Objective To identify the risk factors for hip fractures among elderly community-dwelling residents and develop a prediction model for hip fracture. Methods Between January 2023 and March 2023, 700 cases of community residents in Deyang city elderly aged 60 and above were selected, using the stratified sampling. They were collected data on demographics, lifestyles and habits, and risk factors for hip fractures and followed up for one year to observe the occurrence of hip fracture. They were randomly divided into a training group(n=479) and a validation group(n=221). The training group was used to build the prediction model, the minimum absolute contraction and selection operator(LASSO) was used to screen the variables, while the predictive variables were determined by Logistic regression analysis, and the nomogram prediction model was constructed and verified by R 4.3.1 software. Results The incidence of hip fracture was 8.86%(62/700). Regular food intake, osteoporosis, fall within 1 year, daily sunshine duration, daily exercise duration, and number of real teeth were predictors of hip fracture among elderly people in the communities. The area under the receiver operating characteristic (ROC) curve of the training group and verification group were 0.945[95%CI(0.908,0.982)] and 0.892[95%CI(0.784,0.999)], respectively. The Hosmer-Lemeshow tests of both groups showed P>0.05. Conclusion The model developed in this study can be used to assess the risk of hip fractures in elderly community residents in Deyang city by medical staff, so as to lower the incidence of hip fracture among the elderly and enhance their life quality.

Objective To explore the effect of hospital-community-family integrated management on patients with chronic heart failure (CHF). Methods A total of 118 CHF patients admitted to the department of cardiology of geriatric medicine between March 2022 and March 2024 were selected, and randomly divided into a control group and an intervention group, each of 59, according to a random number table. The control group was given routine nursing, while the intervention group was provided with hospital-community-family integrated management. Then, the health behavior, heart function and life quality were compared between the two groups. Results After the intervention, the health behavior in the intervention group were significantly higher than that of the control group(t=4.111, P<0.001), and the distance of 6 min walking test was significantly longer than the latter group(t=3.057, P=0.003). Moreover, the level of aminoterminal brain natriuretic peptide precursor and the scores of Minnesota living with heart failure questionnaire were significantly lower than those of the control group(t=18.276, P<0.001; t=9.590, P<0.001), while the left ventricular ejection fraction was higher than the latter(t=2.669, P=0.009). Conclusion For CHF patients, the hospital-community-family integrated management can improve their self-care ability, enhance their health behavior, and improve their heart function and life quality.

This paper reviews the concept, basic model, practical significance and challenges of the intelligent community-based home care service, so as to provide a reference for optimizing such service in China.

Objective To develop the nutritional literacy evaluation scale for patients with chronic heart failure (CHF) and test its reliability and validity. Methods Based on the hierarchical model of health literacy and the theory of knowledge, action and belief, item pool was initially formed after literature review and semi-structured interviews. Then the items are revised using the Delphi method. A total of 318 CHF patients admitted to the cardiovascular department in the second half of 2023 were surveyed using the new scale to test its reliability and validity. Results The scale constructed included 4 dimensions and 21 items. The content validity at the scale level was 0.852, and the content validity of items ranged from 0.805 to 0.861. Moreover, 4 common factors were extracted using the exploratory factor analysis, with a cumulative variance contribution of 72.314%. The Cronbach′s alpha coefficient of the overall scale was 0.858, while that of the four dimensions of nutritional cognition and attitude, nutrition knowledge, skill operation, as well as nutritional information and critical decision-making were 0.898, 0.916, 0.920 and 0.925, respectively. Conclusion The nutritional literacy assessment scale for CHF patients constructed in this study has good reliability and validity, and can be used as an evaluation tool in the clinical practice.

Objective To explore the application effect of music intervention based on the PERMA model on insomnia in end-of-life cancer patients. Methods Seventy-four end-of-life cancer patients admitted to the palliative care ward of Hunan provinical hospital of integrated traditional Chinese and western medicine from May 2024 to July 2024 were selected by convenience sampling and randomly divided into a control group and an observation group, each of 37. Both groups were given routine specialized palliative care and sleep education, while the observation group was additionally provided with music intervention based on the PERMA model. Before and after one-week intervention, both groups were evaluated using the insomnia severity index (ISI), hospital anxiety and depression scale (HADS), while actigraphy was used for effect evaluation. Results One week after the intervention, the ISI, anxiety and depression scores, sleep onset latency, wake time after sleep onset, and awakening times in the observation group were all significantly lower than those of the control group(Z=-7.129, P<0.001; t=4.972, P<0.001; t=6.042, P<0.001; Z=-5.155, P<0.001; Z=-3.347, P=0.001; Z=-6.897, P<0.001). While the sleep efficiency and total sleep time were all significantly better than the latter(Z=-4.924, P<0.001; Z=-6.291, P<0.001). Conclusion Music intervention based on the PERMA model can alleviate insomnia, anxiety and depression in end-of-life cancer patients.

Objective To explore the effect of progressive muscle relaxation training combined with music therapy in threatened abortion patients. Methods A total of 98 threatened abortion patients admitted to the third hospital of Xiamen between January 2023 and January 2024 were selected, and divided into an intervention group and a control group, each of 49, according to a random number table. Both groups were given routine intervention, while the intervention group was additionally provided with progressive muscle relaxation training combined with music therapy. The self-perceived burden, negative emotions and self-efficacy of both groups were evaluated using the self-perceived burden scale(SPBS), Beck anxiety inventory(BAI), Beck depression inventory-Ⅱ(BDI-Ⅱ) and general self-efficacy scale(GSES). The success rates of fetal preservation and delivery were compared. Results After the intervention, the SPBS、BAI、BDI-Ⅱ scores of the intervention group were significantly lower than that of the control group(t=6.782,P<0.001; t=9.009,P<0.001; t=5.960,P<0.001), while the GSES score was significantly higher than the latter (t=-3.398, P=0.001). The success rates of fetal preservation and delivery in the intervention group were higher than those in the control group(χ²=4.405,P=0.036;χ²=5.457,P=0.019). Conclusion Progressive muscle relaxation training combined with music therapy can alleviate self-perceived burden and negative emotions, as well as promote the self-efficacy and pregnancy ocotcomes of threatened abortion patients.

Objective To explore the effect of O-AMAS effective teaching model in clinical nursing teaching of undergraduates in the head and neck oncology surgery. Methods By convenient sampling, 43 nursing undergraduates who were doing practice in head and neck oncology surgery were selected as the research subjects. Twenty nursing undergraduates in internship between July 2022 and April 2023 were selected into the control group, and 23 interns between July 2023 and April 2024 were chosen into the observation group, using the convenient sampling. The control group was given traditional clinical teaching, while the observation group was provided with the O-AMAS effective teaching model. The results of theory and skill assessment, independent learning ability and teaching satisfaction were compared between the two groups. Results The theory and skill assessment score, independent learning score and teaching satisfaction of the observation group were significantly higher than those of the control group (t=13.021, P<0.001; t=9.380, P<0.001; t=4.572, P<0.001; t=5.770, P<0.001). Conclusion The O-AMAS teaching model can improve the teaching effect, students′ independent learning ability and teaching satisfaction. Therefore, it is worthy of application in clinical teaching.

Objective To analyze the research hotspots and development trends of self-regulating fatigue (SRF) in the medical field. Methods Articles on SRF were searched in China National Knowledge Infrastructure(CNKI), Wanfang Data, VIP Database, China Biomedical Literature Database and Web of Science Core collection database, with the time setting between January 1, 2013 and July 2, 2024. Then, the Citespace software was applied to conduct visual analysis of the publishing countries, authors, and high-frequency keywords. Results A total of 95 Chinese and 52 English articles were included. The overall publication volume of studies on SRF status in the medical field demonstrated a steady upward trend. Research hotspots primarily focused on the influencing factors of SRF among chronic patients and nurses. Moreover, the psychological mechanisms and theoretical model construction of SRF had emerged as a significant trend in the future research endeavors. Conclusion Future research should strengthen multi-national and interdisciplinary collaboration, so as to provide a basis for developing individualized intervention and health management strategies.

Patients with gastric cancer often experience multiple symptom groups in the course of disease development and treatment, which have a serious impact on their life quality and prognosis. Moreover, their symptom groups demonstrate specific and dynamic changes over time. This paper reviews the related concepts of symptom groups, the significance of their longitudinal study, as well as current status of longitudinal studies of gastric cancer on symptom groups, so as to provide references for future management.

This article summarizes the concept and assessment tools of frailty and conducts a review of its incidence, adverse outcomes, influencing factors and intervention strategies of frailty in elderly breast cancer patients, in the hope of providing a basis for personalized management of such patients.

Objective To explore the current status and effect of the application of "Internet +" mode in teaching of traditional Chinese medicine (TCM) nursing, so as to promote information-based teaching. Methods Articles on applying "Internet +" mode in teaching TCM nursing were searched in PubMed, Web of Science, Cochrane Library, Embase, China National Knowledge Infrastructure(CNKI), WanFang Data, VIP and China Biology Medicine disc, with the time setting from the inception untill September 30, 2024. The data from the chosen literature were summarized and evaluated. Results Totally 19 articles were included. The "online + offline" hybrid teaching was the most common way of teaching. The evaluation indicators were diverse but not standardized,encompassing not only course grades but also indicators such as autonomous learning ability and critical thinking. Conclusion The "Internet +" mode is widely used but needs improving in the design of teaching, the diversity of evaluation indicators and preciseness of evaluation tools.

The emergency treatment and nursing care of a child with Bartter syndrome combined with upper gastrointestinal bleeding was summarized. The main nursing measures included early recognition of acute upper gastrointestinal bleeding symptoms, early enteral nutritional support, dynamic monitoring of potassium changes and nasogastric potassium supplementation, early psychological nursing. After 16 days of meticulous treatment and nursing, the symptoms of gastrointestinal bleeding and electrolyte imbalance improved, and there was no arrhythmia or cardiac arrest, and the child was discharged after his condition was stable.