Objective To systematically review and synthesize the psychological experience of kinesiophobia in patients with cardiac rehabilitation. Methods PubMed，Web of science，Journals@Ovid，Embase，CINAHL，PsycINFO，Cochrane Library，CNKI，SinoMed，WanFang Database，Vip Database，American Heart Association，European Society of Cardiology and American Association of Cardiovascular and Pulmonary Rehabilitation were searched to collect qualitative research on the psychological experience of cardiac rehabilitation patients with kinesiophobia. The retrieval time was from the establishment of the databases to Jun 2023. The literature was evaluated using the Australian JBI Quality Evaluation Criteria for Qualitative Research in Evidence-based Health Care Centres（2016），and the results were consolidated using an aggregative integration approach. Results A total of 45 results were extracted from 14 studies. Similar results were summarized into 10 groups，and 3 integrated results were synthesized as followed. Kinesiophobia was influenced by many factors；kinesiophobia affects the life experience of patients；strategies to reduce the level of kinesiophobia. Conclusion Nurses should pay more attention to psychological experience of kinesiophobia，and take the corresponding intervention measures to help patients overcome the psychological barriers of kinesiophobia，perfect personalized exercise programs，and improve the level of physical activity.
Objective To understand the influence of traditional culture on domestic palliative practice. Methods The purposive sampling method was adopted to select 8 terminally ill patients and 12 family members of terminally ill patients/death who were interviewed on the process of end-of-life treatments and care. The interview subjects were from 3 tertiary A hospitals，2 community health service centers and 1 palliative hospital in Beijing during September 2021 to July 2022. The interview data were analyzed，categorized and thematically extracted by Colaizzi 7-step analysis method. Results 4 themes and 8 sub-themes were analyzed. ①The influence of family sharing on patients’ medical communication and decision-making under collectivism culture：family members play a dominant role in patients’ medical decision-making，and family structures and relationships influence medical decision-making and communication. ②The integrated influence of moral and emotion on patients’ treatments under the culture of filial piety：families do not give up on patients’ treatments，and families feel entangled and hesitated on the choice of life-sustaining treatments for patients. ③The influence of family emotional connection on patients’ personal needs under the culture of reverse care：patients are unwilling to increase the burden of care and funeral arrangements for their families；patients consider the choice of treatments from the perspective of family interests and family responsibilities. ④The influence of traditional views of life and death on the communication of end-of-life issues between patients and family members：the lack of communication on end-of-life issues between patients and family members；the interaction of end-of-life issues should be informally and indirectly discussed between patients and their families. Conclusion Chinese culture is an important issue that cannot be ignored in palliative care. Medical staff should explore and provide appropriate and cultural safe palliative care centering on the three-party decision-making of doctors and patients and their families，the reverse care and filial behavior between patients and families，the family interaction on end-of-life topics.
To summarize the management experience of early postoperative sequential enteral nutrition in 2 children with idiopathic biliary perforation. Key points of nursing included establishing a special nutrition management team，strengthening nutrition screening and evaluation，formulating individualized parenteral nutrition plan，starting the early sequential enteral nutrition support process during the perioperative period，strengthening feeding tolerance assessment. Digestive fluid reinfusion was implemented，and percutaneous endoscopic gastrostomy management was strengthened；regular follow-up and continuous home enteral nutrition nursing were carried out. After careful treatment and nursing care，the nutritional status of the 2 children was significantly improved and they recovered smoothly. The growth and development were normal at the 6-month follow-up after discharge.
To summarize the clinical nursing experience of 3 children with high flow fistula of digestive tract who underwent gastric fluid,bile fluid and intestinal fluid reinfusion combined with relay-type nutritional support. The key points of nursing include：nutritional risk screening and assessment,implementation of relay nutritional support treatment,enteral nutrition combined with digestive fluid reinfusion,fistula management and humanistic care for children and their parents. After careful treatment and nursing care,the weight of the 3 children increased steadily and their nutritional status improved gradually. All of them recovered and were discharged from hospital smoothly.
Objective To investigate the current status of advance care planning（ACP） readiness for chronic diseases patients and analyze its influencing factors. Methods 168 chronic diseases patients from 2 Community Health Service Centers in Beijing were investigated by ACP readiness scale,Social Support Rating Scale,Simplified Coping Style Questionnaire,Chinese version of Wake Forest Physician Trust Scale,WHOQOL-BREF and etc. The data was analyzed by multivariate stepwise regression analysis. Results The total score of ACP readiness of chronic diseases patients was（86.33±14.15）. The influencing factors included negative coping,positive coping,trust in physicians,duration of illness,experience of taking care of families at dying（P<0.05 for all）. Conclusions ACP readiness in chronic diseases patients is above the medium level. The medical staffs should identify patients with longer duration of diseases and more experience of taking care of families at dying,improve doctor-patient trust and positive coping solutions,so as to further improve ACP readiness.
Objective To explore the impact of social support network,self-efficacy and health promotion behavior on healthy aging of elderly in community,and to analyze the influence path.Methods From July to December,2017,a cross-sectional survey was conducted among 485 older adults in four districts of Beijing. Data were collected by using the Lubben Social Network Scale,Medical Outcomes Study Social Support Survey,Self-rated Abilities for Health Practices Scale,the Health-Promoting Lifestyle Profile II and Healthy Aging Instrument.Results The total score of healthy aging of older adults was（120.62±23.15）. Neighborhood relationship had both direct and indirect effects on healthy aging,and the total effect was 0.225. Family support had the strongest effect on promoting healthy aging（β=0.194）. Self-efficacy could directly and indirectly affect healthy aging,and the total effect was 0.701.Conclusion The overall level of healthy aging of older adults was at the upper middle level,but the scores of cognitive function and social participation dimension were low. Neighborhood relationship,family support and self-efficacy were the key factors affecting healthy aging of individuals.
