Objective To investigate the application effect of a mobile App-based home self-monitoring and nursing early warning system integrating abdominal circumference, body weight, and urine output in patients with liver cirrhosis. Methods A total of 92 liver cirrhosis patients admitted to the department of gastroenterology and oncology in Nanning Eighth People′s Hospital, between February 2024 and April 2025 were selected and randomly assigned to a control group and an observation group, each of 46. Both groups received routine home care, while the observation group was applied a mobile App-based home self-monitoring and nursing early warning system integrating abdominal circumference, body weight, and urine output. After 6 months of intervention, the incidence of complications, the 6-month all-cause readmission rate, and the ascites-related readmission rate, monitoring compliance, and nursing satisfaction were compared between the two groups. Results The incidences of ascites-related progression and electrolyte disturbance were significantly lower in the observation group than those in the control group (χ²=4.423, P=0.035; χ²=4.039, P=0.044). The 6-month all-cause readmission rate and ascites-related readmission rate in the observation group were lower than those in the control group(χ²=4.842, P=0.028; χ²=4.039, P=0.045). Moreover, the monitoring compliance score and nursing satisfaction rate of the observation group were significantly higher than those of the control group (t=16.237, P<0.001; χ²=7.256, P=0.007). Conclusion The intervention in this study can reduce the risk of complications and improve monitoring compliance in patients with liver cirrhosis, providing an effective tool for home care.

Objective To evaluate the effect of comprehensive geriatric assessment (CGA) combined with systematic rehabilitation intervention on the frailty status of elderly stroke patients, and to provide a reference for formulating targeted rehabilitation nursing pathways. Methods A total of 86 elderly stroke patients admitted to the rehabilitation department of the Affiliated People′s Hospital of Quanzhou Medical College between January 2024 and June 2025 were enrolled. Using a random number table, they were assigned to a control group and an observation group (n=43 per group). The control group received routine post-stroke care, while the observation group received CGA combined with systematic rehabilitation intervention in addition to the routine care. The frailty index, activities of daily living (ADL), and physical performance were compared between the two groups. Results After 8 weeks of intervention, the observation group demonstrated a significantly lower frailty index compared to the control group(t=5.246, P<0.001). Furthermore, the scores for ADL and physical performance in the observation group were significantly higher than those of the control group (t=4.981, P<0.001; t=-5.672, P<0.001, respectively). Conclusion The integration of CGA and systematic rehabilitation intervention effectively alleviates frailty, enhances physical performance, and improves ADL in elderly stroke patients. This comprehensive approach is highly recommended for clinical application.

Objective To explore the application effect of a blood glucose management program based on intelligent assessment tools in ICU nutritional support patients. Methods Sixty-two critically ill patients admitted to the department of critical care medicine of Henan Provincial People′s Hospital between March and April 2025 were selected as the research subjects. The patients were grouped according to their different wards. To be more specific, 32 patients in ward 2 were selected into the control group, while 30 patients in ward 5 were chosen into the experimental group. The control group was given conventional blood glucose management for critically ill patients, while the experimental group managed blood glucose based on intelligent assessment tools. After the intervention, the time required for blood glucose to reach the target range, the coefficient of blood glucose variation and the incidence of hypoglycemia were compared between the two groups. Results The time required for the blood glucose of the experimental group to reach the target was significantly shorter than that of the control group (t=-3.900, P<0.001). Moreover, the variation coefficient of blood glucose and the incidence of hypoglycemia in the former group were significantly lower than the latter (Z=-2.761, P=0.006; P=0.031). Conclusion The blood glucose management plan based on intelligent assessment tools can shorten the time for blood glucose of patients to reach the target range, which is conducive to strict blood glucose control and reduces the incidence of hypoglycemia.

Objective To explore the cognition and attitude of family members of pediatric emergency patients in participating in the verification of medication safety, and to provide a theoretical basis for improving the medication safety for such patients. Methods The phenomenological research method in qualitative research was employed. Sixteen pediatric emergency patients were selected from Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology and their family members were given semi-structured in-depth interviews. Then the Colaizzi seven-step analysis method was used to analyze the data and extract the themes. Results A total of 3 themes and 8 sub-themes were extracted: the cognition of family members′ participation in medication safety verification (agreement on the role of family members′ participation in medication safety verification, believing that medication safety verification in emergency situations should be fully the responsibility of medical staff, and lacking relevant knowledge of medication safety verification), their attitude (giving up participation due to concerns about affecting the efficiency of treatment, and avoiding participation under professional trust), and their behavior (perfunctory response on emergency occasions environmental interference; mechanical execution under passive instructions; behavioral withdrawal in emergency situations). Conclusion Medical staff should actively carry out health education on family members′ participation in medication safety verification in pediatric emergency scenarios, enhance their awareness, and promote their participation to guarantee the medication safety among such patients.

Objective To evaluate the effects of a five-color herbal pillow combined with ocular steam fumigation on ocular surface symptoms and sleep quality in patients with asthenopia due to qi and blood deficiency. Methods A total of 96 patients with qi and blood deficiency-type asthenopia, admitted to the department of ophthalmology at Jingmen Hospital of Traditional Chinese Medicine between June 2023 and June 2025, were enrolled in this study. Patients were randomly assigned to a control group and an observation group (n=48 per group) using a random number table. The control group received syndrome-differentiated ocular steam fumigation. The observation group received an additional five-color herbal pillow intervention based on the control group′s treatment. Ocular surface symptoms, duration of asthenopia and sleep quality, were compared between the two groups. Results After 4 weeks of intervention, the observation group demonstrated a significantly lower ocular surface disease index (OSDI) score compared to the control group (t=3.281, P=0.001). Furthermore, the duration of asthenopia was significantly shorter in the observation group (t=5.107, P<0.001), and the pittsburgh sleep quality index (PSQI) score was significantly lower than that of the control group (t=4.293, P<0.001). Conclusion The combination of a five-color herbal pillow and ocular steam fumigation effectively alleviates ocular surface symptoms, shortens the duration of asthenopia, and improves sleep quality in patients with qi and blood deficiency-type asthenopia. This integrated therapy warrants clinical promotion and application.

Objective To explore the application effect of 5-step narrative therapy in non-suicidal self-injury (NSSI) adolescents. Methods A total of 82 NSSI adolescents admitted to the Fourth People′s Hospital of Yancheng City between March 2023 and March 2025 were selected and randomly divided into a control group and an research group, each of 41, according to a random number table. The control group received conventional care, while the research group was treated with the 5-step narrative therapy. After the intervention, the psychological state, self-efficacy and self-injury behavior were compared between the two groups. Results After the intervention, the scores of the Hamilton depression scale, Hamilton anxiety scale and Ottawa self injury inventory of the research group were significantly lower than those of the control group (t=24.957, P<0.001; t=19.473, P<0.001; t=19.114, P<0.001), while the value of the general self efficacy scale was significantly higher than the latter group(t=-27.533, P<0.001).Conclusion The 5-step narrative therapy can improve the psychological state of NSSI adolescents and their self-efficacy, and reduce their self-injury behavior.

Objective To explore the application effect of the hospital-community-family integrated service model on disabled elderly individuals from the perspective of healthy aging. Methods A total of 100 elderly patients with disabilities and discharged from Lishui People′s Hospital between June 2024 and June 2025 were selected as the study subjects. They were randomly divided into a control group (receiving general routine care) and an intervention group (receiving a hospital-community-family collaborative service model), with 50 patients in each group. The self-care ability, quality of life, incidence of complications, and readmission rate were compared and analyzed before and after intervention in both groups. Results After the intervention, the self-care ability score of the intervention group was significantly higher than that of the control group (t=-12.207, P<0.001). The scores across all dimensions of life quality in the intervention group were superior to those in the control group (P<0.05). Furthermore, both the incidence of complications and the readmission rate in the intervention group were significantly lower than those in the control group (χ²=5.316, P=0.021; χ²=10.519, P<0.001). Conclusion From the perspective of healthy aging, the hospital-community-family integrated service model can enhance the self-care ability and life quality of disabled elderly individuals, reduce the occurrence of complications, and lower their readmission rate. This model provides comprehensive basic medical care services for disabled elderly individuals, thereby improving their life quality.

Objective To explore the application effect of a dual-core driven nursing assistant management model, centered on specialized training and dual-track assessment, in orthopedic wards. Methods A total of 60 nursing assistants in the orthopedic ward of Tongxiang First People′s Hospital in Zhejiang Province between July 2024 and February 2025 were selected as research subjects. They were randomly divided into a control group (n=30, receiving conventional nursing assistant management) and an intervention group (n=30, implementing the specialized training and dual-track assessment dual-core driven management based on the conventional model). The knowledge level, skill operation qualification rate, care quality, and patient satisfaction were compared between the two groups. Results Theoretical knowledge scores, practical skill scores, and total assessment scores were all significantly higher in the intervention group compared to the control group (Z=-3.654, P<0.001;Z=-6.598,P<0.001;Z= -5.784,P<0.001). Furthermore, the intervention group demonstrated significantly higher proficiency rates in core skills, specifically "positioning for fracture patients" and "turning techniques" (χ²=5.880, P=0.015; χ²=15.022, P<0.001). Additionally, communication effectiveness between aides and patients, along with overall patient satisfaction regarding care, improved significantly (Z=-3.038, P=0.003; Z=-2.733, P=0.006). Compared with the control group, the intervention group exhibited a 33.33% increase in service volume and a 69.14% rise in service duration. Conclusion The specialized training by discipline and dual-track assessment driven model effectively enhances nursing aides′ theoretical knowledge and practical skills while improving service efficiency. It constitutes a standardized management protocol with high practical value and offers novel insights for optimizing clinical care management and elevating the quality of nursing services.

Objective To establish scientific management norms for incontinence specialized nursing outpatient clinics. Methods After literature review and group discussion, a draft was worked out. Two rounds of letter consultation were conducted among 15 experts using the Delphi method. Results The positive coefficient of both rounds of expert consultations was 100%, with the expert authority coefficient of 0.903. In the second round of expert consultation the Kendall′s coefficients of concordance in the first, second and third-level items of expert consultation were 0.256,0.227 and 0.245 respectively(P<0.001). The final norms included 4 first-level indicators, 13 second-level ones, and 39 third-level ones. Conclusion The constructed management of the incontinence specialized nursing outpatient clinic is standardized, scientific and reasonable, which can provide guidance for the implementation of the incontinence specialized nursing outpatient clinic.

Objective To investigate the current situation of perceived job instability among junior nurses, and analyze its influencing factors. Methods Between August and October 2025, 300 junior nurses were selected from two grade-A tertiary hospitals in Shihezi City using the convenience sampling method. They were surveyed using a general information questionnaire, the nurse job instability scale, and the effort-reward imbalance questionnaire. Results The score for perceived job instability among junior nurses was 9.00(5.00,15.00) points. The score of job instability was positively correlated with the score of effort-reward imbalance (r=0.224, P<0.001). Generalized linear regression analysis showed that gender, years of service, the number of night shifts per month, personal average monthly income, perceived difficulty of professional title promotion, sleep quality affected by work, experience of nurse-patient disputes and effort-reward imbalance were influencing factors of perceived job instability among junior nurses(P<0.05). Conclusion The perceived job instability among junior nurses is at a medium level. The factors influencing their perception of job instability are multifaceted. Nursing managers should formulate targeted intervention measures based on them to reduce the perceived job instability among junior nurses.

Anesthesiology specialist nurses are core members in the safety management and comfortable care of perioperative patients. This article reviews the development background,job allocation, scope of responsibilities, training and certification, performance assessment and career development of anesthesiology specialist nurses in China. It also systematically sorts out the existing problems in the management of anesthesiology specialist nurses and proposes corresponding optimization paths, aiming to provide references for the construction of a scientific and standardized management system.

Scenario-based simulation teaching involves constructing high-fidelity clinical scenarios to enable learners to engage in immersive practice and reflective learning within a low-risk environment. Newly graduated nurses often face significant transition shock and high levels of role adaptation stress, creating an urgent need for effective training interventions. This review summarizes the theoretical frameworks, application types, and intervention outcomes of scenario-based simulation teaching in new nurse training. Furthermore, it analyzes the primary challenges and optimization strategies for its implementation. The aim is to provide a reference for establishing a sustainable new nurse training system that aligns with clinical needs.

This article summarizes the nursing experience of a patient with generalized myasthenia gravis complicated by pulmonary infection and secondary myasthenic crisis. The patient developed respiratory failure and underwent tracheotomy and mechanical ventilation, eventually achieving successful weaning after two failed extubation attempts. Implementation of a comprehensive nursing protocol involving goal-directed respiratory support and refined airway management, progressive rehabilitation with pulmonary rehabilitation as the cornerstone, standardized peri-procedural care for immunoadsorption therapy, and nutritional and psychological support sustained throughout the treatment period, the patient was successfully decannulated, demonstrated significant improvement in limb muscle strength, and was discharged smoothly.