To develop a risk prediction model for suicidal ideation in first-episode schizophrenia patients based on glucose metabolism disorders.

A total of 333 patients with schizophrenia were randomly divided into a training group(n=233) and a validation group(n=100) in a 7∶3 ratio.Positive and Negative Syndrome Scale(PANSS) were used to evaluate psychiatric symptoms.Depressive and cognitive factors were evaluated based on the five-factor model.Fasting blood glucose,glycated hemoglobin,and fasting insulin were collected.The insulin resistance index was calculated.Patients were categorized into groups with and without suicidal ideation by using the Beck Suicide Ideation Scale.In the training group,relevant variables were identified through LASSO and Logistic regression analysis.A Nomogram was constructed to predict the risk of suicidal ideation.The area under the ROC curve(AUC) was used to evaluate the predictive ability of the model.Calibration curve was used to evaluate accuracy.Decision curve analysis(DCA) was used to evaluate clinical practicality.

A Nomogram was constructed based on positive symptoms scores,depressive factors scores,fasting blood glucose,and fasting insulin.The AUC of the training group and validation group were 0.776(95%CI 0.715-0.837) and 0.763(95%CI 0.665-0.860),respectively,indicating good discriminative ability of the model.Calibration analysis and DCA confirmed the clinical applicability of the nomogram.

The Nomogram constructed in this study for predicting the risk of suicidal ideation in patients with schizophrenia could help identify high-risk suicide patients in clinical practice,provide reference for timely implementation of prevention strategies,and reduce suicide risk.

To explore the longitudinal change trajectory of stress response of newly diagnosed AIDS patients and to analyze its influencing factors.

Using convenience sampling method,a total of 116 newly diagnosed AIDS patients in a tertiary grade A hospital in Guangxi Zhuang autonomous region were selected as the research objects.The General Information Questionnaire and Stanford Acute Stress Reaction Scale were used to investigate.Latent growth mixture models were utilized to delineate the trajectory of stress response changes,while binary Logistic regression analysis was employed to identify its influencing factors.

The change trajectory of stress response of newly diagnosed AIDS patients were divided into overall low stress slow decline group(27.6%) and overall high stress rapid decline group(72.4%).Logistic regression analysis showed that payment mode for medical expenses,religious belief and resilience were the influencing factors of latent categories stress reaction change trajectory of newly diagnosed AIDS patients(P<0.05).

There was group heterogeneity in the change trajectory of stress response of newly diagnosed AIDS patients.Personalized assessment and intervention should be carried out based on the change trajectory of stress response of patients.

To explore the potential categories of financial toxicity in caregivers of children with severe β-Thalassaemia,and to analyze the influencing factors of different potential categories,so as to provide reference for the formulation of targeted and individualized intervention programs.

Convenience sampling method was used to select 228 caregivers of children with severe β-Thalassaemia who were treated in a grade A tertiary hospital in Guangxi as survey subjects.The General Information Questionnaire,the Cancer Family Caregiver Financial Toxicity Scale,Connor and Davidson's Resilience Scale(CD-RISC),Social Support Rating Scale were used for investigation.The latent profile analysis was used to determine the category.The influencing factors of different profiles were analyzed by single factor analysis and Logistic regression analysis.

The financial toxicity of the caregivers of children with severe β-Thalassaemia were classified into three categories:low resources and high stress,medium resources and balanced coping,and high resources and active coping.Logistic regression analysis results showed that family monthly income,course of disease,payment method of medical expenses,caregivers' social support level and caregivers' psychological resilience level were the influencing factors of the potential profile of financial toxicity of caregivers of children with severe β-Thalassaemia.

There was obvious heterogeneity in the financial toxicity level of caregivers of children with severe β-Thalassaemia.Medical staff should implement targeted interventions based on the characteristics and influencing factors of the different categories,so as to reduce the financial toxicity of caregivers.

To explore the influencing factors and survival analysis of hospital infection during the period from pre-treatment to hematopoietic reconstitution in patients undergoing allogeneic hematopoietic stem cell transplantation,and to provide reference basis for nosocomial infection and continuous care of hematopoietic stem cell transplant patients.

Retrospective cohort study design was used to collect clinical data and interventable nursing variables in the occurrence and development of infection from 57 patients with allogeneic hematopoietic stem cell transplantation at the Second Hospital of Shanxi Medical University from January 2017 to May 2020.The main influencing factors of infection were analyzed through multivariate Logistic regression.Survival analysis was carried for follow up data of patients until July 1,2023.

During the transplantation period,9 patients did not experience hospital infections,while 48 patients developed hospital infections.Before pre-treatment,there was no statistically significant difference in baseline data between the infected and uninfected groups.As the transplantation protocol progressed,the nutritional and psychological status of the two groups of patients changed,and the difference was statistically significant(P<0.05).Multivariate Logistic regression analysis showed that nutritional status and psychological status were influencing factors for hospital infection in hematopoietic stem cell transplant patients.Follow up until July 1,2023,24 cases died and 33 cases survived,the longest survival time is 79 months.Despite the fact that continuous care outside the hospital has targeted nutritional and psychological interventions,the survival rate of patients with good nutritional and psychological status was still higher than that of the control group.

Nutritional status and psychological status are intervenable nursing factors in hospital infection of patients undergoing allogeneic hematopoietic stem cell transplantation.They are closely related to infection and survival of patients.Emphasizing patients' nutritional status and improving their psychological status not only helps to reduce the risk of hospital infection,but also is one of the factors in improving the quality of continuous nursing outcomes.

To investigate the operation status quo of diabetes specialist nursing outpatient clinics across hospitals in China and to provide reference for the standardized construction of diabetes specialty nursing outpatient clinics in China.

The convenience sampling method was used to investigate the managers of diabetes specialty nursing outpatient clinics in hospitals at all levels across 21 provinces,5 autonomous regions,and 4 municipalities directly by a self-designed questionnaires from May to July 2024.

Among the 1 093 diabetes specialty nursing outpatient clinics,69.63% of diabetes specialty nursing outpatient clinics had independent outpatient clinics.The frequency of weekly consultation was 3(1,9) times.The time of each patient's consultation was (20.52±11.59) minutes.60.20% of diabetes specialty nursing outpatient visiting nurses were part-time.81.06% of diabetes specialty nursing outpatient visiting nurses had a minimum degree of undergraduate.76.30% of diabetes specialty nursing outpatient clinics encountered difficulties in the construction process.77.95% of diabetes specialty nursing outpatient clinics encountered difficulties during operation.

There is a good prospect for the development of diabetes specialty nursing outpatient clinics in China.It is urgent to formulate and implement the national standards for the construction of diabetes specialty nursing outpatient clinics,and to improve supporting policies to promote the sustainable development of diabetes specialty nursing outpatient clinics in China.

To analyze the risk factors for venous thromboembolism(VTE) in patients with heart failure and to construct a risk prediction model.

Clinical data of 1 799 patients with heart failure from a tertiary grade A hospital in Shanxi province from January 2018 to December 2022 were retrospectively collected.Univariate and multivariate Logistic regression analysis were used to screen the risk factors of venous thromboembolism in patients with heart failure.R software was used to construct a risk prediction model and to verify its prediction efficiency.

Among 1 799 patients with heart failure,205 cases(11.4%) developed venous thromboembolism.Logistic regression analysis showed that age,gender,hospitalization times,hospitalization days,NT-proBNP,D-dimer,lower limb varicose veins and PT-INR were influencing factors for venous thromboembolism in patients with heart failure.Based on the above factors,a nomogram risk prediction model was established.The area under the ROC curve was 0.762(95%CI 0.723-0.800).The consistency index of the model was 0.751.

Age,gender,hospitalization times,hospitalization days,NT-proBNP,D-dimer,lower limb varicose veins and PT-INR were the influencing factors affecting venous thromboembolism in patients with heart failure.The prediction model based on the above risk factors has good predictive value.It could effectively predict the risk of venous embolism in patients with heart failure.

To explore the characteristics of comprehensive psychological quality in undergraduate nursing students and to propose corresponding intervention strategies for different types of nursing students,to provide new ideas for optimizing nursing education quality and promoting comprehensive talent development.

From March to July 2024,744 full-time undergraduate nursing students from a regular university in Guangdong Province were selected as research subjects.General Information Questionnaire,Knowledge-Attitude-Practice Questionnaire on Nursing Curriculum-Based Ideological and Political Education,Professional Identity Questionnaire for Nursing Students,Jefferson Scale of Physician Empathy-Nursing Student Version,the Meaning in Life Questionnaire,Learning Burnout Scale for College Students were used to investigated.SPSS 26 and Python software were used to process data.K-means algorithm was applied for cluster analysis.Scatter plots were drawn for visualization analysis.The relationships among relevant variables between different types of nursing students were explored based on the differences in comprehensive psychological quality.

Undergraduate nursing students were categorized into three types:passive burnout type(29.7%),moderate balance type(44.6%),and active engagement type(25.7%).There were significant differences among different types of undergraduate nursing students in terms of curriculum ideological and politics knowledge-belief-behavior,professional identity,learning burnout,sense of meaning in life,and empathy(P<0.001).Visualization analysis showed that curriculum ideological and politics knowledge-belief-behavior was correlated with the comprehensive psychological characteristics of undergraduate nursing students(P<0.001).

There are differences in curriculum ideological and politics knowledge-belief-behavior,professional identity,learning burnout,meaning in life and empathy among different types of nursing students.Personalized intervention strategies should be developed for different types of nursing students to optimize teaching effects and to promote the comprehensive development of nursing talents.

To define the theoretical connotation of rehabilitation motivation and to provide scientific theoretical support for healthcare professionals.

Systematic searches were conducted in databases including CNKI,WanFang Data,VIP,SinoMed,PubMed,Web of Science,Scopus,EMbase,and CINAHL.Literatures were screened according to inclusion and exclusion criteria,and rehabilitation motivation was systematically analyzed by using Walker and Avant's concept analysis method.

A total of 45 articles were included.The defining attributes of rehabilitation motivation were summarized as intrinsic drive,psychological process,and predictor.Antecedents included psychosocial factors,sociodemographic factors,disease-related factors,and rehabilitation service factors.Consequences included improved rehabilitation outcomes,reduced healthcare costs,enhanced quality of life,and increased psychological resilience.

Rehabilitation motivation exhibits multidimensional and complex characteristics,influenced by a combination of various variables,and may significantly impact patients' quality of life.Therefore,it is essential to develop scientific and precise assessment systems to identify patients' rehabilitation motivation and to explore effective intervention strategies so as to facilitate the rehabilitation process.