BACKGROUND: Nurses’ core competency in intravenous (IV) therapy directly impacts patient safety and treatment outcomes. This study aimed to identify latent classes of nurses’ core competency in IV therapy using latent profile analysis and explore key factors influencing these classes to inform targeted interventions. METHODS: A multicenter cross-sectional study was conducted from October 2023 to January 2024, involving 821 clinical nurses from 20 provincial-level regions in China. Data was collected using the validated Core Competency in Intravenous Therapy Scale. Latent profile analysis was used to identify competency classes, and multivariate logistic regression was performed to explore risk factors. RESULTS: Three distinct latent classes were identified: ‘Low IV-Core Competency’ (41.3%), ‘Moderate IV-Core Competency’ (45.9%), and ‘High IV-Core Competency’ (12.8%). Multivariate logistic regression showed that non-specialist nurses in IV therapy and non-participation in intravenous therapy training programs were strongly associated with lower competency. CONCLUSIONS: There is a critical need to improve IV therapy core competency among clinical nurses. Investments in IV specialist nurse development and standardized training are essential to enhance therapy quality and patient safety. TRIAL REGISTRATION: Not applicable.

Oral mucositis (OM), as a common adverse effect in patients with chemotherapies, affects the convalescent quality of life. Currently, an increasing number of mouthwashes have been used to improve the incidence of OM in patients undergoing with radiotherapy and chemotherapy. Most studies are comparisons of two arms or three groups, resulting in the lack of direct comparative trial evidence for all care fluids.Therefore, it is not clear which mouthwash is better for preventing the occurrence of OM in patients. This study compares the preventive effects of13 mouthwashes currently used to treat OM in different countries. A computerized search was performed for randomized controlled trials on the use of mouthwash to prevent OM published in databases, such as PubMed, Embase, Web of Science, The Cochrane Library, and China National Knowledge Infrastructure until April 2023. Two investigators used the Cochrane manual to perform a bias risk assessment of the included RCTs and RevMan5.3 to plot the risk bias. Then, a network meta-analysis of the obtained data was performed using Stata 16.2 software. A total of 36 randomized controlled trials were included. In the network meta-analysis, the effect of 13 mouthwashes to prevent the occurrence of OM were ranked according to the size of the surface under the cumulative ranking (SUCRA) probability curve value, from best to worst were: aloe vera juice, Chinese herbal medicine, Bing Peng San, honey, Lactobacterium shorti, chamomile, riboflavin, rehabilitation solution, benzydamine, turmeric, aluminum sulfide, povidone-iodine, and chlorhexidine. According to the SUCRA ranking results, aloe juice can better prevent OM in other chemoradiotherapy patients than other oral mouthwashes. However, this conclusion still needs to be further verified by randomized controlled trials with a larger sample. Not applicable.

Background: The global incidence of cancer is increasing, and in China, about 32% to 43% of cancer patients are at nutritional risk, with less than 25% receiving nutritional risk management. Managing nutritional risk in cancer patients presents significant challenges, making it necessary to understand the factors that facilitate and hinder this process. Aim: This qualitative study, based on the Self-Disclosure Model and using grounded theory, aims to explore the barriers and facilitators in the nutritional risk management of cancer patients from the perspective of Chinese nurses to improve nutritional risk management in this population. Methods: In this study, semi-structured interviews were employed. A qualitative interview team was formed, conducting two group interviews and fifteen one-on-one interviews. Results: The analysis identified several facilitating factors for managing nutritional risk in cancer patients: high motivation for learning among nurses, a sense of achievement from successfully managing patients, and a focus on the construction of nutrition subspecialties in nursing. Five barriers were identified: issues with nutritional risk management tools, lack of knowledge among nurses regarding nutritional risk management, inadequate related management systems within hospitals, non-intelligent information systems, and negative feedback from doctors or patients during the communication process. Conclusion: While nurses are concerned about nutritional risk management in cancer patients, obstacles remain. Nursing managers can improve the rate of nutritional risk management in cancer patients by focusing on the construction of nutrition nursing specialties, ensuring institutional support, enhancing system intelligence, and expanding the influence of specialized nutrition nurses. This study was not registered with a research trial registry.

目的:调查护士的知识隐藏行为现状并分析其影响因素,为减少护士的知识隐藏行为、促进知识流通和提高护士知识共享能力提供参考.方法:采用方便抽样法,于2021年 6月24日至7月1日,采用一般资料调查问卷、知识隐藏行为问卷、组织信任量表、组织公平量表对广州市 6 家医院的548 名护士进行调查.结果:护士的知识隐藏行为总分为(25.24±7.88)分.多元逐步回归分析结果显示,性别、年龄、婚育状况、学历、护理工作年限、是否为专科护士、职称、组织公平、系统信任、组织信任是护士知识隐藏行为的影响因素(P<0.05).结论:医院管理者应该从个体特征、职业发展态势及组织氛围3 个方面提高护士的组织公平感和组织信任感,减少其知识隐藏行为,促进知识的流通和共享.

AIM:The aim of the study was to analyse the correlations among organizational justice, knowledge-hiding behaviour and nurses' innovation ability. DESIGN:A descriptive and cross-sectional design and the data were collected using questionnaires. METHODS:Demographic information, professional data, innovation capacity scales, knowledge-hiding scales and organizational justice scales were used in this study. Using descriptive statistics, t-tests, one-way analysis of variance and Pearson's or Spearman's correlation analyses, we compared the differences and examined the correlations between participants' demographic and innovation capacity scales, and knowledge-hiding scales and organizational fairness scales. RESULTS:We received 1486 valid responses, with an effective response rate of 96.68%. We found team role, nursing age, number of training, literature-reading habits, organizational justice, information justice, fair distribution and deaf knowledge-hiding as the influencing factors of nurses' innovation. Nurses' sense of organizational fairness negatively correlated with knowledge concealment and positively correlated with innovation ability. Moreover, knowledge hiding negatively correlated with nurses' innovation ability. Furthermore, knowledge-hiding plays a partial intermediary role between organizational fairness and nurses' innovation ability.

目的:系统评价衰弱与术后低蛋白血症的关系.方法:检索中国知网、万方数据库、中国生物医学文献数据库、PubMed、Web of Science、EMbase、the Cochrane Library等中英文数据库,筛选衰弱与术后低蛋白血症的相关研究,时限均从建库至2021年9月1日.2名研究者根据纳入和排除标准独立筛选文献,对最终纳入的文献进行数据提取与质量评价,并通过RevMan 5.2软件进行Meta分析.结果:本研究最终纳入10篇文献,共含4279例样本.纳入文献质量均处于中高水平.Meta分析结果显示:衰弱与术后低蛋白血症有相关性[OR=1.88,95％CI(1.39,2.53),P<0.0001].结论:现有证据表明,衰弱与术后低蛋白血症的发生具有相关性,衰弱是术后低蛋白血症的危险因素.

[目的]探究引火归元理论指导下灸法治疗对妇科肿瘤化疗患者癌因性疲乏和生活质量的影响.[方法]将74例妇科肿瘤(子宫内膜癌或卵巢癌)化疗后癌因性疲乏患者随机分为观察组和对照组,每组各37例.对照组采用常规护理,观察组在常规护理的基础上加用引火归元理论指导下的灸法治疗.每天治疗1次,每周治疗6 d,每个疗程3周,连续治疗3个疗程.观察2组患者化疗前后Piper疲乏修订量表(PFS-R)评分、中文版生命质量测定量表(EORTC QLQ-C30)评分及白细胞、血红蛋白水平的变化情况,并比较2组患者牙龈肿痛、口腔溃疡及咽喉痛的发生情况.[结果](1)研究过程中,治疗组脱落3例,对照组无脱落病例.最终共有71例患者完成试验,其中,治疗组34例,对照组37例.(2)疲乏程度方面,2组患者的PFS-R量表评分在组间效应、时间效应、周期效应及交互效应方面差异均有统计学意义(P<0.001).各疗程化疗后,2组患者PFS-R量表的疲乏总分及行为、情感、感知、认知等各维度评分均较化疗前升高(P<0.05),但观察组的升高幅度均明显低于对照组(P<0.05).(3)生活质量方面,治疗后(第3次化疗后),观察组患者EORTC QLQ-C30量表的各功能领域、各症状领域、各单一条目和总体健康评分均较治疗前改善(P<0.05或P<0.01),而对照组仅角色功能和气促、疼痛症状较治疗前改善(P<0.05),其他各领域评分无改善(P>0.05)或恶化(P<0.05);组间比较,观察组对EORTC QLQ-C30量表各领域评分的改善作用均明显优于对照组(P<0.05或P<0.01).(4)白细胞水平方面,观察组各疗程化疗后的白细胞水平均无明显降低(P>0.05),而对照组第2次、第3次化疗后的白细胞水平均较同一化疗周期的化疗前和第1化疗周期的化疗后明显降低(P<0.05);组间比较,观察组在第3次化疗后的白细胞水平明显高于对照组(P<0.05).(5)血红蛋白水平方面,2组患者第1次、第2次化疗后的血红蛋白水平均较同一化疗周期的化疗前降低(P<0.05),但组间比较,观察组在各疗程化疗后的血红蛋白水平均明显高于对照组(P<0.05).(6)虚火上浮表现方面,治疗过程中,观察组患者的咽喉痛和口腔溃疡发生率均明显低于对照组(P<0.05).[结论]基于引火归元理论指导下的灸法治疗可有效改善患者的疲乏状况,提高患者的机体免疫力,避免患者的虚火上浮表现,提高患者的生活质量.

目的 系统评价灸法在癌因性疲乏中的临床效果,为灸法在癌性疲乏患者中的合理使用提供循证依据.方法 检索自建库至2021年3月在the Cochrane Library、PubMed、EMBASE、Web of Science、中国万方、中国生物医学、中国知网、维普8大数据库公开发表的灸法在癌因性疲乏中应用的随机对照试验;由2名研究者独立对文献进行检索、筛查和质量评价,并采用RevMan 5.3软件进行Meta分析.结果 共纳入18篇文献,患者1498例,试验组750例,对照组748例,Meta分析结果显示,试验组患者的癌因性疲乏得分低于对照组[MD=-1.08,95％CI(-1.22,-0.95)];试验组患者卡氏评分高于对照组[MD=10.48,95％CI(7.07,13.89)];试验组患者生活质量评分优于对照组[SMD=1.18,95％CI(0.70,1.65)];试验组患者治疗有效率高于对照组[OR=5.45,95％CI(3.04,9.77)].结论 灸法可有效降低肿瘤患者癌因性疲乏程度,提高患者的生活质量,是一种切实可行的改善癌因性疲乏的中医护理操作.

Review question / Objective: By using mesh meta-analysis, we can determine the most effective mouthwash during clinical care for patients with chemoradiotherapy-associated oral mucositis. Condition being studied: At present, we have carried out a preliminary literature search for the identification of search terms and search formulas. Eligibility criteria: Study type - RCT; study subjects: chemoradiotherapy patients with potential risk of OM, no OM before the study, unlimited age, nationality and duration; intervention: oral care liquid gargle; outcome index: incidence of OM.

Review question / Objective: To compare the clinical effects of different exercise methods for cancer fatigue by using mesh Meta-analysis, and to choose the best exercise method for cancer fatigue. Condition being studied: Cancer-related fatigue. Eligibility criteria: Inclusion criteria: (1) Study subjects: the patients is caused by fatigue.(2) Intervention: A group of patients used exercise intervention. (3) Study type: RCT. (4) Outcome index: Cancer-related fatigue score.(5) Grey literature is available.(6) Language in Chinese or English.Exclusion criteria:(1) Using oral drugs. (2) It can not provide complete data. (3) Repeatedly published literature. (4) Conference papers. (5) Literature with inconsistent data types:(1) Using oral drugs. (2) It can not provide complete data. (3) Repeatedly published literature. (4) Conference papers. (5) Literature with inconsistent data types.

目的 了解类风湿关节炎(RA)患者电子健康素养与服药依从性的现状及其相关性,为制定提高患者服药依从性的干预措施提供理论依据.方法 采用风湿病用药依从性问卷和电子健康素养量表对2020年11月至2021年4月在广州中医药大学第一附属医院住院的167例RA患者进行调查.结果 64.1％的RA患者改善病情抗风湿药物(DMARDs)服药依从性高,35.9％患者服药依从性差;患者电子健康素养得分为(14.57±10.05)分;文化程度、医疗费用支付形式、病程时间、对RA疾病的重视程度均对服药依从性有影响(P＜0.05).Pearson相关性分析显示,患者电子健康素养总分与服药依从性总分呈正相关(r=0.26,P＜0.01).多元线性回归分析显示,患者服药依从性的主要影响因素是电子健康素养、病程时间、对疾病重视程度(P＜0.05,P＜0.01).结论 RA患者服药依从性和电子健康素养均较低,应加强对患者服药方面的健康教育,增强患者对疾病的重视程度,提高其电子健康素养水平,从而提高患者的服药依从性.

Objective:To analyze the pathogens and their influencing factors of postoperative catheter-related urinary tract infection in patients undergoing gynecological surgery, and to provide a reference for the prevention and control of nosocomial infection.Methods:A total of 3 825 inpatients undergoing gynecological surgery in Guangdong Hospital of Traditional Chinese Medicine from January 1, 2017 to December 31, 2018 were selected, with an age of (42.31±12.44) years old. The postoperative urinary tract infection, pathogens, and influencing factors were analyzed through medical records.Results:The incidence of postoperative urinary tract infection was 1.69% (134/7 923), and 136 pathogens were detected, including 24 strains of Gram positive bacteria, 103 strains of gram negative bacteria, and 9 strains of fungi. The results of multiple logistic regression analysis showed that urinary tract invasive operation, tumor, duration of catheter retention, and length of hospital stay were the influencing factors for the occurrence of urinary tract infection.Conclusions:Gram-negative bacteria are the main pathogenic bacteria that cause urinary tract infection after cervical cancer surgery. The occurrence of infection is related to urinary tract invasive operation, tumor, duration of catheter retention, and length of hospital stay. Clinical management should be carried out from four aspects: controlling catheter indwelling time, standardizing daily nursing, improving nutritional status, and implementing full-process standardized management.

目的 运用可视化分析法,总结灸法在化疗相关不良反应中的应用规律及发展现状,为灸法在化疗不良反应中的临床应用提供依据.方法 检索自建库至2021年7月8日公开发表在中国知网、万方、生物医学、维普4大数据库的文献,使用Excel对穴位选择、灸法、灸次、治疗周期,治疗时机、温度控制、文献主题等文献基本信息及主要信息进行数据提取.运用Excel和CiteSpace对年分布趋势、研究热点、作者及机构间合作情况进行可视化分析.结果 纳入文献215篇,研究热点共有7个,分别为综述、恶心呕吐、骨髓抑制、白细胞减少、胃肠道反应、乳腺癌、隔姜灸;灸法在化疗后不良反应中的应用有6种,分别为胃肠道不良反应、白细胞减少、骨髓抑制、腹泻、癌因性疲乏、便秘;灸法有7种,穴位有21个;灸法在化疗相关不良反应中的应用年发文量呈递增趋势.结论 灸法能有效改善化疗相关不良反应,但在标准化方案及研究设计规范等方面仍值得进一步研究.

Purpose: This study aimed to evaluate the global scientific output of research on pain catastrophizing and explore the hotspots and frontiers from 2010 to 2020 using bibliometric methods.Methods: Publications regarding pain catastrophizing published from 2010 to 2020 were extracted from the Web of Science Core Collection. CiteSpace was used to analyze the number of publications, countries, institutions, journals, authors, cited references, and keywords using standard bibliometric indicators.Results: A total of 1,576 publications on pain catastrophizing were retrieved from 2010 to December 31, 2020. The number and rate of the annual publications gradually increased totally. Pain (130) was the most productive journal. Meanwhile, Pain ranked first in the frequency (1,432) and centrality (0.31) of the cited journals. The most productive country and institution in this frequency field were the United States (642) and the University of Washington (73), respectively. Jensen MP (34) was the most prolific author, and Sullivan MJL (1,196) ranked first among the cited authors. In the ranking of frequency in the cited references, the first article was a critical review about pain catastrophizing published by Quartana (100). The keyword "Low back pain" had the highest frequency (556). "Total hip" was identified as a frontier research item for 2016-2020.Conclusion: The findings of this bibliometric study provide the current status and trends in the clinical research of pain catastrophizing and may help researchers to identify hot topics and explore new research directions in this field.

目的:探讨近十年国际客观结构化临床考试(objective structured clinical examina-tion,OSCE)在护理教育领域的研究态势,为国内研究提供思路.方法:检索2010年1月1日至2020年5月1日)收录于Web of Science核心合集数据库中的相关文献,利用Citespace对OSCE护理教育领域内的发文国家/地区与研究机构、核心期刊、被引文献、关键词进行可视化分析.结果:当前国际OSCE在护理教育领域的研究主要以美国、英国、澳大利亚占主导地位;核心期刊主要有《Nurse Education Today》《Medicine Education》《Medical Teacher》等;通过关键词共现聚类分析出当前国际研究热点话题主要有临床能力、沟通培训、护生对OSCE的反馈、OSCE系统的开发和验证、标准化病人模拟培训、缓解OSCE压力的干预措施.结论:国内OSCE在护理教育领域研究仍有上升空间,未来应关注该领域的研究热点,并结合我国实际情况进行深入探索.

目的 调查护生职业使命感与利他行为现状,分析护生职业使命感影响因素及其与利他行为相关性.方法 使用利他行为问卷与职业使命感量表对319名护生进行调研,采用SPSS 23.0软件对数据进行统计学分析.结果 护生利他行为标准化得分为5.32±0.62,职业使命感标准化得分为3.86±0.62.利他行为与职业使命感呈正相关.学历、学生干部经历、利他行为是护生职业使命感的主要影响因素.结论 护生利他行为与职业使命感均处于中等以上水平.护理教育者与管理者应针对护生职业使命感主要影响因素,探索有效的培训方式,提高其利他行为水平,提升护生职业使命感水平,促进护理队伍稳定发展.

AbstractAimTo study the feasibility and effectiveness of a m‐Health app in improving the management of rheumatoid arthritis.DesignRandomized controlled trial.MethodsSixty rheumatoid arthritis participants will be recruited for a 6‐month feasibility study. Patients meeting the inclusion criteria will be randomly allocated to receive standard care or standard care plus the m‐Health intervention. The primary outcome is the feasibility of a randomized controlled trial. In addition, we will investigate patient satisfaction in using the “Rheumatism Center” app in the intervention group. The secondary outcomes include the scores for the simplified disease activity index, clinical disease activity index, disease activity score 28, health assessment questionnaire and 6‐item self‐efficacy scale for chronic diseases. The assessments will be performed at baseline and at 4 weeks, 3 months and 6 months after the study is initiated. At the end of the study, we will also collect user views of the app through qualitative interviews.ResultsThis study is ongoing. The findings of this study will determine the feasibility and effectiveness of m‐Health intervention in the management of rheumatoid arthritis, hoping to enhance the awareness of disease management and quality of life for rheumatoid arthritis patients.

目的 了解护理人员知识隐藏行为及创新能力的影响因素及其相关性,为改善护理人员知识隐藏行为、提高创新能力提供参考.方法 方便抽样211名护士,采用一般资料调查表、知识隐藏行为量表及创新行为量表进行调查.结果 护士知识隐藏行为总分(21.88±9.29)分,知识隐藏行为各维度得分由高到低依次为合理化、聋哑式、逃避式;创新行为条目均分为(3.61±0.55)分,创新能力各维度得分由高到低分别为创新过程、创新环境和压力、创新主体、创新产品;护士知识隐藏行为得分在学历、婚姻状况、科室职务、护理团队角色、参与创新学习5个方面差异有统计学意义(P＜0.05,P＜0.01),而护士创新能力在性别、护龄、婚姻状况、科室职务、护理团队角色、参与创新学习、是否为专科护士7个方面差异有统计学意义(P＜0.05,P＜0.01);护士知识隐藏行为与创新能力得分呈负相关(P＜0.05).结论 护士的知识隐藏行为和创新能力总体状况一般,两者呈负相关.护理管理者可通过创建良好的氛围、增加学习机会等措施降低护士的知识隐藏行为,激发护士创新行为.