Objective To explore the latent profiles of nursing staff′s attitudes towards the application of artificial intelligence (AI) technology and identify the influencing factors. Methods A cross-sectional study was conducted using convenience sampling to select 336 clinical nurses from Hunan Provincial Children′s Hospital between August and November 2025. The investigation utilized the general information questionnaire, the attitude scale towards the use of artificial intelligence technologies in nursing, and the nurses organizational innovation climate scale. Latent profile analysis (LPA) was employed to categorize the attitudes of nursing staff towards AI technology application, and Logistic regression analysis was performed to determine the influencing factors associated with different profiles. Results The attitudes of nursing staff towards AI technology application were classified into three latent profiles: the positive attitude group (37.2%), the moderate attitude group (35.7%), and the negative attitude group(27.1%). Logistic regression analysis indicated that age, educational background, AI-related training experience, and organizational innovation climate were significant influencing factors for the latent profiles of nursing staff′s attitudes. Conclusion The attitudes of nursing staff towards AI technology application exhibit significant heterogeneity. Hospital administrators should implement stratified interventions tailored to the characteristics and influencing factors of different profiles. Such measures are essential to enhance nurses′ technological trust and application confidence, thereby promoting the effective integration of AI technology in the nursing field.

Objective To construct and validate a risk prediction model for postpartum excessive weight retention (PEWR) in patients with gestational diabetes mellitus (GDM). Methods A total of 231 GDM patients who delivered in our hospital from January 2023 to December 2024 were selected as the modeling group. Based on their weight retention status 6 months postpartum, they were divided into a high retention group (n=79) and a control group (n=152). Binary logistic regression analysis was performed to identify independent risk factors for PEWR, and a nomogram prediction model was constructed. Additionally, 112 GDM patients who delivered in our hospital from January to June 2025 were enrolled as the validation group to validate the model. Results The incidence of PEWR in the modeling group was 34.20%. Multivariate analysis indicated that education level of high school or below (OR=3.314, 95%CI:1.678~6.546), family history of diabetes (OR=4.364, 95%CI:1.943~9.798), pre-pregnancy BMI ≥ 24 kg/m² (OR=3.910, 95%CI:1.912~7.994), excessive gestational weight gain(OR=7.150, 95%CI:3.458~14.782), and mixed feeding (OR=4.641, 95%CI:2.275~9.467) were significant risk factors for PEWR in GDM patients. The AUC values for the modeling and validation groups were 0.824(95%CI:0.765~0.883) and 0.805(95%CI:0.725~0.885), respectively. The Hosmer-Lemeshow test demonstrated good model fit for both the modeling group (χ²=7.760, P=0.454) and the validation group (χ²=8.711, P=0.354). Decision curve analysis (DCA) indicated that the model possessed good clinical utility. Conclusion The nomogram prediction model constructed in this study effectively predicts the risk of PEWR in GDM patients, providing a reliable basis for clinical screening of high-risk individuals and the formulation of targeted interventions.

Objective To explore the application effect of full-cycle pulmonary rehabilitation management based on patient journey mapping in patients with chronic obstructive pulmonary disease (COPD). Methods COPD patients who visited the outpatient clinic or were hospitalized in the department of respiratory and critical care medicine of Yancheng No.1 People′s Hospital from November 2024 to March 2025 were selected as the study subjects. They were randomly divided into a control group(n=30) and an observation group(n=30). The control group received conventional pulmonary rehabilitation management, while the observation group, based on literature review and qualitative research, developed a patient journey map and implemented whole-cycle pulmonary rehabilitation management guided by the journey map. The intervention duration for both groups was 6 months. After the intervention, the dyspnea severity, exercise endurance, lung function, compliance with pulmonary rehabilitation training, and quality of life of the 2 groups were compared. Results After the intervention, the observation group showed better outcomes than the control group in dyspnea severity, and compliance with pulmonary rehabilitation (t=3.525,P<0.001;Z=-2.015,P=0.044). However, there were no statistically significant differences between the two groups in lung function , exercise endurance and quality of life scores ( all P>0.05). Conclusion Full-cycle pulmonary rehabilitation management based on patient journey mapping can effectively alleviate dyspnea symptoms, improve compliance with pulmonary rehabilitation.

Objective To investigate the efficacy of family collaborative health education, underpinned by the health action process approach(HAPA) model, in enhancing outcomes for patients with temporary enterostomy. Methods A total of 78 patients with temporary enterostomy admitted to Ziyang People′s Hospital from June 2024 to December 2025 were selected as the research subjects. They were divided into an observation group and a control group, with 39 cases in each group, utilizing a random number table. The control group received conventional health education, while the observation group underwent a family collaborative intervention grounded in the HAPA model. Key indicators, including stoma self-care proficiency, incidence of complications, and levels of anxiety and depression were comparatively analyzed between the two groups. Results Statistical analysis revealed significant differences in stoma self-care ability across time points, between groups, and in their interaction effects (F_time =50 052.980, P<0.001;F_groups=132.286, P<0.001; F_interaction=2 709.043, P<0.001). Furthermore, post-intervention data indicated that the observation group exhibited a markedly lower incidence of stoma-related complications and significantly reduced anxiety and depression scores compared to the control group (χ²=10.421, P=0.001; Z=-7.175, P<0.001; Z=-7.493, P<0.001, respectively). Conclusion The implementation of family collaborative health education based on the HAPA model effectively bolsters self-care capabilities in patients with temporary enterostomy. Additionally, it serves to mitigate complication rates and alleviate psychological distress, demonstrating substantial value for clinical promotion.

Objective To develop a three-dimensional nursing program for competitive sports injuries based on the bio-psycho-social-technological (BPS-T) model and to evaluate its efficacy in enhancing psychological resilience and facilitating functional rehabilitation in athletes. Methods Eighty patients with competitive sports injuries admitted to the department of sports rehabilitation of a tertiary hospital in Wuhan between June and August 2025 were enrolled. Patients were stratified by injury type. The random allocation sequence was generated using a stratified random number table method, and allocation concealment was implemented using sequentially numbered sealed envelopes. Patients were then assigned to either the control group or the intervention group, with 40 patients in each group.The control group received routine rehabilitation nursing, while the intervention group underwent a 4-week three-dimensional nursing program (comprising traditional Chinese medicine emotional nursing, sport-specific support, and information technology-assisted follow-up) in addition to routine care. The scores of the Connor-Davidson resilience scale (CD-RISC), self-rating anxiety scale (SAS), and visual analogue scale (VAS), as well as functional rehabilitation indicators, were compared between the two groups. Results The psychological resilience scores of the two groups showed significant differences in time, group, and interaction effects (F_time=38.964,P<0.001; F_group=17.463, P=0.005; F_interaction=6.404, P=0.007). After 4 weeks of intervention, both SAS and VAS scores in the intervention group were significantly lower than those in the control group (t=5.786, P<0.001; t=5.488, P<0.001). Furthermore, the intervention group demonstrated a shorter recovery time for range of motion (t=7.589,P<0.001) and a significantly higher proportion of patients achieving muscle strength and rehabilitation standards compared to the control group (χ²=6.270,P=0.012;χ²=7.912,P=0.005). Conclusion The three-dimensional nursing program based on the BPS-T model significantly enhances psychological resilience, alleviates anxiety and pain, and accelerates the functional recovery in patients with competitive sports injuries, demonstrating superior clinical value compared to routine care.

Objective To evaluate the application efficacy of failure mode and effects analysis (FMEA) in the whole-process quality control of hydrogen peroxide low-temperature plasma sterilization. Methods A total of 2 532 medical instruments sterilized via hydrogen peroxide low-temperature plasma sterilizers at Henan Provincial People′s Hospital from May to December 2024 were included in this study. Instruments sterilized from May to August 2024 (n=1 260) were assigned to the control group and managed using conventional protocols. Instruments sterilized from September to December 2024 (n=1 272) were assigned to the observation group and managed using the FMEA model. The qualification rates for cleaning, drying, packaging, and sterilization were compared between the two groups. Results The observation group demonstrated significantly higher qualification rates for instrument cleaning, drying, packaging, and sterilization compared to the control group (χ²=14.383, P<0.001; χ²=7.349, P=0.007; χ²=14.608, P<0.001; χ²=42.541, P<0.001). Conclusion The implementation of the FMEA management model effectively identifies and controls key risks throughout the hydrogen peroxide low-temperature plasma sterilization process. This approach enhances the quality of sterilization management and provides robust support for hospital infection control.

Objective To explore the selection patterns of auricular acupressure for nocturnal enuresis using data mining techniques, thereby providing an evidence-based reference for clinical practice. Methods A systematic search was conducted across Chinese and English databases including CNKI, Wanfang, VIP, CBM, PubMed, Web of Science, and the Cochrane Library. The search covered literature published from database inception to January 30, 2025, focusing on auricular acupressure for nocturnal enuresis. Descriptive statistics were used to analyze the frequency of acupoint selection, while association rule analysis was employed to investigate the compatibility patterns among acupoints. Results A total of 65 studies were included, identifying 23 acupoints used 361 times. The most frequently used acupoints were Kidney acupoints(17.73%), Bladder acupionts(16.90%), Subcortex acupionts(7.76%), Brain acupionts(6.65%), and Shenmen acupionts(6.37%). The core acupoint combinations identified were Kidney-Subcortex, Kidney-Bladder, and Subcortex-Bladder-Kidney. Conclusion By applying association rules and cluster analysis, this study established an auricular acupressure protocol characterized by Kidney and Bladder as the principal acupoints, supplemented by Subcortex and Shenmen. The identification of these high-frequency acupoint combinations provides data-driven support for clinical treatment and facilitates the standardization of Traditional Chinese Medicine nursing interventions for nocturnal enuresis.

Objective To identify the latent profiles of perioperative competence perception among operating room (OR) nurses and to analyze the associated influencing factors. Methods A cross-sectional study was conducted using convenience sampling. A total of 367 OR nurses were recruited from five hospitals in Wuxi between December 2025 and February 2026. Participants completed a demographic questionnaire, the perceived perioperative competence scale revised-short form, the maslach burnout inventory-general survey, the occupational coping self-efficacy questionnaire for nurses, and the nurse organizational support scale. Latent profile analysis (LPA) was employed to identify distinct profiles of perioperative competence perception, and binary logistic regression was used to analyze the influencing factors. Results Three latent profiles of perioperative competence perception were identified: low perception-practice deficient(24.2%), moderate perception-technically proactive(46.9%), and high perception-comprehensive leader(28.9%). Logistic regression analysis indicated that working years, average monthly income, hospital level, specialist nurse status, job burnout, self-efficacy, and perceived organizational support were significant influencing factors for these profiles(all P<0.05). Conclusion Perioperative competence perception among nurses exhibits significant heterogeneity. Clinical managers should formulate targeted intervention strategies based on these specific latent profiles to effectively enhance nurses′ perioperative competence.

Post-stroke dysphagia is a critical complication affecting nutritional status, rehabilitation, and quality of life. Early identification and scientific assessment are essential to prevent aspiration pneumonia and improve prognosis. This paper reviews the technical characteristics, applicable populations, and clinical value of existing assessment tools from three aspects: bedside screening, imaging techniques, and other objective detection methods. By comparing operational features and constructing a stepwise assessment pathway, a nursing-led evaluation strategy tailored to the Chinese clinical context is proposed. This review aims to provide scientific and practical decision-making support for clinical nursing practice.

In the era of digital health, health information overload has emerged as a significant challenge within the healthcare sector. This article provides a comprehensive review of health information overload among patients with chronic conditions, covering its conceptualization, influencing factors, primary consequences, and coping strategies. The aim is to provide a theoretical basis for developing targeted interventions and mitigating the risks associated with information overload in this population.

Nursing communication is a pivotal component of clinical practice, facilitating essential functions such as information exchange, trust building and therapeutic collaboration among healthcare providers, patients and their families. Effective nursing communication models have been shown to enhance treatment adherence, optimize the patient healthcare experience, and elevate the overall quality of nursing care. This review synthesizes current literature on various nursing communication models, examining their typologies, applicable scenarios, and clinical outcomes. Furthermore, addressing existing challenges in current practice, this paper proposes strategic directions for future development, aiming to provide a reference for the improvement and innovation of clinical nursing communication frameworks.

This report summarizes the critical nursing management of a patient who presented with diabetic ketoacidosis (DKA) and profound hypokalemia, a condition further complicated by cardiac arrest. Following successful resuscitation, the clinical team faced a therapeutic paradox: while insulin therapy was imperative for correcting DKA, it posed a significant risk of precipitating recurrent malignant arrhythmias by exacerbating hypokalemia. To navigate this challenge, the nursing team implemented a predictive care strategy centered on hypokalemia risk management. Integrated monitoring of blood glucose and serum potassium was conducted, alongside precise potassium supplementation and goal-directed fluid management. DKA treatment was initiated smoothly only after serum potassium levels were maintained within a safe range. Furthermore, bundled measures were adopted to prevent complications such as multiple organ dysfunction. With meticulous care, the patient′s condition stabilized, and the patient was discharged successfully.