Objective: To investigate the pain nursing management status in comprehensive pain management pilot hospitals, and to provide a reference for promoting comprehensive pain management initiatives. Methods: In April 2025, a convenience sampling method was used to select pilot hospitals for comprehensive pain management across the country. A self-designed survey questionnaire was used to collect data. Results: A total of 249 pilot hospitals from 29 provinces participated in the survey. Among them, 79.92% hospitals regularly updated their pain nursing management systems, and 30.12% hospitals set up pain related nursing clinics. The implementation rates of pain assessments for outpatient, emergency, and inpatient patients were 73.49%, 73.49% and 100.00%, respectively. Additionally, 83.94% hospitals provided in-service training on pain nursing, 61.04% hospitals conducted grassroots support programs for pain management, and 90.76% hospitals carried out pain-related public education initiatives. Conclusion: Pilot hospitals demonstrate a high coverage rate of pain nursing management systems. However, further improvements are needed in system implementation and revision, enhancement of healthcare professionals' competencies, optimization of incentive mechanisms, and strengthening the role of pilot hospitals.

Objective: To investigate the practice status of pain care specialist nurses in Zhejiang province, analyze the influencing factors of their professional identity, and provide a basis for improving the level of professional identity of pain care specialist nurses. Methods: From April to May 2025, a cluster sampling method was adopted to conduct a questionnaire survey among 252 nurses who participated in the training for pain care specialist nurses in Zhejiang province. The survey tools included a basic information questionnaire, a questionnaire on the current practice status of pain care specialist nurses, and a Nurse Professional Identity Scale. Results: A total of 192 valid responses were obtained. Regarding practice status, 86.5% nurses worked part-time in pain management, with primary activities covering clinical care, nursing education, health education, and nursing research. Common challenges included the lack of dedicated pain care positions and insufficient resources and equipment. Only 29.2% of the nurses had their training expenses fully covered by their institutions, and 40.1% of the nurses reported no change in their benefits after obtaining the qualification certificate. The mean professional identity score was 88.2±14.0. Multivariate regression analysis results showed that employment in tertiary hospitals, high frequency of applying the knowledge and skills acquired from training, participation in academic conferences, and full coverage of training expenses by the institution were positive factors for their professional identity (all P<0.05). Conclusion: Pain care specialist nurses in Zhejiang province demonstrate a relatively strong sense of professional identity. However, their professional development is constrained by limited positions, resources, and incentive mechanisms. Administrators should optimize position establishment, provide opportunities for academic exchange, and strengthen organizational support to elevate the level of professional identity among these nurses.

Objective: To evaluate the clinical efficacy of blood-pricking cupping therapy on neuropathic pain in patients with acute-phase herpes zoster, and to provide a basis for standardizing integrated traditional Chinese and Western medicine treatment and nursing for this condition. Methods: From January to June 2025, 60 patients with acute herpes zoster admitted to the Dermatology Department of a tertiary grade A Chinese Medicine Hospital in Zhengzhou were selected by convenience sampling method. They were divided into an observation group and a control group using a random number table method, with 30 patients in each group. The control group received conventional treatment, while the observation group was given blood-pricking cupping therapy on the basis of conventional treatment, once a day for 14 consecutive days. The Visual Analog Scale (VAS) pain scores, quantitative scores of symptoms and signs, Pittsburgh Sleep Quality Index (PSQI) scores, and Hospital Anxiety and Depression Scale (HADS) scores were compared between the two groups. Additionally, the incidence of postherpetic neuralgia after rash resolution was recorded. Results: After the intervention, the VAS pain score and the quantitative score of symptoms and signs in the observation group were lower than those in the control group (both P<0.05); the PSQI score and the HADS score in the observation group were also lower than those in the control group (both P<0.05). Additionally, the incidence of postherpetic neuralgia in the observation group (6.67%) was lower than that in the control group (26.67%), and the difference was statistically significant (P<0.05). Conclusion: Combining blood-pricking cupping therapy with conventional treatment can effectively relieve pain in the acute phase of herpes zoster, improve patients' sleep quality as well as anxiety and depression, reduce the risk of postherpetic neuralgia, and thus has important clinical application value.

Objective: To evaluate the efficacy of a temperature-pressure-visualized electro-heating bian-stone warming in treating upper back myofascial pain syndrome, and to provide a reference for alleviating the pain symptoms by appropriate Traditional Chinese Medicine (TCM) technologies. Methods: A total of 60 patients with upper back myofascial pain syndrome admitted to a tertiary grade A TCM hospital in Beijing from November 2024 to May 2025 were selected using the convenience sampling method and randomly assigned to the intervention group (n=30) and the control group (n=30). The control group received a two-week course of topical application of Voltaren? ointment to the affected area. The intervention group was treated with a two-week course of the temperature-pressure-visualized electro-heating bian-stone warming technique. Improvements were evaluated using the Numerical Rating Scale (NRS), the Global Pain Scale (GPS), and the Insomnia Severity Index (ISI). Results: At 2 weeks of intervention and 2 weeks of follow-up, the NRS scores of the intervention group were 2.77±1.46 and 2.13±1.78 respectively, both lower than those of the control group (4.13±0.97 and 4.07±1.31 respectively), with statistically significant differences (both P<0.05); at the 2 weeks of follow-up, the GPS score of the intervention group was lower than that of the control group (P<0.05); meanwhile, at 2 weeks of intervention and 2 weeks of follow-up, the ISI scores of the intervention group were lower than those of the control group (both P<0.05). Conclusion: The temperature-pressure-visualized electro-heating bian-stone warming can significantly alleviate pain symptoms and improve sleep quality in patients with upper back myofascial pain syndrome.

Objective: To investigate the incidence and influencing factors of Chronic Post-Traumatic Pain (CPTP) in patients with acute trauma at 3 months post-injury, and to provide a reference for the early clinical management of pain in patients with acute trauma. Methods: A convenience sampling method was used to enroll 118 patients admitted to the trauma center of a tertiary grade A hospital in Beijing from January to December 2024. In-hospital acute pain management status of the patients were collected. The occurrence of CPTP was followed up at 3 months after trauma, and binary Logistic regression analysis were used to identify the influencing factors. Results: The incidence of CPTP was 38.1%. Logistic regression analysis showed that the worst pain intensity within 48 hours post-trauma, the worst pain intensity within 48 hours post-surgery, the number of presses of the postoperative analgesic pump within 48 hours post-surgery, whether pain medications were prescribed at discharge and long-term alcohol consumption history were influencing factors for CPTP. Conclusion: The incidence of CPTP is relatively high in patients 3 months after acute trauma. The worst pain intensities within 48 hours post-trauma and post-surgery are major influencing factors for the development of CPTP. Nurses should intervene as early as possible to improve the effectiveness of pain management in patients.

Objective: To develop a comprehensive, scientific integrated pain assessment scheme, aiming to provide support for clinical healthcare professionals in conducting effective pain assessments. Methods: Through literature research, a preliminary comprehensive assessment scheme for pain was formulated. From February to March 2025, 15 experts in clinical medicine, nursing, pharmacy, psychology, and management were invited to conduct an expert letter consultation on the proposed comprehensive assessment scheme. Through this consultation, the final comprehensive pain assessment scheme was established. Results: Two rounds of expert letter consultations were conducted. The questionnaire recovery rates were 93.8% and 100.0% respectively; the authority coefficients were 0.957 and 0.971 respectively; the Kendall's concordance coefficients were 0.331 and 0.337 (P<0.001). The finalized comprehensive pain assessment scheme includes five aspects: general information, pain-related dimensions, physiological/biological dimensions, psychological dimensions, and social dimensions, with a total of 31 items. Conclusion: The comprehensive pain assessment scheme developed in this study is practical, scientific and professional. It contributes to improve the assessment efficiency for pain patients, and thus provide support for enhancing the nursing quality and treatment effects of pain patients.

Objective: To develop a relationship network between symptoms and Quality of Life (QoL) in Nasopharyngeal Carcinoma (NPC) survivors, and to explore the pathways and key nodes through which symptoms affect the QoL, in order to provide references for formulating individualized symptom management strategies and improving patients' QoL. Methods: A total of 398 survivors with NPC who returned to a tertiary grade A cancer hospital in Guangzhou for re-examination after completing comprehensive radiotherapy and chemotherapy were recruited from May to November 2024 by convenience sampling. The General Information Questionnaire, the M. D. Anderson Symptom Inventory-Head and Neck Module and the Functional Assessment of Cancer Therapy-Head & Neck were used to investigate NPC survivors. The symptom clusters were extracted through exploratory factor analysis, and the network analysis was conducted using R software to construct a symptom-QoL network, identify associations between nodes, and evaluate the centrality indices of each node. Results: Three symptom clusters were extracted in NPC survivors: oral sickness symptom cluster, psycho-neurological symptom cluster and head and neck function-gastrointestinal symptom cluster. The total score of QoL of NPC survivors was 99.87±0.97, and the average score of functional status dimension was the lowest, which was 2.17±0.05, and it served as the core node within the QoL network (rs=1.10). In the combined network, the intensity of the psycho-neurological symptom cluster was the largest (rs=1.20), which also functioned as the most important bridge symptom connecting the symptom network and the QoL network (rbs=1.50). Conclusion: Nasopharyngeal carcinoma survivors experience different clusters of symptom. Moreover, these symptom clusters are closely associated with QoL. The psycho-neurological symptom cluster, serves as the key bridge node in the pathway through which symptoms impact QoL, which forms the core intervention target.

Objective: To explore the influence of perceived social support on the physical activity level of breast cancer patients in the rehabilitation period, aiming to provide a reference for improving the level of physical activity in patients. Methods: A total of 230 breast cancer patients during rehabilitation from a tertiary grade A hospital in Shandong province from January to July 2024 were selected using convenience sampling. The International Physical Activity Questionnaire-Long, Perceived Social Support Scale, Exercise Self-Efficacy Scale, and Cognitive Appraisal of Health Scale were used for investigation. A structural equation model was established to examine the mediating effects, and the Bootstrap method was used for testing. Results: Perceived social support and exercise self-efficacy had direct positive effects on physical activity level (β=0.078, 0.160, both P<0.001), while negative health cognition evaluation had a direct negative effect (β=-0.276, P<0.001). The direct effect of perceived social support on physical activity level accounted for 23.1% of the total effect, while the indirect effects of negative health cognition evaluation, exercise self-efficacy, and their chain mediating effect accounted for 47.5%, 20.1%, and 9.3%, respectively. Conclusion: The variables in the Self-Determination Theory have multiple pathways of influence on the physical activity level of patients. The primary pathway involves understanding how social support influences physical activity levels through negative cognitive evaluations. Clinical nursing should pay attention to patients with negative health cognition evaluation and enhance their physical activity level by establishing positive health cognition evaluation.

Objective: To analyze the potential categories and predictors of the trace change of physical activity rank in patients with Acute Type A Aortic Dissection (ATAAD) after surgical treatment, and to improve the physical activity rank of patients. Methods: The convenience sampling method was used to investigate patients with ATAAD who were discharged from a tertiary grade A hospital in Beijing from January 2022 to November 2023. The General Information Questionnaire, the Physical Activity Rank Scale, the Brief Illness Perception Questionnaire, the Tampa Scale for Kinesiophobia Heart, the Social Support Rating Scale, and the Exercise Self-Efficacy Scale were used to collect baseline data from the patients, and the physical activity rank were assessed at 1, 3, and 6 months after discharge, respectively. The growth mixture modeling was applied to identify the developmental trajectories, and the multivariate Logistic regression was used to analyze the predictive factors of different developmental trace. Results: Total of 221 patients were included, and three trace categories of physical activity rank were identified: moderate exercise intensity-maintenance group (29.4%), low exercise intensity group (13.6%), and moderate exercise intensity-decline group (57.0%). Age, occupation, disease perception, exercise fear and exercise self-efficacy were independent predictors of potential categories of different development trajectories (P<0.05). Conclusion: The development trace of physical activity rank in patients with ATAAD during 6 months after surgical treatment has population specificity. Healthcare professionals should identify early based on the predictors of the trace categories, and develop personalized and targeted intervention measures to improve the physical activity rank of patients.

Objective: To construct a comprehensive program of colonoscopy bowel preparation for children to provide reference for clinical practice. Methods: From December 2023 to November 2024, a comprehensive intervention program for bowel preparation for colonoscopy in children was constructed using qualitative research, literature review, and expert consultation, guided by the key-point control principle and the collaborative care model. Totally 14 experts were consulted by letter through the Delphi method, and the items involved were revised according to the experts' revision opinions to form an intervention plan. Results: The authority coefficient of the two rounds of expert correspondence was 0.872, the positive coefficient was 100%, and the Kendall harmony coefficient was 0.167 and 0.128 (P<0.01). The final intervention program included four aspects: dietary preparation, medication preparation, exercise preparation and psychological preparation, with a total of 15 specific interventions. Conclusion: The comprehensive intervention program for bowel preparation for colonoscopy in children is fairly exhaustive, reliable and scientific, and can provide reference for clinical practice.

Objective: To evaluate the reliability and validity of the Chinese version of the Self-Efficacy Expectations and Outcome Expectations after ICD Implantation Scales (SEOE-ICD) in patients with Cardiovascular Implantable Electronic Device (CIED). Methods: The original scale was translated according to the FACIT translation method. From March to December 2024, totally 205 patients with CIED were recruited from the arrhythmia ward of one tertiary grade A hospital in Beijing. Tests were conducted using the SEOE-ICD, the General Self-Efficacy Scale (GSES), the Treatment Expectation Questionnaire (TEX-Q), and the Florida Patient Acceptance Survey (FPAS). Confirmatory factor analysis, Multi-Trait Multi-Method (MTMM) analysis and internal consistency analysis were used to evaluate the validity and reliability of the scale. Results: The scale consisted of two parts: self-efficacy expectations and outcome expectations, with a total of 13 items. Confirmatory factor analysis showed that the model yielded a reasonable fit:?χ2/df=2.929, TLI=0.951, CFI=0.961, SRMR=0.042, RMSEA=0.097. MTMM analysis showed that the scale had high convergent validity and discriminant validity. The Cronbach's α coefficients of the two sub-scales were 0.949 and 0.878, respectively. Conclusion: The Chinese version of the SEOE-ICD has good reliability and validity in patients with CIED. This scale can assess the expectation level of this population and provide theoretical support for the intervention.

Objective: To understand the psychological experience of bladder cancer patients with urostomy at different stages of the disease, and to provide reference for clinical nurses to carry out proper psychological intervention accordingly. Methods: From July 2023 to May 2024, using the phenomenological research method, purposive sampling was employed to select bladder cancer patients with urostomy from a tertiary grade A cancer hospital in Guangdong province as interview subjects. Based on timing theory, semi-structured interviews were conducted in five periods: the diagnosis period, the treatment period, the discharge preparation period, the adjustment period, and the adaptation period. Data collected were then analyzed using directed content analysis. Results: Five themes about the psychological experience of 25 patients with urostomy in different periods were extracted: a. diagnostic period: strong stress response; b. treatment period: extreme collapse; c. discharge preparation period: accepting the reality; d. adjustment period: hardship and reconstruction; e. adaptation period: positive growth. Conclusion: The psychological experience of bladder cancer patients with urostomy changes dynamically with different stages of the disease. However, the five periods are not indispensable, and there is overlap between different periods. Therefore, nurses should understand the psychological changes of stoma patients to give them corresponding psychological support and guidance both inside and outside the hospital, so as to promote the overall physical and mental recovery of patients.

Objective: To develop a scale to screen discharge planning risk for adult patients and to test its reliability and validity, aiming to provide a scientific and efficient assessment tool that can quickly identify high-risk groups for nurses to ensure appropriate discharge plans for patients. Methods: Based on Neuman Systems Model and Triangle Stratified Hierarchical Classification Model, the item pool of the scale was constructed through literature research, semi-structured interviews and group discussions. After 2 rounds of Delphi expert consultation and pre-survey, the initial scale was formed. Then from May to July 2024, 581 adult patients in a tertiary grade A hospital in Wuhan were selected as research subjects whose data were collected for item analysis, reliability test, reliability test and classification of risk levels. Results: The scale's CVI was 0.930. Exploratory Factor Analysis (EFA) was adopted to extract 4 common factors whose cumulative variance contribution rate was 78.504%. Confirmatory Factor Analysis (CFA) indicated good model fit. The scale consists of 4 dimensions with a total of 12 items and 46 options, including physical and psychological function status, disease diagnosis and treatment, existing nursing needs, and care and support. The scale score ranged from 0 to 36. Using K-means clustering algorithm, patients' risk were divided into three levels: low-risk, medium-risk, and high-risk. The scale's Cronbach's α coefficient was 0.915 with the split-half reliability and the test-retest reliability being 0.909 and 0.912, respectively. Conclusion: The screening scale of discharge planning risk for adult patients not only has good reliability and validity, but also is a simple and widely applicable tool. Medical staff should provide corresponding levels of intervention based on the results of risk assessment, to ensure the implementation of high-quality discharge plans.

Objective: To develop and evaluate an education platform for cardiology inpatients, providing decision-making support for clinical nurses' inpatient education work. Methods: The mission of health education for cardiology inpatients and the list of functions of the health education platform were determined by reviewing medical records, conducting literature searches, organizing expert demonstration meetings, etc. The platform was then developed and implemented in clinical practice. Using convenience sampling, 600 patients admitted to two wards of the cardiovascular department of a tertiary grade A hospital and 80 nurses were recruited in Wuhan from October to November 2024. The two wards were divided into the control group and the intervention group by a random number table. Patients in the control group received education using traditional methods, while those in the intervention group received education using an information-based education platform. The two groups were compared in terms of the omission rate of educational items, patient satisfaction with nursing care, and clinical nurses' self-efficacy. Results: The information-based education platform included 9 categories with a total of 153 items of inpatient education content. After the intervention, there were 11 cases (3.7%) of omission in the intervention group - course diagnosis and treatment education, while there were 65 cases (21.7%) of omission in the control group. The patient satisfaction score with nursing care was 21.81±3.49 in the intervention group and 20.23±2.57 points in the control group. The self-efficacy score of nurses in the intervention group was 34.33±3.16, while that in the control group was 23.48±7.29. All these differences were statistically significant (all P<0.05). Conclusion: The information-based education platform for hospitalized patients in the cardiology department is scientifically practical and provides reliable decision support for optimizing patient education.

Objective: To develop an auxiliary device to help low-risk full-term primiparas accurately identify the onset of labor and determine the optimal time for hospital admission, in order to prevent the adverse effects of early hospital admission. Methods: Using the Double Diamond design process model, interdisciplinary cooperation was employed to design and develop a wearable intelligent uterine contraction monitoring system. This included the selection and design of sensor devices, the construction of a uterine contraction model using artificial intelligence algorithms, and the deployment of algorithms and user interfaces displaying recommendations. Quantitative and qualitative methods were employed to evaluate the usability of the preliminary system after delivery. Results: The wearable intelligent uterine contraction monitoring system included hardware and mobile App components. A consistency test between the system recommendations and the gold standard showed that a Kappa value was 0.75, indicating a gap between the current accuracy and the clinical acceptability. Interviews with postpartum women who used the system indicated high perceived usefulness but suggested room for improvement in perceived ease of use. Conclusion: The preliminary wearable intelligent uterine contraction monitoring system is well-received by the target users and demonstrates a certain level of accuracy, requires further data collection to refine the algorithm model, as its accuracy not yet reached clinically acceptable levels. Additionally, technical optimizations are needed to enhance the product's ease of use.

Objective: To explore the clinical application effect of health coaching technology in patients with neurogenic bladder, in order to provide reference for improving the self-management level of patients. Methods: Using convenient sampling method, 60 patients with neurogenic bladder from January 2023 to December 2024 in a tertiary grade A hospital in Hunan province were selected as the research objects, and were divided into control group and intervention group according to the time of admission. The patient admitted in 2023 were the control group, while those admitted in 2024 were the intervention group, with 30 cases in each group. The control group received routine nursing, and the intervention group received health coaching technical intervention on the basis of routine nursing, and the effect was evaluated. Results: After 4 weeks of intervention, the total score for general self-management ability in the intervention group (151.13±9.47) was significantly higher than that in the control group (105.37±7.88) (P<0.001). The residual urine volume in the intervention group [143.50 (118.50, 237.50) mL] was significantly lower than that in the control group [360.00 (227.25, 415.00) mL] (P<0.001).There was significant difference in the qualitative results of routine urine white blood cell counts between the two groups (P<0.001). Conclusion: The application of health coaching techniques in patients with neurogenic bladder is conducive to the recovery of bladder function and reduce the incidence of urinary tract infection, which can effectively improve the self-management level of patients.

Objective: To systematically evaluate risk prediction models for Incontinence-Associated Dermatitis (IAD), providing references for the development of such models and clinical practice. Methods: A comprehensive search was conducted in Chinese and English databases for literature on risk prediction models for IAD, with the search period spanning from database inception to March 17, 2025. Two researchers independently performed literature screening, data extraction, and assessment of the methodological quality of the included studies using the Prediction Model Risk of Bias Assessment Tool (PROBAST). Results: Seven studies were included, comprising a total of eight IAD risk prediction models. The Area Under the Curve (AUC) for the models ranged from 0.810 to 0.904, with sensitivity of 60.9%–99.4% and specificity of 79.41%–96.7%. Most models were presented as formula-based. The most common predictive factors included: age [OR=1.52, 95%CI (1.16, 2.00)], serum albumin level [OR=2.35, 95%CI (1.75, 3.16)], and frequency of bowel movements [OR=3.21, 95%CI (2.45, 4.20)]. Conclusion: Research on IAD risk prediction models is still in the developmental stage. Future studies should refine design and reporting protocols, validate existing models, and further evaluate their clinical applicability and effectiveness to facilitate translation into practice. This will enable personalized interventions to reduce IAD incidence.

Objective: To systematically evaluate and analyze the barriers to self-volume management in patients with heart failure, aiming to provide a reference for the clinical intervention of volume management in patients with heart failure. Methods: A comprehensive literature search was conducted in several databases to retrieve articles related to self-volume management in patients with heart failure from the databases inception to May 10, 2025. The quality of the included articles was evaluated according to the qualitative research quality evaluation criteria of JBI. Convergent integration method was used for data analysis. Results: A total of 15 articles were included, with 62 themes extracted and classified into 8 categories, which were synthesized into three integrated results, including complex physiological states, negative emotions and psychological states, and multiple social and cultural factors. Conclusion: Self-volume management in heart failure patients is influenced by multiple factors. It is recommended that subsequent interventions can be developed based on the findings to improve the volume management status in heart failure patients.

Objective: To systematically evaluate and integrate the experience of cancer patients' participation in clinical trials, so as to realize "patient-centered" clinical trials to improve their participation experience and patient retention. Methods: The study group searched 8 databases including PubMed, CINAHL, CNKI, Wanfang and so on from their inception to March 31, 2025, to collect qualitative studies on cancer patients' participating experience in clinical trials. Results: A total of 13 qualitative studies were included, covering 44 research outcomes, which were summarized into 6 categories, and integrated into 2 synthesized outcomes. The first finding showed that the patient's clinical decision was insufficiently considered causing the decision to be one-sided and hasty. According to the second finding, the number of negative experiences for patients in clinical trials was almost equal to that of positive experiences. Conclusion: Cancer patients in clinical trials had insufficient analytical and decision-making abilities and multiple experiences. Therefore, healthcare professionals should provide multiple fundamental measures to meet patients' diverse needs, effectively transform the multidimensional negative experiences of trial participation into positive ones, and ultimately improve patient retention rates in trials.

Objective: To explore the relationship between nurse manpower allocation indicators and patients' safety outcomes, in order to provide reference for the construction of a reasonable and efficient human resource allocation system for nurses in the future. Methods: The data of all patients and registered nurses recruited by a tertiary A hospital in Jiangsu province from 2019 to 2023 were collected and retrospectively analyzed. Canonical correlation analysis was used to explore the correlation between nurse manpower allocation indicators and patients' safety outcomes. Results: From 2019 to 2023, an overall upward trend was observed according to analysis of the nurse manpower allocation indicators, while data of the incidence of adverse nursing events and injury rates showed an overall downward trend. Canonical correlation analysis demonstrated that nurse manpower allocation indicators were strongly correlated with patients' safety outcomes (r=0.980, P<0.05). Conclusion: There is a positive correlation between nurse manpower allocation and patients' safety outcomes. Namely, the more adequate and rational nurse manpower allocation is, the better patients' safety outcomes will be. Strategies to improve patients' safety outcomes can be explored from the aspects of quantity and structural allocation of nurse human resources.

Objective: To translate Perceived Perioperative Competence Scale-Revised-Short Form (PPCS-R-SF) into Chinese and validate its reliability and validity among operating room nurses, thereby providing a reliable and effective tool for assessing perioperative competence perception in this population. Methods: The modified Brislin translation model was adopted for translation, cultural adaptation, and preliminary testing to develop the Chinese version of PPCS-R-SF. A convenience sampling method was used to recruit 519 operating room nurses from four tertiary grade A hospitals in Urumqi from April and December 2024 to evaluate the scale's reliability and validity. Results: The Chinese version of PPCS-R-SF comprised 6 dimensions, including basic knowledge and skills, leadership, teamwork, professional practice, empathy, and professional development, with a total of 18 items. The overall Cronbach's α coefficient was 0.854, test-retest reliability was 0.832, item-level content validity indices ranged from 0.920 to 1.000, scale-level content validity index was 0.914, and criterion-related validity was 0.611. Confirmatory factor analysis demonstrated good model fit after modification χ2/df=2.668, CFI=0.951, GFI=0.943, TLI=0.930, IFI=0.951, NFI=0.925, RMSEA=0.057. Conclusion: The Chinese version of PPCS-R-SF exhibits satisfactory reliability and validity and can be used to evaluate perioperative competence perception among operating room nurses in China.

As core members of clinical trial teams, clinical research nurses play a key role in comprehensive management and quality assurance throughout the trial lifecycle. With the rapid development of the clinical trial in China, the professional development of clinical research nurses has become one of a critical factor influencing the standardization of clinical research practices. This review systematically summarizes the current roles, core competencies, and educational development status of clinical research nurses in China, highlighting persistent challenges in role definition and existing educational frameworks. It also proposes targeted strategies to enhance professional standardization and facilitate career advancement for clinical research nurses.

Objective: To analyze the combinations of service elements within community-and home-based integrated care service models across the urban-suburban-rural areas of megacities, and to provide theoretical basis for optimizing regionally adaptive services. Methods: Guided by the Complex Integration Theory framework, this study adopted a descriptive qualitative research approach and employed purposive sampling from July to December 2024 to select seven communities with experience in integrated care services in urban, suburban, and rural areas of Beijing. Data were collected through thematic roundtable discussions and retrieval of relevant news reports. Text analysis was applied to analyze the data. Results: The study identified sixteen key service elements, forming five integration dimensions: structural integration centered on cross-agency collaboration and diversified payment systems, functional integration characterized by basic support and flexible service expansion, normative integration guided by policy advocacy and value principles, interpersonal integration supported by multidisciplinary teams and neighborhood mutual assistance, and process integration leveraging digital connectivity and the incorporation of traditional Chinese medicine services. Conclusion: The community- and home-based integrated care service models across the urban-suburban-rural areas in the megacity exhibited both shared foundational features and distinct patterns in the combination of elements due to differences in regional resource characteristics and population profiles. Efforts should be made to advocate for a flexible pathway characterized by a "standardized framework with regional adaptation" for the development of community- and home-based integrated care services. This pathway will enable optimal allocation of service resources through precise alignment with urban-rural characteristics, and promote both equitable access to and efficient integration of community- and home-based care services.

Objective: To evaluate the effects of the intelligent follow-up platform in patients with cirrhosis accompanied by acute esophagogastric variceal bleeding, aiming to provide a reference for improving the quality of patient follow-up. Methods: Using the convenience sampling method, patients with cirrhosis accompanied by esophagogastric variceal bleeding were recruited in the Department of Gastroenterology of a tertiary grade A general hospital in Tianjin. Fifty patients admitted from October 2021 to August 2022 were recruited as the control group, and received routine care. Fifity patients admitted from December 2022 to December 2023 were involved as the intervention group, and were managed by the Integrated Theory of Health Behavior Change (ITHBC) intelligent follow-up platform besides routine care. Self-care behaviors, nutritional status, and the incidence of rebleeding 180 days after discharge were compared between the two groups. Results: After the intervention, the self-care behavior score, grip, prealbumin, and transferrin of patients in the intervention group were higher than those in the control group (all P<0.05). The incidence of rebleeding 180 days after discharge in the intervention group (4.0%) was significantly lower than that of the control group (18.0%), with statistical significance (χ2=5.005, P=0.025). Conclusion: The application of the ITHBC intelligent follow-up platform can improve the self-management behavior of patients with liver cirrhosis accompanied by acute esophageal-gastric variceal bleeding, improve their nutritional status, and reduce the occurrence of rebleeding.

Objective: To evaluate the effects of Chatbot fertility guidance in breast cancer patients of childbearing age undergoing chemotherapy, in order to meet the fertility information needs of breast cancer patients. Methods: A fertility guidance platform was developed using internet technology to support patients throughout their treatment. Breast cancer patients of childbearing age undergoing chemotherapy from a tertiary grade A hospital in Hunan province from December 2023 to May 2024 were selected by convenience sampling method assigned to the control group (n=46), while patients selected from June to November 2024 were assigned to the intervention group (n=46). The control group received conventional health education and fertility guidance. In the intervention group, according to the plan constructed by the research group in the early stage, before the first chemotherapy, before discharge and at home, the intervention group carried out centralized fertility guidance intervention by means of Chatbot, such as initiating dialogue, pushing fertility-related knowledge and answering consultation questions automatically. Patients' fertility concerns, fertility willingness, fertility information support level and quality of life were evaluated. Results: The score of fertility concerns in the intervention group 45.00(42.50, 49.50) before discharge was lower than that in the control group 62.50(54.50, 67.00), and the score in the intervention group 35.00(34.00, 38.00) at home was still lower than that in the control group 58.00(51.00, 70.25), and the differences were statistically significant (P<0.05). Fertility willingness, fertility information support level and quality of life in the intervention group before discharge and at home were higher than those in the control group, and the differences were statistically significant (P<0.05). Conclusion: Implementing Chatbot fertility guidance can reduce fertility concerns, enhance reproductive intentions and fertility information support, and positively impact the quality of life in breast cancer patients of childbearing age undergoing chemotherapy.

Objective: To systematically synthesize evidence on Arteriovenous Fistula (AVF) puncture technique management, identify barriers to facilitate evidence translation into clinical practice. Methods: We systematically integrated evidence and established audit criteria. Baseline audits were conducted among 75 healthcare professionals, 462 AVF patients and the department in a tertiary grade A hospital. Barriers were analyzed using the i-PARIHS framework. Results: Among 22 audit criteria, compliance rates ranged from 0% to 100%. Key barriers included: lack of ultrasound equipments, insufficient nurse competency in ultrasound assessment, and absence of training protocols. Conclusion: Significant gaps exist between current AVF puncture practices and evidence-based standards. Identifying barriers to implementing evidence provides a scientific approach for optimizing AVF puncture management as well as targeted reform.

Objective: To analyze the application of Healthcare Failure Mode and Effect Analysis (HFMEA) in the process management of surgical emergency instruments, in order to further improve the management quality of medical devices in the operating room. Methods: A workflow chart for surgical emergency instruments was created, potential failure modes in the management process were identified, root causes were analyzed, action plans were developed and implemented, and outcomes were evaluated. Results: After the implementation of HFMEA, the accuracy rate of notifications for surgical emergency instruments improved from 91.44% to 99.04%; the completion rate of face-to-face handovers increased from 91.58% to 99.18%; and the on-time delivery rate rose from 90.82% to 99.49%. All these differences were statistically significant (P<0.001). Additionally, the turnover time between consecutive surgeries was reduced from (20.02 ± 2.06) min to (12.68 ± 2.02) min, a change that was also statistically significant (P<0.001). Conclusion: The application of HFMEA in the process management of surgical emergency instruments helps to standardize the handover and management between the operating room and central sterile service department. It effectively improves the turnover efficiency of surgical emergency instruments, shortens surgical table turnover time, and enhances the overall quality of operating room management.

Objective: To investigate the status and influencing factors of self-regulatory fatigue in patients with Systemic Lupus Erythematosus, and further explore the impact path of factors, providing a reference for developing targeted intervention strategies. Methods: By using the convenience sampling method, 215 patients with Systemic Lupus Erythematosus admitted to the Department of Rheumatology and Immunology of four tertiary grade A hospitals in Guangdong province from June to October 2024 were selected as research subjects. The General Information Questionnaires, Self-Regulatory Fatigue Scale, Fear of Progression Questionnaire-Short Form, Health Literacy Scale for Patients with Chronic Disease, Medical Coping Modes Questionnaire and Morisky Medication Adherence Scale-8 were used for investigation. The stepwise multivariate linear regression analysis was used to analyze the influencing factors of self-regulatory fatigue in patients, and based on the common-sense model of self-regulation, the maximum likelihood method was used for path analysis. Results: The score of Self-Regulatory Fatigue Scale of patients with Systemic Lupus Erythematosus was 43.16 ± 8.74. The stepwise multivariate linear regression analysis indicated that fear of progression, health literacy, yielding coping and medication adherence were the influencing factors of self-regulatory fatigue in patients with Systemic Lupus Erythematosus (P<0.05). The path analysis showed that fear of progression, yielding coping and medication adherence directly influenced the degree of self-regulatory fatigue, and fear of progression influenced the degree of self-regulatory fatigue by the yielding coping, the health literacy influenced the degree of self-regulatory fatigue by the mediating of yielding coping and medication adherence. Conclusion: Patients with Systemic Lupus Erythematosus have a high degree of self-regulatory fatigue, and it is urgent to develop intervention strategies based on patient's fear of progression, health literacy, coping mode, and medication adherence to reduce their degree of self-regulatory fatigue and improve their ability of self-management.

Smart dressings represent a research focus in the field of wound management, and the integration of flexible sensor technology has further enhanced their monitoring and intervention capabilities. This article reviews recent advancements in the application of flexible sensor-based smart dressings in wound management. It outlines the working principles and classifications of smart dressings, introduces their applications in multimodal parameter monitoring, precise feedback-controlled drug delivery, remote wound management, and nursing decision support. Finally, it summarizes the challenges faced in the current research, and discusses future development trends, aiming to provide references for the development and application of flexible sensor-integrated smart dressings in wound management.

Parents of newborns are often required to make critical decisions in situations such as initiating active resuscitation, selecting invasive treatment options, and formulating long-term care and prognostic plans, and are prone to decisional conflict. Shared decision-making, through structured information exchange and values clarification, can significantly reduce such conflict and enhance satisfaction. This review summarizes the concepts, theoretical model, assessment instruments and influencing factors of shared decision-making, and proposes targeted practical recommendations to provide reference for clinical practice and future research on shared decision-making in the field of neonatal nursing in China.