To develop a risk prediction model for suicidal ideation in first-episode schizophrenia patients based on glucose metabolism disorders.

A total of 333 patients with schizophrenia were randomly divided into a training group(n=233) and a validation group(n=100) in a 7∶3 ratio.Positive and Negative Syndrome Scale(PANSS) were used to evaluate psychiatric symptoms.Depressive and cognitive factors were evaluated based on the five-factor model.Fasting blood glucose,glycated hemoglobin,and fasting insulin were collected.The insulin resistance index was calculated.Patients were categorized into groups with and without suicidal ideation by using the Beck Suicide Ideation Scale.In the training group,relevant variables were identified through LASSO and Logistic regression analysis.A Nomogram was constructed to predict the risk of suicidal ideation.The area under the ROC curve(AUC) was used to evaluate the predictive ability of the model.Calibration curve was used to evaluate accuracy.Decision curve analysis(DCA) was used to evaluate clinical practicality.

A Nomogram was constructed based on positive symptoms scores,depressive factors scores,fasting blood glucose,and fasting insulin.The AUC of the training group and validation group were 0.776(95%CI 0.715-0.837) and 0.763(95%CI 0.665-0.860),respectively,indicating good discriminative ability of the model.Calibration analysis and DCA confirmed the clinical applicability of the nomogram.

The Nomogram constructed in this study for predicting the risk of suicidal ideation in patients with schizophrenia could help identify high-risk suicide patients in clinical practice,provide reference for timely implementation of prevention strategies,and reduce suicide risk.

To explore the longitudinal change trajectory of stress response of newly diagnosed AIDS patients and to analyze its influencing factors.

Using convenience sampling method,a total of 116 newly diagnosed AIDS patients in a tertiary grade A hospital in Guangxi Zhuang autonomous region were selected as the research objects.The General Information Questionnaire and Stanford Acute Stress Reaction Scale were used to investigate.Latent growth mixture models were utilized to delineate the trajectory of stress response changes,while binary Logistic regression analysis was employed to identify its influencing factors.

The change trajectory of stress response of newly diagnosed AIDS patients were divided into overall low stress slow decline group(27.6%) and overall high stress rapid decline group(72.4%).Logistic regression analysis showed that payment mode for medical expenses,religious belief and resilience were the influencing factors of latent categories stress reaction change trajectory of newly diagnosed AIDS patients(P<0.05).

There was group heterogeneity in the change trajectory of stress response of newly diagnosed AIDS patients.Personalized assessment and intervention should be carried out based on the change trajectory of stress response of patients.

To explore the potential categories of financial toxicity in caregivers of children with severe β-Thalassaemia,and to analyze the influencing factors of different potential categories,so as to provide reference for the formulation of targeted and individualized intervention programs.

Convenience sampling method was used to select 228 caregivers of children with severe β-Thalassaemia who were treated in a grade A tertiary hospital in Guangxi as survey subjects.The General Information Questionnaire,the Cancer Family Caregiver Financial Toxicity Scale,Connor and Davidson's Resilience Scale(CD-RISC),Social Support Rating Scale were used for investigation.The latent profile analysis was used to determine the category.The influencing factors of different profiles were analyzed by single factor analysis and Logistic regression analysis.

The financial toxicity of the caregivers of children with severe β-Thalassaemia were classified into three categories:low resources and high stress,medium resources and balanced coping,and high resources and active coping.Logistic regression analysis results showed that family monthly income,course of disease,payment method of medical expenses,caregivers' social support level and caregivers' psychological resilience level were the influencing factors of the potential profile of financial toxicity of caregivers of children with severe β-Thalassaemia.

There was obvious heterogeneity in the financial toxicity level of caregivers of children with severe β-Thalassaemia.Medical staff should implement targeted interventions based on the characteristics and influencing factors of the different categories,so as to reduce the financial toxicity of caregivers.

To explore the influencing factors and survival analysis of hospital infection during the period from pre-treatment to hematopoietic reconstitution in patients undergoing allogeneic hematopoietic stem cell transplantation,and to provide reference basis for nosocomial infection and continuous care of hematopoietic stem cell transplant patients.

Retrospective cohort study design was used to collect clinical data and interventable nursing variables in the occurrence and development of infection from 57 patients with allogeneic hematopoietic stem cell transplantation at the Second Hospital of Shanxi Medical University from January 2017 to May 2020.The main influencing factors of infection were analyzed through multivariate Logistic regression.Survival analysis was carried for follow up data of patients until July 1,2023.

During the transplantation period,9 patients did not experience hospital infections,while 48 patients developed hospital infections.Before pre-treatment,there was no statistically significant difference in baseline data between the infected and uninfected groups.As the transplantation protocol progressed,the nutritional and psychological status of the two groups of patients changed,and the difference was statistically significant(P<0.05).Multivariate Logistic regression analysis showed that nutritional status and psychological status were influencing factors for hospital infection in hematopoietic stem cell transplant patients.Follow up until July 1,2023,24 cases died and 33 cases survived,the longest survival time is 79 months.Despite the fact that continuous care outside the hospital has targeted nutritional and psychological interventions,the survival rate of patients with good nutritional and psychological status was still higher than that of the control group.

Nutritional status and psychological status are intervenable nursing factors in hospital infection of patients undergoing allogeneic hematopoietic stem cell transplantation.They are closely related to infection and survival of patients.Emphasizing patients' nutritional status and improving their psychological status not only helps to reduce the risk of hospital infection,but also is one of the factors in improving the quality of continuous nursing outcomes.

To investigate the operation status quo of diabetes specialist nursing outpatient clinics across hospitals in China and to provide reference for the standardized construction of diabetes specialty nursing outpatient clinics in China.

The convenience sampling method was used to investigate the managers of diabetes specialty nursing outpatient clinics in hospitals at all levels across 21 provinces,5 autonomous regions,and 4 municipalities directly by a self-designed questionnaires from May to July 2024.

Among the 1 093 diabetes specialty nursing outpatient clinics,69.63% of diabetes specialty nursing outpatient clinics had independent outpatient clinics.The frequency of weekly consultation was 3(1,9) times.The time of each patient's consultation was (20.52±11.59) minutes.60.20% of diabetes specialty nursing outpatient visiting nurses were part-time.81.06% of diabetes specialty nursing outpatient visiting nurses had a minimum degree of undergraduate.76.30% of diabetes specialty nursing outpatient clinics encountered difficulties in the construction process.77.95% of diabetes specialty nursing outpatient clinics encountered difficulties during operation.

There is a good prospect for the development of diabetes specialty nursing outpatient clinics in China.It is urgent to formulate and implement the national standards for the construction of diabetes specialty nursing outpatient clinics,and to improve supporting policies to promote the sustainable development of diabetes specialty nursing outpatient clinics in China.

To analyze the risk factors for venous thromboembolism(VTE) in patients with heart failure and to construct a risk prediction model.

Clinical data of 1 799 patients with heart failure from a tertiary grade A hospital in Shanxi province from January 2018 to December 2022 were retrospectively collected.Univariate and multivariate Logistic regression analysis were used to screen the risk factors of venous thromboembolism in patients with heart failure.R software was used to construct a risk prediction model and to verify its prediction efficiency.

Among 1 799 patients with heart failure,205 cases(11.4%) developed venous thromboembolism.Logistic regression analysis showed that age,gender,hospitalization times,hospitalization days,NT-proBNP,D-dimer,lower limb varicose veins and PT-INR were influencing factors for venous thromboembolism in patients with heart failure.Based on the above factors,a nomogram risk prediction model was established.The area under the ROC curve was 0.762(95%CI 0.723-0.800).The consistency index of the model was 0.751.

Age,gender,hospitalization times,hospitalization days,NT-proBNP,D-dimer,lower limb varicose veins and PT-INR were the influencing factors affecting venous thromboembolism in patients with heart failure.The prediction model based on the above risk factors has good predictive value.It could effectively predict the risk of venous embolism in patients with heart failure.

To explore the characteristics of comprehensive psychological quality in undergraduate nursing students and to propose corresponding intervention strategies for different types of nursing students,to provide new ideas for optimizing nursing education quality and promoting comprehensive talent development.

From March to July 2024,744 full-time undergraduate nursing students from a regular university in Guangdong Province were selected as research subjects.General Information Questionnaire,Knowledge-Attitude-Practice Questionnaire on Nursing Curriculum-Based Ideological and Political Education,Professional Identity Questionnaire for Nursing Students,Jefferson Scale of Physician Empathy-Nursing Student Version,the Meaning in Life Questionnaire,Learning Burnout Scale for College Students were used to investigated.SPSS 26 and Python software were used to process data.K-means algorithm was applied for cluster analysis.Scatter plots were drawn for visualization analysis.The relationships among relevant variables between different types of nursing students were explored based on the differences in comprehensive psychological quality.

Undergraduate nursing students were categorized into three types:passive burnout type(29.7%),moderate balance type(44.6%),and active engagement type(25.7%).There were significant differences among different types of undergraduate nursing students in terms of curriculum ideological and politics knowledge-belief-behavior,professional identity,learning burnout,sense of meaning in life,and empathy(P<0.001).Visualization analysis showed that curriculum ideological and politics knowledge-belief-behavior was correlated with the comprehensive psychological characteristics of undergraduate nursing students(P<0.001).

There are differences in curriculum ideological and politics knowledge-belief-behavior,professional identity,learning burnout,meaning in life and empathy among different types of nursing students.Personalized intervention strategies should be developed for different types of nursing students to optimize teaching effects and to promote the comprehensive development of nursing talents.

To define the theoretical connotation of rehabilitation motivation and to provide scientific theoretical support for healthcare professionals.

Systematic searches were conducted in databases including CNKI,WanFang Data,VIP,SinoMed,PubMed,Web of Science,Scopus,EMbase,and CINAHL.Literatures were screened according to inclusion and exclusion criteria,and rehabilitation motivation was systematically analyzed by using Walker and Avant's concept analysis method.

A total of 45 articles were included.The defining attributes of rehabilitation motivation were summarized as intrinsic drive,psychological process,and predictor.Antecedents included psychosocial factors,sociodemographic factors,disease-related factors,and rehabilitation service factors.Consequences included improved rehabilitation outcomes,reduced healthcare costs,enhanced quality of life,and increased psychological resilience.

Rehabilitation motivation exhibits multidimensional and complex characteristics,influenced by a combination of various variables,and may significantly impact patients' quality of life.Therefore,it is essential to develop scientific and precise assessment systems to identify patients' rehabilitation motivation and to explore effective intervention strategies so as to facilitate the rehabilitation process.

To translate the Attitudes towards AI Application at Work(AAAW) into Chinese and test its reliability and validity.

The Brislin translation model was adopted for translation,back-translate,cross-culturally adjust and pretest,the Chinese version of the Attitudes towards AI Application at Work was formed.March 2025,a total of 308 clinical nursing staff from two tertiary grade A general hospitals in Suzhou city and Shanghai city were selected as the research subjects.The Chinese version of the Attitudes towards AI Application at Work was used for the investigation to test its reliability and validity level.

The Chinese version of the Attitudes towards AI Application at Work included 6 dimensions and 25 items.Exploratory factor analysis extracted 6 common factors,with a cumulative variance contribution rate of 76.252%.The Cronbach's α coefficient of the scale was 0.893.The test-retest reliability was 0.899.The item-level content validity index ranged from 0.833 to 1.000.The scale-level content validity index/universal agreement was 0.987.Confirmatory factor analysis results showed a good model fit.

The Chinese version of the Attitudes towards AI Application at Work has good reliability and validity.It could be used to assess the attitudes of nurses towards the application of artificial intelligence in the nursing work scenario.

To translate the Dialysis-Related Stigma Scale into Chinese,and to test its reliability and validity.

The Brislin translation model was adopted for forward and back translation of the Dialysis-Related Stigma Scale.On the basis of expert inquiries and pre-surveys,the scale was culturally adapted to form the Chinese version of Dialysis-Related Stigma Scale.A total of 406 dialysis patients from 3 hospitals in Shandong province were selected as the research subjects.The Chinese version of Dialysis-Related Stigma Scale was used for the investigation to test its reliability and validity.

The Chinese version of Dialysis-Related Stigma Scale included 3 dimensions and 9 items.The Cronbach's α coefficient of the scale was 0.854.The split-half coefficient was 0.710.The test-retest reliability was 0.844.The item-level content validity index(I-CVI) ranged from 0.846 to 1.000.The average scale-level content validity index(S-CVI/Ave) was 0.946.Exploratory factor analysis extracted three common factors.The cumulative contribution rate of variance was 79.860%.The results of confirmatory factor analysis showed that the model fit well.

The Chinese version of Dialysis-Related Stigma Scale has good reliability and validity,and could be used as an effective tool to evaluate the stigma of dialysis patients in China.

To develop a digital Literacy Assessment Scale for Medical Staff and test its reliability and validity.

The basic structure of the scale and the initial pool of items were determined based on the European Digital Competence Framework and literature review.The final scale was formed through item analysis and reliability and validity tests.A questionnaire survey was conducted among medical staff in various medical institutions in Guilin from September to December 2023 by using stratified sampling to test the reliability and validity of the scale.

The Digital Literacy Evaluation Scale for Medical Staff included information and data literacy,communication and collaboration,content creation and knowledge management,and privacy security and problem solving four dimensions,20 entries.The I-CVI of the scale ranged from 0.800 to 1.00.The S-CVI/UA was 0.800.The S-CVI/Ave was 0.960.Exploratory factor analysis extracted four male factors with a cumulative variance contribution rate of 75.717%.Validated factor analysis showed,χ²/ν=3.116,RMSEA=0.079,GFI=0.874,CFI=0.935,TLI=0.925,and IFI=0.935,indicating a satisfactory model fit.The Cronbach's alpha coefficient of the scale was 0.958.The Spearman-Brown split-half coefficient was 0.911.

The Digital Literacy Evaluation Scale for Medical Staff constructed in this study has good reliability and could be used as a reliable tool to assess the level of digital literacy of medical staff in China.

To translate the Clinical Nurse Education Skill Acquisition Assessment Scale into Chinese,and to test its reliability and validity.

The Brislin translation model was adopted for forward,back translation cultural adaptation and pre-survey of the Clinical Nurse Education Skill Acquisition Assessment Scale,the Chinese version of Clinical Nurse Education Skill Acquisition Assessment Scale was formed.April 2025,a total of 268 nursing instructors who worked at Affiliated Hospital of Shandong Second Medical University were selected as the research subjects.The Chinese version of Clinical Nurse Education Skill Acquisition Assessment Scale was used for the investigation to test its reliability and validity.

The Chinese version of Clinical Nurse Education Skill Acquisition Assessment Scale included 5 dimensions and 24 items.The item-level content validity index(I-CVI) ranged from 0.880 to 1.000.The scale-level content validity index(S-CVI) was 0.986.The overall Cronbach's α coefficient of the scale was 0.929.The split-half coefficient was 0.810.Exploratory factor analysis extracted five common factors.The cumulative contribution rate of variance was 74.176%.Confirmatory factor analysis showed that all goodness-of-fit indices were within an acceptable range.

The Chinese version of Clinical Nurse Education Skill Acquisition Assessment Scale has good reliability and validity and could be used as an effective assessment tool for the teaching self-efficacy of clinical nursing instructors in China.

To explore the application effect of a modified fall risk assessment tool combined with patient-participation interventions in hospitalized elderly patients at high risk of falls.

Expert consultation was used to improve the Chinese version of the i Engaging Fall self-Assessment Tool,and a pre-survey was conducted on 270 eligible patients.Using convenience sampling method,high-risk elderly patients admitted to the geriatric department of a hospital in Wuhan city from February 2022 to June 2024 were selected as the research subjects.They were divided into a control group(n=236),observation group 1(n=235),and observation group 2(n=232).The control group used the Chinese Version of the i Engaging Fall Self-Assessment Scale.The Observation group 1 used the Modified Chinese Version of the i Engaging Fall Self-Assessment Scale.The observation group 2 received the Modified Chinese Version of the i Engaging Fall Self-Assessment Scale combined with patient-participation interventions.The incidence of falls,the workload of fall prevention nurses,and fall alertness among three groups were evaluated.

In the control group,4 cases experienced falls,with a fall incidence rate of 0.195%.In observation group 1,3 cases experienced falls,with an incidence rate of 0.131%;In observation group 2,only one person fell,with an incidence rate of 0.047%.There were no statistically significant differences in terms of the occurrence of falls among three groups(P>0.05).The duration of fall protection in observation group 2 was shorter than that in observation group 1 and control group(P<0.05).The duration of fall assessment was longer than that in observation group 1 and control group(P<0.05).The total score of the Fall Vigilance Scores and the dimensions of activity safety and environmental alert,physical function alert,drug alert,and cognitive behavioral alert in observation group 2 were higher than those in the control group and observation group 1(P<0.05).

Modified fall assessment tools combined with patient-participation interventions could reduce nursing workload,enhance patients' fall vigilance,and promote patient safety.

To explore the influence of nursing quality supervision model on the role function of nursing staff in the gastroenterology department and the overall nursing quality of the department.

A total of 30 nursing staff in the gastroenterology department of Foshan Hospital of Traditional Chinese Medicine from January 2022 to December 2023 were selected as the research subjects.The routine management mode was implemented from January to December 2022.The nursing quality supervision model was implemented from January to December 2023.The overall nursing quality of the gastroenterology department and the regulatory effectiveness,role functions,and practical abilities of nursing staff before and after the implementation of the supervision model were compared.A total of 100 patients with digestive diseases before and after the implementation of the nursing quality supervision model were selected.Their satisfaction with the nursing services provided in the department were compared.

After supervision,the nursing quality scores of nursing staff in the gastroenterology department(disinfection operation,operation technique,ward nursing,specialized nursing) were higher than that before supervision(P<0.05).The role functions,practical abilities,and regulatory project scores of nursing staff in the gastroenterology department were higher than that before supervision(P<0.05).The satisfaction rate of patients in the gastroenterology department(94.00%) was higher than that before supervision(80.00%)(P<0.05).

The nursing quality supervision model could enhance the role function,and practical ability of nursing staff in the gastroenterology department,while also improve the nursing quality,regulatory effectiveness,and patients' satisfaction rate in the department.

To explore the experience of thirst and needs in stroke patients with nasal feeding,and to provide reference for the construction of thirst management program for stroke patients with nasal feeding.

A descriptive qualitative research method was used to select 16 stroke patients with thirst after nasal feeding in the Department of Neurology of a tertiary grade A hospital in Suzhou city from August to October 2024.The purposive sampling method was used to conduct semi-structured interviews.Based on the theory of unpleasant symptoms,the data were analyzed by directional content analysis combined with traditional content analysis.

A total of five themes were extracted:the characteristics of thirst symptoms(the nature of thirst was burning and knife-like,the time and intensity of occurrence had individual differences,and the degree of distress to patients),the attribution of thirst(physiological factors,psychological factors,environmental factors),the impact of thirst(physical pain,psychological suffering,irrational behavior),the coping of thirst(various coping styles,limitations of coping effects,and concerns about the safety of coping),and unmet needs(emotional and social needs,information needs).

The problem of thirst in stroke patients with nasal feeding is prominent.It is suggested that nursing staff should strengthen the understanding of thirst symptoms and carry out multi-dimensional evaluation,identify multiple influencing factors of thirst in the early stage,pay attention to the negative impact of thirst on patients,and develop a thirst management model of nursing staff as the leading factor and family as the unit and co-participation.

To explore the application effect of modified Seldinger invasive technique in peripherally inserted central venous catheters(PICC) of extremely low birth weight infants.

A total of 496 extremely low birth weight infants who underwent PICC catheterization in the neonatal intensive care unit of Children's Hospital of Fudan University from July 2019 to May 2022 were selected as the study subjects.From July 2019 to October 2020,children who urderwent traditional catheterization techniques with a puncture sheath needle served as the control group.From November 2020 to May 2022,children who urderwent the improved Seldinger minimally invasive catheterization technique with a 24G indwelling needle served as the test group.One-time puncture success rate,the incidence of bleeding at the puncture site,the incidence of catheter-related thrombosis,the incidence of limb swelling,and the occurrence of phlebitis after catheterization between the two groups of newborns were compared.

The one-time puncture success rate of the test group(67.65%) was higher than that of the control group(16.10%).The incidence of bleeding at the puncture site(2.94%) was lower than that of the control group(43.49%).The incidence of phlebitis(6.37%) was lower than that of the control group(12.33%).There were statistically significant differences between the two groups(P<0.05).

The use of modified seldinger technique minimally invasive technique for PICC catheterization in extremely low birth weight infants could not only improve the success rate of a single puncture,but also reduce the incidence of bleeding and phlebitis at the puncture site.

To summary the current status and prospects of the application of artificial intelligence literacy in the nursing field,to provide theoretical basis for the subsequent localization of artificial intelligence literacy assessment tools and the construction of nursing artificial intelligence literacy education system.

Relevant literature on the application of artificial intelligence literacy in the nursing field in CNKI,WanFang Data,VIP database,SinoMed,PubMed,Web of Science,EMbase,Cochrane Library were searched.The retrieval period spanned from the establishment of the database to March 8,2025.

A total of 6 articles were included.Two of them were about the current artificial intelligence literacy status of clinical nurses.Two articles were on the cultivation of nursing education system literacy.Two articles were on the literacy development among nursing students.Four articles were used assessment tools for artificial intelligence literacy.

Artificial intelligence literacy is constantly deepening in the field of nursing.There is an urgent need to develop localized assessment tools,to explore culturally adapted education systems,and to integrate clinical practice paths to adapt the development of nursing disciplines in the new era.