Objective: To summarize the nursing points of critically ill patients receiving Prolonged Extracorporeal Membrane Oxygenation (P-ECMO) therapy, so as to provide reference for clinical nursing. Methods: Comprehensive nursing management were provided to the 14 critically ill patients with P-ECMO therapy. The core elements of P-ECMO nursing included basic management, respiratory rehabilitation management, equipment management and inter-hospital transport management. Results: After timely treatment and comprehensive nursing intervention, the duration of extracorporeal membrane oxygenation treatment was 14-87 [29.00(22.75, 36.00)] days. Three patients developed deep venous thrombosis, while two patients developed ventilator-associated pneumonia. The incidence of catheter-associated bloodstream infection and catheter-associated urinary tract infection was zero. In the end, 8 patients were successfully removed from the machine, and 6 patients survived successfully. Conclusion: Based on the actual situation of patients, the P-ECMO nursing management strategy carries out all-round and whole-process nursing intervention, which is conducive to reducing the risk of complications of patients, improving the success rate and survival rate of patients after withdrawal, and improving the prognosis of patients.

Objective: To explore the development needs of emergency and critical care nursing specialty alliance institutions, so as to provide a reference for promoting the construction of the alliance and the development of emergency and critical care nursing. Methods: We employed a descriptive qualitative research method, and the interview outline was developed based on Leavitt's Organizational Change Theory. Purposeful sampling was used to select nursing management personnel from 15 medical institutions within the regional emergency and critical care nursing specialty alliance for semi-structured interviews. The data analysis was conducted using content analysis method. Results: Four themes were distilled in conjunction with Leavitt's Organizational Change Theory. Organizational structure development needs included alliance organizational structure construction, alliance culture development, alliance and specialty system construction, and collaboration mechanism establishment. Task development needs included development goal setting and work content optimization. Technological development needs included specialty department construction and information management. Personnel development needs included nursing team management and nurse's capability improvement. Conclusion: The emergency and critical care nursing specialty alliance institutions have multidimensional development needs in terms of organizational structure, tasks, technology, and personnel. Relevant policies and management approaches need to be improved to meet the needs of institutional members, promote sustainable development of the alliance, and facilitate the downward integration of high-quality nursing resources.

Objective: To investigate the status quo of missed nursing care in ICU and analyze the causes, so as to provide a reference for reducing ICU missed nursing care and improving the quality of nursing for critically ill patients. Methods: Cross-sectional design was used with convenience sampling. A total of 305 ICU nurses were selected from 5 hospitals in Hunan province from December 1 to 30, 2023. General data questionnaire and ICU missed nursing care scale were used for investigation. Results: The ICU missed nursing care score was 64.48±20.60, and 91.8% of nurses reported that at least one missed nursing care was found during their work. The most missing items were psychosocial assessment, early rehabilitation, psychological care, assessment of patient muscle strength and assessment of patient nutritional status. Educational background, professional title and type of ICU were the factors affecting the ICU missed nursing care (P<0.05).The score of the causes of missed nursing care was 61.29±16.28, with the main reason being insufficient nurse human resources. Conclusion: Missed nursing care is common in ICU, which is influenced by many factors. It suggests that nursing managers should pay attention to the status quo and causes of missed nursing care in ICU, and take corresponding measures to further improve the quality of ICU nursing.

Objective: To quantify the risk factors for Intensive Care Unit Acquired Weakness (ICU-AW) among patients with severe chest injury, so as to provide theoretical basis for early identification and prevention of ICU-AW. Methods: By convenient sampling method, 180 patients with severe chest injury in the department of thoracic surgery ICU of a tertiary grade A hospital were recruited. Relevant data of patients were collected by patient general data questionnaire and risk factor collection table. The risk factors of ICU-AW were obtained by Logistic regression analysis. Results: Seventy three patients were complicated with ICU-AW, and the incidence of ICU-AW was 40.56%. Binary Logistic regression analysis results showed that: older age, high APACHEⅡ score, multiple organ dysfunction syndrome, more mechanical ventilation time, activity restriction, the use of glucocorticoids, and the high level of blood lactic acid were risk factors for ICU-AW in patients with severe chest injury (P<0.05). Conclusion: The incidence of ICU-AW is high and the risk factors are complex in patients with severe chest injury. Clinical medical staff should pay more attention to elderly patients, conduct APACHEⅡ scoring of patients admitted to ICU in time, identify patients with multiple organ dysfunction syndrome, develop individualized mechanical ventilation plan according to the severity of the patient's chest trauma, closely monitor the systemic symptoms and muscle strength changes in patients with long-term heavy use of glucocorticoid, and monitor the level of blood lactic acid of patients, thereby preventing the occurrence of ICU-AW in patients with severe chest injury, and ultimately improving the quality of nursing management of patients with severe chest injury.

Objective: To investigate the current status and influencing factors of fatigue in patients with Inflammatory Bowel Disease (IBD), and to explore the pathway relationship between exercise, sleep quality, depression, fatigue and disease perception, so as to provide a scientific basis for the subsequent management of fatigue in patients with IBD. Methods: The fatigue status of 289 IBD patients in gastroenterology outpatient clinics in Beijing and Qingdao was investigated by convenience sampling. The influencing factors were analyzed by hierarchical regression, and the fatigue-related pathway analysis was carried out by maximum likelihood method based on the theory of unpleasant symptoms. Results: Totally 89.6% of IBD patients had fatigue symptoms of varying severity. Hierarchical regression analysis showed that BMI, hormone therapy, active disease, exercise, depression and sleep quality were the influencing factors of fatigue in IBD patients (P<0.05). Pathway analysis showed that exercise, depression and sleep quality had a direct effect on fatigue, and indirectly affect the disease perception of IBD patients through the complete mediating effect of fatigue. Conclusion: The incidence of fatigue in IBD patients is high. Medical staff can alleviate the fatigue symptoms, reduce their negative disease perception, and improve their quality of life through targeted intervention measures.

Objective: To investigate the current status of body image level in patients with Polycystic Ovary Syndrome and analyze its influencing factors, to provide reference for the implementation of targeted interventions in clinical. Methods: A total of 213 patients with Polycystic Ovary Syndrome who were admitted to a tertiary hospital in Shanxi province from June 2022 to August 2023 were investigated using the general information questionnaire, Body Image Scale, Type D Personality Scale-14, Self-Objectification Beliefs and Behaviors Scale, and Perceived Social Support Scale. The influencing factors of the patients' body image level were analyzed using multiple linear regression analysis. Results: The body image level score of patients with Polycystic Ovary Syndrome was 11.00 (8.00, 14.00). Regression analysis showed that age, reproductive history, time spent in magazines and media, BMI, acne rating, Ludwig alopecia grade, mFG body hair score, type D personality, self-objectification beliefs and behaviors, and perceived social support were the influencing factors of the patients' body image level, explaining 73.9% of the total variation. Conclusion: The body image level of patients with Polycystic Ovary Syndrome is at a moderate level, and healthcare professionals should develop targeted intervention strategies to improve the patients' body image status according to their characteristics.

Objective: To develop a hospice hierarchical referral service system and to evaluate its effects with the expectation of support provision for the development of hospice referral mechanisms at a later stage. Methods: The hospice hierarchical referral service system was determined by literature review, thematic analysis, Delphi expert inquire method. A quasi-experimental study design was adopted and 80 patients were randomly recruited from the medical institutions which were involved in the hierarchical referral service system in Nanjing. The upward and downward referral rate of the patients, satisfaction of patient's family members on the hierachical referral service, and the quality of death were collected and compared. Results: The positivity coefficients of two rounds of expert inquiries were both 100.0%. The authority coefficient of experts was 0.800 and 0.825, and the coordination coefficients were 0.141 and 0.632, respectively (P<0.01). The finalized hospice hierarchical referral service system included 4 first-level indicators (standards for hospice care in all levels of healthcare institutions, referral standards of patients, information-sharing mechanism, and quality control system), 14 second-level indicators, and 70 third-level indicators. The upward and downward referral rate, and quality of death were all optimized. Conclusion: The hospice hierarchical referral service system is scientific, reliable, specialized, and practical, which can provide important reference for better implementation of hospice hierarchical referral service.

Objective: To translate the Chronic Illness Anticipated Stigma Scale (CIASS) into Chinese, and to test the reliability and validity among patients with permanent enterostomy, in order to provide a measuring tool for the evaluation of anticipated stigma among patients with permanent enterostomy in China. Methods: The Brislin model was adopted to conduct translation and cultural adjustment, pre-investigation of the CIASS was conducted. From March to December 2023, 541 patients with permanent enterostomy in three tertiary grade A hospitals in Hunan province were investigated by using Chinese version of CIASS (CCIASS) to test the reliability and validity of the scale. Results: The I-CVI of the scale was 0.853-1.000, the S-CVI/UA was 0.865, and the S-CVI/Ave was 0.973. The KMO value was 0.893, and Bartlett's sphericity test chi square value was 1128.531 (P<0.01). Three common factors were extracted, and the cumulative variance contribution rate was 68.725%. The results of confirmatory factor analysis showed that the model fitted well, with χ2/df of 2.027, RMSEA of 0.073, GFI of 0.915, CFI of 0.918, IFI of 0.936 and TLI of 0.922. In addition, the total score of CCIASS is positively correlated with the total score of Social Impact Scale (r=0.655, P<0.01). The total Cronbach's α coefficient of CCIASS was 0.925, Cronbach's α coefficients of friends and family members, work colleagues, and healthcare workers dimension were 0.907, 0.893 and 0.916 respectively, and the test-retest reliability was 0.872. Conclusion: The CCIASS contains 3 dimensions and 12 items, and its reliability and validity are good in patients with permanent enterostomy, so it can be used to evaluate the anticipated stigma of patients with permanent enterostomy.

Objective: To construct a health education program for patients with Hypertriglyceridemic Acute Pancreatitis (HTG-AP), and to provide reference for the development of health education for them. Methods: Based on the theory of protective motivation, a health education program draft for patients with HTG-AP was constructed through literature review and theoretical analysis. In January 2022, experts in related fields were invited to conduct Delphi expert consultation to screen and modify the indicators at all levels. Results: Two rounds of Delphi expert consultation were conducted on 18 experts, the positivity of two rounds of consultation were 94.7% and 100.0%, the authority coefficient of the correspondence experts was 0.905, and the Kendall's harmony coefficients were 0.297 and 0.115, respectively. The coefficients of variations of all the entries were <0.25. The health education program included 2 first-level indicators, 7 second-level indicators, and 19 third-level indicators. Conclusion: The health education program sets from the perspective of motivation during the construction process, analyzes the possible impact of environment and interpersonal relationships on the health behavior of HTG-AP patients, judges the ability of HTG-AP patients to cope with and avoid adverse behaviors, and provides reference and guidance for carrying out health education for HTG-AP patients.

Objective: To extract, analyze and summarize the relevant evidence of exercise management for colorectal cancer survivors, aiming to provide evidence for nursing practice of exercise intervention for colorectal cancer survivors. Methods: The literature on exercise management of colorectal cancer survivors was systematically searched from domestic and foreign databases until December 31, 2023. The quality of the included literature was evaluated, and the evidence was extracted and integrated based on. Results: A total of 15 studies were included, including 1 clinical decision, 2 guidelines, 1 expert consensus and 9 systematic reviews, 2 randomized controlled trials. Finally, fifteen evidences were summarized from four aspects, including preparation before exercise, exercise type, exercise program, and exercise support. Conclusion: This study summarizes the evidence of exercise management in colorectal cancer survivors, and provides evidence-based evidence for health care workers to develop safe, standardized and effective exercise programs.

Objective: To integrate the qualitative research about the real experience with ileal conduit after radical cystectomy among patients with bladder cancer, fully understand the patient's problems and needs, and provide implications for formulating specific intervention strategies of urostomy patients. Methods: The qualitative studies on real experience for ileal conduit after radical cystectomy among patients with bladder cancer were systematically searched, evaluated, and extracted from the Chinese and English databases according to the inclusion criteria. The retrieval time limit is from the inception to March 2023. The literature quality was evaluated by the Quality Evaluation Standard for Qualitative Research of Evidence Based Health Care Center of Joanna Briggs Institute in Australia (2020), and the Meta integration method was used to integrate the results. Results: A total of 12 studies, consisting of 61 research results were included. A total of 10 new categories, 4 comprehensive results were finally integrated, including Psychological problems as hard to adapt to the changes in body and lifestyle after surgery; Decreased quality of life due to changes in physiological function after surgery; Insufficient postoperative self-care ability and eagerness of professional continuing care guidance; Social support for life reconstruction from multiple resources as patient has post-traumatic growth. Conclusion: To improve the quality of life of patients after operation, the health care professionals should fully understand the postoperative experience and needs of patients promote the medical security system, and provide patients with long-term, comprehensive professional guidance and continuous care services.

Objective: To investigate the relationship between family function and benefit finding, and to analyze the moderating role of family function in the relationship between coping style and benefit finding in the children with malignant tumors, in order to provide basis for further improvement of the benefit finding of children with malignant tumors. Methods: By convenient sampling method, a total of 284 children with malignant tumors from three general children's hospitals (including Beijing, Hebei and Henan) were investigated with the Family APGAR Index Scale, the Chinese version of Benefit Finding Scale for Children, and Paediatric Cancer Coping Scale from February to October, 2022. Multiple linear regression analysis was used to analyze the moderating effect of family function in the relationship between coping style and benefit finding. Results: The score of family function in children with malignant tumors was 7.81±2.38, and family function of different conditions played a moderating role in the relationship between problem-oriented coping style and benefit finding, as well as the relationship between defensive coping style and benefit finding. Conclusion: We should pay attention to children with family dysfunction, find out the potential problems of family cooperation and growth, and provide practical guidance to promote the adjustment of family function in order to improve benefit finding.

Objective: To investigate the current situation of oncology nurses' quality of work life and the death-coping ability, and to explore their correlation. Methods: A total of 193 nurses from two grade A tertiary specialized oncology hospitals in Guangzhou were selected by convenience sampling method from July to August 2020, and were surveyed on-site using a general information questionnaire, a work-related quality of life scale, and a death-coping ability scale. Results: The total score of work-related quality of life was 106.89±16.46, which was at a medium level. The total score of death-coping ability was 128.29±27.83. The total score of quality of work life was significantly and positively correlated with the total score of death-coping ability, the ability to deal with near-death, and the ability to express thoughts about death (r=0.161, P<0.05). Conclusion: Both oncology nurses' quality of work life and their death-coping ability were at a medium level. Death coping ability was an important influence on quality of work life. By improving nurses' ability to cope with death, such as strengthening end-of-life nursing training and psychological counseling, managers can help improve nurses' quality of work and life and stabilize the nursing team.

Objective: To analyze the clinical application effect of early goal-directed mobilization protocols in patients after pancreatic tumor resection, in order to improve the effectiveness and initiative of early activity and promote postoperative recovery of patients. Methods: We randomly selected 35 patients who underwent pancreatic surgery at a tertiary grade A hospital in Shanghai from March to May 2023 as the control group, and 35 patients from June to August 2023 as the experimental group. The control group was treated with routine nursing measures after pancreatic tumor resection, and the experimental group applied the early goal-directed mobilization protocols in supervising the early activities of the patients. The effectiveness of the protocol was evaluated by comparing the time of first getting out of bed, flatus, defecation, oral drinking, urinary catheter removal and gastric tube removal between the two groups. The occurrence of postoperative complications and activity-related adverse events were compared between the two groups to evaluate the safety of the protocol. Results: There were statistically significant differences in the time of first getting out of bed, flatus, defecation and oral drinking between the two groups (P<0.05). There were no significant differences in urinary catheter removal time, gastric tube removal time and postoperative complications between the two groups (P>0.05). No exercise-related adverse events were observed in either group. Conclusion: Early goal-directed mobilization protocols is safe and effective in promoting early ambulation, early drink oral water and postoperative ventilation and defecation after surgery, no increased risk of postoperative bleeding, unplanned extubation and death.

Objective: To systematically search, screen, evaluate, and integrate relevant evidence on the management of orientation disorders in the elderly, and to form the best evidence summary, so as to provide evidence-based basis for medical staff and caregivers in the management of elderly people with disorientation. Methods: A comprehensive computerized search was conducted from relevant databases, guideline websites, and related professional websites at home and abroad from the inception of the database to April 2, 2024. The search included guidelines, best practices, expert consensus, evidence summaries, systematic reviews, Meta-analyses, and Randomized Controlled Trials (RCTs). Four researchers independently evaluated the quality of the guidelines, and two researchers independently evaluated the quality of the remaining literature, extracted, and summarized the evidence. Results: A total of 9 articles were included, including 1 clinical practice guideline, 2 expert consensus statements, 2 systematic reviews, and 4 RCTs, which altogether summarized 18 pieces of evidence on the prevention and management of time orientation disorders, spatial orientation disorders, person orientation disorders, and comprehensive interventions. Conclusion: This study summarizes the best evidence for the management of orientation disorders in the elderly. Medical staff and caregivers can timely promote the conversion and clinical application of evidence according to the actual situations and patients' willingness, thereby reducing the adverse effects of orientation disorders on their life and prognosis.

Objective: To integrate the formation and extinction mechanism of kinesiophobia in patients attending cardiac rehabilitation, and to provide evidence for improving patients' compliance of rehabilitation. Methods: The Chinese and English databases were searched. The quality of the literatures that met the inclusion criteria was evaluated, and the results were summarized according to the Meta-synthesis principle of qualitative research. Results: A total of seven articles were included. Eight categories and 47 themes were extracted and summarized into 3 integrated results: the formation, generalization, extinction of kinesiophobia. Conclusion: The formation of kinesiophobia in patients attending cardiac rehabilitation is due to the conditioned reflex and social acquisition. Medical and nursing staff should improve patients' cognitive ability, improve their exercise experience, and build a multi-support system to inhibit the generalization of kinesiophobia and promote the extinction of kinesiophobia.

Objective: To analyze the task difficulty of nursing working in general surgery wards in different Diagnosis Related Groups (DRG), and to provide basis for performance management and manpower allocation in general surgery wards. Methods: The task difficulty scale for nurses in general surgery wards was developed using expert consulting conferences. A total of 400 cases from 20 DRGs were selected by systematic sampling method, and 24 nursing experts specialized in general surgery were invited to evaluate the task difficulty of nursing. Results: The nursing difficulty of patients with MDCG and MDCH is significantly higher than that of patients with MDCJ and MDCK. The total scores of all DRGs in general surgery wards ranged from 23.10-60.18, and statistically differences were observed among different DRGs, of which the task difficulty of HC39 (biliary tract surgery except gallbladder resection) was the highest, and that of JB39 (other breast surgery) was the lowest. Conclusion: The task difficulty of nursing in different DRGs varies obviously, therefore, nursing performance management and manpower allocation of different subspecialties in general surgery wards should be considered.

Objective: The study aims to investigate and analyze the status of occupational environment and career success of nursing managers in various provinces and cities, in order to explore the relationship between them. The results of this study will provide evidence for the formulation and establishment of relevant strategies to optimize the occupational environment of nursing managers. Methods: Through convenience sampling, 1 806 nursing managers were selected as participants. The general data questionnaire, Nurses Occupational Environment Assessment Scale and Career Success Scale were used for survey. Multiple linear regression analysis was used for analysis. Results: A total of 1 804 valid questionnaires were collected. The scores of the occupational environment assessment scale and career success scale were (83.38±14.99) and (39.47±8.21), respectively. The results of multiple linear regression analysis showed that the main factors affecting nursing managers' career success included their education, position, part-time job in academic organizations and occupational environment, which altogether explained 28.6% of the total variation in career success. Conclusion: The scores of career success for nursing managers are at a medium to high level, and improving their career environment is conducive to the continuous improvement of their career success.

Objective: To investigate the effect of Root Cause Analysis (RCA) in the management of patients falling from bed in the operating room. Methods: An RCA team was established to collect relevant information of patients' falls through interviewing and site investigation to chronologically display the whole process of the falling events in operating room, identify the recent causes to determine the root cause using fishbone diagram analysis, so that a better action plan could be implemented to evaluate the effectiveness. Results: After the implementation of the improvement action, the rate of properly using restraint belts, the rate of finishing surgical safety training, and the ratio of falling signs all reached 100%. Conclusion: The application of RCA to analyze patient' falling from bed in the operating room is helpful to enhance the safety system of the hospital, strengthen medical staff's safety awareness to improve medical quality and ensure patient safety.

Objective: To construct the feedback model of on-site nursing quality supervision and verify its effect, in order to provide guidance for clinical nursing quality supervision. Methods: Based on the SAID feedback communication model, literature analysis, semi-structured interview and questionnaire survey were used to clarify the attitudes, feelings and needs of supervisors and supervised on on-site supervision of nursing quality, and thematic group discussion was used to form the item pool of feedback mode on on-site supervision of nursing quality. Twenty-one experts were selected nationwide and two rounds of correspondence consultation were conducted by Delphi method. The feedback model was formed and applied in the two hospitals, and the evaluation of supervisors and supervised on on-site supervision of nursing quality before and after the application of this model was compared. Results: The feedback model of on-site supervision of nursing quality was formed, including 4 links and 16 requirements, and the 4 links were: identifying the problem, stating the situation, illustrating the impact, and direct improvement. The effective questionnaire recovery rates were 91.7% and 95.5%, respectively. The degree of expert authority was 0.90 and 0.92, respectively. Kendall harmony coefficients of experts were 0.17 and 0.24 (P<0.05), respectively. After the application of the model, the score of on-site nursing quality supervision of the supervisors and the supervised were higher than those before (P<0.01). Conclusion: The formation process of the feedback model of on-site nursing quality supervision is scientific and standardized, and it can be used as a reference for nursing managers to feedback problems in on-site supervision of nursing quality.

Objective: To investigate the current situation of knowledge, attitude and practice of nurses in operating room in Shaanxi province on the prevention of Intraoperative Acquired Pressure Injury (IAPI), and analyze its influencing factors, so as to provide basis for clinical training of IAPI knowledge. Methods: Using convenient sampling method, 3642 nurses in operating room from 317 hospitals in Shaanxi province from June to August 2023 were investigated with self-designed questionnaire on knowledge, attitude and practice of operating room nurses in the prevention of IAPI. Results: The scores of knowledge, attitude and practice for preventing IAPI among operating room nurses were 44.93±9.07, 43.84±7.24 and 75.88±11.32. The scoring rates were 81.69%, 87.68% and 89.27%, respectively. Training frequency, hospital grade, department category and working years positively affected the score of knowledge dimension (P<0.05). Training frequency, professional title and hospital grade positively affected the score of attitude dimension (P<0.05). Training frequency, hospital grade and professional title positively affected the score of practice dimension (P<0.05). Conclusion: The attitude and behavior of nurses in operating room on the prevention of IAPI are positive, but their knowledge level needs to be improved. It suggests that we should focus on fully playing the radiation effect of tertiary hospitals, increasing effective training frequency, and making reasonable use of personal experience of nurses to improve the prevention level of IAPI among nurses in operating room.

Objective: To explore the effects of a smartphone app-based parent-reported outcomes in the self-management of children with asthma. Methods: From November 2020 to December 2021, 118 asthmatic children with their caregivers who visited a children's hospital in Wuxi, Jiangsu province were selected as the study objects. They were divided evenly into the two groups using a random number table. The control group received routine diagnosis and treatment, nursing guidance, health education and consultation conducted through WeChat and Tencent conferences. The experimental group received the parent-reported outcome-based intervention protocol using a smartphone APP. The childhood asthma control test (C-ACT) scores, asthma control status, and parent-reported outcome scale scores of the two groups were compared before and after the interventions. Results: After three months of intervention, the total score of C-ACT and parent-reported outcome scale scores in the experimental group were significantly higher than those in the control group. Besides, patients in the experimental group were observed to have better asthma control than the control group (P<0.05). Conclusion: The smartphone app for parent-reported outcomes in the self-management of children with asthma is conducive to improving asthma control and patients' self-management ability.

Community-Based Palliative Care (CBPC) is one of the most important forms of service for terminal patients, and digital health is a key factor to promote the development of palliative care. This paper reviews the concept of digital health, the application of digital health in CBPC, the effect and the dilemma of digital health, aiming to provide a reference basis for the application of digital health in CBPC in China.

Objective: To explore a new service model of "Internet+ Hospice Care" under the medical community model to improve the life quality of terminal patients or elderly patients in Zhoushan island area. Methods: A professional team was set up to offer hospice care and the homogenization management of medical community model based on the idea of "Internet+" to realize the multi-dimensional care and humanistic care from medical institutions to online hospice care at home. Results: Up to September 2023, 103 patients and their families had received the high-quality hospice care services, and the satisfaction rate of patients and their families reached 98.8%. Conclusion: The new model of "Internet+hospice care" under the medical community model shows its strong applicability in the island area in practice.

Objective: To investigate the quality of life and its influencing factors in patients with lower extremity arteriosclerosis obliterans. Methods: A total of 302 patients with lower extremity arteriosclerosis obliterans in a tertiary Grade A hospital in Chongqing, from June to November 2022 were recruited by convenience sampling, and their quality of life was assessed by the Numeric Rating Scale(NRS), the Barthel Index(BI) and the revised Chinese version of the Vascular Quality of Life Questionnaire. The SPSS 22.0 statistical software was used to analyze data by ANOVA analysis of variance and multiple stepwise regression analysis. Results: Quality of life score of patients with lower extremity arteriosclerosis obliterans was 57.22±13.69. There were significant differences in QOL scores among patients with different places of residence, average monthly income, payment method, walking distance, pain score, self-care ability and smoking years (P<0.05). Multiple stepwise regression analysis found pain grade, self-care ability, walking distance were related to quality of life. Conclusion: The overall quality of life of patients with lower extremity arteriosclerosis obliterans is poor, and the main influencing factors are pain, self-care ability and walking distance. It suggests that early screening, early diagnosis, and early treatment should be strengthened to improve the quality of life of patients with lower extremity arteriosclerosis obliterans.

Objective: To conduct a scoping review of the exercise rehabilitation in patients with hemophilia arthropathy, and to provide a reference for healthcare professionals to carry out rehabilitation. Methods: According to the method of the scoping review, the relevant literature in databases at home and abroad was systematically searched from the establishment of the database to December 31, 2023, and the data were independently screened and extracted by two researchers. Results: Twenty-four articles were included, and the age, bleeding conditions, treatments and degree of joint injury were the main screening criteria before exercise. The types of exercise were mostly mild, including resistance exercise, flexibility training, aerobic exercise, proprioceptive training, joint release and fascial release, and and a variety of exercises were combined.The intensity tended to be individualized, mostly in low and medium intensity, with progressive increments. The frequency and duration were mostly remained 4-12 weeks, 1 to 3 times per week, 30 to 60 min per time, and with a intermittent training way. The effect evaluation involved pain, bleeding, joint muscle function, mobility, quality of life and psychological status. Conclusion: Exercise rehabilitation has a positive effect in patients with hemophilia arthropathy. Current studies focus on relatively mild exercise in patients with early arthropathy and bleeding that is maintained stable. No consensus has been reached on a coagulation factor replacement regimen during this period.

During operation, the flexible GI endoscopes will contact the digestive tract mucosa, enter blood vessels and sterile tissue, so it needs strict reprocessing before it can be reused. The characteristics of special material, narrow lumen and complex structure of the flexible GI endoscopes increase the difficulty of the reprocessing significantly. The definition, scheme and influencing factors of reprocessing of flexible GI endoscopes were reviewed from the perspective of nursing management, the factors worthy of attention were analyzed in detail and corresponding strategies were proposed, to provide a reference for reprocessing management.

Objective: To design and develop a Participatory Health Education Toolkit, and to explore its influence on disease knowledge and health behaviors of patients with type 2 diabetes. Methods: A Participatory Health Education Toolkit adapted to local culture was developed and verified. Eighty-one patients with type 2 diabetes were randomly divided into control group (40 cases) and intervention group (41 cases). The control group received routine health education, while the intervention group received Participatory Research, Participatory Role-playing and Participatory Review (3-PR) health education based on Participatory Health Education Toolkit. The level of glycosylated hemoglobin (HbA1c), scores of diabetes knowledge and diabetes self-management behaviors were compared between the two groups after 3 months of intervention. Results: After the intervention, the level of HbA1c, the scores of diabetes knowledge and diabetes self-management behaviors in the intervention group were significantly better than those in the control group, and the differences were statistically significant (P<0.05). Conclusion: Using Participatory Health Education Toolkit can significantly improve patients' self-management behaviors and blood sugar control level.

As an important psychological problem for parents of autistic children, associated stigma not only harms the physical and mental health of parents, but also affects the children's medical-seeking behavior, treatment compliance, and family rehabilitation environment. Therefore, it is of great significance to accurately assess the degree of stigma associated with parents for intervention and nursing of children. This paper reviews the advantages and disadvantages of the associated stigma assessment tools used by parents of autistic children at home and abroad, aiming to help clinicians and related research to choose appropriate assessment tools when assessing parents of autistic children with associated stigma, and provide reference for the development of localized assessment tools in China.

Myopia has become an urgent global public health problem, and a number of studies have confirmed that orthokeratology lenses are an effective means of prevention and controlling the progress of myopia. The wearing standard and compliance of orthokeratology lens directly affect the treatment effect. This paper reviews the influencing factors and interventions of orthokeratology lens wearing compliance, and the improvement strategies to improve the wearing compliance of orthokeratology lens wearers, aiming to provide references for this population to improve the wearing compliance of orthokeratology lens.