Background Chronic obstructive pulmonary disease (COPD) ranks as the fourth leading cause of death globally, and studies indicate that physical activity can benefit patients. However, many struggle to maintain activity levels due to symptoms like dyspnea. The "Healthy China 2030″ initiative encourages physical activity, yet there remains a need to understand the current state of participation among COPD patients and explore health education as a behavioral promotion factor. Objectives To investigate participation behavior in physical activity and its influencing factors in individuals with COPD. Methods A cross-sectional design was employed. Four nursing graduate students conducted surveys using a self-developed general information form and the COPD Physical Activity Participation Behavior Assessment Scale. Univariate analysis and multiple linear regression were used to analyze factors influencing physical activity participation among COPD patients. Results A total of 274 valid questionnaires were collected, reflecting a 90.43% response rate. Among respondents, 54.75% were aged 70 or older, 83.21% were male, and 67.52% lived in urban areas. The mean score on the COPD Physical Activity Participation Behavior Scale was 126.55 ± 15.48. Multiple linear regression identified several key factors influencing participation: place of residence, disease stage, duration of diagnosis, willingness to engage in physical activity training, role of healthcare professionals in providing physical activity education, and frequency of receiving such education. Conclusion COPD patients in China demonstrate moderate levels of physical activity participation. Despite a strong willingness and some opportunities, their actual engagement in physical activities is limited, underscoring the need for enhanced participation behavior strategies.

Objectives To summarise the symptom clusters (SCs), assessment tools and their evolution at different stages of postsurgical chemotherapy in oesophageal cancer patients, providing reference for future research design and precise symptom management.Design A systematic search and literature review were conducted according to the Joanna Briggs Institute Scoping Review Methodology framework and PRISMA extension for scoping reviews (PRISMA-ScR) guidelines.Data sources Databases searched include PubMed, Cumulative Index to Nursing and Allied Health Literature (CINHAL), Web of Science, Embase, the Cochrane Library, Scopus, China National Knowledge Infrastructure, Wanfang, VIP Chinese Journal and China Biomedical Literature Database. The search covered the period from database inception to 30 November 2024, and references were traced backward.Eligibility criteria Patients aged ≥18 years with postsurgical oesophageal cancer undergoing adjuvant chemotherapy; studies focusing on SCs before, during or after chemotherapy; original quantitative research; published in Chinese or English. Exclusion criteria included neoadjuvant or palliative chemotherapy, reviews, conference abstracts and inaccessible full-text articles.Data extraction and synthesis Two independent reviewers screened, extracted and cross-checked the data. Content analysis was employed to summarise the SCs, assessment tools and phase-related changes.Results A total of 11 studies were included (8 in Chinese, 3 in English). Twelve SCs were identified, with gastrointestinal-related, eating-related and physical function-related clusters being the most common. Eleven assessment tools were used, with MD Anderson Symptom Inventory-Gastrointestinal Cancer Module and its Chinese version being the most frequently applied. Difficulty eating was the most prominent SC before chemotherapy, gastrointestinal symptoms were the most severe during chemotherapy and psychological-physical symptoms dominated in the postchemotherapy phase.Conclusions The composition of SCs in oesophageal cancer chemotherapy evolves dynamically across different stages. However, the existing evidence is mainly derived from small sample cross-sectional studies, with high heterogeneity in tools and methods. Standardised assessment criteria and longitudinal validation are needed to develop stage-specific, evidence-based interventions that can be widely applied.

PURPOSE:To assess the knowledge, attitudes, and practices (KAP) of Chinese nurses regarding perioperative pain management and to identify influencing factors. DESIGN:A cross-sectional study. METHODS:This study was conducted among nurses from a tertiary hospital in Wuhan, Hubei Province, China in December 2022 using a pretested KAP questionnaire. We used descriptive statistics, the Mann-Whitney U test, the Kruskal-Wallis test, and multiple linear regression. RESULTS:Among 1,082 participants, knowledge gaps were evident in the use of patient-controlled analgesia (PCA), pain assessment during functional activity, and nonpharmacological interventions. Acceptance of PCA for postoperative pain was low. Clinically, nonpharmacological interventions and pain assessment during rest and activity were underutilized. Multiple linear regression showed that knowledge predictors included working department (β = -0.898, p = .002), professional title (β = 1.732, p = .001), and frequency of participation in pain-related training (β = 3.512, p < .001). The attitude predictors included administrative position (β = 1.984, p = .021) and training participation frequency (β = 1.020, p = .001). Practice predictors included working department (β = -1.765, p = .001), professional title (β = 2.587, p = .004), and training participation frequency (β = 4.294, p < .001). CONCLUSIONS:Nurses exhibit positive attitudes toward perioperative pain management; however, notable deficiencies in both knowledge and clinical practices are observed. CLINIICAL IMPLICATIONS:To address these gaps, hospitals should implement structured, evidence-based training programs of at least two sessions annually, along with department-specific programs.

Purpose:This study aimed to develop and evaluate a psychometrically reliable tool specifically designed to assess physical activity participation behavior in COPD patients in China. Patients and Methods:Using the Motivation-Opportunity-Ability (MOA) model as a framework, a scale was developed and evaluated through literature and guideline reviews, qualitative research, interdisciplinary expert consultations (n=21), and a pilot trial (n=50). A sample of COPD patients diagnosed over a year was randomly divided into two groups for exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) to test the factor structure. The scale's content validity, internal consistency and test-retest reliability were further assessed. Results:433 COPD patients from four hospitals in a city in China participated in this study. The final scale included 32 items and demonstrated good internal consistency, with a Cronbach's α of 0.956 and a test-retest reliability of 0.777. The EFA identified four dimensions, with factor loadings ranging from 0.530 to 0.799, explaining 60.338% of the total variance: Motivation (5 items), Opportunity (12 items), Ability (9 items), and Behavior (6 items). The CFA confirmed that the four-dimensional model fit the data well: χ²/df = 1.891, standardized root mean residual (SRMR) = 0.0497, root mean square error of approximation (RMSEA) = 0.064, comparative fit index (CFI) = 0.927, Tucker-Lewis index (TLI) = 0.921. Conclusion:The Physical Activity Participation Behavior Scale for COPD patients demonstrated good reliability and validity and can be used to assess physical activity participation in individuals with COPD.

Background This study aimed to investigate the preparedness of patient caregivers in the Neurosurgery ICU transition in China and its factors. Method This research involved a cross-sectional study utilizing the Care Preparedness Scale, the Parent Perception of Uncertainty Scale-Family Member, and the Self-rating Anxiety Scale, which was carried out between May and July 2022. A total of 307 participants were recruited from five tertiary general hospitals across four provinces in China. Results The caregiver preparedness score was found to be 13.19 ± 4.822 (P < 0.05). Factors such as the patients' condition, self-care ability at the time of admission, caregivers' age, education level, income, understanding of the disease, stress levels, sources of information, and self-assessment of caregiving skills significantly influenced caregiver preparedness (P < 0.05). Additionally, caregivers' levels of uncertainty and anxiety were negatively associated with their preparedness (P < 0.01). A moderate negative correlation was observed between the CPS score and the PPUS-PM, while a mild negative correlation was noted between the CPS score and the SAS score. Conversely, a moderate positive correlation was found between the SAS score and the PPUS-PM score. Conclusion The level of care preparedness among participants was lower than the normal level. Interventions based on factors should be implemented to ensure the quality of ICU transitional care.

Objective The study aims to explore the driving forces behind physical activity engagement among patients with chronic obstructive pulmonary disease, focusing on motivation, opportunity, and capability.Design A phenomenological qualitative study applied the motivation, opportunity, and capability model, conducted in two respiratory units of a Chinese university hospital.Methods Participants, selected by age, gender, and illness duration, included inpatients during the interview sessions and those recently discharged within six months. One-on-one semi-structured interviews were recorded, transcribed, and analyzed by the Colaizzi seven-step method.Results Seventeen participants diagnosed with chronic obstructive pulmonary disease for over one year aged between 66 (range: 42-96) participated. Three major themes were identified: Inspiring participation motivation-transitioning from recognizing significance to habit formation; Offering participation opportunities-reiterating demand for personalized strategies and ideal environmental settings; Enhancing participation capability-addressing strategies for overcoming fears, setting goals, ensuring safety, and adjusting activity levels.Conclusions This research underscores the vital role of inspiring participation motivation, offering opportunities, and enhancing the capability for participation in effective engagement. Advocating increased attention from healthcare departments, fostering interdisciplinary collaboration, improving activity guidance and counseling effectiveness, and considering individual preferences can significantly benefit those patients with chronic obstructive pulmonary disease who hesitate or are unable to participate in physical activities, thereby increasing the dose of non-leisure time physical activity.

综述乳腺癌术后淋巴水肿照护者参与自我护理的现状及影响因素,为制订针对性干预方案提供参考.提出可从照护者的负性情绪、健康素养以及家庭复原力等方面进行干预,以促进家庭照护者积极参与患者术后自我护理,缓解或消除患者乳腺癌相关淋巴水肿,改善生活质量.

目的:检索、获取食管肿瘤病人围术期营养管理的相关证据,并对最佳证据进行总结.方法:计算机检索BMJ最佳临床实践、Up To Date、国际指南协作网、美国国立指南库、英国国家卫生与临床优化研究所、医脉通、澳大利亚Joanna Briggs Institute(JBI)循证卫生保健中心、the Cochrane Library、Web of Science、PubMed、CINAHL、EMbase、中国知网等指南网、数据库和相关学会网站,检索内容包括食管肿瘤病人围术期营养管理所有证据,检索时限为建库至2022年4月.结果:共纳入文献15篇,包括6篇指南、2篇临床决策、1篇实践标准、1篇证据总结、3篇系统评价、2篇专家共识.汇总整理为营养筛查与评估、营养素摄入、营养治疗方式选择与实施、营养团队建设、不良反应管理、出院宣教6个方面,共44条最佳证据.结论:本研究总结的食管肿瘤病人围术期营养管理最佳证据,内容具体且可操作性强,可为医护人员临床工作提供循证依据.建议证据使用者在临床应用证据时,评估所在医疗机构的条件、使用证据时的促进及障碍因素、病人意愿等并进行针对性的证据选择.

目的 检索、获取麻醉复苏室(PACU)全麻患者术后低体温预防与管理的相关证据,并对最佳证据进行总结.方法 计算机检索BMJ Best Practice、UpToDate、美国国立指南文库、医脉通、JBI Library、Cochrane Librar-y、PubMed、中华医学会麻醉学分会、中国生物医学文献服务系统等指南网站、数据库和相关学会网站共18个,检索内容包括全麻患者麻醉复苏期间低体温预防及管理所有证据,检索时间为建库至2022年2月28日.结果 共纳入文献16篇,包括2篇指南,1篇临床决策,1篇推荐实践,4篇证据总结,4篇系统评价,2篇专家共识,2篇随机对照研究.汇总整理为低温评估、体温监测、体温保护和设备管理4个方面,共25条最佳证据.结论 本研究总结的PACU全麻患者术后低体温预防与管理最佳证据,内容具体且可操作性强,可为PACU内医护人员开展体温管理提供循证依据.

Abstract Background Proper nutritional management was demonstrated to reduce complications and related to better clinical outcomes. However, inaccurate nutritional screening and assessment, inappropriate nutrition support, and contrary to the suggested guidelines were observed in clinical. Methods A self-designed questionnaire was used to conduct a cross-sectional survey in a tertiary-level general hospital. Nutritional Risk Screening 2002 was used for nutrition screening. A total of 620 patients with neurological diseases were enrolled in this study. Results All patients were conducted with nutritional screening, and among them, 24.4% had nutritional risk on admission and 22.7% in the final assessment. However, there were no statistically significant differences in nutritional status between the first and final assessments, except for the serum albumin concentration. 118 patients (19.0%) received pharmaceutical nutrition therapy and complications occurred in 35(45.5%) patients treated with EN and 29 (30.5%) patients treated with PN. In our study, not all nursing measures for tube feeding apart from confirming catheter position and raising the head of the bed were carried out in every patient receiving tube feeding in our research. Conclusions The incidence of nutritional risk of inpatients with neurological diseases enrolled in this research was relatively lower. However, nutritional treatment in this study was not standardized enough and the medical staff was suggested to accept relevant professional training to perform better in nutrition support.

目的 构建住院患者肠造口护理质量敏感性指标体系,为住院患者肠造口护理管理提供监测依据.方法 基于循证和小组讨论法,拟订肠造口护理质量敏感性指标初级条目池;通过2轮专家函询,修订并确立住院患者肠造口护理质量敏感性指标体系.结果 2轮函询专家积极系数均为100％,权威系数为0.898与0.908,协调系数为0.189～0.239与0.215～0.258(均P＜0.05).构建的住院患者肠造口护理质量敏感性指标体系包含3项一级指标、6项二级指标、22项三级指标.结论 构建的住院患者肠造口护理质量敏感性指标体系严谨、全面,可用于住院患者肠造口护理质量管理.

Objective:To provide basis for formulating standardized intervention plan of patients with enterostomy by integrating relevant qualitative studies to systematically evaluate the self-management experience of patients with enterostomy.Methods:PubMed, EMBASE, Web of Science, EBSCO (CINAHL), Joanna Briggs Institute (JBI), The Cochrane Library (central), CNKI, Wanfang databases, and VIP were searched for qualitative research related to the self-management experience of enterostomy patients from establishment to May 2022, the quality of articles were evaluated by the "quality evaluation standard of JBI evidence-based health care center (2014) in Australia", and results were summarized by Meta-integration.Results:A total of 8 studies were included, 22 complete research results were refined, 9 new categories were summarized, and 3 integrated results were obtained: the dilemma and obstacles of self-management, the process and growth of self-management, and the needs and prospects of self-management.Conclusions:The patients with enterostomy was increasing in recent years. The society should pay attention to the psychological problems of patients with enterostomy, strengthen education of disease risk cognition, and improve the construction of comprehensive information platform for self-management of enterostomy patients. By providing multiple support through online and offline channels, we can improve the self-care management ability of enterostomy patients, and enhance the quality of life in patients.

目的 构建住院患者围术期护理质量评价指标体系,为评价住院患者术前与术后护理质量提供客观、量化的依据,提升手术患者护理质量.方法 以"结构-过程-结果"三维质量模型为理论框架,检索国内外文献,整合临床实践和患者个体需求,分析本院 3 年内护理质量情况,形成指标条目池.应用德尔菲法对 36 名专家进行 2 轮函询,确定各指标内容及重要性,结合层次分析法确定各指标权重.结果 2 轮专家问卷咨询回收率均为 100.00％,权威系数为 0.907 和 0.904,判断系数为 0.964和 0.969,熟悉系数为 0.850 和 0.839,肯德尔和谐系数为 0.210 和 0.300.最终构建的住院患者围术期护理质量评价指标体系包括 3 个一级指标即结构、过程和结果指标,15 个二级指标和 82 个三级指标.结论 构建的住院患者围术期护理质量评价指标体系具有较高的科学性、可靠性、全面性和实用性,可为住院患者的术前与术后护理质量监测与护理质量持续改善提供客观的评价标准.

目的 建立ICU中心静脉导管相关血流感染护理质量评价指标体系,为ICU中心静脉导管相关血流感染护理质量评价提供科学、实用的工具.方法 基于循证证据,借鉴"结构-过程-结果"三维质量理论框架,初步构建ICU中心静脉导管相关血流感染护理质量评价指标体系;采用德尔菲专家咨询法确定各级指标内容,结合层次分析法计算各级指标权重.结果 经过两轮专家咨询,专家积极系数均为100％,权威系数均为0.91,总体肯德尔系数分别为0.54和0.19.最终确定的ICU中心静脉导管相关血流感染护理质量评价指标体系包括3个一级指标,16个二级指标,55个三级指标.结论 本研究构建的ICU中心静脉导管相关血流感染护理质量评价指标体系具有较好的科学性、实用性及可靠性,为提高临床中心静脉导管相关血流感染护理管理质量提供评价依据;在ICU中心静脉导管相关血流感染护理质量评价过程中应重视对过程质量的控制,同时加强对结构质量及结果质量的把控,以不断促进中心静脉导管相关血流感染护理质量的持续改进.

ICU过渡期是指患者从ICU转出前准备、转运中及转入普通病房后的过渡阶段[1].医护患三方在此过渡期间面临诸多风险,如患者病情危重、多重共病和护理工作的复杂性,以及患者从丰富的监测资源环境过渡至相对更少、甚至缺乏多学科、跨专业的人员和设备环境[2-4],增加了ICU过渡期间并发症、非计划性ICU重返、护理不良事件发生率[5-8],延迟患者住院时长,增加住院费用[9],同时对患者及照顾者的心理、情感以及社会功能产生严重影响[10].

目的 总结住院患者ICU过渡期护理的最佳证据,为护理实践提供指引.方法 依据"6S"模型检索相关文献,文献检索时限为建库至2021年9月31日.由4名研究者对各类研究进行质量评价和资料提取,对符合质量标准的文献进行证据提取.采用JBI的证据分级及推荐级别系统(2014版)对纳入的证据进行分级.结果 共纳入24篇文献,总结了 7个类别(过渡期组织支持系统、团队沟通与协作、ICU转出评估与决策、转运与交接、随访与康复、护患沟通与教育信息支持、护理质控)34条最佳证据.结论 总结的最佳证据可为开展ICU过渡期护理实践提供依据,以提高干预措施的有效性与安全性.

目的 遴选并获取成人恶性肿瘤患者膳食管理的相关证据,并对最佳证据进行总结.方法 系统检索英国卫生与临床优化研究所(National Institute for Health and Care Excellence,NICE)、加拿大安大略注册护士协会(Registered Nurses Association of Ontario,RNAO)网站、国际指南网(Guidelines International Network,GIN)、苏格兰学院间指南网络(Scottish Intercollegiate Guidelines Network,SIGN)、澳大利亚乔安娜布里格斯研究所(Joanna Briggs Institute,JBI)循证卫生保健中心数据库、Up to Date、BMJ Best practice、Cochrane Library、PubMed、中国生物医学文献数据库关于成人恶性肿瘤患者膳食管理的所有证据,包括临床决策、证据总结、指南、推荐实践、系统评价、专家共识,检索时限为建库至2021年9月30日.由2名具有循证护理培训背景的研究者独立完成质量评价,并对纳入文献进行证据提取.结果 共纳入14篇文献,包括临床决策2篇,证据总结3篇,指南6篇,系统评价1篇,专家共识2篇.总结了30条最佳证据,包括多学科团队、膳食评估、膳食目标量、膳食营养素来源、膳食建议、膳食模式、膳食补充剂、体质量和身体活动9个方面.结论 本研究成汇总人恶性肿瘤患者膳食管理的相关证据,为医务人员临床实践提供相关循证依据,以期建立恶性肿瘤患者膳食管理规范化流程,改善癌症患者预后,提高临床护理质量.

目的 利用CiteSpace软件对我国近几年关于患者安全文化研究进行文献计量分析,以探讨其发展趋势.方法 以中国知网为数据来源,使用文献计量学的分析方法及CiteSpace软件进行分析.结果 最终纳入547篇文献,发文量随着时间增长呈现平稳增长的趋势;研究地区集中在我国经济发达的省市,地域之间分布不均衡;研究类型以调查研究与经验分享为主;CiteSpace共现分析中出现频次较高的关键词依次是"患者安全""安全文化""患者安全文化""护理管理""影响因素""护士",突变分析显示"用药安全""第二受害者"为最新突变关键词,聚类分析显示该领域研究主要集中在患者安全、患者安全文化、护理管理等领域.结论 近年来,国内患者安全文化相关研究的数量呈现平稳增长的趋势,但各地域间发展严重不均衡;研究内容主要以调查研究及经验分享为主,缺乏实证研究;当前研究重点仍然集中在护理管理制度及安全制度的建立、不良事件的预防等方面,用药安全及第二受害者相关研究是近年来的新趋势.

综述情景模拟教学法在护生患者安全教育中的应用形式及测评方法,提出可在课程设计、模拟技术发展、教学模式创新和师资培养等方面进行研究探索,以增强情景模拟教学法在患者安全教学中的应用效果.