OBJECTIVES:To examine the efficacy of exercise in reversing prefrailty in exclusively prefrail older adults. DESIGN:A systematic review. SETTING AND PARTICIPANTS:The older adults (≥60 years old) in the prefrailty period. METHODS:In this systematic review of randomized controlled trials (RCTs), 6 international databases were systematically searched. We employed the revised Cochrane risk of bias tool for RCT quality appraisal. Due to substantial heterogeneity of the included studies, we did not conduct meta-analyses. Instead, for each included study, we extracted the data on postintervention frailty status to calculate the odds ratio for improvement in frailty status in the intervention vs the control group. The Grading of Recommendations, Assessment, Development, and Evaluation approach was used to assess the certainty of evidence bodies. RESULTS:Eight RCTs were included. It is found that professionally supervised exercise was safe and well accepted for prefrail older adults. However, on the efficacy of exercise in reversing prefrailty, the observed positive effects were primarily supported by low-certainty bodies of evidence, whereas the more methodologically rigorous evidence largely showed nonfavorable results, particularly for sustained benefits. CONCLUSIONS AND IMPLICATIONS:Given the inconsistent findings and the limited certainty of the available evidence, it remains uncertain whether exercise has immediate and sustained effects on reversing prefrailty in older adults. Professionally supervised exercise is safe for older adults; it should, however, be approached with caution as a standalone strategy to reverse prefrailty. To provide more scientific guidance for practice, we recommend future high-quality RCTs with both intention-to-treat and per-protocol analyses, rigorous handling of missing data, and well-defined, tailored exercise regimens for prefrail older adults.

OBJECTIVE:To examine the effects of acceptance and commitment therapy (ACT) on reducing psychological distress and promoting quality of life (QoL) in parents of children with cancer. METHODS:A 2-arm paralleled randomized controlled trial was conducted with the intervention group receiving a 4-session weekly ACT-based intervention and the control group receiving the usual care. The primary outcomes were parental psychological distress and QoL. Secondary outcomes were parental experience of child's illness, experiential avoidance, psychological flexibility, and child's psychological adjustment to cancer. Data were collected at baseline (T0), after the intervention (T1), and 3 months after the intervention (T2). RESULTS:A total of 142 children and their parents were recruited. Generalized estimating equation analyses showed that the intervention group reported significantly positive changes in parental psychological distress (β = -13.54, 95% CI: -20.04 to -7.03, P < .001 at T1; β = -11.86, 95% CI: -18.92 to -4.80, P = .001 at T2) and QoL (β = 8.61, 95% CI: 3.42 to 13.80, P = .001 at T1; β = 8.52, 95% CI: 2.79, 14.26, P = .004 at T2) compared with those in the control group. Parents who received ACT-based intervention also reported significantly less negative experience of child's illness, less experiential avoidance, and more psychological flexibility. Meanwhile, parents in the intervention group reported significantly greater reductions in the difficulties of psychological adjustment in their children. CONCLUSIONS:The 4-session ACT-based intervention represents a promising approach for reducing psychological distress and improving QoL in the parents of children with cancer.

Background Emerging evidence supports that virtual reality (VR)–based meditation interventions may improve anxiety and depression among patients with cancer. However, empirical studies involving patients with acute leukemia during induction chemotherapy are limited. Objective This study aimed to examine the effects of VR-based meditation intervention on alleviating anxiety and depression and improving the quality of life among patients with acute leukemia during induction chemotherapy. Methods This randomized controlled trial recruited 63 patients newly diagnosed with acute leukemia. Participants were randomly assigned to an intervention group (received VR-based meditation for 20 min daily for 14 days) and a control group. Anxiety, depression, and quality of life were measured using the State Anxiety Inventory, the Center for Epidemiological Studies Depression Scale, and the Functional Assessment of Cancer Therapy-Leukemia Questionnaire, respectively. All outcomes were measured at baseline and post-intervention. Results Compared with patients in the control group, those in the intervention group demonstrated a significantly greater reduction in anxiety ( P = .04) and improvement in quality of life ( P = .04). However, no significant difference was noted in depression levels between groups ( P = .09), although a decreasing trend was observed in the intervention group. Conclusion Virtual reality–based meditation intervention effectively alleviated anxiety and improved the quality of life among acute leukemia patients during induction chemotherapy. Future randomized controlled trials with larger sample sizes and longer follow-up periods are warranted. Implication for Practice Virtual reality–based meditation can be applied in clinical practice virtually anytime and anywhere to provide a convenient intervention for anxiety reduction for acute leukemia patients during induction chemotherapy.

Background: Cancer-related fatigue is common in patients with advanced lung cancer, persistently interfering with their health-related quality of life. Acceptance and Commitment Therapy (ACT) may effectively reduce fatigue interference and improve health-related quality of life in the advanced lung cancer population. This study aimed to evaluate the effects of an ACT-based intervention on fatigue interference and health-related quality of life in patients with advanced lung cancer. Methods: An assessor-blinded, two-arm randomised controlled trial with 160 patients with advanced lung cancer was conducted. Participants were randomly allocated into either a four-week ACT-based intervention group (n = 80) or usual care control group (n = 80). The intervention consisted of a face-to-face session and three videoconferencing-based sessions and was delivered on an individual basis. The primary outcomes were fatigue interference and health-related quality of life. The secondary outcomes included cancer-related fatigue, depression and anxiety, cancer-specific distress, and activity level. Changes in psychological flexibility (PF), experiential avoidance, and cognitive fusion were also evaluated. Outcomes were measured at baselines (T0), one-week post-intervention (T1), and 3-month follow-up (T2). The intervention effects were assessed using generalised estimating equation models. Results: Compared with the control group, the intervention group demonstrated significant improvements in fatigue interference (T1: theta = -0.50, p < 0.001; T2: theta = -0.16, p = 0.007), health-related quality of life (T1: theta = 16.01, p < 0.001; T2: theta = 11.21, p < 0.001), depression (T1: theta = - 0.32, p < 0.001) and anxiety (T1: theta = -0.20, p < 0.001), cancer-specific distress (T1: theta = -7.37, p < 0.001; T2: theta = -8.00, p < 0.001), activity level (intensity, T1: theta = 3.24, p = 0.004; T2: theta = 2.61, p = 0.020; frequency, T1: theta = 2.44, p < 0.001; T2: theta = 1.96, p < 0.001; duration, T1: theta = 1.36, p < 0.001), PF (T1: theta = 5.54, p < 0.001; T2: theta = 8.63, p < 0.001), experiential avoidance (T1: theta = -7.70, p < 0.001; T2: theta = -10.07, p < 0.001), and cognitive fusion (T2: theta = -3.31, p = 0.007). The changes in experiential avoidance at one-week post-intervention mediated the effects of ACT on reducing cancerspecific distress (theta = -7.40, p < 0.001; theta = -3.68, 95%CI, -5.77 to -1.58) and promoting HRQoL (theta = 11.15, p < 0.001; theta = 5.49, 95%CI, 3.09 to 8.31) at three-month follow-up. The changes in PF at one-week post-intervention mediated the effect of ACT on HRQoL (theta = 11.15, p < 0.001; theta = 2.25, 95%CI, 0.66 to 4.19) at threemonth follow-up. Conclusions: ACT-based intervention can effectively reduce fatigue interference and improve health-related quality of life in patients with advanced lung cancer. The intervention can be integrated into palliative care within the cancer system to contribute to the well-being of patients with advanced cancer.

AIMS:To explore the distressing experiences of Chinese parents of children with cancer from the perspective of psychological inflexibility. DESIGN:A qualitative study using a descriptive qualitative approach based on the model of psychological inflexibility was adopted. METHODS:Individual semi-structured interviews through synchronized online video were conducted with 21 Chinese parents of children with cancer from October 2020 to May 2021. Data were analysed using content analysis. RESULTS:Four themes and 11 subthemes were identified: (i) immersion in struggling and suffering, (ii) avoidance and suppression, (iii) blaming and complaint and (iv) helplessness and worthlessness. Parents were unwilling to accept the diagnosis and witness their children's suffering, trapped in uncontrollable negative emotions and thoughts. Avoiding emotions and socializing, blaming themselves or complaining of injustice were common. They felt helpless towards life and valueless without the child. CONCLUSION:The research findings provide additional perspectives in understanding the distressing experiences in parents of children with cancer. Overall, the emotional and coping styles indicated the lack of psychological flexibility of parents when facing childhood cancer, which is profoundly influenced by Chinese culture. IMPLICATIONS FOR THE PROFESSION:Healthcare professionals are recommended to provide culturally sensitive strategies or interventions for building psychological flexibility in addressing parental psychological distress. IMPACT:The study provides insights into exploring distressing experiences and reveals the inflexible psychological and behavioural patterns in parents of children with cancer, which could benefit healthcare providers in managing parental psychological distress and helping these parents build flexible coping strategies. REPORTING METHOD:The COREQ guideline was followed. PATIENT OR PUBLIC CONTRIBUTION:No patient or public involvement.

Introduction Cancer-related fatigue is common in patients with advanced lung cancer. It not only interferes with patients’ health-related quality of life, but also increases the caregiving burden of their caregivers. Acceptance and commitment therapy is emerging as a novel way to advocate accepting negative experiences and taking effective actions based on their own values to help patients commit meaningful actions in the course of cancer diseases. This trial aims to test the feasibility, acceptability and preliminary effects of acceptance and commitment therapy for fatigue interference in patients with advanced lung cancer and the caregiver burden.Method and analysis A two-arm, assessor-blind pilot randomised controlled trial will be conducted. A total of 40 advanced lung cancer patient–caregiver dyads, who live in rural areas, will be recruited from a university-affiliated hospital in central China. The participants will be randomised to receive an online six-session acceptance and commitment therapy (i.e. involving metaphors, experiential exercises and mindfulness exercises facilitated by virtual reality technology) plus health education (intervention group, n=20) or health education (control group, n=20). Outcomes will be measured at baseline and 1 week postintervention. The primary outcomes are study feasibility (i.e. eligibility rate, recruitment rate, attrition rate and adherence rate), fatigue interference and caregiver burden. The secondary outcomes are health-related quality of life, meaning in life, psychological flexibility and mindful attention. Semistructured interviews will be conducted to explore the feasibility and experiences of the intervention in a subsample of 10 participants from the intervention group.Ethics and dissemination This study has been approved by the Joint Chinese University of Hong Kong-New Territories East Cluster Clinical Research Ethics Committee (CREC Ref. No. 2023.030) and the Medical Ethics Committee of Xiangya Hospital Central South University (No. 202305336). The findings will be disseminated in peer-reviewed journals and through local or international conference presentations.Trial registration number NCT05885984.

Objective: This study aimed to examine the reliability and validity of the Chinese version of the Acceptance and Action Questionnaire for Cancer (C-AAQ-Cancer) in patients with advanced lung cancer. Methods: In Phase I, the AAQ-Cancer was translated from English to Chinese. In Phase II, an expert panel was invited to examine the content validity of the translated instrument, and pilot testing was performed. In Phase III, a total of 200 patients with advanced lung cancer from a university-affiliated hospital in central China were recruited to test the construct validity of the translated AAQ-Cancer using exploratory factor analysis, and reli-ability was assessed based on internal consistency and test-retest reliability.Results: The semantic equivalence and content validity index of the C-AAQ-Cancer were satisfactory. Exploratory factor analysis indicated that the C-AAQ-Cancer contained the following five subscales: cancer concerns, blunting, blame, distancing, and behavioral disengagement. These subscales explain 68.28% of the total variance. The Cronbach's & alpha; coefficient of the scale was 0.87, and the test-retest reliability was 0.839.Conclusions: This study evaluated the psychometric properties of the C-AAQ-Cancer. The findings support the reliability and validity of this instrument in evaluating experiential avoidance or acceptance levels in patients with advanced lung cancer.

BACKGROUND:Cancer-related fatigue is a complex multidimensional concept. However, little is known about the experience of cancer-related fatigue in people with advanced lung cancer. How they emotionally react to and cope with the experience of cancer-related fatigue according to cultural influences has not been extensively explored.AIM:To explore the experience of cancer-related fatigue, its impacts and emotional reactions to and coping strategies for cancer-related fatigue amongst people with advanced lung cancer in China.DESIGN:This was a cross-sectional, descriptive qualitative study with face-to-face semi-structured interviews. Data were analysed using content analysis.SETTING/PARTICIPANTS:Twenty-one people with advanced lung cancer who experienced cancer-related fatigue were recruited in a hospital setting.RESULTS:Four themes were identified: multifaceted experiences of cancer-related fatigue, impacts of cancer-related fatigue, negative perceptions of cancer-related fatigue and avoiding cancer-related fatigue. The multifaceted experience of cancer-related fatigue had physical, psychological and social impacts along the cancer trajectory. Informants regarded it as a sign of a 'bad ending', searched for root causes and had negative attitudes towards role changes. Avoiding coping strategies included not discussing cancer-related fatigue, refusing encouragement and support, hiding feelings, withdrawing from social life and attempting to control cancer-related fatigue.CONCLUSION:The findings provide insights into the lack of flexibility of people with advanced lung cancer to adapt to the multidimensional experience of cancer-related fatigue. The reactions and coping towards cancer-related fatigue are profoundly influenced by Chinese culture. Developing psychological interventions based on the cultural background are highly recommended to cultivate the ability to cope flexibly with stressful events and live a meaningful cancer life.

AIM:The aim of this literature review was to identify, summarize, and critically appraise available empirical articles on the knowledge, attitudes, and practices towards childhood fever management among South-East and East Asian parents.DESIGN:A literature review following PRISMA.METHODS:Articles were limited to those available in the English language. Articles had to be empirical studies that used a qualitative or quantitative research design with full-text available; focus on parental knowledge, attitudes, and practices towards fever; and be published in South-East and East Asia. Searches were conducted with CINAHL, PubMed and Scopus from inception to June 2022, and eleven articles were included after removing duplicates and excluding irrelevant articles.RESULTS:Narrative synthesis was conducted according to four themes: source of fever information, knowledge level, attitudes, and practices towards childhood fever. Parents showed different fever knowledge needs and various information-seeking behaviors. A low level of fever knowledge was revealed in terms of temperature, fever causes, potential harms and influencing factors. South-East and East Asian parents mainly reported anxiety, concerns and fever phobia. Fever assessment methods and fever management strategies varied based on parents' cultural background and beliefs.CONCLUSIONS:The findings of this review highlight that inadequacy of fever knowledge and negative attitudes towards childhood fever exist in South-East and East Asian parents. Parents have diverse cultural practices during their children's febrile episodes. However, some of them conflict with current medical guidelines, as they prioritize fever and body temperature reduction. This raises questions about their effectiveness and safety. Although some of them are medically discouraged, there are others that have been proven beneficial for the symptomatic relief of childhood fever. The results indicate an urgent need to develop a cultural-sensitive educational intervention for childhood fever management among South-East and East Asian parents. Unified educational interventions are needed to address parental concerns and fever-related knowledge needs.

目的 探讨情景剧结合同伴教学在本科护生临床护理实践教学中的应用效果.方法 将2019年在某三甲医院实习的96名本科护生根据随机数字表分为观察组和对照组,每组48名护生.对照组采用集体理论授课加集体操作演示授课的临床教学模式,观察组在此基础上采用情景剧结合同伴教学的临床教学模式.比较两组护生护理知识及技能考核成绩、自主学习能力及对教学的满意度.采用SPSS 20.0软件进行t检验.结果 实施临床教学后,观察组与对照组护生临床护理综合能力总得分分别是(87.71±5.11)分、(78.47±6.24)分,观察组护生临床护理综合能力高于对照组(P<0.05).观察组护生教学后自主学习能力总分为(98.80±10.61),高于对照组护生总分(74.47±9.83),差异有统计学意义(P<0.05).观察组护生教学满意度测评总分为(62.83±7.07),高于对照组测评分(50.17±6.75),差异有统计学意义(P<0.05).结论 情景剧结合同伴教学在本科护生临床护理教学中的应用,提高了护生自主学习能力,提升了护生护理临床实践能力.同时,师生参与情景体验及同伴分析讨论的过程,增加了师生互动,护生对临床教学满意度较高.

Key pointsFew experimental studies have tested Acceptance and Commitment Therapy (ACT) in parents of children with cancerACT is feasible considering the high rates of recruitment, adherence and retentionACT is well accepted with high levels of satisfactionACT is effective in improving psychological flexibility and reducing guilt and worryFuture full‐scale RCTs are warranted to confirm the results of this work

ObjectiveThis cross-sectional study examined the prevalence and factors associated with compassion satisfaction and fatigue among oncology healthcare professionals (doctors and nurses) in mainland China.MethodsA total of 337 subjects were recruited via convenience sampling from the oncology departments of five general hospitals in Guangzhou, Guangdong, China. They were invited to complete a survey that included demographic characteristics, the Profession Quality of life Scale, the Brief Cope Questionnaire, and the Connor-Davidson Resilience Scale.ResultsThe findings showed medium levels of compassion satisfaction, burnout, and secondary traumatic stress among oncology healthcare professionals in China, reaching rates of 78.34%, 63.50% and 75.96%, respectively. Multiple regression analyses suggested that active coping, positive reframing, and strength were the significant factors of compassion satisfaction, explaining 48.6% of the total variance (P ​< ​0.001). Substance use and self-blame were the significant factors of burnout, explaining 45.1% of the total variance (P ​< ​0.001). Venting, denial, substance use, self-blame, and strength were the significant factors of secondary traumatic stress, explaining 37.6% of the total variance (P ​< ​0.001).ConclusionsThe high prevalence of compassion fatigue warrants the attention of the hospitals’ senior management. The effective coping styles identified may be considered when developing strategies to improve the professional quality of life among oncology healthcare professionals.

Objective:To explore the application effect of O2O model in diabetes community nursing and its impact on medication compliance.Methods:A total of 108 patients with chronic disease management from August 2017 to August 2019 in this community were randomly divided into the reference group and the experimental group, with 54 patients in each group.Patients in the reference group received traditional community nursing, while patients in the experimental group received O2O nursing. Blood glucose indexes, medication compliance and SF-36 score of the two groups were compared.Results:After nursing, FBG, HbA1c and 2hPG in the experimental group were significantly lower than those in the reference group, medication compliance in the experimental group (96.30%) was significantly higher than that in the reference group (74.07%), and SF-36 score in the experimental group was significantly higher than that in the reference group, with statistical significance( P<0.05). Conclusions:The application of O2O model in diabetes community nursing can significantly improve patients' medication compliance, reduce their blood glucose and improve their quality of life.

目的 调查孕妇的心理韧性水平,探讨其影响因素,为临床干预措施提供参考.方法 采用方便抽样的方法,调查2018年7月—2019年2月在连云港市第一人民医院和连云港市妇幼保健医院就诊且符合抽样标准的孕妇467例,应用一般资料调查问卷、中文版心理韧性量表(CD-RISC)、妊娠压力量表(PSRS36)及社会支持评定量表(SSRS)进行调查.结果 孕妇心理韧性总分为(63.85±13.91)分,得分率为63.85％,低于国内常模(65.4±13.9)分;高龄妊娠、高危妊娠、此次妊娠是否出自个人意愿、家庭氛围、再婚、担心母子健康和安全而引发的压力感、认同母亲角色而引发的压力感、主观支持及对社会支持的利用度是孕妇心理韧性的影响因素.结论 孕妇心理韧性水平较低且受多种因素影响,医护人员需要为孕妇提供必要的针对性心理干预,以提高其妊娠期心理韧性水平.

Objective: The present study aimed to examine the feasibility and preliminary effects of Acceptance and Commitment Therapy (ACT) on fatigue interference and health-related quality of life in patients with advanced lung cancer.Methods: In a single-blinded, parallel-group randomized controlled trial, 40 patients with advanced lung cancer were randomized to either the intervention group, which received the four-session individual ACT in 4 weeks, or the control group, which received usual care. The outcomes were evaluated at baseline and one week postintervention.Results: Intervention feasibility and acceptability were established with a high attendance rate of 88.75% and a high retention rate of 75%. Approximately 95% of the participants reported satisfaction with the intervention. Despite the insignificant effects on fatigue interference, statistically significant interactions effects of ACT for health-related quality of life (P = 0.001), cancer-related fatigue (P < 0.001), depressive symptoms (P < 0.001), anxiety (P < 0.001), and distress (P = 0.003) were noted.Conclusions: This pilot trial supports the feasibility and acceptability of conducting ACT for patients with advanced lung cancer. The findings show the potential positive effects of ACT on health-related quality of life. Future studies with full-scale samples are recommended to evaluate the long-term effects of ACT on fatigue interference.

Purpose: The aim of the study was to evaluate the status of psychological resilience among women in their second pregnancy and to investigate the possible influencing factors. Methods: A total of 275 women in their second pregnancy and who met the criteria were surveyed from two public hospitals in China from July 2018 to January 2019. The instruments included the General Self-designed Questionnaire, Connor-Davidson Resilience Scale, Social Support Rate Scale, and 36-item Pregnancy Stress Rating Scale. Results: The total psychological resilience score of second-pregnancy women was relatively low. Multivariate regression analysis identified five factors associated with psychological resilience: intimacy with husbands, social support utilization, gender of the first child, high-risk pregnancy of the first child, and the stress caused by worrying about the health and safety of the mother and fetus. Conclusion: Women in their second pregnancy represent a unique population, and their low psychological resilience score deserves attention. Identification of factors contributing to decreased psychological resilience may enable us to design prevention and intervention strategies and to deliver specific psychological supports to pregnant women at high risk of developing negative psychology. (C) 2021 Korean Society of Nursing Science. Published by Elsevier BV.

AIMS To systematically identify the application of Acceptance and Commitment Therapy among parents of children with chronic health conditions and determine its effectiveness in parental psychological flexibility, psychological distress and parenting behaviour. DESIGN Systematic review. DATA SOURCES Nine databases (i.e. MEDLINE, PubMed, Embase, Cochrane Library, CINAHL, PsychINFO, Web of Science, China National Knowledge Infrastructure and WanFang Data) were systematically searched from inception to October 2019. REVIEW METHODS Quality of studies was appraised by using the Joanna Briggs Institute critical appraisal checklist. Findings were synthesized narratively. This work was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis statement. RESULTS Eight studies involving 485 parents were included. Results indicated that Acceptance and Commitment Therapy significantly improved parental psychological flexibility and reduced psychological distress compared with usual care and waitlist, but was not significantly different from active treatments. Limited studies have provided very preliminary evidence that Acceptance and Commitment Therapy can significantly improve dysfunctional parenting behaviour than usual care and waitlist. High attrition rate at follow-up made the overall confidence of maintained effect relatively low. CONCLUSION This review provides preliminary evidence that Acceptance and Commitment Therapy is beneficial for improving psychological flexibility, psychological distress and parenting behaviour among parents of children with chronic health conditions. Future studies with rigorous designs and large sample sizes are warranted to verify the evidence and explore its long-term efficacy. IMPACT Acceptance and Commitment Therapy has been increasingly applied to parents of children with chronic health conditions. This review provides positive evidence of its effects on psychological and behavioural outcomes among these parents. This work will help healthcare professionals and researchers with their practice and further research.

Background: Advanced cancer is an incurable and life-threatening disease that poses a major challenge to patients' psychological and physical well-being. Acceptance and Commitment Therapy is a mindfulness-based behavioural therapy for managing health outcomes and inducing health-related behaviour changes. However, the components and modality of Acceptance and Commitment Therapy and its effectiveness on health outcomes for patients with advanced cancer remain unclear. Objectives: This review aimed to identify the main content, delivery mode, dosage and duration of Acceptance and Commitment Therapy, and to systematically summarise evidence regarding its application in patients with advanced cancer for improving physical and psychological outcomes and health-related quality of life. Design: Systematic review. Data sources: PubMed, British Nursing Index, Medline, PsycINFO, EMBASE, CINAHL, Cochrane Central Register of Controlled Trials, China National Knowledge Infrastructure and WANFANG Data were searched to identify eligible clinical trials. Review methods: Two reviewers independently assessed the eligibility of each study and extracted data. The Joanna Briggs Institute critical appraisal checklist was used to evaluate the risk of bias in the included studies. Narrative synthesis was used to present the findings of this review. Results: Six studies involving 261 participants were included in this review, including five randomised control trials and one with a pretest-posttest design. Two out of the five studies reported Acceptance and Commitment Therapy significantly reduced depressive symptoms and psychological distress post-intervention with a large effect size compared with usual care. One study indicated significant improvements in anxiety, sleep characteristics and health-related quality of life with a large effect size post-intervention. Non-significant changes in fatigue and pain were found. Intervention programmes with no more than four sessions had high adherence rates. Conclusion: Acceptance and Commitment Therapy may be a beneficial way to improve depressive symptoms, anxiety, psychological distress, sleep characteristics and health-related quality of life in patients with advanced cancer. However, limited studies, small sample size and methodological heterogeneity weaken the evidence. More rigorous research using brief Acceptance and Commitment Therapy programmes should be conducted within larger samples to further confirm the effectiveness and evaluate its long-term effect on this population. (c) 2021 Elsevier Ltd. All rights reserved.

Objective To explore the current situation of humanistic care quality of the nursing interns and its influence factors. Methods With convenient sampling, 400 nursing interns in our college from July to December 2016 were surveyed by using the general information questionnaire, the Scale of Humanistic Care Quality of Nurses and the Nursing Students ' Perception of Humanistic Care Scale. Results The total score of humanistic caring quality was 127.69 ±16.76, with a scoring rate of 88.06％. Multiple linear regression showed that humanistic atmosphere around the students, the reasons for choosing nursing as the profession, and the level of nursing students' perception of hospital humanistic caring atmosphere were the independent predictive factors of the humanistic care quality of the nursing interns (P<0.05). Conclusion The score of humanistic care quality of the nursing interns is relatively high and it is influenced by humanistic atmosphere around the students, the reasons for choosing nursing as the profession, and the level of nursing students' perception of hospital humanistic caring atmosphere. Great attention should be paid to the reasons for choosing nursing the profession and the promotion of humanistic atmosphere of the hospital so as to enhance humanistic care quality of the nursing interns.