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.

Acceptance of disability（AOD） is a key factor in psychosocial adjustment of disabled groups，and a good level of AOD plays an important role in promoting health outcomes of patients. At present，studies on AOD have been carried out in many disease fields. Therefore，this article focuses on the relevant concepts，evaluation tools，manifestations，influencing factors，intervention strategies and other aspects of AOD in diabetic foot amputation patients，aiming to improve patients’ prognosis，quality of life and life satisfaction and other aspects for references and help.

Objective We systematically retrieved and evaluated risk prediction models for liver failure after hepatic resection，so as to provide a reference for constructing higher quality risk prediction models for liver failure after hepatic resection. Methods CNKI，Wanfang，sinomed，PubMed，web of science，Embase，Cochrane Library，CINAHL databases were searched for studies on the construction of risk prediction models for liver failure after hepatectomy. The literature was independently screened by 2 researchers and the information was extracted，and the risk of bias and applicability of the included literature was evaluated according to the Predictive Modelling Study Data Extraction Form and the Risk of Bias Assessment Tool. Results A total of 18 studies on the construction of risk prediction models for liver failure after hepatectomy were included，involving 21 models with an area under the subject working characteristic curve of 0.690~0.883. The independent predictors that were repeatedly reported by the models were total bilirubin，residual liver volume，platelet count，prothrombin time，albumin concentration，liver stiffness，and extent of liver resection. Some predictors are controversial，including male，laparoscopic surgery，liver-muscle ratio. The risk of bias in all studies is high，mainly due to insufficient sample size，poor treatment of continuous variables，lack of model performance assessment and over-fitting of models. Conclusion The existing models for predicting the risk of liver failure after hepatectomy are still in the development stage，and there are certain commonalities and controversies in the predictors，which can be further improved by conducting model validation studies or developing localized prediction models with good performance in the future.

Objective To evaluate the application effect of elevating Yang moxibustion therapy in elderly female patients with stress urinary incontinence of kidney-Yang deficiency. Methods The elderly female patients with stress urinary incontinence in kidney-Yang deficiency were enrolled from a tertiary A hospital in Hangzhou between September 2019 and May 2021. By the random number table,they were divided into an experimental group（n=40） and a control group（n=40）. The control group took pelvic floor muscle and bladder function training,the experimental group took the elevating Yang moxibustion on the basis of the control group for a course of 12 weeks,followed up to the 16th week. The daily urinary incontinence frequencies,1-hour urine leakage from pad test,ICI-Q-SF score and TCM syndrome score of stress urinary incontinence in kidney-Yang deficiency were compared between the 2 groups. Results At the 12th week of treatment,the difference in the number of daily incontinence between the 2 groups was statistically significant（t=-3.794,P<0.001）;the decrease of urine leakage in 1-hour pad test in the experimental group was greater than that in the control group （Z=5.270,P<0.001）;the ICI-Q-SF score（t=-3.297,P=0.001） and TCM syndrome score（t=-2.035,P<0.05） were compared between the 2 groups; the differences were statistically significant. At the 16th week of treatment,there were statistically significant differences in the number of daily urinary incontinence,ICI-Q-SF score and TCM syndrome score between the 2 groups. There were statistically significant differences in the number of daily urinary incontinence,ICI-Q-SF score and TCM syndrome score between the 2 groups at each time point（P<0.05）. Conclusion Moxibustion with elevating Yang method can reduce the daily frequencies of urinary incontinence and the urine leakage amount of 1-hour pad test in elderly female stress urinary incontinence patients with kidney-Yang deficiency,reduce the score of ICI-Q-SF and TCM syndrome score,thus improving the symptoms of urinary incontinence,and the quality of life of elderly female patients.

Objective To investigate the application of best evidence for phase I cardiac rehabilitation in transcatheter aortic valve replacement（TAVR） patients into clinical practice and to evaluate its effectiveness. Methods The best evidence for phase I cardiac rehabilitation in patients with TAVR was summarized using an evidence-based care approach,and an evidence-based practice protocol was developed. The best evidence application strategy was constructed after a baseline review and analysis of barriers,and it was implemented in the cardiology department of a tertiary care hospital in Zhejiang Province from September 30 to December 31,2020. The indicators of patients before and after the application of evidence and the implementation rate of the reviewed entries were compared. Results The length of stay of patients after TAVR was shortened from 5（1,7） d at the baseline review to 3（1,6） d（P=0.016）. The percentage of cardiac function of New York Heart Association（NYHA） class I at 30 days postoperatively increased from 31.63% to 72.09%（P<0.001）,and the Katz index also improved（P=0.032）. After the application of best evidence,the rates of review indicators increased from 0~77.55% to 59.30%~100%,with a statistically significant difference（P<0.001）. Conclusion Best evidence application for phase I cardiac rehabilitation in patients undergoing TAVR can shorten patient length of stay,improve patient clinical outcomes,and standardize nurse behaviors.

Objective To systematically analyze and evaluate the prediction models for central venous catheter-associated thrombosis，in order to provide references for constructing higher quality risk prediction models for central venous catheter-associated thrombosis. Methods Original articles in Chinese and English were systematically searched from Chinese databases（CNKI，Wanfang，Sinomed） and English databases（PubMed，Embase，Web of Science，Cochrane Library，CINAHL），and the search period was from the database establishment to February 16，2022.There were 2 investigators who independently screened the literature and extracted data，and applied PROBAST，a risk of bias assessment tool for predictive modeling studies，to analyze the risk of bias and applicability of the included literature. Results A total of 15 studies were included to construct risk prediction models for central venous catheter-associated thrombosis, involving a total of 16 models. 156 models had an area under the subject operating characteristic curve ranging from 0.641 to 0.85. 12 studies had good applicability，while the remaining 3 studies had poor applicability. 15 studies had a high risk of bias，mainly due to failure to select appropriate data sources，inappropriate inclusion and exclusion criteria for study subjects，insufficient sample size，inadequate treatment of missing data，unreasonable variable screening process， consideration of competing risk factors，lack of model performance.The risk of bias was high in all 15 studies，mainly due to inappropriate selection of data sources，inappropriate inclusion and exclusion criteria, incomplete exclusion of predictors from outcome indicators，insufficient sample size，unreasonable treatment of continuous variables，insufficient attention to missing data，unreasonable variable screening process，consideration of competing risk factors，lack of model performance evaluation and over-simulation of the model，etc. Conclusion The construction of existing risk prediction models for central venous catheter-associated thrombosis is still in its initial stage.It is necessary to focus on the study of the validity of different risk assessment methods in the later construction in order to obtain better and highly accurate risk prediction models and provide certain references and bases for the development of relevant prevention strategies.

Objective To search，analyze and summarize the relevant evidence of exercise of maintenance hemodialysis（MHD） patients，aiming to provide evidence of exercise management of MHD patients for clinical staff. Methods Based on the pyramid model of evidence，the relevant literature including exercise of MHD patients was searched by computer，including UpToDate，BMJ Best Practice，guidelines collaboration network，Joanna Briggs Institute，Cochrane Library，well-known databases at home and abroad，and renal professional association websites. The search time was from January 1，2017 to January 31，2022. There were 2 trained researchers in systematic evidence-based knowledge who evaluated the quality of the literature，combined with clinical judgment，selected the literature that met the inclusion and exclusion criteria，and extracted the evidence. Results A total of 10 articles were included and summarized as the best evidence，including 3 guidelines，2 expert consensuses，1 JBI recommended practice，3 JBI evidence summaries，and 1 systematic review. 35 pieces of best evidence were integrated，covering 7 aspects of MHD exercise management，namely the benefits of exercise，organizational management，exercise qualification screening，exercise medical evaluation，exercise prescipition management，the safety monitoring of exercise and exercise support plan. Conclusion The evidence of exercise of MHD patients provides effective standards for clinical staff. It is suggested that targeted evidence should be selected in combination with clinical situations，promoting factors，hindering factors and patients’ wishes when the evidence is applied.

Objective To analyze the definition of low-value care,and provide a theoretical basis to identify and eliminate low-value care. Methods Pubmed,ProQuest,CINAHL,CNKI,Wanfang,VIP,and China Biomedical Literature Service System databases were searched. As a result,35 articles were selected for analysis. Walker and Avant′s methods were used to perform concept analysis of low-value care in terms of its definition,pre-factors,post-results. Results Low-value care can be classified into 4 categories,including the intervention in which evidence confers no or very little benefit on patients,the intervention that harms outweigh benefits,the intervention without cost-effectiveness,and the care which hardly confirms to the values and preferences of patients. The pre-factors can be discussed from the aspects of knowledge belief,treatment relationship and resource economy. Low-value care adversely affects the physical and psychological conditions of patients,increases the economic burden of health care systems and occupies the time and resources from high-value care. Conclusion The research on low-value care is still at an early stage. There is a lack of relevant measurement tools for the accurate determination of low-value care. Further research on low-value care should be carried out from multi-perspectives in the future.

Objective To explore the research content,theoretical framework,adaptation process,the quality of the methodology and reporting of adaptation of guidelines in the nursing field in China. Methods The literature on the theme of the guidelines adaptation in clinical practice in China was systematically searched from PubMed,Cochrane Library,CINAHL,EMBASE,Scopus,Web of Science,CNKI,Wanfang,VIP database. 2 reviewers independently screened the literature,extracted the data and assessed the quality of the adaptation of guidelines by AGREEⅡ tool and RIGHT statement. Results A total of 23 studies were included. 69.6% of the studies were published in the last 3 years,and only 7 (30.4%) of the studies reported the funding support. In terms of research themes,65.2% of the studies focused on the care of diseases and their symptoms,and only 12 (52.2%) reported the methods used in the process of adaptation,among which 7 (30.4%) used ADAPTE methods. Methodological quality evaluation results showed that the area with an average score of more than 60% out of the 6 areas included scope and purpose,participants,and clarity of expression. The area with the lowest score was editorial independence. According to the quality evaluation results of the report,the areas with an average score of >4 among the 7 areas include basic information,background and recommendation,and the lowest score is funding and conflict of interest declaration and management. Conclusion The number of studies on adaptation of guidelines in the nursing field in China is increasing obviously,but the theoretical framework based on the adaptation of guidelines and the quality of the methodology and reporting of the adaptation guidelines are poor.

To summarize the perioperative nursing of a patient with hypertrophic obstructive cardiomyopathy who underwent chemical ablation and radiofrequency ablation with Liwen operation. Nursing points include preoperative psychological nursing care,preoperative preparation,and emergency plan. Postoperative attention should be paid to volume management,hemodynamic monitoring,early implementation of stage I cardiac rehabilitation,active prevention of the occurrence of complications,and discharge guidance. After careful treatment and nursing care,the patient was discharged from the hospital on the 8th day.