Objective: To investigate the current status of nurses' compliance with Catheter-Related Blood Stream Infection (CRBSI) prevention measures during the indwelling needle insertion session and analyze the influencing factors. Methods: From December 4, 2021 to January 14, 2022, 270 nurses were selected from 21 hospitals in Hunan province. A self-made "CRBSI priority prevention measures in the indwelling needle insertion session questionnaire" was used to investigate. Results: The compliance score of nurses' CRBSI prevention measures during indwelling needle insertion session was 89.20±15.19, and the correct implementation rate of six dimensions in descending order was "selection of disinfectant" (98.89%), "selection of venous catheter" (96.67%), "catheter fixation" (91.85%), "optimal puncture site selection" (88.52%), "hand hygiene" (85.93%), and "skin disinfection" (73.33%). Multiple linear regression results showed that the availability of training and the number of tubes placed per week were the factors influencing nurses' compliance with CRBSI prevention measures during the indwelling needle insertion session, accounted for 35.7% of total variation. Conclusion: Clinical nurses' compliance with CRBSI prevention measures during indwelling needle insertion was good. Nursing managers need to strengthen nurses' training on the standardized use of indwelling needle insertion to address weaknesses and regularly assess nurses' work intensity and work quality to reduce the occurrence of CRBSI.

Objective: To construct a scheme for the prevention and sustainable effect evaluation of Vessel Catheter Associated Infection (VCAI). Methods: Using the Ottawa Model of Research Use as a guidance, the promotion and obstacle factors of scheme construction were determined based on the on-site review, and the evidence-based practice scheme was constructed from three aspects: evidence, potential adopters and practice environment. Upon two rounds of evidence-based practices, a stable scheme for the prevention and sustainable effect evaluation of VCAI was gradually established and formed. Results: After two rounds of knowledge transform practice, from the point of system, the four-level management framework of VCAI prevention has been constructed and improved. From the point of potential adopters, the implementation rate of various operations of operators has improved. From the point of patients, the incidence of VCAI continued to decrease. Conclusion: The scheme for the prevention and sustainable effect evaluation of VCAI based on the Ottawa Model of Research Use is conducive to reduce the incidence of VCAI, which is worthy of clinical application.

Objective: To analyze the effectiveness of multidisciplinary cooperation on preventing Central Line-Associated Bloodstream Infection (CLABSI), in order to provide reference for CLABSI prevention and control management. Methods: January to December 2020 was selected as control period, January to December 2021 was selected as intervention period. In the control period, special group of infusion therapy carried out catheter maintenance, Peripherally Inserted Central Catheters (PICC) catheterization training and assessment periodically. Infection control department carried out hand hygiene training and monitored CLABSI dynamically. In the intervention period, a multidisciplinary cooperation team was built followed by retrospective analysis of CLABSI events and investigating compliance of CLABSI prevention as to target the root causes. Tasks and steps of each discipline and department in reducing CLABSI were developed and carried out targeting key aspects (key departments, Central Venous Catheter catheterization and catheter maintenance). The incidence of CLABSI and the compliance of CLABSI prevention measures were monitored and reviewed, dynamically. Results: The incidence of CLABSI in 2020 and 2021 years were 0.115‰, 0.138‰ respectively. The incidence of CLABSI increased up to 0.251‰ in the second quarter. After multidisciplinary collaborative intervention, the incidence of CLABSI in the third and fourth quarters compared with the second quarter decreased by 53.4% and 51.4% respectively. The total compliance of CLABSI prevention management, the total compliance of Central Venous Catheter catheterization measures, and the total compliance of PICC maintenance increased significantly (P<0.05). Conclusion: Multidisciplinary collaborative intervention can significantly improve the total compliance of CLABSI prevention measures, reduce the incidence of CLABSI, which can provide reference for CLABSI prevention and control management.

Objective: Guided by the needs of clinical practice and venous training management, a special training course for prevention of Central Line-Associated Bloodstream Infection (CLABSI) was constructed based on ADDIE model, which was applied to clinical practice and evaluated its application effect. Methods: A special training group for bloodstream infection was established. According to ADDIE model, a special training course for prevention of venous bloodstream infection was designed and developed by combining literature research and Delphi expert consultation, and theoretical and practical training was conducted for all nurses in the hospital. The level of knowledge, faith and practice of clinical nurses in preventing CLABSI, the standard implementation rate of CLABSI prevention measures and the incidence of CLABSI were compared before and after training. Results: Special training courses covering knowledge, attitude and skills were designed and completed, including 15 specific training courses. After the training, the level of knowledge, belief and practice of clinical nurses and the standard implementation rate of CLABSI prevention measures increased, the incidence of CLABSI decreased, the differences were statistically significant (P<0.05). Conclusion: The special training design of CLABSI based on ADDIE model is practical and scientific, which can help to improve the knowledge, belief and practice level of CLABSI of clinical nurses, improve the standard implementation rate of standardized infection prevention measures of CLABSI, reduce the incidence of CLABSI, and provide reference for the standardization of intravenous transfusion safety management in China.

Objective: To investigate the current situation of cancer-related financial toxicity of breast cancer survivors, and analyze the influencing factors. Methods: Using the convenient sampling method, breast cancer survivors were investigated with the demographic and disease information questionnaire, COST-FACIT, CD-RISC 10, PSSS and MDASI in three community health centers and a cancer survivors group in Xuhui district, Shanghai. Results: The average score of COST-FACIT of 312 breast cancer patients was 22.70±8.39. The multivariate linear regression analysis showed that age, education, chemotherapy, living alone, personal monthly income, household savings, psychological resilience and symptoms were independent influencing factors of financial toxicity, which accounted 28.5% of the total variation. Conclusion: Financial toxicity is generally existent in breast cancer survivors, affecting their quality of life. In addition to demographic factors, breast cancer survivors' psychological resilience and symptoms are related to the cancer-related financial toxicity. The study provides a new perspective for the development of intervention for financial toxicity in the future.

Objective: To translate and verify the validity and reliability of the Empowerment Scale for Family Caregivers of Community-dwelling People with Dementia (EFCD). Methods: Chinese version of EFCD was culturally revised by the forward-back translation, cultural adjustment and pilot survey from May to December 2021. Expert consultation method was adopted to conduct cultural adaptation and evaluate the content validity. A total of 201 caregivers were investigated through the WeChat group of caregivers. The confirmatory factor analysis was used to evaluate the structural validity, and the internal consistency and test-retest reliability of the scale were evaluated. Results: The Chinese version of EFCD included four dimensions and sixteen items. The results of confirmatory factor analysis were as follows: χ2/df was 2.851, RMSEA was 0.096, SRMR was 0.066, CFI was 0.902, TLI was 0.877. The Cronbach's α coefficient of the scale was 0.904, and the Cronbach's α coefficients of the four dimensions were 0.661-0.876. At the interval of two weeks, the test-retest reliability coefficient of the scale was 0.822, and the test-retest reliability coefficients of the four dimensions were 0.618-0.774, respectively, with statistical significance (P<0.05). Conclusion: The Chinese version of EFCD has good reliability and validity, which can be used as an effective tool to evaluate the empowerment level of family caregivers of community-dwelling people with dementia in China.

Objective: To construct a risk prediction model for Exposure Keratopathy in neurosurgery ICU patients and to verify the prediction effect of the model. Methods: A total of 102 patients in neurosurgical ICU of a tertiary grade A hospital in Hubei province from January to April 2021 were selected and were divided into the exposed keratitis group (39 cases) and the non-exposed keratitis group (63 cases). Logistic regression was used to establish a risk prediction model for Exposure Keratopathy in neurosurgery ICU patients. The area under Receiver Operating Characteristic (ROC) curve was used to test the prediction effect of the model, and 41 patients were included to verify the model. Results: The incidence of Exposure Keratopathy was 38.24%, 64.86% and 73.91% in neurosurgery ICU patients within a day, after 3 days and 7 days in ICU respectively. The influencing factors were: eyelid closure, blink per minute, other eye symptoms, consciousness state. For Hosmer-Lemeshow test, P=0.379, the area under ROC curve of the subjects was 0.925, the Youden index was 0.773, the optimal critical value was 0.541, the sensitivity was 0.821, and the specificity was 0.952. The correct rate of actual application was 97.56%. Conclusion: The model is effective in predicting the risk of Exposure Keratopathy in ICU patients in neurosurgery, and can provide reference for clinical medical staff to identify high-risk patients and take preventive measures in time.

Objective: To develop and test the reliability and validity of a Dietary Health Belief Questionnaire for Hemodialysis (HD) Patients. Methods: Based on the Health Belief Model (HBM), and a review of relevant literatures, the item pool of the scale was initially formulated. Following Delphi expert consultation, the dietary health belief questionnaire was initially drafted. In order to understand this scale's psychometric properties and finalize the official version of the questionnaire, a total of 281 HD patients were investigated to perform item analysis and exploratory factor analysis. Then, we included a total of 418 HD patients from 5 hospitals to determine the reliability and validity of the questionnaire following confirmatory factor analysis. Results: A total of 23 items were included in the questionnaire with 5 common factors following exploratory factor analysis. The cumulative variance contribution rate was 77.2%. The content validity of each Item (I-CVI) in the questionnaire was ranged from 0.8 to 1.0. The Cronbach's α coefficient of the total questionnaire was 0.879, with the test-retest reliability being 0.968. Conclusion: The questionnaire has good reliability and validity and could be used to evaluate the dietary health belief of hemodialysis patients.

Objective: To translate the Heart Health Self-Efficacy and Self-Management Scale and to test its psychometric properties. Methods: The original scale was translated according to Brislin's back translation method. The scale was cross-culturally adjusted through expert review. The content validity was assessed by expert consultation. From July to September 2021, a total of 400 patients with coronary heart disease were investigated in two tertiary hospitals in Changsha and Yueyang. Results: The Chinese version of the Heart Health Self-Efficacy and Self-Management Scale had 12 items, and each item needed to be answered from two aspects: self-efficacy and self-management. The item level content validity index ranged from 0.83 to 1.00, and the average content validity index at the scale level was 0.96. The Cronbach's α coefficient of the self-efficacy subscale was 0.773, the retest reliability was 0.761, and the split-half reliability was 0.804. The Cronbach's α coefficient of the self-management subscale was 0.721, the retest reliability was 0.709, and the split-half reliability was 0.786. Conclusion: The Chinese version of the Heart Health Self-Efficacy and Self-Management Scale has good reliability and can be used to evaluate the self-efficacy and self-management level of patients with coronary heart disease. The assessment of self-efficacy and self-management level can provide an effective reference for developing health strategies and targeted nursing measures for patients with coronary heart disease in clinical practices.

Objective: To investigate the status of high-value medical consumables management in ICUs of public hospitals in Zhejiang province to provide reference for the standard management in public hospitals. Methods: Convenient sampling method was used to recruit nurses working in ICUs of 36 public hospitals in Zhejiang from October to November in 2021. Subjects were surveyed with a self-designed questionnaire. Results: The survey results show that the high-value consumables in 50% of hospitals are managed by the head nurse of ICUs. Only 52.8% of hospitals have partly adopted information management, 83.3% of hospitals still use manual inventory system. All of the hospitals surveyed have different degrees of expired and urgent replenishment of high-value consumables. Conclusion: The management of high-value consumables in ICUs surveyed still needs further improvement as well as the information management, which calls for certain measures to make a difference in the future.

Objective: To translate the Family Appraisal of Caregiving Questionnaire for Palliative Care (FACQ-PC) and test the reliability and validity of the Chinese version of the FACQ-PC. Methods: The Chinese version of the FACQ-PC was formed through translation, integration, back translation, group discussion, cross-cultural semantic equivalence assessment, and pre-investigation; the reliability and validity of the Chinese version of FACQ-PC were tested among 237 family caregivers through convenience sampling. Results: The CR of each item of FACQ-PC ranged from 5.150 to 26.043, and the item-total correlation coefficient ranged from 0.410 to 0.741. The item-level content validity was 1. The average scale-level content validity is 1. The confirmatory factor analysis results showed that the fitting indexes of the model were acceptable:χ2/df =1.819, RMSEA=0.064, CFI=0.905, AGFI=0.817, NFI=0.827, IFI=0.907, TLI=0.887. The reliability analysis results showed that the overall Cronbach's α of the scale was 0.903, the Cronbach's α of each dimension was ranged from 0.696 to 0.846, and the test-retest reliability was 0.817. Conclusion: The reliability and validity of the Chinese version of the FACQ-PC scale is good, and it can be used to measure the caring experience of caregivers of advanced cancer patients receiving palliative care.

Objective: To investigate the status and influencing factors of frailty among inpatients with Chronic Kidney Disease (CKD) without renal replacement therapy, so as to provide evidence for early identification of high-risk groups and management of frailty. Methods: Using convenient sampling method, totally 311 inpatients with CKD without renal replacement therapy in a tertiary grade A hospital in Beijing were selected for a cross-sectional survey. The investigation tools include general information questionnaire, Tilburg Frailty Indicator (TFI), age-adjusted Chalson Comorbidity Index (aCCI), Global Leadership Initiative on Malnutrition (GLIM), Self-rating Depression Scale (SDS) and Perceived Social Support Scale (PSSS). Results: Totally 183 people (58.8%) evaluated by the Chinese version of TFI were frail among 311 respondents. The results of multivariate Logistic regression showed that malnutrition, severe co-morbidity and depression were risk factors of frailty among inpatients with CKD without renal replacement therapy (P<0.05), while high level of social support was its protective factor (P<0.05). Conclusion: The prevalence of frailty among inpatients with CKD without renal replacement therapy is high, attention should be paid to those people in their health management. Medical workers should take nutrition intervention, co-morbidity management, psychological intervention and social support system construction as important contents of frailty prevention and chronic disease management into consideration in clinical practice.

Objective: To systematically evaluate the effectiveness of clown care on children and their caregivers. Methods: We searched related databases to collect randomized controlled trials on the effects of clown care on children and their caregivers from the establishment of these databases to October 2021. Two researchers conducted quality evaluation and data extraction. Meta-analysis was performed using RevMan 5.4 software. Results: A total of 14 articles involving 2160 children were included. Meta-analysis results showed that compared with routine care, clown care could reduce children's pain [SMD=-0.70, 95% CI (-1.24, -0.17), P=0.01], anxiety [MD=-13.50, 95% CI (-20.05, -6.95), P<0.0001], hospital stay [MD=-0.86, 95% CI (-1.06, -0.66), P<0.0001], crying time [MD=-1.41, 95% CI (-1.79, -1.03), P<0.00001], caregivers' state of anxiety [MD=-3.60, 95% CI (-5.78, -1.43), P=0.001] and caregivers' trait anxiety [MD=-3.70, 95%CI (-6.68, -0.72), P=0.02]. Conclusion: Clown care can not only reduce children's pain and anxiety, but also shorten their hospital stay and crying time, and relieve the anxiety of their caregivers. Limited by the quality and quantity of included studies, the above conclusion still needed more high-quality studies to verify in the future.

Objective: To systematically review the risk prediction model of Inadvertent Perioperative Hypothermia (IPH). Methods: A literature search was performed in the PubMed, Embase, Cochrane Library, CHINAL, Web of Science, CNKI, Wanfang, VIP and Chinese biomedical database to identify IPH risk prediction model relevant studies from inception of databases to November 1, 2021. Two researchers independently screened the literatures, extracted the data and evaluated the quality of the included studies based on PROBAST tool. Results: Totally 12 literatures were included, including 13 models. BMI, baseline temperature, age, operating room temperature, fluid volume, anesthesia time and operation time were the main predictors of IPH model. The area under the receiver operating characteristic curve (AUC) of 10 models were >0.7 (0.789-0.936) in the modeling population, and the AUC of 3 models in the testing population were >0.7 (0.771-0.914). One model was internally validated and seven models were external validated. All studies had certain bias risks, but the overall applicability was relatively good. Conclusion: The IPH risk prediction model has good predictive performance, but high risk of bias. Existing models should be prudently selected for further validation, or we could carry out large sample and multiple disease prospective clinical studies to construct native IPH optimal risk prediction model, in order to identify and prevent IPH as early as possible.

Objective: To compare the application effects of the fall risk score of hospitalized children and the Chinese version of Humpty Dumpty Fall Scale (HDFS) in pediatrics. Methods: Totally 746 hospitalized children in pediatric department were selected by convenience sampling method. Their fall risk was assessed by the fall risk score of hospitalized children and the Chinese version of HDFS. We analyzed the reliability and validity of the fall risk score of hospitalized children, compared the high-risk fall screening rate, high-risk fall incidence rate and predictive validity of the two scales, and analyzed the odds ratio of each item of the two scales. Results: Totally 19 (2.55%) falls occurred. For the fall risk score of hospitalized children, the high-risk screening rate was 42.90%, the high-risk falling rate was 5.9%, sensitivity was 1.000 and specificity was 0.586. For the Chinese version of HDFS, the high-risk screening rate was 63.54%, the high-risk falling rate was 3.6%, the sensitivity rate was 0.895 and specificity was 0.371. There was a significant difference in high-risk screening rates between the two scales (P<0.001). Conclusion: The fall risk score of hospitalized children has good reliability and validity. Compared with the Chinese version of HDFS, it has better prediction efficiency, a more reasonable item setting, and is more suitable for the fall risk assessment of hospitalized children in pediatrics.

Objective: To develop a risk assessment scale for unplanned extubation of adult tracheal intubation patients, providing a reliable and quantitative assessment tool for preventing unplanned extubation of tracheal intubation and improve the quality of nursing safety management. Methods: Guided by the evidence-based theory of Hopkins, we conducted evidence synthesis and panel discussion, and initially constructed the item pool of the scale. The content system of the scale was determined through 3 rounds of expert consultation. The weight of the items were determined through the analytic hierarchy process, forming a test version. The test version of the scale was used to assess the risk of unplanned extubation of adult patients with tracheal intubation, and the reliability and validity of the scale were analyzed. Results: The risk assessment scale for unplanned extubation of adult tracheal intubation included 9 items and 28 classification items. The active coefficients of the three rounds of expert consultation were 88.24%, 100.00%, and 100.00%. The expert authority coefficient was 0.91. The expert coordination coefficient was 0.329-0.759. The reliability and validity of the scale met the standard, indicating that the reliability and validity were good. Conclusion: Based on the results of evidence-based analysis, the Delphi expert consultation and analytic hierarchy process were used to construct the risk assessment scale for unplanned extubation of adult tracheal intubation, in order to effectively improve clinical care quality for patients with tracheal intubation.

Objective: To test the reliability and validity of the Chinese version of the Reflective Practice Questionnaire (RPQ), so as to provide an assessment tool for the Reflective Practice study of nurses in our country. Methods: The improved Brislin translation model was used to localize the scale, and cross-cultural adjustment was carried out through expert consultation and pre-survey. A questionnaire survey was conducted among 720 nurse specialists from 8 tertiary grade A hospitals in Tianjin, and the reliability and validity of the questionnaire were tested by 7 experts. Results: The Chinese RPQ scale consists of 5 factors and 33 items. The results of validity analysis showed that 5 common factors were extracted by exploratory factor analysis, and the cumulative variance contribution was 63.856%. The results of content validity showed that I-CVI was 0.86-1.00, S-CVI was 0.99, the overall Cronbach's α coefficient was 0.950, the Cronbach's α coefficient of each dimension was 0.750-0.949, the split-half reliability was 0.927, the split-half reliability of each dimension was 0.607-0.921, and the retest reliability was 0.957. Conclusion: The Chinese version of RPQ has good reliability and validity, and can be used as an effective tool to measure the reflective practice of nurses in our country.

Objective: To understand nurses' support needs of a practice environment related to psychological resilience to provide a reference for development of effective intervention plans. Methods: The study used a descriptive qualitative research approach guided by the HSWERM model. Purposive sampling was used to recruit 21 nurses from a tertiary grade A hospital in Beijing and face-to-face semi-structured interviews were conducted among these nurses. Results: Through analysis, a total of 3 themes and 10 subthemes were identified. A total of 3 themes included the magnetic needs of career support and development, rationalized needs for practical support and development, and human cultural needs for personal support and development. Conclusion: Nursing managers should make relevant policies and measures to improve nurses' practice environment according to their real needs regarding the occupational, practical and personal levels of the practice environment related to psychological resilience. Hopefully, the psychological resilience level of nurses will be ultimately improved.

Objective: To investigate the status quo of ICU nurses' clinical leadership in tertiary grade A general hospitals in Shandong province and analyze the influencing factors. Methods: From April to July 2021, 335 ICU nurses from 18 tertiary grade A general hospitals in Shandong province were selected as the research objects by using the convenient sampling method. A cross-sectional survey was conducted by general data questionnaire, Clinical Leadership Survey and Emotional Intelligence Scale. Results: The average score of ICU nurses' clinical leadership was 4.22±0.52, and the scores of each dimension from high to low were Modeling the Way, Enabling Others to Act, Challenging the Process, Encouraging the Heart and Inspiring a Shared Vision. Multiple linear regression analysis showed that emotional intelligence, concurrent position, professional title and ICU working years were the influencing factors of ICU nurses' clinical leadership (P<0.05). Conclusion: ICU nurses' clinical leadership in 18 tertiary grade A general hospitals of Shandong province is above the medium level. The development of ICU nurses' clinical leadership is affected by many aspects, among which emotional intelligence has the greatest impact on ICU nurses' clinical leadership. Nursing managers can improve ICU nurses' clinical leadership level by improving their emotional intelligence.

Objective: To establish a paperless filing system of nursing records based on digital signature, optimize the process of medical records management, ensure the security and effectiveness of medical documents, and improve the working efficiency of nurses. Methods: Paperless filing system of nursing records based on digital signature was applied in our hospital, the consumption of office consumables, the time-consuming and paperless rate of nursing document processing and the satisfaction of nurses with the information system before and after the application of the system were compared. Results: Through the application of the system, the paperless rate of nursing document reached 100.00%, the consumption of paper used for printing nursing records was reduced by 77.78%, the consumption of ink cartridges was reduced by 75.00%, the time for sorting and printing nursing records was reduced by 78.85%, and the satisfaction of nurses with the information system was also improved (P<0.05). Conclusion: The application of the paperless filing system of nursing records based on digital signature has optimized the nursing work process, improved the work efficiency and management level, and improved the satisfaction of nurses with the information system.

Objective: To build a whole-process integrated management information platform for outpatients with diabetic, in order to effectively solve the continuous medical needs of outpatients with diabetic from the hospital to the family. Methods: According to the treatment path of outpatients with diabetic, with electronic medical records as the center, an information platform for outpatients with diabetic was developed independently. The effects of the information were observed. Results: Three months after enrollment, the fasting blood sugar, 2-hour postprandial blood sugar, and glycated hemoglobin compliance rate of patients increased from 28.1%, 41.4%, and 18.8% to 59.3%, 58.7%, and 46.6% respectively. The awareness rate of health knowledge reached 90.9%. The compliance of insulin use and oral medication adherence increased from 85.4% and 95.9% to 93.6% and 98.6% respectively. The incidence of hypoglycemia decreased from 1.7% to 0.8%. Conclusion: Based on the information platform, the whole-process integrated management of outpatients with diabetic can significantly improve the rate of compliance of blood glucose and glycosylated hemoglobin in outpatients with diabetes, and improve the awareness rate of patients' health knowledge and compliance behavior, and reduce the incidence of hypoglycemia.

Objective: To investigate the current status and influencing factors of hospital discharge readiness among pregnant women with Hypertensive Disorders of Pregnancy (HDP). Methods: From January to May 2021, a convenience sampling method was used to select 268 pregnant women with HDP from a tertiary grade A maternity hospital in Nanjing. The general information questionnaire, Readiness for Hospital Discharge Study-New Mother Form, Quality of Discharge Teaching Scale New Mother Form, Family APGAR Index and Perceived Social Support Scale were performed to collected data. Results: The score of the discharge readiness in pregnant women with HDP was (112.16±24.58) points. The type of gestational hypertension, maternal and infant status at discharge, quality of discharge guidance, family care index, and perception of social support were the most important factors in gestational hypertension. The influencing factors of maternal discharge readiness accounted for 61.2% of the total variance. Conclusion: The discharge readiness of pregnant women with HDP is at a moderate level. Medical staff should focus on pre-eclampsia and pregnant women with HDP who are separated from their infants at discharge, and provide them with effective discharge guidance and multiple support systems to improve their readiness for discharge. Conclusion: The discharge readiness of pregnant women with hypertensive disorders is at a moderate level. Medical staff should focus on preeclampsia and women with hypertensive disorders of pregnancy who are separated from their mothers and infants at discharge, and provide them with effective discharge guidance and multiple support systems. to improve their readiness for discharge.

This article reviewed the occurrence, influencing factors, and non-pharmacological intervention of lower limb swelling after Total Knee Arthroplasty. It is expected to provide a reference for further exploring effective intervention strategies to improve postoperative rehabilitation experience and treatment outcomes of patients with Total Knee Arthroplasty.

This paper reviews the application types, application effects, existing challenges and future prospects of Virtual Reality technology in postoperative rehabilitation of Total Knee Arthroplasty patients, in order to provide theoretical basis and reference for the development of Virtual Reality technology for postoperative rehabilitation of Total Knee Arthroplasty in China.

Objective: To explore the effects of narrative nursing on anxiety, depression and well-being in patients with hematopoietic stem cell transplantation during transplantation period. Methods: Totally 58 patients with allogeneic hematopoietic stem cell transplantation were randomly divided into intervention group (n=29) and control group (n=29). The control group was given routine nursing, and the intervention group was given narrative nursing on this basis. The scores of Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS) and general well-being were compared between the two groups. Results: The scores of SAS and SDS of the intervention group were significantly lower than those of the control group (P<0.05). The overall well-being score of the intervention group was significantly higher than that of the control group (P<0.05). Conclusion: Narrative nursing for patients with allogeneic hematopoietic stem cell transplantation can effectively relieve their negative emotions such as anxiety and depression during transplantation and improve the overall well-being of patients.

This paper reviews the application progress of the Question Prompt List in decision-making communication of cancer patients, including the form, construction method and application effect of the question prompt list, and gives suggestions on the Question Prompt List in the decision-making communication of domestic cancer patients, so that tumor patients can actively participate in it. In the process of medical consultation and decision-making, promote the harmonious development of the doctor-patient relationship.

Objective: To investigate the status quo of follow-up management of Peritoneal Dialysis patients in Jiangsu province. Methods: A convenient sampling method was used to survey 40 hospitals in 13 cities in Jiangsu province in August 2021, using a self-made questionnaire to investigate the size of dialysis centers, follow-up methods, follow-up personnel, follow-up frequency, and follow-up content. Results: A total of 6479 Peritoneal Dialysis patients were followed-up in 40 hospitals. The follow-up methods were diverse. The hospital follow-up frequency met the requirements of the Standard Operating Procedures for Peritoneal Dialysis. The nursing staff responsible for follow-up included 48 full-time Peritoneal Dialysis nurses and 108 part-time Peritoneal Dialysis nurses. The content of follow-up of each hospital was different, but dialysis related indicators and early warning of complications were the focuses. The concern of quality of life and social support was lower. Conclusion: The Peritoneal Dialysis centers of most hospitals in Jiangsu province were under-staffed, and some hospitals had a slight lack of follow-up content. It is recommended to gradually improve the staffing situation, summarize the problems of Peritoneal Dialysis patients in the home dialysis process and the corresponding key follow-up content, and form a fixed module for the follower to obtain core and necessary follow-up indicators in time to provide a basis.

This paper reviews the qualifications, ability requirements and role functions of family health nurses abroad as well as the training courses for undergraduates and graduates and those in the transition period. Based on the current situation of professional family health nursing in China, it puts forward relevant suggestions, aiming to provide reference for the cultivation and development of such nursing talents in China.

This paper focuses on the application of the transtheoretical model in promoting exercise adherence of chronic patients, and summarizes it from the aspects of exercise types, characteristics of application population, duration of intervention and follow-up, application of the core structure of the transtheoretical model in program formulation, outcome indicators and evaluation tools, effect evaluation, etc., in order to provide reference and guidance for improving exercise adherence of chronic patients.