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

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

Objective To explore the effect of resistance training based on modified comprehensive geriatric assessment(CGA) of elderly patients with chronic heart failure and sarcopenia. Methods A total of 80 elderly patients with chronic heart failure and sarcopenia admitted to Ganzhou People's Hospital from July 2023 to July 2024 were selected as the research subjects.They were randcomly divided into control group and test group by random number table method,with 40 cases each.The control group received routine intervention,while the test group received resistance training intervention based on modified comprehensive geriatric assessment.Physical activity status,exercise endurance,quality of life,cardiac function indicators,skeletal muscle function related indicators,and nutritional indicators were compared between two groups. Results After 8 weeks of intervention,the Simplified Physical Fitness Scale(SPPB) scores,6-minute walk test(6MWT),and Activities of Daily Living(ADL) scores in the test group were higher than those in the control group.The Minnesota Heart Failure Quality of Life Scale(MLHFQ) scores was lower than that in the control group(P<0.05).The left ventricular ejection fraction(LVEF) and the ratio of peak e to peak a of forward mitral flow(E/A) were higher than those in the control group.The left ventricular end diastolic diameter(LVEDD) was shorter than that in the control group(P<0.05).The skeletal muscle mass index,walking speed,grip strength,and the duration of 5 sit up tests were better than those in the control group(P<0.05).The body mass index(BMI),upper arm muscle circumference (AMC),lower leg circumference,and triceps skinfold thickness(TSF) were better than those in the control group(P<0.05). Conclusions Resistance training based on modified comprehensive geriatric assessment could improve the physical condition and exercise endurance of elderly patients with chronic heart failure and sarcopenia,enhance their quality of life and cardiac function,and improve skeletal muscle function and nutritional status.

Objective To explore the application effect of multi-component exercise combined with nutritional intervention based on interactive achievement theory in elderly diabetes patients complicated with sarcopenia. Methods A total of 124 elderly diabetes patients complicated with sarcopenia treated in a tertiary grade A hospital in Shanxi province from August to December,2023 were selected as the study subjects.They were randomly divided into test group and control group by random number table method.62 cases each.The control group received routine nursing measures.The test group received the multi⁃component exercise combined with nutrition intervention constructed by the research group.Calf circumference,grip strength,physical function,muscle mass,and quality of life between two groups were compared before intervention and at 3 and 6 months after intervention. Results After intervention,the test group had better grip strength,calf circumference,physical function,muscle mass,and quality of life than the control group(P<0.05). Conclusions The multi-component exercise combined nutrition intervention based on interactive achievement theory was scientific and reliable.The application of this program could effectively improve the related indicators of sarcopenia in elderly diabetes patients complicated with sarcopenia,improve the quality of life of patients,and provide useful reference for clinical nursing practice.

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

This article reviewed the formation process of biofilms,the characteristics of wound biofilm infections,methods for identifying and detecting wound biofilms based on clinical manifestations and laboratory techniques,and promising new methods for bedside biofilm detection,with the aim of helping wound care providers to identify the presence of biofilms at an early stage accurately and to administer comprehensive biofilm management regimens.

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

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

Objective To explore the influence of music intervention guided by soundscape theory on procedural pain⁃related behaviors and electroencephalogram characteristics in neonates. Methods A total of 96 term neonates undergoing radial artery blood sampling in the neonatal intensive care unit of a tertiary grade A general hospital in Guangzhou city from April to December 2024 were selected as the research subjects.They were randomly divided into control group and intervention group by the envelope method,with 48 cases each.Based on the soundscape theory,the intervention group received 50 dB of soothing music starting 5 minutes before radial artery puncture until 10 minutes after needle withdrawal, while the control group received 0 dB of soothing music over the same period.The Behavioral Indicators of Infant Pain score,heart rate,and blood oxygen saturation,and electroencephalogram(EEG) before,during,and after arterial puncture were compared between the two groups. Results Compared to the control group,the intervention group showed significantly lower pain scores at 90 and 120 s after puncture(P<0.05),higher oxygen saturation at 120 s after puncture(P<0.05),and a smaller difference in EEG amplitude changes before and after puncture(P<0.05). Conclusions Music intervention guided by soundscape theory could relieve pain,improve blood oxygen saturation fluctuations,and decrease the amplitude of EEG physiological changes in neonates.

Objective To carry out SWOT analysis of applied network ethnography research in the field of nursing in China,so as to provide strategies for further promoting nursing research. Methods SWOT method was used to analyze the application of network ethnography in nursing field in China and put forward strategies. Results The advantages of applying netnography in the field of nursing in China were:expanding research perspectives and promoting all⁃round development;flexible data collection and authentic data sources;in⁃depth exploration of sensitive topics and discussion of emotional connotations;promoting in⁃depth research in nursing and deepening clinical practice.The disadvantages were:the authenticity and reliability of data are affected by the nursing context;severe challenges in ethics and privacy protection;the complexity of research design and implementation and the professional ability requirements.The opportunities were:national policy support leading the application of netnography in the field of nursing research;technological development providing technical support for netnography research;the transformation of citizens' lifestyles providing the possibility of online network research;the development of modern medical concepts promoting the further deepening of nursing research.The challenges were:the quality of network data;the need to improve relevant policies on privacy protection and ethical norms. Conclusions Our country should develop and improve national policies,provide Internet information technology support,optimize research design and methodology,establish and improve laws and regulations on network ethical review,and promote interdisciplinary integration and innovative practice.