To observe the effectiveness of a family nurse dietary therapy regimen,developed based on the family nurse dietary therapy theory,in improving the severity of menopausal symptoms,metabolic indicators,and oxidative stress levels in overweight and obese patients with perimenopausal syndrome.

A total of 70 overweight and obese patients with perimenopausal syndrome were selected as study subjects from the gynecology outpatient clinic of a tertiary grade A hospital and a resident community in Shanxi province from May 25,2025 to August 29,2025.Patients were randomly divided into control group and intervention group,35 cases each.The control group patients received a conventional dietary program,while the intervention group cases received the family nurse dietary therapy regimen in addition to routine care.Anthropometric indicators,blood biochemical indicators,inflammatory indicators,and oxidative stress indicators were evaluated before the intervention and 6 weeks after the intervention.

During the intervention period,8 cases dropped out,31 patients in each group completed the trial.After 6 weeks of intervention,the intervention group demonstrated significantly lower levels than those before the intervention in terms of body weight,body mass index(BMI),waist circumference,abdominal circumference,hip circumference,body fat mass,visceral fat area,fasting plasma glucose(FPG),fasting insulin(FINS),homeostatic model assessment for insulin resistance(HOMA-IR),total cholesterol(TC),triglycerides(TG),low-density lipoprotein cholesterol(LDL-C),homocysteine(Hcy),alanine aminotransferase(ALT),aspartate aminotransferase(AST),blood urea nitrogen(BUN),serum creatinine(Scr),serum uric acid(UA),tumor necrosis factor-alpha(TNF-α),high-sensitivity C-reactive protein(hs-CRP),interleukin-6(IL-6),and malondialdehyde(MDA).Furthermore,the BMI,abdominal circumference,hip circumference,body fat mass,FPG,HOMA-IR,TG,LDL-C,Hcy,TNF-α,hs-CRP,IL-6,and MDA were significantly lower in the intervention group than that in the control group at the same time.Superoxide dismutase(SOD) levels were higher in the intervention group than that before the intervention.The SOD was significantly higher in the intervention group that in the control group at the same time(P<0.05).

The family nurse dietary therapy regimen,rich in non-nutrients,alleviated menopausal symptoms and effectively improved body composition,glucose and lipid metabolism,and inflammatory and oxidative stress levels in overweight and obese patients with perimenopausal syndrome.

To investigate the correlation between adverse outcomes and the Geriatric Nutritional Risk Index(GNRI) in elderly patients with bacterial pneumonia.

Based on the MIMIC-Ⅳ 2.2 database,a total of 2 903 elderly patients with bacterial pneumonia were selected as the study subjects. Nutritional risk was classified into four grades according to GNRI.The relationship between 28-day mortality and GNRI in elderly patients with bacterial pneumonia was elucidated using restricted cubic splines(RCS),Kaplan-Meier regression analysis,Cox proportional hazards regression models,and subgroup analysis.The Boruta algorithm was employed to rank the importance of predictors for 28-day mortality.

A non-linear negative correlation was observed between 28-day mortality and GNRI in elderly patients with bacterial pneumonia(P<0.001).GNRI value of 90.281 was identified as the critical point for clinical intervention.An elevated GNRI was associated with reduced mortality.The results of the Cox proportional hazards regression model indicated that GNRI was a significant predictor of 28-day mortality(P<0.001).Subgroup analysis revealed that factors such as demographic characteristics and comorbidities did not have statistically significant impact on the relationship between 28-day mortality and GNRI(P>0.05).GNRI was identified as one of the key influencing factors for 28-day mortality.

GNRI has demonstrated predictive value for short-term mortality in elderly patients with bacterial pneumonia.Nutritional support for elderly patients with bacterial pneumonia during treatment may reduce their mortality.

To explore the change trajectories of estimated cardiorespiratory fitness(eCRF) among middle-aged and older adults in China based on data from the China Health and Retirement Longitudinal Study(CHARLS) and to analyze the relationship betweent different classification of the trajectories and the risk of cardiovascular disease.

Data from 4 172 middle-aged and older adults who completed follow-up in CHARLS from 2011 to 2020 were included.eCRF levels in 2011,2013,and 2015 were calculated using non-exercise equations.Group-based trajectory modeling was employed to identify the classification of the eCRF change trajectories.Logistic regression was used to analyze the relationship between the classification of the eCRF change trajectories and the risk of cardiovascular disease,followed by subgroup analyses.

Among the 4 172 participants,1 150 developed cardiovascular disease,yielding an incidence rate of 27.6%.Three distinct eCRF change trajectories were identified,namely low-increasing then decreasing group(7.5%),moderate-rapidly decreasing group(28.0%),and high-slowly decreasing group(64.5%).After adjusting for multiple variables,Logistic regression showed that compared with the high-slowly decreasing group,both the low-increasing then decreasing group(OR=1.90,95%CI 1.43-2.51) and the moderate-rapidly decreasing group(OR=1.42,95%CI 1.20-1.69) had a higher risk of cardiovascular disease.Subgroup analyses revealed an interaction between the classification of the eCRF change trajectories and hypertension(P=0.008).

Group heterogeneity exists in eCRF change trajectories among middle-aged and older adults in China.Those with higher eCRF levels tend to have a lower risk of cardiovascular disease.Hypertensive status may influence the relative strength of the association between the classification of the eCRF change trajectories and the risk of cardiovascular disease.

To investigate the trajectories of symptom clusters in rectal cancer patients undergoing neoadjuvant chemotherapy and to analyze their correlation with postoperative recovery indicators.

A convenience sampling method was used to select 120 rectal cancer patients admitted to a tertiary grade A hospital in Shanghai city from April to December 2024 as study subjects.Patient symptom burden was assessed at five time points,namely before neoadjuvant chemotherapy(T1),after the first chemotherapy cycle(T2),after the second chemotherapy cycle(T3),after the third chemotherapy cycle(T4),and 3-5 days before surgery(T5).Exploratory factor analysis was employed to extract symptom clusters.Latent class growth modeling(LCGM) was used to identify the trajectory classes of the symptom clusters.Postoperative recovery indicators,including body weight,diet type,wound healing status,bowel function,and complication severity,were compared among different trajectory classes of symptom clusters.

There three stable symptom clusters were consistently identified across the five time points in rectal cancer patients,namely a core neurotoxicity symptom cluster,a gastrointestinal reaction symptom cluster,and a psychological stress symptom cluster.The cumulative variance contribution rate ranged from 66.71% to 80.60%.Patient symptom burden increased at T3 and peaked at T4.LCGM identified three trajectory classes for the core neurotoxicity symptom cluster,two for the gastrointestinal reaction symptom cluster,and two for the psychological stress symptom cluster.Statistically significant differences(all P<0.05) were found in body weight,diet type,bowel function,and complication severity among different trajectory classes of the core neurotoxicity symptom cluster.Significant differences(all P<0.05) were found in body weight,bowel function,and complication severity among different trajectory classes of the gastrointestinal reaction symptom cluster.Significant differences(all P<0.05) were found in body weight,diet type,and wound healing status among different trajectory classes of the psychological stress symptom cluster.

Symptom clusters in rectal cancer patients undergoing neoadjuvant chemotherapy show a progressively worsening trend with group heterogeneity.The trajectory classes of each symptom cluster have a certain impact on patients' postoperative recovery indicators.

To investigate nursing undergraduates' readiness and intention to use artificial intelligence,and to elucidate the path of action through which artificial intelligence readiness influences their intention to use artificial intelligence based on the technology acceptance model.

Using convenience sampling,460 nursing undergraduates from five universities in Shandong,Henan,and Sichuan provinces were selected from March to July 2025.Participants were surveyed using a general information questionnaire,the Artificial Intelligence Technology Acceptance Scale,and the Medical Artificial Intelligence Readiness Scale for Medical Students.

Among the 460 nursing undergraduates,the mean item score for artificial intelligence use intention was 5.53±1.13.Mean item scores for dimensions of the Medical Artificial Intelligence Readiness Scale for Medical Students,from lowest to highest,were cognition 2.85±0.79,ability 3.32±0.75,vision 3.54±0.72,and ethics 3.85±0.75.Path analysis results showed that cognition,ability,and ethics indirectly influenced artificial intelligence use intention through the mediating effect of perceived usefulness.Furthermore,cognition,ability,and vision indirectly influenced artificial intelligence use intention through the chain-mediating effects of perceived ease of use and perceived usefulness.

Nursing undergraduates' intention to use artificial intelligence is moderately high,but considerable room for improvement remained.Nursing educators should strengthen training in artificial intelligence knowledge and application skills for nursing undergraduates,while simultaneously fostering their forward-looking vision and awareness of ethics.These measures may enhance nursing undergraduates' artificial intelligence readiness,improve their perceived ease of use and perceived usefulness of artifical intelligence,and consequently increase their intention to use artificial intelligence.

To explore the influencing factors of adrenal crisis(AC) in children with nephrotic syndrome.To construct a risk prediction model,and validate its performance.

A total of 436 children with nephrotic syndrome admitted to the department of pediatric nephrology and rheumatology of a tertiary hospital in Guangdong province from May 2021 to May 2024 were selected as the study subjects.The children were divided into a training set(305 cases) and a validation set(131 cases) at a ratio of 7∶3.LASSO regression analysis and ten-fold cross-validation were used to screen significant variables influencing the occurrence of AC in children with nephrotic syndrome.Logistic regression analysis was employed to identify the influencing factors of AC in children with nephrotic syndrome.The performance of the model was evaluated using the area under the receiver operating characteristic curve(AUC),the Hosmer-Lemeshow goodness-of-fit test,calibration curves,and clinical decision curves.

Among the 436 children with nephrotic syndrome,60(13.76%) developed AC.Logistic regression analysis showed that the type of hormone effect,nephrotic syndrome recurrence>3 times,concurrent infection,previous history of AC,irregular use of traditional Chinese medicine,and excessively rapid hormone tapering or abrupt withdrawal were influencing factors for AC in children with nephrotic syndrome(all P<0.05).In the training set,the AUC was 0.831,the sensitivity was 0.767,the specificity was 0.756,the Kappa value was 0.343,and the Youden index was 0.523.In the validation set,the AUC was 0.855,the sensitivity was 1.000,the specificity was 0.561,the Kappa value was 0.249,and the Youden index was 0.561.The calibration curves of both the training set and the validation set were close to the ideal curves.The Hosmer-Lemeshow test yielded a χ² of 1.131(P=0.769) for the training set and a χ² of 7.271(P=0.064) for the validation set.The clinical decision curves indicated that the risk threshold probability ranged from 0.02 to 0.94 in the training set and from 0.02 to 0.60 in the validation set.

The risk prediction model for AC in children with nephrotic syndrome demonstrated good discrimination,accuracy,and clinical decision-making performance,which may assist healthcare providers in the early identification of children with nephrotic syndrome at risk of AC.

To explore the pressure injury incidence and influencing factors in elderly patients with different activity levels.

A multicenter cross-sectional survey was conducted,enrolling elderly patients aged≥65 years from eight tertiary hospitals. Data on general information,health status,skin examination,and implementation of preventive measures were collected using uniformly trained research tools and methods.

A total of 4 851 elderly patients were included,of whom 107 developed pressure injuries,resulting in an incidence rate of 2.2%.Among the independently mobile group,7(0.2%) developed pressure injuries.Among the crutches/assistance/wheelchairs group,16(1.9%) developed pressure injuries.Among the bedridden group,84(7.9%) developed pressure injuries.In the independently mobile group,age,dietary status,and type of dressing at pressure sites were independent risk factors for pressure injuries.In the crutches/assistance/wheelchair group,the Braden score was an independent risk factor.In the bedridden group,education level,Braden score and type of dressing at pressure sites were independent risk factors.

The incidence of pressure injuries in elderly patients is closely related to their activity levels,with lower activity levels associated with higher incidence rates.Risk factors for pressure injuries vary among patients with different activity levels.Targeted stratified prevention strategies should be implemented for independently mobile,crutches/assistance/wheelchair,and bedridden patients,focusing on key factors such as advanced age,nutrition,Braden score,medication use,and local dressing applications to effectively reduce the risk of pressure injuries.

To explore the categories of decision fatigue in young and middle-aged breast cancer patients,analyze their influencing factors,and construct a Nomogram model.

A total of 188 young and middle-aged breast cancer patients admitting to our hospital were selected as the study subjects by a convenience sample method from June 2023 to January 2025.The patients were surveyed using a general information questionnaire,the Decision Fatigue Scale,the Chinese version of the Decision Self-Efficacy Scale,the Decision Preparation Scale,and the Family Care Index.A latent class growth model was used to identify the categories of decision fatigue among patients. Logistic regression analysis was employed to screen for factors influencing decision fatigue categories.The R 4.2.1 software was used to construct a Nomogram model.The predictive performance of the Nomogram model was evaluated.

The decision fatigue score of young and middle-aged breast cancer patients was 17.74±2.63.Two categories were identified,namely a low decision fatigue group(70.2%) and a high decision fatigue group(29.8%).Age,education level,average monthly household income,awareness of specific tumor stage,whether radiotherapy or chemotherapy had been received,family care index,decision preparation score,and decision self-efficacy score were all influencing factors for decision fatigue categories in young and middle-aged breast cancer patients(P<0.05).A Nomogram model for predicting the risk of high decision fatigue in young and middle-aged breast cancer patients was constructed based on the influencing factors.The area under the receiver operating characteristic curve was 0.864,with a sensitivity of 87.50% and a specificity of 77.42%.The calibration curve approached the ideal curve.The net benefit value of the model was positive when the threshold probability ranged from 2% to 97%.

The level of decision fatigue in young and middle-aged breast cancer patients is relatively higher.Decision preparation and decision self-efficacy could influence decision fatigue categories.The Nomogram constructed in this study is beneficial for identifying patients with high decision fatigue.

To analyze the developmental trajectories of illness perception in patients with diabetic ketoacidosis(DKA) and to analyze the influencing factors.

A total of 197 hospitalized patients with DKA admitted to our hospital were selected as the study subjects by a convenience sampling method from February 2022 to December 2023.Surveys were conducted at admission,and at 1 month,3 months,and 6 months after admission using a general information questionnaire,the Summary Diabetes Self-Care Activities,the 10-Item Connor-Davidson Resilience Scale,the Brief Illness Perception Questionnaire,and the Hospital Anxiety and Depression Scale.Latent class growth modeling was used to identify the classification of the developmental trajectories of illness perception in patients with DKA.Logistic regression analysis was employed to explore influencing factors.

Illness perception scores of patients with DKA at admission and at 1 month,3 months,and 6 months after admission were 45.78±12.35,40.18±9.27,36.87±7.51,and 36.33±7.44,respectively.Latent class growth modeling identified three distinct developmental trajectories of illness perception in patients with DKA,namely a significant decline group(45 patients,accounting for 22.8%),a decline followed by increase group(90 patients,accounting for 45.7%),and a slow decline group(62 patients,accounting for 31.5%).Logistic regression analysis results showed that educational level,average monthly income,disease severity of DKA,anxiety,depression,diabetes self-management behaviors,and psychological resilience were all influencing factors for the classification of the developmental trajectories of illness perception in patients with DKA(all P<0.05).

The developmental trajectories of illness perception in patients with DKA exhibit group heterogeneity.Healthcare providers should develop targeted intervention strategies based on the influencing factors associated with different classification of the developmental trajectories to improve the illness perception of patients.

To explore the screening decision-making dilemmas among intergenerational first-degree relatives of patients with colorectal cancer.

A longitudinal qualitative research method was adopted.A total of 32 first-degree relatives of patients with colorectal cancer treated in the department of gastrointestinal surgery at a tertiary grade A hospital in Wuhan city were selected as the study subjects from September to December 2024.Three semi-structured interviews were conducted regarding their decision-making dilemmas about undergoing colonoscopy screening.The dilemmas at different time points were summarized and analyzed using the Colaizzi 7-step analysis method.

Based on three time points,16 themes regarding the screening decision-making dilemmas among intergenerational first-degree relatives of patients with colorectal cancer were summarized from different generational perspectives.During the first week after surgery,three months after discharge,and six months after discharge,the screening decision-making dilemmas of first-degree relatives overall were,in turn,lack of knowledge,insufficient resources and conditions,and inadequate psychological preparation.For first-generation first-degree relatives,the screening decision-making dilemmas were,in turn,psychological concerns,insufficient improvement in screening awareness,and age bias.For second-generation first-degree relatives,the screening decision-making dilemmas were,in turn,role conflict,limited family support,and life conflicts.For third-generation first-degree relatives,the screening decision-making dilemmas were,in turn,focus on personal feelings,influence of life attitudes,and lack of encouragement.

The screening decision-making dilemmas among different generations' first-degree relatives of patients with colorectal cancer varied and changed over time.Healthcare providers could implement targeted interventions based on the characteristics of these dilemmas at different time points to help improve the rate of colonoscopy screening.

To explore the categories of health-related quality of life(HRQoL) in patients with pulmonary arterial hypertension(PAH) and to analyze their influencing factors.

A total of 152 PAH patients who attended the outpatient clinic of a tertiary hospital in Beijing city were selected as the survey subjects by convenience sampling method from February to September 2022.The survey was conducted using a general information questionnaire,the Comprehensive Score for Financial Toxicity Functional Assessment of Chronic Illness Therapy(COST),the Tilburg Frailty Scale,the Hospital Anxiety and Depression Scale(HADS),and the PAH-specific HRQoL scale(EmPHasis-10).Mplus 8.3 software was used for latent profile analysis.Unordered multinomial Logistic regression analysis was used to explore the influencing factors.

The total EmPHasis-10 score of PAH patients was 23.09±12.61.Their HRQoL was classified into three categories,namely good function group(28.29%),moderate limitation group(38.82%),and severe limitation group(32.89%).The regression analysis results showed that the 6-minute walk distance(6MWD),pulmonary artery systolic pressure,age,COST score,Tilburg Frailty Scale score,and HADS anxiety subscale score were the influencing factors for the HRQoL categories in PAH patients(P<0.05).

The HRQoL of PAH patients exhibits group heterogeneity.Nursing staff should develop individualized interventions based on the influencing factors of different HRQoL categories to improve patients' functional status and quality of life.

To investigate the categories of body image dissatisfaction among young adults and analyze their influencing factors.

A total of 3 990 students from four schools in Luzhou and Yibin cities were selected as research subjects by a convenience sampling method from November 2024 to January 2025.Surveys were conducted using a general information questionnaire,the Chinese Short Version of the Negative Physical Self Scale(NPSC),the Sociocultural Attitudes' Toward Appearance Questionnaire-3(SATAQ-3),the Chinese version of Dutch Eating Behavior Questionnaire-Restrained eating(DEBQ),and the Chinese version of Beck Depression Inventory(BDI-Ⅱ).Latent profile analysis and Logistic regression analysis were employed to explore the categories of body image dissatisfaction among young adults and their influencing factors.

The score on the Chinese Short version of NPSC for 3 990 young adults was 2.47±0.56.Body image dissatisfaction among young adults was classified into four categories,namely stable satisfaction type(51.0%),mild dissatisfaction type(31.4%),moderate dissatisfaction type(6.4%),and clinical risk type(11.3%).The results of Logistic regression analysis showed that gender,school type,BMI,SATAQ-3 score,Chinese version of DEBQ score,and Chinese version of BDI-Ⅱ score were influencing factors for the categories of body image dissatisfaction among young adults(all P<0.05).

Body image dissatisfaction among young adults was at a moderate level,and there was group heterogeneity.Researchers could develop intervention measures based on the influencing factors to help young adults establish a positive body image.

To summarize the best evidence for early postoperative respiratory rehabilitation in patients undergoing cardiopulmonary bypass cardiac surgery,and to provide support for clinical practice.

An evidence-based question was constructed based on the PIPOST model.Following the "5S" model for evidence retrieval,relevant literature on early postoperative respiratory rehabilitation in patients undergoing cardiopulmonary bypass cardiac surgery was systematically searched in domestic and international databases and related websites.The search period ranged from database inception to February 28,2025.Literature quality assessment and evidence extraction were performed independently by two researchers.

A total of 20 articles were included,consisting of 2 clinical decisions,2 guidelines,2 expert consensus reports,8 systematic reviews,and 6 randomized controlled trials.Finally,27 pieces of evidence were summarized across 12 themes,namely multidisciplinary team,timing of initiation,mechanical ventilation management,sedation and analgesia,lung recruitment strategies,respiratory muscle training,assisted breathing function training,positioning management and early mobilization,safety monitoring,nutritional management,pulmonary embolism prevention,and psychological care.

The best evidence for early postoperative respiratory rehabilitation in patients undergoing cardiopulmonary bypass cardiac surgery,as summarized in this study,covers aspects such as intervention,monitoring,and support.It is recommended that nursing staff apply the evidence selectively based on the specific clinical context to improve the quality of respiratory rehabilitation.

To summarize the evidence on the transition from nasogastric tube feeding to oral feeding in children.

Clinical decisions,guidelines,evidence summaries,systematic reviews, and expert consensus reports on the transition from nasogastric tube feeding to oral feeding in children were retrieved from Chinese and English databases,as well as various nursing associations and guideline websites.The search period was from the establishment of the databases to June 15,2025.Two researchers trained in evidence-based knowledge performed quality evaluation,evidence extraction,summarization,and grading of the included literature.

A total of 5 papers were included,consisting of 1 expert consensus,2 systematic reviews,1 guideline,and 1 clinical decision.A total of 14 pieces of evidence were summarized across four aspects,namely assessment,swallowing function intervention,formulation of transitional feeding plans,and health education.

This study summarized the evidence related to the transition from nasogastric tube feeding to oral feeding in children,which is expected to provide a reference for evidence-based practice for clinical nursing staff,assist children with nasogastric tube feeding in successfully transitioning to oral feeding,and improve patient prognosis.

To explore the developmental trajectories of fatigue during the vulnerable phase in elderly patients with heart failure and to analyze their influencing factors.

A total of 291 elderly patients during the vulnerable phase with heart failure were selected from a tertiary grade A hospital in Shandong province as the study subjects by a convenience sampling method from August 2023 to August 2024.Follow-up assessments were conducted at four time points during the vulnerable phase.Data were collected using a general information questionnaire,the Multidimensional Fatigue Inventory-20(MFI-20),the Insomnia Severity Index(ISI),the Generalized Anxiety Disorder-7(GAD-7),Patient Health Questionnaire-9(PHQ-9),and the Perceived social support scale(PSSS).Latent class growth modeling(LCGA) was used to explore the classification of the developmental trajectories of fatigue during the vulnerable phase in elderly heart failure patients.Multivariate Logistic regression analysis was employed to identify influencing factors.

Three fatigue developmental trajectories during the vulnerable phase were identified in elderly patients with heart failure,namely a persistently high-level group(71.8%),a group that first decreased and then increased(12.4%),and a low-level with relief group(15.8%).Logistic regression analysis showed that age,number of comorbidities,left ventricular ejection fraction,insomnia,anxiety,depression,social support,and marital status were influencing factors for the classification of the developmental trajectories of fatigue during the vulnerable phase in elderly patients with heart failure(all P<0.05).

There is group heterogeneity in the classification of the developmental trajectories of fatigue during the vulnerable phase in elderly patients with heart failure.Different trajectories have distinct influencing factors.Healthcare providers should implement targeted interventions to improve patients' prognosis.

To explore the application effect of staged information support based on cognitive load theory in the perioperative period of elderly patients undergoing major orthopedic surgery.

A total of 78 elderly patients undergoing major orthopedic surgery in Hebei Medical University Third Hospital were selected as the study subjects from August 2024 to May 2025.The 38 patients admitted from August to December 2024 were assigned to the control group,and the 40 patients admitted from January to May 2025 were assigned to the experimental group.The control group received routine nursing interventions,while the experimental group received staged information support based on cognitive load theory in addition to routine nursing interventions.The two groups were compared in terms of patients' cognition and perception of their own diseases,anxiety level,rehabilitation exercise self-efficacy,and readiness for hospital discharge.

The score of Brief Illness Perception Questionnaire and score of Geriatric Anxiety Inventory of the experimental group at discharge were lower than those before intervention and those in the control group at the same time period(all P<0.05).The score of Chinese version of the Self-Efficacy for Rehabilitation Scale in the experimental group on 1st day before discharge and score of Readiness for Hospital Discharge Scale on 7th day after surgery were higher than those on 3rd day after surgery and those in the control group at the same time period(all P<0.05).

Staged information support based on cognitive load theory could reduce the incorrect cognition of the disease in elderly patients undergoing major orthopedic surgery,alleviate their anxiety,and improve their rehabilitation exercise self-efficacy and readiness for hospital discharge.

To investigate the application effect of rehabilitation nursing with occupational therapy based on a healing garden in stroke patients.

A total of 111 stroke patients admitted to our hospital from July 2024 to May 2025 were selected as the study subjects.The 56 stroke patients admitted from July to December 2024 were included in the control group,and 55 stroke patients admitted from January to May 2025 were included in the experimental group.The control group received conventional nursing care,while the experimental group received rehabilitation nursing with occupational therapy based on a healing garden.The results in two groups were compared in terms of cognitive function,ability of daily living,limb motor function,rehabilitation self-efficacy,and quality of life.

After 4 weeks of intervention,the scores of the Montreal Cognitive Assessment(MoCA),Ability of Daily Living(ADL) scale,Fugl-Meyer Assessment(FMA),Self-Efficacy for Rehabilitation(SER) scale,and the World Health Organization Quality of Life-BREF(WHOQOL-BREF) in the experimental group were higher than those in the control group(all P<0.05).

Rehabilitation nursing with occupational therapy based on a healing garden could effectively improve patients' cognitive function,ability of daily living,and limb motor function,enhance their rehabilitation self-efficacy and quality of life.

To construct a risk prediction model for contrast-associated acute kidney injury(CA-AKI) in elderly patients with lower extremity arteriosclerosis obliterans(ASO) after interventional surgery and to perform internal validation.

A total of 685 elderly patients with ASO who underwent interventional treatment in a tertiary grade A hospital in Zhejiang province from January 2022 to December 2024 were selected as the study subjects.According to a 7∶3 ratio between the modeling group and the validation group,479 patients were included in the modeling group and 206 patients were included in the validation group.Logistic regression analysis was used to identify influencing factors for CA-AKI occurrence in elderly patients with ASO after interventional surgery.A risk prediction model was constructed. The clinical validity of the model was evaluated using the area under the receiver operating characteristic curve(AUC),Hosmer-Lemeshow test,calibration curve,and decision curve analysis(DCA).

The incidence of CA-AKI was 5.43% in the modeling group and 4.85% in the validation group. Logistic regression analysis showed that acute lower limb ischemia,serum albumin and estimated glomerular filtration rate were independent influencing factors for CA-AKI occurrence(P<0.05).The AUC of the constructed prediction model was 0.84(95%CI 0.76-0.91),with a sensitivity of 68.0%,specificity of 87.0%,and a maximum Youden index of 0.550.The Hosmer-Lemeshow test results showed χ²=9.602(P=0.294).The calibration curve demonstrated good agreement between predicted risk and actual risk.The DCA curve indicated that the prediction model could achieve net benefit within the clinically relevant threshold probability range.The AUC for internal validation was 0.79(95%CI 0.68-0.90),with a sensitivity of 45.5% and specificity of 87.7%.

The risk prediction model for CA-AKI occurrence in elderly patients with ASO after interventional surgery has good predictive performance and could provide a reference for early clinical identification of high-risk populations for CA-AKI in elderly patients with ASO after interventional surgery.

To construct a nursing management system in the context of high-quality development based on transformational leadership theory and to explore its application effects.

Registered nurses and patients from Shanxi Bethune Hospital were selected as study subjects during two periods(January 1 to December 31,2020,and January 1 to December 31,2024).A total of 1 199 nurses and 2 376 patients enrolled between January 1 and December 31,2020 were assigned to the pre-intervention group.While 1 794 nurses and 3 253 patients enrolled between January 1 and December 31,2024 were assigned to the post-intervention group.Guided by the work vision of "humanity,quality,and innovation" and drawing on the "4I" framework of transformational leadership theory(idealized influence,inspirational motivation,intellectual stimulation,and individualized consideration),a comprehensive nursing management system was developed and implemented.Before and after the intervention,nurses' retention intention,nurses' job satisfaction rate,and discharged patients' satisfaction rate were evaluated.

Nurses' retention intention score increased from 18.95±4.78 before the intervention to 20.95±5.03 after the intervention.Satisfaction rates across all dimensions and overall were higher for both nurses and discharged patients compared with pre-intervention levels(all P<0.05).

The clinical application of the nursing management system based on transformational leadership theory improved nurses' retention intention,enhanced nurse and patient satisfaction.

To conduct a scoping review of the application of patient journey maps in the health management of patients with chronic diseases.

Following the scoping review methodology,relevant Chinese and English literature on the application of patient journey maps in the health management of patients with chronic diseases was retrieved from databases including CNKI,Wanfang Data,VIP,CBM,Cochrane Library,PubMed,CINAHL,EMbase,and Web of Science.The retrieval period spanned from database establishment to August 1,2025.Two researchers independently screened the literature and extracted data.

A total of 32 articles were included.Patient journey maps were most commonly used for health management in patients with cancer and cardiovascular diseases.The types of patient journey maps included 5 types,namely the overall patient journey maps,patient psychological(cognitive) model maps,patient-caregiver interaction maps,service blueprint maps,and care environment spatial maps.Presentation formats included 4 types,namely flowcharts,timelines,line graphs,and mixed formats.Application contents included identifying patient needs,identifying service gaps in healthcare,decision-making information support,disease management,transitional care,and assisting in the design and development of tools.

The application of patient journey maps in the health management of patients with chronic diseases has shown positive effects.However,it is still in the preliminary exploration phase.The methodology of patient journey maps has not yet been standardized.High-quality research should be conducted in the future.

To summarize the application of digital health technologies in older adults with mild cognitive impairment(MCI),and to provide a reference for clinical nursing of patients with mild cognitive impairment.

Studies related to the application of digital health technologies in older adults with mild cognitive impairment were retrieved from PubMed,EMbase,CINAHL,Web of Science,Cochrane Library,CNKI, Wanfang Data,VIP Database,and China Biology Medicine Database.And retrieval time was from database establishment to August 20,2025.

A total of 24 articles were included.The digital health technology intervention devices involved were classified into five categories,namely smart applications on mobile devices,computer-assisted cognitive training,wearable devices,virtual reality technology,and digital health technology combined with telemedicine/neuromodulation techniques.Most interventions lasted between 4 and 24 weeks,with a frequency of 2-4 sessions per week.The intervention effects were summarized into three categories,namely core health function outcomes,overall health and quality of life outcomes,and user experience and feasibility.

Digital health technologies could improve cognition,enhance self-management abilities,and improve the quality of life in older adults with mild cognitive impairment.

To conduct a scoping review of studies on joint awareness in patients undergoing hip arthroplasty,aiming to provide references for clinical practice and future research.

Following the scoping review framework,literature on joint awareness in patients undergoing hip arthroplasty was retrieved from CNKI,Wanfang Data,CBM,PubMed,Web of Science,Cochrane Library,EMbase,CINAHL,and ClinicalKey databases.The retrieval time was from database establishment to June 18, 2025.Data extraction and analysis were conducted based on the search results.

A total of 13 studies were included.The factors influencing joint awareness in patients undergoing hip arthroplasty included physiological factors,psychological factors,and sociodemographic factors.Intervention methods consisted of early rehabilitation training,cognitive interventions,and pharmacological interventions,which could promote comprehensive recovery of physiological function as well as reconstruction of mental health and social function.

Joint awareness has been identified as one of the important factors in promoting the recovery of hip function and improving patient treatment adherence and satisfaction.Nursing researchers may draw on the findings of relevant studies to mitigate the impact of interfering factors,dynamically optimize rehabilitation nursing plans,and accelerate the recovery of hip function in patients.