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.