With the acceleration of population aging and the change of disease spectrum in China, medical institutions are facing a growing burden of care. Healthcare assistants, as an supplementary part of patient care resources, are facing increasingly prominent challenges in team development and scientific allocation. This paper systematically summarizes the policy evolution and the current status of human resource allocation of ?healthcare assistants in medical institutions, and deeply analyzes the main problems at present. On this basis, the corresponding optimization strategies are put forward in order to provide reference for promoting the professionalization and standardization of ?healthcare assistants.

Based on the national policy initiative of implementing pilot programs for unaccompanied care services, this paper systematically summarizes the practices and experiences of Tianjin in standardizing the management of healthcare assistants. Starting from the requirements for standardized management of healthcare assistants under national policy guidance, it elaborates on Tianjin's policy breakthroughs and regional innovative practices in the management of healthcare assistants. It summarizes the specific strategies and implementation pathways in the standardized management of healthcare assistants adopted by two hospitals in Tianjin. This paper aims to provide practical evidence for building a scientific, standardized, and efficient management system for healthcare assistants, and to promote the sustainable development of China's healthcare assistants towards professionalization and standardization.

This article systematically reviews the management practices of the healthcare assistant workforce in two hospitals in Fujian province, analyzes the main challenges, and proposes optimization strategies. The two hospitals have gradually established a healthcare assistant management system centered on tiered training and information-based supervision. However, issues such as the lack of homogeneity in training contents, high staff turnover, and inadequate legal and occupational risk protection persist. Efforts should focus on improving the standardized training and career advancement systems, and strengthening legal and occupational risk protection mechanisms in the future. These measures aim to promote the professionalization and high-quality development of healthcare assistant workforce.

The development of China's healthcare assistants is currently in its early stages. To establish a scientific management system, this paper summarizes the current management practices of healthcare assistants in Japan and reviews their job responsibilities, management models, staffing requirements, training mechanisms, compensation systems, and career progression pathways. The paper aims to provide valuable insights that may support the development of healthcare assistants in China.

This paper reviews the development of healthcare assistants in Singapore, covering its historical evolution, current status of team building, and utilization. It also briefly compares the similarities and differences between healthcare assistants in Singapore and the United Kingdom.?Based on this analysis and considering China's actual context, recommendations are proposed to improve the construction of China's healthcare assistant workforce, providing insights for further advancing its professionalization, standardization and sustainable development.

Objective: To identify the multidimensional needs for health management of patients implanted with Left Ventricular Assist Devices (LVAD) based on journey maps, and to inform a care management pathway for this group. Methods: Using descriptive qualitative research methods, 13 LVAD patients undergoing postoperative follow-up in a tertiary grade A specialized hospital in Beijing were selected for semi-structured interviews from November 2023 to August 2024, and data were analyzed and patient journey maps were drawn using content analysis. Results: The patient journey maps were formed by categorizing the LVAD patients' diagnosis and treatment process into professional, psychological, and social themes according to the timeline of the diagnosis and treatment stage and the task line of diagnosis and treatment activities, difficulties faced, patients' needs, emotions and stakeholders. Conclusion: The rehabilitation process of LVAD patients is long and complex, and medical staff should formulate appropriate solutions according to the health management needs of patients at each stage to help solve the problems faced by LVAD patients and meet the needs of LVAD patients at each stage.

Objective: To explore the latent classes of Fear of Cancer Recurrence (FCR) in lung cancer patients and analyze the characteristics of different classes to inform the development of targeted intervention strategies. Methods: This study enrolled 418 lung cancer patients receiving treatment at a tertiary grade A hospital in Sichuan province from March to October 2024 using the convenience sampling method. Data were collected using general information questionnaire, the short form of Fear of Progression Questionnaire, the Brief Illness Perception Questionnaire, and the Family Resilience Scale. Latent profile analysis was used to explore the latent classes of FCR, and multivariate Logistic regression was used to analyze the influencing factors of latent classes. Results: Three latent classes of FCR were identified: low fear-psychological adaptation (25.8%), moderate fear-disease worry (43.8%), and high fear-psychological maladjustment (30.4%). Age, per capita monthly family income, occupational status, disease duration, cancer stage, treatment methods, illness perception and family resilience significantly influence the classification of FCR (all P<0.05). Conclusion: FCR in lung cancer patients exhibits distinct classification characteristics. Healthcare providers should consider these fear profiles and associated factors to implement timely interventions aimed at reducing patients' FCR.

Objective: To construct a position value evaluation system for cardiovascular nursing units based on Diagnosis Related Groups (DRG), and to provide a scientific reference for rational allocation of human resources and performance appraisal. Methods: Based on DRG weights and Case Mix Index, a preliminary draft of position value evaluation system for cardiovascular nursing unit was developed through literature analysis and semi-structured interviews. Subsequently, two rounds of Delphi expert consultation were conducted with 15 experts between March and April 2025 to establish the evaluation index system. The Analytic Hierarchy Process was then applied to determine the index weights. Results: The response rates for both rounds of expert consultation were 100.0%, with authority coefficients of 0.890 and 0.893, respectively. Kendall's concordance coefficients were 0.149 and 0.196 (both P<0.001). The developed position value evaluation system for cardiovascular nursing units based on DRG included 4 first-level indicators, 10 second-level indicators, and 51 third-level indicators. Conclusion: The position value evaluation system for cardiovascular nursing units constructed based on DRG demonstrates scientific validity and reliability. It can serve as an objective assessment tool for evaluating position value in cardiovascular nursing units, providing a scientific reference for nursing staff allocation and performance appraisal.

Objective: To explore the authentic perspectives and experiences of family caregivers towards home-based Computerized Cognitive Training (CCT) for older adults with Mild Cognitive Impairment, so as to provide insights for clinical healthcare professionals to optimize cognitive training programs. Methods: A phenomenological approach was employed. Through purposive sampling, 27 family caregivers of patients participating in home-based CCT in Nanchang were recruited from July to October 2024. Semi-structured interviews were conducted, and the data were analyzed using Colaizzi's seven-step method. Results: Three main themes and eleven sub-themes were identified: imbalance between individual capabilities and technological adaptation, conflicts in family roles and resource allocation, and lack of social support and policy safeguards. Conclusion: Family caregivers face challenges at individual, family, and social levels when implementing home-based CCT. Healthcare professionals should focus on family caregivers' experiences and needs, supporting them in enhancing their caregiving skills and ability to cope with challenges, thereby improving patients' training outcomes.

Objective: To investigate the current self-management status among patients with obesity following bariatric and metabolic surgery and to analyze the influencing factors, thereby providing a theoretical basis for enhancing postoperative self-management. Methods: The study enrolled 124 patients with obesity who underwent bariatric and metabolic surgery at a tertiary grade A hospital in Chengdu by convenience sampling, from March 2022 to May 2024. Participants completed questionnaires that included a General Information Survey, the Bariatric Surgery Self-management Questionnaire, the eHealth Literacy Scale, and Brief 2-Way Social Support Scale. Results: The mean self-management ability score of patients after bariatric and metabolic surgery was 83.32±11.76. The mean scores for eHealth literacy and bidirectional social support were 25.35±6.40 and 35.50±7.71, respectively. Multiple linear regression analysis identified gender, monthly personal income, eHealth literacy, and bidirectional social support as significant predictors of self-management ability (all P<0.05). Conclusion: The self-management ability of patients after bariatric and metabolic surgery is at a high level. Their electronic health literacy and bidirectional social support can positively predict their self-management ability. Medical staff should focus on male patients and those with lower income levels in clinical management to improve their self-management ability in order to maintain the weight loss effect.

Objective: To investigate the status of ultrasound application among nurses in blood purification centers in Jiangsu province, so as to provide a reference for formulating subsequent intervention strategies. Methods: A multi-stage sampling method was adopted. In October 2024, 62 hemodialysis centers in Jiangsu province were selected and the ultrasound technology application status was investigated. A total of 258 nurses were randomly selected from those centers where the ultrasound technology had been used. Data such as ultrasound usage patterns and nurses' acceptance of ultrasound technology were collected. Results: Only 23(37.10%) hemodialysis centers used ultrasound technology, with tertiary hospitals showing a higher adoption rate. Among the 258 nurses, 57.36% had used ultrasound technology, mainly for vascular observation (79.73%) and internal fistula assessment (70.27%). The training on ultrasound technology was mainly conducted within the department and the standardized score of the "perceived ease of use" dimension was the lowest (66.69%) in nurses' acceptance evaluation. Conclusion: The utilization rate of ultrasound technology among hemodialysis nurses in Jiangsu province is relatively low. There are issues such as insufficient equipment configuration, low perceived ease of use, and unsystematic training, which require targeted optimization to promote the application of this technology.

Objective: To investigate the current status of utilization and management of specialist nurses in tertiary hospitals in Beijing, and to provide a reference for optimizing resource allocation and management models. Methods: A survey was conducted from July 29 to August 8, 2024, using stratified sampling involving 87 tertiary hospitals in Beijing. We compared the differences in resource allocation, service provision, and management systems of specialist nurses between clinical teaching hospitals (n=36) and non-teaching hospitals (n=51). Results: The proportion of specialist nurses in clinical teaching hospitals was higher than that in non-teaching hospitals (20.40% vs 11.46%). Clinical teaching hospitals demonstrated significant advantages in the establishment rate of nurse-led clinics (97.2% vs 72.5%), outpatient volume in 2023 (5431 vs 1548), and consultation volume in 2023 (234 vs 38) (all P<0.05). Regarding management systems, clinical teaching hospitals had a significantly higher rate of implementing performance appraisal systems for specialist nurses (69.4% vs 43.1%, P<0.05). Conclusion: The specialist nurses among tertiary hospitals in Beijing manifest uneven distribution of human resources, significant gaps in the establishment and workload of nurse-led clinics, and varying degrees of management system completeness. It is recommended to enhance the overall utilization efficiency of specialist nurses by optimizing resource allocation, standardizing management systems, and promoting effective service models.

Objective: To investigate the chain-mediating effects of family cohesion and self-disclosure in the relationship between hope levels and Fear of Progression (FoP) among patients with gynecologic malignancies, providing a reference for reducing patients' FoP. Methods: From October to December 2024, a convenience sampling method was employed to recruit 255 inpatients with gynecologic malignancies from four tertiary grade A hospitals in Haikou. Data were collected using the General Information Questionnaire, the short form of the Fear of Progression Questionnaire, the Herth Hope Index, the Family Cohesion Scale, and the Distress Disclosure Index. The chain-mediating effects of family cohesion and self-disclosure between hope level and FoP were analyzed using AMOS 24.0 software. Results: The mean scores for FoP, hope level, family cohesion, and self-disclosure among patients with gynecologic malignancies were 32.07±9.82, 35.80±5.36, 58.60±6.80, and 38.58±5.80, respectively. Hope level had a direct predictive effect on FoP, contributing 57.94% of the total effect. It indirectly influenced FoP through family cohesion and self-disclosure, as well as their chain-mediating effects, with the indirect effects accounting for 24.60%, 13.02%, and 4.44% of the total effect, respectively. Conclusion: Hope level not only exerts a direct influence on FoP in patients with gynecologic malignancies, but also indirectly affects it through the mediating roles of family cohesion and self-disclosure.

Objective: To establish a Standard Operating Procedure (SOP) for nursing care during intraventricular chemotherapy via an Ommaya reservoir, providing a basis for standardized nursing practice. Methods: A preliminary nursing SOP was drafted through literature review and clinical observation. It was refined after two rounds of Delphi expert consultations among 14 experts from May to June 2025. Results: The valid response rates for the two rounds of consultations were 100.0% and 85.7%, with expert authority coefficients of 0.857 and 0.854. In the second round, the variation coefficients for importance ratings of primary, secondary, and tertiary items ranged from 0 to 0.077, 0 to 0.101, and 0 to 0.101, respectively; Kendall's coefficients of concordance were 0.228, 0.265, and 0.217 (all P<0.001). The final SOP included 5 primary, 22 secondary, and 39 tertiary items. Conclusion: This SOP is scientific, reliable, and comprehensive, systematically standardizing the chemotherapy process and ensuring professional care.

Objective: To compare the effects of midline catheters inserted through different puncture veins in neonates, and to provide a basis for selecting the best puncture vein for the insertion of midline catheters in critical neonates. Methods: A retrospective study was adopted, and 244 neonates with indwelling midline catheters admitted to Neonatal Intensive Care Unit in a tertiary grade A general hospital in Anhui province from August 2020 to December 2023 were selected by convenience sampling method as the research subjects. The indwelling time of catheters, the incidence of catheter-related complications, the success rate of one-time puncture and the one-time successful catheter delivery rate were compared. Results: The indwelling time of midline catheters was 14(10, 17) days for the axillary vein, 13(11, 19) days for the basilic vein, 13(10, 18) days for the median cubital vein, 11(7, 13) days for the superficial temporal vein, 10(7, 14) days for the cephalic vein, and 4(4, 6) days for the great saphenous vein. There was a significant difference in the indwelling time among different puncture veins (P<0.05). The incidence of catheter-related complications was 0 for the axillary vein, 0 for the basilic vein, 8.6% for the median cubital vein, 33.3% for the superficial temporal vein, 46.7% for the cephalic vein, and 100.0% for the great saphenous vein. There was a significant difference in the incidence of complications among different puncture veins (P<0.05). There was no significant difference in the one-time puncture success rate among each group (P>0.05), but the one-time successful catheter delivery rates of the median cubital vein and axillary vein were significantly higher than that of superficial temporal vein (both P<0.05). Conclusion: Inserting midline catheters in the axillary vein and the median cubital vein can prolong the indwelling time of the catheter, improve the smoothness of catheter delivery, and reduce the incidence of complications. Therefore, it is recommended that when performing midline catheters catheterization in newborns, the axillary vein and the median cubital vein should be given priority.

Objective: To develop a predictive model for the timing of fluid removal in sepsis patients, aiming to provide a reference for clinical identification of the optimal fluid removal time. Methods: We retrospectively selected 17,186 observation windows of 532 ICU sepsis patients in a tertiary grade A hospital in Beijing from January 2019 to December 2023 to form the training set. Thirty-six predictor variables were included after screening. Four machine learning algorithms were employed to construct predictive models, and the optimal model for predicting fluid removal timing in ICU sepsis patients was identified. External validation of the model was conducted on a prospectively collected dataset of 2534 observation windows of 79 sepsis patients from January to December 2024. Results: The Random Forest model demonstrated the best overall performance, with an Area Under the Receiver Operating Characteristic Curve (AUC) of 0.797 and a Brier score of 0.202. Meanwhile, in the external validation set, it achieved an AUC of 0.786 and a Brier score of 0.213. The top 10 variables ranked by importance: daily net balance, daily output, 24-hour urine output, 4-hour urine output, central venous pressure, 24-hour net balance, cumulative net balance, serum creatinine level, N-terminal pro-brain natriuretic peptide, and cumulative output. Conclusion: The Random Forest-based predictive model exhibits the best performance and can guide healthcare professionals in identifying the optimal timing for fluid removal.

Objective: To develop a health education program for glaucoma patients grounded in protection motivation theory, offering a practical resource for clinical and educational applications. Methods: Through theoretical analysis, a literature review, and group discussions, we identified health education indicators for glaucoma patients and compiled an initial item pool. Between November 2024 and March 2025, experts in related fields participated in a two-round Delphi survey. We used the analytic hierarchy process to determine indicator weights, thus producing the final program. Results: A total of 23 experts completed both rounds. The process yielded a program comprising 2 first-level, 7 second-level, and 25 third-level indicators. The experts' response rate was 100.0% for both rounds, and their authority coefficients were 0.874 and 0.908. The coefficients of variation ranged from 0.060 to 0.301 (first round) and 0.059 to 0.238 (second round). Kendall's coefficients of concordance were 0.162 and 0.167 (both P<0.001). Consistency ratio values for all third-level items were below 0.10, meeting the required consistency standards. Conclusion: This preliminary health education program for glaucoma patients demonstrates strong scientific merit and practical relevance, providing a solid foundation for further validation and implementation.

Objective: To conduct a quantitative analysis of national-level policy documents related to anesthetic nursing using text mining methods, providing references for policy formulation and optimization. Methods: Fifteen policy documents were analyzed with ROSTCM and SPSSAU, employing high-frequency word statistics, semantic network analysis, and Latent Dirichlet Allocation (LDA) topic modeling. Results: China's anesthesia care policies are primarily issued by the National Health Commission. Semantic network analysis revealed four core layers: standardization of anesthesia care services, professionalization of talents, extension and continuity of services, facility guarantee and safety management. LDA topic analysis identified three main themes: perioperative nursing quality management and human resource optimization, peri-anesthesia management and monitoring, and service optimization under the concept of enhanced recovery. Conclusion: China's anesthesia nursing policies are currently in a phase of continuous improvement. In the future, efforts should be made to strengthen interdepartmental collaboration, optimize the policy framework, refine measures, establish quality control and feedback mechanisms, and promote the sustainable development of the anesthesia nursing profession.

Objective: To systematically evaluate the real feelings of delirium in postoperative cardiac surgery patients, aiming to provide reference for the development of targeted psychological interventions. Methods: We searched databases to collect information on the real feelings of delirium in postoperative cardiac surgery patients from their inception to October 31, 2024. The literature was evaluated using the assessment criteria for qualitative research issued by Australian JBI Center for Evidence-Based Health Care, and we integrated the results by the pooled integration method. Results: A total of 8 papers were included to extract 33 outcomes which were grouped into 9 categories to synthesize 3 integrative outcomes: self-symptom perception, emotional sequelae, and diverse needs. Conclusion: Patients with delirium after cardiac surgery face both physical and psychological challenges and difficulties, which will affect their lives for a long time. The real experience of delirium in postoperative cardiac surgery patients should be understood in a timely manner. Timely understanding and attention should be paid to the real needs of postoperative delirium patients in cardiac surgery, providing corresponding support and assistance to improve patient prognosis.

Objective: To conduct a scoping review of the application of mobile health technologies in home-based rehabilitation of patients with Knee Osteoarthritis (KOA), in order to provide a reference for medical personnel in related fields to identify the characteristics and current application status of mobile health technology. Methods: According to the JBI scoping review methodology framework, nine Chinese and English databases were searched from their inception to July 18, 2025. The included literature was then summarized and analyzed. Results: A total of 32 literatures were included. The types of mobile health technologies applied in the home rehabilitation of patients with KOA mainly included video conferencing, remote rehabilitation systems, applications, social software, and networking platforms. The rehabilitation contents involved knowledge guidance, exercise guidance, dietary guidance, condition assessment, follow-up management, etc. Outcome indicators included therapeutic effect indicators, self-management indicators, psychological indicators, doctor-nurse-patient experience indicators, and other indicators. Conclusion: The study has shown the effectiveness, feasibility, and acceptance of mobile health technology for joint protection and pain management in individuals with KOA, and it has significant effects. Future research directions may involve further integration of intelligent algorithms and real-time monitoring technology, as well as the development of digital tools incorporating a rehabilitation model that combines traditional Chinese and western medicine approaches.

Objective: To conduct a scoping review on the application of mobile health (mHealth) in self-management for patients with mental disorders and provide evidence for future research and clinical practice. Methods: Following the scoping review framework, we systematically searched databases from their inception to April 30, 2025. Researchers independently screened and extracted data. Results: Ten studies were included and the mental disorders covered schizophrenia, bipolar disorder, and post-traumatic stress disorder. Mobile Apps and virtual reality were the primary mHealth formats. Core interventions included symptom monitoring, medication management, and mental health education. Outcome analysis indicated significant improvements in psychiatric symptoms, self-management ability, and adherence. However, evidence from long-term follow-up was insufficient. Conclusion: Mobile health is feasible for the self-management of mental disorders, but it requires optimized localization design, enhanced multidisciplinary collaboration, and long-term follow-up studies to validate its long-term effects.

Objective: To explore an integrated hospice care service model, and provide a reference for the construction and promotion of the hospice care system. Methods: Based on the previous systematic literature retrieval, the practice of the "Internet Plus Nursing Service" hospice care pilot project implemented by the author's team and interviews, problems existing in the service development process were sorted out, such as insufficient community responsiveness, lack of diversity and pertinence in services, and low inter-institutional collaboration efficiency. The service model was optimized accordingly. Thirty-five patients and their family caregivers who received this service model from May 2024 to March 2025 in Zhoushan were conveniently selected for effect evaluation. Results: The integrated model effectively improved service responsiveness, reducing average wait time from 3.6 to 1.8 hours. The utilization rate of the "Internet Plus Nursing Service" platform increased by 90.5%. Satisfaction of patients and their family caregivers with service content reached 96.6%, quality-of-life satisfaction was 96.0%, and care experience satisfaction reached 98.3%. Conclusion: The integrated "Internet Plus" hospice care model enhanced inter-institutional coordination and service standardization, markedly improving the accessibility, continuity, and patient satisfaction of hospice care services, and has value for broader application.

Objective: To analyze the combined pathways to reduce care dependence in older patients with Chronic Heart Failure (CHF) during the discharge transition period, so as to provide reference for formulating clinical nursing intervention plans. Methods: From July to November 2024, 248 older patients with CHF from three comprehensive tertiary grade A hospitals in Jiangsu province were selected using the convenient sampling method. A survey was conducted using the Nursing Dependence Scale, the Mini-Mental State Examination, the Heart Failure-Specific Nutritional Assessment Scale, and the Symptom Status Questionnaire-Heart Failure, etc. Fuzzy set Qualitative Comparative Analysis was employed to identify combinatorial factors and their linkage effects on reducing care dependency during discharge transition period in these patients. Results: The care dependency score for older patients with CHF at discharge was 62.62±9.25, indicating a moderate level of reliance. Configurational analysis revealed four distinct combinatorial paths contributing to the reduction of care dependency levels. Conclusion: The level of care dependency among older patients with CHF during the hospital discharge transition period is influenced by a combination of physiological, psychological, and social factors. Healthcare providers should implement targeted transitional care interventions based on the synergistic effects of these influencing factors.

Objective: To develop a post-discharge management model for patients with Severe Acute Pancreatitis (SAP) based on a whole-course intelligent platform and to provide a reference for its management. Methods: A post-discharge management model for SAP patients was constructed based on a whole-course intelligent platform. A management team was established, and multiple platform access points were set up, covering ten core functions. Using a quasi-experimental study design, patients enrolled from January to September 2023 were assigned as the intervention group, while eligible patients discharged from January to September 2022 were selected as the historical control group. Management was implemented through the platform, and the operation status, application effectiveness, and patient satisfaction of the model were statistically analyzed. Results: The platform cumulatively served 234 SAP patients, with a loss-to-follow-up rate of 0. Online consultations provided full-day coverage from 8:00 to 22:00, with 38.9% of consultations occurring during non-working hours. Compared to the non-enrolled group, the enrolled group demonstrated significantly higher rates of follow-up completion and on-time re-examination (P<0.05), a shorter average waiting time for readmission, and a lower incidence of complications during the home care period (P<0.05). The overall patient satisfaction score was 9.52±0.59. Conclusion: The SAP post-discharge management model based on the whole-course intelligent platform effectively meets patients' rehabilitation needs, improves management quality and efficiency, enhances patient satisfaction, and offers valuable insights for clinical practice.

Objective: To evaluate the effectiveness of a smart follow-up platform for stroke survivors in an integrated hospital-community care model. Methods: From March to July 2024, 186 patients with first-episode stroke hospitalized in neurology department were recruited as research participants by convenience sampling. The participants were randomly divided into the control group and the observation group equally, with 93 cases in each group. The control group was given transitional care by routine telephone follow-up and outpatient follow-up, while the observation group was given transitional care by a smart follow-up platform in an integrated hospital-community care model. Both groups received 6-month interventions. The scores of mRS and Barthel Index at 1/3/6 months, self-management ability, blood pressure, blood glucose, and LDL-C levels at 6 months, were compared. Results: At 3/6 months, the observation group showed better mRS scores (3.35±1.05)/(2.02±1.33) and Barthel Index (73.58±6.93)/(88.93±8.61) compared to the control group (P<0.05). At 6 month, the scores of self-management ability, systolic BP control, fasting glucose and LDL-C were better than those in the control group (P<0.05). Conclusion: Implementation of the smart follow-up platform within hospital-community integrated care model promotes neurological recovery and enhances self-management capacity in stroke survivors.

Objective: To develop and evaluate a WeChat mini-program designed for all-process health education and follow-up care in patients undergoing ophthalmology day surgery, with the goal of providing holistic and precise patient support. Methods: A convenience sampling method was used to select patients from a tertiary grade A hospital in Wuhan. The control group consisted of 150 patients admitted between June and August 2024, who received conventional health education and follow up. The intervention group included 150 patients admitted between September and November 2024, who received all-process health education and follow-up via the WeChat mini-program. The WeChat mini-program was developed based on semi-structured interviews with day surgery patients to identify their needs. Its content and features were finalized through expert panel discussions and usability testing. Preoperative anxiety, health education awareness, satisfaction, and post-discharge self-care ability were compared between the two groups. Results: The average score of System Usability Scale was 80.60, indicating that the user experience was good. Preoperative anxiety scores were significantly lower in the intervention group (2.86 cm) compared to the control group (3.56 cm) (P<0.05). The intervention group also demonstrated higher health education awareness (75.33%±12.74% vs. 58.13%±9.70%), greater satisfaction (40.85±2.93 vs. 35.46±3.27), and superior self-care ability after discharge (all P<0.05). Conclusion: The implementation of the all-process health education and follow-up mini-program for ophthalmology day surgery establishes "foundational support, precision service, and innovative experience" clinically valuable three-tier service framework, that benefits patients and is worthy of broader promotion.

With changes in medical models, the focus of health care for cancer patients has shifted from prolonging "survival time" to prolonging "quality survival time". Time toxicity, as an important, evolving and underexplored concept in cancer treatment, has important implications for patients' health and quality of life. This paper intends to review the concept, evaluation and measurement, relevant factors, management strategies of cancer-related time toxicity, aiming to objectively present the research progress of cancer-related time toxicity, and provide a basis for medical personnel and medical institutions to take effective measures to deal with the time toxicity of cancer patients, so as to reduce its impact on the physical and mental rehabilitation of patients.

Cognitive frailty is an important predictor of Alzheimer's Disease, which is reversible or potentially reversible, and early identification and intervention are crucial to slow down the development of the disease. With the rapid advancement of digital health technologies, digital biomarkers are increasingly used in the early detection of diseases to provide objective, continuous and high-precision data through wearable devices and mobile applications, capable of real-time monitoring of changes in health status. As a consequence, they have become an important tool for the early detection of cognitive frailty. This article reviews the latest progress of digital biomarkers in the assessment of cognitive frailty in the elderly, aiming to provide a scientific basis for early identification, risk prediction and optimization of personalized treatment plans.

Multiple sclerosis (MS) is a highly heterogeneous disease characterized by spatially and temporally diverse lesions, along with a variety of neurological symptoms, which pose challenges for self-management in MS patients. This article reviews the overview of digital health technologies and their application in long-term self-management support for patients with MS, including the development and application of multifaceted functions for self-monitoring, mental health and social support, risk prediction and health education support. Additionally, it explores users' acceptance and perceptions of these technologies. It also discusses the challenges in the development of digital health technologies in the field of MS patients self-management, aiming to provide insights for optimizing self-management in MS patients.

This article reviews the application progress of digital tools in assessing cognitive function among cancer patients, covering screening and diagnosis, treatment monitoring, telemedicine, and clinical decision support. It examines validation studies and effectiveness evaluations of existing tools, analyzes challenges in their implementation, and offers corresponding insights and recommendations. The aim is to provide guidance for the widespread adoption of digital tools in Cancer-Related Cognitive Impairment.