enhancing cervical motor function. Therefore, it is worth of further clinical trials and broader application.

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.

Objective To evaluate the clinical efficacy of a modified anti-leakage enema device for elderly patients with fecal incontinence. Methods A total of 100 elderly patients with fecal incontinence and admitted to the department of general surgery and gastroenterology of First People′s Hospital of Xiaogan City between March and December 2024 were enrolled and divided into an intervention group (n=50) and a control group(n=50) according to a random number table. The control group received conventional enema device, while the intervention group was treated with a self-developed modified anti-leakage enema device. The incidence of incontinence-associated dermatitis (IAD), enema fluid leakage, contamination of bedding and medical staff clothing were compared between the two groups. Results The intervention group showed significantly lower rates of IAD (χ²=4.396, P=0.036), bedding contamination (χ²=17.420, P<0.001), clothing contamination (χ²=14.942, P<0.001) and the degree of enema fluid leakage (Z=3.183, P=0.001) compared to the control group. Conclusion The modified anti-leakage enema device effectively minimizes fluid leakage during colonic irrigation in elderly patients with fecal incontinence, demonstrating significant clinical value in skin protection.

Objective To explore the effect of Hufu Tongbian Gua Sha therapy in alleviating chemotherapy-related adverse reactions in patients with advanced non-small cell lung cancer. Methods A total of 100 patients with non-small cell lung cancer and admitted to the first affiliated hospital of Henan university of Chinese medicine between March 2023 and May 2024 were selected as the research subjects. They were randomly divided into a control group and an observation group, each of 50, according to a random number table. Both groups received standard chemotherapy and conventional treatment, while the observation group was additionally provided with Hufu Tongbian Gua Sha therapy. The conditions of nausea, vomiting and sleep quality were compared between the two groups. Results After the intervention, the degree of nausea and vomiting in the observation group was significantly milder than that of the control group (t=21.948, P<0.001), while the sleep quality was significantly better than the latter (t=5.723, P<0.001). Conclusion The Hufu Tongbian Gua Sha therapy can relieve the symptoms of nausea and vomiting in patients with non-small cell lung cancer after chemotherapy and improve their sleep quality.

Objective To explore the real experiences and feelings of nurses working in the unaccompanied ward, aiming to provide a reference for implementation of unaccompanied care ward in China. Methods Using purposive sampling method, a semi-structured interview was conducted among 13 nurses in three grade-A tertiary hospitals in Hunan province that have provided unaccompanied ward service between August and September 2024. The data were analysed using the Colaizzi 7-step analysis method. Results Three themes were extracted including benefits of conducting unaccompanied ward services,the multiple pressures and challenges and the need for multi-resource guarantee and support in its practice. Conclusion The implementation of unaccompanied wards, for all its pressures and challenges, has brought benefits to nurses and gained their support. Therefore, related human resource training, guidance of public opinion and policy support should be conducted to promote the smooth implementation of such wards.

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.

Objective To search for relevant evidence on the weight management of adult atrial fibrillation patients and summarize the best evidence. Methods The relevant evidence on weight management in adult patients with atrial fibrillation was systematically searched on association websites, guideline websites, and Chinese and English databases, with the time setting from inception to March 31, 2025. The articles were evaluated for quality, and the evidence was extracted and summarized. Results A total of 12 articles were ultimately included, consisting of 7 guidelines, 4 expert consensuses,and 1 systematic review. The evidence items covered 7 dimensions, namely weight management team, weight goals and assessment, diet and nutritional guidance,exercise programs,pharmacological treatment and bariatric surgery,health education and psychological support, follow-up management,with 20 pieces of best evidence in total. Conclusion This study provides evidence-based support for clinical healthcare professionals to develop scientific weight management plans for atrial fibrillation patients. Medical staff can use the best evidence to guide weight management for such patients based on their individual characteristics, improve the scientifilcity of their weight management and their health outcomes.

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

Objectives To identify the assessment tools and risk factors for fear of cancer recurrence (FCR) among lung cancer survivors. Methods A systematic search was conducted in databases including PubMed, Web of Science, Embase, Wanfang Database, and China National Knowledge Infrastructure(CNKI) with the time setting from their inception until March 10, 2024. Descriptive statistics and qualitative analysis were applied. Results A total of 24 studies were included, summarizing 4 assessment tools for FCR in lung cancer patients and 6 categories of risk factors, including sociodemographic factors, disease-related factors, psychological factors, behavioral factors, social support factors and other factors. Conclusion This study summarizes the assessment tools and influencing factors of FCR in lung cancer patients, providing an evidence-based foundation for healthcare professionals to manage FCR in this population.

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.