Based on the practical experience of Xuzhou city in coverage scope,financing mechanisms,disability assessment,and benefit models,this study conducted an in-depth analysis of current challenges,including single financing channels, insufficient coverage for dementia patients,and weak supervision of designated institutions.To enhance the sustainability of long-term care insurance,recommendations were proposed:strengthening the assessment mechanism for disability and dementia while expanding coverage scope; optimizing financing policies to establish a diversified funding model; improving the supervision system to enhance service quality in designated institutions;and intensifying policy promotion to increase public participation.These measures aimed to provide practical references for other regions.

This article reviewed the origin,core components,and current application status of the consolidated framework for implementation research(CFIR) in oncology nursing,and analyzed its developments,limitations, and future prospects.The aim was to promote the development of CFIR in China.

This article systematically reviewed the relevant concepts and technical principles of sentiment analysis.It summarized its specific application scenarios in the nursing field from three dimensions:clinical nursing practice,nursing management optimization,and nursing education innovation.The challenges faced during the implementation of this technology were discussed,and targeted solutions were proposed,aiming to provide theoretical reference and practical guidance for the intelligent development of the nursing field.

This article systematically reviewed the development of artificial intelligence and its research status in the field of ostomy care,focusing on its applications in peristomal skin assessment,development of novel digital devices,prediction of postoperative complication risks,and clinical decision support systems.It also analyzed current challenges and proposed future research directions, aiming to provide references for the deeper integration of artificial intelligence in ostomy care.

This article reviewed the origins and development of the multi-process action control(M-PAC) framework and its application in the field of physical activity research.It analyzed its role of the framework in promoting the initiation and maintenance of physical activity behaviors. By exploring the core processes of the M-PAC framework and their interrelationships,it aimed to provide a theoretical basis and practical guidance for promoting the precision and sustainability of physical activity intervention strategies.

Objective To explore the latent classification characteristics and their influencing factors of vicarious trauma among pediatric critical care nurses. Methods Using a convenience sampling method,a total of 319 pediatric critical care nurses from 12 hospitals in Shanxi province were selected from July to August 2024.General Information Questionnaire,Vicarious Trauma Scale for Medical Staff,Regulatory Emotional Self⁃Efficacy Scale,and Simplified Chinese Version of Event Related Rumination Inventory were used for the survey.The categories of pediatric critical care nurses' vicarious trauma were initially explored based on the latent profiles,and the influencing factors of the latent profiles were analyzed using unordered multinomial logistic regression. Results The score of Vicarious Trauma Scale for Medical Staff was 81.60±22.55.Vicarious trauma was divided into four latent profiles:mild trauma response group,emotionally dominant response group,significant negative trauma group,and balanced trauma response group.The regression analysis results showed that age,education level,years of working experience,reproductive status,death of a relative,rescuing a patient,death of a patient under care,regulatory emotional self-efficacy,and rumination were influencing factors of vicarious trauma among pediatric critical care nurses. Conclusions There is population heterogeneity among pediatric critical care nurses in vicarious trauma.Nursing managers can provide individualized interventions to nurses based on the influencing factors of different latent profiles to reduce the level of vicarious trauma among pediatric nurses.

Objective To explore the changing trend and influencing factors of colostomy disgust in patients with enterostomy half a year after operation,so as to provide reference for targeted intervention. Methods A total of 262 patients with enterostomy were followed up with the General Information Questionnaire,the Colostomy Disgust Scale(CDS),Self⁃Compassion Scale(SCS),and the Chinese version of the Acceptance and Action Questionnaire⁃2nd Edition(AAQ⁃II) 1 day before discharge and 1,3,6 months after discharge. Results Colostomy disgust of patients with enterostomy decreased gradually in the first half of the year after operation.Gender,complications,self⁃compassion,and experiential avoidance were the influencing factors of colostomy disgust.Experiential avoidance played a partial mediating role between self⁃compassion and colostomy disgust.The mediating effect accounted for 45.89% of the total effect. Conclusions Colostomy disgust of patients with enterostomy tends to decline half a year after operation.Medical staff could reduce patients' experiential avoidance by implementing self⁃compassion intervention to relieve their colostomy disgust.

Objective To explore the relationship between cognitive reserve and the risk of cognitive impairment after traumatic brain injury. Methods From September 2023 to August 20,2024,patients with TBI who were hospitalized in the department of neurosurgery or emergency medicine in tertiary grade A hospitals in Chongqing city were selected by convenience sampling method to conduct a cross-sectional investigation.General information was obtained by hospitalization or bedside assessment.Cognitive reserve level and cognitive function were assessed by the Cognitive Reserve Index Questionnaire and the Montreal Cognitive Assessment Scale,respectively.The incidence of cognitive impairment at different levels of cognitive reserve was visualized by bar chart.And the trend chi-square test was used to explore whether there was a trend.Restricted cubic spline(RCS) model was used to analyze the relationship between cognitive reserve and the risk of cognitive impairment after traumatic brain injury.Logistic regression model was used to analyze the predictive effect of cognitive reserve on cognitive impairment in patients with traumatic brain injury. Results A total of 408 TBI patients aged 18⁃87 years were investigated.The total score of Cognitive Reserve Index Questionnaire was 91(88,94).The total score of Montreal Cognitive Assessment Scale was 22(16,28).And 246 cases(60.3%) had cognitive impairment.The results of restricted cubic spline showed that there was a negative linear dose⁃response relationship between cognitive reserve and the risk of cognitive impairment in the total population and gender stratigraphy(P for overall<0.05,P for nonlinear>0.05).Logistic regression analysis and trend test results showed that after adjusting for confounding factors,the risk of cognitive impairment in the general population and gender stratification decreased with the increase of cognitive reserve. Conclusions Cognitive reserve could be an important predictor of cognitive impairment in patients with traumatic brain injury.And improving cognitive reserve level is expected to be one of the potential strategies for early cognitive intervention.