To develop a postoperative home exercise program for elderly patients with hip fracture,and to evaluate its effectiveness.

Through literature review and Delphi expert consultation,a postoperative home exercise program for elderly patients with hip fracture based on integrated theory of health behavior change(ITHBC) was formed.The elderly patients with hip fracture surgery from a tertiary grade A hospital in Shenzhen city were selected as the research subjects.Among them,35 patients from March to June 2024 were assigned to the control group,and 33 patients from July to September 2024 were assigned to the experimental group.The patients in control group received routine post-discharge care.The patients in experimental group received home exercise intervention in addition to the routine care.The scores of Harris Hip Scale(HHS),6-minute walking distance(6MWD),Activities of Daily Living(ADL),and Self-efficacy for Rehabilitation Outcome Scale(SER) scores of the two groups were compared at the time of discharge,the end of 1st month after discharge,and the end of the third month after discharge.

At the end of 1st month and the end of the third month after discharge,the HHS score,6MWD,ADL score,and SER score of the experimental group were all better than those of the control group(all P<0.05).The exercise compliance of the experimental group showed an overall upward trend.Although there was brief fluctuation in the 5th and 6th weeks,and then followed by recovery and maintenance at a high level.

The postoperative home exercise program for elderly patients with hip fracture based on integrated theory of health behavior change is scientifically and practically feasible.It could effectively improve the exercise function,daily living activity ability,and rehabilitation belief of elderly hip fracture patients,and improve their exercise compliance.

Based on family nurse diet theory and the competency model,to optimize the training program for nutrition support nurses in China,and to verify its scientific validity and practical applicability through a preliminary application,thereby to provide basis for improving the training system.

A preliminary draft of the training program was developed through literature review and semi-structured interviews.A modified Delphi method was used to consult 29 experts over two rounds.The final program was revised based on their opinions.A preliminary application was conducted in Shanxi province.Data on core competencies were collected from 57 nutrition support nurses before and after the training to evaluate the training effect.

The response rates for the two rounds of expert consultation were 85.29% and 100.00% respectively.The expert authority coefficients were 0.876 and 0.907,respectively.The final program consisted of four parts:training objectives,training content,training process,and assessment and evaluation.Core contents included nutrition-related knowledge,whole-process management of nutrition support,competency development,and clinical practice.The preliminary application showed that the post-training core competency score of the nutrition support nurses was significantly higher than the pre-training score (P<0.05).

The training program for nutrition support nurses,to optimize based on the family nurse diet theory and the competency model,is highly scientific and feasible.It can provide a reference for improving the training system for Nutrition Support Nurses in China.

To explore the definition and connotative characteristics of the concept of social isolation among the elderly in nursing homes.

The system retrieved relevant literature on social isolation among the elderly from databases such as PubMed,Web of Science,ScienceDirect,CNKI,SinoMed,WanFang Database,and VIP Database.Rodgers' evolutionary concept analysis was employed for the analysis.

A total of 39 articles were finally included.The manifestations of social isolation among the elderly in nursing homes included spatial isolation,interpersonal isolation,emotional isolation,event isolation,and ability isolation.The antecedent variables included demographic factors,health factors,social participation,and the length of residence in nursing homes.The outcome indicators of social isolation for the elderly in nursing homes were their impact on physical health,quality of life,cognitive ability,suicide rate and mortality.

The assessment of social isolation is an important indicators of the quality of life for the elderly.Defining social isolation of the elderly in nursing homes helps caregivers accurately identify and intervene in the occurrence and development of social isolation among the elderly.It could reduce the adverse effects of social isolation on the elderly,and provide decision-making references for the sustainable development of institutional elderly care and the formulation of elderly policies.

To explore the application effect of standardized nursing intervention in the no-vomiting ward on reducing chemotherapy-induced nausea and vomiting(CINV) of breast cancer patients treated with antibody-drug conjugates(ADC).

A total of 737 breast cancer patients who received chemotherapy in the oncology department of our hospital from October 2023 to December 2025 were selected for this study.According to the treatment plan,the patients were divided into the ADC group(347 cases) and the traditional chemotherapy group(390 cases).Both groups received basic antiemetic treatment and standardized nursing intervention in the non-vomiting ward.The complete control rate of CINV was evaluated before treatment,during treatment,on the day after treatment,24 hours after treatment,and on the seventh day after discharge both groups.

There was no statistically significant difference in the complete control rate of nausea and vomiting between the two groups(P>0.05).The generalized estimating equation showed that the risk of CINV in the two groups changed differently over time.The severity of nausea was higher and the risk of grade 1 vomiting was higher in the traditional chemotherapy group 24 hours after treatment.

The overall CINV burden of the two groups was comparable,but the temporal characteristics were different.The monitoring of ADC patients should be extended to the seventh day after discharge,and home follow-up management should be strengthened to achieve full-course precise care.

To systematically evaluate the genetic causal relationship between dietary preferences and allergic asthma using Mendelian randomization(MR).

Based on the genome-wide association study(GWAS) data of 187 dietary preferences from the UK Biobank,and the GWAS data of allergic asthma from the FinnGen database,a dual-sample Mendelian randomization analysis was conducted to explore the causal relationship.

The Mendelian randomization causal analysis showed that preferences for bacon,soft cheese,and cornflakes were positively associated with the risk of allergic asthma,while the preference for high-fiber vegetables showed protective effect against allergic asthma.The robustness of the results was verified through heterogeneity tests and level pleiotropy analysis.The leave-one-out sensitivity analysis results indicated that there was no dominant effect of a single-nucleotide polymorphism.

Preference for bacon,soft cheese,and cornflakes may increase the risk of allergic asthma,while preference for high-fiber vegetables may have protective effect.The research results provide preliminary genetic causal evidence for formulating dietary intervention-based prevention and control strategies for allergic asthma.

To evaluate the practicality,effectiveness,and sustainability of implementing the "Standard of Quality Management for Cytotoxic Drugs Compounding in Healthcare Institutions" using the exploratory-preparation-implementation-continuous model.

From July 2022 to September 2023,ten qualified pharmacists and ten qualified nurses from the pharmacy intravenous admixture service at the Children's Hospital of Fudan University were enrolled in the study.The levels of knowledge,attitude and practice of medical staff,their behavioral compliance,as well as the quality of practice behaviors regarding intravenous cytotoxic drugs were compared before and after the implementation of the regulations.

Following implementing the standard,the scores for knowledge,attitudes,and coping behavior among medical staff significantly improved(all P<0.05).Compliance increased significantly in 17 of 29 evaluated indicators across the five categories(all P<0.01).The ratio of cytotoxic drug spillage decreased,and the internal error rate dropped(both P<0.01).

Implementation of the "Standard of Quality Management for Cytotoxic Drugs Compounding in Healthcare Institutions" could effectively reduce the risk of exposure and ensure the safety of medication.

To understand the status quo of internalizing and externalizing problem behaviors among rural middle school students,and to explore the mediating role of digital health literacy and active health behaviors between family function and internalizing and externalizing problem behaviors.

In December 2024,a survey was conducted on 1 093 middle school students from 2 rural schools in Fuyang city,Anhui province,using the General Family Functioning Scale,Strengths and Difficulties Questionnaire,the eHealth Literacy Scale,and Adolescent Proactive Health Behavior Scale.

The total detection rates of internalizing and externalizing problem behaviors among 1 093 rural middle school students were 25.1% and 25.8% respectively.The correlation analysis results showed that family function,digital health literacy,and active health behaviors were all negatively correlated with internalizing and externalizing problem behaviors(P<0.05).Path analysis revealed that digital health literacy and active health behaviors played a partial mediating role between family function and internalizing and externalizing problem behaviors,with the mediating effect values being 0.033 and -0.104 respectively.

The detection rate of internalizing and externalizing problems among rural middle school students is relatively higher.In future practice,it is possible to reduce the incidence of internalizing and externalizing problems by strengthening family functions,enhancing digital health literacy,and formulating healthy living plans.

To investigate the willingness,demand,and influencing factors of children of the elderly regarding elderly medical escort services in Shenzhen city,and to provide a theoretical basis for promoting the implementation of such services for the elderly.

Using the convenience sampling method,a total of 526 adult children of the elderly in Shenzhen city,Guangdong province from April to June 2025 were selected for a questionnaire survey.

73.38% of the children expressed willingness to use medical escort services.The top three influencing factors for children's choice of the service of accompanying the elderly during medical treatment were the opinions or ideas of the elderly themselves,the economic ability of the individual or the family,and the content and quality of the accompanying service.

There is a phenomenon that children of the elderly regarding elderly medical escort services have a high demand for medical escort services but a low conversion rate.In the future,a framework of "government guidance + market supply" should be adopted to promote the development of a three-in-one escort service model of "licensed services-medical insurance payment-platform supervision",in order to solve the problems of elderly people's difficulty in accessing medical care and heavy burden on their children.

To explore the application effect of the adaptive-system dual-model psychological nursing based on Rosenthal effect theory for elderly patients undergoing colorectal cancer surgery.

A total of 96 elderly patients with colorectal cancer who were admitted to the Third People's Hospital of Bengbu City,Anhui Province from July 2022 to April 2025 were selected.Among them,48 patients admitted from July 2022 to January 2024 were assigned to the control group,and 48 patients admitted from February 2024 to April 2025 were assigned to the study group.The patients in control group received routine nursing.The patients in study group implemented the adaptation-system dual-model psychological nursing based on Rosenthal effect theory on the basis of routine nursing.The perioperative related indicators and hospital stay of the two groups were compared.The psychological state,coping style,level of perceived social support,hope level and nursing satisfaction of the two groups before intervention and at discharge were also compared.

The recovery time of bowel sounds,the time of first defecation,the time of getting out of bed for activities,and the length of hospital stay in the study group were all shorter than those in the control group(P<0.05).At discharge,the scores of the Psychosocial Adjustment to Illness Scale-Self Report(PAIS-SR), the Self-Rating Depression Scale(SDS), the Self-Rating Anxiety Scale(SAS),and the negative coping score decreased in both groups,and the study group had lower scores than the control group(P<0.05).At discharge,the total scores of the Life Orientation Test-Revised(LOT-R), the positive coping, Perceived Social Support Scale(PSSS), and the Herth Hope Inventory(HHI) increased in both groups,and the study group had higher scores than the control group(P<0.05).The nursing satisfaction rate of the study group was higher than that of the control group(P<0.05).

The adaptation-system dual-model psychological nursing based on Rosenthal effect theory in elderly patients undergoing colorectal cancer surgery could improve the psychological state and coping strategies of elderly patients undergoing colorectal cancer surgery,enhance their perception of social support and hope levels,promote postoperative recovery,shorten hospital stay,and increase nursing satisfaction.

To explore the facilitating and obstructive factors for nurses to fulfill the responsibility of ensuring patient safety in the context where the International Council of Nurses has incorporated this responsibility into the core duties of nurses,and to provide empirical evidence for the construction of a systematic support strategy.

The purposive sampling method was adopted to select experts in the fields of medicine,nursing,management,and education for semi-structured interviews.Content analysis was used for data collection and analysis.

A total of 16 interviewees were included.The facilitating factors for nurses to fulfill their responsibilities of ensuring patient safety included four themes:enhancement of professional values and professional autonomy,initial formation of national policy support and industry consensus,leadership commitment and systematic support,and positive participation intentions from patients and their families.The obstructive factors included four themes:increased occupational pressure and ambiguous accountability,structural barriers in internal collaboration,shortage of resources and lagging training system,and absence of a fair safety culture and non-punitive mechanism.

The International Council of Nurses' inclusion of patient safety in the core responsibilities of nurses is a high recognition of the value of the nursing profession,driving the transformation of the nursing role towards a more proactive and leadership-oriented paradigm.It is suggested that all parties work together to maximize the utilization of existing facilitating factors,and create a supportive system for nurses to fulfill their core safety responsibilities.