This paper describes the concept of dementia optimization care, and puts forward the connotation and implementation of seven question framework, so as to provide feasible practical solutions for improving the quality of dementia care.

Through this article we aim to contribute to discussion about how to support family caregivers in China to care effectively for parents with dementia. We outline evidence about the nature of the challenge, situating the rise in numbers of people living with dementia and the role of families in providing care, in the specific time and place of 21st century China. We note the unique backdrop of economic and social transitions, which is leading to strains and changes in traditional values. We draw on recent research to summarise the impact of caregiving and suggest the socio-cultural model of stress and coping as a powerful framework to inform service development. Given the centrality of filial piety in Chinese culture and the associated expectation that families look after their own relatives, we propose that a community case management model may be an effective way of supporting dementia care in China. We describe the Admiral Nursing model that is used in the UK as an example.

This study proposed a logical model for building dementia friendly agencies based on the synthesis of existing literature and current practice in the U.S.A. The framework is applied in case analyses of hospitals and nursing homes in China. In hospital and long-term care settings, improving physical and social environment so that patients with dementia can receive person-centered medical and personal care is the key to dementia friendly agency construction.

Objective: To systematically review the effects of different illumination parameters of light therapy, such as the light timing, light duration, light intensity, and spectral distribution, on helping to improve sleep quality in patients with Alzheimer's Disease. Methods: A comprehensive search of Chinese and English databases on the studies of light therapy on sleep disorders in patients with Alzheimer's Disease was conducted. The studies were selected according to the inclusion and exclusion criteria and were critically evaluated by two reviewers. Data of included studies were extracted, and only descriptive analysis was conducted. Results: Eight randomized controlled trials and 4 cohort studies were included. Previous studies have shown that: a) 9:00-11:30 am or 5:00-8:00 pm is the best time of the day to exposure light; b) 2 hours of light per day for more than two weeks is the basis for ensuring effective light, and it can improve the sleep disorders of patients and has higher safety; c) the light intensity of 3000-8000 lux can substantially improve the quality of sleep; d) short-wave blue light and white light can effectively correct circadian rhythm disorders, but further research is needed. Conclusion: The settings about the timing, duration, intensity and spectral distribution of the light therapy are the elements that need to be considered. At present, there are no standards for light parameters. Further studies should explore different light parameters of light therapy and observe long-term effects of sleep disorders in patients with Alzheimer's Disease.

With the global cognitive deterioration in moderate and severe dementia, persons with dementia present more mood problems and challenging behaviors and rely on care by others. Assessment lays the foundation for developing individualized dementia care plan. The review first used the IDEAL schedule for staging care of dementia as an example to illustrate how to conduct integrative assessment from the perspective of person-centered dementia care. Second, the paper reviewed the components and major approaches of assessment for individualized care for moderate and severe dementia. Then, a case study demonstrated how to make an assessment-based individualized care plan. Lastly, the gap in research and implementation of the integrative assessment in the dementia care practice was discussed. The review also shared perspectives on the future priorities of research and practice on care for moderate and severe dementia.

Objective: To compare the incidence rate and influencing factors of falls between elderly and middle-young maintenance hemodialysis patients. Methods: We performed a multicenter cross-sectional interview-based survey to determine one-year fall incidence rate and fall characteristics in 1230 dialysis patients from thirteen public hospitals in Jiangsu Province by using convenience sampling. Results: Among the 1230 patients, there were 349 patients aged 65 years or above, and 881 patients aged under 65 years of age. The fall incidence rate among elderly maintenance dialysis patients and middle-young patients were 23.2% and 10.7%, respectively. Whether having poor balance and gait, secondary hyperparathyroidism and poor eyesight or hearing were identified as independent fall-related factors among elderly maintenance dialysis patients. Duration of dialysis, whether having secondary hyperparathyroidism, chronic pain, intradialytic hypotension, whether using auxiliary equipment were identified as independent fall-related factors among middle-young maintenance dialysis patients. Conclusion: The fall incidence rate among elderly dialysis patients is much higher than that of middle-young patients. There are more independent fall-related factors in middle-young maintenance hemodialysis patients and they are more closely related to dialysis. The shared independent fall-related factor between two groups is whether having secondary hyperparathyroidism.

Objective: To explore the physical and mental experience and needs of children with chronic diseases undergoing invasive operation. Methods: Under the guidance of phenomenological methodology, 16 children with chronic diseases who had undergone invasive operation were selected for the purpose of semi-structured interviews. Results: During the invasive procedures, the children had physical discomfort and complex psychological reactions, including pain and position limitation, and complex psychological reactions including tension and fear, loss and helplessness, sadness and depression, trust and anxiety. Children need information and peer support before invasive procedures. During operation, children had the need of comfort environment, respect, communication and distraction. After the operation, the children had the need of information, love and belonging. Conclusion: Nursing interventions should be based on the child's own feelings and needs. Nurses should pay attention to children's own characteristics and preferences, and actively explore personalized nursing care in order to improve the children's experience.

Objective: To investigate the current status of Post-Traumatic Growth of adolescent patients with malignant tumors and analyze its influencing factors. Methods: A questionnaire survey was conducted on 248 adolescent patients with malignant tumors using a survey scale of demographic and disease-related data, and Post Traumatic Growth Inventory (PTGI). Results: 41.13% of adolescents with malignant tumors reported significant growth. The average score of PTGI was 2.62±1.06. Multiple linear regression analysis demonstrated that the age at diagnosis, place of residence, disease type, and disease duration were the influencing factors of Post-Traumatic Growth (R2adj=0.197, F=34.349, P<0.001). Conclusion: Adolescent malignant tumor patients have Post-Traumatic Growth, which still needs to be improved. Medical professionals should guide patients to explore positive psychology, improve the level of Post-Traumatic Growth, and promote the physical and mental health of adolescent patients with malignant tumor.

Objective: To develop a self-management behavior scale for knee joint discomfort in middle-aged and elderly people and test its reliability and validity. Methods: The definition of self-management behavior was determined based on literature review. Semi-structured interview and expert consultation were used to identify draft of the scale. A total of 528 middle-aged and elderly people over 45 years old were investigated by the scale, and the reliability and validity were tested. Results: The final scale includes 27 items and 4 dimensions, namely symptom management, daily life management, mood management, and information management. The I-CVI ranged from 0.833 to 1.000, S-CVI/Ave was 0.964. Exploratory factor analysis extracted 4 common factors, the cumulative contribution of variance was 58.583%. Confirmatory factor analysis showed that the fit index χ2, df?, χ2/df?, RMSEA, CFI, GFI, AGFI, NFI, IFI, TLI were 1077.693, 318, 3.388, 0.094, 0.817, 0.731, 0.680, 0.761, 0.819, 0.798 respectively. The Cronbach's α coefficient was 0.946, the split-half reliability was 0.894 and the test-retest reliability was 0.876. Conclusion: The scale was proved to be reliable and valid. It can be used to assess the self-management behavior of knee joint discomfort in middle-aged and elderly people.

Objective: To investigate the symptom distress and its influencing factors of patients with nasopharyngeal carcinoma after 5 years of discharge. Methods: The general information scale, the M.D. Anderson Symptom Inventory-Head &Neck Module (MDASI-H&N), the Cancer-Related Fatigue Scale, the Fear of Progression Scale were used for investigation. Results: Five years after discharge, the average score of symptom distress of patients with nasopharyngeal carcinoma was 2.25±0.93, which was in a mild level. The top 6 distressing symptoms were fatigue, dry mouth, amnesia, distress, sleep disorder and tooth disturbance. The score of obstruction of life was 2.75±1.49, The degree of obstruction to life from high to low is as follows, work (including housework), mood, walking, life fun, relationship with others, and general activities. The cancer-related fatigue, age, number of symptoms and progression of fear diseases were the influencing factors of symptom distress. Conclusion: The evaluation of symptom distress of patients with nasopharyngeal carcinoma after 5 years of discharge should be paid more attention, Personalized, holistic and continuous symptom management based on the distressing symptoms and the influencing factors should be performed to improve their quality of life.

This paper introduces the software of family rehabilitation of Computerized Cognitive Training (CCT) at home and abroad, its application groups and application effects in different groups, and also introduces the training conditions, frequency, duration, compliance and cost of the software. This paper provides reference for the development of CCT software and family rehabilitation in China.

Objective: To construct a humanistic caring model based on Swanson's theory of caring and analyze its effects on the disabled elderly in nursing homes. Methods: Two nursing homes were randomly divided into the intervention group (n=49) and the control group (n=49). The control group received the original humanistic caring model of the nursing home, and the intervention group was offered the humanistic caring model in nursing homes based on Swanson's theory of caring. Loneliness, depression and quality of life were compared between the two groups before intervention, the 3 months and the 6 months after intervention, respectively. Results: The between-group effect, time effect and interaction effect of loneliness, depression and quality of life in the two groups were statistically significant (P<0.05). The scores of loneliness in the intervention group 3 and 6 months after intervention were significantly lower than those in the control group, and the scores of depression and quality of life 6 months after intervention were significantly better than those in the control group (P<0.05).Conclusion: This humanistic caring model based on Swanson's theory of caring in nursing homes could effectively alleviate the loneliness and depression of the disabled elderly and improve their life quality.

Objective: To construct the early mobilization program of patients after Total Knee Arthroplasty. Methods: Literature review and Delphi method were used to develop the early mobilization program of patients after Total Knee Arthroplasty. Results: After two-round consultations, the active coefficient of experts was 100%, and the degree of specialist authority was 0.95, the mean variation coefficients were 0.079 and 0.096, the coordination coefficients were 0.113 and 0.096 respectively. The early mobilization program with five first-level indicators: introduction, preoperative health education, preoperative methods guidance, postoperative rehabilitation and postoperative mobilization. Preliminary experimental results showed that, among the 16 patients, 15 completed early mobilization according to the program, and the average time of first mobilization was (22.38±4.71) hs. Conclusion: The early mobilization program for patients after Total Knee Arthroplasty is scientific and feasible, and it can be further tested and applied in clinical practice.

Objective: To explore a protection and management strategy of transferring patients with COVID-19 in fever clinic and isolation ward , hopefully to provide an effective and safe way for other medical institutions in transferring patients with COVID-19. Methods: On the basis of the establishment of the transfer management system with specific management goals, a transfer team was set up, who then formulated relevant transferring processes and carried out training and checkup work. Besides, specialized examining devices and examination channels were also added as well as dynamically monitoring and adjusting of human resources to supervise and ensure the successful transferring of patients with COVID-19. Results: Up to April 14th, 3718 patients with fever have been accompanied to do tests and see doctors by staffs from the department of central transportation, 322 patients with or suspected with COVID-19 have been transferred to inpatient department, and 198 patients with or suspected with COVID-19 from the isolation area have been transferred to do tests. Throughout the working process, none of the transferring staffs has been infected by patients with or suspected with COVID-19. Conclusion: It is a safe and effective way to transfer patients with or suspected with COVID-19 in hospital and can improve the protection ability of staffs doing transfer work by establishing the transfer management system, setting scientific transfer process, and strengthen protection measures.

Objective: To construct an effective nursing administration model in Fangcang hospitals to ensure patients' safety. Methods: We established the joint nursing department, formulated the nursing quality management standards in Fangcang hospitals, and organized the time-segmented supervision method in different periods during the day, therefore to comprehensively monitor the nursing care quality through the process. Results: Through time-segmented supervision by a joint nursing effort, the rate of unimplemented items was decreased from the initial 46.43% to 0.07%, and the satisfaction rate was increased from 96.07% to 99.44% among patients who were discharged from the hospitals. The number of reported nursing adverse events was zero. Conclusion: The time-segmented nursing administration model through joint nursing during the day can realize the homogenization of nursing related works, promptly and effectively solve the nursing quality issues in Fangcang hospitals, therefore improve the quality of nursing and patients' safety efficiently.

This study is to summarize the nursing management experiences and related works among the nursing medical team in assisting Wuhan Taikang Tongji COVID-19 specialized hospital during the outbreak of the COVID-19 epidemic. There were mainly six aspects involved in daily practice: 1) preparatory arrangement: include personnel group assignment, training, supply preparation, reconstruction of the unit layout; 2) placement management: include group scheduling, placement setup; 3) procedure and system management: include setting up pre-regulatory systems and rules, collaborative process between areas, and daily quality control; 4) quality management of clinical nursing care; 5) humanity care management; and 6) infection control management: include the safety and comfort in wearing Personal Protective Equipment (PPE), formulation of disinfection plan for each shift, action plans for sudden event prevention and emergency coping. Because of the adequate preparation, practical administrative procedures, along with high work efficiency and quality clinical nursing care demonstrated by the nursing team, we have reached high patient satisfaction, patient “zero death”, and medical staff “zero contraction” record. Theses practical experiences of first-line nursing management can provide references for the nursing management of public health events such as the treatment of sudden infectious diseases in the future.

Objective: To investigate the status of resilience of the medical staff aiding Hubei during the outbreak of COVID-19 and its influencing factors. Methods: Questionnaires and Connor-Davidson Resilience Scale (CD-RISC) were used to investigate the resilience status and analyze the influencing factors. Results: The total score of resilience of the those medical staff was (92.60±14.86). Multiple logistic regression analysis showed that having no confidence in completing the mission was an influencing factor of psychological resilience and the score of resilience decreased with the increase of support time. Conclusion: The overall resilience of the medical staff aiding Hubei was relatively high. Support time and feeling fully prepared for the mission, having confidence in completing the mission were influencing factors of psychological resilience in this study.

Objective: To conduct quality and content analysis of the evidence-based practice guidelines for the development of nutritional support programs for Age-related Macular Degeneration (AMD) patients in China. Methods: The following data base were systematically reviewed: the clinical practice guide websites, ophthalmology professional associations and academic organizations, Chinese and English databases, and other online search engines published guidelines on evidence-based practice for nutritional support for AMD patients. The AGREE II instrument was applied for quality evaluation and content analysis of the guidelines. Results: A total of 12 guidelines were included. The overall quality of the guides was grades A (2), grade B (8), and grade C (2). A total of 13 recommendations were finally integrated to reflect the risk factors and intervention measures. Conclusion: The qualities of the existing 12 guidelines are between middle and high level. The developer of the guidelines, the preciseness, applicability and independence of the guidances need to be improved. Since there is a lack of evidence-based practice guidance for high-quality AMD nutrition support in China, the 13 recommendations integrated can be recommended to provide nutrition support for AMD patients.

Objective: To synthesise the caregiving experience of parents with Cerebral Palsy children. Methods: We searched PubMed, Web of Science, EBSCO, ScienceDirect, Wanfang, CNKI and VIP databases. Qualitative studies about the parental caregiving experiences of children with Cerebral Palsy were included, and the results were assessed by a pooled integration approach using the Australian JBI Evidence-Based Health Care Center (2008) Quality Evaluation Standards for Quality Research. Results: A total of 12 studies were included to refine 36 well-defined findings, which were combined into 11 new categories and integrated into 3 integrated results. Integrated theme 1: As the main caregivers of children with Cerebral Palsy, parents are exhausted physically and mentally due to the challenges and financial burdens in the care. Integrated theme 2: Parents lack family support in caring and are not understood; they actively desire external support and help due to the limited ability. Integrated theme 3: With the passage of care time, parents constantly adjust themselves, gain positive psychological growth and gradually adapt to the role of caregiver. Conclusion: The caregiving experiences of parents with Cerebral Palsy children are worthy of attention. It's necessary to provide psychological counseling and guidance on caregiving knowledge and skills during the process of parents, psychological, physical and life adjustment, to assist them in the role of caregivers and to promote the healthy growth of children with Cerebral Palsy.

Objective: To understand the status quo of intern nursing students' competence and analyze the influencing factors. Methods: Using convenience sampling method, 817 intern nursing students were surveyed by the general information questionnaire and the Chinese version of Nursing Students Competence Instrument. Results: The total score of intern nursing students' competence was (199.75±44.23) and the rate was 74.0%. Educational background, level of internship hospital, voluntary choice of nursing, training of communication between nurses and patients, relevant training of career planning, satisfaction with internship and liking degree of nursing specialty were the main influencing factors of intern nursing students' competence (P<0.001). Conclusions: The competence of intern nursing students is in the middle level. Nursing educators should pay attention to nursing students who have low educational background, choose nursing profession involuntarily and dislike nursing profession. Nurse-patient communication training and career planning should be provided throughout the teaching process. Nursing managers in internship hospitals should strengthen the training of nursing teachers and improve the nursing students' satisfaction with practice in order to enhance the competence of intern nursing students.

Objective: To describe the characteristics of psychological contract and work engagement and explore their relationship among male nurses in China. Methods: Following convenient sampling, 1040 male nurses from 24 provinces in China were included in the current study. Related data were collected using a general data questionnaire, the nurses' psychological contract scale and the work engagement questionnaire. Results: The item mean score of psychological contract and the mean score of work engagement among male nurses in China were (1.99±0.73) and (56.19±24.28), respectively. The total score of psychological contract was significantly and negatively correlated with that of work engagement (r=-0.369, P<0.05) in male nurses. The fitting curve model also showed that when the total score of psychological contract was less than 113, the total score of work engagement of male nurses was significantly and negatively correlated with the total score of psychological contract (r=-0.46, P<0.05). Conclusion: The higher the degree of psychological contract in male nurses, the higher the level of work engagement. Nursing administrators should encourage positive emotion and amend the psychological contract disruption in time, therefore to ensure sustained and healthy development among male nurses in China.

Objective: To design and develop an "Internet?+?Nursing Service" platform. Methods: Using the internet as the carrier and the "O2O" model as the functional pathway, we applied the Java programming language and server-side Java technology to develop the platform. We collected information from 21 clients and 4 nurses through quantitative and qualitative methods to evaluate the application of the platform. Results: The average registration time among 21 clients was (3.21±0.78) minutes, the satisfaction rating for the service among 9 patients who booked online/offline services was 100%. Both patients and nurses were satisfied with the platform in terms of its operational convenience, professional interface and practical procedure. Conclusion: The "Internet?+?Nursing Service" platform was constructed with approaches incorporating policy orientation and patient needs, and considered safety as the central component. It showed merits in its applicability and simplicity, and provided a reference for exploring the operating mechanism of nursing services under the context of "Internet?+?Nursing Service".

A new type of medical services, "Internet + Nursing Service", have been on trial basis in six provinces and cities. At the end of November, 2015, "Internet + Nursing Service" was established in Ningbo to form a regional model of "Internet + care services", which is dominated by the health committee, taking "hospital Ningbo cloud platform" as the unified operation platform, supervised by Ningbo nursing association, signed a cooperation agreement with the cloud hospital medical institutions for clear responsibility at all levels. In the past four years, the Internet cloud hospital nursing platform recruited 5249 registered nurses, provided door-to-door service for 4027 times, carried out 28 service projects including muscle injection, PICC catheter nursing, subcutaneous injection, pressure sore care, nasogastric tube care and so on, without any medical dispute and adverse event. Ningbo model provides reference value for the "Internet + Nursing Service" policy and plays a driving role for the nationwide development.

Objective: To design and apply a Prone Position Ventilation (PPV) implementation checklist for patients with Acute Respiratory Distress Syndrome (ARDS). Methods: Based on literature review and clinical simulation, an implementation checklist for PPV was developed for patients with ARDS, which was applied to patients who required PPV in ICU. Following a pretest and posttest method, the rate of complications and the duration of PPV were compared before and after the application of the checklist. Results: After implementation of the PPV checklist, catheter slippage rate decreased from 52.9% to 10.5%, pressure injury rate decreased from 41.2% to 5.3% in patients with ARDS, and the average duration of prone position ventilation increased. Conclusion: Application of PPV checklist in patients with ARDS requiring PPV can effectively reduce the incidence of complications associated with ventilation, promote PPV, prolong average duration on ventilation and increase the effect of ventilation in prone position. This study demonstrated that the PPV checklist we developed is beneficial in standardizing the operational procedures and ensuring consistency in implementation management.

This paper reviews the overview, the status, the existing problems, and the promotion strategies of shared decision making in elderly patients with advanced Chronic Kidney Disease, so as to provide a basis for the development of shared decision making in elderly patients with advanced Chronic Kidney Disease.

Objective: To design and develop specialized popular science creative toys and to evaluate the effects of applying specialized popular science creative toys to preschool children with myopia in the ophthalmology clinic. Methods: A convenience sample of 107 preschool children with myopia who were waiting for treatment in the ophthalmic clinic of a Grade Three Level A hospital in Wuhan was selected from March to August 2019. While the routine waiting procedure was applied to both groups, participants in the experimental group were provided with specialized popular science creative toys in a game area. The compliance rate of children, the anxiety level, the mastery rate of environmental factors affecting myopia and the satisfaction towards the waiting environment of parents were compared between the two groups. Results: During the waiting period in the ophthalmology clinic, none of children in the experimental group cried or requested to look at their parents' cell phones. Their resistance mood was significantly lower than that in the control group (P<0.01). The anxiety score during the waiting period for parents in the experimental group was lower than that for parents in the control group (P<0.05). Meanwhile, parents' mastery rate of environmental factors affecting myopia and the satisfaction towards the waiting environment in the experimental group were both higher than those in the control group (P<0.05). Conclusion: The application of specialized popular science creative toys in the waiting period of ophthalmic clinic can effectively improve the children's compliance rate with diagnosis and treatment, reduce the anxiety level of parents, increase their mastery rate of environmental factors affecting myopia and the satisfaction towards the waiting environment. At the same time, this study effectively achieves the innovation of nurse-led multidisciplinary integration in outpatient management.

Objective: to compare the needs perceived by family members and nurses caring the critically ill children in PICU. Methods: A total of 150 family members and 52 nurses were recruited from April to August 2019 and administered with the Chinese version of the Critical Care Family Needs Inventory (CCFNI) and sociodemographic data questionnaire. The results were analyzed. Results: There were significant differences in terms of the total score and score in each dimension which demonstrated different needs perceived by the family members and nurses (P<0.01). The needs perceived by family members and nurses ranging from high to low were consistent, including condition assurance, being close to patients, accessing information, comforting family members and support from professionals. The most significant needs perceived by family members was "communicating with doctors every day", while the most significant needs perceived by nurses was "providing the best treatment for patients". Conclusion: The needs perceived by family members were different from that perceived by nurses caring the critically ill children in PICU. Family-centered nursing intervention are supposed to be implemented with full consideration of the needs assessment of children's families.

Objective: To construct the nursing management protocol of perioperative delirium for elderly patients with hip fracture and evaluate its effects. Methods: Under the guidance of evidence-based methodology, the nursing management protocol of perioperative delirium for patients over 80 years old with hip fracture was formed. The patients who were admitted to the hospital from July 1,2015 to June 31,2017 were selected as the control group and followed the routine nursing protocol. The patients who were admitted to the hospital from July 1,2017 to June 31,2019 were selected as the experimental group. The perioperative delirium nursing management protocol was used. The differences of nursing safety indexes such as delirium incidence rate, duration of delirium, duration of sleep and unplanned extubation rate were compared. Results: The incidence rate and duration of delirium in the experimental group was lower than that in the control group. Yet, duration of sleep in the experimental group was higher than that in the control group. All these differences were statistically significant (P<0.05). There was no statistically significant difference in the incidence rate of nursing adverse events such as unplanned extubation between the two groups (P<0.05), but the incidence rate in the experimental group was lower than that in the control group. Conclusion: The nursing management protocol of perioperative delirium for patients over 80 years old with hip fracture helps to reduce the incidence rate and duration of delirium, increase the overall duration of sleep for patients, and reduce the incidence rate of nursing adverse events such as unplanned extubation.

Frailty is an important related factor of health outcomes in the aged with heart failure. It is important to identify the occurrence and slow the progression of frailty in time for the aged with heart failure. This paper reviewed the current studies of frailty in the aged with heart failure, including the relationship between heart failure and frailty and the targeted interventions. We proposed some suggesstions based on the review and aimed to provide reference for future research.

Objective: To explore the effect of the multi-department cooperative management on shortening the time before analyzing the Turnaround Time (TAT) of inpatients' emergency specimens. Methods: A multi-department project improvement expert panel was established. Three feasible schemes, including information system improvement, personnel performance management and visual management, were identified through the cross-sectional survey, key factor analysis, brainstorming, and decision matrix analysis. The TAT data before improvement project (May 2017) and after improvement project (May 2018) were compared to detect the effect of the multi-department cooperative management. Result: The median time for analyzing and testing TAT was decreased from 43.79 min to 23.64 min after improvement project, successfully achieving the preset goal of ≤26 min. Median values of the tiem from starting to collect, time from collecting to transport, and time from sending to receive decreased to 7.21, 9.97, and 6.46 min, respectively, from 13.85, 18.36, and 11.58 min after improvement project., and the difference was statistically significant (P<0.01). Conclusion: Multi-department collaborative management is conducive to enhance communication and work efficiency, make most use of resources, and shorten the turnaround time before emergency specimen analysis for inpatients.

Respiratory muscle weakness is more common in critically ill patients, and its occurrence can adversely affect its recovery. New research evidence shows that Inspiratory Muscle Training has a certain degree of improvement. This article described the research progress of Inspiratory Muscle Training in ICU mechanical ventilation patients, including the significance of Inspiratory Muscle Training, training methods, influencing factors. With a view to providing Inspiratory Muscle Training for this type of patients in China to provide reference for early rehabilitation.