Objective: To explore the current situation of nursing management of enterostomal patients in China to provide references for improving the quality of nursing management of those patients. Methods: In March 2024, hospitals in the 31 provinces of China were selected using purposive sampling method, and the self-designed "Questionnaire on Nursing Management of Enterostomal Patients" was used to conduct the survey for future analysis. Results: A total of 417 hospitals participated in the survey. 366 (87.8%) hospitals had management systems/procedures related to enterostomy care, which, however, failed to cover all the aspects of enterostomy care management; different healthcare providers were included in the management team of patients with enterostomies, namely, 400 hospitals (95.9%) had wound, ostomy and continence nurses. 315 hospitals (75.5%) offered preoperative stoma positioning, 225 hospitals (54.0%) carried out temporary pelvic floor rehabilitation for patients with enterostomies, and 380 (91.1%) hospitals carried out follow-up of patients. And 223 (53.5%) and 199 (47.7%) hospitals gave guidance on available medical resources and sexual content, respectively. Conclusion: The development of nursing management system and workflow for patients with enterostomies was fairly good, the forms of extended nursing services were diversified. However, the promotion of multidisciplinary team management mode was poor, and the implementation rate of nursing services for patients with enterostomies remained be improved, which required further improvement of the management system and workflow arrangement, strengthening of multidisciplinary cooperation, and implementation of nursing services.

Objective: Based on the patient journey mapping, the multidimensional needs in the health management of young and middle-aged enterostomy patients with colorectal cancer are visualized, providing information support for optimizing the whole-journey care for those patients. Methods: Using descriptive research methods, 13 young and middle-aged enterostomy patients with colorectal cancer were selected from December 2023 to March 2024. Content analysis was employed to analyze the interview data and draw the journey map of the patients. Results: According to the timing of diagnosis and treatment, from the three dimensions of task, emotion and pain points, the health management needs of patients were subdivided into 30 themes, including early screening and early diagnosis, symptom management, excretion concealment, care support, social adjustment and information screening, to establish the journey map of young and middle-aged enterostomy patients with colorectal cancer. Conclusion: The diversity and complexity of the patients's health management needs make their cancer journey long and complicated. In the future, in light with the various health management needs of such patients, it is necessary to study and construct a health management resource matching model with complementary authoritative medical care and high-quality peer support, so as to synergistically support patients' physical and psychosocial needs, accurately provide quality whole-journey care support to colorectal cancer patients with colostomy.

Objective: To construct a nursing information system for enterostomy patients based on clinical nursing pathway and analyze its application effects, so as to provide reference for improving the quality of life in clinical. Methods: The clinical nursing pathway for enterostomal patients was constructed on the basis of literature analysis and using group meeting method, embedded in the nursing information system, and applied from February 2023 till now in the Department of General Surgery of our hospital. We compared the completion rate of admission assessment, risk assessment, health education, pain assessment, discharge assessment, and stoma self-care ability of enterostomy patients before and after the application, as well as the nurses' satisfaction with the clinical nursing pathway information system. Results: After application, the rates of admission assessment (100.0%), risk assessment (94.5%), health education (100.0%), pain assessment (96.4%), and discharge assessment (100.0%) of enterostomy patients in the intervention group improved compared with the previous data, and the differences were statistically significant (P<0.05), and the stoma self-care ability of the patients, except for the use of the necessary auxiliary supplies, improved. The difference was statistically significant (P<0.05), and the nurses' satisfaction was greater than 90.0%. Conclusion: The application of the nursing information system for enterostomal patients based on the clinical nursing pathway can effectively improve the implementation rates of nursing measures, enhance the self-care ability of enterostomal patients, and increase nurses' satisfaction.

Objective: To explore the potential categories of Low Anterior Resection Syndrome (LARS) within 12 months after surgery in patients with mid-low rectal cancer and its predictive factors to provide reference for personalized health education to improve patients' life quality. Methods: A prospective study was used to select 116 patients who underwent sphincter-preserving surgery for mid-low rectal cancer from April 2021 to October 2022 as the study subjects. The socio-demographic and disease-related data of the patients were collected, and LARS scores were assessed 1 month, 3 months, 6 months, and 12 months after stoma surgery. The latent class growth model was used to identify postoperative LARS trajectories, and univariate analysis and Logistic regression analysis were employed to determine the predictive factors of different trajectory categories. Results: Two latent classes of LARS trajectories were identified in patients with mid-low rectal cancer, namely "mild symptom maintenance group" (35.3%) and "severe symptom relief group" (64.7%). There were statistically significant differences in the preoperative use of neoadjuvant therapy and whether pelvic floor rehabilitation therapy was performed during the preventive stoma period between the two groups (P<0.05). Conclusion: The incidence of LARS after surgery is relatively high in patients with mid-low rectal cancer, with symptoms lasting up to 6 months postoperatively or even longer in most patients. Group heterogeneity exists in LARS trajectories among different patient groups, and healthcare providers should refer to patients' LARS trajectory categories for personalized interventions to improve the outcomes of LARS.

Objective: To explore the correlation between the Dietary Inflammation Index (DII) and the severity of gastrointestinal-related core symptoms in patients with prophylactic ileostomy for rectal cancer, and to scientifically guide diets, improve symptoms and life quality of those patients. Methods: A total of 555 rectal cancer patients who underwent prophylactic ileostomy from December 2023 to March 2024 were selected for the study. Data were collected using a general information questionnaire, a simplified version of the Dietary Frequency Questionnaire (FFQ25), and MD Anderson Symptom Inventory with gastrointestinal cancer (MDASI-GI). Additionally, the Spearman correlation test was used to explore the correlation between the dietary inflammation indices and the severity of patients' gastrointestinal-related core symptoms. Results: The dietary inflammation index was categorized into three levels using the trichotomous method: low level (184 patients with a DII<167.82), medium level (186 patients with a DII between 167.82 and 233.08), and high level (185 patients with a DII>233.08). The DII was negatively correlated with patients’ core symptoms and the total score of the scale (P<0.05), not correlated with symptom interference (P>0.05) and positively correlated with their diarrhea scores (P<0.05). Conclusion: The symptoms of rectal cancer patients with prophylactic ileostomy were correlated with the DII. Dietary guidance according to the DII for patients with prophylactic ileostomy could be implemented to relieve gastrointestinal symptoms and improve their quality of life.

Objective: Based on the socio-ecological model, this study utilized network analysis to construct a network structure of factors influencing physical activity in pregnant women and identify the core factors. Methods: By convenient sampling method, a total of 602 pregnant women recruited from a tertiary grade A hospital in Guangzhou were investigated with the Sociodemographic and Prenatal Data Questionnaire, Pregnancy Physical Activity Questionnaire and Predictors of Pregnancy Physical Activity Questionnaire from August 2022 to January 2023. Results: The mean energy expenditure on physical activity during pregnancy was (106.68±92.80) MET-h/week. A total of 59.4% of pregnant women did not meet the recommended physical activity standard. According to network analysis, the influencing factors were categorized into three clusters including the individual, interpersonal, and environmental aspects, which were not only interconnected but also mutually influential. Among these factors, the "perceived importance of maternal health during pregnancy" exhibited the highest strength, closeness, and betweenness degree. Conclusion: More than half of pregnant women are physical inactive, and the perceived importance of maternal health during pregnancy is central to the network of influencing factors. Healthcare providers should develop physical activity promotion programs targeting at pregnant women from diverse perspectives of individual, interpersonal, and environmental factors, with an emphasis on enhancing the perceived importance of maternal health during pregnancy.

Objective: To compare the predictive effects of Pauda, Caprini, and Autar thrombus risk assessment scales on the risk of Venous Thromboembolism (VTE) in patients with Nephrotic Syndrome. Methods: A total of 287 hospitalized patients diagnosed with Nephrotic Syndrome in the Department of Nephrology at a tertiary grade A hospital in Beijing from January 2018 to March 2023 were recruited. A total of 51 patients diagnosed with VTE, and 236 patients without VTE (non-VTE group). Three risk assessment scales were used to assess the thrombus risk, and Receiver Operation Characteristic (ROC) curves were drawn for comparative prediction. Results: The optimal diagnostic thresholds for the Pauda, Caprini, and Autar scales were 0.5 points, 3.5 points, and 5.5 points, respectively. The area under the ROC Curve (AUC) was 0.613, 0.701, and 0.623, respectively. Conclusion: All three scales can predict the risk of VTE in Nephrotic Syndrome to a certain extent, with the Caprini, Autar, and Pauda scales ranking in order of predictive ability from high to low.

Objective: To evaluate the application effects of "Tree of Life" collective narrative practice in family caregivers of hospice care and provide practical basis for the care work development of caregivers. Methods: A total of 76 family caregivers of advanced cancer patients receiving hospice care at a tertiary Grade A tumor specialist hospital in Urumqi from January 2023 to June 2023 were randomly divided into control group (n=37) and experimental group (n=39). The experimental group adopted the collective narrative practice of "Tree of Life" on the basis of the control group, while the control group adopted routine admission education and psychological nursing. The Anticipated Grief Scale (AGS), Herth Hope Index (HHI) and Quality of Life Scale for Family Caregivers with Life-threatening Diseases (QOLLTI-F) were used to evaluate the intervention effects before and after intervention. Results: After intervention, the scores of HHI and QOLLTI-F in the experimental group were higher than those in the control group, and the scores of AGS were lower than those in the control group, with statistically significant differences between the two groups (P<0.05). Conclusion: The collective narrative practice of "Tree of Life" can effectively reduce the expected sadness of caregivers, which is conducive to increasing the level of hope and quality of life of family caregivers.

Objective: The purpose of this qualitative study was to investigate the factors that influence pain assessment of pediatric nurses for hospitalized children. Methods: In this qualitative descriptive study, purposive sampling method was used to select a total of 15 pediatric nurses to conduct a semi-structured, face-to-face, in-depth interviews. The interview guide drew upon 14 domains from the Theoretical Domains Framework. Thematic analysis was used to analyze the qualitative data. After familiarizing with the data, the next steps were to generate initial codes, search for themes, review themes, define and name themes, and finally produce reports. During this process, ongoing review, modification and refinement were required for codes and themes. Results: Three themes (individual knowledge and skills, the practice process in clinical contexts, and perceptions of the meaning and value of work) and ten sub-themes were identified. Conclusion: Multiple factors impact pediatric nurses during the pain assessment process. To promote the effectiveness of children's pain management, essential measures include regular training, integration of theories and practices, fostering teamwork and communication, and overall enhancement of awareness. Furthermore, it is imperative to empower evidence-based practice while standardizing behavior.

Objective: To explore the effects of interventions based on well-being PERMA model on subjective well-being of parents of children and adolescents with type 1 diabetes and their cooperation and support to children. Methods: A convenient sampling method was used to select two units in a tertiary Grade A hospital in Gansu Province. Eighty T1DM children or adolescents and their parents who met the inclusion criteria were selected and then assigned to the control group (40 cases) and the experimental group (40 cases). Parents in the control group were given routine care, while the parents in the experimental group were given a well-being PERMA nursing intervention besides routine care. The score of the Collaborative Parent Involvement scale (CPI) of patients and Index of Well-being (IWB) of parents were evaluated before and after the intervention. Results: Before the intervention, there were no statistically significant differences between the two groups in general information, the score of Collaborative Parent Involvement scale and IWB. After intervention, the score of CPI and IWB in the experimental group were statistically higher than those in the control group (P<0.05). Conclusion: Well-being PERMA nursing interventions on parents can improve the CPI and IWB of parents with children of T1DM.

Objective: To evaluate the effects of a rehabilitation management program based on chronic disease trajectory patterns in stroke patients. Methods: Stroke patients who were hospitalized at a rehabilitation hospital in Shanghai from September 1, 2022 to October 31, 2023 were randomly divided into the control group (63 cases) and the observational group (65 cases) using a random number table method. Patients in the control group and observational groups were respectively assigned to two wards in the south and north buildings of the hospital. Patients in the control group received routine care, including routine rehabilitation training in the neurology rehabilitation department, health education, disease observation, and telephone follow-up after discharge. On the basis of routine care, patients in the observational group received the rehabilitation management program based on chronic disease trajectory patterns, including establishing a rehabilitation management team, developing rehabilitation management plans based on the psychological characteristics and rehabilitation and care needs of patients at different stages of the chronic disease trajectory, and conducting a three-month rehabilitation management through evaluation, goal setting, planning, implementation, evaluation, and other procedures. The changes in hope level, daily life activity ability, and social participation of the two groups of patients were compared before intervention, 1 month after the intervention, and 3 months after the intervention between the two groups. Results: The Herth Hope Scale scores of the two groups at three time points were 21.87±4.03, 30.60±6.01, 41.30±4.66 in the observational group, and 22.68±3.75, 26.30±5.17, 36.12±4.94 in the control group. The difference between the two groups was statistically significant (Ftime=389.492, P<0.001; Fbetween groups=27.312, P<0.001; Finteraction=14.059, P<0.001). The daily living activity scores of two groups of patients at three time points were 34.02±11.13, 43.17±12.76, 62.68±13.09 in the observational group, and 35.06±11.74, 39.03±13.48, 55.14±13.28 in the control group. The difference between the two groups was statistically significant (Ftime=203.751, P<0.001; Fbetween groups=5.802, P=0.019; Finteraction=6.704, P=0.002). The autonomous participation questionnaire scores of two groups of patients at three time points were 69.57±12.75, 59.51±13.10, 43.10±10.82 in the observational group, and 67.73±14.05, 64.35±11.35, 50.03±11.07 in the control group. The difference between the two groups was statistically significant (Ftime=340.061, P<0.001; Fbetween groups=19.525, P<0.001; Finteraction=7.984, P=0.001). Conclusion: The rehabilitation management program based on chronic disease trajectory patterns can increase the hope of stroke patients for treatment and life, as well as improve their daily life activities and thus increase social participation.

Objective: To investigate the current status of awake prone position ventilation compliance in patients with acute hypoxic respiratory failure and analyze its influencing factors, in order to provide reference for formulating corresponding improvement strategies. Methods: From December 2022 to February 2023, convenience sampling was used to investigate patients with acute hypoxic respiratory failure in a hospital in Shanghai with the general information questionnaire, self-developed Obstacles to Awake Prone Position Ventilation Compliance Questionnaire, Barthel Index Scale and Numerical Pain Rating Scale. Results: A total of 85 patients participated in the survey. The time of awake prone position was 4 (2,6) hours per day, and 30 patients (35.3%) had good compliance. The most common hindering factors were: failure to change position in time to relieve the discomfort of prone position (63.5%), insufficient understanding of the significance of prone position ventilation (42.4%), and lack of confidence in disease recovery (27.1%). Logistic regression results showed that numerical pain score was the influencing factor of compliance in patients with awake prone position (P<0.05). Conclusion: The compliance of awake prone position ventilation in patients with acute hypoxic respiratory failure is poor, and the implementation of prone position is poor in patients with higher numerical pain scores. Medical teams should pay attention to the compliance status of awake prone position in patients with acute hypoxic respiratory failure, and formulate corresponding improvement strategies to enhance the tolerance of patients, improve the compliance of awake prone position treatment, and thereby improve the treatment effects of patients.

Objective: From the perspective of nurses, to explore the facilitators and barriers of the implementation of the intraoperative acquired pressure injury risk assessment scale (hereinafter referred to as the scale) and to provide insights for improving the clinical evaluation quality. Methods: This study was a descriptive qualitative research, crafting interview outline guided by theoretical domain framework. Semi-structured in-depth interviews were conducted with 11 operating room nurses from 6 tertiary hospitals in Guangxi, Shandong, Shanxi, Sichuan, and Guizhou province. Oriented content analysis was used to summarize and extract the themes. Results: The facilitators included strong clinical demand, good feasibility, and authority of the scale. The barriers included environmental constraints, lack of confidence among nurses, behavioral differences among nurses, poor intelligence of hospital information systems, and insufficient patient participation. Conclusion: There are both promoting factors and hindering factors in the process of scale evaluation. Nurses need to attach importance to the practical significance of scale, improve training, nursing process and auxiliary tools, and promote the clinical application of scale.

Early postoperative ambulation for Adolescent Idiopathic Scoliosis (AIS) patients undergoing posterior fusion surgery can promote the recovery of respiratory, gastrointestinal, musculoskeletal and other multi-system functions, and help prevent lung infection, pressure injury and deep venous thrombosis of lower limbs. This article reviews the timing, content, effects, influencing factors and existing problems of early postoperative ambulation in patients with AIS, so as to provide a reference for clinical medical staff to safely and effectively guide early postoperative ambulation in patients with AIS and related research.

Patients with lung cancer experience a series of disturbing symptoms during the perioperative period that seriously affect their quality of life. This paper reviews the research progress of symptom clusters in patients with lung cancer during the perioperative period from the aspects of concept, evaluation, classification and characteristics, influencing factors, and nursing management of symptom clusters, in order to provide a reference for further research on symptom clusters in patients with lung cancer during the perioperative period.

Total Knee Arthroplasty is currently the most effective methods for treating end-stage knee joint diseases. This paper summarizes the application status of mobile health technology in the management of Total Knee Arthroplasty patients. The issues were summarized as follows: inadequacy in the professional knowledge and skills of medical staff, a singular approach to system construction, a lack of patient involvement in application design, obstacles in information technology application for elderly patients, and risk in information security. And present prospects, aiming to provide insights for the application and development of mobile health technology in Total Knee Arthroplasty patients in China.

Objective: To search and summarize the evidence of blood pressure management about cancer therapy-related hypertension, and provide implications for clinical nursing practice. Methods: Based on 6S model, clinical decisions, recommendation practice, guidelines, systematic reviews, expert consensus, scientific statements on the monitoring and management of cancer therapy-related hypertension were systematically searched in the evidence-based guide websites and related databases for evidence summaries. The retrieval period was from inception of databases to January 2024. The quality of the included literature was evaluated and the content of the literature was extracted to summarize the evidence. Results: A total of 16 articles, including 6 guidelines, 5 expert consensus, 1 clinical decision-making, 1 systematic review, and 3 scientific position statements. A total of 27 pieces of evidence were generated from multidisciplinary team building, risk assessment and prevention, blood pressure monitoring, treatment, and management strategies. Conclusion: This study summarized the evidence of monitoring and management of cancer therapy-related hypertension. To provide patients with optimal strategies and improve clinical outcomes, health care professionals should fully combined clinical practice with evidence-based evidence when applying the evidence.

Objective: To identify the incidence and risk factors of postoperative delirium in neurosurgery patients through Meta-analysis, and to provide evidence for early clinical identification and prevention of postoperative delirium. Methods: Literature on the incidence and risk factors of postoperative delirium in neurosurgery were retrieved from PubMed, Web of Science, Cochrane Library, CINAHL, CNKI, VIP, and WanFang Data from inception to June 2023. After literature quality evaluation and data extraction, Stata 15.0 software was used for statistical analysis. Results: A total of 24 studies were included, and 20 risk factors were extracted for Meta-analysis. The results showed that the incidence of postoperative delirium was 24%. Age, gender, anxiety or depression, tumor diameter, tumor nature, history of hypertension, preoperative cerebral ischemia, postoperative GCS score, postoperative bilateral frontal pneumocephalus, hypoproteinemia, hypoxemia, fever, sleep disturbance, frontal approach craniotomy, benzodiazepine use, and physical restraint are risk factors for postoperative delirium in neurosurgery. Conclusion: The incidence of postoperative delirium is high in neurosurgery patients. Clinical staff should strengthen the monitoring and management of delirium, identify high-risk groups according to relevant risk factors, and carry out targeted measures to prevent and control the development of delirium.

Objective: To integrate relevant evidence on the symptom management of auditory hallucination in patients with schizophrenia and to provide references for clinical practice. Methods: We systematically searched the evidence of the symptom management of auditory hallucination in patients with schizophrenia from domestic and foreign databases, including clinical decisions, clinical practice guidelines, systematic reviews and expert consensuses and so on. The time for the retrieval was from the inception of databases until February 2023. Results: Totally 16 literature were involved, including 7 guidelines, 1 expert consensus, 4 systematic reviews, 3 randomized controlled trials, and 1 quasi experimental research. Finally, 28 pieces of evidence were summarized. Conclusion: The evidence for the symptom management of auditory hallucination in patients with schizophrenia provides evidence-based references for clinical practice. The evidence-based transformation should put into effects, in order to improve the quality of nursing, and enhance the self-management ability about the symptom management of auditory hallucination.

Objective: To systematically integrate qualitative studies on the caregiving experiences of spouse caregivers of patients with Young-Onset Dementia (YOD) to provide a reference for the development of interventions to meet the inner needs of spouse caregivers. Methods: Chinese and English databases were searched to include qualitative studies on the caregiving experience of spouse caregivers of patients with YOD. The search time frame was from the inception to March 2024. The literature was evaluated using the quality assessment tool for qualitative research developed by Australian JBI Centre for Evidence-Based Health Care. The results were integrated using integrative synthesis method developed by JBI. Results: A total of 9 studies were included to extract 34 findings, which were summarized into nine categories and four integrated themes, namely, serious symptoms and complex diagnostic problems, heavy caregiving burden and significant psychosocial stress, active coping and personal growth, and diversified needs and support. Conclusion: Spouse caregivers of patients with YOD had difficulties in managing abnormal psycho-behavioral symptoms. They had high caregiving burden, strong negative emotions, and desire for various support. Meanwhile, they reacted positively to their predicament. Hospitals and community health care workers should give high priority to the psychological experiences and needs of spouse caregivers of patients with YOD and provide individualized interventions to enhance the quality of life of patients with YOD and their spouses.

Objective: To systematically analyze the incidence and risk factors of exposure keratopathy in ICU patients, provide reference basis for early intervention by clinical medical staff. Methods: We searched literature on the incidence and (or) risk factors of exposure keratopathy in ICU patients from domestic and foreign databases. The literature were screened strictly according to the inclusion and exclusion criteria, and Meta-analysis was performed using Stata 17.0 software. Publication bias were determined by the Beggs test and the funnel plot. Results: A total of 15 articles involving 2470 patients were included, and the incidence of exposure keratopathy in ICU patients was 30.0%. Incomplete eyelid closure, conjunctival edema, convexity of the eye, mechanical ventilation, and the GCS score <9 were the risk factors for exposure keratopathy in ICU patients (all P<0.05). Conclusion: The incidence of exposure keratopathy in ICU patients is relatively high, and the clinical medical staff should conduct targeted intervention early according to the above risk factors to reduce its incidence.

Dementia refers to a group of syndromes with cognitive impairment as the main clinical manifestation caused by a variety of causes. With the help of devices and technologies, Medical Internet of Things plays an important role in the remote management of dementia patients. This paper reviews the applications and challenges of Medical Internet of Things in patients with dementia with higher risk of missing and falling, difficulty in medication management, unstable functional status or physiological parameters, and stronger needs for identification of early signs of illness and remote monitoring of abnormal mental behaviors. This review provides a reference for developing more appropriate Internet of Things devices to promote their application in the remote management for patients with dementia.

Objective: To investigate the effects of online diagnosis and treatment pre-hospitalization model in patients admitted to the daytime chemotherapy center. Methods: With the help of information technology, the following tasks were carried out through online system: patients uploaded the examination results, physicians assessed these results, and pre-hospitalization and medical orders were prescribed. Medical outcomes were compared before and after the implementation of the model. Results: After the implementation of pre-hospitalization model of online diagnosis and treatment, the waiting time of patients for intravenous infusion decreased from (113.78±1.77) min to (85.58±0.87) min (P<0.05). The number of patients treated per month increased from 409 to 1116 with an increase rate of 172.9%. The utilization rate of beds increased from 66.0% to 180.0% with an increase rate of 172.7%. The satisfaction level of admission and discharge in daytime chemotherapy center increased from 84.4% to 91.8% and the overall satisfaction increased from 90.6% to 93.8%. Conclusion: The pre-hospitalization model of online diagnosis and treatment is safe and feasible. Its application in the daytime chemotherapy center can shorten the waiting time for intravenous infusion in the hospital, improve the beds utilization rate, improve patient satisfaction level, and effectively alleviate the dilemma of delaying chemotherapy for patients due to lack of beds.

Objective: To explore the application effect of a fully automated digital specimen transfer system led by operating room nurses in the pre-processing process of surgical pathological specimens under the background of digital management, and to provide reference for improving the quality of surgical pathological specimens. Methods: A fully automated digital specimen transfer system was constructed and applied to the pre-treatment process of surgical pathological specimens. The efficiency, quality, psychological pressure of operating room nurses, and satisfaction of medical staff were compared before the system application (from April to July 2023) and after (from August to November 2023). Results: After the application of the fully automated digital specimen transfer system, the pre-treatment process for pathological specimens decreased by an average of 3.66 minutes compared to before application, and the one-time acceptance rate increased from 87.07% to 96.42%. The satisfaction rate of pathological examination quality was high, and the work pressure of nurses was significantly relieved. The satisfaction of medical staff was significantly improved, and the above differences were statistically significant (P<0.05). Conclusion: The application of a fully automated digital specimen transfer system in the surgical specimen pre-treatment process can effectively improve the efficiency of surgical specimen pre-treatment and alleviate the work pressure of nurses, achieve satisfactory quality of pathological specimen submission, provide reliable basis for medical diagnosis, effectively reduce occupational exposure of medical staff, and improve their satisfaction.

The increasing prevalence of an aging population has led to a growing burden of disease within society, thereby posing significant challenges for the nursing industry. The continuous development of large language models based on artificial intelligence technology has brought significant opportunities for nursing practice. This article provides a comprehensive review of the application of large language models in nursing practice and management, nursing research, and nursing education. It points out that the application process faces risks and challenges such as privacy and security issues, risk of health damage, academic and educational integrity, and domestic environmental applicability. It is recommended that developers and users establish multidisciplinary teams in the future to properly address the existing risks and challenges, so as to accelerate the development of the nursing industry in the era of information technology.

The ICU's environment is closed, and invasive operation is frequent, so the patients have a high incidence of negative affect. At present, information technology is widely used in the field of critical care. This article mainly summarizes the application and effects of information technology in the negative emotion regulation of critical patients, and its development and suggestions, in order to provide innovative ideas for ICU nurses to implement psychological nursing for critical patients, and promote the development of ICU information technology construction and humanistic nursing.

Post-Intensive Care Syndrome has affected patients' treatment compliance and quality of life, which has caused wide public concern. In this paper, mobile health technology applied in the management of patients with Post-Intensive Care Syndrome were reviewed, including the concept of mobile health technology, the application form in the management of those patients. It summarizes the advantages and disadvantages of adopting mobile health technology in the management of patients with Post-Intensive Care Syndrome, so as to provide reference for the domestic development of high quality mobile health technology.

Objective: To explore the application effects of cognitive intervention in patients with Colorectal Cancer (CRC) undergoing postoperative chemotherapy based on the PERMA model. Methods: A total of 90 CRC patients who underwent chemotherapy in a tertiary grade A hospital in Nanjing from Janurary 2022 to February 2023 were selected according to the convenient sampling method. According to different time period, 48 patients from January 2022 to June 2022 were selected as the control group and accepted routine nursing and psychological intervention; 42 patients from July 2022 to February 2023 were selected as the observation group. The observation group accepted routine nursing and psychological intervention as control group, and cognitive intervention based on the PERMA model. The following questionnaires were performed for the two groups before and after the intervention: Patient Health Statement-9 (PHQ-9), Generalized Anxiety Scale-7 (GAD-7), Chinese Version of Fear of Cancer Recurrence Questionnaire (FCRI-CV) and Quality of Life Questionaire (QLQ-C30). Morisky Medication Compliance Questionnaire (MMAS-8) and patient satisfaction questionnaire were used after the intervention. Results: After the intervention, the scores of PHQ-9, GAD-7 and FCRI-CV in the observation group were significantly lower than that of the control group (P<0.05). The scores of satisfaction questionnaire, MMAS-8 and each dimension of QLQ-C30 in the observation group significantly higher than that of the control group (P<0.05). Conclusion: The cognitive intervention based on PERMA model can alleviate the anxiety and depression of CRC chemotherapy patients, reduce their fear of recurrence, and improve their compliance and quality of life.

Patients with advanced cancer have a high incidence of delirium, high risk, and high missed rates, which can lead to worsening of the patient's condition, long-term cognitive impairment, and increased mortality. The recognition of delirium in advanced cancer patients by nurses, who have more contact with patients, is very important for promoting effective management of delirium in advanced cancer patients. This paper reviews the content, characteristics, application status and limitations of delirium assessment tools in patients with advanced cancer developed at home and abroad, in order to provide reference for the development and application of various delirium assessment tools in patients with advanced cancer, and to provide reference for the formulation of effective delirium management programs for delirium patients with advanced cancer.

With the advancement of medically assisted reproductive technology, reproductive-age cancer patients are increasingly likely to preserve their fertility before receiving treatment. This study provids an overview of the decision-making motives regarding fertility preservation among reproductive-age cancer patients, along with the current status of research both domestically and internationally, influencing factors, and interventions, and to provide a theoretical basis for clinical staff to promote timely referral for cancer patients with fertility needs and to improve the quality of patients' decision-making.

The concept of Shared Decision-Making in healthcare is a patient-centered approach, wherein nurses play a vital role. However, varying cultural backgrounds significantly influence the implementation of Shared Decision-Making, with distinct medical ethics and legal disparities posing additional challenges. In the context of China's familialism tradition, achieving an ideal model of autonomous decision-making can be particularly challenging. Therefore, this paper proposes that future nursing research in China should focus more on cross-cultural adjustments within the Shared Decision-Making process and emphasize the involvement and impact of nurses. It suggests to find a cultural balance to develop a multi-faceted Shared Decision-Making model and tools that are suitable for Chinese contexts.