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 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 changing trend and influencing factors of colostomy disgust in patients with enterostomy half a year after operation,so as to provide reference for targeted intervention. Methods A total of 262 patients with enterostomy were followed up with the General Information Questionnaire,the Colostomy Disgust Scale(CDS),Self⁃Compassion Scale(SCS),and the Chinese version of the Acceptance and Action Questionnaire⁃2nd Edition(AAQ⁃II) 1 day before discharge and 1,3,6 months after discharge. Results Colostomy disgust of patients with enterostomy decreased gradually in the first half of the year after operation.Gender,complications,self⁃compassion,and experiential avoidance were the influencing factors of colostomy disgust.Experiential avoidance played a partial mediating role between self⁃compassion and colostomy disgust.The mediating effect accounted for 45.89% of the total effect. Conclusions Colostomy disgust of patients with enterostomy tends to decline half a year after operation.Medical staff could reduce patients' experiential avoidance by implementing self⁃compassion intervention to relieve their colostomy disgust.

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.

Objective To explore the latent classification characteristics and their influencing factors of vicarious trauma among pediatric critical care nurses. Methods Using a convenience sampling method,a total of 319 pediatric critical care nurses from 12 hospitals in Shanxi province were selected from July to August 2024.General Information Questionnaire,Vicarious Trauma Scale for Medical Staff,Regulatory Emotional Self⁃Efficacy Scale,and Simplified Chinese Version of Event Related Rumination Inventory were used for the survey.The categories of pediatric critical care nurses' vicarious trauma were initially explored based on the latent profiles,and the influencing factors of the latent profiles were analyzed using unordered multinomial logistic regression. Results The score of Vicarious Trauma Scale for Medical Staff was 81.60±22.55.Vicarious trauma was divided into four latent profiles:mild trauma response group,emotionally dominant response group,significant negative trauma group,and balanced trauma response group.The regression analysis results showed that age,education level,years of working experience,reproductive status,death of a relative,rescuing a patient,death of a patient under care,regulatory emotional self-efficacy,and rumination were influencing factors of vicarious trauma among pediatric critical care nurses. Conclusions There is population heterogeneity among pediatric critical care nurses in vicarious trauma.Nursing managers can provide individualized interventions to nurses based on the influencing factors of different latent profiles to reduce the level of vicarious trauma among pediatric nurses.

This article reviewed medication⁃related problems,nursing assessment tools for home medication management of elderly patients,the contents,assessment methods,advantages and disadvantages of each assessment tool were compared,to provide reference for nursing staff to develop and reasonably select home medication management nursing assessment tools for elderly patients in China.

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.

This review summarized the proposal and calculation method of the weight⁃adjusted⁃waist index(WWI),its correlation with various diseases,differences from other body measurement tools,as well as its advantages and limitations.It aimed to provide a reference for clinical healthcare professionals to identify obesity more simply and conveniently,and to study the weight⁃adjusted⁃waist index and its associated diseases.

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 understand the postoperative health distress of liver transplant patients,and to establish the core domains of the liver transplantation⁃specific patient⁃reported outcome measurement system. Methods From June 2023 to June 2024,a research group was set up.A first draft of core domains was initially formed through literature analysis,patient interviews,and content analysis of medical records.Through Delphi expert consultation,the suitability of each field was evaluated and revised from the importance of each field and the degree of suitability for patient self⁃report two aspects,to form patient⁃reported outcomes measurement system⁃liver transplantation core domains. Results A total of 19 experts were consulted.100% of questionnaires were returned in the three rounds of correspondence.The authority coefficients of the experts were 0.91.The Kendall's harmony coefficients in each round were 0.423,0.192,and 0.205 respectively.The coefficients of variation for each evaluation concept were 0.08⁃0.42,0.13⁃0.39,and 0.05⁃0.20.After three rounds of consultation,the core domains of self⁃reported outcome measurement for liver transplant patients were finally clarified,including physiological health,psychological health,social health and overall health four dimensions,covering 22 measurement concepts. Conclusions The core domains of self⁃reported outcome measurement for liver transplant patients established are scientific and reasonable,which could help promote the establishment of a liver transplant specific patient⁃reported outcome measurement system.