Objective: To construct the service capability training system for stroke nurses in Anhui province, and to explore its practical effect. Methods: On the basis of the construction of training bases and teacher teams, the service capability training system for stroke nurses was constructed according to the post competency model. The training system was implemented in 4 training courses from September 2020 to August 2021, and the training effect was analyzed, including the evaluation of trainees' comprehensive quantitative assessment results and the self-assessment form of core competence of clinical practice, the investigation of trainees' work after returning to their post and their satisfaction with the training. Results: After implementation of training system, the comprehensive quantitative assessment scores of the 4-phase trainees were (82.49±3.23) points, the pass rate of trainees was 100.00%, and the excellent rate was 13.56%. The trainees' self-assessment of core competence in clinical practice was (76.08±4.05) points for admission and (93.62±2.75) points for leaving department, and the difference was statistically significant (P<0.001). The trainees all said that the training had a positive impact on the development of relevant work and personal career planning after returning to work, but there were 57.14 % of the trainees reported that there were various obstacles in the process of work development. The trainees' satisfaction score for department training was (96.22±2.05) points, and the teachers were reported that they had high professional quality and humanistic quality. Conclusion: The practice of this training system improves the post competency of stroke nurses in Anhui province, accumulates experience for the training of stroke nurses, and can provide reference for the construction of stroke nurses' service capacity.

Objective: To evaluate the effects of applying internet-based management rehabilitation nursing mode in stroke patients. Methods: The patients admitted to the Department of Neurology from September 2020 to April 2021 were recruited. They were divided into different groups according to the order of admission, with 57 patients admitted from September to December 2020 as control group, who received routine rehabilitation nursing, and 57 patients admitted from January to April 2021 as intervention group, who received internet-based management rehabilitation nursing mode on the basis of the control group. Exercise compliance, motor function, ability of daily living and quality of life score were compared between two groups. Results: The improvement of exercise compliance, motor function, daily living ability and quality of life in the intervention group were significantly better than those in the control group at 3 months and 6 months after discharge (P<0.05). Conclusion: The internet-based management rehabilitation nursing mode effectively improve the exercise compliance, promote the recovery of motor function, enhance their ability of daily living, and effectively improve their quality of life, which is worthy of clinical application.

Objective: To explore the application effects of community elderly health service work model in home health management of stroke patients. Methods: By using convenient sampling method, 60 stroke patients who had established personal health records in Fangzhuang Community Health Service Center and signed a family doctor service agreement were selected as the research participants, and they were randomly divided into control group and intervention group. The control group received routine home care service mode, and the intervention group received community geriatric health service mode of Comprehensive Geriatric Assessment and multidisciplinary health management. The differences in the scores of Modified Barthel Index (MBI) and the MOS 36-item Short Form Health Survey (SF-36) were compared between the two groups after 4 months. Results: The scores of MBI and SF-36 in the intervention group were higher than those in the control group, and the differences were statistically significant (P<0.05). Conclusion: The community elderly health service work model based on Comprehensive Geriatric Assessment and multidisciplinary health management effectively improve the activities of daily living and quality of life of stroke patients, and improve the rehabilitation and long-term care of stroke patients at home. Health management has a positive effect and is worth popularizing in the community.

Objective: To verify the accuracy of wearable wrist blood pressure monitoring watch (hereinafter referred to as wearable wrist watch) based on photoelectric principle in blood pressure monitoring of hospitalized patients with acute stroke. Methods: Diagnostic test evaluation study design was used. By using convenient sampling method, the neurology patients with acute stroke of a tertiary grade A hospital from September to December 2021 were selected as the research participants, and at the same time, the wearable wrist watches and bedside ECG monitor instrument were used to collect blood pressure values. Blood pressure data measured at bedside ECG monitor was used as the gold standard to compare the wearable wrist watches the accuracy of blood pressure monitoring. Results: A total of 35 patients with acute stroke were enrolled, and 414 groups of blood pressure values were measured. The SBP kappa value measured by wearable wrist watch and bedside ECG monitor was 0.768, with 89.1% sensitivity and 87.7% specificity. The kappa value of diastolic blood pressure (DBP) was 0.648, the sensitivity was 94.6%, and the specificity was 67.9%. There was no significant difference in SBP and DBP measured by the two methods (P>0.05). Conclusion: Wearable wrist watch measuring blood pressure in patients with acute stroke in the hospital has a good accuracy, and can be used in the acute stroke patients ambulatory blood pressure monitoring.

This paper summarizes the clinical effects of Traditional Chinese Medicine hot-wet compress on improving spasm and relieving pain in stroke patients, combs the basis for the standardization and safety of clinical use of Traditional Chinese Medicine hot-wet compress, and expounds the influencing factors affecting the effect of Traditional Chinese Medicine hot-wet compress on the recovery of limb function in stroke patients. It provides a reference for the Traditional Chinese Medicine hot-wet compress technology used in the rehabilitation nursing of stroke limb function in China.

Objective: To investigate the perceived stress profile of family caregivers of schizophrenia patients. Methods: A total of 284 family caregivers of patients with schizophrenia from Beijing, Sichuan, Fujian, and Jilin provinces were recruited from January 1, 2020 to February 29, 2020 and investigated with the general characteristics information sheet and Perceived Stress Scale (PSS-10). The Latent Profile Analysis was conducted. Besides, univariate analysis and logistic regression were used to investigate the influencing factors of perceived stress. Results: Family caregivers could be divided into three types with type C1 of "low stress-low competence" (16.2%), type C2 of "low stress-high competence" (34.5%) and type C3 of "high stress-high competence " (49.3%). The mean score of perceived stress was 17.01±6.95. For C1 caregivers, female caregivers were less likely to be C2; caregivers with monthly income of 5001-10000 yuan were more likely to be C2; and caregivers in rural areas were less likely to be C3 and caregivers aged 60 years or above were less likely to be C3. For C2 caregivers, those who were spouses of patients were more likely to be C3. Conclusion: Family caregivers of patients with schizophrenia can be divided into 3 types. Health professionals can implement personalized psychological interventions based on their different demographic characteristics. More targeted intervention programs can be adopted based on the different perceived stress to reduce caregivers' perceived stress and maintain physical and mental health. By these ways, home care can be better provided and patient recovery can be promoted.

Objective: To explore the real decision-making experience of fertility preservation in young patients with early breast cancer. Methods: Semi-structured interviews were conducted with 15 young breast cancer patients. Data were analyzed based on Colaizzi phenomenological methodology. Results: Four main themes were found as follows: Concerns, Individualized, dynamic fertility concerns, Decision conflict, Demand for professional help in decision making. Conclusion: Young breast cancer patients face significant decision conflict in fertility preservation. It is necessary to strengthen the understanding of all medical staff on fertility preservation of cancer patients, develop appropriate reproductive decision-making resources, train fertility preservation professionals, provide timely, comprehensive and individualized fertility information support, and carry out perfect fertility management plan.

Objective: To investigate the status quo of reproductive concerns in breast cancer patients in breeding age and analyze the influencing factors. Methods: The random sampling method was used to select 296 breast cancer patients of breeding age who were hospitalized in the department of breast oncology of a tertiary grade A hospital in Tianjin from September 2020 to August 2021 as research subjects. The Reproductive Concerns After Cancer scale, the Social Relational Quality Scale and the Emotion Regulation Questionnaire were used for survey. Results: The total score of reproductive concerns was 49.05±15.64. The related factors of reproductive concerns included age, number of children, family per capita monthly income, willingness to bear children, social relationship quality, cognitive reassessment, and expression inhibition, which accounted for 66.4% of the total variation. Conclusion: Breast cancer patients in breeding age were above medium level of reproductive concerns. Nursing staff should pay attention to their reproductive concerns, and use social relational quality and emotion regulation as the starting point to improve the quality of patients’ social relationship and guide patients to adopt cognitive reassessment strategies as an opportunity to formulate targeted intervention measures to reduce reproductive concerns in breast cancer patients of breeding age.

Objective: To explore the effect of different diet management patterns during labor on the outcome of maternal and infant delivery with gestational diabetes mellitus. Methods: Based on the guidelines for the diagnosis, treatment and nursing practice of gestational diabetes mellitus and the WHO's related guidelines for improving delivery experience, a dietary management plan for the labor process of gestational diabetes mellitus was constructed. From January 2020 to September 2020, according to the order of the pregnant women entering in the delivery room, a total of 120 pregnant women with gestational diabetes mellitus were randomly divided into two groups based on the random number table. The observation group implemented the diet management mode of gestational diabetes mellitus during labor, and the control group implemented the management mode of free eating. Their delivery-related outcome indicators were collected and investigated. Results: The incidence of hyperglycemia, insulin usage and neonatal hypoglycemia in the observation group were significantly lower than those in the control group (P<0.05). During the labor process, the time of the first stage, the active stage and the second stage of labor of the observation group were significantly shorter than those of the control group (P<0.05). Conclusion: Appropriate liquid and semi-liquid diet for gestational diabetes mellitus is beneficial to maintain the blood glucose in an appropriate range in the delivery process of gestational diabetes mellitus, and reduce the occurrence of neonatal hypoglycemia.

Objective: To combine the different perspectives of patients and medical staff, examine the reason of hindering self-management of diabetic foot patients, in order to provide reference for prevention and control measures in diabetic foot. Methods: The phenomenological research method was used, and semi-structure interview was conducted among 22 medical staff and patients. Colaizzi method was used for content analysis. Results: According to the Theory of Planned Behavior (TPB), 7 themes were extracted in 3 categories: ①Behavioral attitude: negative self-management caused by hopelessness of disease treatment, and lack of awareness of self-management caused by cognitive deviation. ②Subjective norms: social environment was insufficient to the disease, and limited support from family environment for disease control. ③Perceived behavioral control: self-management knowledge was limited, self-management was lacking, and self-management objective conditions were bound. Conclusion: The maintenance of self-management in patients with diabetic foot is affected by multiple factors. Nursing staff should improve patients' behavior intention by changing their subjective cognition, relieving pressure, and providing the necessary objective conditions, improving the patient's self-management ability and compliance.

Objective: To explore the authentic experience of hospice volunteers in experiential teaching training. Methods: The qualitative method was used, semi-structured interviews were conducted with volunteers who participated in this training to understand their real experience in this training. Results: A total of nine volunteers who participated in the training were interviewed. Eight themes were extracted: tamping volunteer motivation, feeling of being in a hospice ward, comprehending the concept of hospice care, pondering independently in the scene, clearing the boundary of the interactions with the dying, feeling the care from the volunteer team, fit training scenarios to volunteer service, suggestions for this hospice experiential training. Conclusion: The application of experiential learning in hospice volunteers training has significant advantages. In the future training of hospice volunteers, experiential learning should be emphasized to help the development of the hospice volunteer teams.

Objective: To investigate the occurrence of Sedentary Behavior (SB) and its influencing factors among women at high Cardiovascular Disease (CVD) risk. Methods: By convenience sampling, we investigated 169 women at high CVD risk from a primary health service center in Zhenjiang city, with the general situation questionnaire, Sedentary Behavior Questionnaire for the Elderly, Activity of Daily Living Scale (ADL), International Physical Activity Questionnaire-Short-Chinese version, Safety in the Home Environment Scale and family APGAR index questionnaire. Results: The SB duration of women at high CVD risk was 5.00 (3.60, 6.00) h per day, the total score of the Safety in the Home Environment Scale was 92.09±8.16 and the total score of APGAR was 7.31±2.17. Spearman correlation analysis showed that the correlation coefficients between the SB duration and the safety in the home environment and APGAR was -0.417 and -0.228 respectively (P<0.01). The multiple linear regression analysis showed that age, activity of daily living, physical activity level, safety in the home environment, and family function were the main influencing factors for SB in women at high CVD risk. Conclusion: High levels of SB in women at high CVD risk are closely related to their activity of daily living, physical activity level, home environment safety and family function. Community health caregivers should promote the reduction of SB and the risk of CVD through targeted education and interventions related to favorable home environment and SB.

Objective: To analyze the needs of disabled or semi-disabled elderly people's family members in Hunan province on "Internet+ Nursing Service". Methods: A self-designed questionnaire was employed to survey the awareness, willingness and needs of 368 family members of elderly people with disability or semi-disability in Hunan province by using multi-stage sampling method. Results: A total of 207 family members (56.3%) had heard of "Internet+ Nursing Service"; 327 cases (88.9%) of family members were willing to make an appointment for "Internet+ Nursing Service". Number of caregivers, monthly family income, the nearest hospital of patients family were influence factors of "Internet+ Nursing Service" services needs (P<0.05). Conclusion: Among the disabled or semi-disabled elderly people's family members, the awareness of "Internet+ Nursing Service" was at a medium level, the willingness and demand for services were high. It is recommended to increase the publicity of "Internet+ Nursing Service" services to meet the service needs of the families of elderly people with disability or semi-disability.

Objective: To construct the quality evaluation index system of "Internet+ Nursing Service" in order to provide a comprehensive, systematic and quantifiable standard for the evaluation of "Internet+ Nursing Service" quality. Methods: Using Donabedian three-dimensional quality theory and SERVQUAL service quality evaluation model as theoretical framework, this study constructed "Internet+ Nursing Service" quality evaluation index system through literature analysis, semi-structured interview, Delphi method and analytic hierarchy process. Results: The effective recoveries of the three rounds of expert correspondence questionnaire were 100%, the expert authority coefficients were 0.873, 0.851, 0.830, Kendall's coefficient of concordance were 0.127, 0.138, 0.115 respectively (P<0.01). The final quality evaluation index system of "Internet+ Nursing Service" includes 3 first-level indicators, 11 second-level indicators and 56 third-level indicators. Conclusion: The quality evaluation index system of "Internet+ Nursing Service" is scientific, reliable and comprehensive, which can provide reference for the quality evaluation of "Internet+ Nursing Service".

Objective: To evaluate the effects of community nursing information management platform in home service for disabled elderly people. Methods: Through literature review, expert consultation and on-site interview, the care needs of the disabled elderly people in the community were assessed. The community nursing information management platform consisting of 5 modules were set up. From May 2020 to April 2021, the platform was used to provide door to door service for the disabled elderly people in our community. The data of the services needed, the satisfaction of the elderly people and the treatment of medical waste were analyzed. Results: Home assessment and follow-up services of 172 disabled elderly people were completed. Totally 433 times of home care services and 486 times of daily follow-up were completed. The satisfaction rate of home service and the recycle rate of medical waste were higher than those before using the platform, and the difference was statistically significant (P<0.05). Conclusion: Community nursing information management platform can provide systematic, standardized, safe and high-quality home nursing services for the disabled elderly people. It can enhance the level of community care as well.

Objective: To systematically review the grief experience of women with fetal loss, understand their grief and coping strategies. Methods: We searched databases including PubMed, Embase, Web of Science, CINAHL, CNKI, VIP, Wanfang and CBM to retrieve all eligible qualitative studies. A Meta-synthesis was conducted to synthesize the evidence. Results: A total of 21 studies were included, and 33 complete findings were grouped according to similarities to form 7 new categories. These categories resulted in 3 synthesized findings: grief from fetal loss being underestimated; complex grief experiences; grief coping journeys. Conclusion: Medical staff should recognize the grief of women with fetal loss, pay special attention to their individual needs. They should provide individualized support, and help women recognize grief, accept grief, get out of grief, and start a new life.

Objective: To systematically evaluate and Meta-analyze the compliance and influencing factors of Kegel exercise in Female Pelvic Flour Dysfunction (FPFD) patients. Methods: The related studies published from inception to April 2021 were searched from the databases of PubMed, Cochrane Library, Web of Science, Embase, CBM, CNKI, WanFang, VIP, and RevMan 5.3 software was used for Meta-analysis. Results: Twenty-two studies involving 4377 patients were included. The results of Meta-analysis showed that the Kegel exercise compliance rate for patients was 35% (95% CI: 9%-61%), and the older, less medical support, without medical insurance, sleep disorders, lack of medical or family supervision, less pelvic floor dysfunction symptoms were risk factors for Kegel exercise compliance; while high education level, high cognitive level, better social support, multiple pregnancies history were protective factors. Conclusion: Kegel exercise compliance in FPFD patients is at a low level, and individualized comprehensive interventions can be developed targeted at the interventional factors affecting Kegel exercise compliance.

Objective: To systematically evaluate the experience of disease communication between husband and wife in cancer patients. Methods: Databases were searched for qualitative studies on the experience of disease communication between husband and wife in cancer patients from inception to December, 2021. The quality of the included studies was evaluated by the qualitative research quality evaluation tool (2017) Joanna Briggs Institute. Findings were integrated by Meta integration. Results: There were 9 studies finally included, forty-four topics summarized into 3 over-arching themes and 7 sub-themes. Theme 1: Challenges in the communication between cancer patients and their spouses. Theme 2: Believing in the role of positive communication and desiring for the open communication of disease information. Theme 3: Hoping to get communication guidance and seeking communication support besides spouses. Conclusion: There are communication challenges in the disease communication between husband and wife in cancer patients. Avoiding talking about sensitive topics and needing social support are emphasized particularly. Open communication and providing necessary communication skills are very important to promote the intimate relationship of cancer patients and improve their quality of life.

This paper expounds the concept, development stage, design and implementation methods, summarizes the application status at home and abroad, analyzes the existing problems and prospects of learning cycle model, aims to provide reference for the popularization and application of learning cycle model in the field of nursing education.

Objective: To set up Internet hospital navigation nursing position and explore the practical results based on the principle of post management. Methods: According to the operation mode and job demand analysis of Internet-based hospitals, the hospital set up a navigation nursing position in February 2020. Full-time nurses completed the online consultation, medical guidance and treatment, participated in quality management, and promoted online science popularization work in the Internet-based hospitals. The Nursing Department and the User Service Department jointly conduct work quality assessment and evaluation. Results: From October 2020 to April 2021, the timely response rate of nurses' online consultation was 94.1%. The nurses participated in the production of 90 health science videos, 48 Internet-based hospital information product demand report and function debugging, and 55 business process defect analysis and improvement projects. The average monthly work quality evaluation score was 94.8 points. The department colleagues' satisfaction with the nurses was 100.0%. The patients' satisfaction with online counseling services was 98.0%. Conclusion: The establishment and practice of Internet hospital navigation nursing positions have played an active role in the process of hospital digital transformation.

Objective: To explore the effects of a comprehensive management program based on Maslow's hierarchy of needs theory on satisfaction with job of nurses in the emergency department. Methods: Implemented comprehensive management measures based on Maslow's Hierarchy of Needs theory for nurses in the emergency department of a tertiary hospital in Beijing, that was, implementing performance reforms, providing nurses with a safe and orderly working environment, increasing medical-nursing exchanges and cooperation, and creating a professional atmosphere that respects and cares for nurses, improving the professional development level of nurses, providing a platform for nurses to improve self-realization, and investigated changes in nurses' job satisfaction. Results: The overall job satisfaction of nurses increased from 3.46±1.10 in 2018 to 3.78±1.07 in 2019 and 4.27±0.90 in 2021. The satisfaction with salary and welfare, work itself, workload, family and work balance, relationship with colleagues, management, job recognition, personal growth and development were all significantly improved (P<0.05). The comprehensive quality has been improved among nurses and the complaint rate was decreased significantly. Conclusion: The comprehensive management program based on Maslow's hierarchy of needs theory can improve the job satisfaction of emergency nurses and improve nursing quality.

This paper summarizes the concept, evaluation tools and the influencing factors of career growth of nurses, in order to provide a research basis for career growth intervention and accelerate nurse career growth.

Objective: To investigate current status and potential subgroups of nursing competence of newly graduated nurses, and analyze features and influencing factors of different subgroups to provide a reference for formulating targeted and specific strategies for newly graduated nurses' competence improvement. Methods: A questionnaire survey was conducted in September, 2020 including 1017 newly graduated nurses from 13 tertiary hospitals in Shanghai. The subgroup model was established based on latent profile analysis, One-way ANOVA and ordinal logistic regression analysis were carried out to assess the differences in subgroup characteristics and the related factors. Results: Results of latent profile analysis revealed that the nursing competence of newly graduated nurses could be divided into three subgroups, including risky competence (11.11%), medium competence (46.0%) and advanced competence (42.9%). Results of ordinal logistic regression showed that college degree (OR=1.567), fixed preceptors (OR=1.441), higher profession identity (OR=1.053) and organization support (OR=1.020) were protective factors of newly graduated nurses' nursing competence. Conclusion: There are three potential subgroups in nursing competence of newly graduated nurses, and those in different subgroups show differences in population characteristics. Nursing managers should adopt targeted interventions in order to enhance nursing competences of newly graduated nurses.

Objective: To develop a symptom management platform for Low Anterior Resection Syndrome (LARS) of rectal cancer and evaluate its usability. Methods: The LARS symptom management platform for patients with rectal cancer was constructed under the guidance of symptom management theory. Using purposive sampling method,10 patients and 14 medical staff were selected to test the platform and conduct interviews. The platform was optimized based on the suggestions of patients and medical staff. Totally 101 patients with sphincter preserving surgery and 113 medical staff of gastrointestinal surgery filled in the system usability questionnaire. Results: The selected patients and medical staff were highly satisfied with the usefulness, information quality, interface quality and overall satisfaction of the revised platform. Conclusion: The LARS symptom management platform for patients with rectal cancer is very practical, which can provide professional and targeted guidance for patients, thereby improving the health outcomes of patients.

This paper reviewed the application fields and advantages of mobile health technology in the medication adherence intervention in glaucoma patients, discussed the deficiencies of current application, put forward improvement strategies and looked forward to future researches. It is expected to improve medication adherence of glaucoma patients by using mobile health technology.

This paper summarizes the application of different Mobile Health interventions in both improving patient compliance in cervical cancer screening and increasing the screening rate, as well as the thoughts and prospect of implementing Mobile Health interventions, in order to provide reference for improving the cervical cancer screening rate.

Objective: To design and applicate the urgent package processing software, and to evaluate the effects of this software on the processing time of urgent items and employee satisfaction. Methods: A total of 334 packages of urgent packages from September to October 2019 were selected as the control group with traditional emergency treatment mode, and 433 packages of urgent packages from July to August 2020 were selected as the observation group with urgent package processing software in the quality traceability system of Central Sterile Supply Department. Results: The processing time of pressure steam sterilization urgent package, hydrogen peroxide low temperature plasma sterilization urgent package and foreign medical equipment urgent package was shortened (P<0.05), and the staff satisfaction was improved after using urgent package processing software (P<0.05). Conclusion: The urgent package processing software can effectively shorten the urgent processing time and improve employee satisfaction, and it facilitates the realization of whole-process management.

Objective: To conduct the whole-process management for recording the key time points of diagnosis, treatment and nursing of patients with chest pain in chest pain center using the whole-closed-loop management concept to promote the development of the smart chest pain center. Methods: A research and development team was established to sort out the work process, build a whole-process management plan for patients with chest pain, and develop a whole-process management system. Indicators before and after the application, including the pre-examination and triage time of nurses, the core quality control indexes of the chest pain center, the completion rate of data filling and the system evaluation value, were compared. Results: After the application of the system, the triage time of nurses in the chest pain center was shortened from 4.28 minutes to 2.12 minutes, the core quality control indicators related to the chest pain center reached or even exceeded the national standard, the data completion rate reached 100.00%, and the system evaluation value was high. The system was widely used in 54 hospitals nationwide, and it was widely recognized. Conclusion: The management and quality control system of chest pain center can effectively reduce the treatment time. It can also improve the quality of data and the quality control of medical records, as well as reduce the time and workload of data filling for medical staff, thus, provide references for the construction of smart chest pain center.

Objective: To summarize the management experience of perioperative infection prevention and control of 20 cases of small intestine transplantation from August 2019 to April 2021. Methods: Risk management assessment was conducted to analyze of the causes of infection after small intestine transplantation and countermeasures were proposed by multi-disciplinary medical team. Checklists for infection prevention and control measures were made and implemented. Infection prevention and control management measures with integrated medical care was conducted, including control of respiratory and abdominal infection, catheter-related bloodstream infection and infection related to abdominal incisions and transplanted intestinal stoma. The joint supervision, collaboration and continuous quality improvement of the integrated medical team was conducted during the whole process. Results: One patient gave up treatment for septic shock led by abdominal infection 8 days after operation and was discharged. One patient died 79 days after operation due to severe pneumonia with multiple infections. Eighteen patients were alive after small intestine transplantation, and were taken off the parenteral nutrition for (22.58±6.72) days after the operation. Conclusion: The management model of integrated health care maximizes the control of postoperative infection of small intestine transplantation, accelerates the functional recovery of the transplanted intestine, and promotes cooperation and the development of the nursing profession.

This paper reviews the research progress of remote follow-up of cardiac rehabilitation from the aspects of necessity and possibility, use of digital tools, timing, content, team building and quality evaluation, in order to provide reference for giving full play to the advantages of remote follow-up and promoting the participation and completion of effective cardiac rehabilitation.

Objective: To analyze the effects of the optimal nursing process for severe anti-NMDAR encephalitis patients receiving membrane plasmapheresis. Methods: Patients with anti-NMDAR encephalitis receiving membrane plasmapheresis in the intensive care unit of the neurology department of a tertiary grade A hospital in Beijing from June 2019 to May 2021 were selected using the convenience sampling method as the research subjects. A total of 12 patients receiving 60 plasma exchange from June 2019 to May 2020 were included as the control group, and another 13 patients receiving 62 plasma exchange from June 2020 to May 2021 as the experimental group. The experimental group was treated with the optimal nursing process, while the control group followed the routine process. The incidence of complications during plasma exchange including increasing involuntary movements, hypotension, clot in the tube and filter membrane rupture and the parameters of plasma exchange such as blood flow rate, plasma extraction ratio, arterial pressure, venous pressure, transmembrane pressure, and the treatment time were compared between the two groups. Results: The incidence of increasing involuntary movements, hypotension in the experimental group was lower than those in the control group (P<0.05), and no differences were observed in other complications. The blood flow rate, plasma extraction ratio and venous pressure in the experimental group were higher than those in the control group (P<0.05), while the arterial pressure and treatment time in the experimental group were lower than those in the control group (P<0.05). Conclusion: The optimal nursing process of membrane plasmapheresis for severe anti-NMDAR encephalitis patients can not only reduce the incidence of complications but also improve the efficiency of plasmapheresis.