Objective To understand nurses' cognition of near-miss events in the transfer of critically ill patients, so as to provide a reference for promoting its safe management. Methods A phenomenological research method was applied to conduct semi-structured in-depth interviews with 13 intensive care unit (ICU) nurses in the first affiliated hospital of Hunan university of Chinese medicine, and the Colaizzi 7-step analysis method was used to analyze the interview data and refine the themes. Results A total of five themes were extracted: (1) ICU nurses' insufficient knowledge of critical patients' near-miss transfer, (2)lack of nursing competence, deviation in implementation, and unexpected situational pressures leading to near-miss events, (3) ICU nurses suffering from a complex psychological experience of fear, self-blame, gratitude, and fluke in the face of such events, (4) ICU nurses' concealment and selective help-seeking in response to such events, (5)barriers to ICU nurses' practice of managing such conditions (inappropriate or insufficient allocation of human resources, lack of education and training for nursing managers to deal with the response, no case study and imperfect non-punitive reporting mechanisms). Conclusion ICU nurses' awareness of near-miss events in critical patients' transfer needs to be improved, and managers at all levels need to pay greater attention to and continuously optimize its management and the practice mode, so as to promote its implementation.

Objective To explore the effect of applying refined management based on the ORTCC model in ICU patients with enteral nutrition. Methods A total of 976 patients hospitalized in the ICU of the department of intensive care medicine and the department of neurology in the first affiliated hospital of Xi'an Jiaotong university between July and November 2023 were selected. Among them, 480 admitted in the first two months were chosen into the control group, while those treated in the following two months were selected into the experimental group. The control group was given conventional enteral nutrition management, while the experimental group underwent refined enteral nutrition management based on the ORTCC model. The enteral nutrition care quality-related indices, the rate of enteral nutrition compliance and the incidence of enteral nutrition complications were compared between the two groups. Results The rate of nutritional risk screening, standard feeding and reaching the standard for enteral nutrition of the experimental group were significantly higher than those of the control group (χ²=80.326, P<0.001;χ²=15.551,P<0.001; χ²=76.197,P<0.001), while the number of enteral nutrition complications was significantly lower than the latter (P<0.05). Conclusion Refined management based on the ORTCC model can effectively improve the early standardized enteral nutrition support and the quality of enteral nutrition care in ICU patients, reduce the incidence of enteral nutrition complications. Therefore, it is worthy of clinical application.

Objective To explore the effect of applying family-participatory nursing in premature infants in the neonatal intensive care unit. Methods Eighty premature infants hospitalized in the neonatal intensive care unit of Wuxi maternal and child health hospital in 2023 were selected as the research subjects, along with their main caregivers. The infants were divided into a control group and an observation group, each of 40, according to a random number table. The control group received routine care, while the observation group was given family-participatory care. The caregiving ability and their negative emotions, as well as the growth and development of infants were compared between the two groups. Results After the intervention, the score of the care ability of the main caregivers in the observation group was significantly higher than that of the control group (t=-18.737,P<0.001), while that of anxiety and depression were both significantly lower than the latter (t=8.895,P<0.001; t=17.733,P<0.001). Moreover, the body length and body weight of premature infants in the observation group were significantly superior to the latter group (t=-8.146, P<0.001; t=-3.376, P<0.001). Conclusion The application of family-participatory care in premature infants in the neonatal intensive care unit can improve the care ability of family members, alleviate their negative emotions, and promote the growth and development of premature infants.

Objective To explore the effectiveness of drawing therapy based on the well-being intervention model on young female patients with lung cancer. Methods A total of 40 young female patients with lung cancer who were admitted to the department of thoracic surgery at Tongji hospital, Tongji medical college, Huazhong university of science and technology between April and September 2024 were selected and randomly assigned to a control group and an intervention group, each of 20, according to a random number table. Both groups received routine perioperative nursing care, while the intervention group was additionally provided with drawing therapy based on the well-being intervention model. Then, anxiety, depression, psychological resilience, and quality of life were compared between the two groups. Results After the intervention, the anxiety and depression scores of the intervention group were significantly lower than the control group (t=1.923, P=0.018; t=2.479, P=0.018), while the total psychological resilience score and scores of life quality in all dimensions were significantly higher than the latter (t=-4.282, P<0.001; P<0.05 for all). Conclusion Drawing therapy based on the well-being intervention model effectively alleviates negative emotions, enhances psychological resilience, and improves the life quality of young female patients with lung cancer.

Objective To explore the effect of position management based on the enhanced recovery after surgery (ERAS) on patients after carotid artery stenting. Methods A total of 76 patients with carotid artery stenting and admitted to the department of neurology of Deyang second people's hospital between January 2022 and May 2024 were selected, and divided into an observation group and a control group, each of 38, according to a random number table. The control group received routine postoperative immobilization, while the observation group underwent ERAS-based postural management. The postoperative cerebral perfusion, complication rate and comfort level were compared between the two groups. Results There was no significant difference in time effect, intergroup effect and interaction effect of the cerebral blood flow between the two groups (F_time=0.152, P=0.862; F_groups=0.083, P=0.780; F_interaction=0.456,P=0.640). However, the number of dysuria in the observation group was significantly less than that of the control group (χ²=5.208, P=0.023), while the comfort score was significantly higher than that of the control group (t=2.450, P=0.017). There was no statistically significant difference in the number of cases of bleeding and hematoma at the puncture sites between the two groups (all P>0.05). Conclusion The ERAS-based postural management can lower postoperative complications and improve the comfort of patients, without any effect on cerebral hemodynamics. Therefore, such treatment is of good clinical practicability and safety.

Objective To explore the impact of triple pre-rehabilitation nursing strategy on the prognosis and life quality of postoperative gastric cancer patients. Methods Ninety-six gastric cancer patients undergoing radical surgery in the department of gastrointestinal surgery of Tongji hospital affiliated to Tongji medical college between March 2023 and March 2024 were selected, and randomly divided into an observation group and a control group, each of 48. The control group was given routine care, while the observation group was provided with nursing based on the triple pre-rehabilitation nursing strategy. The adverse emotions, self-efficacy, prognosis, and life quality of the two groups were compared before and after the intervention. Results After the intervention, the anxiety and depression scores of the observation group were significantly lower than that of the control group (t=6.885, P<0.001; t=9.581, P<0.001), while the scores of self-efficacy and the life quality were significantly higher than the latter group (t=-12.402,P＜0.001; P<0.05). Moreover, the time of first postoperative flatus, first defecation, resumption of feeding, time of getting out of bed and length of hospital stay of the former group were significantly shorter than the latter (P<0.05 for all). Meanwhile, the postoperative complication rate of the observation group was significantly lower than that of the control group (χ²=5.352, P=0.021). Conclusion The nursing based on the triple pre-rehabilitation nursing strategy can effectively alleviate perioperative anxiety and depression of gastric cancer patients, as well as enhance their self-efficacy and life quality.

Objective To explore the application effect of ultrasonic atomization fumigator combined with comfort nursing in patients with mixed hemorrhoid surgery. Methods Sixty patients with mixed hemorrhoids and admitted to the general surgery department of Anhui provincial armed police hospital between March 2023 and May 2024 were selected, and divided into a control group and an observation group, each of 30, according to a random number table. In addition to the routine nursing, the control group was given compound phellodendron liquid sitz bath, while the observation group underwent ultrasonic atomization fumigation combined with comfort nursing. The postoperative pain score, wound fluid seepage and comfort level were compared between the two groups. Results After intervention, the pain score and wound fluid seepage of the observation group were significantly lower than those of the control group (t=-2.570, P=0.013; Z=2.254, P=0.024), while the comfort score was significantly higher than the latter(t=3.402, P=0.001). Conclusion Ultrasonic atomizing fumigation combined with comfort nursing intervention can relieve postoperative wound pain and fluid seepage of patients with mixed hemorrhoids, and improve their comfort. Therefore, it is worthy of clinical application.

Objective To explore the application effect of traditional Chinese medicine fumigation and sitz bath combined with ear acupuncture on wound swelling and pain after anorectal surgery. Methods Eighty patients undergoing anorectal surgery at Yancheng hospital of traditional Chinese medicine between March 2023 and March 2024 were selected and divided into a control group and an observation group, each of 40, according to a random number table. Both groups received traditional Chinese medicine fumigation and sitz bath, while the observation group was additionally provided with ear acupuncture. The pain and edema scores, pain mediators, and anal function were compared between the two groups. Results After treatment, the prostaglandin E2, visual analogue score and edema score in the observation group were lower than those in the control group(t=31.337,P＜0.001;t=18.386,P＜0.001;t=20.433,P＜0.001), while the β-endorphin level, anal resting pressure, anal maximal systolic blood pressure, and rectal resting blood pressure were higher than those in the control group(t=-17.283,P＜0.001;t=-24.586,P＜0.001;t=-26.273,P＜0.001;t=-19.527,P＜0.001). Conclusion Traditional Chinese medicine fumigation and sitz bath combined with ear acupuncture treatment can reduce the levels of pain mediators, alleviate pain and edema, and promote anal function recovery in patients undergoing anorectal surgery.

Objective To identify and summarize the best evidence for the application of traditional Chinese medicine (TCM) appropriate techniques in the elderly patients with mild cognitive impairment (MCI), with the aim of providing a reference for clinical practice. Methods A comprehensive search was conducted in domestic and international databases to retrieve evidence on TCM appropriate techniques for the elderly patients with MCI, with the time setting from the inception of the databases till September 10, 2024. Two researchers independently evaluated the quality of the included studies, extracted relevant data, and integrated the evidence. Results A total of 17 studies were selected, including 2 guidelines, 1 clinical decision-making article, 1 position statement, 1 expert consensus, 7 systematic reviews, and 5 randomized controlled trials. The evidence was summarized into 20 recommendations across five categories: acupuncture therapy, traditional Chinese medicine exercise therapy, acupoint massage therapy, moxibustion therapy, and auricular therapy. Conclusion TCM appropriate techniques can improve the cognitive function in elderly patients with MCI. Therefore, medical staff should consider patient-specific factors and clinical contexts to optimize TCM interventions for MCI patients and enhance their scientific management.

Objective To evaluate the intervention effect of solution focused approach (SFA) on patients with breast cancer. Methods Studies on the application effect of SFA on patients with breast cancer were searched in CNKI, Wanfang database, VIP database, CBM database, PubMed, Cochrane Library, EBSCO and Web of Science, with the time setting from the inception to April 30, 2024. After literature screening and data extraction by two independent researchers, Meta-analysis was performed using the RevMan 5.4 software. Results Fifteen articles were included, involving a total of 1 345 breast cancer patients. According to Meta analysis, the anxiety score [SMD=-1.98, 95%CI (-2.14, -1.82), P<0.001], depression score [SMD=-1.94, 95%CI (-2.28, -1.60), P<0.001], cancer-related fatigue score [SMD=-2.52, 95%CI(-3.37,-2.25), P<0.001] of the observation group were significantly lower than those of the control group, while the mental resilience [MD=13.46, 95%CI(11.43, 15.48), P<0.001], hope level [MD=5.67, 95%CI(4.91, 6.43), P<0.001] and life quality [SMD=4.81,95%CI(3.32,6.29),P＜0.001] were significantly higher than those of the control group. Conclusion Solution focused approach can relieve anxiety, depression and cancer-related fatigue, as well as improve psychological resilience, hope level and life quality of breast cancer patients.

Objective To investigate the status quo of health promotion behavior in patients with lung cancer after surgery, and analyze its influencing factors to provide reference for formulating targeted intervention measures. Methods By using the convenience sampling method, 207 patients undergoing lung cancer surgery who were admitted to the department of thoracic surgery of the first affiliated hospital of Dalian medical university from February to August 2024 were selected as the research subjects. General information questionnaire, health promoting lifestyle scale, brief illness perception questionnaire, medical coping modes questionnaire and general self-efficacy scale were used to investigate the patients. Results The total score of health promotion behavior of patients after lung cancer surgery was 95.00 (89.00, 102.00) points. Multiple linear regression analysis showed that employment status, family monthly income, disease perception, self-efficacy, facing and submission coping were the influencing factors on the level of health promotion behavior of patients after lung cancer surgery (R²=0.537, adjusted R²=0.506; F=17.253, P<0.001). Conclusion The health promotion behavior of patients after lung cancer resection is at a moderate level. Clinicians should focus on lung cancer patients with negative disease perception, low family monthly income and self-efficacy, and tendency to adopt a submissive response to the disease, and formulate personalized intervention programs to reduce patients' negative perception, encourage patients to adopt positive coping styles, and enhance their sense of self-efficacy. Thus, the level of patients' health promotion behavior can be improved.

Cancer related fatigue (CRF) is one of the common symptoms of gastric cancer patients, which affects the life quality of patients seriously. This article reviewed the application of traditional Chinese medicine nursing technology in CRF of gastric cancer patients, including moxibustion, acupoint application and acupuncture therapy, in order to provide references for their clinical practice.

Subsyndromal delirium is a common complication among critical patients, which is prone to cause adverse outcomes such as impaired cognitive function, prolonged hospital stay and mechanical ventilation time, decreased life quality, increased mortality and medical costs. This article analyzes its risk factors, including the sociodemographic, disease-related factors, treatment-related factors, psychological factors and potential ones. Moreover, it summarizes the existing subsyndromal delirium prediction models at home and abroad, aiming to promote medical staff's understanding of the relevant risk factors and provide a basis for formulating early intervention plans.