Objective To investigate the willingness of third-party personnel agency nurses to stay on duty and analyze its influencing factors. Methods A cross-sectional survey was conducted on 206 nurses from 4 grade-A tertiary hospitals in Changsha on third-party personnel agency, using the nurse general information scale, retention intention scale(RIS), psychological capital questionnaire,and occupational identity assessment scale. Results The total RIS score was (17.28 ± 4.61) points, with an average item score of (2.88±0.57) points. Moreover, the multiple linear regression analysis showed that monthly salary income, family support,psychological capital,and professional identity were the main influencing factors of the total RIS score (R²=0.755,adjusted R²=0.725;F=15.137,P＜0.001), which could explain 72.5% of the total variance. Conclusion The willingness is at a low level, which needs to be paid attention to and further improved. As to their low salary, family support,psychological capital and professional identity, their willingness to stay on duty should be enhanced by improving their pay, giving them psychological support and professional identity.

The article provided a comprehensive review of the concept, target population, training principles and methods of free water protocol, as well as its application effects among patients with dysphagia. The aim is to provide references for its future research.

Objective To explore the behavioral intention of fall prevention in hospitalized elderly patients based on the theory of planned behavior, so as to provide the basis for formulating clinical intervention plan for such population. Methods An interview outline was developed based on the theoretical framework of planned behavior. In the first two months of 2024, 14 elderly patients were selected from the department of neurology, rehabilitation medicine and geriatric department of the Wuhan central hospital. They were given semi-structured interviews, and the data were analyzed by using the content analysis method. Results Based on the theory of planned behavior, a total of 3 themes and 9 sub-themes were extracted, including patients' attitude towards fall prevention (positive and negative), support from various parties to the fall prevention behavior of patients (medical, family and social support), different factors affecting the fall prevention intention of patients (lack of fall prevention knowledge, personality characteristics, fear of increasing the burden on the family after falling, and fear of the adverse consequences after falling). Conclusion The medical staff should correct patients' negative attitude, fully mobilize their family support system and formulate personalized fall intervention programs, so as to promote their positive behavior and lower their incidence of falls.

Objective To understand the current situation of health care needs of the elderly in the community and analyze its influencing factors, so as to provide the basis for the establishment of the elderly care service system in the community. Methods By using the convenience sampling method,269 elderly people in community were surveyed using a general data questionnaire, Barthel index rating scale and health care needs of the elderly questionnaire. Results The score of health care needs of the elderly was (66.92±26.41) points. The results of multiple linear regression analysis showed that age, chronic diseases history, occupation and self-care ability were independent factors influencing the health care needs of the elderly (R²=0.192,_△R²=0.167, F=11.751, P＜0.001). Conclusion The health care needs of the elderly in the community are high and diversified, especially for those with senior age, poor self-care ability and chronic diseases. Therefore, personalized and diversified services should be provided and community elderly care service system should be perfected to better the life quality of the elderly in the community.

Objective To explore the nursing experience of family caregivers in different stages of female enterostomy disease, so as to provide references for designing corresponding nursing support programs. Methods Forty-one family caregivers of female enterostomy patients treated between February and December 2022 were selected from Benxi central hospital, and given a non-structured interview. The Colaizzi 7-step analysis method was applied to analyze, summarize and extract the themes. Results Four themes were extracted for patients in different stages: lack of disease cognition, decreased diet and sleep quality in the perioperative period, increased fatigue when preparing for discharge, longing for professional guidance in the adjustment period, as well as post-traumatic growth in the adaptive period. Conclusion The care experience of family caregivers of female enterostomy patients at different stages is dynamic,and medical staff should provide individualized technical guidance as well as emotional and social support,so as to help them overcome the difficulties and improve the quality of continuous care services.

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.

目的 系统评价结直肠癌肠造口患者病耻感的影响因素。方法 系统检索中国知网、中国生物医学文献数据库、维普数据库、万方数据知识服务平台、PubMed、Web of Science、Cochrane Library、Embase、护理和相关健康文献的累积索引中关于结直肠癌肠造口患者病耻感影响因素的相关文献,检索时限为从建库至2024年1月25日。对文献进行筛选、数据提取,并使用R 4.3.2软件进行Meta分析。结果 共纳入文献19篇,涉及3 066例患者,提取出8个影响因素,包括年龄[OR=0.924,95%CI(0.860,0.993),P=0.032]、造口并发症[OR=1.615,95%CI(1.211,2.154),P=0.001]、造口漏味[OR=1.501,95%CI(0.810,2.781),P=0.020]、社会支持[OR=0.830,95%CI(0.801,0.859),P<0.001]、自我效能[OR=0.707,95%CI(0.594,0.841),P<0.001]、医学应对方式[OR=1.234,95%CI(1.052,1.448),P=0.010]、身体形象改变的程度[OR=1.398,95%CI(1.066,1.833),P=0.015]、是否参加过造口人活动[OR=1.131,95%CI(1.042,1.228),P=0.003]。结论 结直肠癌肠造口患者病耻感受到诸多因素的影响,在临床护理工作中应当根据相关影响因素的不同特性制定出与个体相适应的综合干预措施。

Objective To investigate the life space of elderly patients with ischemic stroke (IS) after discharge, and to analyze its influencing factors. Methods Totally 340 elderly IS patients were selected at 1 year after discharge, and surveyed using a general situation questionnaire, Hamilton anxiety scale and Hamilton depression scale, Connor-Davidson resilience scale, exercise self-efficacy scale, and life space assessment scale. Results The life space score of elderly patients with IS after discharge was(42.49±10.93) points. Multiple linear regression analysis showed that age, degree of education, complications with other chronic diseases, living condition, monthly income per capita, depression, quality of home care, mental resilience and exercise self-efficacy were independent influencing factors (F=260.208,P＜0.001). Conclusion The life space of elderly patients with ischemic stroke is low, which can be bettered by providing good family rehabilitation nursing, psychological support and improving the living condition, then improving life space of elderly patients with IS.

Objective To explore latent profiles and their influencing factors of knowledge, attitude and practice (KAP) of fall prevention in elderly patients with cerebral infarction. Methods Totally 231 elderly patients with cerebral infarction treated in department of neurology of affiliated hospital of Binzhou medical college between January 2022 and June 2023 were selected, and surveyed using a general information questionnaire, perceived social support scale, hospital anxiety depression scale, and Chinese version of activities of daily living scale and elderly inpatients' participation in fall prevention of knowledge, attitude and practice scale. The latent profiles of KAP were analyzed through Mplus 8.3 software. Results The score of KAP was (96.48±23.15) points. By potential profile analysis, elderly cerebral infarction patients were divided into low KAP type (9.96%), low knowledge KAP type (13.85%), medium KAP type (67.97%) and high KAP type (8.22%). The multivariate logistic regression showed that age, educational level, perceptive social support, anxiety, depression and disability were significant factors affecting fall prevention KAP in elderly patients with cerebral infarction. Conclusion The level of fall prevention KAP in elderly patients with cerebral infarction are low, which are affected by age, education level, perceived social support, anxiety, depression and disability degree. Their corresponding health education should be tailored to different categories of fall prevention KAP among elderly CI patients.

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.

Objective To explore the application of non-immersive virtual reality exercise program in the in-hospital hemodialysis patients. Methods Sixty-eight hemodialysis patients admitted to author′s hospital between September 2022 and June 2023 were selected and divided into a control group and an observation group, each of 34, according to a random number table. Both groups were given routine nursing,while the observation group was additionally provided with non-immersive virtual reality(VR) exercise programs. Before, as well as 3 and 6 months after the intervention, the exercise self-efficacy, balance ability, exercise ability and life quality were compared between the two groups. Results The exercise self-efficacy, balance ability, life quality score, maximal oxygen uptake and anaerobic threshold of the observation group were significantly higher than that of the control group (F_groups=217.98,P<0.01;F_groups=138.58,P<0.01;F_groups=109.58,P<0.01; F_groups=147.58,P<0.01;F_groups=163.58,P<0.01), while the 6-minute walking distance was significantly longer than that of the control group(F_groups=195.48,P<0.01). Conclusion The application of non-immersive VR exercise in the exercise management can improve the exercise self-efficiency, exercise ability, life quality of in-hospital hemodialysis patients.

Objective To predict the development trend of nursing human resources in Hubei province in the next five years using the grey model. Methods The number of registered nurses and nurses per 1 000 population in Hubei province between 2013 and 2022 were analyzed using the grey model prediction formula. Results From 2013 to 2022, the overall nursing human resources in Hubei province showed an increasing trend, and the gap between urban and rural registered nurses per 1 000 population gradually narrowed after 2020.The grey model had been constructed with excellent fitting results, and the prediction showed that the total number of nurses and the number of registered nurses per 1 000 population in Hubei province will continue to increase from 2023 to 2027. Conclusion Nursing human resources in Hubei province have grown steadily, and the gap between urban and rural registered nurses per 1 000 population has gradually narrowed,but the overall allocation is still insufficient. The grey model demonstrates high accuracy in nursing human resources prediction and provides an important basis for scientific and rational allocation and planning of regional nursing human resources.

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 analyze the research on occupational hazards of nurses at home and abroad, so as to provide a reference for promoting their occupational health. Methods The literature on nurses' occupational hazards was searched in the Web of Science core collection and CNKI databases from their inception till May 14, 2020. The publishing time, journal distribution, high-publication institutions, funding and research hotspots were analyzed by using bibliometrics methods and CiteSpace software. Results A total of 749 English articles from 61 journals and 2 449 Chinese articles from 32 journals were included. The number of English articles published per year showed an upward trend, while that of Chinese articles per year reached its peak in 2011. Moreover, The number of articles written by government agencies ranked at the forefront in the foreign literature,while domestic literature authors were mainly from hospital institutions. About 59.68%(447/749)of foreign literature articles were funded,while only 0.65%(16/2 449) of domestic literature publications were funded. The clustering tags for the English literature were occupational hazard,occupational stress,reproductive hazard,psychological morbidity,chronic fatigue syndrome,sharp injury,breast cancer,antineoplastic drug,nurses occupational stressor scales,urine sample,buccal epithelial cell,occupational health nurse,aide,nurse aid. The clustering tags for the Chinese literature were strategies,occupational hazards,investigation and analysis,status of protective cognition and behavior,wearing gloves,occupational disease/prevention and control,management methods,training. Conclusion Compared with foreign countries,there are still some deficiencies in the research on occupational health and occupational hazards of nurses in China. Clarifying the connotation of occupational hazards of nurses and enriching the relevant research results are the basis for the formulation of technical guidelines for the prevention and treatment of occupational hazards of nurses in line with China's national conditions.We also call on the government to increase the research, supervision and support for nurses' occupational health problems.

Objective To summarize the evaluation tools of oral weakness in the elderly at home and abroad, so as to provide references for clinical medical staff to select suitable assessment tools for oral frailty screening. Methods A systematic search was conducted for the studies on the assessment tools of oral frailty in the elderly in both Chinese and English databases, and the results were analyzed and standardized for reporting using the Joanna Briggs institute scoping review guidelines as a methodological framework. Results Finally, 7 oral frailty evaluation tools and a total of 7 articles were included. Conclusion The evaluation tools studied are without unifying indicators, of different evaluation purposes and explanations. Some of them donot provide reliability and validyty. Their reliability and validity need further confirming, and localized, comprehensive and effective specific assessment tools should be further developed and introduced.

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.

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.

文章总结了以脑心健康管理师为主导,对1 055例脑卒中高危患者实施健康管理的经验。主要包括选拔和培训脑心健康管理师,建立脑卒中高危患者健康管理档案,通过专职脑心健康管理师对患者进行严格的卒中高危因素管理,以及多学科合作下对患者的分层随访管理,使患者的脑卒中高危因素得到有效控制,起到良好的疾病预防与管理效果。

Objective To explore the real experience of social isolation of lung cancer chemotherapy patients and provide references for supportive schemes. Methods From September to November 2023, fifteen lung cancer patients undergoing chemotherapy and hospitalized in Henan provincial people's hospital were selected and conducted a semi-structured interview using the qualitative research method. Then, content analysis is used to summarize and extract themes. Results Three thems and eight sub-thems are summarized: deliberate social avoidance due to health-related issues (limitations of the disease itself and difficulties in social participation, concerns about health problems, as well as changes in appearance and image due to side effects), suffering from social isolation and discrimination (feeling isolated in social activities, being subjected to taboo and avoidance behaviors by others, as well as public misunderstanding and prejudice about lung cancer), expect social support(from family, friends and medical team, as well as professional psychological institutions and fellow patients). Conclusion Lung cancer patients undergoing chemotherapy,generally experience bad experience of social isolation. Therefore, medical staff should pay attention to the evaluation and intervention of their social isolation, strengthen the multi-dimensional social support,so as to relieve their social isolation and promote their social adaptation level.