Objective To search and summarize the best evidence of perioperative enteral nutrition in patients with gastric cancer. Methods The relevant evidence of perioperative enteral nutrition for gastric cancer patients was searched in Chinese and English databases at home and abroad, with the search period setting from inception to June 2022. Results A total of 19 articles were screened out, including 1 clinical decision, 8 guidelines, 4 systematic reviews, 4 expert consensuses and 2 evidence summaries. Then, 24 pieces of evidence were summarized, covering the 7 aspects of nutritional risk assessment, indications, preoperative nutrition support, energy target needs, nutritional preparation selection, enteral nutrition pathway and postoperative nutrition support. Conclusion It is suggested that all hospitals should establish a multidisciplinary team of nutrition,implement nutritional risk screening, and formulate an individualized enteral nutrition intervention plan for patients with gastric cancer.

Objective To evaluate factors influencing the e-Health literacy of diabetic patients. Methods Studies on e-Health literacy of diabetic patients were systematically searched in domestic and foreign databases with the time setting from inception till June 30, 2024. Literature screening and data extraction were conducted by two researchers independently, and literature quality was evaluated using the cross-sectional research evaluation tool of JBI evidence-based health care center in Australia. Results A total of 14 studies were included, covering 29 influencing factors. All the factors can be summarized into three aspects of demographic sociological factors, disease-related factors, as well as Internet use and training ones. The main influencing factors were occupation, education level, monthly income, age, place of residence and course of disease, followed by marital status, type of medical insurance, mode of living, complications, self-rated health status, sources of health information, frequency of network use, and usefulness of network health information, with controversial role of the gender factor. Conclusion There are differences in the level of e-Health literacy of diabetic patients. Nursing staff can optimize nursing measures according to the contribution degree of different influencing factors, so as to improve them.

Telemedicine is a medical service mode in which medical and health personnel use communication facilities and intelligent electronic equipment to provide remote disease monitoring and rehabilitation guidance for patients. This paper reviewed the main application forms, effects, limitations and challenges of telemedicine in home respiratory rehabilitation of lung transplant patients, in order to provide references for its further application in China.

目的 探讨鼻咽癌放疗患者参与康复运动的体验及需求,为构建鼻咽癌放疗患者康复运动干预方案提供参考。方法 选取2024年3月在湖南省永州市中心医院住院的15例鼻咽癌放疗患者为研究对象,对其进行半结构式访谈,并以能力、机会、动机-行为(capability,opportunity,and motivation-behavior,COM-B)模型为框架,采用定向内容分析法归纳和提炼主题。结果 共提炼出3个主题:鼻咽癌放疗患者参与康复运动动机不足(认知不足、负性情绪、身体症状困扰);能力匮乏(康复运动知识及技能欠缺、自我管理能力差);机会寻求(情感支持与鼓励、客观条件限制、个性化需求、延续性护理支持)。结论 鼻咽癌患者参与康复运动受多种因素的影响,医护人员应加强健康教育,纠正康复运动认知偏差,注重患者的身心健康需求,提升患者自我管理效能感,构建良好的社会支持系统,并充分发挥互联网在延续性护理服务中的运用,为患者提供个性化的服务及需求,以提高鼻咽癌放疗患者康复运动依从性,实现康复成效最大化。

Objective To develop a risk prediction model for psychological distress in patients with pulmonary tuberculosis, and to verify it. Methods By a convenience sampling method, 232 patients with pulmonary tuberculosis admitted to the tuberculosis department of the sixth people's hospital of Nantong City, Jiangsu Province between August 2023 and March 2024 were selected. They were divided into a modeling group (n=162) and a validation group(n=70) at a ratio of 7∶3. Logistic regression analysis was conducted to explore the risk factors of their psychological distress, and a risk prediction model was established. A nomogram was constructed for visual display, and the receiver operating characteristic(ROC) was used to test its predictive effect. Results The incidence of psychological distress was 42.67%. Logistic regression analysis showed that age, gender, course of tuberculosis, coexisting diabetes, coping style, educational level and per capita monthly income of the family were the influencing factors of psychological distress. The area under the ROC curve of the modeling group was 0.887, the sensitivity was 0.843, and the specificity was 0.801. The area under the ROC curve of the validation group was 0.831, the sensitivity was 0.874, and the specificity was 0.791. Both groups of Hosmer-Lemeshow tests showed P>0.05. Conclusion The prediction model constructed in this study has a good predictive effect and can help identify high-risk patients and provide timely intervention.

Objective To summarize the relevant evidence on the current application of telemedicine in the management of inflammatory bowel disease (IBD) patients, in order to provide a reference for the formulation of their telecare programs. Methods The clinical practice guidelines, evidence summaries, expert consensus, and system evaluations related to remote medical management for IBD patients were searched in such databases as BMJ Best Practice, UpToDate, JBI, Cochrane Library, Scottish Interinstitutional Guidelines Network, International Guidelines Network, Ontario Registered Nurses Association Guidelines Network, Campbell Collaboration Network, American Guidelines Network, PubMed, Embase, Web of Science, the American Telemedicine Association, CNKI and VIP database, with time setting from the inception until December 23, 2023. Then, literature screening, quality evaluation and evidence analysis were conducted by two researchers independently. Results A total of 11 literatures were screened, including 10 systematic reviews and 1 guideline. Finally 11 best pieces of evidence were formed from the four dimensions of management plan, evaluation, effect and problem. Conclusion The clinical medical staff should fully evaluate the actual situation and willingness of patients to improve the nursing quality by using telemedicine rationally and providing timely and effective guidance for IBD patients.

Remote cardiac rehabilitation is the combination of advanced artificial intelligence technology and medical Internet of things devices, which is of great significance to patients needing cardiac rehabilitation. This paper reviewded its current application, introduced related intelligent devices and their effects, as well as its advantages and disadvantages, so as to provide references for its future application.

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 analyze the needs for health education among enterostomy patients using the Kano model, so as to provide evidences for clinical practice. Methods According to the Kano model, a health education demand questionnaire for enterostomy patients was designed, which included 5 first-level items of disease-related needs, professional nursing needs, life needs, psychological needs and health education access, as well as 33 second-level items. Between January 2023 and March 2024, 323 enterostomy patients were selected from 4 grade-A tertiary hospitals in Mudanjiang City, and surveyed using the questionnaire. Results The needs for health education amony enterostomy patients include, 7 and 11 items were necessary and expected ones, while another 12 and 3 items were attractive and undifferentiated ones accordingly. In the importance-satisfaction matrix, there were 10 items located in the advantage area, 8 items in the to-improve area, 3 items in one minor improvement area and 12 items in the reserved areas. Conclusion The Kano model can accurately and comprehensively identify the needs of enterostomy patients, and determine the priority order of nursing services according to the importance-satisfaction matrix, so as to increase their satisfaction to health education.

Objective To evaluate the real experience of medical workers participating in mobile medical care for the elderly. Methods The qualitative studies on the participation of medical workers in mobile medical care of the elderly were searched in PubMed, Embase, Cochrane Library, Web of Science, CNKI, Wanfang database, VIP database and Chinese biomedical literature database, with the time setting from inception to November 2023. The quality evaluation criteria of JBI evidence-based health care center in Australia were adopted for literature quality evaluation, and the results were integrated and analyzed by convergent integration method. Results A total of 10 studies were included, and 41 results were extracted and summarized into 10 categories, which were further integrated into such three results as the positive experience of medical and health care personnel participating in mobile medical care for the elderly, barriers to their participation and multidimensional strategies. Conclusion Multi-dimensional strategies and the core role of medical staff should be strengthened in mobile medical care for the elderly.

Objective To analyze the current situation, hotspots and trends of companion robots in geriatric care at home and abroad, so as to provide a reference for future research and practice in China. Methods Articles on companion robots in the field of elderly care were searched in CNKI and Web of Science core collection databases, with the time setting from January 1, 2018 to November 30, 2023. Then, the CiteSpace 6.1 software was used to visually analyze the literature. Results A total of 86 Chinese articles and 318 English articles were included. The researches in China mainly focused on mental health, aging and human-computer interaction, while foreign studies paid more attention to neuropsychiatric symptoms, prevalence and nursing home residents. Conclusion There are differences in the research of applying companion robots in the elderly care field at home and abroad. Overseas research in this field is earlier and gradually mature, while the research in China is still in the early stage of exploration. Therefore, in the future, the international cooperation should be strengthened to promote our research and practice in this field.

Objective To investigate the status of medication deviation in the hospital-home transition period of elderly patients with chronic diseases and analyze its influencing factors. Methods Totally 264 elderly patients hospitalized in the general department of the author′s hospital between November 2023 and April 2024 were selected and surveyed using a general condition questionnaire, minimum mental state examination, Morisky medication adherence scale and medication discrepancy assessment tool. Results During the hospital-home transition, the incidence of medication deviations among the elderly patients was 60.61%, with the main type of missing medications. Logistic regression analysis showed that the number of chronic diseases, medication compliance and cognitive function were the factors that affected the medication deviations. Conclusion The incidence of medication deviations is high in the hospital-family transition period of elderly patients with chronic diseases, and is influenced by cognitive function, medication compliance and the number of their chronic diseases. Therefore, medical staff should develop personalized out-of-hospital medication management measures to lower it.

Objective To summarize the sexual life of patients after enterostomy, so as to provide references for clinical medical staff to implement intervention strategies. Methods Qualitative studies on the sexual life of patients after enterostomy were searched in such databases as PubMed, Web of Science, Embase, Cochrane Library, China National Knowledge Infrastructure, China Biology Medicine Disc, Wanfang and VIP. The quality of the articles were evaluated using JBI qualitative research quality evaluation criteria, while the results were integrated by the aggregative integration method. Results A total of 8 articles were included. They were grouped into 7 categories and integrated into 3 themes: positive and negative sexual experience, as well as lack of knowledge and information about sex. Conclusion Medical staff should pay attention to the psychological and social support of patients after enterostomy, improve the health education about sex after operation,and formulate targeted intervention strategies to improve their life quality.

目的 编制冠心病患者主动健康行为测评量表,并进行信效度检验。方法 基于文献研究法、半结构式访谈法、德尔菲法构建冠心病患者主动健康行为测评量表。选取湖北省6所医院、湖南省3所医院的410例冠心病患者进行信度检验、结构效度检验,选取8名专家进行内容效度评价。结果 最终确定包括饮食管理(5个条目)、运动管理(4个条目)、自我管理(6个条目)、社会支持(3个条目)、心理干预(3个条目)5个维度,共21个条目的CHD患者主动健康行为测评量表,其中,饮食管理、运动管理、自我管理、社会支持、心理干预维度的Cronbach′s α系数分别为0.823、0.809、0.767、0.811、0.829;CHD患者主动健康行为测评量表条目水平的内容效度指数为0.875～1.000,量表总内容效度指数为0.810;探索性因子分析共提取出5个公因子,累计方差贡献率为65.716%。验证性因子分析结果显示,量表具有良好的结构效度。结论 冠心病患者主动健康行为测评量表具有科学性、可靠性、实用性且信效度良好,可以作为冠心病患者主动健康行为的评价工具。

Objective To explore the effect of nursing mode under positive reinforcement theory in patients with cervical cancer undergoing daytime chemotherapy. Methods Totally 84 patients undergoing daytime chemotherapy for cervical cancer between January 2019 and June 2023 were randomly divided into a control group(n=42) and an observation group(n=42). The control group was given routine daytime chemotherapy nursing, while the observation group was provided with nursing based on the positive reinforcement theory. Then both groups were evaluated using the self-rating depression scale(SDS), social support rating scale(SSRS). Moreover, the duration time of side effects after chemotherapy were compared between the two groups. Results There were significant differences between the two groups in the SDS score(Z=-2.698, P=0.007), as well as the social support(Z=-6.750,P<0.001) after intervention. The duration of side effects in the observation group reduced significantly compared with the control group(Z=-7.751,P<0.001). Conclusion The nursing mode based on the positive reinforcement theory can significantly improve the emotional state, social support. Moreover, it can shorten the duration of side effects caused by chemotherapy to a certain extent. Therefore, it is worthy of promotion in clinical nursing.

The modified medium and long catheter is a commonly used intravenous infusion tool for severe patients in neurosurgery. This article reviewed the indications and contraindications of medium-length catheters, catheterization and catheter maintenance, catheter-related complications and corresponding intervention measures, to provide references for selecting appropriate intravenous infusion tools for severe neurosurgery patients.

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 explore the application effect of "visiting-based" treatment mode in outpatient day treatment center on patients with the targeted therapy of breast cancer. Methods One hundred breast cancer patients treated between October 2020 and December 2021 were selected into a control group, while another 100 patients treated between January 2022 to April 2023 were chosen into an observation group. The control group was given traditional targeted therapy in the ward, while the observation group was provided with "visiting-based" treatment model in outpatient day treatment center. Then the treatment cost, treatment duration, waiting time for treatment, incidence of adverse reactions and patient satisfaction were compared between the two groups. Results The observation group exhibited significantly lower treatment cost, shorter treatment duration and waiting time before treatment compared to the control group(t=19.139, P<0.001; t=38.169, P<0.001; t=15.236, P<0.001). Moreover, the patient satisfaction of the observation group was significantly higher than that of the control group(χ²=7.792, P=0.006). Conclusion The "visiting-based" treatment model can significantly lower the medical cost and better the quality of medical service. Future efforts should be focused on its optimizing and promoting.

A whole-course management model developed by integrating the multidisciplinary resources of gastroenterology medicine and nursing, nutrition, pharmacy, information department, and IBD volunteers was provided for comprehensive disease management and follow-up of inflammatory bowel disease (IBD) patients after their after diagnosis. Since the system was launched, more than 780 patients had been followed up, with more than 200 currently being followed up. The new system can effectively control the progression of IBD patients, significantly improve their life quality, and achieve dynamic follow-up and individualized diagnosis and treatment guidance for IBD patients. It is helpful to improve the quality of whole-course management, simplify the treatment process and improve their medical experience.

目的 探讨LEARNS健康教育模式对先天性心脏病患儿疾病治疗及照顾者照顾能力、满意度的影响。方法 采用便利抽样法,选取2023年3月-2024年3月在湖南省儿童医院住院治疗的90例先天性心脏病患儿照顾者作为研究对象,将2023年3-8月收治的45例先天性心脏病患儿照顾者设为对照组,将2023年9月-2024年3月收治的45例先天性心脏病患儿照顾者设为观察组。对照组采用常规护理,观察组在对照组的基础上增加LEARNS健康教育干预,比较干预前、后两组住院时间、并发症发生率、照顾者照顾能力以及满意度。结果 干预后,观察组住院时间短于对照组(t=-4.297,P<0.001),并发症发生率及照顾者照顾能力得分低于对照组(χ²=8.073,P=0.045;t=-5.833,P<0.001),满意度得分高于对照组(t=6.994,P<0.001)。结论 LEARNS健康教育干预对先天性心脏病患儿疾病预后有积极影响,同时能够有效提升患儿照顾者照顾能力、满意度。