To systematically evaluate the methodological and reporting quality of clinical guidelines and consensus statements for acute myocardial infarction.

Databases including PubMed,EMbase,Web of Science,China Biomedical Literature Database (CBM),WanFang Data,and China National Knowledge Infrastructure(CNKI) were systematically searched,supplemented by searches of the Guidelines International Network(GIN),the UK National Institute for Health and Care Excellence(NICE),the US National Guideline Clearinghouse(NGC),and the Medlive website.The search period covered from database inception to April 30,2025.Two researchers independently screened the literature based on predefined inclusion and exclusion criteria and extracted relevant data.The methodological and reporting quality of the included literature was assessed using the Appraisal of Guidelines for Research and Evaluation(AGREE Ⅱ) instrument and the Reporting Items for practice Guidelines in HealThcare(RIGHT) checklist.

A total of 11 guidelines and consensus statements on acute myocardial infarction were included.Subgroup analysis showed that guidelines scored higher than consensus statements in two AGREE Ⅱ domains("scope and purpose" and "stakeholder involvement").Guidelines and consensus statements developed based on evidence-based medicine methods scored higher in all six AGREE Ⅱ domains and in the overall RIGHT score compared to those based on expert opinion or reviews.Internationally developed guidelines and consensus statements scored higher in all six AGREE Ⅱ domains and in the overall RIGHT score compared to those developed in China.

The currently published clinical guidelines and consensus statements for acute myocardial infarction demonstrate suboptimal methodological and reporting quality.Chinese guidelines and consensus statements still have room for improvement compared to their international counterparts. It is recommended that relevant professional organizations and researchers refer to the AGREE Ⅱ and RIGHT criteria to develop and widely promote high-quality clinical guidelines and consensus statements for the diagnosis and treatment of acute myocardial infarction.

To develop a social integration scale for cancer patients and test its reliability and validity,so as to provide a measurement tool for facilitating their successful return to society and implementing precise interventions.

The preliminary version of the scale was formulated through literature review,qualitative interviews,expert consultation, and cognitive interviews.A convenience sample of cancer patients from seven Grade A tertiary hospitals in Shanghai was surveyed between October 2024 and January 2025.The first round of surveying 250 cancer patients was used for exploratory factor analysis(EFA).The second round of surveying 235 cancer patients was used for confirmatory factor analysis(CFA).Item analysis and exploratory factor analysis were applied for item selection,and the scale's reliability and validity were tested.

The developed social integration scale for cancer patients comprises three dimensions: identity adaptation(6 items),interpersonal interaction(7 items),and activity participation(7 items),totaling 20 items.The cumulative variance contribution rate was 62.90%.The total scale's Cronbach's α coefficient was 0.944.The split-half reliability was 0.959.The test-retest reliability was 0.983.The average content validity index(S-CVI/Ave) was 0.960.Results from the confirmatory factor analysis indicated that the main evaluation indices were within acceptable ranges.

The development process of the social integration scale for cancer patients was scientific and rigorous.Evaluation and validation demonstrate good reliability and validity,indicating it could used as an effective tool for assessing the level of social integration among cancer patients.

To adapt the Seniors Empowerment and Advocacy in Patient Safety(SEAPS) scale into the local context and to validate its among elderly stroke patients,so as to provide a reliable tool for assessing the level of self-advocacy in older patients.

The Brislin translation model was used for translation,back-translation, and cultural adaptation of the SEAPS. A convenience sample of 431 elderly stroke patients from a Grade A tertiary hospital in Wuxi city was surveyed to test the reliability and validity of the scale.

Exploratory factor analysis extracted four factors:behavior,self-efficacy,outcome efficacy,and attitude,with a cumulative variance contribution rate of 83.495%. Item analysis showed correlations between each item and the total score.Content validity analysis indicated that the item-level content validity index(I-CVI) ranged from 0.83 to 1.00,and the scale-level content validity index(S-CVI/Ave) was 0.968.Confirmatory factor analysis demonstrated a good model fit for the scale.The scale's Cronbach's α coefficient was 0.966,and the test-retest reliability was 0.916.

The Chinese version of the SEAPS has good psychometric properties.It can be effectively used to assess the level of self-advocacy in elderly stroke patients.

To investigate the current status of core competencies among nursing staff in hosting hospitals of national regional medical center and explore its influencing factors.

A total of 962 nursing staff from four hosting hospitals of regional medical center in Shanxi province were surveyed using the Chinese Registered Nurse Core Competency Scale,and the influencing factors were analyzed.

The core competency score of nursing staff in the four hosting hospitals of regional medical center in Shanxi province was(138.78±42.05),indicating an above-average level.Among the competencies,ethical and legal practice abilities and professional development scored relatively high,while critical thinking and research abilities,as well as clinical nursing abilities,scored relatively low.Multivariate regression analysis showed that job position and professional rank were influencing factors of the core competencies of nursing staff(P<0.05).

The overall core competencies of nursing staff in hosting hospitals of national regional medical center are at an above-average level.Among these,ethical and legal practice abilities and professional development abilities are relatively strong,while critical thinking and research abilities,as well as clinical nursing abilities,still require improvement.Job position and professional rank are important factors influencing the core competencies of nursing staff.

To analyze the latent profiles and influencing factors of symptom characteristics in postoperative breast cancer patients undergoing chemotherapy,and to explore the relationship between different symptom profiles and supportive care needs.

A total of 302 postoperative breast cancer patients receiving chemotherapy from November 2023 to August 2024 were selected from three tertiary Grade A hospitals in the Xinjiang Uygur Autonomous Region.A general information questionnaire,the Memorial Symptom Assessment Scale,and the 34-item Short-Form Supportive Care Needs Survey were used for investigation.Latent profile analysis was employed to identify potential profiles of symptom characteristics.Univariate analysis and multinomial logistic regression were used to analyze the influencing factors of different profiles and their relationship with supportive care needs.

The symptom characteristics of postoperative breast cancer patients undergoing chemotherapy could be categorized into three latent profiles:a low-symptom burden group(54.3%),a moderate-symptom burden-gastrointestinal symptoms group(28.5%),and a high-symptom burden group(17.2%).Body Mass Index(BMI),number of comorbidities,number of chemotherapy cycles,and whether targeted therapy was used,psychological needs,care and support needs were identified as influencing factors for the symptom characteristics across different profiles(P<0.05).Scores on physiological and daily living needs,psychological needs,and care and support needs significantly differed among the different profile groups(P<0.05).

Symptoms among postoperative breast cancer patients undergoing chemotherapy demonstrate significant population heterogeneity and are associated with varying levels of unmet supportive care needs.Nursing staff should implement patient-centered symptom management strategies based on patients' specific symptom profile characteristics to meet their supportive care needs effectively.

To investigate the current status,influencing factors,and correlations of loneliness with social constraints,negative social expectations,and coping styles among patients with gynecological malignancies.

A total of 331 patients with gynecological malignancies hospitalized in a tertiary Grade A hospital in Shanxi Province from January to August 2024 were selected as the study subjects.The General Information Questionnaire,Cancer Loneliness Scale,Negative Social Expectations for Cancer Scale,Social Constraints Scale,and Medical Coping Modes Questionnaire were used for the survey.

The loneliness score of patients with gynecological malignancies was(16.22±4.18).The scores for social constraints,negative social expectations,and coping styles were (23.91±5.33),(14.40±3.94),and (42.53±5.99),respectively.Social constraints were positively correlated with negative social expectations,avoidance,resignation,and loneliness(P<0.001).Negative social expectations were positively correlated with loneliness,avoidance,and resignation dimensions(P<0.001).Loneliness was positively correlated with avoidance and resignation dimensions(P<0.001).Regression analysis showed that educational level,marital status,cancer type,social constraints,negative social expectations and avoidance coping were influencing factors of loneliness in patients with gynecological malignancies(P<0.05).

The level of loneliness in patients with gynecological malignancies is moderate.Nursing staff can help patients return to normal life earlier by reducing the occurrence of social constraint events,improving patients' negative cognitive tendencies,and promoting positive coping.

To explore the effect of the pre-sleep care communication checklist nursing intervention on sleep quality in urological surgery patients.

Using a random number table,120 patients were divided into the intervention group and the control group,with 60 patients in each group.The control group received routine care,while the intervention group received the pre-sleep care communication checklist intervention in addition to routine care.The checklist covered environmental management,pain management,psychological support,and sleep guidance.The Pittsburgh Sleep Quality Index(PSQI),Self-Rating Anxiety Scale(SAS),and Numerical Rating Scale(NRS) were used to assess patients' sleep quality,anxiety levels,and pain intensity,respectively.

On the third postoperative day,the PSQI score in the intervention group was (6.5±1.2),lower than that in the control group (8.2±1.5);the SAS score was (52.1±6.0),lower than that in the control group(60.2±6.8);and the NRS scores at 24 and 48 hours postoperatively were (3.5±0.8) and (2.8±0.7),respectively,better than those in the control group[(4.2±0.9) and (3.6±0.8)].All differences were statistically significant(P<0.01).

The multi-dimensionally designed pre-sleep care communication checklist,through interventions such as optimizing the ward environment,standardizing pain management,providing psychological support,and offering scientific sleep guidance,can effectively improve sleep quality,alleviate anxiety,and reduce pain in urological surgery patients.