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.

总结1例急性上消化道出血并发急性脑梗塞患者的护理经验。护理要点包括早期液体复苏与容量管理,维持循环稳定;动态性目标化血压血糖管理,预防并发症;预见性护理干预,改善患者健康结局;舒适化护理,改善患者口渴困扰;早期开展全面系统的康复护理,改善患者社会功能。经过8 d的治疗和护理,患者病情稳定,转入普通病房继续治疗。

This paper summarizes the practical experience of providing home nursing service for patients with home nursing needs, led by tertiary hospitals on the “nursing service at home” platform. Between September 2021 and September 2023, the author's hospital carried out a total of 48 kinds of home nursing service projects, completed 2 045 home nursing service orders, and the patient satisfaction evaluation reached 100%. The implementation of “Internet + nursing service” has benefited more people in need, with high satisfaction. However, such limitations of insufficient human resources, insufficient projects and security risks should also be paid attention to, and improved in the future.

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 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 summarize the best evidence of nutritional screening and evaluation of maintenance hemodialysis patients, and to provide evidence-based evidence for clinical staff to carry out standardized nutritional screening and evaluation of maintenance hemodialysis patients. Methods The literature related to nutritional screening and evaluation of maintenance hemodialysis patients was searched from the websites, and Chinese and English databases with the time setting from inception until October 2023. Two researchers screened the literature and conducted quality evaluation to summarize the evidence, and their recommendation level. Results A total of 9 articles were included, covering 5 guidelines, 1 recommended practice, 1 systematic review and 2 standards. A total of 13 pieces of evidence were integrated from the two aspects of nutrition screening and nutrition assessment. Conclusion The best evidence for nutritional screening and evaluation of maintenance hemodialysis patients is scientific and clinically practical, healthcare professionals can provide standardized nutrition management for patients based on multidisciplinary collaboration and evidence.

Objective To explore the impact of maternal voice stimulation on the extremely premature infants based on augmented reality sound simulation technology. Methods Seventy-six extremely premature infants born in a grade-A tertiary hospital in Guangzhou between January 2021 and June 2022, were divided into an observation group and a control group, each of 38, according to a random number table. Both groups were given routine nursing, while the observation group was additionally provided with maternal voice stimulation based on augmented reality sound simulation technology for 14 days. Then, the growth and development indicators, heart rate, rehabilitation effect and incidence of complications were compared between the two groups. Results There were statistically significant differences in heart rate between the two groups in terms of time, groups and interaction effects(F_time=10.318,P<0.001; F_group=7.399,P<0.001;F_intergroup=9.281,P<0.001), and the number of days receiving total enteral nutrition was shorter than the latter (t=2.621, P=0.011). However, after the intervention, no significant differences were found between the two groups in the body length, head circumference,body weight, ventilator use time, oxygen use time, hospital stay and complication rate(P>0.05). Conclusion Maternal voice stimulation based on augmented reality sound simulation technology has a good effect on the extremely preterm infants, which can stabilize their heart rate and help them to reach full intestinal feeding as soon as possible.

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 systematically evaluate and integrate qualitative research on the experience of moral distress experienced by ICU nurses, so as to provide references for clinical intervention strategies. Methods Qualitative research on moral distress of ICU nurses were searched in PubMed, Web of Science, Embase, EBSCOhost, CNKI, Wanfang, VIP, and China Biology Medicine Disc, with the time setting from the inception until July 2023. The articles selected were evaluated using the quality evaluation criteria of Australian evidence-based health care center, and Meta integration was performed using the pool integration method. Results From 9 studies selected, 39 research results were extracted and summarized into 8 new categories, and further integrated into 3 results of the factors contributing to the moral distress of ICU nurses, feelings of moral distress, and ways of coping with moral distress. Conclusion The moral distress of ICU nurses is often related to many factors, and hurt them physically and mentally, affecting nursing safety. It is recommended to pay attention to such problem, and establish targeted support systems to help nurses to deal with it.

Objective To explore the effect of ADOPT nursing combined with respiratory training navigation intervention in patients undergoing lung cancer surgery. Methods Ninety-six lung cancer patients undergoing surgery between May and August 2023 were selected as the study objects. According to the order of admission, 48 patients admitted in the first two months were selected into a control group, while those treated in the following two months were chosen into an observation group. The control group received routine perioperative nursing, while the observation group underwent ADOPT nursing combined with respiratory training navigation intervention. Then, the pulmonary function indexes, incidence of postoperative pulmonary complications, duration of chest tube indwelling and hospital stay were compared between the two groups. Results After intervention, the forced expiratory volume in the first second, forced lung activity and the ratio of forced expiratory volume in first second to forced lung capacity in the observation group were significantly superior to that of the control group(t=5.913, P<0.001; t=2.616, P=0.010; t=3.317, P=0.001). However, the incidence of postoperative pulmonary complications was significantly lower than the latter group(χ²=9.095, P=0.003), and the retention time of chest tube and hospitalization days were significantly shorter than the latter(t=5.071, P<0.001; t=5.309, P<0.001). Conclusion ADOPT combined with respiratory training navigation intervention can reduce the incidence of postoperative pulmonary complications, promote pulmonary re-expansion, and shorten the time of chest tube indentation and length of hospital stay of patients undergoing lung cancer surgery.

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.

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。

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 This article summarized the nursing experience of a case of extremity artery thrombosis caused by transradial catheter in a very low birth weight infant. It mainly includes early identification, local wet hot compress with nitroglycerin to dilate blood vessels, anticoagulation of low molecular weight heparin sodium, urokinase thrombolysis, combined with oxygen blowing, wet compress with magnesium sulfate and other comprehensive nursing measures. Through targeted treatment and intensive care. The blood circulation of the affected limb was restored, the finger color and finger activity were restored to normal, and the patient was discharged after 33 d recovery.

Objective To summarize the best evidences of peripheral phlebitis prevention,so as to guide clinical practice. Methods Related guidelines and evidence were initially searched in 6 guideline websites including WHO and GIN, while systematic evaluation and clinical decision were retrieved from 7 Chinese and English databases consisting of UpToDate and Wanfang. Quality evaluation and evidence extraction were carried out. Results A total of 11 articles were collected,including 9 systematic reviews and 2 clinical decisions. Finally, 13 interventions about medications, dressings and fixation methods were summarized. Conclusion The best evidences of peripheral phlebitis prevention can reduce the occurrence of peripheral phlebitis, relieve the pain of patients, and guarantee the efficiency of treatment.

Objective To explore the application effect of fine management in the management of orthopedic foreign devices and implants. Methods A total of 1 275 orthopedic implant surgeries performed from January to March 2022 were set as the control group, and 1 023 orthopedic implant surgeries performed from April to June 2022 were set as the intervention group.The control group was treated with conventional orthopedic instruments and implants management and the intervention group was given fine management. Results The management quality of external devices and implants in the intervention group was significantly higher than that in the control group (all P<0.05), and the incidence of intraoperative inventory accidents was significantly lower than that in the control group(P<0.05). Conclusion Fine management can effectively implement the link control of orthopedic external instruments and implants, significantly improve the quality of external instruments and implants management, and reduce the incidence of intraoperative inventory accidents.

Objective To explore the application effect of health failure mode and effect analysis (HFMEA) in optimizing the alarm response management process of ECG monitor in emergency rescue room. Methods A total of 48 patients admitted to the emergency rescue room between July and September 2023 were selected into the control group, while another 48 patients admitted in the following 3 months were chosen into the observation group. Routine procedures were followed to respond to the alarm of the electric monitor in the control group, while the optimized process based on HFMEA was adopted in the observation group. The false alarm rate, alarm response efficiency and alarm fatigue score of nurses were compared between the two groups. Results The false alarm rate of ECG monitor and the alarm fatigue score in the observation group were significantly lower than that of the control group (χ²=156.225, P<0.001; t=5.093, P<0.001), while the effective rate of alarm response was significantly higher than that of the control group(χ²=81.823, P<0.001). Conclusion The HFMEA-based alarm response process lowers the false alarm rate of the ECG monitor, the alarm fatigue of nurses and the nursing risk caused by the defects of the monitor alarm response management, but improves the efficiency of the alarm response.

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 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.