Objective To explore the mediating role of organizational self-esteem between inclusive leadership and clinical nurses' job performance. Methods A total of 460 clinical nurses from 3 grade-A tertiary hospitals in Henan province were selected by convenience sampling method. Then, they were surveyed using the inclusive leadership scale (ILS), organizational based self-esteem scale(OBSES) and nurse job performance scale(NJPS). Results The NJPS score was (27.44±7.98) points, respectively, and the first value was positively correlated with the latter two values (r=0.49, P<0.01; r=0.49, P<0.01). Moreover, the OBSES score was positively correlated with the NJPS score (r=0.75, P<0.01). The mediating effect test showed that organizational self-esteem had a partial mediating effect between inclusive leadership and clinical nurses' job performance, accounting for 68.42% of the total effect. Conclusion Inclusive leadership is directly related to the job performance of clinical nurses, and indirectly affects it through the partial mediating effect of organizational self-esteem. It is suggested that nursing managers should actively practice the management concept of inclusive leadership, as well as understand, respect and support clinical nurses to improve their perception of inclusive leadership, then improve their job performance.

Objective To explore the effect of narrative education combined with outpatient medical escort experience on improving empathy ability of nursing interns. Methods A total of 127 nursing interns in outpatient department of the first affiliated hospital of Sun Yat-sen university between July 2023 and March 2024 were selected and divided into a control group and an observation group, according to a random table. Both groups were taught in conventional teaching mode, while the observation group was additionally provided with narrative education and outpatient medical escort experience. After the intervention, the empathy ability and satisfaction of nursing sterns were compared between the two groups. Results The total score of the empathy ability and nursing interns' satisfaction with the teaching of the observation group were significantly higher than that of the control group(t=-2.266, P=0.025; t=-2.196, P=0.030). Conclusion The teaching mode of narrative education combined with outpatient medical escort experience can promote empathy ability of nursing interns and their satisfaction with the teaching.

Objective To investigate the effect of elastic band resistance exercise on sleep quality and fatigue of patients receiving maintenance hemodialysis. Methods Sixty-one patients undergoing maintenance hemodialysis in the blood purification center of author's hospital between July and September 2022 were selected, and randomly divided into an observation group (n=30) and a control group(n=31). Both groups received routine nursing, while the observation group was additionally provided with elastic band resistance exercise. Before and after intervention, sleep quality and fatigue were compared between the two groups. Results After intervention, the score of Pittsburgh sleep quality index scale and fatigue of the observation group were significantly lower than that of the control group(t=2.876, P=0.006; t=2.883, P=0.005). Conclusion Elastic band anti-resistance exercise can effectively improve the sleep quality and relieve fatigue status of patients undergoing maintenance hemodialysis, It is worthy of clincal application.

Objective To explore the effect of comprehensive nursing based on the 4R crisis management theory in the management of total knee arthroplasty (TKA) patients with kinesiophobia. Methods A total of 132 TKA patients with kinesiophobia and admitted to the first affiliated hospital of Zhengzhou university between August 2023 and February 2024 were enrolled as research subjects by using a convenience sampling method.They were divided into an observation group and a control group, each of 66, according to random number table method. After total knee arthroplasty, the observation group was given comprehensive nursing based on the 4R crisis management, while the control group only received routine nursing care. The scores of kinesiophobia, knee function and pain of 2 groups within twelve hours after the operation and on the day of discharge. Results After the intervention, the kinesiophobia and pain scores of the observation group were significantly lower than that of the control group (t=7.290, P<0.001; t=7.552, P<0.001), while the score of knee function was significantly higher than the latter (t=-9.690, P<0.001). Conclusion The comprehensive nursing interventions based on the 4R crisis management theory can effectively reduce the risk of kinesiophobia and pain in patients after total knee arthroplasty, and promote their recovery.

Objective To explore the effect of pressure inoculation training combined with spouse empathic nursing on mental resilience and delivery outcomes of high-risk primipara. Methods A total of 84 high-risk primipara admitted to the author's hospital between January 2023 to January 2024 were selected as research objects, and divided into a routine group and a combination group, each of 42, according to a random number table. Both groups were given routine nursing, while the combination group was additionally provided with pressure inoculation training combined with spouse empathy nursing. The cesarean section rate was compared between the two groups. Moreover, before and after the intervention, both groups were evaluated using the childbirth attitudes questionnaire (CAQ), Connor-Davidson resilience scale (CD-RISC), and social support rating scale (SSRS). Results The CAQ score and cesarean section rate were significantly lower than that of the routine group (t=2.289, P=0.024; χ²=3.977, P=0.046). Moreover, the scores of CD-RISC and SSRS were significantly higher than the latter group (t=-2.591, P=0.011; t=-2.364, P=0.020). Conclusion Stress inoculation training combined with spouse empathic care can effectively reduce the fear of childbirth and the cesarean section rate, improve the psychological resilience, social support of high-risk primipara.

Objective To explore the effect of sensory saturation therapy nursing on alleviating medical operational pain in children in the neonatal intensive care unit (NICU). Methods Totally 104 NICU children treated between July 2022 to July 2023 were selected, and divided into an observation group(n=52) and a control group(n=52), according to a random number table. Both groups were given routine nursing, while the observation group were additionally provided with sensory saturation therapy nursing. The pain scores, as well as physiological indicators were compared between the two groups. Results The pain scores of the observation group during and five minutes after the operation were significantly lower than that of the control group(t=11.421, P＜0.001; t=25.490, P＜0.001), while the heart rate, respiration, and blood oxygen saturation were all superior to the control group(t=8.471,P<0.001;t=2.590,P=0.011;t=12.120,P<0.001). Conclusion Sensory saturation therapy nursing can effectively alleviate medical operational pain of NICU children and improve their physiological indicators.

Objective To explore the effect of evidence-based nursing under ACE-Star model in patients undergoing adenomyosis surgery. Methods Eighty-six patients with adenomyosis and undergoing surgery in the department of obstetrics and gynecology between February 2021 and September 2023 were selected and divided into a control group and an observation group, each of 43, according to a random number table. The control group received perioperative routine nursing, while the observation group was given evidence-based nursing based on ACE-Star model. The psychological state, postoperative complications and life quality were compared between the two groups. Results After intervention, the anxiety and depression scores of the observation group were significantly lower than that of the control group(t=5.366,P<0.001; t=8.118, P<0.001), while the complication rate was significantly lower than the latter(χ²=4.962, P=0.026). Moreover, the total score of life quality in the observation group were significantly higher than that of the control group(t=5.489,P<0.001). Conclusion Evidence-based nursing based on ACE-Star model can relieve the negative emotions of patients undergoing adenomyosis surgery, lower their incidence of postoperative complications and improve their life quality.

Objective To explore the effect of mind map-based health education on postoperative cancer patients using Meta-analysis. Methods The randomized controlled trials on mind map-based health education for cancer patients were systematically searched in Pubmed, Web of Science, CINAHL,CNKI,Wanfang Database and Chinese Biomedical Literature Database,with the time set from the inception to March 2024. The quality of RCT was evaluated using Cochrane 5.1.0 literature quality evaluation criteria, and the Meta-analysis was performed using the Revman 5.4 software. Results A total of 21 studies were included, covering 1 850 patients. The results of Meta-analysis showed that health education based on mind mapping could improve self-care ability[MD=17.59, 95%CI (15.22, 19.95), P＜0.01] and nursing satisfaction [RR=1.23,95%CI (1.16,1.31), P＜0.01], as well as alleviate anxiety[MD=-9.82, 95%CI(-14.37,-5.27), P＜0.01], depression [MD=-7.27,95%CI(-9.69,-4.85), P＜0.01] and pain [MD=-1.03,95%CI(-1.75,-0.31), P<0.01], in addition to shorten the time to first ambulation after surgery[MD=-12.51, 95%CI (-16.76, -8.25), P＜0.01]. Conclusion Compared with conventional health education, mind map-based health education can shorten the time to first ambulation, relieve postoperative anxiety, depression and pain, improve self-care ability and nursing satisfaction of cancer patients.

Objective To assess the effects of progressive muscle relaxation training on patients with chronic obstructive pulmonary disease(COPD). Methods The randomized controlled trials on progressive muscle relaxation training for patients with COPD were searched from PubMed,Web of Science,Embase, Cochrane Library,CNKI,VIP Database,and Wanfang Data. The risk of bias assessment of randomised controlled trials were performed according to the Cochrane manual, and Meta-analysis of included studies was performed using Stata 16 software. Results Six studies involving 463 patients diagnosed with COPD were included.Progressive muscle relaxation training significantly reduced fatigue in COPD patients [SMD=-1.704,95% CI(-1.929, -1.479)],improved sleep quality [SMD=-1.643,95%Cl(-2.787, -0.498)],and alleviated breathlessness [SMD=-1.375, 95%CI(-2.061, -0.690)]. However,it did not have a significant impact on patients' anxiety [SMD=-0.873, 95%CI(-2.040, 0.295)]. Conclusion Progressive muscle relaxation training demonstrates potential in ameliorating fatigue,breathlessness,and enhancing sleep quality among COPD patients.

Objective To investigate the current sleeping status of terminal cancer patients and analyze the influencing factors,so as to provide evidence for developing intervention plans. Methods Using the convenience sampling method, 281 inpatients treated in the palliative care ward of the hospital of traditional Chinese and western medicine of Huna province between December 2023 and January 2024 were selected and surveyed using the general information questionnaire, insomnia severity index scale, M.D. Anderson's symptom scale, McGill quality of life questionnaire and hospital anxiety and depression scale. Binary logistic stepwise regression analysis was used to analyze the influencing factors of insomnia. Results Among the 281 patients, the insomnia incidence was 65.1%. According to the logistic stepwise regression analysis, pain, fatigue, sleep discomfort, shortness of breath, anxiety and social support were the influencing factors of insomnia in terminal cancer patients(P＜0.05). Conclusion The incidence of insomnia is high among terminal cancer patients. Therefore, clinical medical staff should take active intervention measures to relieve their pain, fatigue, shortness of breath and anxiety, as well as provide effective social support, so as to lower the occurrence of insomnia and promote nursing quality.

Mild cognitive impairment is the prodromal stage of Alzheimer's disease, easy to be ignored for its hidden onset. Therefore, early identification of risk groups is particularly critical. This article reviewed the concept, risk factors and early intervention of people at risk of mild cognitive impairment, so as to provide references for the early identification and intervention of elderly people at risk of mild cognitive impairment.

Breast cancer survivors have multiple unmet needs that adversely affect their mental health and life quality. This article reviewed the status quo, assessment tools, influencing factors and intervention strategies of their unmet needs, to provide references for formulating targeted intervention measures.