BACKGROUND:Home-based palliative care is in the early stages of development, and its implementation continues to face numerous challenges. OBJECTIVE:This study aims to systematically synthesize qualitative research on the facilitators and barriers to home-based palliative care, offering evidence-based recommendations to support the advancement of palliative care in China. METHODS:A systematic search was conducted across multiple databases including PubMed, Web of Science, Embase, Cochrane Library, CINAHL, CNKI, Wanfang,2222 and VIP Database for qualitative studies related to home-based palliative care, with the search covering studies published up to October 3, 2024. Quality assessment was performed using the JBI standards for qualitative research. Meta-Aggregation was performed using an aggregative integration approach, and the data were analyzed and managed using Nvivo software. CONCLUSIONS:Twelve studies involving 334 participants were included. Ninety-nine initial findings were extracted and categorized into eight groups. Facilitators included family support, collaboration within interdisciplinary teams, and community resource availability. Barriers comprised challenges in healthcare policies, cultural and social influences, lack of Knowledge and Attitudes of Healthcare Workers, lack of Knowledge and Attitudes of Patients and Families, and insufficient home care resources. CONCLUSION:To advance palliative care in China, it is critical to enhance policy support and financial backing, improve the education and training of healthcare professionals and the public in diverse cultural settings, strengthen community nursing capabilities, and explore the integration of information technology in care delivery.

Self-neglect is a significant global public health issue, compromising the health, safety, and well-being of older adults. Despite extensive research on the prevalence and risk factors of self-neglect, the underlying psychosocial mechanisms remain underexplored. Social isolation and aging attitudes have been identified as important correlates of self-neglect; however, the precise interplay between these variables, particularly the mediating role of aging attitudes, has yet to be fully examined in the context of rural older adults. This cross-sectional study aims to investigate the relationships among social isolation, aging attitudes, and self-neglect, focusing on how aging attitudes mediate the association between social isolation and self-neglect among rural older adults living alone in China. Using convenience sampling, we conducted a survey from December 2022 to February 2023 among rural older adults living alone across eight cities in Guizhou Province, Southwest China. Data were gathered using the General Information Questionnaire, Attitudes to Ageing Questionnaire, Lubben Social Network Scale-6, and Scale of the Elderly Self-Neglect. Data were analyzed using SPSS 27.0 and the PROCESS macro tool. The scores for aging attitude, social isolation, and self-neglect among older adults living alone in rural areas were 75.00 (69.00–82.00), 16.00 (12.00–21.00), and 10.00 (8.00–14.00), respectively. Social isolation was positively associated with aging attitude (r = 0.353, P < 0.05) and negatively correlated with self-neglect (r = -0.371, P < 0.05). Self-neglect was also negatively correlated with aging attitude (r = -0.367, P < 0.05). Aging attitude partially mediated the relationship between social isolation and self-neglect among older adults living alone in rural areas, with a mediation effect of -0.077, accounting for 28.20

OBJECTIVE:This study aims to investigate the mediating role of self-neglect among older adults in the relationship between family functioning and healthy aging. METHODS:A questionnaire survey was conducted between June and September 2023, involving 255 older adults living alone in rural China. The healthy ageing, self-neglect, and family functioning was assessed using the Healthy Aging Instrument;the Elderly Self-neglect Assessment (Rural);and Family Adaptation, Partnership, Growth, Affection, and Resolve (APGAR) scale. RESULTS:Positive correlations were found between family functioning and healthy aging (r = 0.363, p < 0.05). Moreover, self-neglect was identified as a significant mediator, explaining 40.84 % of the total effect. CONCLUSION:Among older adults living alone in rural China, family functioning is significantly associated with healthy aging, with self-neglect mediating this relationship. These findings suggest that community-based interventions aimed at improving family functioning and addressing self-neglect behaviors might be beneficial for promoting healthy aging in this population.

AbstractAimThis study aimed to assess advance care planning readiness among patients with chronic diseases and identify its relationship to patients’ coping styles.DesignA cross‐sectional study.MethodsPatients with chronic diseases (N = 168) were recruited from community health service centres. We used a self‐designed and validated “advance care planning readiness questionnaire” to measure the patients’ advance care planning readiness and a "simplified coping style questionnaire” to measure the patients’ coping styles.ResultsMultiple linear regression analyses observed a positive relationship between “active coping style” (p = .002, 95%CI: 1.788, 7.599) with ACP readiness and a negative relationship between “passive coping style” (p < .001, 95%CI: −10.526, −4.274) with ACP readiness. Our study showed that there was a clear relationship between coping styles and ACP readiness. We suggest encouraging patients to choose more active coping strategies and to explore suitable conversation strategies for different coping styles when facilitating ACP discussion.

The prevalence of HIV infection among men who have sex with men (MSM) in China has increased in recent years. Regular HIV testing is a key prevention strategy for identifying HIV infections among MSM. Informed by the theory of triadic influence, we aimed to determine individual, social and environmental factors associated with regular HIV testing behavior. Regular HIV testing is defined as taking an HIV test every 3 to 6 months. Both an online survey and a face-to-face survey was administered to MSM in China. Logistic regression was used to examine associations with testing behavior. 500 MSM were surveyed, the prevalence of regular testing was 56.4%. In the final model, age of first sexual intercourse, self-efficacy, perceived risk, number of partners, orientation disclosure, knowledge of HIV testing, behavioral intention and HIV relevant behaviors (sexually transmitted infection testing history) were associated with regular HIV testing; social stream characteristics had stronger associations with regular testing than individual and environmental factors. Findings implicated that interventions aimed at improving the effective counseling service from healthcare providers and the medical environment and intrapersonal changes should be combined to encourage MSM to have their first HIV test and to keep coming back at regular intervals.

Aims: To determine the pattern of relationships among social support network, social support, self-efficacy, health-promoting behavior and healthy aging in older adults. Methods: Totally, 485 community-dwelling participants aged 60 years and older were recruited from four districts of Beijing, China. Data were obtained from July to November, 2017 using a questionnaire containing general information items, the Lubben Social Network Scale-18, the Medical Outcomes Study Social Support Survey-Chinese version, the Self-rated Abilities for Health Practices Scale, the Health-Promoting Lifestyle Profile II and a Healthy Aging Instrument. Path analysis was applied to examine the pattern of relationships between one's social support network and healthy aging. Results: The influence of a neighbor network on healthy aging was stronger than that of a family and friend network. Friend network had greater impact than family network on health-promoting behavior and self-efficacy. However, support from family members had a stronger effect than friend support and neighbor support on health-promoting behavior, self-efficacy and healthy aging. Furthermore, the finding revealed that self-efficacy had the stronger effect on healthy aging than that of health-promoting behavior. Conclusion: These findings demonstrate that one's social support network plays an important role in promoting healthy aging. In China, medical and human resources for community healthcare systems are often limited. We propose that community nurses, as the "gatekeepers" to the healthcare system, should actively collaborate with older adults' social network resources to promote healthy aging. Moreover, nurses should develop efficient programs which focus on the ways of improving self-efficacy.

Objective To understand the level of posttraumatic growth among people living with HIV/AIDS and analyze the influencing factors. Methods Totally 175 people living with HIV/AIDS were randomly selected via convenience sampling and investigated using patients′ general information, Post-Traumatic Growth Inventory(PTGI), HIV stigma scale and Social Support Rating Scale. Results The average score of PTGI among people living with HIV/AIDS was (60.76 ± 27.03) points. Single factor analysis showed that there was a difference among people living with HIV/AIDS who had different education status, health insurance and whether to tell others HIV positive (Z=21.534, t=2.607, 3.958, P<0.01). There was a difference between the level of social support and perceived discrimination among people living with HIV/AIDS (r=0.245-0.275, P<0.01). Multiple linear regression analysis showed that the level of social support, perceived discrimination and whether to tell others HIV positive could affect the total score of PTGI. All the variables could explain 24.0％variance of posttraumatic growth. Conclusions People living with HIV/AIDS havemoderate posttraumatic growth. The level of social support, perceived discrimination and whether to tell others HIV positive are related to the posttraumatic growth among people living with HIV/AIDS.

HIV-related stigma among people living with HIV/AIDS (PLWHA) has been associated with many negative consequences, including poor adherence to therapy and undue psychological stress. However, the relative influence of specific demographic and situational factors contributing to HIV-related stigma among rural PLWHA in central China remains unknown. The aim of this study was to explore the level of HIV-related stigma among rural PLWHA across specific demographic and situational factors in central China.

PURPOSE:China is a country with frequent disasters, and nurses play indispensable roles in the disaster process. The Chinese disaster nursing specialty developed with several deficiencies. This study aimed to identify the limitations in the development of disaster nursing in China and to provide a reference for the future by comparing relevant studies between China and other countries.DESIGN:A systematic literature review was conducted in English and Chinese databases to identify disaster nursing articles published from January 1, 2000, to December 31, 2016.METHODS:This study followed the systematic literature collection tactic and bibliometric method. Basic information such as country, number of publications, and discussed disaster types were described through frequency distributions. Article themes were extracted and divided into the four phases of the International Council of Nurses Framework of Disaster Nursing Competencies.FINDINGS:1,384 articles were included in the analysis, containing 781 written in Chinese and 603 written in English (with 56 of them written by Chinese researchers). The number of Chinese disaster nursing articles and other publications increased sharply between 2007 and 2009 but dropped significantly afterwards, while the total number of articles in other countries fluctuated, with a general upward trend. Compared to other countries, there were fewer research methods used and less focus on disaster prevention and preparedness in China, an imbalanced focus on disaster types, and a lack of focus on prevention, preparedness, and recovery phases.CONCLUSIONS:In China, there is a lack of stable development of disaster nursing research, a lack of study types, and less focus on disaster prevention, preparedness, and recovery. Varied study methods and an increased focus on disaster prevention and preparedness are required in the future.CLINICAL RELEVANCE:This study analyzed the deficiencies in Chinese disaster nursing, which led to recommendations and proposed directions for future studies and a clinical focus in this field, in compliance with the United Nations guidelines for disaster management.

Objective To describe coping styles of spouses of patients with alcohol dependence and investigate the correlation between coping style and quality of life.Methods Totally 118 spouses of patients with alcohol dependence (outpatient and hospitalized) in a specialized mental hospital were enrolled in this study from June2016 to December 2016. Coping style questionnaire (CSQ) and short-form 36-item questionnaire (SF-36) were used as tools for data collection. Spearman correlation was used as statistical method to analyze the correlation between coping style and quality of life.ResultsThe scores of CSQ from high to low in turn were: "solving problem", "avoidance" ,"rationalization", "fantasy" ,"asking for help" ,"self-abuse". "Solving problem" coping style was positively correlated with quality of life(r=0.24,P<0.01). "Self-abuse" coping style was negatively correlated with quality of life (r=-0.4,P<0.01). "Fantasy" coping style was negatively correlated with total points of quality of life (r=-0.24,P<0.01). "Avoidance" coping style was negatively correlated with quality of life (r=-0.28,P<0.01). "Rationalization" coping style was negatively correlated with quality of life (r=-0.30,P<0.01).Conclusions "Solving problem" coping style has positive effect on the QOL of spouses of patients with alcohol dependence; "avoidance", "rationalization", "self-abuse" and "fantasy" coping style have negative effect on the QOL of spouses of patients with alcohol dependence.

Objective To investigate the effect of different enteral feeding methods on critical patients' tolerance of enteral nutrition. Methods Totally 80 patients receiving enteral nutrition feeding were equally divided into an observation group and a control group according to the random number table. Patients in the observation group received intermittent high-speed feeding,while patients in the control group received continuous feeding with constant velocity. Then the patients were compared in terms of their tolerance of enteral nutrition. Results As for patients in the observation group,70% showed good tolerance of enteral nutrition;22.5% had moderate tolerance;and the other 7.5% displayed intolerance. Among patients in the control group, 72.5% displayed good tolerance;17.5% showed moderate tolerance;and the remaining 10% had intolerance (χ2=0.410,P>0.05). Conclusions Intermittent enteral nutrition feeding may be a priority to critical patients that score under 20 by ACAHECII and aged under 60;according to the latest international guidelines,patients' tolerance of enteral nutrition must be monitored on a daily basis,in case enteral nutrition should be stopped improperly.

Objective To explore whether oxygen saturation-related dispersion index can be used as a non-invasive index for nurses to monitor ARDS patients' oxygenation and conditions.Methods Totally 23 patients with mechanical ventilation-associated complication and ARDS admitted in Peking Union Medical College Hospital between April 2015 and April 2016 were reviewed. Their PaO2, SpO2, PEEP and FiO2 values were recorded, and oxygenation index (OI) and oxygen saturation-related dispersion index were calculated for 132 case-times, respectively.Results The patients in the death group showed lower OI and oxygen saturation-related dispersion index than the patients in the survival group (P<0.05). The difference in oxygen saturation-related dispersion index between the light, middle and heavy groups were statistically significant (P<0.05).Conclusions Oxygen saturation-related dispersion index can be used to determine the prognosis of ARDS patients and the severity of the disease, especially the conditions of severe ARDS patients. As a non-invasive and continuous indicator, it provides a new measure for the nursing assessment of patients with mechanical ventilation-associated complication and ARDS.

Objective To compare the value of central venous pressure (CVP) measured by peripherally inserted central catheters (PICC) and centrally inserted central catheters (CICC) in elderly patients with severe diseases.Methods Paired design and self-controlled was applied in the research. CVP was measured by 2 different measurement approaches in patients with PICC and CICC simultaneously. The sample size was calculated by the enumeration method through the accuracy estimation of consistency evaluation of quantitative measurement, and the required number was 70.Results Among the 70 collected samples, the mean values of the measured CVP by PICC and CICC were (7.995±3.435) cmH2O and (7.743±3.277) cmH2O; no statistically significant difference was observed (t=1.622,P=0.109). The pearson's linear correlation coefficient of the CVP measured by 2 different measurement approaches was 0.926 (P<0.0001). A linear regression model through the origin of the CVP measured by 2 different measurement approaches was fitted with the linear regression equation of CVPPICC=1.023 CVPCICC (R2=0.978); and the 95%CI of the prediction line contained the reference line. The Bland-Altman plot showed that 64 samples fell within limits of agreement (LoA), LoA was -2.300-2.804, with a consistent rate of 91.43%. All the plots out of the LoA did not exceeded the 95%CI.Conclusions The CVP measured by CICC and PICC exhibit high consistency. Therefore, PICC can be used to replace the CICC in the CVP monitoring.

Internalized stigma in people living with HIV is associated with negative outcomes including sexual risk behaviors and depression. Little research has focused on internalized stigma in men who have sex with men living with HIV (MSMLWH) in China. We measured internalized stigma and examined its potential predictors in a sample of 277 MSMLWH from two infectious disease specialist hospitals in Beijing, China. Descriptive analysis showed an intermediate high level of internalized stigma in these men. Multiple linear regression revealed that higher levels of stereotypes, negative affect, older age, lower levels of mastery, and limited information and emotional support were significant predictors of internalized stigma. Cognitive reconstruction interventions should be developed to change negative stereotypes and reduce internalized stigma, and information and emotional support should be provided to develop mastery, foster coping skills for internalized stigma, and alleviate negative affect. MSMLWH of older ages need more attention in stigma reduction programs.

Human immunodeficiency virus (HIV)-related stigma among HIV-infected men who have sex with men (MSM) has been associated with adverse health outcomes, including poor adherence to antiretroviral therapy and care, and increased participation in behaviors linked to higher rates of HIV transmission. In China, the incidence of HIV is growing more rapidly among MSM than among other subgroups. This study characterizes and quantifies HIV stigma among HIV-infected MSM in Beijing, China, which arguably may be driving this epidemic. A cross-sectional survey study was performed among 266 HIV-positive MSM in Beijing, China, in 2014. The Berger HIV Stigma Scale was used to measure levels of HIV-related stigma. Participants additionally answered questions regarding socio-demographic characteristics and HIV-associated risk factors; previously validated Mandarin-language scales assessed depression, coping style, and social support networks. Multivariable linear regression models were used to identify variables significantly associated with HIV stigma. The mean overall HIV stigma score among the study population was 112.78 +/- 18.11 (score range: 40-160). Higher HIV stigma scores were positively associated with depression (=7.99, 95% CI:3.69, 12.29, p<.001) and negative coping skills (=0.64, 95% CI:0.21,1.08, p<.01), and was negatively associated with disclosed HIV status (=-6.45, 95%CI:-11.80, -1.11, p<.05), and availability of social support networks (=-0.12, 95%CI:-0.22, -0.02, p<.05). Other variables such as poor self-rated health status and presence of opportunistic infections were positively associated with individual dimensions of HIV-related stigma. The results of this study can inform the development of culturally sensitive interventions to reduce HIV-related stigma among MSM with HIV in China, with the overarching goal of reducing HIV transmission in this vulnerable population.

BACKGROUND:Surveys suggest that, consistent with a high smoking prevalence, Chinese smokers in the general population report little interest in quitting. In other cultures, surgery is a powerful teachable moment for smoking cessation, increasing the rate of spontaneous quitting. We determined the perioperative tobacco use behavior of Chinese patients scheduled for elective surgery who smoke cigarettes and factors associated with both preoperative intent to abstain and self-reported smoking behavior at 30 days postoperatively. Specifically, we tested the hypothesis that perception of the health risks of smoking would be independently associated with both preoperative intent to abstain and self-reported abstinence at 30 days postoperatively. METHODS:Patients ≥18 years of age scheduled for elective noncardiovascular surgery at Peking Union Medical College Hospital in Beijing, China, were assessed preoperatively and up to 30 days postoperatively for factors associated with smoking behavior, including indices measuring knowledge of smoking-related health risks. RESULTS:Of the 227 patients surveyed at baseline, most (164, 72%) intended to remain abstinent after hospital discharge. For the 204 patients contacted at 30 days postoperatively, 126 (62%) self-reported abstinence. In multivariate analysis, factors associated with preoperative intent to abstain after surgery included older age, self-efficacy for abstaining, and undergoing major surgery; factors associated with abstinence included older age, self-efficacy, major surgery, and preoperative intent to abstain. Higher perception of benefits from quitting was associated with intent, but not abstinence. Knowledge of the health risks caused by smoking was not found to be associated with either intent or abstinence, so that the hypothesis was not supported. CONCLUSIONS:Both intent to quit and self-efficacy for maintaining abstinence appear to be much higher in Chinese surgical patients than in prior surveys of the general Chinese population, and the majority of surgical patients maintained abstinence for at least 30 days. These findings suggest that surgery can serve as a powerful teachable moment for smoking cessation in China.

Objective To explore the methods and effects of HIV related life skills training for migrant women.Methods A total of 40 clients were enrolled.One-day(7 hours) life skills training included HIV knowledge lectures,discussion of related attitude and condom.The HIV knowledge questionnaire,HIV attitude questionnaire and self-efficacy of condom use questionnaire were employed to assess the HIV knowledge,related attitude and condom use self-efficacy before and at the end of training,1 months and 3 months after training.Results HIV knowledge,HIV related attitude and self-efficacy in condom use of migrant women after training were higher than before,the differences were statistically significant(P0.01).Conclusion The life skills training was effective on improving HIV knowledge,HIV related attitude and self-efficacy in condom use of migrant women.

Library affiliated to institute is facing their difficulties in information era,the paper,with the practice in library of Institute of Materia Medica,Chinese Academy of Medical Sciences,discusses the direction of development.It says a well library in the new era responds in a balanced way to expectations by establishing special collections,provide multi-service,improve librarians' literacy and further cooperation with other libraries.

Objective To investigate the perception of clinical learning environment among nursing students and analyze the difference between undergraduate students and junior college students.Method A total of 115 nursing students were recruited by convenient sampling and investigated about their perception of clinical learning environment.Results The score of perception of clinical learning environment was (142.00±22.43).Among the six dimensions,the dimension of teachers and students relationship got the highest score (25.99±4.09),while the dimension of individuation got the lowest mark (21.12±4.29).There was no significant difference on the total score between undergraduate students and junior college students,but had significant difference on the dimension of teachers and students relationship.Conclusion Nursing managers should actively create a positive clinical environment for nursing students.