Objective: To analyze the effect of family intervention program based on positive psychology on the mental state and quality of life of prostate cancer patients. Methods: According to the continuous enrollment method, seventy-six patients were recruited from a tumor center. 38 patients were assigned to the intervention group and 38 to the control group. All of the participates received routine health education and the intervention group participated in family intervention based on positive psychology. Acceptance and Action Questionnaire II (AAQ-II), Symptom Checklist 90 (SCL-90), Functional Assessment of Cancer Therapy-Prostate (FACT-P) were assessed before intervention (T1), immediately after the intervention (T2), and one month after the intervention (T3). Results: Sixty-eight patients completed the intervention program and follow-up. At T2, the AAQ-II score of the intervention group was (18.79±5.24), the SCL-90 score was (138.45±10.56), and the FACT-P score was (105.58±11.66). For control group, the scores of AAQ-II, SCL-90 and FACT-P were (21.05±5.19), (142.98±11.63) and (101.20±9.54) respectively. The differences between the scores were statistical significance (P<0.05). At T3, the AAQ-II and SCL-90 scores of intervention group were lower than those of the control group (P<0.05) respectively, and FACT-P was higher (P<0.05). The repeated analysis of variance found that the scores of AAQ-II and SCL-90 of the intervention group were significantly improved after the intervention (P<0.05). Covariance analysis found that after excluding the time effect, the intervention program could significantly decrease the patient's AAQ-II and SCL-90 scores, and increase the patient's score of FACT-P (P<0.05). Conclusion: The family intervention based on positive psychology can improve the mental status and quality of life of prostate cancer patients. It is necessary for medical staff to provide psychological support for patients with prostate cancer during treatment.

With the development of tumor surgery, chemoradiotherapy and interventional therapy, the survival of patients with malignant tumor has been greatly improved. However, cancer patients usually suffer some problems, such as treatment complications, psychology dysfunction, nutrition dificiency and so on. In order to solve these problems, our hospital has gradually launched a number of tumor rehabilitation nursing clinics such as lymphatic rehabilitation nursing clinic according to the concept of tumor rehabilitation since 2016. In the process of nursing clinic implementation, the design-preparation-audit-approved operating model has been continuously explored. The setup of nursing rehabilitation clinic has improved the satisfaction of patients, doctors and nurses and realized the whole process management of cancer patients' rehabilitation, expanded the connotation of cancer nursing, and provided new ideas for the development of tumor specialist nurses.

Objective: To analyze the effect of Internet-based Complex Decongestion Therapy (CDT) for lower extremity lymphedema in gynecologic cancer patients. Methods: Fifty cases of gynecological cancer patients with lower extremity lymphedema were enrolled and implemented CDT management including hospital intensive treatment and self-management under the guidance of the remote CDT sefrvice platform. The circumference of the affected limb, the effective rate of treatment, symptoms, Barthel Index, and the number of medical visits were evaluated before treatment and on the 26th, 120th, and 210th days after treatment. Results: Compared with before treatment, the lower extremity circumference of 5 measuring points and all symptom scores decreased, but Barthel Index increased at 26, 120 and 210 days after treatment (P<0.05). To the circumference dynamic change, 10.52%-25.00% were extra superior grade, 50.00%-60.00% were superior grade, 18.75%-36.84% were good grade. Conclusion: Internet based CDT has good therapeutic effect on gynecological cancer patients with lower extremity lymphedema, and can be maintained for a long time, which has good clinical promotion value.

Objective: With the global aging population and to meet the growing cognitive rehabilitation needs of elderly cancer patients, this preliminary study aimed to design and develop a cognitive rehabilitation system based on Virtual Reality (VR) technology for screening elderly cancer patients' mild dementia and an immersive reminiscence therapy system. Methods: The system includes VR cognitive assessment and cognitive rehabilitation, VR cognitive assessment includes two modules of cancer-related cognitive impairment assessment and mild dementia screening assessment; and VR rehabilitation includes the general cognitive rehabilitation module and the module of immersive reminiscence therapy. Results: Preliminary applications were conducted among 37 subjects to test the feasibility and safety of the system. By Receiver Operating Characteristic (ROC) curve analysis, this study identified a total VR cognitive test score of 9.5 as threshold for discriminating older adults with mild dementia or not. There were no adverse events related to the VR cognitive assessment and intervention. Conclusion: It can be seen that it is feasible and safe to apply VR technology to the assessment of elderly cancer patients with mild dementia, but the effectiveness of VR mild dementia assessment and immersive reminiscence therapy still needs to be examined among elderly cancer patients.

Objective: To introduce the design and effectiveness of the preventive exercise prescription of arm lymphedema in breast cancer survivors. Methods: According to the new theory of muscle-lymphatic-drainage pump, we advocate active and moderate arm exercises from the perspective of post-operative breast cancer survivors. Using the depth interview and participatory observation in qualitative research, developing the arm exercises and protective measures rooted in breast cancer survivors' self-care experiences and strategies in their daily lives, which enriched the preventive exercise rehabilitation intervention measures and experience of lymphedema. Following the exercise prescription principle (FITT-VP), a 12 week of preventive exercise prescription for breast cancer survivors to prevent arm lymphedema was developed under the guidance of the American exercise rehabilitation coach, including the strength training, aerobic exercise and flexibility exercise. A total of 106 breast cancer survivors were recruited, the control group consisted of 50 patients who received routine education, and the intervention group consisted of 56 patients who received exercise prescription, including 13 arm lymphedema patients. The arm lymphedema outcome, muscle strength and cardiopulmonary endurance were used to evaluate the effect of exercise prescription. Results: The breast cancer survivors in the intervention group not only didn't develop arm lymphedema, but their arm muscle strength and cardiopulmonary endurance were improved pre to post intervention. Moreover, the edema symptoms of the arm lymphedema patients subsided somewhat. Conclusion: The preventive exercise prescription of arm lymphedema can improve the muscle strength and the cardiopulmonary endurance of breast cancer survivors, and reduce the risk of arm lymphedema, and improve the symptoms in patients with arm lymphedema.

Objective: To conduct translation and cross-cultural modification of the Clinical Leadership Survey (CLS), to test the reliability and validity of the Chinese version. Methods: The Chinese version of CLS was developed through the process of translation and back-translation, conduct cross-cultural modification through expert consultation and pilot-test. Totally 315 clinical nurses were investigated through convenience sampling for test the reliability and validity of Chinese version of CLS. Four experts conducted content validity evaluation. Results: The Chinese version of CLS consisted of 5 factors and 15 items. The items analysis indicated that the CR was more than 3.0 and correlation coefficients between the items and the total score were 0.680-0.829 (P<0.01). The confirmatory factor analysis showed that χ2/df=2.413, RMSEA=0.079, TLI=0.917 and CFI=0.941. The content validity results were confirmed with I-CVIs and S-CVI of 1. The Cronbach’s alpha coefficient for the overall scale was 0.942, and ranging from 0.748-0.889 for each factor. The test-retest reliability was 0.892 (P<0.001). Conclusion: The Chinese version of CLS has proved to be reliable and valid. It can be used as a valid tool to evaluate the leadership of clinical nurses in China.

Objective: To evaluate the accuracy of calf circumference measurement in sarcopenia screening among Chinese community-dwelling older adults, and to provide reference for community medical workers in early identification of older adults with sarcopenia. Methods: A total of 202 community-dwelling older adults were included in this study. With the diagnostic criteria recommended by the Asian Working Group on Sarcopenia in Older People (AWGS) in 2019 as the reference standard, the accuracy of calf circumference measurement in sarcopenia screening among community-dwelling older adults was evaluated by sensitivity, specificity and Receiver Operating Characteristic (ROC) curves. Results: The Area Under ROC Curve (AUC) of calf circumference in elderly male was 0.884 (95%CI: 0.819-0.948). The AUC of calf circumference in elderly female was 0.902 (95%CI: 0.838-0.966). Calf circumference 34.6 cm was the cut-off point for elderly male when the Youden's index reached the highest level, while 33.4 cm for elderly female. Conclusion: Calf circumference measurement is of high value in sarcopenia screening among community-dwelling older adults.

Objective: To investigate the status and the correlation between the attitude to death and death education of the palliative care specialist nurses. Methods: A total of 176 palliative care specialist nurses were recruited by convenience sampling. The general information, Chinese version of Death Attitude Profile-Revised (DAP-R) questionnaire and death education requirement scale were applied. Results: The average score of death attitude of specialist nurses in palliative care was natural acceptance (3.99±0.46), approach acceptance (3.03±0.45), fear of death (2.69±0.69), escape acceptance (2.61±0.71) and death avoidance (2.47±0.64). The total score of death education demand was (213.59±27.41). There was a positive correlation between the positive attitude towards death and the need for death education (r value ranged from 0.202 to 0.551, P<0.05). The natural acceptance was moderately positively correlated with the near death care, the loss and the sadness care (r value ranged from 0.520 to 0.551, P<0.05). There was a negative correlation between death escape and death education demand (r value ranged from -0.357 to -0.208, P<0.05). Conclusion: The death attitude of palliative nurses is positive, and the demand of death education is at a high level. Especially, the nurses who accept death naturally need higher education of dying care, loss and sadness. Educators should explore the localized education mode in China, and promote the effective implementation and promotion of death education.

Objective: To investigate the current situation and management mode of the first stage Cardiac Rehabilitation in tertiary hospitals in China, so as to provide practical basis for standardized implementation of Cardiac Rehabilitation plans. Methods: Convenience sampling method was used to investigate the contents, items, technical equipment and follow-up methods of Cardiac Rehabilitation in 76 hospitals of 10 provinces. Results: Only 39 of the 76 tertiary hospitals had carried out the first stage Cardiac Rehabilitation. Among the 39 hospitals, 36 (92.31%) had Cardiac Rehabilitation equipment and appliances, 38 (97.44%) had carried out exercise tests, while only 16 (41.03%) had set up Cardiac Rehabilitation centers or outpatient clinics, 20 (51.28%) had developed quality standards for Cardiac Rehabilitation nursing. The more frequently delivered contents of Cardiac Rehabilitation included patient assessment, hypertension management and medication guidance. The less frequently delivered contents included guidance for vocational rearrangement and sexual life. The construction of Cardiac Rehabilitation teams, standardized Cardiac Rehabilitation protocols and follow-up methods needed to be improved and expanded. There was a significant difference in the contents of Cardiac Rehabilitation between hospitals with and without the first stage Cardiac Rehabilitation nursing protocols (P<0.05). Conclusion: Cardiac Rehabilitation has been gradually carried out in tertiary hospitals in China. However, there is still room for improvement in terms of contents, personnel construction, technical equipment, and follow-up plans, etc. We should take measures to develop a Cardiac Rehabilitation diagnosis and treatment system and formulate standardized Cardiac Rehabilitation plans in line with China's national conditions.

Objective: To test and improve the self-made Color Assessment Tool for Continuous Bladder Irrigation (CBI) Fluid. Methods: The tool was used to observe the color of 16 samples by 12 examiners. The inter-and intra- observer reliability of the tool was tested. Examiners were also asked to complete a satisfaction questionnaire. Results: The inter-observer agreement between examiners was high, and Kendall's W value was 0.971-0.997. Except for the low agreement between the assessed value and the actual value of No.2 color scale with the Weighted Kappa value of 0.375, all the inter-observer agreement among examiners and the agreement between the assessed value and the actual value of color scale and all color scales in different light were high, with Weighted Kappa value 0.727~1.000 (P<0.001). After deleting No.2 color scale, a total of 6 color scales was left. The satisfaction questionnaire showed that importance and simplicity scores were 4.92±0.29 and 4.75±0.45, respectively, indicating general satisfaction with the tool among all examiners. Conclusion: The improved Color Assessment Tool for Continuous Bladder Irrigation Fluid has a good inter-and intra- observer reliability. It is an effective tool to evaluate the color of CBI fluid.

How to ensure that the critically ill patients received timely treatment without causing cross-infection was a question that hospital managers must ponder. This paper focuses on the establishment and management of a screening ward for critically ill patients with fever during the epidemic of COVID-19 and provides references for medical institutions to combat COVID-19.

Objective: To explore the working experience of frontline nurses against COVID-19, to analyze the risk factors, protective factors and adaptation strategies that influence nurses' coping with COVID-19, and to provide references for improving the ability of nursing staff in dealing with public health emergencies. Methods: Based on the resilience theory and phenomenological research method, Semi-structured, in-depth interviews were conducted on 12 nurses working in isolation ward for patients with COVID-19. Colaizzi seven-step method was used for data analysis. Results: Three themes were extracted: multiple risk factors, multiple protective factors and multi-dimensional adaptive strategies. Conclusion: The public health emergency management systems in hospitals need to be improved, and more attention needs to be paid to the physical and mental health of nurses in frontline against COVID-19, measures need to be taken to balance the risk factors and protective factors in dealing with public health emergency, and supports are needed to assist nurses to establish multi-dimensional adaptive strategies, so as to improve the adaptive ability of nurses to public health emergencies.

Objective: To analyze the relationship between psychological stress and coping styles of obstetrics nurses under COVID-19, and to provide a reference for nursing managers to establish a psychological early warning system for nurses in the COVID-19. Methods: In February 2020, 131 obstetrics nurses from 5 tertiary general hospitals were selected by convenient sampling in Beijing. Psychological stress and coping styles were investigted. Results: The item score of psychological stress of obstetric nurses were 1.52±0.35, and the item score of each dimension from high to low was: fear, hypochondria, depression, neurasthenia, obsessive-anxiety. The score of positive coping style was 36.83±6.29, while that of negative coping style was 25.33±7.64. The scores of psychological stress of obstetrics nurses with different working years, family economic status, marital status, fertility status, family support, and work motivation were different (all P<0.05). The overall score of psychological stress showed a significant negative correlation with positive coping style (r=-0.418, P<0.001), and a significant positive correlation with negative coping style (r=0.483, P<0.001). Conclusion: Under the COVID-19 epidemic, obstetric nurses have psychological stress problems, such as fear and hypochondria, but they have a better coping style, and the more positive the coping style is, the better their psychological stress status is. Nursing managers can improve the coping style of nurses to alleviate the psychological stress problems.

During the epidemic of the Coronavirus Disease 2019 (COVID-19), the hemodialysis room was a relatively crowded place. Since hemodialysis patients must regularly go to the hospital for treatment, the epidemic prevention and control of COVID-19 in hemodialysis room was more difficult. In this paper, we summarized our efforts in changing the working processes, strengthening personnel management and implementing disinfection and isolation measures during the prevention and control of COVID-19, which made all routine work and epidemic prevention and control work went smoothly.

Objective: To investigate the anxiety of nurses working at the government-designated hospitals during COVID-19 epidemic and analyze its influencing factors. Methods: A cross-sectional survey using the Self-rating Anxiety Scale, Perceived Social Support Scale and Trait Coping Style Questionnaire was performed for nurses working at the government-designated hospitals of Sichuan, Chongqing, and Hubei Province. Results: A total of 1749 nurses were surveyed. The average score of SAS was 44.46 ± 10.05, which were significantly higher than that of the Chinese norm (P<0.01). Using the total standard score ≥ 50 as the cutpoint, the prevalence of anxiety symptoms in these nurses was 26.7%, with the highest incidence of anxiety in the nurses working at the isolation wards. Negative coping style score was positively correlated with SAS score, while positive coping style and social support were negatively correlated with SAS score (P<0.05). Multivariate liner regression analysis showed main factors associated with anxiety symptoms were negative coping style, being in the isolation wards and other high infection risk departments, being in the management position, being in the front line of Wuhan, and longer length of service, while positive coping, external social support and having work experience in emergency events could alleviate anxiety. Conclusion: The nurses working at the government-designated hospitals during the COVID-19 epidemic had obvious anxiety symptoms, especially the front-line nurses, senior nurses and head nurses who were in close contact with patients. Managers should establish comprehensive programs to help medical professionals cope with these stressors. Moreover, more nurses should be prepared and trained for these emergency events.

Objective: To determine the risk factors of acquired dysphagia in ICU patients by Meta-analysis. Methods: Studies were identified through a search of the Cochrane Library, PubMed, Embase, Web of Science, CNKI, Wanfang Data, VIP Database and SinoMed from inception to November 2020. Data sets from published cohort studies, case-control studies and studies with other research design with data on risk factors for acquired dysphagia in ICU patients were screened for eligibility, and RevMan 5.3 software was used for Meta-analysis. Results: A total of 14 articles were included. The total sample size was 3395, and 11 risk factors were included. The combined effects of mechanical ventilation time, tracheotomy and age were statistically significant (P<0.05), the OR (95% CI) were 1.97 (1.64-2.36), 1.63 (1.21-2.21) and 1.05 (1.03-1.07), respectively. Conclusion: The risk factors for acquired dysphagia in ICU patients reported in this study included mechanical ventilation, tracheotomy and age.

Objective: To search, evaluate and integrate best practice evidence of blood culture collection in children with blood stream infection. Methods: According to the 6s model, Guidelines were searched in following databases: UpToDate, NICE Guidance, the Scottish court guidelines network (SIGN), World Health Organization (WHO), registered nurses association of Ontario (RNAO), international guidelines for the network (GIN), the national guide Library (NGC), medlive, the clinical and laboratory standards institute (CLSI), Pubmed, CINAHL, the Cochrane Library, CNKI, Wanfang Data, Sinomed. The latest systematic reviews were supplemented. Two researchers evaluated the quality of the included literature, extracted and summarized the evidence from the literatures. Results: A total of 7 articles were included, including 1 clinical decision, 4 guidelines, 2 systematic reviews. Totally 22 pieces of evidence on 6 aspects including blood collection time, disinfection, collection tools, blood collection method, blood collection volume, management strategy were finally summarized. Conclusion: The summarized evidence of blood culture collection of children can be used in clinical practice to promote the standardized management of blood culture collection of children and improve the detection rate.

Objective: To evaluate the quality and analyze the contents of the published clinical practice guidelines for the management of Chronic Heart Failure at home and abroad, so as to provide reference for the clinical practice of the management and nursing of Chronic Heart Failure in China. Methods: Guidelines on the management of Chronic Heart Failure were retrieved from the following sources: the Agency for Healthcare Research and Quality, National Institute for Health and Care Excellence, Registered Nurses Association of Ontario, the Scottish Intercollegiate Guidelines Network, the American Heart Association, the Heart Failure Society of America, the American College of Cardiology, Canadian Cardiovascular Society, European Society of Cardiology, Joanna Briggs Institute, Evidence-based Health Care Center Database, Cochrane library, PubMed, Embase, CINAHL, CNKI, WANGFANG DATA, and CBM. Clinical guidelines research and evaluation tools were used to evaluate the quality of the included guidelines. The recommendations of the included guidelines were collated and analyzed. Results: A total of 9 clinical practice guidelines were included, of which 3 were grade A recommendations, 3 were grade B recommendations and 3 were grade C recommendations. The recommendations of the guidelines were consistent but there were still some differences. Conclusion: The overall quality of the included clinical practice guidelines for the management of Chronic Heart Failure is good. Their recommendations can provide a basis for further standardizing the management of clinical patients and reducing hospitalization and mortality. However, the specific national conditions should be considered. The development and update of localized evidence-based guidelines should be carried out based on the national conditions of China and by learning from foreign high-quality guidelines, so as to guide clinical practice.

Objective: To evaluate the effects of internet+ based nursing interventions on prognosis of patients with coronary heart disease. Methods: The CNKI, Wanfang Data, VIP, CBM, Cochrane Library, PubMed, Web of Science, CINAHL, EMBASE and JBI were searched. Randomized Control Trials related to the effects of internet+ nursing interventions on prognosis of patients with coronary heart disease were retrieved. The quality of the included studies were evaluated and RevMan 5.3 software was used for Meta-analysis. Results: A total of 12 studies were included with a total of 2046 patients. The Meta-analysis showed that nursing interventions based on internet+ significantly reduced the BMI level of patients [MD=-0.43, 95% CI (-0.86, -0.01), P=0.04], anxiety symptom [MD=-0.80, 95% CI (-1.33, -0.27), P=0.003], and depressive symptom [MD=-0.66, 95% CI (-1.14, -0.18), P=0.008]. Conclusion: The interventions based on internet+ can effectively improve BMI, anxiety, and depressive symptom of patients with coronary heart disease.

This paper reviewed the origin, main contents and application status of the CFIR, and elaborated the development of the CFIR. It is expected to encourage the nurses in China to apply the CFIR into clinical practice.

Objective: To synthesise the findings of qualitative papers exploring the experience of ICU nurses' caring for dying patients. Methods: Databases such as The Cochrane Library, EBSCO, PubMed were retrieved from inception to January 2020 to collect qualified qualitative studies. The quality of included studies was evaluated according to JBI Critical Appraisal Tool for qualitative studies. The results were integrated by integrating methods. Results: Totally 15 studies were included. Sixty-two complete findings were grouped to form 13 new categories according to similarities. These categories resulted in 4 synthesized findings: create a good death, emotional reactions, challenge and dilemma, demand and hope. Conclusion: Healthcare workers should pay more attention to ICU patient's quality of dying, and administrators should provide ICU nurses with guidance, support and encouragement to improve their psychological status.

Objective: To construct the core competencies of Hospice Advanced Practice Nurse (APN). Methods: Two rounds of Delphi consultation questionnaires were sent to 23 experts who were from 15 departments in 7 provinces and cities. They were experienced in areas of clinical hospice nursing, nursing administration, hospice medicine and nursing education. Results: The core competencies of Hospice Advanced Practice Nurse were communication and collaboration, clinical practice, professional development, ethical and cultural care, system resource management, evidence-based nursing and nursing research. Conclusion: This research ascertains the core competencies that Hospice APN should have, and applies basis to train APN in hospice specialty.

This article introduces the definition, related theory and application of nursing professional socialization. The author puts forward some suggestions on nursing education and nursing management. The purpose of this review is to improve nursing professional education and management in China.

This paper reviews the influencing factors of nurses' self-efficacy in hospice care and the correspondent coping strategies. It summarizes the influencing factors from seven aspects: age, department, experience, attitude towards work, attitude towards death, education experience and social support, on the basis of which the coping strategies of strengthening educational intervention and strengthening nursing staff's social support were pointed out and discussed in order to provide references for further improving nurses' self-efficacy in hospice care.

With the increase of cancer incidence in China in recent years, clinical trials on new anticancer drugs and modes of therapy have attracted many attention. High quality clinical trials not only bring more survival opportunities to patients with cancer, but also provide essential keys to the further development of oncology care. As an indispensable member of the research team, clinical research nurse play an important role in cancer clinical trials. Clinical research nurse as a full-time position has been set up since 2012, after which the requirements and duties of the position, manpower allocation, position-related training and performance management system, etc. were explored and established which ensured the successful implementation of clinical trials.

Objective: To explore the effects of the preoperative visit system based on WeChat platform and multi-disciplinary participation on painless gastrointestinal endoscopy. Methods: From January 2018 to December 2018, 419 patients receiving multidisciplinary preoperative visits based on WeChat platform were selected as the experimental group, and 378 patients receiving routine preoperative visits from January 2017 to December 2017 were selected as the control group. Both groups of patients were given painless gastrointestinal endoscopy in our hospital's operating room, a specialized operating room for patients. The change of anxiety level, the effects achieved, the Boston bowel preparation score and satisfaction of the two groups before and after the visits were compared and the time for the visit of the two groups was recorded. Results: The anxiety score of the experimental group (1.05±0.67) was lower than that of the control group (2.90±0.92) with the difference being statistically significant (P<0.05). The time spent by visiting nurses in the experimental group (8.58±1.50) min was less than that in the control group (15.37±2.29) min and the difference was statistically significant (P<0.05). Among the ten items of the questionnaire, nine items in the experimental group were better than those in the control group (P<0.05). The Boston bowel preparation score (6.95±0.86) in the experimental group was higher than that in the control group (6.19±1.43), the difference was statistically significant (P<0.05). The satisfaction of the experimental group was higher than that of the control group (P<0.05). Conclusion: The preoperative visit system based on WeChat platform and multi-disciplinary participation in painless gastrointestinal endoscopy was effective, which could reduce the anxiety of patients and the visit time, improve the visit effects, the satisfaction of patients and the quality of work in the operating room.

Objective: To provide professional nursing services to women and children through internet nursing clinic. Methods: Qualification, training and assessment management of internet nursing outpatient specialists were standardized through the construction of an internet specialist nursing service system and related work flow. Nursing clinics were opened on the internet hospital platform. Quality monitoring indicators such as the reception time, service duration and satisfaction of the internet nursing clinics were monitored to improve the nursing service system and provide remote specialist nursing services for women and children. Results: The total number of patients from August to December 2019 was 1,050. Mother and child care services accounted for 68.9%. The online service hours were mainly from 8:00 to 22:00. The median duration from registration to consultation was 23 minutes, and the median duration of consultation was 64 minutes. Patient service satisfaction was 99.52%. Conclusion: There is a large demand for internet nursing services for mothers and children. Internet nursing clinics have flexible admission time and service hours. Clinical nursing experts can effectively solve the problem of nursing needs of patients with high patient satisfaction, which can be further promoted as the internet + nursing service model.

This article described the related concept of Advance Care Planning, summarized the necessity and influence factors of Advance Care Planning applied in Alzheimer's Disease patients, proposed strategies of implementing Advance Care Planning for Alzheimer's Disease patients. It is expected to provide reference for the application of Advance Care Planning for Alzheimer's Disease patients in China.

This article introduced the concept and current status of oral health-related quality of life, expounded the development process and application status of oral health-related quality of life assessment tools for patients with denture restoration. It is expected to provide reference for clinical nursing staff to select the assessment tools for patients with denture restoration, and provide information for the researchers to develop the oral health-related quality of life scale for denture restoration patients in China.

Objective: To examine the effect of End-Tidal Carbon Dioxide Partial Pressure (PETCO2) monitoring in indwelling gastric tube of comatose patients. Methods: Following convenient sampling, a totall of 44 comatose patients in the Emergency Intensive Care Unit were enrolled in the study, and they were equally divided into control group (n=22) and intervention group (n=22). In the control group, the gastric tubes were placed in the traditional way. In the intervention group, the gastric tubes were implanted under the monitoring of PETCO2. The time spent on indwelling a gastric tube, the one-time intubation success rate, hemodynamic changes and incidence of adverse reactions were compared between the two methods. Results: All 44 patients were successfully intubated with the indwelling gastric tubes. The time spent on indwelling a gastric tube in the intervention group [(4.87±1.03) min] was shorter than that in the control group [(7.22±2.51) min] (P<0.05), and the one-time intubation success rate of the intervention group (63.64%) was higher than that of the control group (50.00%). The fluctuation values of heart rate, respiration, blood oxygen saturation, and mean arterial pressure in the intervention group during gastric tube intubation were smaller than those in the control group, and the difference was statistically significant (P<0.05). The incidence of coughing, nausea and vomiting in the intervention group (4.55%, 13.64%) was lower than that in the control group (31.82%, 45.45%) (P<0.05). Conclusion: According to our results, the placement of the gastric tube in comatose patients with PETCO2 monitoring can not only reduce possible adverse stimulation, but also can efficiently and effectively assist nurses to determine the positioning of a gastric tube. Thus, the placement of the gastric tube in comatose patients with PETCO2 monitoring could improve the work efficiency of nurses and reduce complications.

The incidence of alexithymia in different subtypes of chronic pain is generally high, which seriously affects the physical and mental health of patients. This paper reviewed the occurrence, influencing factors, evaluation tools and interventions of alexithymia in patients with chronic pain. It is expected to provide reference for domestic medical staff to carry out scientific research and clinical practice in this area.

Objective: To develop the Clinical Nursing Pathway (CNP) of "Kangaroo Mother Care" for premature infants. Methods: The preliminary CNP was developed based on cases review and literature search. Ten medical and nursing experts were selected by purposive sampling for two-round consultations. Results: The positive coefficients of the two rounds experts consultations were both 100.0%. The authoritative coefficient was 0.85 which was above 0.7; the coefficients of variation in the two-round consultationwere 0.084 and 0.070, and the coordination coefficients were 0.253 and 0.318, respectively. Experts had the consistent opinions on the CNP and the "Kangaroo Mother Care" CNP was finally formed. Conclusion: The constructed "Kangaroo Mother Care" CNP is scientific and can be used to guide the clinical practice, standardize kangaroo mother care, and promote the use of Kangaroo Mother Care.