Objective To carry out SWOT analysis of applied network ethnography research in the field of nursing in China,so as to provide strategies for further promoting nursing research. Methods SWOT method was used to analyze the application of network ethnography in nursing field in China and put forward strategies. Results The advantages of applying netnography in the field of nursing in China were:expanding research perspectives and promoting all⁃round development;flexible data collection and authentic data sources;in⁃depth exploration of sensitive topics and discussion of emotional connotations;promoting in⁃depth research in nursing and deepening clinical practice.The disadvantages were:the authenticity and reliability of data are affected by the nursing context;severe challenges in ethics and privacy protection;the complexity of research design and implementation and the professional ability requirements.The opportunities were:national policy support leading the application of netnography in the field of nursing research;technological development providing technical support for netnography research;the transformation of citizens' lifestyles providing the possibility of online network research;the development of modern medical concepts promoting the further deepening of nursing research.The challenges were:the quality of network data;the need to improve relevant policies on privacy protection and ethical norms. Conclusions Our country should develop and improve national policies,provide Internet information technology support,optimize research design and methodology,establish and improve laws and regulations on network ethical review,and promote interdisciplinary integration and innovative practice.

Objective To explore the effect of resistance training based on modified comprehensive geriatric assessment(CGA) of elderly patients with chronic heart failure and sarcopenia. Methods A total of 80 elderly patients with chronic heart failure and sarcopenia admitted to Ganzhou People's Hospital from July 2023 to July 2024 were selected as the research subjects.They were randcomly divided into control group and test group by random number table method,with 40 cases each.The control group received routine intervention,while the test group received resistance training intervention based on modified comprehensive geriatric assessment.Physical activity status,exercise endurance,quality of life,cardiac function indicators,skeletal muscle function related indicators,and nutritional indicators were compared between two groups. Results After 8 weeks of intervention,the Simplified Physical Fitness Scale(SPPB) scores,6-minute walk test(6MWT),and Activities of Daily Living(ADL) scores in the test group were higher than those in the control group.The Minnesota Heart Failure Quality of Life Scale(MLHFQ) scores was lower than that in the control group(P<0.05).The left ventricular ejection fraction(LVEF) and the ratio of peak e to peak a of forward mitral flow(E/A) were higher than those in the control group.The left ventricular end diastolic diameter(LVEDD) was shorter than that in the control group(P<0.05).The skeletal muscle mass index,walking speed,grip strength,and the duration of 5 sit up tests were better than those in the control group(P<0.05).The body mass index(BMI),upper arm muscle circumference (AMC),lower leg circumference,and triceps skinfold thickness(TSF) were better than those in the control group(P<0.05). Conclusions Resistance training based on modified comprehensive geriatric assessment could improve the physical condition and exercise endurance of elderly patients with chronic heart failure and sarcopenia,enhance their quality of life and cardiac function,and improve skeletal muscle function and nutritional status.

Objective To develop a virtual simulation teaching program for individual nutritional intervention in hospitalized patients and to evaluate its application effectiveness. Methods A total of 169 nursing undergraduate students from a university of grade 2022 were selected as research group.A virtual simulation experiment teaching of nutritional intervention for hospitalized patients was conducted in the course of clinical nutrition.A total of 196 nursing undergraduate students of grade 2021 were selected as control group,which were received regular teaching.The teaching effect was evaluated after the teaching activity completed. Results The school platform recorded a cumulative of 1 028 accesses with 78 hours of usage time.Per⁃user login attempts ranged from 2 to 9 times,while the practical training score averaged 95.42±10.37 points.Student satisfaction rating reached full marks(10/10).The provincial platform served 760 distinct users with 35 cumulative usage hours.Individual login frequencies spanned 1 to 5 attempts,yielding a training score of 91.33±12.68 points.User evaluation also achieved a perfect 10⁃point score.The stage test scores of the nursing undergraduate students in research group(30.17±4.12) were significantly higher than that of the nursing undergraduate students in control group(26.96±3.33).There was a statistically significant difference between them(P<0.001).A total of 77.30%⁃5.89% of nursing undergraduates acknowledged that the virtual simulation teaching program facilitates learning engagement,enhances self⁃directed learning capabilities,and cultivates the learning mindset.Through virtual simulation training,82.21%-91.41% of students achieved mastery of core nutritional competencies including risk screening,assessment,intervention,and monitoring.The overwhelming majority expressed satisfaction with the system's functional design,reporting consistently positive learning experiences. Conclusions The virtual simulation experiment teaching could effectively improve the academic performance of nursing undergraduate students and enhance the quality of clinical nutrition teaching.

Objective To explore the application effect of narrative interviews in modified electroconvulsive therapy for patients with depressive disorders. Methods A total of 140 patients with depressive disorders who underwent modified electroconvulsive therapy and admitted to a tertiary grade A hospital from January 2021 to September 2023 were selected as the research subjects.They were randomly divided into observation group and control group by random number table method,70 patients each.The control group received routine nursing care.The observation group received narrative interviews based on the routine care.Hamilton Depression Scale⁃17(HAMD⁃17) was used to compare the depression status of the two groups before intervention and at 4 and 8 weeks after intervention. Results The control group completed the study with 63 cases.The observation group completed the study with 61 cases.There were statistically significances in terms of time effect,between⁃group effect,and interaction effect of HAMD⁃17 scores(P<0.05). Conclusion Narrative interviews could effectively improve the depressive mood of modified electroconvulsive therapy for patients with depressive disorders and enhance their treatment effect.

Objective To investigate the serum 25⁃hydroxyvitamin D levels and influencing factors in infants and young children aged 0⁃3 years in Yuncheng city. Methods A total of 1 803 infants and young children who underwent physical examinations at Yuncheng Maternal and Child Health Hospital from June 2019 to June 2023 were selected as the research subjects.Venous blood was collected and serum 25⁃hydroxyvitamin D levels were detected by using an AB company high⁃performance liquid chromatography tandem mass spectrometer(AB4500).Univariate analysis was used to investigate the influencing factors of serum 25⁃hydroxyvitamin D levels. Results The serum 25⁃hydroxyvitamin D level of 1 803 infants and young children was(35.256±9.090) ng/mL.Univariate analysis results showed that maternal education level,feeding method,outdoor activity duration,age,and daily 25 hydroxyvitamin D supplementation dose had an impact on the serum 25 hydroxyvitamin D levels of infants and young children(P<0.05). Conclusions Serum 25 hydroxyvitamin D levels in infants and young children aged 0⁃3 years in Yuncheng city are low⁃normal.The higher the mother's education level,the more reasonable outdoor activities,timely addition of complementary foods,and reasonable supplementation of 25 hydroxyvitamin D are beneficial for the healthy growth of infants and young children.

Objective To review the application and methods of ecological momentary assessment(EMA) on symptom managemet of with breast cancer patients,so as to provide reference for future researchers to use EMA in patients with breast cancer. Methods According to the scope review methodology,CINAHL,Cochrane Library,EMbase,PsycINFO,PubMed,Web of Science,WanFang Database,VIP,CNKI and CBM were searched.The retrieval period spanned from the establishment of the database to July 30,2024.The retrieved documents were screened and summarized. Results A total of 20 papers were included.The research objective focused on the relationship between breast cancer symptoms and physical activity,the relationship between breast cancer patients and their spouses,the relationship between breast cancer symptoms and insomnia,cognitive function and fatigue of breast cancer,and EMA feasibility.The outcome indicators included six categories:emotional symptoms,physical symptoms,psychosocial factors,behavioral factors,cognitive function and feasibility.EMA data collection mainly relied on smartphone and accelerometers,mostly through random or fixed signal prompts,1 to 6 times a day,with an interval of 0.5 to 11.0 hours,lasting for 5 to 28 days.The participation rate were 29.1%⁃100.0%.The response rate was 57.0%⁃100.0%.The churn rate was 0⁃44.9%.The reward was 15⁃130 dollars. Conclusions EMA is feasible in the management of breast cancer symptoms,and can accurately capture changes in symptoms of breast cancer patients at different points in time.In the future,more standardized EMA reporting guidelines can be further developed to explore the potential of EMA in breast cancer clinical care interventions and other areas to provide a scientific basis for the development of personalized treatment.

This article reviewed the formation process of biofilms,the characteristics of wound biofilm infections,methods for identifying and detecting wound biofilms based on clinical manifestations and laboratory techniques,and promising new methods for bedside biofilm detection,with the aim of helping wound care providers to identify the presence of biofilms at an early stage accurately and to administer comprehensive biofilm management regimens.

This article reviewed medication⁃related problems,nursing assessment tools for home medication management of elderly patients,the contents,assessment methods,advantages and disadvantages of each assessment tool were compared,to provide reference for nursing staff to develop and reasonably select home medication management nursing assessment tools for elderly patients in China.

This review summarized the proposal and calculation method of the weight⁃adjusted⁃waist index(WWI),its correlation with various diseases,differences from other body measurement tools,as well as its advantages and limitations.It aimed to provide a reference for clinical healthcare professionals to identify obesity more simply and conveniently,and to study the weight⁃adjusted⁃waist index and its associated diseases.

This review summarized the biomechanical mechanisms of heel pressure injuries,as well as the application and advantages of three-dimensional finite element analysis in the prevention of such injuries.It provided a reference for early detection and personalized prevention of heel pressure⁃related injuries.