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    20 April 2024, Volume 59 Issue 8
    Special Planning-Oncologic Nursing
    Development and application of a whole course management information system for breast cancer
    GUO Miaomiao, YAN Tingting, XU Dandan, YUAN Ling
    2024, 59(8):  901-908.  DOI: 10.3761/j.issn.0254-1769.2024.08.001
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    Objective To develop a whole course management information system for breast cancer and verify its effect in disease management of breast cancer patients. Methods An integrated service plan and system construction of "screening-diagnosis-treatment-rehabilitation" was developed,and then an information system was developed. The method of historical control was used to conveniently sample 260 cases of breast cancer patients diagnosed in a tertiary A hospital. 130 cases diagnosed from May 1 to December 31,2022 were taken as a test group,and 130 cases diagnosed from May 1 to December 31,2021 were taken as a control group. The test group was managed by the whole course management information system,and the control group was managed by conventional disease management. The relevant indicators of the screening and diagnosis period of patients,the completion rate of treatment,the incidence of treatment related side effects and the cancer care satisfaction of the 2 groups were compared. Results There was a statistically significant difference in puncture waiting time,admission waiting time,and screening admission time between the 2 groups(P<0.05),while there was no statistically significant difference in pathological waiting time(P>0.05). The treatment completion rate of the test group was higher(P<0.05). The incidence of lymphedema,chest obstruction and abnormal sensation of upper limbs,subcutaneous hydrops within 6 months after operation and bone marrow suppression,liver function damage,radiation dermatitis and radiation pneumonia in the test group were lower than those in the control group(P<0.05). The cancer care satisfaction of the test group after surgery and 6 months after surgery were higher than those of the control group(P<0.05). Conclusion The whole course management information system for breast cancer can optimize the diagnosis and treatment process,raise the diagnosis and treatment efficiency,ensure the treatment completion rate,reduce the treatment complications and improve the cancer care satisfaction.

    Construction and application of a pelvic floor muscle training program for patients with radical prostatectomy
    QIAO Wenbo, HOU Sijia, ZHU Keping, LI Yaqin, WU Siyuan, QI Ziyi, WANG Wei
    2024, 59(8):  909-915.  DOI: 10.3761/j.issn.0254-1769.2024.08.002
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    Objective To construct a pelvic floor muscle training program for patients undergoing radical prostatectomy,and to provide a reference for clinical practice. Methods The evidence related to pelvic floor muscle training in patients undergoing radical prostatectomy was systematically searched and the quality was evaluated. The draft of pelvic floor muscle training program for patients undergoing radical prostatectomy was constructed based on the KAP theory and it was demonstrated and revised by expert meetings. From February to March 2023,Delphi method was used to determine the final scheme. 37 patients were selected as the control group and 38 patients as the experimental group to implement the scheme and evaluate the application effect. Results 2 rounds of Delphi consultations were conducted among 17 experts,and the recovery rate of the questionnaire was 100%. The expert authority coefficient was 0.89. The Kendall harmony coefficients of the importance and feasibility of the second round of consultation were 0.270 and 0.209(P<0.001). The coefficient of variation of importance and feasibility of items were 0~0.18 and 0~0.20. The final program included 3 first-level items,8 second-level items and 29 third-level items. 1 month after surgery,there was no significant difference in urinary incontinence score(P=0.242) and there was significant difference in pelvic floor muscle training compliance(P=0.011) between 2 groups. Conclusion The program was applied preliminary in clinical practice and it was confirmed with scientific and practical meaning,so it can provide a reference for clinical nursing.

    Correlation between preoperative frailty and short-term postoperative complications in elderly breast cancer patients
    LU Ping, WANG Xiaojie, GUO Hailing
    2024, 59(8):  916-921.  DOI: 10.3761/j.issn.0254-1769.2024.08.003
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    Objective To investigate the relationship between preoperative frailty and short-term postoperative complications in elderly breast cancer patients. Methods A convenience sampling method was used to select 231 elderly breast cancer patients who underwent elective surgery in a tertiary care hospital in Beijing from July 2022 to December 2022. General information on elderly patients was collected and the frailty assessment was performed 1 day before surgery,and the occurrence of complications in elderly patients was followed up 30 days after surgery. Results Among the 214 elderly breast cancer patients,37 patients had complications within 30 days postoperatively. Binary logistic regression analysis showed that the risk of complications at 30 days postoperatively was 5.532 times higher in elderly breast cancer patients with preoperative frailty than it in non-frail patients(P< 0.05). Elder breast cancer patients with problems of decreased free movement,increased resistance/loss of endurance,and weight loss had a high risk of postoperative complications. Conclusion Preoperative frailty affects the occurrence of complications in elderly breast cancer patients within 30 days after surgery and suggests that nursing staff should strengthen perioperative health management for elderly breast cancer patients with preoperative frailty and actively prevent the occurrence and development of frailty.

    A study of longitudinal trajectories and predictive factors of symptom clusters in patients with laparoscopic anal preservation surgery for rectal cancer
    YOU Chaoxiang, JIA Mengying, LI Shuang, CHEN Lili, JING Wendan, KOU Hongyan
    2024, 59(8):  922-929.  DOI: 10.3761/j.issn.0254-1769.2024.08.004
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    Objective To explore the longitudinal trajectories of symptom clusters in patients with rectal cancer within 6 months after laparoscopic anal preservation surgery,and analyze the predictive factors of each trajectory subgroup. Methods A longitudinal survey was conducted to select 128 patients who underwent laparoscopic anal preservation surgery for rectal cancer at the Department of Gastrointestinal Surgery,a tertiary hospital in Nanchong from November 2021 to April 2022. The general information questionnaire,Chinese version of Anderson Symptom Inventory for Gastrointestinal Cancer and Charlson Comorbidity Index were used to conduct follow-up surveys of the selected patients at 2 weeks,1 month,3 months and 6 months after surgery. The symptom cluster were extracted by exploratory factor analysis,and the latent category growth model was constructed to identify the trajectory subgroups of each symptom cluster. The predictive factors of each trajectory subgroup were analyzed by Mplus statistical software. Results There were 4 symptom clusters within 6 months after laparoscopic anus preserving surgery for rectal cancer,which were named as sickness symptom cluster,psychological-sleep symptom cluster,gastrointestinal symptom cluster,and psychological-treatment-related symptom cluster. The variance contribution rates were 65.173%,66.225%,62.421%,and 60.492%,respectively. The latent class growth model identified that there are 4 to 5 trajectory subgroups in the symptom cluster. Gender,education level,Charles Comorbidity Index,clinical T stage,medical cost burden,and treatment method were the predictors of high-risk trajectory subgroups in the symptom cluster(P<0.05). Conclusion There are 4 symptom clusters within 6 months after laparoscopic anus preserving surgery for rectal cancer. The gastrointestinal symptom cluster is a specific symptom cluster for this type of patients with the heaviest symptom burden. The overall trajectory of each symptom cluster shows a dynamic decline trend,but individual trajectory subgroups still have an exacerbation trend. There are differences in predictive factors for different symptom clusters. Clinical medical staff should pay attention to the management of symptom clusters in patients with female patients,low education level,high Charles Comorbidity Index,high clinical T stage,heavy medical cost burden,and patients whose treatment method is chemotherapy plus surgery. High-risk groups should be timely identified;corresponding intervention methods were dynamically adjusted;the quality of precision nursing was improved.

    Perioperative nursing of a patient with massive renal cell carcinoma and Mayo stage Ⅲ tumor thrombus undergoing robot-assisted nephrectomy
    MAO Yuntao, CHEN Lili, CHEN Xiaoxiao, WANG Ying
    2024, 59(8):  930-933.  DOI: 10.3761/j.issn.0254-1769.2024.08.005
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    This research provides an overview of the perioperative nursing care for a patient with a massive renal cell carcinoma and Mayo Stage Ⅲ tumor thrombus who underwent a robot-assisted nephrectomy complicated by significant intraoperative bleeding and CO2 embolism. Key nursing considerations included multidisciplinary preoperative discussions,developing stepwise intraoperative emergency plans,establishing an integrated nursing workstation,and the optimization of patient monitoring. During the surgery,nursing efforts were focused on supporting the robot-assisted procedure,closely monitoring the patient’s condition,preventing intraoperative complications,initiating emergency plans as needed,actively managing major bleeding and CO2 embolism,and implementing structured positioning to minimize the risk of falls during the procedure. Postoperatively,the focus was on preventing secondary thrombus formation,managing active bleeding,and monitoring for liver and kidney ischemia-reperfusion injury. Through multidisciplinary interventions and meticulous nursing care,the patient was discharged after a 13-day postoperative recovery.

    Evidence summary of nutritional management of food for special medical purpose in postoperative adjuvant chemotherapy patients with cancer
    GAO Chaoyue, LI Min, ZHANG Yinzhu, ZHANG Peili, HOU Xiaoya, CHENG Yixia
    2024, 59(8):  934-940.  DOI: 10.3761/j.issn.0254-1769.2024.08.006
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    Objective To summarize the best evidence of nutritional support therapy with food for special medical purpose for patients undergoing adjuvant chemotherapy after oncology surgery,and to provide a reference basis for standardizing the application of food for special medical purpose and guiding clinical nutritional therapy practice for oncology patients. Methods Computer search was conducted on UpToDate,Guidelines International Network(GIN),National Guideline Clearinghouse,National Comprehensive Cancer Network,National Institute for Health and Clinical Excellence,Oncology Nursing Society,American Society for Parenteral Enteral Nutrition,European Society for Clinical Nutrition and Metabolism,Chinese Society for Parenteral and Enteral Nutrition,Joanna Briggs Institute Evidence-Based Health Care Centre database,Cochrane Library,PubMed,CINAHL,Scopus,Web of Science,Embase,CBM,Wanfang,and China Knowledge Network on the nutritional support treatment of food for special medical purpose for postoperative adjuvant chemotherapy patients. The retrieval period was from January 2012 to August 2022. Quality evaluation of the literature was completed independently by 2 evidence-based trained researchers and combined with expert advice to extract and summarise evidence for the literature that met quality standards. Results A total of 14 articles were included,including 4 guidelines,1 clinical decision,2 systematic reviews,4 expert consensuses,and 3 randomized controlled trials. The 14 pieces of best evidence were compiled,covering 6 aspects of nutritional screening and assessment,nutritional education,recommended dose,formulation selection,nutritional treatment,and management of adverse effects. Conclusion This study summarises the best evidence on the nutritional management of food for special medical purpose in postoperative adjuvant chemotherapy patients with cancer,which is scientific and systematic. When administering nutritional therapy to patients,healthcare professionals should fully assess the nutritional status of patients,make clear and prudent choices on the dosage and type of food for special medical purpose to be used by patients,and guide patients to improve their nutritional status safely and effectively to improve their quality of life. To improve the quality of life.

    Research progress and nursing inspiration on decision fatigue in cancer patients
    FANG Yu, HAO Yuanyuan, ZHANG Chen, DONG Ying, WU Yingxin, JIANG Guichun
    2024, 59(8):  941-946.  DOI: 10.3761/j.issn.0254-1769.2024.08.007
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    There are many treatment options for cancer,and patients need to repeatedly weigh the pros and cons when choosing,consider various health risks and the impact on their families,and are prone to decision-making fatigue,which not only affects their decision-making judgment,but also may affect their physical and mental health. This paper summarizes the concept,theoretical model,and evaluation tools of decision fatigue,and summarizes the influencing factors and coping strategies of decision fatigue in cancer patients,which can provide a reference for domestic medical staff to further develop personalized decision support tools and carry out relevant clinical practice and scientific research.

    Specialist Practice and Research
    Research on the application of building block assembly games in upper limb functional exercise for school-aged children with PICC catheterization
    WANG Longjun, WANG Dan, XU Haili, JIN Ge, FANG Yanyan, ZENG Qinghu
    2024, 59(8):  947-952.  DOI: 10.3761/j.issn.0254-1769.2024.08.008
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    Objective To explore the effectiveness of building block assembly games in the upper limb functional exercise of school-aged children with peripherally inserted central catheter catheterization. Methods Using convenience sampling,90 catheterized children who met the inclusion criteria in the pediatric ward of a tertiary hospital in Henan Province from November 2022 to April 2023 were selected as research subjects. They were randomly divided into an experimental group and a control group,with 45 cases in each group. The experimental group participated in building block assembly games in addition to conventional ball-gripping exercises,while the control group engaged solely in conventional ball-gripping exercises. The compliance rates of upper limb exercises,time average peak flow rate of axillary vein of the catheterization side,and the incidence of catheter-related complications were compared between the 2 groups. Results During the study,2 cases in the experimental group and 3 in the control group dropped out,resulting in 43 cases in the experimental group and 42 in the control group. The compliance rate of upper limb exercises in the experimental group during hospitalization was 93.03%,significantly higher than 64.29% in the control group(P<0.001). On the third day after catheterization,the time average peak flow rate of axillary vein of the catheterization side was(5.58±1.24) cm/s and (5.37±1.24) cm/s on the seventh day in the experimental group,compared to(3.87±1.06) cm/s and(3.56±0.81) cm/s,respectively,in the control group. These differences were statistically significant(P<0.001). The incidence of catheter-related thrombosis in the experimental group was 4.65%,significantly lower than 21.43% in the control group(P=0.021). The rates of bleeding at the puncture site and catheter displacement in the experimental group were both 4.65%,compared to 7.14% and 4.76%,respectively,in the control group. These differences were not statistically significant(both P>0.05). Conclusion Incorporating building block assembly games into routine ball-gripping exercises can improve the compliance of upper limb exercises in children with PICC placement,improve the blood flow velocity in the axillary vein of the catheterization upper limb,and reduce the incidence of catheter-related thrombosis,without increasing the risk of bleeding at the puncture site or catheter displacement.

    Network analysis and nursing implications of post-traumatic stress disorder symptoms in first stroke patients
    HOU Jiayu, YANG Li, LI Jia, LÜ Runtian
    2024, 59(8):  953-959.  DOI: 10.3761/j.issn.0254-1769.2024.08.009
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    Objective This study aims to construct a network of post-traumatic stress disorder(PTSD) symptoms in first stroke patients,to explore the network characteristics and identify core symptom through network analysis,and provide a basis for precise intervention of symptoms. Methods From October 2022 to April 2023,we recruited 232 first stroke patients by using convenience sampling from a tertiary hospital in Qingdao. PTSD checklist for DSM-5 was used to investigate 20 symptoms,construct a symptom network,and analyze the accuracy and stability of core symptom and network structure. Statistical analysis of the network and data visualization were achieved by R software. The test shows that the accuracy and stability of the network are good,and the network model is reliable. Results The PTSD network shows symptoms of "hypervigilance" and "hyperactive startle response","avoidance of memories,thoughts,or feelings related to the traumatic event" and "avoidance of external cues related to the traumatic event","negative beliefs" and "blaming oneself or others" had the strongest association between these 2 symptoms of all. Their regularized partial correlation coefficients were 0.650,0.635,0.381. The symptom "trauma-related forgetting" had the highest predictability. The expected influence results indicated that the symptom"restriction of positive emotion" had the highest centrality. This symptom was more closely related to other symptoms. Conclusion In this study,symptom network analysis was used to explore the symptom network of PTSD in first stroke patients. According to the symptoms with the strongest relationship and the high predictability value in the results,it is suggested that the strong connection between these symptoms should be cut off preventatively during the intervention process to improve the intervention efficiency. The results of PTSD symptom network show that "restriction of positive emotion" is the most core symptom of PTSD. This suggests that clinical health care personnel should take this symptom as the target point of intervention and use it as a breakthrough point to formulate scientific psychological interventions to effectively improve patients’ mental health,enhance the control effect of PTSD and promote psychological recovery.

    Qualitative study on health education and psychosocial support demand of twins pregnancy women
    ZHAO Xinmiao, SHAN Siyu, BAI Ruxue, CHENG Yifan, XIA Chunling
    2024, 59(8):  960-966.  DOI: 10.3761/j.issn.0254-1769.2024.08.010
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    Objective To provide the evidence for the development of personalized health education courses for twin pregnant women. We explored the health education and psychosocial demand of twin pregnant women from the perspective of social ecosystem theory. Methods By purposive sampling,18 twin pregnant women hospitalized in the twin medical center of a tertiary A hospital in Shenyang from January to March 2023 to conduct for semi-structured interviews,and Colaizzi’s 7-step analysis method was used to sort out and analyze the data. Results 3 themes were extracted from the health education and psychosocial needs of twin pregnant women. Microsystem:the content needs of twin pregnant women’s health education(the guidance needs of nutrition intake and weight growth;the needs for fetus health monitoring guidance;the cognitive needs of twin pregnancy complications;the needs for health education knowledge related to puerperium and the diversification of the choice of teaching methods). Mesosystem:the emotional support needs of twin pregnant women during prenatal and puerperal(the needs of family support and peer education support). Macrosystem:seeking social support and network information support(the demand of community support;the needs of information related to twin pregnant women’s hierarchical management system and maternal fetal medical referral process and the needs for network health education information). Conclusion The women with twin pregnancy have different needs for health education content in each stage of pregnancy and puerperium,and there are urgent needs for emotional support and social support. Clinical nurses should construct health education courses according to the needs of twin women,and innovate in content and form,so as to improve the self-care ability of twin pregnant women and the knowledge level of family caregivers,and improve the pregnancy outcome.

    A qualitative study on the post-traumatic growth course for women with termination of pregnancy due to fetal abnormalities
    LI Weitao, WANG Jinyan, WU Huiling, ZHANG Fei, YANG Changjie, WU Liping
    2024, 59(8):  967-973.  DOI: 10.3761/j.issn.0254-1769.2024.08.011
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    Objective To explore the post-traumatic growth course for women with termination of pregnancy due to fetal abnormalities and analyze the promoting factors,in order to provide a basis for nursing and intervention tactics. Methods The purposive sampling and theoretical sampling methods were used to select 16 women who were diagnosed with fetal abnormalities and decided to terminate pregnancy in the obstetrics department of a tertiary care maternity hospital in Beijing from May 2021 to February 2022. Women were interviewed by semi-structured interviews,and the data was analyzed by Charmaz’s constructing grounded theory paradigm. Results Women with termination of pregnancy due to fetal abnormalities underwent 4 stages of post-traumatic growth:traumatic stress period,rumination and seeking of help period,and acceptance internalization period,and post-traumatic growth period. The behavior of each period was influenced by the psychological experience of the corresponding period and influenced the experience of the next period. Extroverted personality,previous normal pregnancy and delivery experience,positive perception of events,positive self-identification,good social support,appropriate hospitalization environment and regulations,open mindedness towards death and religious belief,affected women’s post-traumatic growth. Conclusion The post-traumatic growth course of women with termination of pregnancy due to fetal anomaly is a complex continuously sublimated process. Medical staff should pay attention to psychological and behavioral changes in women’s post-traumatic growth,combine the factors that promote post-traumatic growth,and provide targeted guidance to help them successfully go through this difficult period and achieve personal growth.

    NursingI Education
    Study on the development and application of an evaluation management information system for new nurses
    SONG Xiaoan, LU Xingquan, MA Jing, WANG Yafan, WANG Xiaohua, REN Hong, GAO Jun
    2024, 59(8):  974-979.  DOI: 10.3761/j.issn.0254-1769.2024.08.012
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    Objective To develop an evaluation management information system for new nurses(EMISNN),and to explore the effectiveness of its application in the training of new nurses. Methods A research and development team was set up to design and build the EMISNN. EMISNN is a system which comprises 3 main modules,namely data integration module,query statistics module and strategy generation module. From August 2021 to April 2023,the new nurses of Qinhuangdao city,a tertiary A hospital who joined in 2022 were selected as an experimental group,and the new nurses joined in 2021 were selected as a control group by the convenience sampling method. The experimental group adopted the data analysis and strategies provided by the EMISNN to guide the training of the theory and practice of surgery,while the control group adopted the routine training plan,and then the performance of the 2 groups nurses in the theory test of surgical nursing and their satisfaction with the training were compared. Results After training,the experimental group was(73.51±8.51) points,while the control group was(69.14±8.01) points,and the difference between the 2 groups was statistically significant(t=3.112,P=0.002). The training satisfaction of the experimental group was(34.53±2.80) points,while the control group was(32.42±2.70) points,and the difference between the 2 groups was statistically significant(t=4.486,P<0.001). Conclusion The application of the EMISNN conduces to the precision and intelligence of new nurses trainings,and it is also conducive to enhancing the satisfaction of new nurses with the training and improves the training quality.

    Construction and application of “Internet+ TCM nursing service” talent cultivation model in Zhejiang Province
    YAO Binlian, XU Min, YE Menghua, CHEN Xiaojie, YE Fuying, WANG Yongjian, LIN Juanying, NI Feilin, ZHANG Xiaolan
    2024, 59(8):  980-986.  DOI: 10.3761/j.jssn.0254-1769.2024.08.013
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    Objective To construct an “Internet+ TCM nursing service” talent cultivation model in Zhejiang Province and to evaluate its application effect. Methods Based on the literature review and expert panels,the “Internet+ TCM nursing service” talent cultivation model was constructed in Zhejiang Province. A total of 63 trainees from 63 TCM and integrated traditional Chinese and Western medicine hospitals in the province were selected to carry out for 45 days of theoretical training and 9 days of clinical skills training. After the training,the training effect was evaluated by theoretical knowledge,TCM nursing skills,scenario simulation case assessment,trainees’ satisfaction,as well as a survey on the results of practice. Results The constructed talent cultivation model contains course contents including theoretical learning,skill training and emergency home treatment management and corresponding assessment programs. Sixty-three trainees successfully completed the course with the theoretical score of (92.24±3.64),the skill score of (97.13±2.53),and the situational case score of (95.78±3.02). Fifty-five trainees(87.30%) were assessed as “excellent” and 8(12.70%) as “good”. The trainees’ satisfaction about the overall module design of the project was(4.93±0.23) and 415 cases of “Internet+ TCM nursing service”were carried out. Conclusion The “Internet+ TCM nursing service” talent cultivation model in Zhejiang Province has strong applicability and remarkable training effect,which can provide references for the implementation of “Internet+ TCM nursing service” in other regions.

    Evidence Synthesis Research
    Best evidence summary for the management of ocular complications in intensive care patients ventilated in prone position
    GUO Fan, WANG Min, GU Xiao, ZHOU Yingfeng, JIANG Ling, HUANG Qin, CHENG Niankai, CHEN Yilei
    2024, 59(8):  987-995.  DOI: 10.3761/j.issn.0254-1769.2024.08.014
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    Objective To retrieve,evaluate and summarize the best evidence on the management of ocular complications in intensive care patients ventilated in prone position,and to provide references for clinical practice. Methods Evidence on management of ocular complications in intensive care patients ventilated in prone position was systemically retrieved in the guideline websites,professional association websites and databases,such as the BMJ Best Practice,UpToDate,Cochrane Library,Joanna Briggs Institute,PubMed,Web of Science,Science Direct,Embase,CNKI,Wanfang and other databases,including guidelines,clinical decisions,evidence summaries,expert consensuses,group standards,systematic reviews and scoping reviews,published from January 2013 to June 2023. The guidelines were individually evaluated by 4 researchers,and the remaining literature was individually evaluated by 2 researchers. The literature that met the criteria was extracted and graded. Results A total of 15 articles were involved,including 6 guidelines,2 clinical decisions,2 evidence summaries,3 systematic reviews,1 scoping review and 1 group standard. Finally,6 evidence topics and 16 pieces of best evidence were formed,including organization and training,risk identification,eye assessment,eye protection,position management and regular observation. Conclusion This study summarized the best evidence on the management of ocular complications in intensive care patients ventilated in prone position. In the application,the best evidence should be selected according to the clinical situation,so as to reduce the incidence of ocular complications and improve the quality of life of patients.

    Evidence summary for prevention and management of extravasation in peripheral intravenous infusion in NICU neonates
    TAO Fuying, SHI Qinchuan, ZHANG Panpan, CAI Ruyi, XU Qian, JIANG Jia’nan, FU Dong-ying, HUANG Xiaoyan, TIAN Yingying
    2024, 59(8):  996-1004.  DOI: 10.3761/j.issn.0254-1769.2024.08.015
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    Objective To systematically search,evaluate and summarize the best evidence for prevention and management of extravasation in peripheral intravenous infusion in NICU neonates,and provide a reference for clinical practice and standard formulation. Methods A comprehensive systematic search of websites and databases was conducted to explore literature on prevention and management of extravasation in NICU neonates,including clinical decisions,guidelines,expert consensuses,evidence summaries and systematic reviews. The search encompassed the entire period from database inception to July 2023. 2 researchers independently evaluated the quality of the literature,extracted and integrated the evidence. Results The study included a total of 9 articles,comprising 1 clinical decision,3 guidelines,3 expert consensus documents,and 2 evidence summaries. Ultimately,25 pieces of evidence were synthesized,covering risk factors,catheter indwelling and maintenance,extravasation assessment and treatment,and team building,education and training. Conclusion The evidence provided practical and specific recommendations that can guide healthcare institutions in formulating strategies to prevent and treat extravasation during peripheral intravenous infusion in NICU neonates,while also offering evidence-based guidance for applying the evidence in clinical practice.

    Meta-integration of qualitative studies of psychological experiences of children with a breast cancer mother
    ZHANG Qian, GAO Wenjuan, HAN Jing
    2024, 59(8):  1005-1011.  DOI: 10.3761/j.issn.0254-1769.2024.08.016
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    Objective To systematically evaluate qualitative studies on the experiences related to the integration of children with a breast cancer mother and to provide a basis for further family rehabilitation interventions. Methods We searched databases including the PubMed,Web of Science,the Cochrane Library,Embase,CINAHL,Joanna Briggs Institute(JBI),CNKI,Wanfang database,VIP Database and CBM to collect qualitative research on the experience or feelings of children after their mothers suffered from breast cancer. The retrieval period was from the establishment of the database to October 2022. The quality of the included studies was evaluated based on Joanna Briggs Institute Critical Appraisal Tool for qualitative research(2020 edition). The results were integrated by the method of aggregative integration. Results A total of 10 papers were included,and 49 outcomes were extracted into 10 categories and synthesised into 4 integrated outcomes:being aware of the changes and new needs brought about by breast cancer;experiencing negative emotions and genetic worries;trying to cope with life after mother’s breast cancer;discovering the positivity that comes from breast cancer. Conclusion Healthcare professionals should pay attention to the psychological experience of children with a breast cancer mother and provide appropriate psychological support and health education to promote their positive adjustment,thereby facilitating the recovery of breast cancer families.

    Review
    Intervention strategies for reducing sedentary behavior among older adults:a scoping review
    ZHANG Xiaoyan, LI Xuejing, YANG Dan, MENG Meiqi, HAO Yufang
    2024, 59(8):  1012-1020.  DOI: 10.3761/j.issn.0254-1769.2024.08.017
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    Objective A scoping review was performed to identify the effectiveness,characteristics,and behavior change techniques of intervention strategies for reducing sedentary behavior among older adults. Methods This study was guided by the scope review methodology framework proposed by Arksey and O’Malley. A comprehensive search of databases was conducted in PubMed,Embase,PsycINFO,Cochrane Library,CINAHL,and Sedentary Behavior Research Database to collect the literature on intervention strategies for reducing sedentary behavior among older adults. The search period was from the establishment of the databases to September 20,2022. The study selection and data extraction were performed independently by 2 reviewers. The resulting data were analyzed and arranged using the descriptive analysis and the social network analysis. Results A total of 31 separate studies published between 2011 and 2022 were included in this study. Most intervention strategies were developed based on the Social Cognitive Theory. Almost all sedentary behavior intervention strategies targeted the psychological and behavioral levels of the individual. The main contents of the intervention strategies included goals and plans,feedback and monitoring,natural consequences,social support,repetition and substitution. In the social network analysis,the behavior change techniques that ranked high in degree centrality included goal-setting(behavior),self-monitoring of behavior,action planning,information about health consequences,and feedback on behavior. These intervention strategies could reduce sedentary time from 23 to 151 min/day. Conclusion Domestic nursing researchers should pay attention to sedentary behavior in older adults,and develop intervention strategies for reducing sedentary behavior in local contexts based on the effectiveness,characteristics,and behavior change techniques of the existing sedentary behavior intervention strategies.

    Application progress of evidence mapping in nursing field
    YU Liangmeng, YU Xiaoling, LI Jiamei, RUAN Xiaofen
    2024, 59(8):  1021-1025.  DOI: 10.3761/j.issn.0254-1769.2024.08.018
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    This review introduces the definition,content,and implementation steps of evidence mapping. It reviews the application of evidence mapping in the field of nursing,explores its role in enhancing the quality of nursing research,and summarizes the advantages,limitations,and prospects for development of evidence mapping. The goal is to strengthen the understanding of evidence mapping among nursing researchers,stimulate research interest,and promote the application of evidence mapping-based evidence synthesis methods in nursing research in China.