Objective To explore the effect of situational teaching mode in clinical nursing teaching of neurosurgery. Methods From January 2020 to January 2023, 80 nursing interns in neurosurgery department of our hospital were divided into control group (n=40) and observation group (n=40) by lot. The control group was given routine nursing instruction, and the observation group was given situational teaching mode based on routine nursing instruction. The results of theoretical assessment and practical assessment, learning ability and teaching effect of the two groups were compared. Results The theoretical and practical assessment scores and learning ability scores of interns in the observation group were higher than those in the control group (P<0.05). The rate of excellent and good teaching effect in the observation group (92.50％) was higher than that in the control group (75.00％) (P<0.05). Conclusion The implementation of the situational teaching mode of clinical nursing teaching in neurosurgery is conducive to the trainees'' accurate grasp of theoretical knowledge and practical operation skills, enhance their learning ability and improve the teaching effect.

目的：分析不同特征的脑卒中患者抑郁得分差异及影响因素。方法:采用随机抽样法，选取2019年2月—2020年5月入住我院的脑卒中患者50例作为研究对象，采用一般情况调查表对研究对象的一般资料进行调查分析，采用汉密顿抑郁量表（HamiltonDepressionScale，HAMD）对研究对象的抑郁情况进行评分，分析不同特征研究对象的抑郁得分差异，并采用多元线性回归分析对影响研究对象抑郁的影响进行分析。结果：职业、是否有配偶、居住情况、医保类型、发病情况、家庭收入、学历的脑卒中患者抑郁得分存在显著差异（P＜0.05）；多元线性回归分析结果显示，居住地、家庭收入、发病次数、功能障碍、学历、是否有配偶、医保类型是脑卒中患者抑郁的影响因素。结论：脑卒中患者普遍存在抑郁心理，而影响患者抑郁的因素十分复杂，患者家属和医护人员应根据上述影响患者抑郁的因素采取有效的措施从而缓解患者的抑郁情绪，以提升患者的生活质量。

Background:Tai chi (TC) has received increased attention in stroke rehabilitation, yet services are greatly underutilized. An increasing number of systematic reviews and meta-analyses (SRs/MAs) have begun to investigate the effects of TC on balance function in stroke patients. The aim of this current study was to systematically collate, appraise, and synthesize the results of these SRs/MAs using a systematic overview.Methods:Eight databases were searched: PubMed, Cochrane Library, Embase, Web of Science, CNKI, SinoMed, Chongqing VIP, and Wanfang Data. SRs/MAs of TC on balance function in stroke patients were included. Literature selection, data extraction, and assessment of the review quality were performed by two independent reviewers. Methodological quality was assessed by the Assessing the Methodological Quality of Systematic Reviews 2 (AMSTAR-2), reporting quality by Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), and evidence quality by Grading of Recommendations, Assessment, Development, and Evaluation (GRADE).Results:Nine SRs/MAs were included in this study. For methodological quality, what resulted in unsatisfactory methodological quality was noncompliance with critical item 4 (using a comprehensive literature search strategy) and critical item 7 (providing the list of excluded research literature). For reporting quality, what resulted in unsatisfactory reporting quality was inadequate reporting of Q1 (protocol and registration), Q8 (search), Q15 (risk of bias across studies), Q16 (additional analyses), Q22 (risk of bias across studies), Q23 (additional analysis), and Q27 (funding). For GRADE, the evidence quality was high in 0, moderate in 3, low in 11, and very low in 6. Risk of bias was the most common factor leading to downgrading of evidence, followed by inconsistency, imprecision, publication bias, and indirectness.Conclusions:TC may have beneficial effects on balance function in stroke survivors; however, this finding is limited by the generally low methodology, reporting quality, and evidence quality for published SRs/MAs.

太极拳是我国宝贵的国家级非物质文化遗产,蕴含着阴阳理论、经络学说等丰富的中医理论和学说.文章从经络学说的角度,阐述了太极拳在疏通经络和畅通气血方面的作用,从而达到改善人体生理功能、促进疾病康复的效果;进一步探讨了太极拳在中风病康复中发挥的作用,提倡在中风病的康复计划中,应当大力推广太极拳运动.希望通过越来越多的临床研究,能够逐步设计出一套适合中风病患者长期习练的"中风病康复太极拳".

Background An increasing number of systematic reviews/meta-analyses (SRs/MAs) of clinical trials have begun to investigate the effects of traditional Chinese medicine (TCM) nursing in patients with stroke. To systematically appraise and synthesize these results, we conducted an overview of SRs/MAs. Methods Eight databases from their inception to April 2020 were searched to include all SRs/MAs on TCM nursing for stroke. Methodological quality assessment was performed using Assessing the Methodological Quality of Systematic Reviews 2 (AMSTAR-2) and evidence quality assessment was performed using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE). Results Eleven SRs/MAs regarding TCM nursing for stroke were included. The assessments with AMSTAR-2 indicated that the methodological quality of all included SRs/MAs was critically low. According to the evaluation results of GRADE, 10 (40%) outcomes were rated as critically low-quality evidence, 7 (28%) low-quality evidence, and 8 (32%) moderate-quality evidence. Descriptive analysis results showed that TCM nursing was effective for stroke. Conclusions All included SRs/MAs suggested positive findings of TCM nursing for stroke, but the credibility of the results is limited. Studies with methodologically rigorous and adequately powered are still needed in this field.