To explore the implementation effect of chain management led by stoma specialty nurses in patients with temporary enterostomy undergoing adjuvant chemoradiotherapy,aiming to enhance their comprehensive management and early postoperative recovery.

A total of 67 patients scheduled for temporary enterostomy and adjuvant chemoradiotherapy admitted to the Gastrointestinal Surgery Department of our hospital from June 2022 to October 2023 were selected as the control group and received routine care.Another 67 patients from November 2023 to October 2024 were selected as the experimental group.Led by stoma specialty nurses,a two-dimensional management system was constructed,integrating a horizontal organizational management chain and a vertical service chain.This system linked three key phases,perioperative,chemoradiotherapy,and home intermission periods,to implement chain management for enterostomy patients.Comparisons were made between the two groups regarding the incidence of postoperative stoma-related complications,unplanned readmission rates,and quality of life(COH-QOL-OQ) scores at discharge and three months post-discharge.

The incidence of postoperative stoma-related complications was lower in the experimental group than that in the control group(8.96% vs.34.34%,P<0.001).At discharge and 3 months post-discharge,the physical health,mental health,social health,and spiritual health scores of the COH-QOL-OQ were significantly higher in the intervention group than those in the control group(P<0.001).The unplanned readmission rates of the experimental group(1.49%) and the control group(5.97%) showed no statistically significant difference(P=0.362).

The chain management model led by specialty nurses could reduce the risk of stoma-related complications,improve patient quality of life.And it could provide a reference for implementing systematic and continuous management strategies for patients with temporary enterostomy undergoing adjuvant chemoradiotherapy.

To explore the dynamic change trajectories of disease information needs,psychological needs, and social needs in breast cancer patients undergoing chemotherapy,and to identify the influencing factors for each trajectory category, thereby providing a basis for developing precise clinical interventions.

A convenience sampling method was used to select 146 breast cancer patients undergoing their first chemotherapy session.A longitudinal follow-up survey was conducted over eight chemotherapy cycles(T1-T8) using the Breast Cancer Patients Needs Scale and the Benefit Finding Scale. Latent class growth modeling was applied to analyze the change trajectories of the three types of needs, and multinomial logistic regression was used to explore the influencing factors of the trajectory categories.

The three types of needs in breast cancer patients undergoing chemotherapy all showed a declining trend with population heterogeneity:1) Two trajectory categories were identified for disease information needs:low information needs declining group(58.2%) and high information needs declining group(41.8%);2) Three trajectory categories were identified for psychological needs: low psychological needs group(35.6%),moderate psychological needs group(41.8%),and high psychological needs group(22.6%);3) Two trajectory categories were identified for social needs:low social needs group(69.2%) and high social needs group(30.8%).Multivariate analysis showed that surgery and benefit finding were influencing factors for the disease information needs trajectory(both P<0.05);comorbidities with other chronic diseases and benefit finding were influencing factors for the psychological needs trajectory(both P<0.05);comorbidities with other chronic diseases,metastasis,and benefit finding were influencing factors for the social needs trajectory(all P<0.05).

The change trajectories of the three types of needs in breast cancer patients undergoing chemotherapy exhibit population heterogeneity.And they are influenced by different factors.Clinical staff can combine the characteristics of patients' need trajectories and influencing factors to implement targeted interventions, continuously meeting patients' dynamic needs.

To investigate the key risk factors for secondary ectopics of catheter after central venous catheter insertion(PICC) through peripheral veins,and to construct and validate a risk prediction model based on the random forest algorithm.

The data of 590 preterm infants hospitalized in the department of neonatology of a tertiary specialty hospital in Shanxi province with PICC catheterization were retrospectively collected,and the data were randomly divided into training set(n=413) and validation set(n=177) in a ratio of 7∶3.Eighteen clinical indicators were selected as predictors for whether secondary ectopic of the catheter occurred at the tip after PICC catheterization in preterm infants.Based on the random forest algorithm,a risk prediction model for secondary ectopic ectopic of PICC catheters in preterm infants was constructed,the importance of risk factors was ranked,and a SHAP plot was plotted to explain the contribution of each variable to the prediction of model output.The confusion matrix analysis of the model was carried out using the validation set data,and the prediction effect of the model was evaluated by using the accuracy,sensitivity,specificity and receiver operating characteristic(ROC) curves.

The incidence of secondary ectopic of PICC catheter in 413 preterm infants in the training set was 39.0%,and the key factors screened by the random forest algorithm were the first X-ray localization result,secondary catheter fixation,mechanical ventilation,and weight gain rate,respectively.In the validation set,the accuracy of the risk prediction model was 81.92%,the sensitivity was 71.21%,the specificity was 88.29%,the positive predictive value was 78.33%,the negative predictive value was 83.76%,and the AUC value was 0.870(95%CI:0.817-0.923).

The risk prediction model constructed based on the random forest algorithm demonstrates good predictive performance.It could potentially provide a scientific basis for the safe and efficient clinical use of PICC in premature infants.

To explore the latent profiles of cognitive function in lung cancer patients and their influencing factors.

A total of 296 lung cancer patients who visited the oncology department of a tertiary grade A hospital in Chongqing from January to August 2025 were selected as the survey subjects.General information questionnaire,Functional Assessment of Cancer Therapy-Cognitive Function Scale,Exercise Adherence Scale,and Self-Rating Anxiety Scale were used for investigation.Latent profile analysis was employed to explore the latent profiles of cancer-related cognitive impairment,while univariate analysis and multinomial Logistic regression analysis were used to investigate the influencing factors of latent profiles in cancer-related cognitive impairment patients.

Cancer-related cognitive impairment patients could be classified into three latent profiles:high cognitive function group(67.2%),moderate cognitive function group(22.6%),and low cognitive function group(10.1%).Multinomial Logistic regression results showed that educational level,tumor stage,age,exercise adherence,and anxiety were influencing factors of latent profiles of cognitive function in lung cancer patients(all P<0.05).

Cancer-related cognitive function in lung cancer patients exhibits group heterogeneity.It suggests that healthcare professionals should develop more targeted intervention measures based on the influencing factors of different categories of lung cancer patients' cognitive function levels.

To focus on the appropriateness of long-term care insurance(LTCI) financing levels. It measured the coordination between LTCI financing levels and regional economic capacity,as well as aging pressure.The goal is to provide empirical evidence and policy recommendations for sustainable LTCI development.

We built a coupling coordination degree model with three subsystems:financing level,economic development,and population structure.We selected three cities as samples:city X(northern Jiangsu),city N(central Jiangsu),and city C(southern Jiangsu).Data came from field surveys, statistical yearbooks,and government reports.We used the entropy method to determine indicator weights.We calculated composite indices for each subsystem and assessed the coupling coordination levels.

The results showed significant regional differences and dynamic changes.City N improved steadily and reached a "barely coordinated" stage.City X remained trapped in a state of "slight imbalance" at the antagonistic stage, plagued by the "scissors effect" between fixed-amount financing, population outflow,and rising service costs.In contrast,economically developed city C experienced a mismatch between high economic carrying capacity and low financing levels due to the rigid model of "fixed contributions coupled with medical insurance dependency," causing its coupling coordination degree to shift from "slight imbalance" to "on the verge of imbalance".

The appropriateness of LTCI financing depends on multiple factors.These include financing mechanisms,population structure,and payment structures.It is also closely linked to regional economic development.We recommend establishing a long-term "proportional financing+dynamic adjustment" mechanism.We also suggest implementing region-specific strategies based on a two-dimensional matrix of "economic level+aging degree".Finally,we propose optimizing the linkage between payment structures and financing mechanisms.

To investigate the correlation between handgrip strength and quality of life in cancer patients,and to analyze gender differences.

A total of 291 cancer patients hospitalized in the oncology department of a hospital in Guangxi Zhuang Autonomous Region from October 2023 to January 2024 were selected.A survey was conducted using a general information questionnaire and the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30(EORTC QLQ-C30).Patients' handgrip strength was measured,and nutritional risk was assessed using the Nutritional Risk Screening 2002 (NRS2002).Spearman correlation analysis was used to analyze the correlation between handgrip strength and quality of life in cancer patients of different genders,and linear regression analysis was further used to explore the impact of handgrip strength on patients' quality of life.

In male cancer patients,handgrip strength was positively correlated with functional domain scores and global health status scores(P<0.05),and negatively correlated with fatigue and pain scores in the symptom domain(P<0.05).In female cancer patients, handgrip strength was negatively correlated with the single-item scores for appetite loss and diarrhea(P<0.05),and positively correlated with financial difficulties scores(P<0.05).The multivariate regression model after adjusting for confounding factors showed that in male patients, greater handgrip strength was associated with higher scores in functional domains and global health status(P<0.05),and lower fatigue scores in the symptom domain(P<0.05).In female patients,greater handgrip strength was associated with lower scores for appetite loss and higher scores for financial difficulties(P<0.05).

Handgrip strength has an impact on function,fatigue,and global health status in male cancer patients,and on appetite loss and financial difficulties in female cancer patients.As a simple and objective measurement indicator,handgrip strength can be used for the auxiliary assessment of quality of life in cancer patients.

To systematically review the research status,hotspots,frontiers,and development trends in the field of elderly care service personnel training both based on bibliometric methods,providing theoretical support and practical references for the localized construction and high-quality development of China's elderly care service personnel training system.

Using the Web of Science core collection and CNKI(China National Knowledge Infrastructure) as data sources,relevant literature published from January 1,1999 to May 26,2025 was retrieved.A total of 1 147 valid documents(394 English,753 Chinese) were visually analyzed using CiteSpace 6.4.R1 software.This included analysis of the temporal characteristics of publication volume,author and institutional collaboration networks,as well as comparative studies of keyword co-occurrence,clustering(all Q values>0.3,all S values>0.7),timeline dynamic evolution,and keyword bursts.

Chinese literature publication volume showed a significant growth trend in the past decade(reaching 90 articles in 2024),while English literature publication volume stabilized after 2007(peaking at 38 articles in 2021).Core issues identified in both Chinese and English literature include three aspects:research subjects were predominantly focused on nursing,with insufficient attention paid to multidisciplinary talents such as clinical medicine and rehabilitation therapy;author and institutional collaboration networks were loose,and a medical-education collaboration model had not yet been formed;significant regional disparities existed,with higher research activity in developed countries and China's first-tier cities.Hotspot comparisons revealed that Chinese literature focuses on the integration of medical and elderly care,industry-education integration,smart elderly care,and policy-driven personnel team building,whereas English literature emphasized long-term care,end of life care,advance care planning,and service quality assessment.

Training personnel for elderly care services is a crucial link in addressing population aging.The differences and frontier trends in Chinese and English literature revealed by this study can provide important references for China to build a localized,multidisciplinary,and medically-educationally integrated elderly care personnel training system,thereby facilitating the high-quality development of elderly care services.

To systematically review evidence on parental stress management on child care for extremely low birth weight premature infants after discharge,providing reference for healthcare professionals to develop effective and targeted intervention measures.

Systematic searches were conducted in the Cochrane Library,Web of Science,PubMed,CNKI,Wanfang Data,VIP,CBM,guideline databases,and professional association websites for clinical practice guidelines,expert consensuses,evidence summaries,systematic reviews,and clinical decisions related to parental stress management on child care for extremely low birth weight premature infants after discharge.Two researchers independently evaluated the quality of the literature,extracted,integrated,and graded the evidence.

A total of 14 articles were included,comprising 4 guidelines,2 clinical decisions,2 evidence summaries,3 systematic reviews,and 3 expert consensuses.Thirty pieces of evidence were summarized across four aspects:parental mental health support,family and social support and resource security,discharge preparation and education training,and continuous support after discharge.

Healthcare professionals should apply this evidence in combination with specific contexts and choose targeted measures to help parents better cope with parenting challenges and improve the quality of life for extremely low birth weight premature infants and their families.

To systematically evaluate the risk factors for the occurrence of colorectal polyps.

A computerized search was conducted in CNKI,VIP,WanFang Database,CBM,PubMed,Cochrane Library,and EMbase Database for studies on the risk factors of colorectal polyps.The search period spanned from the establishment of the databases to June 2,2025.Two researchers independently performed literature screening,quality assessment,and data extraction.Meta-analysis was conducted using Review Manager 5.4 software,and Egger's test was performed using Stata 18.0 software.

A total of 29 studies were included,involving 9 987 patients.The results of the meta-analysis showed that age[OR=1.08,95%CI(1.06,1.11)],male[OR=1.63,95%CI(1.43,1.85)],smoking[OR=1.93,95%CI(1.68,2.21)],alcohol consumption[OR=1.58,95%CI(1.36,1.83)],abnormal triglycerides[OR=1.65,95%CI(1.43,1.90)],obesity[OR=1.67,95%CI(1.31,2.12)],fatty liver[OR=2.87,95%CI(1.87,4.40)],diabetes[OR=3.34,95%CI(2.10,5.31)],high-fat diet[OR=3.27,95%CI(2.24,4.78)],helicobacter pylori infection[OR=1.71,95%CI(1.38,2.13)],abnormal uric acid[OR=1.57,95%CI(1.22,2.03)],gallbladder disease[OR=1.78,95%CI(1.43,2.23)],family history of cancer[OR=2.43,95%CI(1.61,3.68)],abnormal cholesterol[OR=1.92,95%CI(1.39,2.65)],waist circumference[OR=1.71,95%CI(1.04,2.80)],hyperlipidemia[OR=1.54,95%CI(1.23,1.93)],and family history of polyps[OR=8.27,95%CI(2.22,30.86)] were risk factors for the occurrence of colorectal polyps.

There are many risk factors for colorectal polyps.Medical staff should enhance awareness of disease screening and provide personalized and precise intervention through a multidisciplinary integration model,reduce the incidence of precancerous polyps and alleviate the disease burden.

To translate the Patient Readiness for Shared Decision-Making Questionnaire(Ready^SDM) into Chinese and to test its reliability and validity among cancer patients in China.

A research team was formed.The original questionnaire underwent forward translation,back-translation,cross-cultural adaptation,and a pilot study following the Brislin translation model,culminating in the Chinese version of the Ready^SDM.A survey was conducted among 383 cancer patients from a tertiary hospital in Zhengzhou to evaluate the reliability and validity of the Chinese version of the Ready^SDM.

Exploratory factor analysis extracted four common factors,explaining 70.063% of the total variance.Confirmatory factor analysis indicated a good model fit.The finalized Chinese version of the Ready^SDM comprises 18 items across four dimensions:Information on Treatment Options,Communication with Healthcare Providers,Feelings and Experiences in the Decision-Making Process,and Decision-Making Preferences and Willingness.The item-level content validity index ranged from 0.875 to 1.000,and the scale-level content validity index was 0.988.The overall Cronbach's α coefficient for the questionnaire was 0.927,and the split-half reliability coefficient was 0.809.

The Chinese version of the Ready^SDM demonstrates good reliability,validity,and practicality.It is suitable for assessing the readiness for shared decision-making among Chinese cancer patients and can serve as an effective tool to advance shared decision-making practices in clinical settings.