Objective To review the application and methods of ecological momentary assessment(EMA) on symptom managemet of with breast cancer patients,so as to provide reference for future researchers to use EMA in patients with breast cancer. Methods According to the scope review methodology,CINAHL,Cochrane Library,EMbase,PsycINFO,PubMed,Web of Science,WanFang Database,VIP,CNKI and CBM were searched.The retrieval period spanned from the establishment of the database to July 30,2024.The retrieved documents were screened and summarized. Results A total of 20 papers were included.The research objective focused on the relationship between breast cancer symptoms and physical activity,the relationship between breast cancer patients and their spouses,the relationship between breast cancer symptoms and insomnia,cognitive function and fatigue of breast cancer,and EMA feasibility.The outcome indicators included six categories:emotional symptoms,physical symptoms,psychosocial factors,behavioral factors,cognitive function and feasibility.EMA data collection mainly relied on smartphone and accelerometers,mostly through random or fixed signal prompts,1 to 6 times a day,with an interval of 0.5 to 11.0 hours,lasting for 5 to 28 days.The participation rate were 29.1%⁃100.0%.The response rate was 57.0%⁃100.0%.The churn rate was 0⁃44.9%.The reward was 15⁃130 dollars. Conclusions EMA is feasible in the management of breast cancer symptoms,and can accurately capture changes in symptoms of breast cancer patients at different points in time.In the future,more standardized EMA reporting guidelines can be further developed to explore the potential of EMA in breast cancer clinical care interventions and other areas to provide a scientific basis for the development of personalized treatment.

Objective To explore the latent classification characteristics and their influencing factors of vicarious trauma among pediatric critical care nurses. Methods Using a convenience sampling method,a total of 319 pediatric critical care nurses from 12 hospitals in Shanxi province were selected from July to August 2024.General Information Questionnaire,Vicarious Trauma Scale for Medical Staff,Regulatory Emotional Self⁃Efficacy Scale,and Simplified Chinese Version of Event Related Rumination Inventory were used for the survey.The categories of pediatric critical care nurses' vicarious trauma were initially explored based on the latent profiles,and the influencing factors of the latent profiles were analyzed using unordered multinomial logistic regression. Results The score of Vicarious Trauma Scale for Medical Staff was 81.60±22.55.Vicarious trauma was divided into four latent profiles:mild trauma response group,emotionally dominant response group,significant negative trauma group,and balanced trauma response group.The regression analysis results showed that age,education level,years of working experience,reproductive status,death of a relative,rescuing a patient,death of a patient under care,regulatory emotional self-efficacy,and rumination were influencing factors of vicarious trauma among pediatric critical care nurses. Conclusions There is population heterogeneity among pediatric critical care nurses in vicarious trauma.Nursing managers can provide individualized interventions to nurses based on the influencing factors of different latent profiles to reduce the level of vicarious trauma among pediatric nurses.

This article reviewed medication⁃related problems,nursing assessment tools for home medication management of elderly patients,the contents,assessment methods,advantages and disadvantages of each assessment tool were compared,to provide reference for nursing staff to develop and reasonably select home medication management nursing assessment tools for elderly patients in China.

Objective To explore the relationship between cognitive reserve and the risk of cognitive impairment after traumatic brain injury. Methods From September 2023 to August 20,2024,patients with TBI who were hospitalized in the department of neurosurgery or emergency medicine in tertiary grade A hospitals in Chongqing city were selected by convenience sampling method to conduct a cross-sectional investigation.General information was obtained by hospitalization or bedside assessment.Cognitive reserve level and cognitive function were assessed by the Cognitive Reserve Index Questionnaire and the Montreal Cognitive Assessment Scale,respectively.The incidence of cognitive impairment at different levels of cognitive reserve was visualized by bar chart.And the trend chi-square test was used to explore whether there was a trend.Restricted cubic spline(RCS) model was used to analyze the relationship between cognitive reserve and the risk of cognitive impairment after traumatic brain injury.Logistic regression model was used to analyze the predictive effect of cognitive reserve on cognitive impairment in patients with traumatic brain injury. Results A total of 408 TBI patients aged 18⁃87 years were investigated.The total score of Cognitive Reserve Index Questionnaire was 91(88,94).The total score of Montreal Cognitive Assessment Scale was 22(16,28).And 246 cases(60.3%) had cognitive impairment.The results of restricted cubic spline showed that there was a negative linear dose⁃response relationship between cognitive reserve and the risk of cognitive impairment in the total population and gender stratigraphy(P for overall<0.05,P for nonlinear>0.05).Logistic regression analysis and trend test results showed that after adjusting for confounding factors,the risk of cognitive impairment in the general population and gender stratification decreased with the increase of cognitive reserve. Conclusions Cognitive reserve could be an important predictor of cognitive impairment in patients with traumatic brain injury.And improving cognitive reserve level is expected to be one of the potential strategies for early cognitive intervention.

Objective To test the reliability,validity and cross⁃group measurement invariance of the Treatment⁃Induced Neuropathy Assessment Scale. Methods Convenience sampling method was used to conduct a questionnaire survey on 392 patients in the inpatient and outpatient departments of tumor-related departments of 2 tertiary grade A hospitals in Tianjin and Nanchang from March to July 2024. Results The Chinese version of TNAS included 9 items and 2 subscales.The critical ratio t value of each item was 14.169⁃20.374(P<0.001).The correlation coefficient r between the score of each item and the total score of the scale was 0.690⁃0.845(P<0.001).Confirmatory factor analysis(CFA) supported the two⁃factor model,and each indicator reached the ideal fitting standard.The factor loading of each item of the scale was 0.776⁃0.900.The CR of the two subscales were 0.910 and 0.912 respectively.The AVE were 0.629 and 0.778 respectively.The absolute value of the correlation coefficient between the two subscales was 0.574.The Chinese version of TNAS showed a positive correlation with EORTC QLQ⁃CIPN 20(r=0.460,P<0.001).The Cronbach's α coefficient of the Chinese version of the TNAS was 0.910.The Cronbach's α coefficients of the two subscales were 0.912 and 0.915 respectively.The retest reliability was 0.802.The Chinese version of the TNAS had measurement invariance across groups in the equivalence test(P>0.05). Conclusions The Chinese version of the TNAS has good reliability,validity and measurement invariance across groups,and could be used to identify the severity of neuropathy in various cancer treatments.

Objective To explore the key components of long-term care insurance policy in China to provide insights for enhancing the formulation and implementation of future policy documents. Methods Utilizing the TF⁃IDF word vector model to conduct text mining research on over 1 600 Chinese long-term care insurance policy documents from the CLIP Database. Results Using multidimensional scaling analysis,the policy text content was sorted out three policy threads:political promotion,service models and content,and standard formulation. Conclusions The government needs to innovate institutional supply,encourage data-driven provision,and enhance crisis learning awareness.

Objective To develop a virtual simulation teaching program for individual nutritional intervention in hospitalized patients and to evaluate its application effectiveness. Methods A total of 169 nursing undergraduate students from a university of grade 2022 were selected as research group.A virtual simulation experiment teaching of nutritional intervention for hospitalized patients was conducted in the course of clinical nutrition.A total of 196 nursing undergraduate students of grade 2021 were selected as control group,which were received regular teaching.The teaching effect was evaluated after the teaching activity completed. Results The school platform recorded a cumulative of 1 028 accesses with 78 hours of usage time.Per⁃user login attempts ranged from 2 to 9 times,while the practical training score averaged 95.42±10.37 points.Student satisfaction rating reached full marks(10/10).The provincial platform served 760 distinct users with 35 cumulative usage hours.Individual login frequencies spanned 1 to 5 attempts,yielding a training score of 91.33±12.68 points.User evaluation also achieved a perfect 10⁃point score.The stage test scores of the nursing undergraduate students in research group(30.17±4.12) were significantly higher than that of the nursing undergraduate students in control group(26.96±3.33).There was a statistically significant difference between them(P<0.001).A total of 77.30%⁃5.89% of nursing undergraduates acknowledged that the virtual simulation teaching program facilitates learning engagement,enhances self⁃directed learning capabilities,and cultivates the learning mindset.Through virtual simulation training,82.21%-91.41% of students achieved mastery of core nutritional competencies including risk screening,assessment,intervention,and monitoring.The overwhelming majority expressed satisfaction with the system's functional design,reporting consistently positive learning experiences. Conclusions The virtual simulation experiment teaching could effectively improve the academic performance of nursing undergraduate students and enhance the quality of clinical nutrition teaching.

Objective To explore the application effect of analgesia and sedation nursing based on eCASH concept in neurosurgical critically ill patients. Methods A purposive sampling method was used to select 68 patients admitted to the neurosurgical intensive care unit from January to December 2022 as study subjects.All cases were divided into control group of 33 cases and test group of 35 cases.The control group received routine analgesic and sedative nursing,while the test group received analgesia and sedation nursing based on the eCASH concept.The analgesic and sedative treatment effects,intracranial pressure,mechanical ventilation time,neurosurgical intensive care unit hospitalization time and cost,muscle strength recovery,and incidence of complications between the two groups of patients were compared. Results After intervention,the test group patients had a lower dosage of analgesic and sedative drugs,shorter recovery time after stopping sedatives,shorter hospitalization time in mechanical ventilation and neurosurgery intensive care unit,and lower incidence of complications/adverse events compared to that of the control groups patients(P<0.05).Muscle strength recovery was better than that of the control group cases(P<0.05).The time to achieve sedative goals was longer than that of the control group patients(P<0.05). Conclusions Based on the eCASH concept,analgesia and sedation nursing could help improve the effectiveness of analgesia and sedation treatment for patients in the neurosurgical intensive care unit,reduce intracranial pressure,shorten mechanical ventilation and hospitalization time in neurosurgical intensive care unit.It could reduce the occurrence of complications/adverse events,and promote the recovery of patients' muscle strength as well.

This article reviewed the origin,concept,theoretical models,and assessment tools of family resilience.The aim was to provide a reference for researchers in developing family resilience assessment tools that align with China's cultural background,as well as for clinical staff in selecting suitable assessment tools.

This study reviewed the clinical factors,laboratory indicators,genetic testing,and predictive models related to renal scarring after urinary tract infection.The aim was to provide references for clinical medical staff to identify high-risk patients early,to intervene promptly,and to reduce the risk of renal scarring.