With the development of the big data era and the continuous implementation of the smart health elderly care industry, electronic health (eHealth)-centered smart elderly care services is an inevitable trend in social development. Based on the connotation of eHealth, this article reviews the application of eHealth in fall detection systems for the elderly from wearable fall detection devices, and smart phone-based fall detection systems, as well as video games. It is expected to provide references exploring new mobile and intelligent strategies for preventing elderly falls.

Objective To summarize the evidence for risk assessment of intraoperative deep venous thrombosis(DVT) in adults, so as to provide references for the construction of a specific and sensitive tool for risk assessment of such condition. Methods BMJ, Up To Date, Cochrane Library, JBI, PubMed, Embase, CNKI, Wanfang, CBM, etc were searched for risk assessment of intraoperative deep venous thrombosis in adults with the time setting from inception to May 31,2022. The Literature screening,quality evaluation and evidence extraction were carried out. Results A total of 12 articles were recruited, including 7 guidelines, 1 expert consensus, and 4 systematic reviews. All evidence could be integrated into 3 dimensions and 17 pieces of evidence, covering 3 of patients′ individual condition, 5 of disease-related factors and 9 of intraoperative factors. Conclusion Risk assessment and accurate screening for risk factors of intraoperative lower extremity deep vein thrombosis in adult surgical patients should be performed to effectively reduce the risk of intraoperative deep vein thrombosis.

总结1例右肾移植术后肾衰竭继发肺孢子菌肺炎患者的护理经验。护理要点包括:精准液体管理、预防继发性感染、营养支持、失禁相关性皮炎护理及心理护理等。该患者经过积极综合治疗与护理,病情好转,转出ICU。

随着社会的发展与人口老龄化进程加快,民众的健康需求日益增加,加强健康科普教育对建设健康中国有积极意义。医院作为权威医疗机构有义务将健康科普知识带给民众。护士与患者接触频繁,有更多机会与患者进行沟通和教育,能更好地理解患者的需求和情感状态,从而更有针对性地进行健康教育。鉴于此,笔者所在医院充分发挥护理人员优势,开展了以公立医院护士主导的健康科普教育。文章对健康科普实践经验和成果进行总结,并提出个人思考和建议。

目的 探讨以问题为导向,实施医院-社区-患者-照顾者四位一体的精准管理对房颤患者自我管理能力的影响。方法 选取2021年8月-2022年7月笔者所在医院收治的266例房颤患者为研究对象,采用随机数字表法将其分为对照组和观察组,各133例。对照组采用房颤患者传统健康教育路径进行出院指导,观察组实施以问题为导向的四位一体精准管理。结果 观察组自我管理能力得分高于对照组(t=25.460,P＜0.001),生活质量优于对照组(t=22.081,P＜0.001)。结论 以问题为导向实施医院-社区-患者-照顾者四位一体的精准管理,实现了院内至院外的延续管理,保障了疾病干预进程的持续性,提高了房颤患者的自我管理能力,进而改善其生活质量。

Objective To explore the mediating effect of adversity quotient (AQ) between the psychological capital and occupational benefits of male nurses. Methods Totally 470 male nurses were selected using the convenience sampling method in a tertiary hospital of Anhui province, and investigated using a general condition questionnaire, an occupational benefit scale, an adversity consultation form and a psychological capital scale. Then a mediating model was established and tested. Results The score of the psychological capital, AQ and career benefit were 104.82±17.59, 131.02±13.73 and 132.35±17.62, respectively. Pearson correlation analysis showed that the total AQ score was positively correlated with that of psychological capital and career benefit(r=0.765, P＜0.001,r=0.737, P＜0.001). Moreover, AQ played a mediating role between the psychological capital and the sense of career benefit of male nurses, with a mediating effect of 0.228, accounting for 30.81% of the total effect. Conclusion Adversity quotient of male nurses in Anhui is above the medium level. It is an intermediary variable between psychological capital and career benefit. It is suggested that nursing managers should take positive measures to improve their AQ, and psychological capital, so as to promote their career benefit.

Objective To explore the physical activity of chronic renal failure patients undergoing maintenance hemodialysis (MHD) and its related factors. Methods Totally 100 chronic renal failure patients undergoing MHD between March 2020 and October 2022 were selected, and surveyed using a general condition questionnaire, a human activity profile scale and a general self-efficacy scale. Results The physical activity score of MHD patients was 110.50±11.49, positively correlated with their self-efficacy (r=0.790, P<0.001). Multiple linear regression analysis showed that gender, age, education level, nutritional status and self-efficacy were independent influencing factors of physical activity in MHD patients(R²=0.922,_△R²=0.918,F=221.218,P＜0.001). Conclusion The physical activity level of MHD patients decreases in general, and is mainly affected by gender, age, educational level, nutritional status and self-efficacy. Therefore, medical staff should identify and judge the physical activity level of MHD patients as early as possible, and take targeted intervention measures to improve it.

Objective To explore the application of continuous care based on the "Gecko E-care" platform in patients with pulmonary tuberculosis hemoptysis. Methods Thirty patients with pulmonary tuberculosis and hemoptysis admitted to our hospital between October 2021 and March 2022 were selected into the control group, while another 30 counterparts admitted in the following 6 months were selected into the observation group. The control groups was given health education before discharge and follow-up after discharge, the observation group was given health education before discharge, additionally was provided with continuous care based on the "Gecko E-care" platform. Then the self-care, tuberculosis drug resistance were compared between the two groups. Results After intervention, the self-care of the observation group was significantly higher than that of the control group(t=13.545, P＜0.001). Moreover, the incidence of tuberculosis drug resistance of the observation group was significantly lower than that of the control group(χ²=4.706, P=0.030). Conclusion Continuous care based on the "Gecko E-care" platform can improve the self-care of patients with pulmonary tuberculosis and hemoptysis, and lower their tuberculosis drug resistance.

Objective To explore the effect of moderate intensity aerobic exercise on fatigue and lower limb muscle strength in patients with inflammatory bowel disease (IBD) in the remission stage. Methods Totally 67 IBD patients in remission and admitted to our hospital between March 2021 and March 2022 were selected, and divided into an intervention group of 34 and a control group of 33, according to a random number table. Both groups received routine treatment and health education, while the intervention group was additionally provided with moderate intensity aerobic exercise for 12 weeks. The fatigue symptoms and lower limb muscle strength were compared between the two groups before and after intervention. Results After intervention, the intervention group had lower scores in terms of total fatigue, general fatigue, physiological fatigue, decreased physical activity, and decreased power (all P<0.05) compared to the control group. Moreover, the peak torque of extensors, flexors, and relative peak torque of extensors in the intervention group were significantly higher than that in the control group at 60 °·s^-1(all P<0.001), while the relative peak torque of flexors was significantly higher than the latter at 60 °·s^-1 and 180 °·s^-1(all P<0.05). Conclusion Moderate intensity aerobic exercise can significantly improve lower limb muscle strength and alleviate fatigue in IBD patients.

Objective To explore the self-transcendence level in patients with permanent enterostomy after rectal cancer surgery, so as to provide guidance for clinical targeted intervention measures. Methods The 108 patients with permanent colostomy after rectal cancer surgeries between March 2019 to September 2022 were selected and surveyed using a general condition questionnaire, the self transcendence scale (STS) and Chinese version of the psychosocial adjustment scale for patients with ostomy. Results The STS score was 41.54±7.76. Univariate analysis showed that the education level, self-care degree of stoma and social psychological adaptation were independent factors influencing the self-transcendence level of such patients(R²=0.176,_△R²=0.168,F=22.594,P＜0.001). Conclusion The self-transcendence of patients with permanent enterostomy after rectal cancer surgery was of low level and influenced by the education level, self-care degree of stoma and social psychological adaptation. Therefore, clinical intervention measures should be taken to improve their self-transcendence.

Objective To explore the comfort level of patients with chronic renal failure (CRF) during dialysis and its influencing factors. Methods Totally 160 CRF patients who underwent dialysis treatment at the author′s hospital between May 2020 and March 2023 were selected, and surveyed using a self-made general information questionnaire, a hospital anxiety and depression scale (HADS), Kolabca simplified comfort questionnaire (GCQ), Pittsburgh sleep quality index (PSQI) and the social support rating scale (SSRS). Results The GCQ score of 160 CRF patients was 65.28 ± 6.84, and multiple linear regression analysis showed that the years of receiving dialysis, complications, psychological status, sleep quality, and social support were its influencing factors (R²=0.613, _ΔR²=0.601, F=48.821, P<0.001). Conclusion The comfort level of CRF patients during dialysis is low, which is influenced by factors such as dialysis age, complications, psychological status, sleep quality, and social support. Therefore, targeted nursing can be provided to improve their comfort.

目的 探讨恢复期脑梗死患者发生注意力障碍的危险因素。方法 选取2019年1月-2023年4月笔者所在医院收治的125例恢复期脑梗死患者,采用舒尔特方格将恢复期脑梗死患者分为注意力障碍发生组和未发生组,分析恢复期脑梗死患者发生注意力障碍的相关危险因素。结果 125例恢复期脑梗死患者中有113例发生注意力障碍,发生率为90.40%。Logistic回归分析显示,男性、有饮酒史、睡眠障碍、焦虑、抑郁是恢复期脑梗死患者发生注意力障碍的危险因素(P＜0.05)。结论 恢复期脑梗死患者发生注意力障碍的风险较高,护理人员应重点关注男性、有饮酒史、睡眠障碍、焦虑、抑郁的患者,并给予其针对性干预。

帕金森病患者的非运动症状给患者及照顾者带来严重困扰,降低患者生活质量,影响患者的整体预后,因而得到医疗界的广泛关注,但关于疾病早期阶段的非运动症状护理研究却总体上较少,文章概述早期非运动症状及其识别与评估,总结了相关护理干预措施,以期为早期帕金森病患者非运动症状的管理及护理干预提供借鉴与参考。

Objective To explore the efficacy of traditional Chinese medicine shawl combined with warm acupuncture in the treatment of wind-cold-damp type frozen shoulder. Methods Totally 60 patients with wind-cold-damp type frozen shoulder and treated in Zhengzhou traditional Chinese medicine orthopedics hospital between September 2021 and September 2022 were selected, and randomly divided into a control group and an experimental group, each of 30. Both groups were treated with warm acupuncture, while the experimental group was additionally provided with traditional Chinese medicine shawl for 2 weeks. After treatment, the shoulder pain, shoulder joint function scores and clinical efficacy of the two groups were compared. Results After treatment, the clinical efficacy and the shoulder function score of the experimental group was significantly better than that of the control group(Z=-2.045, P=0.041; t=-4.531, P<0.001), while the pain score was signficantly lower than that of the control group(t=4.892, P<0.001). Conclusion The traditional Chinese medicine shawl combined with warm acupuncture can effectively relieve the pain symptoms of patients with wind-cold-dampness periarthritis of shoulder and improve their shoulder joint mobility disorder, which is worthy of promotion in the clinical practice.

Objective To study the effect of creative origami training on cognitive function in elderly patients with mild cognitive impairment (MCI). Methods A total of 76 MCI patients who visited the geriatric department between March 2022 and April 2023 were selected as research object. They were divided into an experimental group(n=40) and a control group(n=36),according to random number table method. The control group received routine treatment and care including cognitive impairment, including medication treatment, health education, and regular follow-up.The experimental group received an 8-week creative origami training at the base of the control group. The montreal cognitive assessment (MoCA), clock drawing test (CDT), Alzheimer′s disease cooperative study-activities of daily living inventory (ADCS-ADL) and geriatric depression scale (GDS) were employed to assess the cognitive function, activities of daily living,and emotional state of the two groups. Results After the 8-week intervention, the scores of MoCA, CDT, ADCS-ADL of the experimental group were higer than that of the control group (t=-2.592,P=0.011;t=-2.014,P=0.048; t=-2.517,P=0.014),and the GDS score of the experimental group was significantly lower than the latter (t=2.235,P=0.030). Conclusion Creative origami training can improve cognitive function, emotional state and quality of life of patients with mild cognitive impairment.

Objective To explore the effect of applying an early off-bed mobility plan in elderly patients with hip fractures after surgeries. Methods Totally 108 elderly patients with hip fractures and undergoing surgeries between February 2020 and February 2022 were selected and randomly divided into a control group and an observation group, each of 54. The control group received routine rehabilitation, while the observation group was implemented an early off-bed mobility plan. The time out of bed, daily activities of living and incidence of complications were compared between two groups. Results The postoperative confined-to-bed time of the observation group was significantly shorter than that of the control group (t=10.560, P<0.001), and the incidence of complications was significantly lower than that of the control group (χ²=14.388, P=0.001). Moreover, the daily activities of living in the observation group was significantly higher than the latter at discharge(t=-5.883, P<0.001). Conclusion Early off-bed activity can shorten the confined-to-bed time of elderly patients with hip fractures after surgeries, improve their daily activities of living and lower the incidence of complications.

Objective To explore the effect of fertility dance on the delivery outcome and pain of pregnant women. Methods A total of 200 pregnant women admitted to the hospital in the first half of 2022 were selected and divided into a study group and a control group, according to a random number table. Both groups were given routine antenatal care and parturient guidance, while the study group additionally practices fertility dance. The vaginal delivery rate, duration of labor and delivery pain and outcomes were compared between the two groups. Results The vaginal delivery rate of the study group was significantly higher than that of the control group(χ² =8.665, P=0.003), and the labor duration were shorter than the latter(t=31.297, P<0.001). Moreover, the pain scores of the study group before delivery and during labor were significantly lower than that of the control group(t=4.525, P<0.001; t=2.227, P=0.027). However, no significant differences were observed between the two groups in the preterm birth, neonatal asphyxia and one minute Apgar score of neonates(all P>0.05). Conclusion Fertility dance can promote vaginal delivery rate, shorten labor duration and relieve delivery pain. Therefore, such practice is worth popularizing in the clinical practice.

Objective To explore the effect of phased posture intervention on postoperative patients with oral cancer. Methods Totally 200 oral cancer patients who underwent free tissue flap transplantation and reconstruction between June 2021 and December 2022 were selected, and divided into an observation group and a control group, each of 100, according to a random number table. The control group received routine posture nursing after oral cancer surgeries, while the observation group underwent staged posture intervention. The postoperative complications, comfort and recovery were compared between the two groups. Results After the intervention, the incidence of pressure injury in the observation group was significantly lower than that of the control group(χ²= 4.189, P=0.041). The comfart scores of the two groups were compared in the aspects of time effect, intergroup effect and interaction effect, the differences were statistically significant(F_time=1 539.670, P＜0.001; F_intergroup=124.850, P＜0.001; F_interaction=25.197,P＜0.001). Moreover, the time of getting out of bed in the former group was significantly earlier than the latter, while the postoperative hospital stay was significantly shorter than the latter(t=9.755,P＜0.001;t=2.642,P=0.003). There was no signifieant difference in the numbers of cases of vascular erisis between the two groups(χ²=0.096,P=0.756). Conclusion Phased posture intervention can effectively lower the incidence of stress injury of patients with oral cancer after surgeries, as well as improve their comfort and rehabilitation.

Objective To explore the mediating role of professional identity in the relationship between organizational support and turnover intention of young nurses, so as to provide references for reducing their turnover. Methods Using convenience sampling method, 295 young nurses were surveyed using the nurse organizational support questionnaire, nurse professional identity scale, and resignation intention scale. SPSS 26.0 and Process 4.1 macro programs were used for statistical analysis. Results The scores of organizational support, professional identity and turnover intention were 42.75±9.30, 103.25±16.20 and 15.37±2.85, respectively. Moreover, the organizational support was of significant positive correlation with career identity (r=0.22, P＜0.01), but negative correlation with turnover intention(r=-0.19, P＜0.01). Meanwhile, career identity was negatively correlated with turnover intention significantly(r=-0.31, P＜0.01). The professional identity played a mediating role in young nurses′ organizational support and turnover intention, with the direct and indirect effect accounting for 78.26% and 21.74% of the total. Conclusion Nursing managers can reduce the turnover intention of young nurses by increasing their sense of professional identity and organizational support.

Objective To explore the application effect of perineotomy evaluation table in limiting perineotomy. Methods Totally 268 pregnant women who underwent vaginal delivery in our hospital between August 2020 and August 2021 were selected, and divided into an observation group and a control group, each of 134, according to a random number table. The control group delivered routinely, while the observation group was given perineal incision according to their perineal evaluation. The perineal injuries and pain, as well as the maternal and infant outcomes were observed and compared between the two groups. Results The proportion of complete perineum of the observation group was significantly higher than that of the control group, while the lateral perineotomy was significantly lower than the latter group (χ² =5.760, P=0.016; χ² =38.555, P<0.001). One and three days after the delivery, the VAS of the observation group was significantly lower than that of the control group (t=16.461, P<0.001; t=13.533, P<0.001). Moreover, the total incidence of adverse maternal and infant outcomes in the observation group was 7.46%, significantly lower than that of the control group (21.64%). Conclusion The perineotomy evaluation can limit the use of lateral episiotomy, reduce perineal injuries and postpartum pain, lower the occurrence of adverse maternal and infant outcomes.