Exercise fatigue is a critical factor that compromises athletic performance, increases the risk of musculoskeletal injury, and threatens safety in military and occupational settings. Reliable monitoring of fatigue is therefore essential for optimizing training, preventing injury, and safeguarding long-term health. Biomechanical indicators, including joint kinematics, ground reaction forces, and electromyographic signals, provide valuable insight into the biomechanical manifestations of fatigue. Although traditional laboratory-based methods are accurate, they are costly, cumbersome, and unsuitable for continuous field monitoring. Recent advances in wearable technologies, particularly inertial measurement units (IMUs), insole pressure sensors (IPSs), and surface electromyography (sEMG), enable continuous, noninvasive, and real-time assessment of biomechanical changes during exercise fatigue. This review synthesizes current progress in IMU-, IPS-, and sEMG-based wearable systems for biomechanical exercise fatigue monitoring, highlighting their principles, strengths, and challenges.

OBJECTIVE:To construct a comprehensive physical exercise evaluation index system for asthmatic children aged 6-12 years. DESIGN:Based on knowledge-attitude-practice(KAP) theory, we constructed an item pool for a physical exercise evaluation index system using a literature review and semistructured interviews and refined the index system through two questionnaire cycles with Delphi experts. RESULTS:For the two questionnaire rounds, the recovery rate was 100%, the experts' authority coefficients were 0.850 and 0.836, and the coordinated coefficients were 0.167 and 0.202 (P<0.001). Finally, four first-level indicators, namely, disease factors, exercise environment, exercise practice, and exercise psychology; 11 second-level indicators; and 50 third-level indicators were developed as a physical exercise evaluation index system for asthmatic children. CONCLUSION:A physical exercise evaluation index system built using a literature review, qualitative interviews, and Delphi technique can provide scientific guidance for children with asthma, caregivers and health professionals to comprehensively assess the children's physical exercise.

BackgroundDespite the growing interest in hospital rehabilitation services for communities, studies on existing community-based rehabilitation (CBR) services remain scarce owing to limitations in the development of community health services and regional cultural diversity. As a guaranteed measure for ensuring the quality of rehabilitation services and achieving the desired service outcomes, clear roles and responsibilities in multidisciplinary teams and effective service delivery are particularly important.ObjectiveThis scoping review aimed to determine the scope of community stroke rehabilitation programs involving existing multidisciplinary teams and to analyze the implementation content and implementers' functional roles to provide guidance for future CBR programs.MethodsThe scoping review design followed the methodology of the Joanna Briggs Institute and was based on the normative scoping review framework proposed by Arksey and O'Malley. The comprehensive CBR framework was proposed by World Health Organization-guided data charting and analysis.ResultsOf the 22,849 identified citations, 74 studies were included, consisting of 6,809 patients with stroke and 49 primary caregivers, most of whom were from China. The most common working mode in CBR programs was a dual approach involving both healthcare professionals in medical institutions and community healthcare professionals. The number of programs in each discipline was in the following descending order: nursing, medical care, rehabilitation, psychology, nutrition, and public health. Among these, multidisciplinary teams comprising medical, nursing, and rehabilitation disciplines were the most common, with a total of 29 programs. Disciplinary members were mainly responsible for implementing their respective disciplinary content, with physicians providing guidance for the programs. More than 82.4% of the studies reported 2-4 intervention strategies. The intervention forms of rehabilitation content were the most diverse, whereas preventive interventions were more homogeneous than others. Physical function and socio-psychological measurements were the most commonly reported outcomes.ConclusionCBR services implemented by multidisciplinary teams can effectively achieve functional and emotional improvement in patients with stroke, and nurses are the most involved in implementation, especially in community settings. The results further emphasize the importance of strengthening the exploration of nurses' maximum potential to implement CBR plans in future practice.Trial registrationThe registration information for this scoping review can be found at osf.io/pv7tg.

Objectives To explore the association of the neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR) and lymphocyte-to-monocyte ratio (LMR) with cancer-related fatigue (CRF) and quality of life (QOL) in cancer patients.Design A cross-sectional study.Settings A grade A tertiary hospital in Wuhan, China.Participants A total of 236 participants were recruited. Participants who were diagnosed with cancer received chemotherapy and/or radiotherapy, and aged ≥18 years were included in this study.Primary and secondary outcome measures The PLR, NLR and LMR were calculated based on the absolute lymphocyte count, neutrophil count, platelet count and monocyte count. The CRF and QOL of patients after the first chemotherapy/radiotherapy were evaluated.Results The median values (IQR) of PLR, NLR and LMR were 174.51 (126.14–261.02), 2.84 (1.64–5.24) and 2.56 (1.30–3.72), respectively. Univariate analysis indicated that high PLR (≥ 174.51), high NLR (≥ 2.84) and low LMR (< 2.56) at baseline significantly correlated with CRF and poor QOL after the first chemotherapy/radiotherapy (p<0.005). Multiple linear regression analysis indicated that elevated PLR might be an independent risk factor for CRF (p<0.001) and QOL (p=0.010) in cancer patients.Conclusion PLR, NLR and LMR are associated with CRF and QOL in cancer patients. High PLR may predict severe CRF and poor QOL. Further studies are needed to validate these findings based on the expanded sample size.

BackgroundAcute myocardial infarction (AMI) is a common and serious cardiovascular disease (CVD) that is one of the leading causes of death among women globally and in China. However, there are sex-associated differences and inequalities in the detection and management of AMI, especially in older people. There is little research demonstrating how challenges and barriers affect older women’s help-seeking behavior and health-related procedures in China.PurposeThe objective of this study was to explore the experiences of older women with AMI, focusing on their perception, challenges, and coping strategies at the onset of AMI in Wuhan, China.MethodsThis study utilized a qualitative research design approach and conducted semi-structured, in-depth, and audio-recorded interviews with 18 women aged 65–84 years, purposively selected from two tertiary hospitals in Wuhan City from November 2021 to April 2022.ResultsInterpretative Phenomenological Analysis (IPA) was used in this study to analyze the data on 18 participants and three major themes were generated: disease perception disorder, negative coping strategies, and barriers due to social-environmental contexts.ConclusionTo reduce older women’s delay in seeking help, healthcare professionals should provide public health education that emphasizes sex-related disparities, and age-specific knowledge-attitude aspects to high-risk groups. Policy-based and health administration recommendations, including e-health information support, access to care, and social-environmental factors, should be highlighted to promote women’s health behavior.

BACKGROUND:The quality of life of patients with advanced gastrointestinal cancer is seriously impaired, and socioeconomic deprivation often has a serious impact on their quality of life. However, little is known about the relative contribution of non-socioeconomic factors to the quality of life of patients with advanced gastrointestinal cancer with socioeconomic deprivation.AIM:This study aims to investigate the situation and predictors of quality of life of patients with socioeconomic deprivation and evaluate the independent effects of some non-socioeconomic factors.DESIGN:A retrospective study based on cross-sectional design.METHODS:Data were obtained from 1075 patients with advanced gastrointestinal cancer who received family palliative treatment in the hospice ward of Zhongnan Hospital of Wuhan University from March 2010 to October 2020, including demographic and clinical questionnaires, Karnofsky Performance Status scale and Cancer Pain and Quality of Life Questionnaire of Chinese Cancer Patients.RESULTS:The quality of life of patients with advanced gastrointestinal cancer with socioeconomic deprivation is impaired and is affected by gait, self-care ability, abdominal distension, nutritional status, weight loss, constipation and posture. Improvement in six of these factors-gait, self-care ability, abdominal distension, nutritional status, weight loss and posture-has an independent positive impact on the development of a healthy quality of life for patients.CONCLUSIONS:Gait, self-care ability, abdominal distension, nutritional status, weight loss and posture are important determinants of healthy quality of life in patients with advanced gastrointestinal cancer with socioeconomic deprivation, and early identification and strength management of these non-socioeconomic factors may neutralize the negative impact of socioeconomic factors on the quality of life.IMPLICATIONS FOR PRACTICE:This study provides new ideas and intervention entry points for global nurses in practice innovations to improve the quality of life of socioeconomically deprived patients with advanced gastrointestinal cancer. It enables them to focus on the effectiveness of non-socioeconomic factors in the development and implementation of targeted care plans for patients with advanced gastrointestinal cancer experiencing socioeconomic deprivation globally.REPORTING METHOD:This study was reported in strict compliance with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guideline.PATIENT OR PUBLIC CONTRIBUTION:No patient or public contribution.

This study aims to evaluate the effects of a receptive music therapy intervention on cognitive functions and depressive symptoms in older adults with MCI. A randomized controlled trial was conducted in Wuhan, China. Eighty older adults, over 65, who had MCI and depression symptoms were randomly divided into the intervention and control groups. The intervention group received usual nursing care plus receptive music therapy intervention four times a week, for eight weeks; the control group received usual nursing care during the same period. The linear regression analysis was used to compare the difference between groups. There was a significant difference in the intervention group for the pre-intervention and post-intervention scores of cognitive function and depression. There was no significant difference in the control group before and after the study period and a significant between-group difference in both cognitive function and depression. In conclusion, receptive music therapy intervention significantly improved cognitive function and reduced depressive symptoms in older adults with MCI. It could be widely used in communities and nursing homes to improve the quality of life of older adults.

目的 汉化卒中患者照顾者过渡期准备情况评估(The Preparedness Assessment for the Transition Home after Stroke,PATH-s)量表并进行信效度检验.方法 根据Brislin回译模型将PATH-s量表翻译成中文,并选取30名卒中患者的家庭照顾者进行预试验,邀请8名专家进行内容效度检验,采用便利抽样法对140名卒中患者照顾者进行问卷调查,并检验量表的信效度.结果 中文版PATH-s量表包括8个维度,共25个条目,量表层面的内容效度为0.96,条目水平的内容效度为0.90～1.00;与照顾者准备度量表相容效度为0.760;探索性因子分析共提取出8个公因子,累积方差贡献率为73.568％;量表的Cronbach'sα系数为0.846.结论 中文版PATH-s量表具备良好的信度和效度,科学性和可靠性较好,可用于评估我国卒中患者照顾者过渡期准备情况.

IntroductionThe number of patients with advanced cancer is rapidly increasing, and the disease burden among those with low socioeconomic status (SES) has accordingly become a global concern. Low SES can adversely impact patients with advanced cancer. The purpose of this systematic review is to shed light on the life experiences of patients with advanced cancer with low SES to help provide targeted and effective strategies to improve their quality of life.Methods and analysisWe will include the following English databases: Cochrane Library, Cumulative Index to Nursing and Allied Health Literature, PubMed, MEDLINE, Embase, Web of Science, Joanna Briggs Institute (JBI) Database of Systematic Reviews, PsycINFO and OpenGrey, and the following Chinese databases: China National Knowledge Infrastructure, VIP Database for Chinese Technical Periodicals and Wanfang Data Knowledge Service Platform. A comprehensive search of qualitative studies on the experiences of patients with advanced cancer with low SES will be conducted from the above databases, with no age limit. Quality assessments of the studies will be independently performed by two reviewers using the JBI Critical Assessment Checklist, and any disagreements will be resolved through a discussion with a third reviewer. Relevant data will be extracted using the JBI standardised data extraction tools. The JBI meta-aggregation tool will be used to compare, analyse and summarise the original results. The reliability and credibility of the overall quality of the studies included will be evaluated using the JBI ConQual approach.Ethics and disseminationThis study is based on existing public literature and therefore does not require a formal ethics review. The results of the study may be presented in peer-reviewed international journals and presented at scientific conferences.PROSPERO registration numberCRD42021250423.

The Heart to Heart Card Game improves psychological health outcomes in hospitalized patients with advanced cancer, but effectiveness studies for patients at home are rare. This randomized controlled study was conducted to determine the effectiveness of the Heart to Heart Card Game on patients with advanced cancer receiving home-based palliative care. Sixty-six participants were randomly assigned to the intervention group (n = 34) and control group (n = 32). The quality of life, dignity, and psychological distress were considered as outcomes, which were assessed pre-intervention and six weeks after the intervention. There was a statistical difference in the quality of life (global health statues) between the intervention group and the control group after intervention (z = 2.017, p < 0.05). A significant difference was found in the quality of life (emotional, social function), dignity (symptom distress dimension), and psychological distress in the intervention group through intragroup comparison before and after the intervention. This randomized trial showed that the Heart to Heart Card Game likely alleviates barriers to end-of-life conversations and helps patients with advanced cancer maintain a more stable mental state. This trial has been registered at the Chinese Clinical Trial Registry (registration number: ChiCTR2100049933).

This article reviews the concept, importance, and assessment tools of nurse leadership. This article introduces the characteristics of each assessment tool and its application in different cultural backgrounds, so as to provide a reference for nurses to choose appropriate assessment tools, and to provide a basis for the development of assessment tools for nurse leadership in China.

Background Whether knowledge, attitude and practice of nurses on nursing post-stroke dysphagia patients varies between different ranking hospitals is still unknown. This study aimed to compare the knowledge, attitude and practice level of nurses on nursing post-stroke dysphagia patients between iii-A and ii-A hospitals in China. Design A cross-sectional study design was used. Methods Data were collected from eighteen hospitals in Wuhan, Hubei in May-July 2020, and a total of 824 nurses were recruited by convenient sampling. After propensity score matching, 205 participants in iii-A hospitals were matched with 205 participants in ii-A hospitals. Results There were no statistically differences in the socio-demographic characteristics between two groups after propensity score matching. Before matching, the regression coefficients between hospital ranking and knowledge, attitude, practice were -0.415, -0.718 and -1.855, respectively. After matching, the coefficients changed to -0.394, -0.824 and -1.278. Nurses from iii-A hospitals had higher knowledge and attitude scores than nurses from ii-A hospitals, but no significant practice scores difference was observed between various rankings of hospitals. Conclusions The KAP of nurses on nursing post-stroke dysphagia patients were different in iii-A and ii-A hospitals. Administrators should strengthen management, provide more learning resources and trainings to meet nurses' needs about methods to deal with and recognize dysphagia, so as to further improve the quality of post-stroke dysphagia management.

Objective:To develop a rating scale on the knowledge, attitude and practice of stroke-dysphagia for nurses, and to test the reliability and validity.Methods:Based on theoretical framework of the Knowledge, Attitude, Practice (KAP), the scale items were determined through literature review, expert consultation, pre-investigation, and qualitative interviews. 633 nurses in the department of stroke that from 18 hospitals in Hubei Province were selected for the survey, to further screen the items and test reliability and validity of the scale.Results:The positive coefficient of the two-round expert consultation were both 100%; the expert authority coefficient was 0.930; the level of coordination of experts ′ opinions was good. Exploratory factor analysis extracted 4 factors, the accumulative variance contribution rate was 44.278%, Content validity index S-CVI was 0.984, I-CVI was 0.857-1.000; the Cronbach α coefficient of scale was 0.855, test-retest reliability was 0.909. Eventually, the scale was consisted of 3 dimensions, 32 items. Conclusion:The scale has good reliability and validity, and can be used as a survey tool to test the current knowledge, attitude, practice of clinical nurses about patient with stroke-dysphagia.

浅析各种综合康复治疗在周围性面瘫中的应用现状,为临床上有针对性地选择合适的治疗方案提供借鉴和参考,并对现存的问题及其今后的研究提出己见.

This article explains the related concepts of cultural competence, summarizes the development and application research status of clinical nurses' cultural competence self-evaluation tools at home and abroad, and analyzes the development characteristics and existing problems of current evaluation tools, in order to provide a reference for the development of nurses' cultural competency evaluation tools suitable for China's national conditions.

外在注意力焦点策略常用于运动员和健康人群学习运动技能,现也被用于指导神经损伤患者运动康复.本文综述外在注意力焦点策略的概念、理论基础及其在脑卒中康复中的应用现状,发现其有助于进一步提升脑卒中患者运动功能;指导患者执行外在注意力焦点策略的时机还有待进一步明确.

目的:观察针灸配合自我表情肌锻炼治疗周围性面瘫的临床疗效,并分析其作用机制,为周围性面瘫患者选择更加高效便捷的治疗方案提供借鉴和参考.方法:收集60例周围性面瘫患者,采用随机对照的研究方法,根据编号随机分为研究组和对照组各30例,研究组采取针灸配合自我表情肌锻炼,对照组采用常规针刺治疗,两组均治疗15天,治疗前后采用面神经功能分级(H-B量表)评定康复疗效.结果:经治疗后,研究组H-B评级改善程度优于对照组(P＜0.05);研究组总有效率为96.67％,高于对照组的80.00％(P＜0.05).结论:针灸配合表情肌锻炼治疗周围性面瘫疗效显著,能缩短病程、提高治愈率和减少后遗症,达到早日康复的目的,值得推广.

Objective:To evaluate the effect of Otago exercise program on the patients with stroke.Methods:Randomized controlled trials(RCTs)about Otago exercise program for falls efficacy balance function in patients with stroke were electronically searched in PubMed, Cochrane Library, Web of Science, EMbase, CNKI Chinese Journal Full-text Database, Wanfang Database, VIP Database and Chinese Biomedical Literature Database from the establishment of each database to May, 2018.All data were analyzed with RevMan 5.3 software.Results:A total of seven studies that represented 545 participants were evaluated. Meta-analysis showed that Otago exercise program had positive effects on improving patients'falls efficacy [SMD=1.10, 95%CI(0.75, 1.45), P<0.01] and Berg Balance Scale(BBS)scores [MD=5.55, 95%CI(4.15, 6.96), P<0.01].It could also improve Modified Barthel Index(MBI) [MD=8.10, 95%CI(1.56, 14.64), P=0.02] and European Quality of Life-5 Dimensions scores(EQ-5D) [MD=0.13, 95%CI(0.05, 0.20), P=0.002]. However, no statistically significant difference was found on Timed Up and Go Test(TUGT) [MD=-3.39, 95%CI(-7.09, 0.31), P=0.07].Conclusion:Otago exercise program is effective to improve falls efficacy, balance function, daily activities and quality of life of patients with stroke. Due to the limited quantity and quality of included studies, the above conclusion needs to be verified by more high-quality research.

目的:综合评价神经肌肉电刺激对脑卒中后吞咽障碍的治疗效果.方法:计算机检索The Cochrane Library、PubMed、Medline、WOS核心集合、CINAHL、EMbase、OCLC、ProQuest、中国知网(CNKI)、万方数据库、维普数据库、中国生物医学期刊数据库中关于神经肌肉电刺激治疗脑卒中后吞咽障碍的随机对照试验.采用5.1.0版Cochrane评价手册对文献质量进行评价,RevMan 5.3软件对资料进行系统分析.结果:共纳入46篇随机对照试验(RCT)文献.30篇文献以吞咽功能评分为结局指标,评价了神经肌肉电刺激+常规吞咽训练与常规吞咽训练的治疗效果比较,Meta分析结果显示,SMD=0.60,95％CI=0.11～1.09(P＜0.05);7篇文献以治疗效果是否有效为结局指标,评价了神经肌肉电刺激+常规吞咽训练与常规吞咽训练的治疗效果比较,Meta分析结果显示,OR=0.21,95％CI=0.13～0.35(P＜0.05);4篇神经肌肉电刺激与常规吞咽训练比较,以吞咽功能评分为结局指标,Meta分析结果显示,SMD=0.04,95％CI=-0.19～0.26(P＞0.05);3篇神经肌肉电刺激与针灸治疗效果比较,以吞咽功能评分为结局指标,Meta分析结果显示,SMD=0.52,95％CI=0.21～1.26(P＞0.05);3篇神经肌肉电刺激与电针治疗效果比较,以吞咽功能评分为结局指标,Meta分析结果显示,SMD=0.45,95％CI=-0.31～1.22(P＞0.05);2篇神经肌肉电刺激与肌电反馈治疗效果比较,以吞咽功能评分为结局指标,Meta分析结果显示,SMD-0.77,95％ CI=-0.05～1.58(P＞0.05).结论:常规吞咽训练联合神经肌肉电刺激与单纯常规吞咽训练治疗效果比较有统计学提高;神经肌肉电刺激疗法与常规吞咽训练、针灸疗法治疗、电针疗法治疗、肌电生物反馈等相比治疗效果,无统计学差异.

BACKGROUND:and purpose: The benefits of Kinesio taping (KT) in post-stroke rehabilitation have not been determined. This study aimed to evaluate its effects on lower-extremity rehabilitation in patients after a stroke.METHODS:A literature search was performed using EBSCOhost, Embase, Physiotherapy Evidence Database (PEDro), PubMed, Cochrane, Web of Science, China National Knowledge Infrastructure (CNKI), SinoMed, and Wanfang Data through June 2018. Randomized controlled trials (RCTs) on the use of KT during lower-extremity, post-stroke rehabilitation were selected. Meta-analysis was conducted.RESULTS:A total of 14 RCTs of low to moderate quality were reviewed and included 783 participants. Results indicated that KT significantly improved patients' lower extremity spasticity, motor function, balance, ambulation, gait parameters, and daily activities, with few adverse effects.CONCLUSION:KT may have positive effects on lower-extremity, post-stroke rehabilitation. Due to the limited number and quality of the research, additional studies are needed to identify KT benefits.