OBJECTIVES:While kinesiophobia is a recognised phenomenon in global cardiovascular rehabilitation, its prevalence and characteristics remain unexplored in the specific and growing population of patients hospitalised with atrial fibrillation and heart failure (AFHF). This study aims to investigate the prevalence of kinesiophobia and to identify its associated factors among hospitalised AFHF patients in China, thereby contributing to a broader understanding of this barrier to physical activity in a critical patient subgroup worldwide. METHODS:In this cross-sectional study, participants were recruited through convenience sampling from a grade A general hospital in Hangzhou, Zhejiang Province, China. Participants completed questionnaires that included measures of kinesiophobia, self-efficacy, symptoms, depression, anxiety, medical coping strategies, social support, and demographic information. RESULTS:A total of 212 inpatients with AFHF (age: 21-91, mean age: 65.22 ± 10.30 years, 60.4% male) were included in the study, including 128 males (60.4%) and 84 females (39.6%). The findings revealed that a significant majority (71.2%) of patients experienced kinesiophobia (mean score: 40.60 ± 5.771). The results of multiple linear regression (MLR) analysis showed that the main variables associated with kinesiophobia in patients with AFHF were previous hospitalisation for heart disease, New York Heart Association (NYHA) classification, depression,medical coping styles, self-efficacy, and occupation, with six variables together explaining 44.2% of the total variation. CONCLUSION:Kinesiophobia was found to be common in patients with AFHF in China, influenced by various factors. We recommend that early evaluation of kinesiophobia be considered in patients with AFHF.

Pregnancy with heart disease (PWHD) is a significant high-risk category, leading to adverse cardiovascular events and indirect maternal deaths. Despite advancements in perinatal care improving outcomes, the postpartum period remains high-risk for cardiovascular issues. Postpartum women face physical, psychological, and maternal role adjustments, with those having heart disease at higher risk for adjustment disorders. This study investigates the real experiences of postpartum adjustment in these patients. Researchers conducted a qualitative study using reflexive thematic analysis. Semi-structured face-to-face interviews were conducted with 24 purposively sampled postpartum women with pregnancy-complicated heart disease recruited from a provincial tertiary hospital in Zhejiang Province, China, from May to September 2025. Interviews were audio-recorded, transcribed verbatim, and analysed using NVivo 15 to generate themes and subthemes. Five core themes and 16 sub-themes were identified: the dual burden of heart disease and postpartum challenges, psychological vulnerability and heightened emotional fluctuations, family support tension and intergenerational negotiation, gaps in disease understanding and health management skills, and the retreat from motherhood with a need for role repositioning. These findings enhance the understanding of the complex challenges faced by women with pregnancy-related heart disease during postpartum adaptation. They emphasise the importance of care that goes beyond disease monitoring to include psychological, familial, and educational support. Implementing integrated, multidisciplinary postpartum care with family involvement and targeted support can foster better recovery and improve quality of life. This approach also contributes to developing comprehensive “fourth trimester” care models for sustained maternal and infant health.

Background Health information-seeking behavior (HISB) among postoperative breast cancer (BC) patients significantly contributes to lymphoedema prevention and management, enhancing patients' self-care abilities and health outcomes. Identifying influencing factors can provide scientific evidence and practical insights for developing effective lymphoedema-focused health education programs for this population. Objective This study aimed to investigate the current state and determinants of HISB in patients experiencing lymphoedema following BC surgery. Methods A cross-sectional study involving 196 patients was conducted from December 2024 to January 2025 at the Department of Breast Surgery in a tertiary hospital in Hangzhou, Zhejiang Province. Data collection utilized the General Information Questionnaire, the Upper Extremity lymphoedema Knowledge, Belief, and Behavior (KBB) scale, and the HISB Scale. Multiple linear regression was employed to identify factors associated with HISB among participants. Results The mean HISB score related to lymphoedema among the 196 postoperative BC patients was 178.21 ± 25.018. Multiple linear regression analysis revealed that the KBB level regarding upper limb lymphoedema, number of family members, age, education level, and discharge instructions significantly influenced patients' lymphoedema-related HISB. Conclusion Postoperative BC patients generally exhibited insufficient levels of lymphoedema-related HISB. Healthcare providers should prioritize patients who are older, less educated, and from smaller families. Enhancing the effectiveness of lymphoedema-focused health education and communication methods is essential to improve HISB and subsequent self-care behaviors in this patient group. Implication for Practice: This study highlights significant gaps in HISB among postoperative BC patients with lymphoedema, identifying key influencing factors including lymphoedema knowledge, age, educational attainment, family size, and discharge instruction quality. These findings can inform healthcare professionals in refining patient-centered health education and communication strategies, thereby enhancing patient engagement and self-management capabilities. Additionally, the results may guide healthcare policy shifts towards a patient-centered, health-promotion approach.

An increasing number of breast cancer survivors are facing parenting concerns as they manage both the physical and psychological burdens of cancer while also fulfilling maternal responsibilities. The study aims to examine the status of parenting concerns for Chinese breast cancer mothers and explore factors influencing parenting concerns, focusing on relationships between illness perception, social support, family resilience, emotional distress, and parenting concerns. A cross-sectional study involving 217 Chinese breast cancer mothers utilized the sociodemographic characteristics questionnaire, Brief Illness Perception Questionnaire, Medical Outcomes Study Social Support Survey, Family Resilience Questionnaire, Hospital Anxiety and Depression Scale, and Parenting Concerns Questionnaire. Data were analyzed with SPSS 27.0 and AMOS 26.0. Parenting concerns (2.49 ± 0.75) showed a moderate level. Illness perception, emotional distress, and marital status positively affected parenting concerns (β = 0.159, P < 0.05; β = 0.227, P < 0.01; β = 0.233, P < 0.001). Social support, family resilience, and the age of the youngest child negatively affected parenting concerns (β = − 0.319, P < 0.001; β = − 0.195, P < 0.05; β = − 0.099, P < 0.01). Illness perception indirectly affected parenting concerns via four pathways. Social support (β = 0.177, [0.091, 0.268]) and emotional distress (β = 0.142, [0.067, 0.224]) were independent partial mediators, while family resilience played a chain mediating role between illness perception and parenting concerns by integrating social support and/or emotional distress (β = 0.086, [0.020, 0.170]; β = 0.018, [0.005, 0.044]). Intervention programs addressing these factors may alleviate parenting concerns. Health professionals should assist breast cancer mothers in enhancing social support, strengthening family resilience, managing emotional distress, and addressing negative illness perception to mitigate parenting concerns under illness-related stress.

BACKGROUND: In the postoperative period, patients mainly rely on caregivers, who experience their own physical and mental fatigue. Caregiver fatigue may affect patient outcomes. OBJECTIVES: This study explored the fatigue status and influencing factors of primary caregivers of patients after liver cancer surgery. METHODS: A baseline information questionnaire, the Fatigue Scale-14, and the Barthel Index were used to investigate the self-care ability and fatigue status of 191 primary caregivers of patients with hepatic carcinoma who had had surgery. FINDINGS: The postoperative hospitalization time and self-care level of patients, whether the primary caregiver had health insurance, subjective feelings of fatigue, the perception that health was affected, and the patients' desired level of postoperative care were correlated with the occurrence of primary caregiver fatigue.

Purpose: This study aimed to investigate the effects of glycaemic control and diabetes distress on frailty in older Chinese patients with diabetes, and to explore the mediating role of diabetes distress between glycaemic control and frailty. Design: This is a descriptive, cross-sectional study. A total of 209 older patients with diabetes were recruited from a teaching hospital in Zhejiang Province. Data were collected from February to September 2022. Methods: A self-designed questionnaire was used to collect demographic and disease-related data. The Fried Scale and Diabetes Distress Scale were employed to assess frailty and diabetes distress, respectively The bootstrap method was used to examine the mediating effects of diabetes distress on glycaemic control and frailty. The STROBE checklist was adhered to in the reporting of this study (see details in File S1). Results: The findings indicated a positive correlation between the level of glycaemic control and frailty, as well as between diabetes distress and frailty. Furthermore, diabetes distress was found to play a complete mediating role between glycaemic control and frailty. Conclusions: The study findings highlight the relationship between glycaemic control, diabetes distress and frailty offering a valuable reference for enhancing the management of frailty in older patients with diabetes. Relevance to Clinical Practice: This study emphasizes the significance of managing glycaemic control and diabetes distress in older patients with diabetes to prevent frailty, and may contribute for healthcare professionals to developing effective measures to improve the frailty of older diabetic patients in clinical settings. Patient or Public Contribution: This study was conducted with the participation of older patients with diabetes who contributed data by completing study questionnaires and undergoing physical assessments.

BACKGROUND The Healthy Aging Brain Care Monitor Self-Report (HABC-M SR) is a tool to evaluate physical, mental and cognitive impairments. It has been validated in several countries for post-intensive care syndrome (PICS) assessment, but there is no Chinese version yet. AIM The aim of this study is to translate and cross-cultural adapt HABC-M SR, and validate its psychological properties among Chinese ICU survivors. STUDY DESIGN This is a cross-sectional study. the HABC-M SR was translated into Chinese and validated in intensive care unit survivors (n = 145). Measures of internal consistency, construct validity, concurrent validity, and content validity were evaluated. RESULTS A 19-item Chinese version of HABC-M SR was yielded, with good reliability (Cronbach's α = 0.92) and validity (the variance was 64.4%, overall content validity was 0.91, and correlation coefficients were 0.62-0.90). CONCLUSIONS The 19-item Chinese version HABC-M SR is a reliable and valid tool for PICS assessing and may be regarded as a standard measurement. RELEVANCE TO CLINICAL PRACTICE The Chinese version HABC-M SR may help in selecting PICS high-risk survivors for ICU follow-up interventions. The HABC-M SR can also be regarded as a standard specific PICS measurement, thus promote the comparability between studies and transformation of the clinical evidence.

综述了国内外ICU后门诊的相关研究,从概念、发展现状、多学科团队成员、接诊对象、服务内容及障碍因素等方面进行介绍,并探讨ICU后门诊的新模式,以期为国内ICU后门诊的发展提供参考.

Objective: To systematically review the relevant studies on risk prediction models for Post-intensive Care Syndrome（PICS）. Methods: We searched Chinese and English databases for the eligible studies, which included prediction models or tools about post-ICU physical, psychological and cognitive impairment. The literature retrieval date was limited from 1st January, 2010 to 8th March, 2022. Two researchers independently screened the literature and extracted information.Then risk of bias and applicability were assessed by using the Prediction Model Risk of Bias Assessment Tool. Results: Of 2336 screened studies, ten studies met inclusion. The AUC of ten models were 0.68-0.91. The applicability of all studies was good, but there was some risk of bias. Conclusion: The research on prediction for PICS is still in the preliminary stage of development. There are several suggestions for future studies, including externally verifying the existing model, introducing and localizing the risk prediction models in the domain of physical and psychological.

介绍国内外肺癌患者肌少症的研究现状,分析影响肺癌患者肌肉衰减的因素,总结改善其肌肉功能的护理干预措施,以期为医护人员对肺癌患者肌少症的研究和管理提供参考依据,从而改善肺癌患者预后,提高其生存质量.

本文综述了药物素养的概念、评估工具及心房颤动患者药物素养的影响因素,以期提高心房颤动患者药物素养,为患者安全用药提供依据.

To summarize the nursing experience of a case of pregnancy complicated with Taussing-Bing syndrome. For the serious and difficult problems of maternal and child monitoring and complication prevention in perinatal period,nursing measures such as cardiopulmonary support nursing during perinatal period,fetal intrauterine status monitoring during pregnancy,prevention of perinatal complications were adopted. After 7 days of careful treatment and nursing,the patient’s condition was stable and discharged. After discharge,the patient was followed up for 3 months,and the mother and son were in good condition.

This paper mainly reviewed the status quo of physical activity in the elderly inpatients,including the level of physical activity,physical activity patterns and influencing factors,in order to provide reference for improving the physical activity level of elderly inpatients.

总结1例心脏非霍奇金淋巴瘤巨大占位患者的护理经验.护理主要内容如下:循环系统监测及容量管理,经皮室间隔穿刺活检的预见性护理,个体化化疗并发症的护理,急性心力衰竭卧床期间的康复指导,跨院区转运的风险管理,个体化心理护理.经过多学科的精心治疗和护理,患者病情好转,心脏肿瘤较前缩小,心功能由Ⅳ级恢复至Ⅱ级,平地步行30 min未报告胸闷、气急等不适症状.

综述糖尿病患者低血糖恐惧相关测评工具的内容、特点、应用情况及局限性等,为糖尿病患者低血糖恐惧评估工具的本土化发展、临床医护人员选择合适的评估工具并开展相关研究提供参考.

分析蜂蜜防治化疗性口腔黏膜炎的作用机制和临床应用研究进展,以期为临床护士和患者提供一种科学、便捷的方法,以更有效地预防和治疗化疗性口腔黏膜炎,保障患者化疗顺利进行,提高其生存质量.

美国是较早使用流动护士的国家,经验表明使用流动护士是解决医院护理人员短缺的办法.该文对美国医院流动护士的准入管理、人员调配、培训管理、护理质量控制、薪酬管理5个方面进行介绍,并对我国多点执业护士管理提出建议,以期为我国护士多点执业的实施提供参考.

This study aims to compare the effectiveness of video and paper materials used for teach-back education on the first insulin injection for patients with diabetes. The study enrolled 110 patients hospitalized for diabetes who had received education on their first insulin injection in the endocrinology department. The patients were divided into an intervention group (n = 55) and a control group (n = 55) using convenience sampling. Video materials were employed for the teach-back education of the intervention group, while paper materials were employed for the teach-back education of the control group. We compared cases who answered correctly to the common parts (selection and management of injection devices, selection and rotation of injection sites, proper use of injection angles and pinching, insulin storage, injection-related complications and their prevention, selection of the correct needle length, and safe disposal of needles after use) for the first time, the number of educational sessions and total education duration between the two groups and employed the "My View on Insulin" questionnaire to survey the two groups before and 28 days after the intervention. The intervention group had a shorter total education duration than the control group, a difference that was statistically significant (p < .001). The intervention group had more advantages over the control group in terms of rotation education at the injection site (p < .05). There was no statistically significant difference in the questionnaire scores between the two groups after the intervention (p > .05); however, both groups scored significantly higher than before the intervention, a difference that was statistically significant (p < .001). The teach-back method combined with video materials applied for educating patients on their first insulin injection could reduce the education duration by healthcare providers and improve the patients' psychological insulin resistance. The key to successfully teaching patients to self-administer insulin, and allowing them to master the steps involved, is to focus on "why" rather than "what" to do.

本文就心脏病患者运动恐惧现象的研究现状进行综述,从运动恐惧的概念和心脏病患者运动恐惧的发生情况及影响因素、评估工具、不良影响及干预措施等方面进行归纳与总结,旨在引起国内临床医护人员对心脏病患者运动恐惧的重视,有助于早期发现患者运动恐惧现象并进行干预,从而改善心脏病患者预后及提高生活质量.