Objective: To explore the establishment of a dynamic allocation system for nursing human resources and carry out multi-scenario allocation practice, aiming to provide a reference for large public hospitals to optimize human resource allocation and improve management efficiency. Methods: Guided by the core principles of "strategic guidance, dynamic flexibility and safety as the foundation", a dynamic allocation system for nursing human resources was constructed through specific implementation strategies including building an integrated command system, establishing a hierarchical reserve structure, strengthening data-driven platform support, and improving a comprehensive guarantee mechanism. The system was applied in practice across multiple scenarios, including routine hospital operations, major public health events, medical security for major activities, and special rescue missions. Results: This system effectively responded to various internal and external fluctuations in human resources. In 2025, there were 6 hospital-level emergency allocations and 664 person-times of division-level allocations. The ratio of nurses on duty to actually open beds increased to 1.12:1. The satisfaction rate of inpatients with nursing services remained 100%. Major tasks such as the treatment provided by a 100-person dispatched medical team and the medical security for the 2022 Beijing Winter Olympics were successfully completed. The nurse turnover rate remained at a low level, and the team stability and work enthusiasm were ensured. Conclusion: The constructed dynamic allocation system for nursing human resources not only ensures the stable operation of the hospital and the completion of major tasks, but also effectively maintains the stability of the nursing team. It can serve as a reference for large public hospitals to establish a high-quality and efficient dynamic allocation system for nursing human resources.

Objective: To sort out the practical pathways for advancing proactive nursing risk management through the optimization of nursing quality control positions, thereby providing a reference for medical institutions to improve their nursing risk control systems. Methods: In accordance with the graded classification and management requirements for medical quality and safety adverse events set by the National Health Commission, and combined with the hospital's actual management context, in-hospital graded management standards were formulated. Events that did not result in patient harm but revealed potential risks were defined as category A nursing adverse events (precursor phenomena) . Without adding new staff positions, the centralized reception, collation, and analysis of precursor phenomena were incorporated into the routine responsibilities of the existing nursing quality control positions. A blame-free reporting mechanism was also implemented. Results: From 2020 to 2024, the total number of reported precursor phenomena in the hospital was 2443, 3705, 4659, 4885 and 4436, respectively, showing an initial year-by-year increase followed by a decline. The scope of risk management expanded from medical order-related items to multiple systems, and unified collection and feedback of risk information were achieved. A quarterly analysis and feedback mechanism for precursor phenomena was established, which strengthened the functions of the existing nursing quality control positions and further optimized the allocation of nursing human resources. Conclusion: By expanding the functions of nursing quality control positions and shifting the management focus forward, incorporating precursor phenomena into centralized management can effectively promote nursing risk prevention and control, and optimize post functions and the utilization of human resources.

Objective: To develop and apply an integrated human resource information management system for nursing, and to explore its application effects in clinical settings in order to provide a reference for smart management of nursing human resources. Methods: Based on literature review and needs assessment, an integrated human resource information management system was developed, and its application effects in terms of enhancing deployment efficiency, improving nursing quality, and increasing patient and nurse satisfaction were evaluated. Results: After three years of system operation, the success rate of nurse allocation rose from 65.70% to 79.37%, and average time per allocation decreased from (12.67±1.96) minutes to (4.11±1.23) minutes. The incidence rates of falls, unplanned extubation, pressure injuries, and medication errors among inpatients decreased to varying extents. Inpatient satisfaction scores increased from 95.75±0.18 to 98.01±0.29. All differences above were statistically significant (P<0.05). The score of nurses' satisfaction with the system was (78.39±21.09) points, indicating a moderately high level of satisfaction. Conclusion: The application of the integrated nursing human resource information management system can improve the efficiency of nursing staff deployment, and exert a positive effect on reducing the incidence of adverse events and enhancing patient satisfaction. In addition, nurses showed high satisfaction with the system.

Objective: To explore the mediating roles of perceived managerial care in the relationship between head nurse leadership and nurse work engagement, so as to provide a reference for promoting nurses' work engagement. Methods: From September to October 2024, a convenience sampling method was used to select 1576 clinical nurses from 6 tertiary general hospitals in Beijing and Wuhan as study subjects. Data were collected via questionnaires, including a general information questionnaire, the Utrecht Work Engagement Scale, the Multifactor Leadership Questionnaire, and the Caring Assessment Tool-Administration. The mediating effects among variables were tested using the SPSS Process macro combined with the Bootstrap method. Results: The total scores of nurse work engagement, head nurse transformational leadership, transactional leadership, and perceived managerial care were 34.98±12.89, 64.50±15.71, 30.95±6.77, 145.14±30.03, respectively. Besides, transformational leadership (r=0.508, P<0.05) and transactional leadership (r=0.393, P<0.05) were both positively correlated with work engagement. Transformational leadership (r=0.705, P<0.05) and transactional leadership (r=0.434, P<0.05) were also positively correlated with perceived managerial care, which was positively linked with work engagement (r=0.388, P<0.05). Finally, the analysis showed that perceived managerial care partially mediated the relationship between transactional leadership and work engagement, and the mediating effect accounted for 29.50% of the total effect. Conclusion: Head nurses with a transactional leadship style should focus on nurses' perceived managerial care to strengthen the promoting effect of transactional leadership on nurse work engagement.

This article reviews the application status of Artificial Intelligence in nursing human resource allocation, focusing on summarizing its application progress in areas such as nursing human resource demand forecasting, allocation decision support, implementation of allocation plans and service process optimization, identification of workload risk and dynamic adjustment of human resource, and workforce stability support. At the same time, it explores the cognitive characteristics and role transformation of nursing managers regarding the clinical application of Artificial Intelligence and analyzes its development directions. The aim is to provide a reference for establishing a human-machine collaborative allocation model centered on professional judgment.

Objective: To investigate the differences in knowledge and practice regarding Ventilator-Associated Pneumonia (VAP) prevention among emergency nurses at different hospital levels across the country, providing a reference for developing precise nursing intervention strategies for the early prevention and control of VAP in emergency settings. Methods: We employed a convenience sampling method to survey emergency nurses from secondary and tertiary hospitals from December 2024 to February 2025, using a self-designed questionnaire. Then statistical analysis of the data was conducted to compare the status of core VAP prevention knowledge and practice among nurses at different hospital levels. Results: A total of 980 valid questionnaires were collected from 83 hospitals across 27 provinces (autonomous regions, municipalities), including 27 secondary and 56 tertiary hospitals. The overall correct response rate for core VAP prevention knowledge was 56.46%. Significant differences were observed between nurses from secondary and tertiary hospitals in their knowledge of position management, cuff pressure monitoring, endotracheal suctioning care, and sedation assessment (all P<0.05). Regarding practice, statistically significant differences were identified between nurses in secondary and tertiary hospitals as to the method and frequency of subglottic secretion drainage, cuff pressure monitoring frequency, endotracheal suctioning method, selection of oral care solution, oral irrigation, gastric decompression within 1 hour after intubation, and suctioning sequence (all P<0.05). Conclusion: Both the knowledge and practice regarding VAP prevention among emergency nurses in China require improvement. Therefore, it is recommended that hospitals implement tiered intervention strategies tailored to themselves to systematically enhance the VAP prevention and control capabilities of emergency nurses.

Objective: To develop a peer support program for nurse second victims that can be routinely implemented in hospitals, evaluate its feasibility and effectiveness, aiming to provide a reference for improving nurses' mental health. Methods: From July to October 2024 at a tertiary grade A hospital in Changchun. Fifty-three nurses who experienced adverse events and voluntarily participated were randomly assigned to an intervention group (n=28) and a control group (n=25) using a random number table. Those in the control group received routine management only, while those in the intervention group received both routine management and the peer support program. The scores of the Second Victim Experience and Support Tool (SVEST), the Pittsburgh Sleep Quality Index, the Self-Compassion Scale, and the Nurse Safety Behavior Scale were compared after intervention between the two groups. Results: At 30th day after the adverse event, the score of SVEST in the intervention group was 66.25±10.50, which was significantly lower than that of the control group (83.60±12.10), with a statistically significant difference (P<0.05). At the 90th day after the adverse event, the scores of the Self-Compassion Scale and the Nurse Safety Behavior Scale in the intervention group were significantly higher than those in the control group, with statistically significant differences (P<0.05). Conclusion: The peer support program can effectively alleviate psychological distress among nurse second victims and enhance their self-compassion and safety behavior.

Objective: To explore the potential categories and characteristic differences of the meaning in life among Maintenance Hemodialysis (MHD) patients, so as to provide references for targeted interventions. Methods: From March to April 2025, a convenience sampling method was used to select 231 MHD patients from three dialysis centers of two hospitals in Zhejiang and Xinjiang as research subjects. In the study, we adopted a general information questionnaire, the Chinese version of Meaning in Life Scale, the Hospital Anxiety and Depression Scale, and the Social Dysfunction Screening Scale for investigation. Latent profile analysis was adopted to establish a latent category model, and Logistic regression was used to analyze the influencing factors of the potential categories. Results: The scores of MHD patients were (44.53±11.80) points. Three different potential categories of life meaning were identified, named respectively as "low meaning in life-withdrawal type", "moderate meaning in life-adaptation type", and "high meaning in life-active type", accounting for 22.51%, 54.55% and 22.94%, separately. Logistic regression showed that educational level, dialysis vintage, anxiety, depression and social dysfunction were influencing factors of the potential categories in MHD patients (P<0.05). Conclusion: Obvious classification characteristics in meaning in life can be observed among MHD patients. Medical staff can implement targeted intervention measures for MHD patients according to their characteristics of different potential profiles to improve patients' meaning in life.

Objective: To reveal the experience of colorectal cancer enterostomy patients disclosing enterostomy information to their minor children, and to provide a basis for constructing scientific disease communication plans. Methods: From November 2024 to April 2025, purposive sampling was used to select nine colorectal cancer enterostomy patients who needed to raise minor children in the Gastrointestinal Oncology Center of a tertiary grade A cancer hospital in Beijing for semi-structured interview. Interview data were sorted and analyzed by using the Colaizzi 7-step analysis method. Results: A total of four themes were extracted: the dilemma of protective silence; the positive effect of restrictive information disclosure; the stress response of minor children to sudden information disclosure; the effect of protective strategies on minor children after information disclosure. Conclusion: The strategies for disclosing enterostomy information to minor children in colorectal cancer patients are different, and their effects on minor children are also different. Medical staff should pay attention to such patients and assist them in developing appropriate strategies for disclosing information about enterostomy.

Objective: To analyze the effectiveness of functional taping combined with Manual Lymphatic Drainage (MLD) in joint rehabilitation for patients undergoing Total Knee Arthroplasty (TKA), to provide a reference for the rapid rehabilitation of postoperative joint function. Methods: Using convenience sampling, patients admitted to a tertiary grade A hospital in Zhenjiang undergoing TKA were selected as study subjects. Patients admitted from July to December 2022 were assigned to the control group (35 cases), who received routine nursing care after TKA. Patients admitted from January to June 2023 were assigned to the combined intervention group (34 cases), received additional functional taping combined with MLD on the basis of routine care, functional taping was applied once daily for 7 days, and MLD was performed twice daily for 7 days. The limb swelling value, swelling reduction rate, Numerical Rating Scale (NRS) score, inflammatory maker, and time to first ambulation were compared between the two groups. Results: On the 7th day after surgery, the swelling value [(1.66±0.81) cm] and NRS score [(2.11±0.62) points] of patients in the combined treatment group were both lower than those of the control group [(2.59±0.84) cm and (2.65±0.75) points], respectively. Meanwhile, high-sensitivity C-reactive protein level [(15.74±10.22) mg/L] was lower than that of the control group [(24.34±15.00) mg/L], and the time to first ambulation [(42.29±7.50) h] was shorter than that of the control group [(66.23±8.01) h]. The swelling reduction rate was higher in the combined treatment group [(76.79±11.73) %] than in the control group [(63.85±14.44) %]. All the differences were statistically significant (P<0.05). Conclusion: Functional taping combined with MLD can further alleviate lower limb swelling and pain, reduce inflammatory response, and accelerate knee joint functional recovery in patients after TKA, making it worthy of clinical promotion and application.

Objective: To identify the multidimensional needs related to exercise rehabilitation management in lung cancer patients undergoing Video-Assisted Thoracic Surgery (VATS) using a journey mapping approach, and to provide insights for meeting their exercise needs and improving adherence. Methods: A descriptive qualitative study design was employed to enroll seventeen lung cancer patients who had VATS utilizing purposive sampling. They then received semi-structured interviews. Data were analyzed using content analysis, and eventually a patient journey map of exercise rehabilitation management was developed. Results: According to the rehabilitation timeline, a total of 32 themes were identified which could be classified into three dimensions: tasks, emotions, and pain points. Among them, 18 themes were related to the perioperative phase, and 14 themes were associated with the hospital-to-home transition phase. The findings systematically depicted the overall journey of exercise rehabilitation management experienced by those patients. Conclusion: The management of exercise rehabilitation for lung cancer patients undergoing VATS is complex and variable. As a result, it is recommended to strengthen continuous health education during the whole perioperative period, implement staged and targeted exercise interventions, and pay attention to patients' psychological well-being and family support to enhance their exercise adherence and rehabilitation outcomes.

Objective: To investigate the status of disability acceptance in Rheumatoid Arthritis (RA) joint deformities patients and analyze its influencing factors, aiming to provide a reference for formulating scientific and effective intervention plans of disability acceptance in RA patients with joint deformities. Methods: Convenience sampling was applied to recruit 438 RA joint deformities patients from a rheumatology and immunology outpatient department of a tertiary grade A hospital in Ningxia from November 2024 to March 2025. The general information questionnaire, Acceptance of Disability Scale, Visual Analogue Scale, Health Assessment Questionnaire-Disability Index, Disability of the Arm, Shoulder and Hand, and Signals of Functional Impairment were used for cross-sectional survey. Multiple linear regression was used for influencing factor analysis. Results: The disability acceptance score for RA joint deformities patients was 81.53±21.30, The average score of the total items was 2.55±0.67. Multivariate linear regression analysis revealed that BMI, medical insurance, regular exercise, morning stiffness duration, disease stage, pain, fatigue, physical function and hand function were the main influencing factors of disability acceptance (P<0.05), accounting for 57.30% of the total variance. Conclusion: The disability acceptance of RA joint deformities patients is at a moderate level. Medical staff should provide targeted intervention measures based on the preliminary explored influencing factors in this study to enhance their disability acceptance level.

Objective: To explore the effects of positive psychology-based group counseling on rehabilitation of patients after Achilles tendon rupture surgery, so as to provide a reference for clinical rehabilitation intervention. Methods: Convenience sampling method was adopted to select 191 patients who underwent channel-assisted minimally invasive surgery in the trauma orthopedic department of a tertiary grade A hospital in Beijing from August 2020 to June 2024 as the research participants. They were randomly divided into an observation group (n=96) and a control group (n=95). The control group received routine rehabilitation care, while the observation group received 24 weeks of positive psychology-based group counseling in addition to routine rehabilitation care. Scores for the Tampa Scale of Kinesiophobia-11 (TSK-11), Visual Analog Scale for Pain (VAS), Post Traumatic Growth Inventory (PTGI), AOFAS Ankle-Hindfoot Score, and complications were compared between the two groups after the intervention. Results: After 6 months intervention, the observation group had a significantly lower TSK-11 score and VAS score than those of control group, and the complication incidence rate in the observation group was 19.79%, which was lower than 43.16% in the control group, the observation group also showed significantly higher scores of PTGI and Ankle-Hindfoot compared to the control group, and the differences were all statistically significant (P<0.05). Conclusion: Positive psychology-based group counseling can effectively reduce kinesiophobia, relieve pain intensity, and promote post-traumatic growth in patients after Achilles tendon rupture, it is worthy of clinical promotion and application.

Objective: To investigate the rehabilitation training adherence and its influencing factors in patients with urinary incontinence within 3 months after Radical Prostatectomy, thereby providing evidence for developing targeted interventions. Methods: A cross-sectional study was conducted, and from June to September 2024, 126 patients with postoperative urinary incontinence who attended follow-up at the urology outpatient department of a tertiary grade A general hospital in Guangzhou were recruited using convenience sampling. Data were collected using General Information Questionnaire, Urinary Incontinence Rehabilitation Exercise Compliance Scale, International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), and Social Support Rating Scale. Multiple linear regression was used to analyze influencing factors. Results: The rehabilitation exercise compliance score was 35.55±13.20. Regression analysis revealed that family monthly income, ICIQ-SF score, specialist nurse management, and start time of rehabilitation guidance were significant predictors of compliance (P<0.05), accounted for 43.2% of the total variance. Conclusion: The rehabilitation training adherence of patients with early postoperative urinary incontinence after Radical Prostatectomy was generally low and was influenced by economic status, severity of incontinence, and the timeliness of training guidance. It is recommended to strengthen specialist nurse-led rehabilitation guidance and optimize follow-up management models.

Objective: To retrieve, evaluate, and summarize evidence regarding the management of Transanal Irrigation in patients with spinal cord injury and Neurogenic Bowel Dysfunction, providing evidence-based support for clinical practice. Methods: Evidence-based questions were identified using the PIPOST model. A literature search was conducted using the "5S" model, covering relevant domestic and international academic societies, guidelines, and databases from database inception to November 30, 2025. The researchers conducted quality assessment and evidence extraction of the literatures, and summarized the relevant evidence in accordance with the principles of evidence synthesis and the Australian JBI Evidence Hierarchy System. Results: A total of 17 articles were included, comprising 2 clinical decision-making articles, 7 guidelines, 1 evidence summary, 2 expert consensus articles, 2 systematic reviews, 1 randomized controlled trial, and 2 quasi-experimental studies. Thirty-two pieces of evidence were summarized across seven dimensions: nursing standards, team training, pre-intervention assessment, key points of the intervention, complication management, post-intervention assessment and follow-up, and health education. Conclusion: The evidence summarized in this study possesses scientific validity and practical value, providing an evidence-based basis for healthcare professionals to manage patients with spinal cord injury and Neurogenic Bowel Dysfunction.

Objective: To analyze existing prediction models for the risk of Peristomal Moisture-Associated Skin Damage (PMASD) in patients with enterostomy and provide references for model optimization. Methods: A systematic search was conducted in Chinese and English databases for studies related to PMASD, the search period extended from database inception to March 7, 2025. Two researchers independently screened and extracted data from the literature. Meta-analysis of effect sizes for common predictors across models was performed using Stata 16.0 software. Results: A total of 6 studies were included, all of which reported AUC values >0.8, indicating good predictive performance. However, the overall risk of bias in these studies was relatively high. Gender, stoma site, stoma height, presence of a surgical incision in the peristomal area, soft diet, semi-liquid diet, and history of radiotherapy/chemotherapy were significant predictors of PMASD (all P<0.05). Conclusion: Most existing models demonstrate strong discriminative ability during development, yet there is room for improvement in methodological rigor and clinical applicability. Future development of prediction models should prioritize the common predictors identified in this Meta-analysis, with emphasis on methodological robustness, model validation, and standardization of definitions.

Objective: To implement evidence for thirst management in ICU patients with orotracheal intubation into clinical practice and evaluate its effects, aiming to standardize nursing care. Methods: Guided by the framework of evidence-based continuous quality improvement, this study was conducted from April 2024 to June 2025. Based on the FAME (Feasibility, Appropriateness, Meaningfulness, Effectiveness) principle, 17 audit criteria were formulated. The process involved a baseline audit, evidence implementation, and outcome evaluation. We compared patients' thirst intensity, oral mucosa moisture, incidence of complications, nursing staff compliance, as well as nurses' knowledge level and evidence-based practice competence regarding thirst management in intubated patients before and after the evidence-based intervention. Results: Following the implementation, compliance with all 17 audit criteria significantly improved (P<0.05). Patient thirst scores decreased from 5.49±3.13 to 3.34±1.79, oral mucosa moisture improved from 2.31±0.92 to 3.02±0.82, and the incidence of complications (oral mucosa injury and tube biting) was reduced (P<0.05). Nurses demonstrated significant enhancements in their evidence-based knowledge and practical competence (P<0.05). Conclusion: Evidence-based practice founded on continuous quality improvement can effectively alleviate thirst, reduce complications, and enhance nurses' knowledge and practical skills in managing ICU patients with orotracheal intubation.

Objective: To evaluate and summarize the evidence regarding the management of irrigation for permanent colostomy in adults, thereby providing evidence-based support and practical guidance for clinical practice of colostomy irrigation. Methods: Based on the '5S' model of evidence resources, a top-down systematic retrieval of evidence related to colostomy irrigation in Chinese and English databases from their inception to December 31, 2025 was conducted using both subject headings and textwords. Then the quality of the included literature was evaluated, and evidence was extracted and summarized. Results: A total of 12 articles were incorporated in this study, including one UpToDate clinical practice, 2 JBI evidence summarizes, 6 guidelines, one expert consensus, and 2 systematic reviews. Finally, 15 pieces of evidence were extracted covering 4 aspects, including pre-irrigation preparation, irrigation procedure, post-irrigation management, and health education and follow-up. Conclusion: This study summarizes 15 pieces of evidence on colostomy irrigation. These findings may promote the correct and effective application of colostomy irrigation by clinical healthcare professionals and patients with permanent colostomy, including helping patients establish regular defecation habits, achieving self-management of excretion to ultimately improve their psychological well-being and quality of life.

Objective: To develop a cartoon-based pediatric adverse reaction self-reporting application and evaluate its equivalence to the paper-based version, to help children self-report symptomatic adverse reactions to the greatest extent possible. Methods: Based on the principles of user-centered design and incorporating perspectives from both experts and children, a cartoon-based pediatric adverse reaction self-reporting application was developed. Subsequently, 100 pediatric cancer patients aged 7-12 years from a tertiary grade A specialist hospital in Shanghai were selected using a convenience sampling method from October 2024 to January 2025, and a randomized crossover controlled trial was conducted to compare with the paper-based version of the Pediatric Patient-Reported Outcomes version of the Common Terminology Criteria for Adverse Events questionnaire in terms of outcome equivalence, data quality, and questionnaire completion time. Results: In terms of equivalence, the within-group Intraclass Correlation Coefficient (ICC) of the two groups were 0.852 and 0.850, and the between-group ICC was 0.824, indicating good equivalence between the cartoon-based and paper-based versions. Regarding data quality, the cartoon-based version had no missing values, whereas the paper-based version had a 4.0% missing value rate. In terms of questionnaire completion time, the total time to complete the cartoon-based questionnaire was 212.70±84.04s, significantly shorter than that of the paper-based version (261.56±93.63s, P<0.001). Regarding preference, 84.0% of the subjects preferred the cartoon-based questionnaire. Conclusion: This study successfully developed a cartoon-based pediatric adverse reaction self-reporting application, which can help further promote clinical decision-making and treatment outcome evaluation.

Objective: To investigate the application value of 5G intelligent alarm system in the Intensive Care Unit (ICU) electrocardiogram (ECG) monitoring alarm management, so as to provide a reference for alarm management of critically ill patients. Methods: An intelligent alarm system for ICU ECG monitoring was developed based on 5G technology. The patients with conventional ECG monitoring in ICU of a tertiary grade A hospital in Hangzhou from July 1 to December 31, 2023 were selected as the control group, while the patients with 5G intelligent alarm system for ICU ECG monitoring from July 1 to December 31, 2024 were chosen as the observation group. The alarm response time, false alarm rate and nurse alarm fatigue before and after the application of the system were compared. Results: After the use of 5G intelligent alarm system, it was found that the alarm response time of the observation group [(103.52±51.00) s] was significantly shorter compared to that of the control group [(213.55±91.38) s]. The false alarm rate of the observation group (16.56%) was significantly lower compared to that of the control group (38.91%). The score of the nurse's alarm fatigue decreased significantly from 23.56±2.48 to 18.12±1.99. All differences were statistically significant (P<0.05). Conclusion: The intelligent alarm system for ECG monitoring based on 5G technology developed in this study not only improves the recognition and accuracy of ECG monitoring alarms, but also shortens the response time of nurses, and reduces the nurse's alarm fatigue, which is worthy of clinical popularization.

Objective: To implement intelligent full-process management of nursing records through the application of DeepSeek Large Language Model and evaluate its application effectiveness, aiming to enhance the quality and efficiency of nursing record management. Methods: In February 2025, the nursing department and information management department in a tertiary grade A hospital in Qingdao completed the application of DeepSeek. Intelligent full-process management of nursing records was implemented, utilizing an intelligent interactive interface to assist in nursing decision-making, documentation, quality control, and other workflow stages. We compared the time required to complete nursing records, error rates, quality and system usability of nursing records before and after the DeepSeek model's deployment. Results: After the deployment of DeepSeek, the time required to complete a nursing record was reduced from (3.96±1.56) hours to (2.47±0.53) hours, and the error rate of nursing records decreased from 6.33% to 1.56%. Meanwhile, nurses' ratings of the medical record quality and system's usability were significantly improved. All the differences were statistically significant (P<0.05). Conclusion: With the support of DeepSeek Large Language Model, in-depth analysis and mining of nursing record data have been conducted, improving the accuracy of record quality assessment, promoting the standardization of nursing practices, and ensuring the quality and safety of patient care.

Objective: To analyze the impact of preoperative non-Mechanical Bowel Preparation on patients undergoing Coronary Artery Bypass Grafting (CABG), to providing a reference for the selection of preoperative bowel preparation regimens in cardiac surgery. Methods: A prospective randomized controlled trial was conducted from July to December 2024, enrolling 193 patients scheduled for CABG in a tertiary grade A hospital in Tianjin by convenience sampling. They were randomly divided into a control group (n=96) and an observation group (n=97). The control group received a routine nursing measures with Mechanical Bowel Preparation on the day before surgery, while the observation group only received routine nursing measures without Mechanical Bowel Preparation on the day before surgery. The differences between the two groups were observed in terms of the rate of spontaneous defecation, the time to first spontaneous defecation and the incidence of abdominal pain and distension within 3 days after surgery, and the incidence of intraoperative involuntary defecation. Results: There were no statistically significant differences in the rate of spontaneous defecation and the incidence of abdominal pain and distension within 3 days after surgery, and the incidence of intraoperative involuntary defecation. The spontaneous defecation time within 3 days after surgery in the observation group was (51.15±17.09) h, which was shorter than that in the control group [(65.25±10.25) h] (P=0.029). Conclusion: Without routine Mechanical Bowel Preparation before CABG does not increase the risk of intraoperative involuntary defecation or postoperative abdominal pain and distension. It can improve patient comfort, reduce hospitalization costs, and save medical resources, thereby providing a basis for further standardizing the preoperative intestinal preparation process for patients undergoing CABG.

Objective: To develop and evaluate a perioperative multimodal exercise intervention program based on The Transtheoretical Model for pancreatic cancer patients with sarcopenia, providing scientific evidence for optimizing rehabilitation nursing strategies in the perioperative period. Methods: A total of 117 surgical patients with pancreatic cancer and sarcopenia from a tertiary grade A hospital in Xuzhou, admitted between January 2023 and December 2024, were selected by convenience sampling and randomly assigned to either an intervention group (n=58) or a control group (n=59). The intervention program was developed through literature review, patient interviews, expert consultation, and a pilot survey. The intervention group received this program in addition to routine care, while the control group received routine care only. Grip strength, Appendicular Skeletal Muscle Mass Index (ASMI), physical function (Short Physical Performance Battery, SPPB), self-efficacy (Exercise Self-Efficacy Scale, ESES), and quality of life (Sarcopenia and Quality of Life Questionnaire-Chinese Version, SarQoL?-CN) were compared between the two groups. Results: At four weeks post-surgery, the intervention group showed significantly higher grip strength [(19.98±4.07) kg], SPPB scores (4.62±1.69), and ESES scores (13.51±2.42) compared to the control group [(17.40±3.83) kg, 3.98±1.56, 12.53±2.73, respectively; all P<0.05]. At 12 weeks post-surgery, the intervention group demonstrated significantly better outcomes in grip strength, ASMI, SPPB, ESES, and SarQoL?-CN compared to the control group (all P<0.05). Conclusion: The perioperative multimodal exercise intervention program effectively improved muscle strength, physical function, exercise self-efficacy, and quality of life in pancreatic cancer patients with sarcopenia.

Objective: To establish a graded physical restraint nursing quality standard for ICU and conduct training to ICU nurses, to provide references for standardizing graded physical restraint nursing practices. Methods: From July to December 2023, a Stepped Wedge Cluster Randomized Trial was conducted among 346 ICU nurses across 4 tertiary grade A hospitals in 4 cities in Fujian province. Using a cluster sampling approach, ICU nurses in 4 hospitals were sequentially randomized into 4 groups according to the stepped wedge design. Nurses in the control group received training based on the conventional physical restraint nursing quality standard, while those in the intervention group were trained according to the graded physical restraint nursing quality standard for the ICU. Evaluations included scores on the ICU Graded Physical Restraint Nursing Assessment Questionnaire, as well as the number of non-compliant items in physical restraint quality checks, physical restraint rate, duration of graded physical restraint, distribution of restraint levels, incidence of restraint-related complications, and unplanned extubation rate. Results: After training, the intervention group showed improved assessment scores and a reduction in non-compliant items during physical restraint quality checks. The physical restraint rate and the duration of grade Ⅲ and Ⅳ physical restraints were lower in the intervention group compared to the control group. Differences in physical restraint levels were also observed across intervention phases (P<0.05). There was no statistically significant difference in the incidence of physical restraint-related complications between the two groups (P>0.05), and no unplanned extubation events occurred in either group. Conclusion: The establishment, training and application of the ICU graded physical restraint nursing quality standard helpes ICU nurses to develop an awareness of the need to accurately assess the level of physical restraint and to manage the quality of lean physical restraint.

Objective: To investigate the effects of an animation video-guided interactive educational device on the educational guidance of school-aged children wearing orthokeratology lenses. Methods: Through the design and development of an animated video-guided interactive teaching tool, educational guidance resources suitable for school-aged children wearing orthokeratology lenses were developed. Using the convenient sampling method, school-aged children who received their first orthokeratology lenses at the optometry center of a tertiary grade A hospital in Beijing from August to November 2024 were selected as the control group, while those who received their lenses from December 2024 to February 2025 were selected as the intervention group. The intervention group received educational guidance using this teaching tool, while the control group received routine guidance. Differences in knowledge mastery and standardization of self-care practice between the two groups were compared, and the intervention effect was evaluated. Additionally, user-friendliness of the tool was assessed in the intervention group, combining quantitative scores and qualitative interviews to understand the children's experience with using the tool. Results: After the intervention, the total score of orthokeratology lenses knowledge [13.00(12.00, 14.00) points], and total score of orthokeratology lenses self-care operation [92.00(90.00, 96.00) points] in the intervention group were significantly higher than those in the control group [11.00(10.00, 11.50) points and 86.00(82.00, 90.00) points, respectively] (all P<0.05). Additionally, participants in the intervention group rated the overall ease of use of the interactive educational device guided by animated videos with a full score rate of 92.47%. Conclusion: The animated video-guided interactive teaching tool can effectively stimulate school-aged children's interest in learning, enhance learning experience and engagement, and help improve their mastery of orthokeratology-related knowledge and self-care skills.

In recent years, digital health technologies have been gradually applied in the field of prehabilitation for cancer patients, which can effectively improve the clinical outcomes of prehabilitation. This article summarizes the application forms, specific applications, and effects of digital health technologies in the prehabilitation of cancer patients. It also analyzes the deficiencies in existing research and proposes suggestions, aiming to provide references for the digital transformation of prehabilitation in China.

The role of patients in the disease and medical decision-making process has received increasing attention. The patient journey mapping, as a patient-centered visualization tool, helps medical staff understand the personal experiences and needs of patients at various stages of the disease. This article elaborates on the concept of the patient journey mapping, its application advantages and limitations in the digital field, aiming to explore how to leverage the advantages of digital health to assist in developing the patient journey mapping for formulating targeted disease interventions for patients, optimizing the patient's medical experience, and enabling medical institutions to adapt to changes in patient needs, providing a reference for achieving personalized and efficient medical services.

Faced with diverse and complex cancer treatment options, surrogate decision-makers for cancer patients must repeatedly weigh treatment efficacy, potential risks, and family circumstances, making them highly susceptible to decision fatigue. Such fatigue not only compromises the quality of their decisions but also exerts a sustained negative impact on their own physical and mental well-being. This paper summarized the status, influencing factors and coping strategies of surrogate decision-makers of cancer patients, to provide a reference for healthcare professionals in China to further investigate decision fatigue and explore effective decision support systems.

Pain catastrophizing is an exaggerated negative psychological setting for experiencing actual or expected pain experiences. The pain catastrophizing of pregnant and postpartum women will not only increase their fear of labor pain, but may also affect their postpartum recovery. This paper aims to review the overview of pain catastrophizing, theoretical model, evaluation tools and the influence on pregnant and postpartum women, actively explore the research perspective in the field of pain catastrophizing, comprehensively and systematically understand the current situation of pain catastrophizing in pregnant and postpartum women, bring clinical staff attention to the pain catastrophizing and provide a reference for pain management implementation in obstetrics.

Objective: To summarize both domestic and international research on the factors influencing help-seeking behavior for cancer symptoms, and to provide a basis for constructing an intervention framework. Methods: Following the five-stage scoping review framework issued by Arksey and O’Malley, a comprehensive literature search was conducted across Chinese and English databases for studies related to help-seeking behavior for cancer symptoms, with the search period spanning from database inception to December 9, 2024. The review was conducted in accordance with the PRISMA-ScR guidelines and factors influencing help-seeking behavior were categorized and analyzed on multiple levels using the Social Ecological Model. Results: A total of 26 studies were included to extract 28 barrier factors and 19 facilitators. These factors were classified into four categories: individual factors, interpersonal interactions, cultural/organizational factors, and policy/environmental factors. Individual-level barriers accounted for 62.66% of the total frequency. Conclusion: Help-seeking behavior for cancer symptoms is influenced by multi-level factors. Understanding the relationships and interaction pathways among these factors can help identify key intervention targets, thereby providing a basis for promoting timely medical consultation.