Objective To construct an exercise rehabilitation engagement nursing intervention program for chronic heart failure patients，and to provide practical guidance for improving patients’ exercise engagement. Methods The draft of the exercise rehabilitation engagement nursing intervention program for patients with heart failure was constructed based on the systematic retrieval of domestic and foreign literature and the theoretical guidance of the Patient Health Engagement model. 18 experts were consulted by Delphi to seek their advice and clinical experience，and the final draft was formed from May to Jun 2022. Results 18 experts were enrolled，and the opinions of all experts tended to be consistent after 2 rounds of correspondence. The expert authority coefficient was 0.831；Kendall’s coefficient of importance after 2 rounds of consultation was 0.302（P<0.001）；and the coefficient of variation ranged from 0 to 0.185. The final intervention program included 4 stages：Blackout，Arousal，Adhesion，and Eudaimonic Period，and each of them included 3 intervention perspectives. In the end，23 specific interventions were constructed. Conclusion The exercise rehabilitation engagement nursing intervention program is scientific and can provide a reference for improving exercise engagement in patients with chronic heart failure.

Objective To understand the dilemmas experience of adolescents with inflammatory bowel disease （IBD） as they transit towards adulthood，and to provide the basis for the development of patient-centered transition nursing intervention program. Methods With the application of phenomenological research method in qualitative research and purposive sampling method，from September to December 2022，15 adolescents with IBD from the department of gastroenterology in 2 tertiary A hospitals in Shanghai for semi-structured in-depth interview，and the interview data were analyzed by Colaizzi 7-step analysis method. Results 4 themes were extracted. ①Self-coping dilemma，including difficulty in adapting to changes in the medical environment，difficulty in adapting to changes in medical roles，difficulty in coping with negative emotional distress，difficulty in meeting the special needs of daily life. ②Family support dilemma，including heavy family financial burden，excessive participation of family caregivers，and insufficient family resilience. ③Medical assistance dilemma，including limited professional assistance and limited information sharing. ④Social support dilemma，including the limited applicability and accessibility of social support，insufficient social cognition and identity. Conclusion Adolescents with IBD face multiple dilemmas as they move towards adulthood. It is suggested that nursing staff should formulate a perfect personalized transition plan，carry out transition-oriented family health education，improve the medical assistance system，further strengthen social support，and improve the level of transition readiness for the adolescents towards adults.

Objective To search，summarize and evaluate the best evidence of exercise training in patients with peripheral arterial disease（PAD），which could further provide evidence-based medical bases for clinical exercise training intervention in patients with PAD. Methods All evidence on exercise training in patients with PAD were retrieved from UpToDate，Society for Vascular Surgery（SVS） website，European Society for Vascular Surgery（ESVS） website，Cochrane Library，PubMed，Springer Link，Embase，Cumulative Index to Nursing and Allied Health Literature（CINAHL），Med-live website，Chinese Society of Vascular Surgery，the Chao-Xing journal database，China National Knowledge Infrastructure（CNKI），Wan-Fang database，and other Chinese and foreign technological journal databases. Evidence was obtained from guidelines，clinical decisions，expert consensuses，evidence summaries，systematic evaluation，and meta-analysis. The retrieval time limit was from the establishment of databases until July 1，2021. There were 2 researchers who evaluated the literature quality and extracted the data. Results A total of 14 articles were included in the present analysis. A total of 20 pieces of best evidence were extracted from 7 aspects，including exercise safety，exercise timing，exercise mode，exercise intensity，exercise time，effect evaluation，and tips. Conclusion The exercise training could improve the walking ability and the quality of life of PAD patients. Thereby，it is recommended that exercise training intervention should be conducted while ensuring safety. The evidence summary process of this study is rigorous and comprehensive. In clinical practice，the medical staff should consider the actual application environment and individual situation of patients when using the evidence.

The transition period from children with inflammatory bowel disease（IBD） to adults is an important stage that affects their long-term quality of life. However,most children with IBD have a low degree of readiness during the transition period,which seriously affects the prognosis and quality of life of children. This paper reviews the research progress on the domestic and foreign status of transition readiness for children with IBD,influencing factors,defects and intervention strategies. Suggestions,shortcomings in current research and practice are put forward,aiming to carry out relevant research for our country in the future and provide references to improve the transition readiness of children with IBD to adults.

Objective To retrieve,evaluate and summarize the best evidence of perioperative health education for patients undergoing ostomy surgery.Methods We searched Registered Nurses' Association of Ontario,Scottish Intercollegiate Guidelines Network,New Zealand Guidelines Group,Australian Government National Health and Medical Research Council,Guidelines International Network,BMJ Best Practice,UpToDate,Joanna Briggs Institute library,Cochrane library,and special websites,such as World Council of Enterostomal Therapists,Wound,Ostomy and Continence Society,American Society of Colon and Rectal Surgeons,Nurses Specialized in Wound,Ostomy and Continence Canada,United Ostomy Associations of America,American Urological Association and European Associations of Urology,to collect relevant guidelines,evidence summaries,recommended practices and systematic reviews and expert consensuses published from database construction to January 7st of 2020. 2 researchers evaluated the quality of the literature,and extracted recommendations and research conclusions from the included literature. Results Totally 11 articles were involved,including 5 guidelines,3 evidence summaries,1 recommended practice and 2 systematic reviews. Finally,18 pieces of best evidence about educator qualification,education targets,education timing,assessment,preoperative education,postoperative education,education strategy and evaluation were summarized.Conclusion This study summarized the best evidence of perioperative health education for patients undergoing ostomy surgery. With reasonable planning,it can reduce the incidence of stomal and peristomal complications,promote patients to return to society as soon as possible,and thus improve the quality of life of patients.

Objective To construct an individualized management scheme of fluid intake for patients with chronic heart failure（CHF） and discuss its application effect. Methods Based on the previous results of “maximum cumulative fluid balance and number of days for CHF patients with safe volume load” and overhydration（OH） value at the time of entry,an individualized management scheme of fluid intake for patients with CHF was developed. Using the convenience sampling method,278 patients with CHF admitted to a tertiary first-class hospital in Jiangsu Province from May to October 2020 were selected. By the random number table method,the patients were randomly divided into an experimental group （139 cases） and a control group （139 cases）. The experimental group adopts an individualized management scheme of fluid intake,and the control group adopts the department’s routine fluid management strategies and we evaluated the effect of the intervention. Results After the intervention,OH value,estimated plasma volume status,Clinical Congestion Scale,Thirst Distress Scale-Heart Failure,the Minnesota Living with Heart Failure Questionnaire,3-and 6-month post-discharge readmission rates in the experimental group were lower than those in the control group（P<0.05）. There was no significant difference between 2 groups in 3- and 6-month post-discharge cardiac mortality （P>0.05）. Conclusion The individualized management scheme of fluid intake for patients with CHF can improve volume status and quality of life,providing a basis for management of fluid intake for patients with CHF.

Objective From the perspective of constructivism learning theory,a death education program for nursing staff is constructed to provide references for the implementation of death education in nursing staff. Methods Since July 2020,through literature content analysis,the draft of the death education program was preliminarily formulated,and 23 experts were selected to carry out 2 rounds of expert letter consultations to form the first draft of the death education program. Finally,the final draft of the death education program was further revised through preliminary experiments. Results The expert judgment basis,expert familiarity coefficient and expert authority coefficient of the second round expert letter consultation are 0.92,0.89 and 0.91. The final version of the intervention program consisted of 4 themes,8 education methods and 22 items,including 7 items in hearing death（lecture+topic discussion）,5 items in seeing death（watching experience + experience sharing）,5 items in touching death（scenario simulation + value clarification）,and 5 items in beyond death（life review + near-death experience）. The importance score of each item was >3.5,and the coefficient of variation was between 0.04 and 0.18. The coordination coefficient（W） of the 2 rounds of expert consultations was 0.174 and 0.465,respectively （all P<0.001）. Conclusion From the perspective of constructivism learning theory,this study constructed a death education program for nurses,which is scientific,practical and feasible. The training themes and objectives are progressive,and the teaching methods are flexible and open,which are easy for nurses to accept. It can provide references for the implementation of death education in nursing staff.

Objective To retrieve,evaluate and summarize the best evidence of pelvic floor muscle training applied in prevention and treatment of post-prostatectomy incontinence,so as to provide references for clinical practice. Methods We searched the guideline websites,association official websites and databases to collect literature including guidelines,evidence summaries,best practice information sheets,recommend practice and system reviews. 2 researchers independently evaluated quality of literature and extracted data. Results Totally 11 articles were enrolled,including 3 guidelines,1 evidence summary and 7 systematic reviews. Finally 11 pieces of best evidence on training aims,assessment of urinary incontinence,application timing,effects and methods,factors influencing effects of interventions were summarized. Conclusion This study summarized the best evidence of pelvic floor muscle training applied in prevention and treatment of post-prostatectomy incontinence to provide more targeted and scientific guidance for clinical medical staff in the assessment of urinary incontinence,pelvic floor muscle training,health education and instructions for patients undergoing radical prostatectomy.

Objective To apply the best evidence for the management of peristomal irritant dermatitis in patients with urostomies into practice,so as to improve the quality of ostomy nursing care. Methods Guided by the Knowledge to Action Framework（KTA）,the appropriate evidence for the management of peristomal irritant dermatitis in patients with urostomies was selected and adjusted based on opinions of stakeholders. An evidence-based nursing plan was developed and applied into the clinical practice by education and training, quality monitoring, enriching resources,et al. Implementation rates of review indicators, the knowledge of nurses and patients,and incidence of peristomal irritant dermatitis were compared before and after the application of the plan. Results After application of the evidence-based practice plan, the implementation rates of the 6 review indicators were improved from 0~96.00% to 77.03%~100%. The knowledge scores of nurses increased from 57.86±11.49 to 69.17±11.21,and the accuracy of knowledge of patients increased from 0~96.00% to 72.00%~100%（all P<0.05）. The incidence of peristomal irritant dermatitis reduced from 32.00% to 12.00%（P>0.05）. Conclusion The application of the best evidence for the management of peristomal irritant dermatitis can standardize behaviors of nurses,increase the knowledge of nurses and patients,and reduce the incidence of peristomal irritant dermatitis.

Objective To explore the effect of the Hospitalized Elderly Life Program (HELP) on the prevention of delirium in hospitalized elderly patients.Methods A Chinese version of the HELP was developed. We assessed risk factors related to delirium,and used the multi-disciplinary team work to develop targeted and individualized non-drug interventions. Two hundred hospitalized elderly patients were randomly divided into the intervention group and the control group,each group had 100 elderly patients. Patients in the intervention group adopted routine nursing methods combined with the HELP program for 2 weeks,and the control group adopted routine nursing methods. We compared the incidence of delirium,activities of daily living,cognitive function and length of stay between two groups.Results The incidence of delirium was 5.2% in the intervention group and 13% in the control group. The difference was statistically significant (P<0.05). At the same time,the activities of daily life and cognitive function of the intervention group were better,length of stay was shorter than that in the control group (P<0.05),the difference was statistically significant (P<0.05).Conclusion The HELP program can effectively prevent the occurrence of delirium in hospitalized elderly patients,and good for improvement of activities of daily life and cognitive function,and it can shorten the length of stay.