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  • Lizhu ZHANG, Juan XU, Ya WEN, Hailiang ZHANG, Jinxian LIU
    Chinese Nursing Research. 2026, 40(7): 1090-1099.
    Objective

    To explore the application of health-promoting behavior education based on Internet platforms in the daily life of liver cancer patients outside the hospital.

    Methods

    A total of 105 liver cancer patients who visited a tertiary Grade A hospital in Shanxi province from October 2024 to March 2025 were selected as the study subjects.They were randomly divided into a control group and an test group by using a random number table method.The control group was received conventional nursing care and outpatient guidance.The test group received health-promoting behavior education based on internet platform in addition to the control group's interventions.The self-management ability,general self-efficacy,quality of life,cancer-related fatigue,physical activity,and sleep duration were compared between the two groups.

    Results

    After the intervention,the general self-efficacy,self-management ability,quality of life,cancer-related fatigue,and physical activity of the test group were all better than those of the control group(P<0.05).

    Conclusions

    Health-promotion behavior education based on Internet platform could improve the self-management ability,general self-efficacy,quality of life,and physical activity of liver cancer patients in their daily life outside hospital,and alleviate cancer-related fatigue of patients.

  • Wenjuan BIAN, Renju XU, Yuxuan ZHU, Yantong ZHU, Yue ZHANG, Qiong ZHANG, Wei WEI, Xianwen LI, Yujie CHEN
    Chinese Nursing Research. 2026, 40(7): 1100-1107.
    Objective

    To construct a non-pharmacological intervention program for cognitive impairment(CD) in patients with systemic lupus erythematosus(SLE) and to evaluate its feasibility.

    Methods

    Based on a complex intervention design and evaluation framework,the non-pharmacological intervention program for cognitive impairment in patients with systemic lupus erythematosus was constructed through evidence-based research and stakeholder interviews.Patients with systemic lupus erythematosus who sought treatment in the rheumatology and immunology department of a tertiary hospital in Nanjing city from February to March 2025 were recruited.The constructed program was used to implement the intervention for the patients and evaluate its feasibility.

    Results

    The non-pharmacological intervention program for cognitive impairment in patients with systemic lupus erythematosus included 5 primary indicators of organizational management,assessment,exercise guidance,vitamin D supplementation,and health education,13 secondary indicators,and 27 tertiary indicators.The on-site recruitment rate was 90.48%.The retention rate was 84.21%.The participation compliance rate was 84.21%.After 3 months of intervention,except for the fact that there was no significant difference in pain between 1 month and 3 months of intervention(P>0.05),there were statistically significant differences in fatigue,pain,vitamin D levels,quality of life,and cognitive function at three time points(P<0.05).

    Conclusions

    The non-pharmacological intervention program for cognitive dysfunction in patients with systemic lupus erythematosus constructed in this study has good effectiveness and feasibility,and could provide reference for clinical intervention of cognitive dysfunction in patients with systemic lupus erythematosus.

  • Runxi XIAO, Ling WANG, Yang YANG, Xueru WANG, Tingting CAI, Qingmei HUANG, Fulei WU, Wen ZHANG, Changrong YUAN
    Chinese Nursing Research. 2026, 40(7): 1108-1113.
    Objective

    To elaborate the theoretical foundations and developmental trajectory of the Story-Based Patient-Reported Outcomes Measurement Information System Score Guide(SBSG-P),and to clarify its relevant concepts and construction process.

    Methods

    By searching and reviewing domestic and international literature on Patient-Reported Outcomes Measurement Information System and related story-based tools,the construction objectives and procedural steps of the Story-Based Patient-Reported Outcomes Measurement Information System Score Guide were defined.

    Results

    This study developed a methodological framework for the construction process of the Story-Based Patient-Reported Outcomes Measurement Information System Score Guide.The framework adopted a mixed-methods design that integrates quantitative and qualitative methodologies.The framework included formulating a research protocol,combining quantitative preliminary assessment with individual semi-structured interviews for data collection,using summative content analysis to generate the initial draft of the guide,subsequently conducting focus group interviews and Delphi expert consultations to refine the content,and carrying out a small-scale pilot study to examine the validity of the mapping between narrative stories and quantitative data,on the basis of which the final version of the guide was revised and clinical validation was conducted.

    Conclusions

    Clarifying the methodological framework for constructing the Story-Based Patient-Reported Outcomes Measurement Information System Score Guide is intended to support clinicians and nurses in developing innovative Patient-Reported Outcomes Measurement Information System score interpretation tools that are both contextually grounded and precise,thereby providing decision support for treatment decisions,intervention strategies,and individualized patient management in clinical practice.

  • Qian XIE, Wen XU
    Chinese Nursing Research. 2026, 40(7): 1114-1118.
    Objective

    To explore the coupling coordination relationship and spatial distribution status between the nursing human resources allocation and the economic development level in China,and to provide reference basis for promoting the coordinated development of nursing human resource allocation and economic level.

    Methods

    The entropy method and coupling coordination degree model were used to study the allocation of nursing human resources,economic development level and coupling coordination degree in China.The spatial autocorrelation method was used to study the spatial layout and changing trend of the coupling coordination degree in 2019 and 2023.

    Results

    There were significant regional differences in the allocation of nursing human resources and economic development level in China.The average coupling coordination degree of the two systems was in the stage of approaching imbalance.There was a spatial aggregation phenomenon in the coupling coordination degree,and the Moran's I index increased over time,with the degree of aggregation continuously deepening.The local aggregation presented a spatial pattern of "high in the east and low in the west".

    Conclusions

    The coupling and coordination degree of nursing human resources allocation and economic development in our country is not high and there are obvious regional differences.Therefore,each province should scientifically plan the plan of nursing human resources based on its own economic situation and regional medical needs,and promote the coordinated development of economic level and the nursing human resources allocation in a coordinated manner.

  • Luwen ZHANG, Fangli LIU, Jinghui LIU, Xia ZHENG, Rui GUAN
    Chinese Nursing Research. 2026, 40(7): 1119-1129.
    Objective

    Based on the consensus-based standards for the selection of health measurement instruments(COSMIN) guidelines,this study systematically evaluated the methodological quality and measurement properties of assessment tools for post-stroke cognitive impairment(PSCI),aiming to identify high-quality evaluation tools.

    Methods

    A computerized search was conducted in PubMed,Web of Science,MedLine,CINAHL,EMbase,Cochrane Library,Scopus,CNKI,WanFang Database,VIP,and the China Biology Medicine(CBM) database for literature related to the psychometric evaluation of PSCI assessment tools.The retrieval period spanned from the establishment of the database to March 6,2025.Two researchers independently screened the literature and extracted data.Methodological risk of bias and quality of measurement properties were assessed using the COSMIN guidelines.The GRADE evidence grading system was applied to classify evidence levels,ultimately formulating recommendation levels.

    Results

    A total of 22 studies were included,covering 10 PSCI assessment tools:the Oxford Cognitive Screen(OCS),Mini-Mental State Examination(MMSE),Cognitive Assessment Scale for Post-Stroke Patients(CASP),Birmingham Cognitive Screen(BCoS),Montreal Cognitive Assessment(MoCA),National Institute of Neurological Disorders and Stroke-Canadian Stroke Network(NINDS-CSN),Brief Assessment of Impaired Cognition(BASIC),Mild Vascular Cognitive Impairment(MVCI) assessment tool,Barrow Neurological Institute Screen for Higher Cerebral Functions(BNIS) and Telephone Interview for Cognitive Status-Modified(TICS-M).MMSE received grade A recommendation,while the remaining 9 tools were classified as grade B recommendations.

    Conclusions

    The MMSE was classified as a grade A recommendation and could be temporarily recommended until better evidence emerges.However,its methodological quality requires improvement,and its measurement properties need further validation.

  • Yanping LI, Zhao LIU, Yinji JIN
    Chinese Nursing Research. 2026, 40(7): 1130-1135.
    Objective

    To analyze the definition and connotation of food literacy in diabetic patients and to provide reference for the dietary management of diabetic patients.

    Methods

    Relevant literature from databases such as CNKI,WanFang Database,VIP,CBM,PubMed,Web of Science,KISS,Cochrane Library,and EMbase were systematically retrieved.The Rodgers' evolutionary conceptual analysis method was used for conceptual analysis.

    Results

    A total of 31 papers were included,involving 2 Chinese papers and 28 English papers.The conceptual attributes of food literacy in diabetic patients included three aspects:emotional connection,health belief,and decision-making autonomy.The prerequisites included four aspects:sociodemographic factors,physiological factors,psychological factors,and cultural factors.The consequences included the impacts on patients,families,and the medical and health system.

    Conclusions

    This study clarified the concept of food literacy in diabetic patients,provided direction and reference for the exploration of related research.It is helpful for developing local assessment tools,exploring new models of food literacy intervention,improving the blood sugar level of diabetes patients,and reducing complications.

  • Yumeng LAN, Juanping ZHONG, Jing SHI, Haixia CHEN, Zerun ZHAO, Xinglei WANG, Xinman DOU
    Chinese Nursing Research. 2026, 40(7): 1136-1140.
    Objective

    To analyze and clarify the conceptual connotation of death anxiety in cancer patients,and to provide reference for medical staff to identify and intervene the death anxiety in cancer patients.

    Methods

    A systematic search was conducted on databases including CNKI,WanFang database,VIP,SinoMed,PubMed,Web of Science,Scopus,EMbase,psycINFO,and CINAHL.Literatures were selected based on inclusion and exclusion criteria,and the concept of death anxiety was analyzed by using Walker and Avant conceptual analysis.

    Results

    A total of 35 articles were included to summarize the concept of death anxiety.Its conceptual attributes were determined to include self-esteem,psychological depression,disease complexity,and social coping styles.Pre-factors included demographic factors,disease factors,psychological factors,and social support.The consequences included the impact on the patient's psychological,physiological,and social aspects.

    Conclusions

    The connotation of death anxiety is complex and influenced by multiple factors,which could seriously affect the quality of life of cancer patients.Clinical medical staff should improve the recognition rate of death anxiety in cancer patients,make proactive nursing interventions,and reduce the adverse effects of death anxiety on patients.

  • Xitong LIU, Hong LI, Qiuxiang SHEN, Pingqiao YUAN, Pingxia XIE, Haidong LIU, Qing LIU, Yi LIU, Jinfeng LI
    Chinese Nursing Research. 2026, 40(7): 1141-1148.
    Objective

    To translate the Caregiver Assessment of Function and Upset Instrument into Chinese,and to validate its reliability and validity among dementia caregivers.

    Methods

    The Brislin translation model was adopted for translating the Caregiver Assessment of Function and Upset into Chinese.A convenience sampling method was used to recruit 302 caregivers of dementia patients from the neurology outpatient clinics and within 24 hours of admission at 3 tertiary grade A hospitals in Guiyang city were selected as the research subjects.The Chinese version of Caregiver Assessment of Function and Upset Instrument was used for the investigation to test its reliability and validity.

    Results

    The Chinese version of Caregiver Assessment of Function and Upset Instrument included 2 subscales:patient's daily living ability and caregiver's upset,both consisting of 15 items.The patient's daily living ability included two dimensions:basic daily living ability and instrumental daily living ability.The item-level content validity index(I-CVI) was 1.00.The average scale-level content validity index(S-CVI/Ave) was 1.00.Confirmatory factor analysis results showed a good model fit.The Cronbach's alpha coefficient for the life ability subscale of the Chinese version of Caregiver Assessment of Function and Upset Instrument was 0.943,and the test-retest reliability was 0.894.The Cronbach's alpha coefficient for the upset subscale of the questionnaire was 0.937,and the test-retest reliability was 0.614.

    Conclusions

    The Chinese version of the Caregiver Assessment of Function and Upset Instrument exhibits good reliability and validity,and could be used as an effective tool for evaluating the daily living abilities of dementia patients and the upset level of caregivers.

  • Siyu LYU, Beisha ZHU, Yulan XU
    Chinese Nursing Research. 2026, 40(7): 1149-1156.
    Objective

    To develop a long-term care needs assessment scale for patients with systemic lupus erythematosus(SLE) and test its reliability and validity.

    Methods

    Based on Maslow's hierarchy of needs theory,the initial draft of the scale was determined through literature review,semi-structured interviews,expert consultation,and a preliminary survey.Using random sampling,a total of 512 systemic lupus erythematosus patients from a tertiary grade A hospital in Wuhan city were selected as the research subjects.The preliminary draft scale was used for the investigation to test its reliability and validity level.

    Results

    The long-term care needs assessment scale for patients with systemic lupus erythematosus consisted of 5 dimensions(symptom management needs,psychological needs,healthcare service needs,information needs,and social support needs) and 27 items.The overall Cronbach's α coefficient of the scale was 0.935,with subscale coefficients ranging from 0.707 to 0.888.The Guttman split-half reliability was 0.783,with subscale split-half reliabilities ranging from 0.721 to 0.885.The scale-level content validity index was 0.888,the item-level content validity index were ranged from 0.720 to 0.960.Exploratory factor analysis extracted five common factors,with a cumulative variance contribution rate of 63.674%.Confirmatory factor analysis results showed that all model fitting indicators were acceptable.

    Conclusions

    The long-term care needs assessment scale for patients with systemic lupus erythematosus developed in this study comprehensively covered the content of long-term care needs for systemic lupus erythematosus patients,with good reliability and validity,and could be used as an assessment tool for long-term care needs of patients with systemic lupus erythematosus.

  • Huixia HUANG, Guiping HU, Ping LIN, Xueqin GAO, Qingfang YE, Xuejia HUANG, Menglei WANG, Guojie LIU
    Chinese Nursing Research. 2026, 40(7): 1157-1163.
    Objective

    To translate the Preference for Intuition and Deliberation in Eating Decision-making Scale(E-PID) into Chinese based on network analysis,and to test its reliability and validity.

    Methods

    Based on the Brislin translation model,the Preference for Intuition and Deliberation in Eating Decision-making Scale was translated,culturally adapted and pre-investigated to form the Chinese version of the Preference for Intuition and Deliberation in Eating Decision-making Scale.From July to December 2024,1 463 patients with cardiovascular diseases from a tertiary grade A hospital were selected as the study subjects.The reliability and validity were tested.

    Results

    The Chinese version of Preference for Intuition and Deliberation in Eating Decision-making Scale included 2 dimensions and 7 items.Exploratory factor analysis extracted 2 common factors.The cumulative contribution rate of variance was 67.99%.The item-level content validity index(I-CVI) ranged from 0.83 to 1.00.The average scale-level content validity index(S-CVI/Ave) was 0.97.The score of preference for intuition dimension showed a positive correlation with the total score of the Intuitive Eating Scale-2(P<0.001).The score of preference for deliberation dimension showed a positive correlation with the total score of the Brief Self-Control Scale(P<0.001).The Cronbach's alpha(McDonald's omega) coefficients for the Chinese version of Preference for Intuition and Deliberation in Eating Decision-making Scale and each dimension were 0.71(0.81),0.83(0.87),and 0.75(0.73),respectively.The test-retest reliability for the Chinese version of Preference for Intuition and Deliberation in Eating Decision-making Scale and each dimension were 0.94,0.90,0.94.EGA Bootstrap analysis showed that the dimensional structure of the scale was completely stable.The consistency indexes of the network structure were all 1.00.Confirmatory factor analysis results showed a good model fit.

    Conclusions

    The Chinese version of the Preference for Intuition and Deliberation in Eating Decision-making Scale has a stable network structure,streamlined items,good reliability and validity,and could be used to evaluate the dietary decision-making preferences among cardiovascular disease patients in China.