Objective: To explore the practical effect of doctor-nurse collaborative prescribing mode in patients undergoing colonoscopy in the digestive endoscopy center. Methods: The doctor-nurse collaborative prescribing mode was carried out in the digestive endoscopy center of a tertiary hospital in Chengdu in October, 2022. The nurses were authorized to perform intestinal assessments on patients undergoing colonoscopy in advance and prescribe intestinal cleansing drugs. The number of collaborative prescriptions, the occurrence of adverse events, the intestinal preparation adequacy rate and satisfaction of patients, and the satisfaction of doctors and nurses were used to evaluate the practical effect. Results: A total of 108 patients were prescribed intestinal cleansing drugs by nurses, and no adverse events occurred. The intestinal preparation adequacy rate of patients was 90.7%, the satisfaction score of patients was 19.46±1.02, the satisfaction score of doctors was 4.90±0.41, and 4.76±0.57 of nurses. Conclusion: The doctor-nurse collaborative prescribing mode is beneficial to improve the quality of intestinal preparation of patients, leads to great medical experience of patients, high satisfaction and good feedback of medical staff, and promotes the further development of nurses' right to prescribe in China.

Objective: To explore the working experiences in promoting clinical practice of nurses in the specialized nursing studios, in order to provide reference for promoting the high-quality development and management strategies of advanced nursing practice and the specialized nursing studios. Methods: Based on the phenomenological research method, a semi-structured interviews were conducted in February 2023 with 10 leaders who were responsible for the management and consultation of specialized nursing studios in the sampled municipal hospitals in Beijing with objective sampling, and Colaizzi's 7-step analysis method was used for data analysis. Results: Three themes, including benefits and recognition, difficulties and challenges, needs and expectations, and 10 sub-topics were extracted. Conclusion: Nurses benefit from the advanced nursing practice, the needs of patients are met, and the development of specialized departments and hospitals has been promoted. However, there are still many difficulties and challenges. In the future, it is necessary to continue to increase the support, improve the management system and strategies of the studio, so as to promote its long-term development.

Objective: To construct an advanced practice nursing model for liver transplantation nursing care and summarize the practical experience and challenges. Methods: Based on the analysis of nursing practice needs and nursing models in liver transplantation in a tertiary grade A hospital in Hangzhou, Advanced Practice Nurses (APN) position for liver transplantation nursing care were set up, the APN work model, responsibilities and staff division were clarified, and the implementation effects were observed and evaluated. Results: Six nurses with the right qualifications and abilities were selected to form the liver transplant APN team. They participated in multi-disciplinary treatment discussions in 596 cases, directly participated in the care of 249 liver transplant patients in difficult and critically disease, and 162 nursing consultations. They participated in the follow-up of liver transplant patients, with a 0 failure rate and a 100.00% completeness rate of follow-up files, and presided over 9 quality improvement projects. the nursingquality of liver transplantation has improved greatly. Conclusion: This advanced nursing practice model for liver transplantation nursing care is benefit to further develop high quality clinical care, improve the nursing standards, and promote the sustainable development of the discipline.

Objective: To construct the framework of core competence for Advanced Practice Nurse (APN) in China, and to provide a reference for APN training and evaluation. Methods: The element pool of core competence for APN was formed by job analysis and literature review. Delphi method was used for evaluation, screening and integration of the core competence elements. Results: After two rounds of Delphi consultations, the APN core competence framework was formed, including 6 dimensions (care, consultation, coordination, leadership, teaching and research) and 15 secondary indexes. The authority coefficient for both rounds of expert consultation was 0.89. The importance score of the dimensions ranged from 4.58 to 4.95, with a coefficient of variation score of 0.04 to 0.13. The importance score of the secondary indexes ranged from 4.52 to 5.00, with a coefficient of variation score of 0 to 0.23. Conclusion: The constructed framework of core competence for APN is scientific, reliable and practical, and it is expected to provide reference for the related research and practice of APN in China.

Objective: To explore the training mode for master of professional degree of Nurse Practitioner (NP) in China. Methods: Based on the education philosophy of "trinity, medical cooperation and innovative interdisciplinary training", the training mode for master of professional degree of NP in noncommunicable diseases management was developed by the action research method. Results: The training mode included the localized curriculum, the clinical practice program and the quality management system, and positive effects have been achieved. Conclusion: This training mode is with clear training objectives and education philosophy, distinct curriculum and clinical practice program, and sound quality management system, which can provide a new idea for the innovation in training advanced nurse practitioners.

Objective: To analyze the requirements for the advanced practice nurse (APN) in surgical wards, and to provide insights into their specific roles and responsibilities. Methods: The phenomenological research approach was used from January to April 2021 to conduct semi-structured interviews with 19 participants, including doctors, nursing managers, and clinical nurses from the related subspecialties. Colaizzi's 7-step method was used to analyze the collected data. Results: Four themes were developed to describe the need for APN in surgical wards, including to improve patients quality and safety, to promote multidisciplinary collaboration, to pacilitate the development of nursing profession, and to optimize the mangement systems. Conclusion: There is a strong demand for APN in surgical wards. It is necessary to further clarify the responsibilities and rights, and to promote the development of APN in China.

Objective: To investigate the incidence of preoperative frailty in elderly breast cancer patients and analyze its influencing factors. Methods: Convenient sampling method was used to select 201 elderly breast cancer patients who underwent elective surgery from July to October 2022 in a tertiary grade A hospital in Beijing. The General Information Questionnaire, FRAIL Scale, Nutritional Risk Screening 2002, Barthel Index, Hospital Anxiety and Depression Scale, and Social Support Rate Scale were used to collect data. Multiple ordered logistics regression was used to analyze the influencing factors of preoperative frailty. Results: The incidence of preoperative frailty in elderly breast cancer patients was 15.4%. Malnutrition and non-independence in activities of daily living were risk factors for frailty in elderly preoperative breast cancer patients (P<0.05), while high-level social support and 1 to 4 times of exercise per week were protective factors (P<0.05). Conclusion: Clinical nurses need to pay attention to preoperative frailty assessment in elderly breast cancer patients with malnutrition and physical dysfunction, and take targeted nursing measures to improve perioperative safety.

Objective: We classified medication adherence characteristics of aortic dissection patients after surgery and explored related factors. To formulate targeted management programs, the physiological indexes were followed in different categories of population. Methods: This was a cross-sectional study. A total of 306 patients with aortic dissection who were admitted to the follow-up clinic of Cardiac Surgery in a hospital in Zhejiang province from July 2021 to September 2022 were selected as the research objects. Latent profile analysis was used to characterize their medication adherence. To assess the differences between subgroup characteristics and related factors, single factor analysis and binary Logistic regression were performed. Results: Patients could be divided into two potential categories of low medication compliance (59.1%) and good medication compliance (40.9%). Binary Logistic regression showed that annual income ≥50,000 yuan (OR=2.185) and self-efficacy (OR=1.173) were protective factors for patients' medication adherence. Blood pressure was better controlled in people who adhered to their medications. Conclusions: There are two potential categories of medication adherence in patients after aortic dissection. The medical staff should take targeted interventions according to individual patient's characteristics and problems.

Objective: To investigate the Longitudinal changes about symptom clusters and quality of life in perioperative patients with gastric cancer at three-time points, and to explore the correlations between them. Methods: From October 2021 to June 2022, a total of 198 patients who planned to undergo surgical treatment were selected in the gastrointestinal surgery ward of a tertiary grade A hospital in Jinan, Shandong province. On the 1st day after admission (T1), 2-4 days after surgery (T2) and 1 month after surgery (T3), the general information questionnaire, the M.D. Anderson Symptom Inventory-Gastrointestinal Cancer Module, the Functional Assessment of Cancer Therapy-General were used to collect the relevant data. Results: There were 4 symptom clusters in perioperative gastric cancer patients, namely, the digestive tract symptom cluster, the energy deficiency symptom cluster, the psychological symptom cluster, and the surgery-related symptom cluster. There were significant differences in the severity scores of symptom clusters (except surgery-related symptom cluster) and in the total scores of quality of life at three-time points in the perioperative period (all P<0.05). The severity score of each symptom cluster (except surgery-related symptom cluster) was negatively correlated with the total score of quality of life. Conclusion: There are many symptom clusters in perioperative gastric cancer patients, and each symptom cluster remains relatively stable and changes dynamically, which can affect the quality of life of the patients. This study suggests that the management of symptom clusters is expected to improve the quality of life of patients with perioperative gastric cancer.

Objective: To understand the perception and needs of medical social work services for patients with chronic diseases in health care workers of a tertiary grade A hospital. Methods: From September to October 2021, 12 health care workers with the expertise of chronic diseases in a tertiary grade A hospital in Guangzhou were recruited using a purposive sampling. The "one-to-one" semi-structured in-depth interviews were conducted and the data were analyzed using the Colaizzi 7-step analysis method. Results: A total of 4 themes were extracted from the interview data: healthcare professionals' agreement on the importance of clinical intervention of medical social work services for patients with chronic illnesses; inadequate knowledge of medical social work; expectations and needs of the role of medical social workers for patients with chronic illnesses; barriers in the practice of clinical collaboration. Conclusion: The knowledge of medical social work services for patients with chronic diseases is insufficient in health care professionals, however, all health professionals support such services for patients with chronic diseases. It is suggested to improve the primary infrastructures of the medical social work services, promote recognition of the services, and increase the knowledge level of health care professionals. Both health care professionals and social workers should work together to overcome barriers and promote the clinical practice of medical social work services under the limited resources.

Objective: To investigate the care needs and influencing factors of older adults in Tianjin. Methods: The stratified random sampling method was used in this study. Participants were surveyed by the Barthel index and the self-made questionnaires regarding their care needs. A total of 5280 valid questionnaires were received. The Logistic regression model was used to analyze the factors influencing the care needs of older population. Results: The older population in Tianjin had the highest care needs in health monitoring (68.82%), physical and psychological support (52.19%). Those with diseases, exposed to health risk factors, or with poor medication behaviors had higher care needs. The more the number of hospitalizations in a year and the worse the self-care ability of older adults, the higher the needs for nursing care. Conclusion: The care needs is various among older adults with different physical, psychological and sociological factors. Targeted measures to meet the care needs of older adults especially those with disabilities and innovated health care models are essential strategies to improve the health service system for older population.

Objective: To explore the status of sedentary behavior in community-dwelling elderly diabetic patients, analyze the influencing factors, and provide a reference for health promotion. Methods: From Febrary to May 2022, we conducted a survey with 252 elderly patients with diabetes in the community using four questionnaires, including the general data questionnaire, diabetes self-efficacy scale, social support rating scale and modified fall efficacy Scale. Results: The sedentary time of community-dwelling elderly diabetic patients was (6.95±1.59) h/d. The proportion of the sedentary population was 69.8%. Binary Logistic regression analysis showed that age, number of complications, 2 h postprandial blood glucose and fear of falling were independent risk factors for sedentary behavior in this population (P<0.05). Conclusion: The occurrence of sedentary behavior in community-dwelling elderly diabetic patients is affected by many factors. Medical staff should focus on patients aged ≥80 years with complications, poor blood glucose control and fear of falling, and develop relevant interventions to reduce the incidence of sedentary behavior.

Objective: To translate the Intensive Care Oral Care Frequency Assessment Scale (ICOCFAS) into Chinese, and to test its reliability and validity. Methods: After obtaining the authorization of the original author, the original scale was directly translated, back translated, cross cultural debugged and pre tested according to the Brislin classic translation model, and the Chinese version of ICOCFAS scale was formed. A total of 340 patients in ICU in a hospital in Nanchang were investigated by convenient sampling method from July to September 2022, and evaluate the reliability and validity of the scale. Results: There was one dimension with 9 items of the Chinese version of ICOCFAS scale, and the cumulative variance contribution rate was 60.958%. The content validity of the item level was from 0.889 to 1.000, and the average scale level validity was 0.933. The result of confirmatory factor analysis showed that the model fitted well: χ2/df=2.887, RMSEA=0.074, RMR=0.016, GFI=0.932, CFI=0.955, NFI=0.933, TLI=0.940. The Cronbach's α coefficient of the scale is 0.920 and the test-retest reliability is 0.879. Conclusion: The Chinese version of ICOCFAS scale is with good reliability and validity, and it can be used in evaluating the frequency of oral care in ICU patients.

Objective: To evaluate and analyze guidelines, expert consensus and systematic reviews of early eye care in newborns after delivery, so as to provide guidance for medical and nursing staff to make better decisions on newborn outcomes. Methods: We searched literature systematically from guideline development websites, newborns and delivery related professional societies and databases. The AGREE II, JBI quality assessment tool and AMSTAR 2 Tool were used for quality evaluation for guidelines, expert consensus and systematic reviews, respectively. We then evaluated the levels of evidence and strengths of recommendations for the evidence summary. Results: A total of 9 neonatal eye care related guidelines, 1 expert consensus and 1 systematic review were included. We synthesized the findings from four dimensions, including eye drying, eye care, eye examination, and screening of pregnant women and their partners for Sexually Transmitted Diseases (STD). Conclusion: It is recommended to dry the eyes immediately after delivery and do a follow-up eye examination for neonates. Erythromycin eye ointment should be applied to the eyes of newborns with potential exposure to STD to prevent the occurrence of ophthalmitis. Meanwhile, screening and treatment of STD among pregnant women and their partners should be strengthened in the future.

Objective: To summarize the available evidence of nutrition management for patients with Chronic Heart Failure and provide a reference for better formulation of nutrition management schemes for patients with Chronic Heart Failure. Methods: The literature on nutritional management of patients with Chronic Heart Failure was retrieved. The quality of the included literature was evaluated and those that met the quality standards were extracted and summarized. Results: We included 16 articles, including 6 guidelines, 6 expert consensuses, and 4 systematic reviews. Totally 19 pieces of evidence on 6 topics including the establishment of interdisciplinary teams, nutrition-related assessment and screening, diet and nutrient management, nutritional support methods, exercise management, follow-up and health education. Conclusion: The evidence of nutrition management in patients with Chronic Heart Failure summarized in this paper can be applied to clinical practice and provide reference for improving the nutritional status and quality of life of patients with Chronic Heart Failure.

Objective: To systematically evaluate the experience of reproductive decision-making in women of childbearing age with breast cancer, and provide references for the management of reproductive decision-making in this population. Methods: The databases in Chinese and English were systematically searched from the inception to June 2022 to collect the qualitative research about reproductive decision-making in women of childbearing age with breast cancer. The literature quality was evaluated by the JBI appraisal standards for qualitative research. Findings of included research were synthesized using the pooled integration approach. Results: A total of 11 studies were included and 36 findings were extracted, which were summarized into 9 categories and integrated into 4 results, including the need for fertility in women of childbearing age with breast cancer patients; fertility anxiety related with health uncertainty; multiple dilemmas in reproductive decision-making; auxiliary supports for fertility decision-making. Conclusion: Medical staff should pay attention to the decision-making experience in women of childbearing age with breast cancer in the process of diagnosis and treatment, provide supports to get rid of decision-making difficulties and worries, provide adequate information support, and encourage them to make personalized reproductive decisions.

Objective: To search, evaluate and summarize the relevant evidence of self-management of adult patients with Peristomal Moisture-Associated Skin Damage (PMASD). Methods: Following the top-down principle of the "6S" pyramid model of evidence-based medicine, we systematically and comprehensively searched the relevant databases of self-management evidence of PMASD patients at home and abroad, including guidelines, expert consensus, evidence summary, and systematic evaluation. The retrieval time limit was from the database establishment to July 9, 2022. A total of 2 researchers independently conducted quality evaluation and data extraction, and combined with professional opinions to summarize evidence. Results: A total of 15 documents were included, including 5 guidelines, 3 experts consensuses, 5 evidence summaries, and 2 systematic reviews. A total of 26 pieces of evidence were summarized from the aspects of learning related knowledge, stoma self-management, diet self-management, self-monitoring, and psychological adjustment. Conclusion: The relevant evidence of self-management of adult patients with PMASD summarized in this study is practicable and scientific. The evidence summary can provide references for clinical professionals to carry out health education, guidance and evaluation on patient self-management, and make it more scientific and targeted to regulate the self-management behaviors of adult patients with PMASD.

This paper reviews the implementation forms, application scenarios and influencing factors of digital health intervention in hospice care, aiming to provide reference for the application of digital health intervention in hospice care in China.

The article summarizes the functions and connotations of different theoretical models in the development, adoption, implementation and evaluation of e-health intervention researches, discusses the advantages and limitations of the framework and application of each theory, analyzes the research prospects in the field of nursing, and puts forward suggestions, in order to provide new ideas for the future e-health intervention research in China.

Objective: To explore the application effects of cardiopulmonary resuscitation registration database based on Utstein model in emergency department. Methods: A research and development team was established to build a CPR registration database based on the guidelines and the actual clinical situation of our hospital. We described the framework design, functional modules, data entry and quality control measures of the database in detail. We compared the quality of data filling and the recovery of spontaneous circulation of patients with cardiac arrest before and after the application of the database, and counted the satisfaction of medical staffs after the application of the database. Results: After the application of the database, the rate of missing data reporting decreased from 41.77% to 27.42%. The five core data including the cause of cardiac arrest, the first monitored heart rhythm, the first defibrillation time, the recovery of self-help circulation and the termination time of cardiopulmonary resuscitation were significantly lower than those before the database was launched (P<0.05). The overall satisfaction of medical staff to the database reached more than 80%. Conclusion: The cardiopulmonary resuscitation registration database based on Utstein model can reduce the under-reporting rate of cardiopulmonary resuscitation and the missing rate of core data records in patients with cardiac arrest, and improve the quality of data filling. It provide references for the construction of a unified national cardiac arrest registration database.

Objective: To explore the virtual reality rehabilitation experience of patients with motor dysfunction after ischemic stroke. Methods: The objective sampling method was applied. Totally 12 patients with motor dysfunction after ischemic stroke who participated in virtual reality rehabilitation training were interviewed face-to-face in a semi-structured manner. Colaizzi phenomenological analysis was performed to analyze the interview data. Results: Totally three themes were summarized: perceived benefits of virtual reality rehabilitation, perceived obstacles of virtual reality rehabilitation, and needs of virtual reality rehabilitation for stroke patients. Conclusion: In the patients with motor dysfunction after ischemic stroke, virtual reality rehabilitation has significant benefits. In the future, nursing managers should pay more attention to strengthening the guidance for rehabilitation projects, reducing the sense of fatigue and fear of patients, and improving the mode of virtual reality rehabilitation.

Objective: To investigate the status quo of innovation ability among clinical nurses in Fujian Province, and to establish the structural equation model of innovation ability among clinical nurses. Methods: Totally 1400 clinical nurses from 27 secondary or tertiary hospitals in 9 cities of Fujian Province were selected by proportional stratified sampling method. The general information questionnaire, Clinical Nurse Innovation Ability Scale, Nurses' Psychological Capital Scale and Nurses' Organizational Innovation Climate Scale were used to conduct the questionnaire survey. The influencing factors and action paths of innovation ability were analyzed by structural equation model. Results: The total score of clinical nurses' innovation ability was 151.00±22.73, which was at a good level. The total score of psychological capital was 78.30±11.76. The total score of organizational innovation climate was 88.05±13.23. There were statistically significant differences in the innovation ability of clinical nurses with different working years, educational background, professional titles, departments and hospital levels respectively (P<0.05). Nurses' psychological capital, organizational innovation climate and innovation ability were positively correlated (P<0.001). Psychological capital had a direct positive effect on clinical nurses' innovation ability, and the effect value was 0.712. Organizational innovation climate could directly or indirectly affect innovation ability among clinical nurses through psychological capital, and the total effect value was 0.603. Conclusion: The innovation ability of clinical nurses is at a good level. Managers can improve the level of innovation ability of clinical nurses by creating a good organizational innovation atmosphere and carrying out positive psychological intervention.

Objective: To analyze the current situation and equity of nursing human resources allocation in Hunan province from 2011 to 2020, and predict the development trend of nursing human resources. Methods: Descriptive statistics, Lorentz curve and Gini coefficient were used to analyze the status and equity of nursing human resources allocation, and GM (1,1) was used to predict the development trend of nursing humans resources. Results: From 2011 to 2020, the overall nursing human resources in Hunan province showed an increasing trend. Compared to 2011, the number of registered nurses in 2020 Hunan province increased by 135,119 nursing staff (average annual growth rate of 9.83%), the number of registered nurses per thousand population increased by 2.14, and the number of registered nurses per square kilometer increased by 0.64. The Gini coefficients of population and regional area were 0.07 and 0.30 respectively. Grey system GM (1,1) model was well-fitted, and the predicted results showed that the total number of nursing staff and the number of registered nurses per thousand population would continue to increase in Hunan province from 2021 to 2025. Conclusion: The nursing human resources in Hunan province increase steadily, but the overall allocation is insufficient, and the equity of population distribution of nursing human resources is better than the equity of regional area distribution. The government should optimize the equity of regional allocation of nursing human resources, and promote the structure of nursing human resources more reasonable, scientific and modern.

Objective: To investigate the current status of nursing quality management and the needs of clinical nurses in 22 medical institutions in Dongcheng district, Beijing. Methods: This cross-sectional study surveyed 22 nursing managers and 3221 clinical nurses from 22 medical institutions in Dongcheng district using a self-designed questionnaire. Results: Half of medical institutions investigated had adopted the 3-level nursing quality management organization system. 90.9% had set up their own nursing quality committees or teams, but only 59.1% had multi-department participation. More than 90% had established evaluation criteria for basic nursing and nursing management quality with only 63.6% having the evaluation criteria referring to specialist nursing quality. 72.7% had developed incentive systems for active reporting of adverse events, yet only 63.6% would analyze early warning cases. 81.8% of the institutions linked the results of supervision to nurses' performance. As to nurses' needs, more training in specific nursing skills (60.3%) and emergency technique (62.1%) were anticipated. 43.0% of the nurses welcomed such training once a quarter, and 89.9% of them prefered online teaching. Conclusion: Nursing managers need to further improve the evaluation criteria of specialist nursing practice quality and adverse event management. In order to promote the continuous improvement of nursing quality, more heed should be paid to the needs of clinical nurses to develop targeted training plans and supervision methods.

Objective: To develop an evidence-based Clinical Decision Support protocol about pediatric Parenteral Nutrition administration. Methods: Based on GRADE Evidence to Decision Framework, we sorted out the key issues through on-site observation, including intravenous catheter selection, medication administration assessment, searched the evidence, proposed the primary protocol, and finally made the final clinical decision and the proper pathway of each piece of included evidence, through multi-disciplinary expert discussion. Results: A knowledge base that contained 25 pieces of evidence was developed, and a 5-functional Clinical Decision Support protocol, which included automatic association, intelligent trigger, information push, template generation, reminder/warning. Conclusion: Based on GRADE Evidence to Decision Framework, the Clinical Decision Support protocol developed in this study is scientific, feasible and with practical guiding significance.

We reviewed the literature on risk factors and predictive models of secondary heart-related diseases in children with cancer to provide a theoretical basis for developing risk prediction models and improve the quality of survival among children with cancer in China.

Objective: To explore the effect of different blood collection locations on lymphedema in patients after radical mastectomy. Methods: A total of 219 patients breast cancer who received blood collection at the day reception window of the blood collection center in a tertiary grade A hospital in Chengdu were included. A randomized controlled trial design was used, and the subjects were divided into experimental group of blood collection from the operative limb with 99 participants and the control group of blood collection from the healthy limb with 120 participants. The color Doppler ultrasound was used to measure the internal diameter of the upper limb veins, elbow skin thickness and armpit skin thickness of the operative and healthy limbs 2 hours before blood collection and 1 day after blood collection. The generalized estimating equation model was used to analyze the differences between the two groups of color Doppler ultrasound measurements. Results: There was no statistical difference in other characteristics between the two groups except for vascular conditions (P<0.05). The results of generalized estimating equation showed that there was no significant difference in vein diameter, elbow skin thickness and axillary skin thickness between the two groups (P>0.05). Conclusion: For the patients after radical mastectomy, venous blood collection from the operative limb will not aggravate the upper limb lymphatic swelling, which can be used in clinical practice.

Through systematic retrieval of relevant studies on enteral nutrition via semi-solidified feeding in critically ill patients at home and abroad, the concept, feeding methods and clinical effects of semi-solidified enteral nutrition were reviewed, in order to provide reference for the clinical practice of offering of enteral nutrition to critically ill patients by means of semi-solidified feeding.

Objective: To examine the effects of an anti-obstructive breathing training progam on respiratory function and diaphragm mobility in patients with cervical spinal cord injury. Methods: A total of 80 patients with cervical spinal cord injury admitted to a tertiary grade A hospital in Hainan province from 2019 to 2021 were recruited. Patients were assigned into the experimental group (n=40) or the control group (n=40) randomly. Patients in the control group received routine rehabilitation training, while patients in the observation group received the resistance breathing training program. The respiratory function index, diaphragm mobility, Borg score, and quality of life were compared between the two groups. Besides, the clinical efficacy and complications of the two groups were also observed. Results: The total clinical effective rate of the experimental group (95.00%) was significantly higher than that of the control group (75.00%) (P<0.05). In the experimental group, the MVV, FVC, FEV1 and diaphragm mobility were significantly higher than those in the control group. Moreover, the Borg score, dyspnea, disease impact and mobility score were significantly lower than those in control group (all P<0.05). Conclusion: The anti-obstructive breathing training program can effectively improve the respiratory function and diaphragmatic mobility of patients with cervical spinal cord injury, maintain patients' respiratory patency, and improve patients' quality of life. The program is safe and worthy of clinical promotion.

This paper summarizes the contents, application, advantages and limitations of maternal postpartum depression literacy assessment tools aiming to promote the research on postpartum depression literacy in our country, and to provide references for the appropriate assessment of maternal postpartum depression literacy level.

As one of the popular programming languages in recent years, Python has an open-source, free, and rich third-party library, which nursing scholars can choose and use according to different needs. This paper aims to introduce the characteristics of Python language and its application status in nursing research field, such as web spider, data preprocessing, machine learning, statistical analysis, and network programming, and put forward the future application prospect. It is expected to provide a reference for the use and development of Python language in nursing research field.