This paper summarizes the status of operating room nursing management in China and management tools application, analyzes the challenges of operating room nursing management with the development and progress of medical care, introduces the available management theories and quality management tools in operating room nursing management, and discusses the application of scientific management methods in operating room nursing management, aims to promote the scientific, informationize and intelligent development of operating room nursing management in China.

Objective: By optimizing the allocation of open surgical instrument kits of tumor specialty, improve the operation efficiency of operating room, reduce the operation frequency of each set of operating room nurses and decontamination personnel. Methods: According to the actual needs of tumor surgery currently carried out by each surgical specialty, simplify the basic package of open surgical instruments of its professional tumor specialty, increase the single package of surgical instruments (used under special circumstances). Before and after optimization, the total number of each professional open surgical instrument basic package and single package, the weight of surgical instruments, surgeons' satisfaction with operating room nurses were counted, and calculated the time was saved. Results: After optimization, the total number of open surgical instruments in each surgical specialty of the hospital was reduced from 8519 to 7133, a total decrease of 1386, a decrease of 16.27%; 17.33 surgical instruments were reduced for each open surgical instrument basic package on average; reduced the total weight of sterilization of surgical instruments by 20958 kg; 416 seconds for instruments disposal during operation and 416 seconds for cleaning instruments after operation of operating room nurses were saved. Surgeons' satisfaction with the preparation of nurses in the operating room increased from 93.22% before simplification to 100% after simplification. Conclusion: Optimizing the allocation of tumor open surgical instrument package and removing the redundant surgical instruments in the original surgical package can shorten the time of counting and sorting surgical instruments during operation, shorten the washing time of postoperative surgical instruments, and significantly shorten the operation duration; reduce the weight of the basic surgical instrument package of each surgical specialty, which reduces the labor intensity of nurses and decontamination personnel in the operating room; improve the satisfaction of surgeons with nurses in the operating room.

Objective: To analyze the application effect of Healthcare Failure Mode and Effect Analysis (HFMEA) in the management of routine pathological specimens in the operating room. Methods: Established a HFMEA work team to identify topic, make work flow chart, find out the potential failure mode in routine pathological specimens management in the operating room, and analyze the reasons, develop action plan and implementation. Results: The quality indexes of specimen management (specimen confirmation specification compliance rate, accuracy rate of intra operative specimen temporary storage, accuracy of specimen registration, the qualified rate of inspection specimen) were significantly improved, and the differences were statistically significant (P<0.001). Conclusion: The application of HFMEA to the management of routine pathological specimens in the operating room can effectively guarantee the safety of pathological specimens and improve the quality of nursing in the operating room.

This article introduces the concept, basic writing format and implementation steps of Standard Operating Procedures, and analyzes the application status and misunderstandings of Standard Operating Procedures in operating room nursing management, aims to provide references for future in-depth research and clinical practice of Standard Operating Procedures.

Objective: To investigate the incidence and influencing factors of Orthostatic Intolerance (OI) in patients with Adolescent Idiopathic Scoliosis (AIS), and to provide reference for clinical nursing intervention. Methods: A total of 104 patients underwent posterior correction internal fixation and bone graft fusion from June 2020 to March 2021 were enrolled in this study. The status of OI was recorded. The demographic characteristics, disease information and treatment information were collected. Results: Totally 36 cases (34.6%) had OI. The incidence of dizziness, nausea and blurred vision were 100.0%, 66.7% and 33.3% respectively. No patient experienced syncope. Binary logistic regression demonstrated that lack of positional fitness training, long time stay in bed, and high pain level during sitting were independent risk factors for AIS patients who developed OI. Conclusion: OI was common for AIS patients with prolonged postoperative hospitalization. Clinical staff can reduce the occurrence of OI by encouraging patients early mobilization, providing perambulation training, and optimizing pain control during mobilization.

Objective: To compile a questionnaire suitable for investigating the actuality of puerperae's knowledge, attitude, and practice of rehabilitation for postpartum diastasis recti abdominis, and to examine its reliability and validity. Methods: Based on the knowledge-attitude-practice theory, the primal questionnaire was compiled through literature review, Delphi expert letter inquiries and pre-survey. A questionnaire survey was conducted on 532 puerperae to test the reliability and validity of the questionnaire to form the final questionnaire. Results: The final questionnaire was made up of 3 dimensions with 32 items. Five common factors were extracted by exploratory factor analysis extracts, and the cumulative variance contribution of the factors was 73.7%. Confirmatory factor analysis showed that the model structure fits well. The content validity of each item in the questionnaire ranged from 0.824 to 1.000, and the scale-level content validity index of whole questionnaire was 0.980. The Cronbach's α coefficient of the whole questionnaire was 0.965, the split-half reliability was 0.876, and the retest reliability was 0.884. Conclusion: The questionnaire has good reliability and validity. It is suitable for evaluating the level of puerperae's knowledge, attitude and practice of rehabilitation for postpartum diastasis recti abdominis.

Objective: To development and test the motivation questionnaire for intestinal stoma patients' health promotion behaviors. Methods: Based on the self-determination theory, the initial scale was formulated by literature analysis, group discussion, two rounds of Delphi expert consultations, and pilot-testing. A convenience sample of 206 intestinal stoma patients were selected to examine the reliability and validity of the scale. Results: The scale consisted of 4 subscales and 12 items. The Cronbach's α coefficient of scale was 0.802, and the test-retest reliability was 0.791. The exploratory factor analysis extracted 4 common factors including external regulation, introjected regulation, identified regulation and intrinsic regulation, and the cumulative variance contribution rate of the 4 factors was 85.941%. Conclusion: The questionnaire has good reliability and validity. It can be used as a tool to evaluate the motivation orientation of health promotion behavior for intestinal stoma patients.

Objective: To understand the acute postoperative pain experience of patients with mixed hemorrhoids, and to provide reference for the adoption of targeted interventions to relieve pain. Methods: Using phenomenological method in qualitative research, and 9 patients with postoperative pain of mixed hemorrhoids were selected for purposeful sampling for semi-structured in-depth interviews, and the Colaizzi 7-step analysis method was used to analyze data. Results: The acute pain experience of patients with mixed hemorrhoids can be summarized into 5 themes: ①deep pain experience; ②continuous negative thinking about pain; ③pain attribution; ④expectation of social support; ⑤in addition to painkillers, also expect traditional Chinese medicine nursing technology. Conclusion: Patients with mixed hemorrhoids have heavy burden and demand pain beliefs in the acute phase after surgery. Medical staff must establish a complete pain management system for patients after surgery, so that they can form correct pain cognition and establish an effective emotional and family support system, improve pain self-management ability, and promote postoperative recovery.

Objective: To translate the English version of Nurses' Occupational Low Back Pain Prevention Behaviours Questionnaire into Chinese, and to test its reliability and validity in Chinese nurses. Methods: Strictly following the principle of scale introduction, Brislin's two-person literal translation-back translation model was adopted to translate the English version of Nurses' Occupational Low Back Pain Prevention Behaviours Questionnaire. Expert consultation method was adopted to make cross-cultural adjustment to form the Chinese version of Nurses' Occupational Low Back Pain Prevention Behaviours Questionnaire. A questionnaire survey was conducted among 573 clinical nurses to test the reliability and validity of the Chinese version of Nurses' Occupational Low Back Pain Prevention Behaviours Questionnaire. Results: The Chinese version of Nurses' Occupational Low Back Pain Prevention Behaviours Questionnaire included six dimensions, namely knowledge, attitude, self-efficacy, reinforcement factors, contributing factors and behavior, with a total of 29 items. The content validity index of the scale was from 0.833 to 1.000, and the total Cronbach' s α coefficient of the scale was 0.905. Conclusion: The Chinese version of Nurses' Occupational Low Back Pain Prevention Behaviours Questionnaire has good reliability and validity, which can be used to evaluate the occupational low back pain prevention behavior of clinical nurses in China.

Objective: To translate the Measuring Change in Physical Activity Questionnaire (MCPAQ) and test the reliability and validity of Chinese version of MCPAQ in hypertensives in China. Methods: We obtained authorization from the original authors of MCPAQ and conducted cross-cultural adaptation. Using the convenient sampling method, a survey of 636 hypertensive patients from 4 community health service centers in 2 main urban areas of Changsha City was conducted from November 2020 to January 2021 to test the reliability and validity of the scale. Results: The correlation coefficient between each item and the total score were from 0.350 to 0.815 and from 0.539 to 0.896 in MCPAQ initiation (MCPAQ-INIT) and MCPAQ sustenance (MCPAQ-SUST) respectively. The I-CVI of each item was from 0.837 to 1.000, and the S-CVI was 0.936. Exploratory factor analysis showed that the cumulative variance interpretation rate of the four common factors extracted by MCPAQ-INIT was 71.967%, the cumulative variance interpretation rate of the three factors extracted by MCPAQ-SUST was 74.589%, and the factor loading coefficient of each item of MCPAQ was from 0.492 to 0.921. The Confirmatory factor analysis indicated: χ2/df=1.847, GFI=0.910, CFI=0.936, RMSEA=0.043, NFI=0.924, TLI=0.898 for initiation model and χ2/df=1.722, GFI=0.942, CFI=0.967, RMSEA=0.021, NFI=0.937, TLI=0.901 for sustenance model. The Cronbach's α coefficient of the scale was 0.911 and the test-retest reliability was 0.898. Conclusion: The Chinese version of the MCPAQ is reliable and valid, and can be used as a tool to measuring change in physical activity in hypertensives in China.

Objective: To explore the psychological experience of returning to family and society after chemotherapy in school-aged children with cancer. Methods: Objective sampling method was used to select 10 school-aged children with cancer in 3 to 12 months after chemotherapy from June 2019 to December 2020. Semi-structured interviews were conducted, and data were analyzed by 7-step Colaizzi phenomenology analysis method. Results: Three themes of psychological experience of school-aged children with cancer after chemotherapy were summarized: complicated mood of returning to the hospital for re-examination after chemotherapy, complicated psychological experience in returning school, desire for disease knowledge. Conclusion: The school-aged children with cancer experienced complicated psychological experience in the process of returning to family and society after chemotherapy, medical staff should provide personalized care to help them to study and live well.

Objective: To construct an evidence-based implementation plan of prone position ventilation for patients needing invasive mechanical ventilation. Methods: Relevant literatures were retrieved and analyzed systematically to screen and summarize evidences, which were then evaluated and extracted for further expert review. The original evidences with clinical feasibility and applicability were included to form the preliminary plan of prone position ventilation. Delphi technique was adopted later to further revise and perfect the prone position ventilation scheme to ensure its feasibility and clinical effectiveness. Results: The implementation plan of prone position ventilation for patients using invasive mechanical ventilation was constructed, which includes 33 items. Conclusion: The implementation plan of prone position ventilation based on literature study and Delphi technique is scientifically applicable, which makes the treatment process of prone position ventilation more standardized and can provide references for clinical medical staff.

Objective: Describe the actual psychological experience of liver transplant recipients from the time they are placed on the liver transplantation waiting list to the time before the liver transplant operation, to provide guidance and empathy for patients in "difficulties", as well as reference for medical staff to take targeted psychological care for patients. Methods: The researcher as the research tool, and the explanatory phenomenological analysis was used for data analysis. By purpose sampling, patients with end-stage liver disease undergoing transplantation were included in a hospital in Zhejiang province, and a one-to-one half structured in-depth interview was used to collect data. Results: The psychological experience of liver transplant recipients during the preoperative waiting period included four themes: rational choice, experience of diseases, contradictory psychological-behavioral responses and benefit discovery. Conclusion: The liver transplant recipients experienced complicated psychological experience during the waiting period, and experiencing contradictory psycho-behavioral responses at the same time. Although suffering from the disease, they can still obtain benefits. It is recommended for clinical medical staff to provide disease information support according to the needs of patients, implement high-quality psychological care, maximize the empathy of their peers, and to help the patients spend the waiting period safely.

Objective: To investigate the level of kinesiophobia in patients with first-onset Acute Myocardial Infarction and analyze its influencing factors, so as to provide reference for the intervention of exercise rehabilitation among those patients. Methods: A total of 342 patients with first-onset Acute Myocardial Infarction in 3 tertiary grade A hospitals in Xinxiang were selected from October 2020 to June 2021 by using the convenient sampling method. The patients were investigated by using the demographic information questionnaire, the Chinese version of the Tampa Scale for Kinesiophobia Heart, the Stanford Acute Stress Reaction Questionnaire, the General Self-Efficacy Scale, and the Social Support Rating Scale. Multiple Linear regression analysis was used to study the influencing factors of kinesiophobiam patients with first-onset Acute Myocardial Infarction. Results: The total score of kinesiophobia in patients with first-onset Acute Myocardial Infarction was 26-66 (47.57±9.27). Multiple linear regression analysis results showed that professional status, treatment modes, acute stress disorder, and self-efficacy were important factors that affected the level of kinesiophobia in patients with first-onset Acute Myocardial Infarction. Conclusion: Patients with first-onset Acute Myocardial Infarction have a relatively high level of kinesiophobia. Medical staff should pay attention to the early assessment and intervention of first-onset Acute Myocardial Infarction patients' kinesiophobia, improve their cognitive level of exercise rehabilitation, promote their active participate in cardiac rehabilitation exercise training, and improve their quality of life.

Objective: To investigate the cognition, attitude and practice status of pediatric ICU nurses on the early mobilization of children, and analyze the influencing factors to the implementation of early mobilization in critically ill children. Methods: Totally 187 pediatric ICU nurses were investigated using self designed questionnaire. Results: The scores of cognition, attitude and behavior of pediatric ICU nurses towards the early mobilization of critically ill children were (3.55±1.40), (29.40±3.97) and (17.87±4.89), respectively. Multiple regression analysis showed that department and training were the influencing factors of cognition (P<0.05), training was the influencing factors of attitude (P<0.05), critical care nurse and training were the influencing factors of behavior (P<0.05). Conclusion: Pediatric ICU nurses have a positive attitude towards early mobilization, but lack of implementation behavior and relevant knowledge. There are many difficulties in early mobilization implementation in critically ill children. In the future, multi-disciplinary cooperation should be actively carried out to strengthen the standardized and professional training of ICU nurses on the early mobilization of critically ill children, and improve their knowledge and practice level of the early mobilization of critically ill children.

Objective: To explore the effect of staging refined volume management in the elderly with Acute Heart Failure (AHF). Methods: Totally 127 hospitalized elderly with AHF were included in the Department of Cardiology of a tertiary grade A hospital in Jiangsu province from January 2019 to December 2020. According to the time of admission, there were 64 cases in the control group and 63 cases in the experimental group. Those in the control group were with routine nursing interventions; those in the experimental group were with three-stage refined volume management and nursing measures besides routine nursing intervention in the emergency, remission and stable period. The volume reduction and target achievement rate, the changes of Left Ventricular Ejection Fraction (LVEF) and B-type natriuretic peptide precursor (NT-proBNP), and were compared between the two groups on admission and 10 days after admission, the recurrence rate of AHF during hospitalization were compared between the two groups. Results: The volume reduction and target achievement rate, and the improvement of the LVEF in those of the experimental group were significantly higher than those in the control group after 10 days of admission (P<0.05), The NT proBNP and recurrence rate of AHF during hospitalization in the experimental group was significantly lower than those in the control group (P<0.05). Conclusion: The staging refined volume management is benefit to improve cardiac function and prognosis of elderly with AHF.

Objective: To study the incidence and the influencing factors of frailty in elderly inpatients in medical ward. Methods: Totally 320 elderly inpatients in a tertiary grade A hospital in Beijing from March 2019 to April 2021 were recruited. The general information questionnaire, frailty risk factors questionnaire and Fried frailty phenotype assessment tool were used for data collection. Logistic regression analysis was used to analyze the influencing factors of frail. Results: The incidence of frailty in elderly inpatients was 53.5%. Logistic regression analysis showed that lower ADL score, nutritional risk, physical disfunction and decreased serum albumin were independent risk factors for frailty (P<0.05). Conclusion: The frailty is popular in elderly inpatients, and the occurrence of frailty is affected by various factors.

Objective: To compare the frailty screening ability of the Edmonton Frailty Scale (EFS) and Groningen Frailty Indicator (GFI) among elderly people in nursing homes. Methods: A convenience sampling method was used to select 216 elderly people from 8 elderly institutions in Wenzhou from May to September 2020 for the study, and data were collected by using the general condition questionnaire, Frailty Phenotype (FP), EFS and GFI. The assessment ability of EFS and GFI were compared by ROC curve and Bayes discriminant analysis using FP as criteria. Results: The incidence of frailty was 35.2%, 40.3% and 43.1% for FP, EFS and GFI, respectively; the Kappa values of the consistency test between EFS and FP, GFI and FP were 0.460 and 0.430 (both P<0.001); the ROC curves under the EFS and GFI, using FP as the reference area was 0.805 and 0.801, respectively, with an area difference of 0.004 (Z=0.090, P=0.894), the sensitivity of EFS and GFI was 0.711 and 0.645, and the best critical value was 4.5 for both; the cross-validation accuracy was 74.5% and 72.7% for EFS and GFI, respectively. Conclusion: Both EFS and GFI can be applied to the frailty assessment of the elderly in nursing homes, and the similarity of screening ability between the two scales is moderate. EFS has higher sensitivity than GFI and is more suitable for frailty screening of elderly people in nursing homes.

Objective: To analyze the effects of different non-pharmacological treatments on depression of patients with renal dialysis. Methods: Databases including CNKI, Wanfang data, Embase, PubMed, The Cochrane Library, CINAHL Plus and Scopus were comprehensively searched from inception to March 30, 2021. Studies with randomized controlled trials meeting the inclusion criteria were included, and data extraction and quality evaluation were performed by two authors independently. Stata 15.0 was used to conduct a network meta-analysis. Results: A total of 32 studies with 5 kinds of non-pharmacological interventions, including cognitive behavioral therapy, exercise training, acupoint massage, health education, and relaxation therapy were included. Compared with routine care, rankings of interventions which showed significant effects on depression of patients with renal dialysis were exercise training (SMD=1.34, 95%CI: 0.74-1.94), health education (SMD=0.86, 95%CI: 0.32-1.41) and cognitive behavioral therapy (SMD=0.72, 95%CI: 0.06-1.31). Conclusion: Non-pharmacological interventions are benefit to reduce the depression level of patients with renal dialysis, and regular exercise, individual specific health education and targeted cognitive behavioral therapy are priority interventions.

Objective: To apply the best evidence of children's peripheral venous blood specimen collection to clinical practice. Methods: From December 2020 to March 2021, based on the standard procedure of the continuous quality improvement model of evidence from the Fudan University Evidence-Based Nursing Center, we applied the best evidence of peripheral venous blood specimen collection to the clinical practice. A total of 26 nurses, 208 and 289 children from the Department of Rheumatology and Immunology of a third-level children's hospital in Beijing were recruited. The quality was evaluated by the qualification rate blood samples. The effects were examined by investigating the knowledge of nurses about best evidence and their compliance with the best evidence before and after the application of the evidence. Results: After the evidence application, nurses' awareness of 5 indicators including the timing of children's fisting, fixation by two persons and positioning, usage of cuffs, and the order of blood specimen collection, was increased. The compliance with five aspects including identity confirmation, hand hygiene, usage of cuffs, order of blood specimen collection, and wearing the disposable gloves, was also improved. The qualification rate of blood samples was increased. All these differences were statistically significant (P<0.01). There were no significant differences regarding the success rate of blood sampling collection (P>0.05). Conclusion: The application of the best evidence for peripheral venous blood specimens collection in children can increase nurses' awareness and compliance with evidence-related knowledge, improve the quality of clinical care, and increase the qualification rate of blood specimens. The study provides a reliable basis for diagnosis and treatment of children. The evidence application does not affect the success rate of puncture and can decrease the suffering of patients.

Objective: To investigate the satisfaction status of standardized training for new nurses and analyze influencing factors. Methods: Convenient sampling method was used to select 2251 new nurses from 9 hospitals in 6 provinces. General information questionnaires and self-designed new nurse standardized training satisfaction survey questionnaires were used. Results: The satisfaction score of new nurses with standardized training is 83.23±11.46. The training teacher team and the specialized clinical practice ability are the highest satisfaction dimension. The dimensions with the lowest scores are training resource allocation, organizational training and management. working life, education, vacation, welfare, workload, career development opportunity, motivation and feedback and choice of scheduling opportunities are factors that affect the satisfaction of standardized training for new nurses. Conclusion: New nurses are highly satisfied with standardized training, but training resource allocation, organizational training and management still need to be improved. Medical institutions should optimize the training system and training environment according to influencing factors, and improve the satisfaction of standardized training for new nurses.

Objective: To explore the mediating effect of different coping styles on social support and burnout in ICU nurses. Methods: The Social Support Rate Scale, Simplified Coping Skill Questionnaire and Maslach Burnout Inventory were used to conduct a questionnaire survey in 1012 ICU nurses from 10 tertiary grade A general hospitals in Hunan province. Results: Burnout occurred in 63.4% of ICU nurses. Coping style partially mediated the relationship between social support and burnout, accounting for 32.1% of the total effect, among which the mediating effect of positive coping and negative coping was 26.2% and 5.9%, respectively. Conclusion: ICU nurses are with a high rate of burnout. Social support not only directly affects burnout, but also indirectly affects burnout through coping styles. Coping style plays a mediating role in social support and burnout of ICU nurses.

Objective: To explore the application effect of symptom management dynamic model in the whole-course management of lymphoma patients undergoing chemotherapy. Methods: Patients with preliminary hospitalized in the lymphoma ward of a tertiary grade A tumor hospital from May 2020 to February 2021, were assigned into the intervention group (106 cases) and the control group (100 cases) according to the order of admission. The intervention group received the whole-course management based on the symptom management dynamic model. The control group was given routine nursing combined with symptom diary, and the total intervention time was 6 cycles, respectively before the first cycle of chemotherapy and after the end of the sixth cycle of chemotherapy. The differences in chemotherapy complications, total burden of symptoms, quality of life and delayed chemotherapy between the two groups were compared. Results: Chemotherapy complications: After 6 cycles of intervention, the incidence of delayed chemotherapy in the intervention group was lower than that in the control group (P<0.05), the incidence of bone marrow suppression in the intervention group was lower than that in the control group (P<0.05); Quality of life: Repeated measures analysis of variance showed that the emotional function scores of the two groups existed time and interaction effects, nausea and vomiting, loss of appetite scores existed time, inter-group and interaction effects, fatigue and financial burden scores existed time and inter-group effects, constipation and diarrhea scores only existed time effect (all P<0.05). Conclusion: Symptom management dynamic model intervention can reduce the incidence of delayed chemotherapy and myelosuppression in lymphoma patients, improve their quality of life, and provide reference for the implementation of the whole-course management of lymphoma patients.

Objective: To investigate the application of precision-guided intervention model on exercise promotion in patients with Gestational Diabetes Mellitus (GDM). Methods: A table of random numbers was used to randomly divide 82 patients with GDM who received regular prenatal care in a obstetrics and gynecology hospital in Hangzhou from May to September 2020 into control group (n=42) and experiment group (n=40). Patients in the control group received standard care while the experiment group received precise guidance intervention model for five weeks in addition to standard care. Patients in both groups wore the fitness tracker continuously. Scores of the Pregnancy Exercise Self-Efficacy Scale, Pregnancy Physical Activity Questionnaire, and physical activity level monitoring by AX3 fitness tracker were compared before and after the intervention for both groups. Results: The score of Pregnancy Exercise Self-Efficacy Scale, the amount of time doing Moderate-to-Vigorous intensity Physical Activity (MVPA), the amount of time exercising, and the amount of time doing house chores during pregnancy were all higher in the experiment group than those in the control group, while the amount of time of prolonged sitting was less in the control group than in the experiment group, and the differences were statistically significant (P<0.05); the amount of time doing MVPA monitored by AX3 fitness tracker was higher in the experiment group than that in the control group, and the difference was statistically significant (P<0.05). Conclusion: The precise-guided intervention model can help patients with GDM improve their exercise self-efficacy during pregnancy, increase the amount of time doing MVPA during pregnancy, and promote the diversities of exercise during pregnancy in patients with GDM.

Objective: To analyze the implementation of the minimal sedation strategy combined with early goal-oriented mobilization guided by the principle of eCASH in patients undergoing mechanical ventilation in the Intensive Care Unit (ICU). Methods: Patients who were admitted to the ICU from January to December in 2019 in the study hospital and underwent mechanical ventilation were eligible for participating in the current study. A total of 56 patients were divided into two groups (one to one ratio, n=28 patients in each group): the intervention group and the control group. Patients in both groups were given analgesics and sedatives along with routine physical activities for ICU patients. Patients in the intervention group were treated with the minimal sedation strategy combined with an early goal-oriented mobilization nursing program following the principle of eCASH. The dosage of sedatives, comfort level among patients, incidence of delirium, muscle strength, duration of mechanical ventilation, length of ICU stay and the one-time successful extubation rate were compared between the two groups. Results: The dosage of sedatives, duration of mechanical ventilation and length of ICU stay among patients in the intervention group were significantly and statistically less than those in the control group (P<0.05). The comfort level in patients in the intervention group was significantly better than that in patients in the control group (P<0.05). The incidence of delirium in the intervention group was significantly lower than that in the control group (P<0.05). The one-time successful extubation rate and muscle strength in the intervention group were also significantly better than those in the control group (P<0.05). Conclusion: For patients undergoing mechanical ventilation in the ICU, the implementation of the minimal sedation strategy combined with early goal-oriented mobilization following the principle of eCASH can reduce the dosage of sedatives and occurrence of delirium, shorten the length of mechanical ventilation and ICU stay, improve patients' comfort level, the success rate of one-time extubation, and promote patient recovery.

This paper summarized the post-stoke suicide from the following area: epidemiology, risk factors, prevention, intervention, conclusion and prospect by consulting the recent relevant literature. It is expected to provide information for nurses to prevent the incidence of suicide in stroke patients, and to enhance the psychological health of stroke patients.

Based on the current research status of exercise compliance of diabetic patients, this study analyzed the factors affecting exercise compliance of diabetic patients, and elaborated intervention measures to improve exercise compliance. It is expected to provide information for improving exercise compliance of diabetic patients.

Health economic evaluation has continuously been applied in clinical practices, and recent years have witnessed the gradual development of such evaluation in the management of chronic wounds. This study mainly reviewed the indexes regarding input cost and output effects of chronic wounds, the application of economic evaluation in dealing with different types of chronic wounds, and nurses' roles during the process, so as to provide corresponding basis for clinical decision-making.

Objective: To explore the effects of a home rehabilitation training through stepwise teaching in patients undergoing Total Hip Arthroplasty (THA). Methods: A total of 210 patients undergoing THA for the first time were recruited. The 105 patients admitted from April to November, 2019 were assigned to the control group, and routine care and training were provided to them. Another 105 patients recruited from December, 2019 to September, 2020 were assigned to the experimental group and the home rehabilitation training through stepwise teaching was used in this group. The score of Harris Hip Score, the Barthel index of ADL, and the MOS item Short From health survey of the two groups were compared at the time of admission, before discharge and one month after discharge. Results: On admission, there were no significant differences regarding the score of Harris Hip Score (P=0.108), the Barthel index of ADL (P=0.055) and the score of the MOS item Short From health survey (P=0.161) between the two groups. The score of Harris Hip Score, the Barthel index of ADL, and the MOS item Short From health survey of patients in the experimental group were higher than those in the control group before discharge and one month after discharge (P<0.001). Conclusion: The home rehabilitation training through stepwise teaching can facilitate patients' postoperative rehabilitation and daily activities, and promote physical and psychological recovery.

Patients with heart diseases are often experienced psychology stress and fear of disease progression at different degrees, which would affect the recovery and prognosis of patients. This paper reviews the fear of disease progression in patients with cardiovascular disease, in order to provide a reference for the clinical rehabilitation and implementation of active psychological intervention for patients with heart disease.

This paper reviews the influencing factors, evaluation tools and countermeasures to improve the nursepatient
trust together with the outlook of the future trust relationship, in order to provide references for our theory and practice
advancement in this field.

This paper reviews the concept, formation elements, measurement methods and relevant theoretical mechanisms of habitual clinical behavior of medical personnel, and puts forward relevant suggestions for habitual clinical behavior change strategies, with a view to promote medical personnel to change the conventional inherent habits, make behavioral decisions that are more rational and more consistent with evidence-based practice.