To develop a self-rated medication literacy scale for stroke-prone population and to test its reliability and validity.

The conceptual model of medication literacy was used as the theoretical framework.The self-rated medication literacy scale for stroke-prone population was formulated through literature analysis,semi-structured interviews,focus group discussions,Delphi expert consultations,and a preliminary survey.A total of 424 stroke-prone patients from a community and a tertiary grade A general hospital in Shijiazhuang city,Hebei province were selected as the study subjects by convenience sampling.The reliability and validity were tested.

The self-rated medication literacy scale for stroke-prone population comprised 4 dimensions with a total of 24 items.The overall Cronbach's α coefficient of the scale was 0.940.The split-half reliability was 0.874.The test-retest reliability was 0.908.The item-level content validity index ranged from 0.83 to 1.00.The scale-level content validity index was 0.90.Exploratory factor analysis showed four common factors,with a cumulative variance contribution rate of 63.538%.Confirmatory factor analysis results indicated a stable factor structure for the scale.

The developed self-rated medication literacy scale for stroke-prone population demonstrates good reliability and validity.It could serve as an effective self-assessment tool for evaluating medication literacy levels in stroke-prone population.

To translate the Attitude Scale Towards the Use of Artificial Intelligence Technologies in Nursing(ASUAITIN) and to test its reliability and validity.

The ASUAITIN was translated using the Brislin translation model.The Chinese version of ASUAITIN was developed after cultural adaptation and a preliminary survey.A convenience sampling method was employed to select 396 clinical nurses from a tertiary grade A hospital in Beijing as research subjects.The reliability and validity of the scale were tested.

The Chinese version of ASUAITIN consisted of 2 dimensions(positive attitude and negative attitude) with a total of 15 items.The overall Cronbach's α coefficient of the scale was 0.939.The split-half reliability was 0.738.The test-retest reliability was 0.935.The average scale-level content validity index was 0.981.The item-level content validity indexes ranged from 0.875 to 1.000.Two common factors were extracted through exploratory factor analysis,with a cumulative variance contribution rate of 77.402%.Confirmatory factor analysis results showed that all fit indexes were within acceptable ranges.

The Chinese version of ASUAITIN demonstrated good reliability and validity.It could be used to assess the attitudes of clinical nurses in China towards the application of artificial intelligence technologies.

To translate Carter Assessment of Critical Thinking in Midwifery(CACTiM) into Chinese and to test its reliability and validity.

The original scale was translated based on the World Health Organization translation guidelines,and the Chinese version of CACTiM was formed through cross-cultural adaptation,cognitive interviews,and a preliminary survey.A total of 354 in-service midwives from 16 hospitals in Zhejiang province were selected as study subjects from February to March 2025.The reliability and validity of the scale were tested.

The Chinese version of CACTiM consisted of 4 dimensions and 25 items.The scale-level content validity index was 0.96,and the item-level content validity indices ranged from 0.80 to 1.00.Exploratory factor analysis extracted 4 common factors,with a cumulative variance contribution rate of 62.897%.Confirmatory factor analysis results indicated a good model fit.The overall Cronbach's α coefficient for the scale was 0.938.The split-half reliability was 0.807.The test-retest reliability was 0.972.

The Chinese version of the CACTiM demonstrated good reliability and validity.It could be used as an assessment tool for evaluating critical thinking ability among midwives in China.

To translate the M.D.Anderson Symptom Inventory-chimeric antigen receptor T cell therapy module(MDASI-CAR) into Chinese and test its reliability and validity.

Following the Brislin translation model,the original scale underwent translation,cultural adaptation,and a preliminary survey to form the Chinese version of the MDASI-CAR.A total of 148 patients with hematological diseases who underwent CAR-T cell therapy in a tertiary hospital in Tianjin city were selected as study subjects by a convenience sampling method from January to August 2025.The reliability and validity of scale was analyzed.

The Chinese version of the MDASI-CAR consisted of 28 items.Exploratory factor analysis results showed that the 22 symptom assessment items extracted 6 common factors,with a cumulative variance contribution rate of 66.617%.The factor loadings for each item ranged from 0.402 to 0.887.The 6 symptom interference assessment items extracted 2 common factors,with a cumulative variance contribution rate of 71.706%.The factor loadings ranging from 0.742 to 0.905.The item-level content validity index ranged from 0.833 to 1.000.The scale-level average content validity index was 0.945.The scale scores correlated with those of the validity instrument(all P<0.001).The overall Cronbach's α coefficient for the scale was 0.930.

The Chinese version of the MDASI-CAR demonstrated good reliability and validity.It could be used to assess symptom severity and life interference in patients following CAR-T cell therapy.

To translate the Artificial Intelligence Anxiety Scale(AIAS) into Chinese and to test its reliability and validity among medical students.

The AIAS underwent forward translation,back-translation based on the Brislin translation model.The Chinese version of AIAS was developed by cultural adaptation and a preliminary survey.A total of 305 medical students from two medical universities in Hubei province were selected by a convenience sample from March and April 2025.The reliability and validity of the scale were tested.

The Chinese version of the AIAS consisted of 4 dimensions(learning,work substitution,socio-technical blind spots,artificial intelligence configuration) with 20 items.The item-level content validity index ranged from 0.876 to 1.000.The average scale-level content validity index was 0.961.Exploratory factor analysis extracted 4 common factors with a cumulative variance contribution rate of 81.342%.Confirmatory factor analysis indicated a satisfactory model fit.The overall Cronbach's αcoefficient was 0.951.The split-half reliability was 0.734.The test-retest reliability was 0.795.

The Chinese version of the AIAS demonstrates acceptable reliability and validity.It could be used as a valid tool to assess the level of artificial intelligence anxiety among medical students in China.

To translate the Quality of Life Questionnaire for Aphasics(QLQA) into Chinese and test its reliability and validity in stroke patients with aphasia.

The Brislin translation model was adopted for the translation of QLQA.The Chinese version of QLQA was developed after cultural adaptation and a preliminary survey.A total of 222 hospitalized stroke patients with aphasia from our hospital between January 1,2024 and May 1,2025 were selected for the questionnaire survey.The reliability and validity of the Chinese version of QLQA were tested.

The Chinese version of QLQA comprised 3 dimensions and 37 items in total.The item-level content validity index ranged from 0.80 to 0.97.The scale-level content validity index based on universal agreement was 0.939.The average content validity index was 0.958.The Stroke and Aphasia Quality of Life Scale(SAQOL-39g) was used as the criterion.The correlation coefficient between the Chinese version of QLQA and the SAQOL-39g scores was 0.566(P<0.05).Exploratory factor analysis extracted 3 common factors with eigenvalues greater than 1 with the cumulative variance contribution rate of 66.0%.Confirmatory factor analysis indicated that the three-factor structural equation model demonstrated a good fit.The overall Cronbach's α coefficient of the questionnaire was 0.952,and the test-retest reliability was 0.969.

The Chinese version of QLQA exhibits good reliability and validity.It could be used to assess the quality of life of stroke patients with aphasia.

To explore the authentic caregiving experiences of caregivers of left-behind children in underdeveloped regions based on ecosystem theory.

A total of 22 caregivers of left-behind children who underwent physical examinations at a maternal and child health hospital in a county of Yunnan province were selected as study subjects from July 2024 to June 2025 by purposive sampling.Focus group interviews and semi-structured in-depth interviews were conducted.Participant observation was supplemented.Data were analyzed using a combination of directed content analysis and conventional content analysis.

Four core themes and thirteen sub-themes were ultimately identified.The core themes were experiences of physical and mental tearing and resilient stitching at the microsystem level,experiences of tearing at the mesosystem level,experiences of tearing and limited stitching at the exosystem level,and experiences of tearing and resilient stitching at the macrosystem level.

The caregiving process for left-behind children is a dynamic experience involving multiple tearing experiences and limited stitching.Healthcare professionals should play an active role within the family-school-community-policy four-dimensional support network to improve the caregiving experiences of these caregivers.

To explore the application effects of a low glycemic index(GI) diet combined with resistance exercise in patients with gestational diabetes mellitus(GDM).

GDM patients who underwent prenatal check-ups and delivered at Zhangye People's Hospital Affiliated to Hexi University were selected as the research subjects from June to December 2024.The patients were divided into observation group and control group using random number table.The control group received conventional lifestyle management,while the observation group was received low glycemic index diet diet combined with resistance exercise based on conventional lifestyle management.Indicators monitored included glycemic and lipid metabolism parameters[fasting blood glucose(FBG),glycated hemoglobin(HbA1c),total cholesterol (TC),triglycerides(TG),2-hour postprandial blood glucose(2 hPG),fasting insulin(FINS),homeostatic model assessment for insulin resistance(HOMA-IR)],adipokines[leptin(LEP),adiponectin(ADPN),soluble leptin receptor(sLR),LEP/ADPN (L/A)],and delivery outcomes(gestational hypertensive disorders,premature rupture of membranes,cesarean section,preterm birth,cumulative blood loss at 2 hours postpartum,macrosomia,fetal distress,neonatal asphyxia,neonatal hypoglycemia,1-minute Apgar score).

A total of 46 patients in the observation group and 45 patients in the control group completed the intervention.After the intervention,the observation group showed lower levels of FBG,2 hPG,HbA1c,TC,TG,LEP,L/A,FINS,and HOMA-IR compared to both pre-intervention levels and the control group during the same period.The ADPN and sLR levels of observation group were higher than pre-intervention levels and those of the control group.The incidence rates of events such as cesarean section,macrosomia,and neonatal asphyxia of observation group were all lower than those in the control group.The cumulative blood loss at 2 hours postpartum of observation group was less than that in the control group.The 1-minute Apgar score of observation group was higher than that in the control group(all P<0.05).

The combination of low glycemic index diet and resistance exercise can improve insulin sensitivity,optimize glycemic and lipid metabolism indicators,and regulate the balance of the adipokine network to ameliorate the metabolic status of GDM patients.

To explore the illness perceptions of breast cancer patients with lymphedema.

A phenomenological research approach was adopted.Semi-structured interviews were conducted with 15 breast cancer patients with lymphedema who visited the lymphedema clinic of a tertiary grade A hospital in Jiangsu province from June to July 2024.The interview data were analyzed using Colaizzi's seven-step method.

A total of six themes were identified,namely recognizing the chronicity of the disease,symptom relief enhancing treatment confidence,actively adapting to and coping with the illness,lacking an accurate perception of the disease's severity,feeling a lack of control over the illness,and experiencing physical and psychological discomfort as well as life disturbances.

Breast cancer patients with lymphedema generally lacked an accurate understanding of the severity of their condition.Medical staff should strengthen health education for patients,alleviate their physical and psychological discomfort,enhance their treatment confidence and self-management abilities,and improve their sense of control over the illness.

To evaluate the application effectiveness of a mindfulness-based group course in women with unexplained recurrent spontaneous abortion(URSA).

A total of 60 URSA women who attended the reproductive medicine center of our hospital were selected as the study subjects from January to June 2022.The women were divided into an intervention group and a control group using a random number table method,with 30 cases in each group.The control group received routine treatment and mental health education,while the intervention group received routine treatment,mental health education,and a mindfulness-based group course intervention.URSA women were assessed using the Five Facets of Mindfulness Questionnaire(FFMQ),the Self-Rating Depression Scale(SDS),the Self-Rating Anxiety Scale(SAS),the Fertility Problem Inventory(FPI),and the Fertility Quality of Life(FertiQoL) before the intervention and after 6 weeks of intervention.

During the study period,2 URSA women in the control group and 5 URSA women in the intervention group dropped out.Finally,28 URSA women in the control group and 25 URSA women in the intervention group completed the study.After 6 weeks of intervention,the total scores of SDS,SAS,and FPI in the intervention group decreased compared with those before the intervention(all P<0.05),while the total scores of FertiQoL and FFMQ increased compared with those before the intervention(all P<0.05).Moreover,the total scores of SDS and SAS in the intervention group were lower than those in the control group at the same time point(all P<0.05),while the total scores of FertiQoL and FFMQ in the intervention group were higher than those in the control group at the same time point(all P<0.05).After 6 weeks of intervention,the total score of FFMQ in the intervention group was negatively correlated with the total scores of SDS,SAS,and FPI,and positively correlated with the total score of FertiQoL(all P<0.05).

Mindfulness-based intervention could improve the mindfulness level of URSA women and alleviate their psychological distress and improve their quality of life.