To reveal the spatiotemporal evolution patterns of the coupling and coordination between nursing human resources and medical and healthcare service capacity in the Chuan-Yu region,and to analyze the spatial heterogeneity of influencing factors,in order to provide scientific basis for the optimal allocation of regional public health resources.

Based on the coupling coordination degree model,the coupling coordination degree between nursing human resources and healthcare service capacity in the Chuan-Yu region from 2011 to 2021 was analyzed.The time series dynamic characteristics of the coupling coordination degree were depicted using the kernel density estimation method.Spatial agglomeration patterns were identified through global and local spatial autocorrelation analysis.Geographically and temporally weighted regression(GTWR) model was constructed to quantify the strength and spatial differentiation of the effects of multiple influencing factors.

From the perspective of temporal evolution,the coupling coordination degree of nursing human resources and healthcare service capacity in the Chuan-Yu region increased from 0.239 in 2011 to 0.273 in 2021.The kernel density curve presented a multimodal structure with increased peak values.The width gradually expanded,and the left trailing extension was widened.From the perspective of spatial pattern,the global Moran's index increased from -0.282 in 2011 to 0.299 in 2021.In 2021,the local spatial autocorrelation analysis clustering was dominated by "high-high" and "low-low",forming "core-periphery" polarization structure.From the perspective of influencing factors,the factors that have a positive influence on the coupling coordination degree were the end-of-year permanent resident population,urbanization rate,average salary,and the number of insured people for urban basic medical insurance.The factors that have a negative impact were the total length of highways and per capita regional GDP.

The coupling coordination degree of the two systems in the Chuan-Yu region has been continuously improving.The clustering trend of the coupling coordination degree is obvious,and regional differentiation has intensified.The coordination relationship showed positive spatial correlation,and the degree of being driven by real factors varies.Relevant departments should promote the balanced development of nursing human resources and improve the investment mechanism for medical and health services.

To explore the dynamic changes of disease adaptation dilemma in patients undergoing lung transplantation at different stages,and to provide basis for formulating precise rehabilitation intervention strategies.

Using purposive sampling,a total of 15 lung transplant patients who were hospitalized in a tertiary grade A hospital in Henan province from June 2024 to March 2025 were selected as the research subjects.According to the timing theory,semi-structured interviews were conducted with the patients.The data were analyzed using the Colaizzi's 7-step analysis method.

Based on the timing theory,five stages of development for lung transplant patients were formed.Five themes were extracted:the diagnosis stage(the dual dilemma of cognitive disruption and life decision-making),the hospital stabilization stage(the adaptation dilemma of life transition and physical and mental upheaval),the discharge preparation stage(the dilemma of rapid recovery desire and lack of discharge preparation ability),the adjustment stage(the dilemma of establishing a new normal and reconstructing life),and the adaptation stage(accumulation of negative emotions and persistent existence of adaptation dilemmas).

The disease adaptation dilemma of lung transplant patients at different stages were dynamically changing.Medical staff should provide lung transplant rehabilitation management in a phased, planned, and continuous manner based on the adaptation difficulties at each stage,so as to facilitate the rapid recovery of lung transplant patients.

To study the application effect of convex base combined with body position nursing intervention in patients with enterostomy.

From May 2024 to March 2025,a total of 166 patients who underwent colorectal cancer surgery and received enterostomy at the gastrointestinal center of a tertiary grade A hospital were selected and randomly divided into an observation group of 84 cases and a control group of 82 cases.The observation group received convex base combined with body position nursing for the enterostomy,while the control group received traditional flat base combined with lying position care for the enterostomy.The hospitalization duration,incidence of enterostomy-related complications,quality of life scores,biomechanical indicators,and nursing satisfaction of the two groups were compared.

The hospitalization duration,incidence of complications,biomechanical indicators quality of life scores,and nursing satisfaction of the observation group were all better than those of the control group(P<0.05).

Convex base combined with body position nursing for patients with enterostomy could effectively shorten the hospitalization duration of patients,reduce the incidence of enterostomy-related complications,and improve patient satisfaction.

To summarize the nursing care of patients with recurrent and refractory malignant tumors undergoing T cell receptor-engineered T cell(TCR-T) therapy.

The treatment and nursing measures for 4 patients with recurrent and refractory malignant tumors undergoing TCR-T therapy were reviewed,including fever care,bone marrow suppression care,renal function impairment care,monitoring of neurotoxic reactions,and psychological care.

Through meticulous treatment and care,all 4 patients successfully completed TCR-T therapy and were discharged.

Through the thorough understanding and effective management of the adverse reactions caused by TCR-T cell therapy,it was possible to enhance the safety and efficacy of the treatment for patients.

To explore the application effect of integrated traditional Chinese and western medicine nursing based on the health promotion model in postoperative care of patients in the hepatobiliary surgery department.

A total of 80 patients who underwent surgery in the hepatobiliary surgery department of our hospital from August 2024 to January 2025 were selected as the research subjects.They were divided into control group and observation group by random number table method,40 cases each.The control group received routine care,while the observation group received integrated traditional Chinese and Western medicine nursing based on the health promotion model in addition to the routine care.The postoperative comfort,quality of life,and complication occurrence of the two groups of patients were compared.

After 6 months of intervention,the comfort scores and quality of life scores of the observation group were significantly higher than those of the control group.The total incidence of complications of the observation group were lower than those of the control group(P<0.05).

Integrated traditional Chinese and western medicine nursing based on health promotion model could improve the postoperative comfort and quality of life of patients in the hepatobiliary surgery department.It could provide support for the construction of systematic postoperative nursing plan for patients in the hepatobiliary surgery department.

To explore the participating attitudes of advanced cancer patients towards advance care planning based on the Q methodology.

Using the Q methodology,by constructing Q samples,selecting P samples,conducting Q sorting and Q analysis,the participating attitudes of advanced cancer patients towards advance care planning was sorted and classified.

A total of 25 patients with advanced cancer were included.Their participating attitudes towards advance care planning were classified into four types:guidance need type,active participation type,family-centered type,and cultural avoidance type.

The participating attitudes of each type of patients towards advance care planning were different.Targeted intervention measures could be formulated based on the relevant attitudes types.

To explore the application effect of nursing intervention based on business process reengineering in the position placement of patients undergoing kidney surgery in urology department.

A total of 120 patients who underwent kidney surgery in the urology department of a tertiary grade A hospital from January to December 2024 were selected as the research subjects.They were divided into control group and observation group,60 cases each,according to the random number table method.The control group adopted traditional nursing process.The observation group introduced the concept of business process reengineering and systematically sorted out and optimized the position placement process of patients undergoing kidney surgery,including the formulation of standardized operating procedures,the establishment of a multidisciplinary communication model,the application of work forms and visualization tools,and the improvement of position aids.The time of kidney position placement,the correct rate of position placement,the incidence of perioperative complications, and the postoperative satisfaction of the two groups were compared.

There were statistically significant differences in the time of kidney position placement,the correct rate of position placement,the incidence of perioperative complications,and the satisfaction score of patients between the two groups(P<0.05).

The application of nursing intervention based on business process reengineering in the position placement of patients undergoing kidney surgery in urology department could effectively improve the standardization and efficiency of the nursing process,provide practical references for clinical nursing quality control and continuous improvement.

To understand the current status of high-level disinfection item management for central sterile supply department in hospitals,and to provide reference basis for standardizing the management of high-level disinfection items.

Using the convenience sampling method,a self-designed questionnaire on the current status of high-level disinfection item management in hospital disinfection supply centers was used to investigate the current status of high-level disinfection item management for central sterile supply department in 253 hospitals.

The top three categories of high-level disinfection items in terms of quantity were tourniquets(199 hospitals), humidification bottles(168 hospitals),and simple respirators (132 hospitals).The disinfection methods mainly included chlorine-containing disinfectants,moist heat,and acidified water.There were 19 packaging methods for high-level disinfection items,and the top three were self-sealing bags(54.52%),paper-plastic bags(17.33%),and plastic storage boxes(7.53%).The validity period of high-level disinfection items ranged from 6 days to 180 days.The most common validity period was 7 days(110 hospitals,43.48%).A total of 86 hospitals(33.98%) only marked the processing date of high-level disinfection on the packaging,without indicating the expiration date.

There were significant differences in the management of high-level disinfection items among different central sterile supply department in hospitals,and there was considerable room for improvement.The relevant departments and industry associations should promptly formulate relevant guidelines and standards to regulate the management of high-level disinfection items.

To explore the application effect of the oral nutrition supplements(ONS) compliance nursing intervention scheme based on the behavior change wheel(BCW) theory in patients with gastrointestinal tumors after surgery.

By using the convenience sampling method,a total of 95 patients with gastrointestinal tumors who underwent surgical treatment in the gastrointestinal surgery department of a tertiary grade A hospital in Changzhou city from July to September 2024 were selected as the observation group,and 90 patients with gastrointestinal tumors who underwent surgical treatment in the gastrointestinal surgery department from April to June 2024 were selected as the control group.The patients in control group received conventional care based on the guidelines,while the patients in observation group received the postoperative ONS compliance nursing intervention program for gastrointestinal tumor patients based on the BCW theory.The compliance of ONS,the level of ONS knowledge,the changes in nutritional indicators,and the quality of life scores of two groups of patients were compared at the time of discharge,the 4th week after discharge,and the 8th week after discharge.

The generalized estimating equation results showed that the time and group interaction effects of the objective,subjective compliance of ONS,and the knowledge level of ONS,as well as the changes in nutritional indicators between two groups were significant(P<0.05).Simple effect analysis revealed that at the 4th week and the 8th week after discharge,the objective and subjective compliance of ONS,the knowledge level of ONS, as well as the changes in nutritional indicators in the observation group were significantly higher than those in the control group(P<0.05).Repeated measures variance analysis showed that the time and group interaction effects of the quality of life scores were significantly different between two groups(P<0.05).Simple effect analysis indicated that at the 4th week and the 8th weeks after discharge,the quality of life scores in the observation group were significantly better than those in the control group(P<0.05).

The ONS compliance nursing intervention program based on the BCW theory could significantly improve the ONS compliance of patients after gastrointestinal tumor surgery,enhance their ONS knowledge level,and improve their condition of nutrition and quality of life.

To summarize the related contents of oral health guidelines for pregnant women at home and abroad,so as to provide reference for further optimization of oral health guidelines for pregnant women in China.

This study systematically retrieved guidelines on oral health for pregnant women from databases such as PubMed,EMbase,CINAHL,Cochrane Library,CNKI and Wanfang,as well as relevant guideline websites and Google Scholar.The search period was from the establishment of the databases to February 28,2025.

A total of 21 guidelines were included,from the United States,Australia,Canada,China and Europe.The main contents of the guidelines included oral assessment,disease prevention and control,health education,and multidisciplinary collaboration.There has been certain consensus on the optimal timing and safety of oral treatment for pregnant women.Although some guidelines mentioned oral health care before and after pregnancy,the covered content was limited.

The core recommendations of the oral health guidelines for pregnant women are largely consistent.However,there is still room for improvement in aspects such as service coverage during the service stage,multidisciplinary collaboration,and clinical operability.It is suggested that the service stage of the guidelines should include pre-pregnancy and post-pregnancy periods,strengthen multidisciplinary collaboration,enhance the clinical operability of the guidelines,and promote the standardization of oral health management for pregnant women.