Objective Meta-analysis was used to evaluate the effect of the solution-focused brief therapy on improving the anxiety and depression status of patients with HIV/AIDS. Methods Computer search of PubMed，Embase，Web of Science，Cochrane Library，CINAHL，PsycINFO，Chinese Biomedical Literature Database，China National Knowledge Infrastructure，Wanfang Database，CQVIP were conducted，and the search time frame was from the establishment of databases until April 9，2023. There were 2 investigators who independently screened the literature according to inclusion and exclusion criteria，extracted data and performed quality evaluation，and performed Meta-analysis using RevMan 5.4 software. Results A total of 11 publications were included，including 9 randomized controlled trials and 2 quasi-experimental studies，with a total of 1 219 patients with HIV/AIDS. Meta-analysis results showed that solution-focused brief therapy reduced anxiety scores（SMD=-1.89；95%CI：-2.79~-0.99，P<0.001），depression scores（SMD=-2.45；95%CI：-3.51~-1.39，P<0.001）. Subgroup analysis showed that improved anxiety（SMD=-4.16；95%CI：-7.97~-0.35，P<0.001），depression（SMD=-5.69；95%CI：-11.20~-0.19，P<0.001）in pregnant HIV/AIDS patients was significantly better than that in ordinary patients. Conclusion Solution-focused brief therapy is effective in improving anxiety and depression levels in patients with HIV/AIDS，and the application of this model in pregnant patients with HIV/AIDS has a more significant improvement effect，but high-quality，multicenter，large-sample clinical trial studies are needed to further confirm this conclusion in the future.

Objective To retrieve and obtain relevant evidence on the prevention and management of medical adhesive-related skin injury（MARSI） in neonates to guide clinical practice. Methods We searched UpToDate,BMJ Best Practice,Guidelines International Network（GIN）,National Guideline Clearinghouse（NGC）,Registered Nurses Association of Ontario （RNAO）,Medlive,Joanna Briggs Institute （JBI）,Cochrane Library,Embase,PubMed,Science Direct,CNKI to collect relevant guidelines,recommended practice,evidence summaries,systematic reviews and expert consensuses published form January 1,2011 to February 18,2021. There were 2 researchers who evaluated the quality of the literature and extracted evidence according to the Australian JBI Centre for Evidence-Based Health Care’s literature evaluation criteria and evidence grading system. Results A total of 10 articles were included,including 2 guidelines,2 evidence summaries,2 systematic reviews,4 expert consensuses. A total of 18 pieces of best evidence were collected,mainly involving 5 aspects of skin assessment,skin protection,employment choices,operation methods,management and training. Conclusion This study summarized the best evidence for the prevention and management of MARSI in neonates. It suggests that the nursing administrators should take the actual situation into consideration to formulate relevant nursing measures in clinical practice. We should solve the problem of MARSI in neonates in a scientific way,which can reduce the occurrence of skin injury and improve nursing quality.

Objective To explore the accuracy and reliability of transcutaneous bilirubin（TcB） determination results at different body surface sites in children with hyperbilirubinemia in NICU before，during and after blue light therapy under different total serum bilirubin（TSB） concentrations. Methods Based on convenience sampling，children with hyperbilirubinemia who were admitted to NICU of a tertiary A hospital in Chengdu from March to October，2021 were selected as the investigation subjects，and TcB of forehead，eyebrows，scapula，sternum，back and buttocks were measured in turn within 15 minutes before collecting TSB samples. Paired sample t-test，Pearson correlation analysis，Bland-Altman consistency analysis，sensitivity，specificity and Youden index were used to evaluate the accuracy and reliability of TcB detection results before，during and after blue light therapy under different TSB concentrations. Results 196 children were included，and 310 groups of paired data between TSB and TcB detection results were obtained. Among them，there were 131 groups before blue light therapy，78 groups during blue light therapy and 101 groups after blue light therapy. There were 212 groups with TSB<15 mg/dl（1 mg/dl=17.1 μmol/L），83 groups with TSB<20 mg/dl and 15 groups with TSB>20 mg/dl. Before blue light therapy，there is the good accuracy of TcB in forehead，eyebrow and sternum. During blue light therapy，the accuracy of TcB in the area covered by eyebrows is better;after blue light therapy，TcB results of forehead，scapula，eyebrows and back are more accurate. When TSB<15 mg/dl，the TcB of forehead，scapula，eyebrow and sternum is more accurate and reliable;when 15 mg/dl≤TSB≤20 mg/dl，the results of TcB in the center of eyebrow and sternum are more accurate and reliable;however，when TSB>20 mg/dl，the accuracy and reliability of TcB in all body surface parts are poor. Conclusion The accuracy and reliability of TcB determination results in different parts of children with hyperbilirubinemia in NICU are different in different treatment periods and TSB concentration. When TSB>20 mg/dl，TcB is not recommended as a reference for clinical decision-making.

Individual nursing management practice of a periviable birth baby with gestational age of 23 weeks and birth weight of 450 g is reported and the literature review is summarized. Individual nursing practice includes early life support,developmental supportive care,maintenance of effective respiration,venous access and nutrition management,skin care,prevention and control of infection,oral colostrum smear,training of oxygen-independence and oral feeding,family-integrated-care. After careful treatment and nursing care,the newborn was discharged smoothly.

Objective To evaluate the effect of improved hand knee delivery on the outcome and comfort of primipara in the second stage of labor.Methods From October 1,2019 to March 31,2020,290 primiparas delivered in the delivery center of a tertiary hospital were selected as the study population. With informed consent,the study method of randomized controlled trial was adopted. According to the method of randomized numerical table,the study group was divided into an experimental group（n=145）and a control group（n=145）. The experimental group adopted the improved hand knee delivery position in the second stage of labor,and the control group adopted the traditional knee-bent supine position in the second stage of labor. The difference of delivery outcome and comfort between the 2 groups was compared.Results The natural delivery rate of parturients in the experimental group was higher than that in the control group（χ²=12.590）;the rate of episiotomy was lower than that in the control group（χ²=48.019）;the second labor period was shorter than that of the control group（t=-2.579）;the amount of bleeding during and after delivery was less than that of the control group（t=-2.134）;the maternal comfort was higher than that of the control group（t=-10.775）;the difference was statistically significant（P<0.05）. There was no significant difference in neonatal asphyxia rate between the 2 groups（χ²=0.344,P=0.995）. Conclusion The improved hand knee delivery position can improve the natural delivery rate,shorten the second labor period,reduce the rate of dystocia and lateral episiotomy,reduce postpartum hemorrhage,and improve the comfort of delivery.

Objective To explore methods on how to take over quarantine departments of severely ill patients with coronavirus disease 2019（COVID-19） rapidly and efficiently,so as to provide nursing experience on how to respond to public health emergencies. Methods By the double-controlled method combined with checklists and Gantt charts,the nursing department of the medical aid team to Wuhan adopted content control and time control in the management of medical staff,equipment,materials,procedures and the environment,in order to meet the needs of clinical treatment and assure the implementation of all contingency works in taking over the quarantine departments of severely ill COVID-19 patients. Results The medical team was gathered in 2 hours,and took over the quarantine areas in 24 hours after they arrived in Wuhan. 100 severely ill patients were admitted in 48 hours,and the life support machines and materials were in place with the emergency plans being established. After 2 months of takeover and treatment,patients including more than 90% of critically ill ones were admitted,and more than 91% were discharged or transferred to rehabilitation hospitals. None of the medical team members was infected and no accidents happened. Conclusion The double-controlled method played an important role in taking over the quarantine departments of COVID-19 severely ill patients,which proved to be an effective nursing management method in response to the epidemic diseases.

Objective To comprehensively evaluate the clinical status of blood glucose management in neonates delivered by mothers with gestational diabetes in obstetrics，and to develop review indicators of evidence based nursing，analyze obstacles and contributing factors. Methods With JBI health care model as the evidence based theoretical framework，clinical problems were identified；literature retrieval，evaluation and evidence were collected；review indicators and review methods were developed. According to the results of baseline review,the obstacle factors were analyzed,and methods and countermeasures were developed. Result Totally 10 pieces of best evidence were included and 14 clinical review indicators were formulated,of which there are only 2 indicators with the compliance rate of 100%. After detailed analysis of the results,it is concluded that the main obstacles are the lack of process management,insufficient training of nurses on hypoglycemia and the lack of awareness of mothers and family members. The main contributing factors are strong leadership and team work. According to implementation of the corresponding countermeasures,compliance rates of 14 indicators were all above 90%,of which 10 were 100%. Conclusion The obstacles and contributing factors in practice were scientifically and comprehensively evaluated,and corresponding countermeasures were properly proposed,which can effectively promote the application of evidence in clinical practice.

Objective To develop a progressive balance training program and to explore effects of early rehabilitation after total hip arthroplasty. Methods Through evidence-based retrieval,in-hospital revision,and pre-experiment,the progressive balance training program after total hip arthroplasty was formulated. Totally 65 patients under total hip arthroplasty in the Department of Orthopedic Trauma,a tertiary hospital in Suzhou,were included from January to August 2019 by convenient sampling,with 36 patients in an experimental group and 29 patients in a control group by bed arrangement. The experimental group was given the progressive balance training on the basis of routine exercise,while the control group was given a routine exercise program. The Berg Balance Scale（BBS）,the Time Up and Go Test（TUGT）,and Modified Fall Efficacy Scale（MFES） were used to measure and compare the differences of rehabilitation between 2 groups at 1,2,4 and 8 weeks after operation. Results The results of repeated measurement analysis of variance showed that the time,interaction and inter group effects of BBS and TUGT were statistically significant（F_time=1 645.43,F_{time × group}=73.51,F_group=761.72;F_time=4 289.34,F_{time × group}=72.83,F_group=231.43,P<0.05）. Non-parametric test showed that there were significant differences in MFES scores between 2 groups at 4 and 8 weeks after operation（Z=-4.09,P<0.001;Z=-2.65,P<0.01）. Conclusion The progressive balance training program can accelerate the recovery of balance ability and walking ability of patients in the early stage of rehabilitation after total hip arthroplasty,improve fall efficiency of patients,and improve fear of falling of patients.