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2026 Volume 40 Issue 11  Published: 2026-06-10
    Original Articles
  • Xiaokun WU , Miao LIU , Jiehua LIN , Yinghua KE , Shufang LI
    doi: 10.12102/j.issn.1009-6493.2026.11.001
    Objective

    To explore the nurses' behavioral intentions and influencing factors of using clinical decision support systems,and to construct a corresponding structural equation model.

    Methods

    A theoretical model of behavior intentions in clinical decision support system was initially constructed by adding personality trait factors to the UTAUT model.A convenience sampling method was used to investigate 301 clinical nurses from a tertiary grade A hospital in Guangdong province in June 2025 through the Chinese Big Five Personality Questionnaire,Behavioral Intention for Clinical Nurses in Clinical Decision Support System Questionnaire,and a self-designed survey questionnaire.The data were statistically analyzed by using SPSS 26.0 software.The structural equation modeling analysis was conducted by the lavaan package in R 4.2.2 software.The maximum likelihood estimation method was used to evaluate the model fit and path coefficient significance test.

    Results

    The nurses' behavioral intentions of using the clinical decision support system was at a moderate to high level.The structural equation model constructed had an overall good fit.Social influence,performance expectations,effort expectations,age,and openness all had a positive impact on behavioral intentions of nurses in clinical decision support systems,with path coefficients of 0.507,0.217,0.205,0.218,and 0.040,respectively(all P<0.05).Extraversion had a positive promoting effect on effort expectations,performance expectations,and social impact,with path coefficients of 0.072,0.171,and 0.083,respectively(all P<0.001),and showed a negative impact on behavioral intention(β=-0.028,P<0.05).Openness had a positive impact on society(β=0.047,P<0.001).

    Conclusions

    The model constructed in this study could effectively predict the behavioral intentions of nurses in clinical decision support systems.Improving social influence,performance expectations,effort expectations,age growth,and open personality could significantly enhance the nurses' behavioral intentions of using clinical decision support systems.It is recommended that external environmental shaping and individual trait differences should be taken into account when promoting clinical decision support systems.

  • Original Articles
  • Xuebo LI , Xuan LIU , Shuxing LI
    doi: 10.12102/j.issn.1009-6493.2026.11.002
    Objective

    To explore the change trajectory of dietary quality during chemotherapy in elderly patients with colorectal cancer by using group-based trajectory modeling,and to analyze the influencing factors of different trajectories.

    Methods

    A total of 204 elderly patients with colorectal cancer who underwent their first chemotherapy in three tertiary hospitals from July 2024 to January 2025 were selected from Tangshan city.On the day before the first course of the FOLFOX regimen/the day before the first course of the XELOX regimen(T0),General Information Questionnaire,Chinese Healthy Eating Index,Elderly Nutrition Literacy Scale,Perceived Social Support Scale,Brief Illness Perception Questionnaire were used to baseline survey.Chinese Healthy Diet Index was used to conduct dietary quality tracking survey on the day before the first course of the FOLFOX regimen/the day before the first course of the XELOX regimen(T1),the day before the first course of the FOLFOX regimen/the day before the second course of the XELOX regimen(T2),and the day before the first course of the FOLFOX regimen/the day before the fourth course of the XELOX regimen(T3).The group-based trajectory modeling was used to identify the potential categories of the trajectory changes in dietary quality.Univariate analysis and multiple Logistic regression analysis were used to analyze the influencing factors.

    Results

    The dietary quality of elderly colorectal cancer patients during chemotherapy were divided into four trajectory changes:low-level continuous group(8.33%),low-level increasing group(35.29%),high-level continuous group(25.49%),and medium-level increasing group(30.88%).Logistic regression analysis results showed that disease perception,main types of work before retirement,medical payment methods,and nutritional literacy were the influencing factors of different trajectories of dietary quality in elderly colorectal cancer patients during chemotherapy(P<0.05).

    Conclusions

    There is group heterogeneity in the trajectory of dietary quality changes during chemotherapy in elderly patients with colorectal cancer.Attention should be paid to the dynamic assessment of dietary quality for patients who engage in physical labor before retirement and those who are covered by employee medical insurance.At the same time,the predictive role of nutritional literacy and disease perception in the trajectory of dietary quality changes should be emphasized.A dynamic intervention plan should be constructed with the core of improving the nutritional literacy and establishing correct disease perception of elderly patients with colorectal cancer during chemotherapy to improve their dietary quality and nutritional level throughout the chemotherapy process.

  • Original Articles
  • Xuan DUAN , Qian ZHANG , Ruifang ZHU , Hongfang SHAO , Dandan GUO , Linping SHANG , Shifan HAN
    doi: 10.12102/j.issn.1009-6493.2026.11.003
    Objective

    To develop an entrustable professional activities(EPAs)-based clinical practicum syllabus for advanced practice nurse(APN)-oriented master of nursing specialist(MNS) students in China,thereby informing the training of advanced practice nursing talents.

    Methods

    A combination of literature review,expert meetings,and a modified Delphi method were used to construct the clinical practicum syllabus for APN-oriented MNS students in China.The feasibility of the syllabus was evaluated by using the CIPP framework.

    Results

    Two Delphi rounds were completed by 22 experts,with response rates of 81.48% and 100.00% and authority coefficients of 0.862 and 0.891.A 20-EPA-based clinical practicum syllabus was developed,featuring a progressive semester-by-semester structure that integrates theory,practice,and EPAs,along with a combined formative and summative evaluation system.

    Conclusion

    The developed clinical practicum syllabus demonstrates strong scientific validity,systematic coherence,and practical operability,and could serve as a reference for APN-oriented MNS training in China.

  • Original Articles
  • Shu HAN , Quanwei SHANG , Yanran ZHANG , Meihua YANG , Huawei CHENG
    doi: 10.12102/j.issn.1009-6493.2026.11.004
    Objective

    To explore the potential categories of kinesiophobia in patients undergoing coronary artery bypass grafting(CABG) and to conduct symptom network analysis to identify core symptoms in different categories symptom networks.

    Methods

    Using convenience sampling,patients who underwent coronary artery bypass grafting in the cardiovascular surgery department of the Affiliated Hospital of Qingdao University from January 2024 to April 2025 were selected as the research subjects.The General Information Questionnaire,Kinesiophobia Heart(TSK-SV Heart),and Revised Symptom Questionnaire for Post-patients undergoing coronary artery bypass grafting were used for investigation.Latent profile analysis was employed to explore potential categories of kinesiophobia.R language was used to construct symptom networks for each category,and network centrality indices were analyzed to determine core symptoms.

    Results

    A total of 487 patients undergoing coronary artery bypass grafting were included,with a kinesiophobia incidence of 87.89%.Two potential categories were identified in total:low-fear-exercise-avoidance group(29.4%) and high-fear-exercise-fear group(70.6%).In the low-fear-exercise-avoidance group network,fatigue(rs=1.99) had the highest strength and was the core symptom;in the high-fear-exercise-fear group network,surgical incision pain had the highest strength(rs=1.46),compactness(rc=0.005 57),and betweenness(rb=16),serving as the core symptom.There were no significant differences in symptom network structure(M=0.29) and overall connection strength(S=3.27) between the low-fear-exercise-avoidance group and the high-fear-exercise-fear group.

    Conclusions

    Patients undergoing coronary artery bypass grafting have a high incidence of kinesiophobia with significant group heterogeneity,which could be divided into two categories:the low-fear-exercise-avoidance group and the high-fear-exercise-fear group.Fatigue and surgical incision pain are the core symptoms of the low-fear-exercise-avoidance group and high-fear-exercise-fear group,respectively.It is recommended that healthcare providers implement precise intervention strategies targeting the core symptoms of different subgroups to reduce patients' kinesiophobia levels.

  • Original Articles
  • Jinli LIU , Aihui SUN , Jing LYU , Cui GAO , Mingyue LI
    doi: 10.12102/j.issn.1009-6493.2026.11.005
    Objective

    To explore the status of nursing human resource allocation in Shandong province and to provide a theoretical basis for its rational distribution.

    Methods

    The relevant data were organized from the Shandong Statistical Yearbook 2024,and use rank sum ratio and close value methods to comprehensively analyze the number of registered nurses per thousand population,bed nurse ratio,medical staff ratio,and the proportion of registered nurses to health technicians in Shandong Province.Relevant data from the Shandong Statistical Yearbook 2024 were compiled.Comprehensive analysis of the number of registered nurses per 1 000 population,nurse-to-bed ratio,nurse-to-physician ratio,and proportion of registered nurses among health technical personnel was conducted by using the rank sum ratio(RSR) method and the osculation value method.

    Results

    The rank sum ratio method categorized nursing human resource allocation in Shandong province into four levels(low,relatively low,high,relatively high).Dezhou city had the least nursing human resources,while Jinan city,Dongying city had the most nursing human resources.The osculation value method ranked the cities based on the quantity of nursing human resources allocated,with Jinan city,Zaozhuang city,Qingdao city,and Dongying city having the highest quantities.Dezhou city,Linyi city having the lowest quantities.

    Conclusions

    Nursing human resources in Shandong province are relatively deficient,with significant disparities in allocation among cities and a mismatch with medical resource distribution.Therefore,it is recommended that relevant departments adopt a holistic approach,implementing tailored nursing human resource allocation strategies for each city while also focusing on coordinating nursing resources with overall medical resource distribution.

  • Original Articles
  • Na WANG , Juanjuan NIU , Shuai TAO
    doi: 10.12102/j.issn.1009-6493.2026.11.006
    Objective

    To construct a multidisciplinary perioperative nursing pathway for cesarean section in pregnant women with intracerebral hemorrhage based on chain management theory.

    Methods

    The preliminary pathway was developed with chain management theory as the framework,combined with literature analysis and case review,and structured around hospitalization days.Two rounds of expert consultation were conducted using the Delphi method among 15 experts.Expert opinions were analyzed and integrated to form the final clinical nursing pathway.

    Results

    The effective response rates of the two rounds of expert consultation were both 100%.The authority coefficients of experts were 0.852 and 0.920.The Kendall's coefficients of concordance were 0.11 and 0.21(both P<0.05),respectively.The final clinical nursing pathway was organized into five phases:the first day of hospitalization,day 2 to preoperative day,day of cesarean section,postoperative days 1-3,and postoperative day 4 to discharge.Under this framework,there were 48 primary indicators and 196 secondary indicators.

    Conclusions

    The multidisciplinary perioperative nursing pathway for cesarean section in pregnant women with intracerebral hemorrhage constructed in this study based on chain management theory clarifies the core contents and collaborative processes of maternal and neonatal care during each perioperative stage,standardizes the multidisciplinary management of high-risk pregnant women,and has good scientific rigor and clinical application value.It could provide reference for relevant nursing practice.

  • Original Articles
  • Yue WANG , Xiaofang FENG , Yueqin LI , Fan GUO , Yanrong XU , Liping CUI
    doi: 10.12102/j.issn.1009-6493.2026.11.007
    Objective

    To construct an evaluation index system for clinical nurses' ability to conduct age-friendly health science popularization through short videos,to provide reference for objectively evaluating their ability and conducting targeted science popularization training.

    Methods

    Based on the Lasswell "5W" communication model and the digital media usage characteristics of the elderly,the evaluation index system was initially constructed through theoretical analysis,literature review,and focus group discussions.The Delphi method was used for two rounds of expert consultation to screen and revise the index items.The analytic hierarchy process was used to determine the weights of each level of indicators.

    Results

    A total of 23 experts were included.The positive coefficient for both rounds of expert consultation were all 100%.The expert authority coefficients were 0.952 and 0.961,respectively.The Kendall's coefficient of concordance were 0.182-0.289 and 0.110-0.329.The final evaluation index system included 5 first-level indicators,14 second-level indicators,and 51 third-level indicators.

    Conclusions

    The constructed evaluation index system for clinical nurses' ability to conduct age-friendly health science popularization through short videos has good scientificity and practicability.It could be used to objectively evaluate the ability of clinical nurses in elderly short video health science popularization.

  • Original Articles
  • Na DONG , Xianping DONG , Yingjie LIU , Xinyu LI
    doi: 10.12102/j.issn.1009-6493.2026.11.008
    Objective

    To explore the latent classes of post-traumatic growth in patients with endometrial cancer,and to analyze the influencing factors of different categories.

    Methods

    Convenience sampling method was used to select 263 patients with endometrial cancer hospitalized from June 2022 to June 2024 in our hospital.The General Information Questionnaire,Posttraumatic Growth Inventory(PTGI),Chinese version of Event Related Rumination Inventory(C-ERRI),Patient Health Questionnaire-9(PHQ-9) were used to investigate. Latent class analysis was used to identify categories of post-traumatic growth in patients with endometrial cancer.Logistic regression was used to analyze the influencing factors of posttraumatic growth in patients with different categories of endometrial cancer.

    Results

    The post-traumatic growth of endometrial cancer were characterized by negative coping,psychological smoothness,and positive growth.Logistic regression analyses results showed that BMI,level of purposeful rumination,and depressive symptoms were the influencing factors of post-traumatic growth in patients with different categories of endometrial cancer.

    Conclusions

    Clinical staff should carry out stratified interventions based on different category characteristics to optimize patient psychological outcomes.Clinical staff should implement precise management of patients based on the influencing factors of different categories of post-traumatic growth,combine with the specificity of post-traumatic growth patterns,improve mental health outcomes of patients.

  • Interdisciplinary Nursing Study
  • Na ZHANG , Meili JIA , Jin CAI , Tao QI , Zhifen HAO
    doi: 10.12102/j.issn.1009-6493.2026.11.009
    Objective

    To systematically evaluate the effectiveness of mobile health technology in the outpatient colonoscopy examination population.

    Methods

    Randomized controlled trials on the application of mobile health technology in the outpatient colonoscopy examination population were retrieved from databases such as CNKI,VIP,CBM,WanFang Database,Web of Science,PubMed,Cochrane Library,EMbase,and ScienceDirect.The search period was from the establishment of the databases to December 30,2025.Two researchers independently screened the literature,extracted the data,and evaluated the quality of the included studies by using the Cochrane 5.1.0 manual.Meta-analysis was conducted by using RevMan 5.3 software.

    Results

    A total of 9 studies were included,involving 2 954 outpatient colonoscopy examination people.Meta-analysis results showed that interventions based on mobile health technology could improve the quality of bowel preparation for outpatient colonoscopy examination population(SMD=0.78,95%CI 0.70-0.85,P<0.000 1),the success rate of cecal intubation(OR=2.66,95%CI 1.31-5.44,P=0.007),polyp detection rate(OR=1.44,95%CI 1.20-1.72,P<0.000 1),adenoma detection rate(OR=1.71,95%CI 1.24-2.35,P=0.001),adherence to laxatives(OR=1.87,95%CI 1.24-2.84,P=0.003) and dietary adherence(OR=2.41,95%CI 1.57-3.72,P<0.000 1).

    Conclusions

    The intervention based on mobile health technology could improve the quality of bowel preparation,the success rate of cecal intubation,the detection rate of adenomas and polyps,as well as the compliance with laxative administration and diet.

  • Scale Study
  • Xiaotong PAN , Xinfang ZHANG , Xin WANG , Xiaoxia CHEN , Xi CAO
    doi: 10.12102/j.issn.1009-6493.2026.11.010
    Objective

    To translate the Self-Care Confidence Index for ACHD into Chinese and to test its reliability and validity.

    Methods

    The scale was translated and back-translated based on the modified Brislin translation model.Chinese version of Self-Care Confidence Index for ACHD was conducted by cross-cultural adjustment and pre-investigation.From September 2023 to November 2024,a total of 225 adult patients with congenital heart disease who were recruited at the heart center of a tertiary grade A hospital in Guangzhou city,were selected as the research subjects,to test the reliability and validity of the Chinese version of scale.

    Results

    The Chinese version of Self-Care Confidence Index for ACHD consisted of 6 items.The scale-level content validity index(S-CVI) was 0.988.The item-level content validity index(I-CVI) ranged from 0.927 to 1.000.The Cronbach's alpha coefficient of the scale was 0.83.The test-retest reliability was 0.95.Rasch model analysis demonstrated favorable validity,reliability,and separation properties of the scale.Confirmatory factor analysis indicated that all fit indices were within normal ranges.

    Conclusions

    The Chinese version of the Self-Care Confidence Index for ACHD exhibits good reliability and validity and could be used to test self-care confidence in Chinese adults with congenital heart disease.

  • Scale Study
  • Xiaoyu XU , Wenping HAN , Limin HAO , Jiaxin SONG , Xishu BAI
    doi: 10.12102/j.issn.1009-6493.2026.11.011
    Objective

    To develop a physical resilience instrument for puerpera based on the Physical Resilience Instrument for Older Adults and to test its reliability and validity,so as to provide a scientific and effective measurement for the assessment of physical resilience(PR) in puerpera.

    Methods

    The PRIFOR was revised through qualitative interviews,expert consulation,group discussions and pre-survey,and to develop a physical resilience instrument for puerpera.A convenience sampling method was used to select 429 parturient who were hospitalized in obstetrics departments of two tertiary grade A hospitals in Shanxi province from June to September 2025 as the research subjects.The Physical Resilience Instrument for Puerpera was used for investigation to test the reliability and validity of the scale.

    Results

    The Physical Resilience Instrument for Puerpera included positive thinking, coping with and adjusting lifestyle, beliefs, and a hopeful mindset 3 dimensions and 15 items.The item-level content validity index ranged from 0.857 to 1.000.The scale-level content validity index/universal agreement was 0.990.Exploratory factor analysis extracted 3 common factors,with a cumulative variance contribution rate of 69.432%.The model fitted well after the correction of confirmatory factor analysis.Both convergent validity and composite validity reached good standards.The Cronbach's alpha coefficient of the scale was 0.976.The halving coefficient was 0.966.The test-retest reliability was 0.914.Criterion-related validity results showed that the total score of the scale was negatively correlated with the total score of the Maternal Childbirth Trauma Scale(r=-0.883,P<0.001).

    Conclusions

    The Physical Resilience Instrument for Puerpera has good reliability and validity.It is suitable for assessing the PR of puerpera.

  • Scale Study
  • Huimin XU , Huiqin NI , Yun WANG , Haiyan XU , Junying ZHAO , Yaming CHEN , Wei WANG , Xia ZHOU , Hui HU
    doi: 10.12102/j.issn.1009-6493.2026.11.012
    Objective

    To translate the Condensed version Modified Geriatric Dehydration Screening Tool into Chinese,and to test its reliability and validity among elderly inpatients in China.

    Methods

    The Brislin translation model was adopted for forward and back translation of the Modified Geriatric Dehydration Screening Tool.On the basis of expert inquiries and pre-surveys,the scale was culturally adapted to form the Chinese version of Condensed Modified Geriatric Dehydration Screening Tool.From January to August 2025,a total of 120 elderly inpatients from a tertiary grade A hospital in Yancheng city were conveniently selected as the research subjects.The Chinese version of Condensed Modified Geriatric Dehydration Screening Tool was used for the investigation to test its reliability and validity.

    Results

    The Chinese version of Condensed Modified Geriatric Dehydration Screening Tool was a unidimensional scale,with a total of 9 items.The item-level content validity index of the scale ranged from 0.857 to 1.000.The scale-level content validity index/average was 0.984.The scale-level content validity index/universal agreement was 0.889.The Cronbach's alpha coefficient of the scale was 0.877.The test-retest reliability coefficient was 0.892.Exploratory factor analysis extracted one male factor with a cumulative variance contribution rate of 50.693%.

    Conclusions

    The Chinese version of Condensed Modified Geriatric Dehydration Screening Tool exhibits good reliability and validity,with concise items,and could be used for initial screening of dehydration risk among elderly inpatients in China,providing a reliable instrument for early clinical identification of dehydration in elderly inpatients.

  • Comprehensive Study
  • Yue QIAO , Xiaoyun HAN , Yun YE , Wen CHEN
    doi: 10.12102/j.issn.1009-6493.2026.11.013
    Objective

    To investigate the current status and potential categories of clinical leadership abilities among specialty nurses in tertiary hospitals,and to analyze the influencing factors of clinical leadership abilities in different categories of specialty nurses.

    Methods

    A survey was conducted among 867 specialty nurses in tertiary hospitals in Changzhou city by using the General Information Questionnaires,Clinical Leadership Survey,Specialty Nurse Work Engagement Scale,and Change Fatigue Scale.Univariate factors analysis and multivariate Logistic regression analysis were used to analyze the influencing factors of potential categories of clinical leadership abilities among specialty nurses in tertiary hospitals.

    Results

    The clinical leadership abilities of specialty nurses were divided into three categories:negative(3.11%),balanced(29.07%),and positive(67.82%).Multivariate Logistic regression analysis results showed that work attitude,work motivation,whether or not to serve as a specialist outpatient department,and whether or not to serve as a nurse manager were influencing factors of categories of clinical leadership abilities among specialty nurses in tertiary hospitals(P<0.05).

    Conclusions

    There is group heterogeneity in the clinical leadership abilities of specialty nurses in tertiary hospitals,which could be categorized into three categories:negative,balanced,and positive.Individualized stratified interventions could be carried out for specialty nurses of different clinical leadership abilities categories based on the influencing factors of different potential profiles to enhance their clinical leadership level.

  • Comprehensive Study
  • Yueqin LI , Shitai FU , Danqiong WANG , Mengqi HAN , Fan GUO
    doi: 10.12102/j.issn.1009-6493.2026.11.014
    Objective

    To explore the occurrence and influencing factors of cognitive decline among empty nest elderly in the community,and to provide scientific basis for developing precise community cognitive health intervention strategies.

    Methods

    Using convenience sampling method,a total of 260 empty nest elderly people aged 65 and above from 6 communities in Taiyuan city from October to November 2023 were selected as the research subjects.A General Information Questionnaire,the Center for Epidemiological Studies Depression Scale(CES-D),and a composite cognitive function assessment tool were used to investigate.Univariate analysis and multivariate Logistic regression analysis were used to explore the influencing factors of cognitive decline in empty nest elderly.

    Results

    The incidence of cognitive decline among empty nest elderly was 31.97%.Logistic regression analysis results showed that listening,social activities,digital device use,and sleep time were the influencing factors of cognitive decline in empty nest elderly in the community(all P<0.05).

    Conclusions

    Community empty nest elderly were at a high-risk of cognitive decline.Cognitive decline were influenced by multiple factors such as listening,social activities,digital device use,and sleep time.It is suggested that the community should develop targeted plans based on relevant influencing factors to provide theoretical basis for delaying the cognitive decline of empty nest elderly.

  • Comprehensive Study
  • Jieru YU , Shu SONG , Yurong BAI , Qianyun JIANG
    doi: 10.12102/j.issn.1009-6493.2026.11.015
    Objective

    To identify multi-dimensional needs in the decision-making process of coronary heart disease patients regarding interventional treatment based on decision journey map,providing reference for developing nurse-led decision aids.

    Methods

    A descriptive qualitative study was conducted from March to May 2025.A total of fourteen coronary heart disease patients participating in interventional treatment decisions were selected for semi-structured interviews.Directed content analysis was employed for data analysis and patient decision journey mapping.

    Results

    According to the clinical timeline,the decision-making process for interventional treatment in coronary heart disease patients was divided into diagnostic decision-making period,PCI decision-making period,and postoperative rehabilitation period.And it was categorized into 33 themes across three dimensions:tasks,pain points,and emotions,including symptom recognition and diagnosis confirmation,surgical risk assessment,ultimately forming a comprehensive journey map.

    Conclusions

    The decision-making process for interventional treatment in coronary heart disease patients is lengthy and complex,exhibiting staged characteristics and differentiated needs.Journey mapping should be utilized to construct and refine nurse-led decision support tools with family caregiver participation from the patient perspective to meet patients' decision-making needs and enhance decision quality.

  • Comprehensive Study
  • Weiwei ZHOU , Huangxin ZHANG , Mengjie LIU , Lan LIU , Hao WEI
    doi: 10.12102/j.issn.1009-6493.2026.11.016
    Objective

    To systematically analyze the influencing factors of doctor-patient decision-making for terminally ill patients in the intensive care unit(ICU) based on the consolidated framework for implementation research(CFIR),so as to provide a basis for constructing localized nursing practice strategies.

    Methods

    Using purposive sampling method,a total of 28 medical staff in the intensive care unit and 12 family members of terminally ill patients from a tertiary grade A hospital in Sichuan province were selected for semi-structured interviews from March to June 2024.Directed content analysis combined with CFIR was used for coding analysis and rating.

    Results

    Four core themes are identified:the characteristics of shared decision-making sources of shared decision-making,relative advantages of shared decision-making,complexity of shared decision-making,costs of shared decision-making),external factor domains(local perspectives,local conditions,policies and regulations,external pressures),internal factor domains(structural features,culture,innovation incentive mechanisms,available resources,knowledge and information acquisition),and individual characteristics(needs,capabilities,opportunities,motivation).The rating identified 13 barrier factors,3 facilitating factors,and 1 neutral factor.

    Conclusions

    The implementation of shared decision-making is influenced by multiple dimensions,such as culture,policies,resources,and capabilities.It is urgent to establish localized shared decision-making implementation strategies,develop decision-support tools for family members,and jointly reform medical insurance,ethics,and legal policies to improve the quality of end-of-life decision-making.

  • Comprehensive Study
  • Bo YANG , Wenying YAO , Xin WANG , Fang ZHANG , Zhongqin HONG
    doi: 10.12102/j.issn.1009-6493.2026.11.017
    Objective

    To explore the real experience of the main caregivers of children with chronic kidney disease in the process of diet management,and to provide basis for the formulation of targeted diet management programs.

    Methods

    A phenomenological qualitative research method was adopted for 12 main caregivers of children 3 years old and above with chronic kidney disease admitted to the department of nephrology and immunology of a tertiary grade A hospital in Suzhou city in March 2025 were selected by purposive sampling for semi-structured interviews.The Colaizzi analysis method was used to extract themes.

    Results

    A total of 3 themes and 6 sub-themes were extracted,including lack of knowledge and information about renal diet(lack of disease-related dietary knowledge,lack of information on renal diet),general and unclear dietary management education and individual differences(dietary management education is too general,individual differences exist in dietary management),and coexistence of insufficient dietary management ability of caregivers and low compliance of children(insufficient dietary management ability of caregivers,low compliance of children).

    Conclusions

    Medical staff should enhance the primary caregivers' understanding of dietary management for children with chronic kidney disease,improve children's compliance with dietary management,and formulate targeted dietary management plans to enhance the effectiveness of dietary management.

  • Comprehensive Study
  • Shuixiang WEN , Zhumei LIN , Yanping WU , Meirong WEN , Danfeng SHI , Shaofang YE , Lifen LIN
    doi: 10.12102/j.issn.1009-6493.2026.11.018
    Objective

    To analyze the status quo and influencing factors of professional psychological help-seeking stigma of infertility patients.

    Methods

    From January to May 2025,a total of 346 infertility patients admitted to Fujian Maternal and Child Health Hospital were selected as the research objects by convenient sampling method.The General Information Questionnaire,Questionnaire of Stigma for Seeking Professional Psychological Help(SSPPH),Self-Rating Depression Scale(SDS),Self-Esteem Scale(SES) and Multiple Mental Health Literacy Measure(MMHLM) were used to investigate.Univariate analysis,correlation analysis,and linear regression analysis were used to analyze the influencing factors of professional psychological help-seeking stigma of infertility patients.

    Results

    The total score of Questionnaire of Stigma for Seeking Professional Psychological Help of 346 infertility patients was 23.14±8.66.The correlation analysis results showed that professional psychological help-seeking stigma was positively correlated with depression and self-esteem(P<0.05),and negatively correlated with mental health literacy(P<0.05).Linear regression analysis results showed that depression,self-esteem,education level and mental health literacy were the influencing factors of professional psychological help-seeking stigma of infertility patients(P<0.05).

    Conclusions

    The professional psychological help-seeking stigma of infertility patients was at a medium to low level.Collaborative intervention from individuals,families,and medical staff is needed to improve their stigmatization and to promote the physical and mental health of infertility patients.

  • Comprehensive Study
  • Yibo LI , Xiaochun REN
    doi: 10.12102/j.issn.1009-6493.2026.11.019
    Objective

    To analyze the practical dilemma of the supply of long-term care insurance care services in China.To analyze the key factors that restrict the effectiveness of multi-party collaborative governance.And to put forward countermeasures and suggestions to optimize the supply system of care services.

    Methods

    From the perspective of SFIC model,analyze and judge the subject relationship,operation mechanism and constraint conditions in the supply of long-term care insurance care services in China.

    Results

    There was a prominent problem of insufficient coordination among the government, social institutions and families in the supply of long-term care insurance services in China.Differences in resource endowments and goals of multiple subjects,the absence of catalytic leadership,imperfect institutional design,and the lack of evaluation and feedback mechanisms were key factors that restricted the efficiency of collaborative governance.

    Conclusions

    To solve the dilemma of long-term care service supply,it is necessary to take collaborative governance as the path.The government should change its role and build a cross-sectoral coordination mechanism,optimize the supply of social institutions and stimulate market vitality,strengthen family care capacity building,to play a complementary role,so as to improve the supply system of long-term care insurance care services by enhancing multi-party synergies.

  • Review Articles
  • Wenjing JIANG , Yinzhi YAN , Min WANG , Xuemei ZHOU , Jinling MA , Fang ZHANG , Shoushan LI , Fang WEN
    doi: 10.12102/j.issn.1009-6493.2026.11.020
    Objective

    To systematically retrieve domestic and international literature on quality of life interventions for children undergoing hematopoietic stem cell transplantation(HSCT),to summarize the methods and effectiveness of interventions,and to provide references for clinical practice.

    Methods

    Following the scoping review framework,PubMed,Web of Science,CINAHL,EMbase,Cochrane Library,CNKI,WanFang Data,VIP,and CBM databases were searched.The retrieval period spanned from the establishment of the database to April 30,2025.Literature were screened,summarized,extracted,and analyzed based on inclusion and exclusion criteria.

    Results

    A total of 14 studies were included,involving 10 randomized controlled trials,4 quasi-experimental studies.Quality of life interventions comprised resilience-based interventions,music therapy,exercise programs,and others.Intervention durations ranged from 3 weeks to 6 months,typically with 2 or 3 sessions per week.Effects varied across different quality of life dimensions.

    Conclusions

    Research on quality of life interventions for hematopoietic stem cell transplantation children is in its developmental stage,characterized by personalization and multidisciplinary collaboration.Future studies should focus on designing more scientific,standardized,and effective intervention protocols to enhance clinical outcomes.

  • Review Articles
  • Jiahui NIAN , Yongqi LIANG , Yue PENG , Huiqing LIANG , Nian JIAO , Caixin YIN
    doi: 10.12102/j.issn.1009-6493.2026.11.021

    Based on the core framework of social role theory,this study systematically reviewed and synthesized the influencing factors,measurement instruments,and intervention pathways of breastfeeding from three dimensions:role expectations,role identity,and role taking.It elucidated the underlying social-psychological mechanisms and social construction logic of breastfeeding behavior.The study aims to enrich theoretical interpretations in the field of breastfeeding,broaden interdisciplinary research perspectives,and to provide both theoretical foundations and practical guidance for improving breastfeeding rate and extending breastfeeding duration.

  • Review Articles
  • Menglin LI , Sixue WANG , Yuncui WANG
    doi: 10.12102/j.issn.1009-6493.2026.11.022

    This article reviewed the content,characteristics,the advantages and limitations of assessment tools for subjective memory complaints(SMC) in older adults.It aims to provide reference for the development of localized tools and subsequent research,as well as a basis for the scientific assessment of SMC and the construction of effective SMC intervention programs in older adults.

  • Review Articles
  • Yangjing WANG , Lijuan XIONG , Wenjing YU , Yuhan WANG , Xueqin GUO
    doi: 10.12102/j.issn.1009-6493.2026.11.023

    This study reviewed the measurement tools,current situation,sources,and influencing factors of the moral distress of psychiatric nurses,and proposed coping strategies and suggestions for the moral distress of psychiatric nurses,aiming to provide reference for improving the moral distress of psychiatric nurses and enhancing their work experience.

  • Review Articles
  • Lei LIU , Chunyu HE , Wenbo CHEN , Yan XIE , Yanping JIANG , Haiyu ZHANG
    doi: 10.12102/j.issn.1009-6493.2026.11.024

    This study reviewed the concept of frailty,assessment methods,and predictive value for adverse outcomes in stroke patients,to provide reference for rehabilitation management and therapeutic decision-making of stroke patients,and to provide reference for management and evaluation of frailty in stroke patients.

  • Review Articles
  • Long HUANG , Huan WU , Wei LI , Chunyan LIU
    doi: 10.12102/j.issn.1009-6493.2026.11.025

    This paper reviewed the current research status on risk prediction models for oral mucosal pressure injuries.A comprehensive analysis was conducted from multiple dimensions,including the representativeness of data,the collection and screening of predictive factors,the outcomes of internal and external validation of models,and their significance for clinical practice.It aims to assist clinical medical staff in accurately identifying modifiable risk factors for oral mucosal pressure injuries and to provide practical guidance for developing targeted preventive and interventional measures.

  • Review Articles
  • Jinlong LIU , Qinqin LIU , Wanchen QU , Wei ZHANG
    doi: 10.12102/j.issn.1009-6493.2026.11.026

    This paper outlined the core characteristics of complexity science and complex adaptive systems,as well as their applicability within nursing education systems.It elaborated on the specific applications and practical outcomes of complexity science in nursing education from four dimensions:curriculum restructuring,innovative teaching strategies,technology-enabled empowerment,and systemic analysis.Finally,the paper summarized the current major challenges,including difficulties in translating theory into teaching practice,outdated evaluation systems,and insufficient complex thinking skills among educators.It proposed future efforts to advance high-fidelity simulation technologies,developed dynamic assessment frameworks,and promoted the establishment of self-organizing learning communities among teachers,thereby facilitating a deeper transition of nursing education toward a complexity-oriented paradigm.

  • Review Articles
  • Wenbo WU , Yifu MU , Tongtong JIANG , Fen LI , Tieying SHI
    doi: 10.12102/j.issn.1009-6493.2026.11.027

    This paper systematically reviewed the concept,assessment tools and status quo of family avoidance of communication about cancer.It analysed the influencing factors of family avoidance of communication about cancer from individuals of both patients and their families,joint communication methods,and sociocultural factors,and summarized relevant intervention measures,aiming to provide scientific basis and practical guidance for improving the treatment and care of family avoidance of communication about cancer in cancer patients.