Objective To investigate the current situation of spare time planning among nurses，and to analyze the influencing factors to provide a reference for managers to design interventions to improve nurses’ leisure crafting. Methods From February to May 2023，271 clinical nurses from 2 tertiary general hospitals were selected by convenience sampling method in Wenzhou City. Questionnaire surveys were conducted through the general information questionnaire，the Leisure Crafting Scale，the Self-Identity Scale，and the Perceived Organizational Support Scale. Results A total of 257 valid questionnaires were collected，and the nurses’ leisure crafting score was 18~25（26.93± 8.08）. Multiple linear regression analysis showed that self-identity and perceived organizational support of nurses were the main influencing factors on nurses’ leisure crafting （P<0.01）. Conclusion The score of nurses’ spare time planning is in the middle level. Nursing managers can provide targeted training for nurses with different professional titles，set reasonable goals for spare time planning，and improve nurses’ sense of organizational support by giving them positions and increasing opportunities for further training，so as to help nurses to adjust their role cognition and improve their social status to improve their self-identity and ultimately promote their level of spare time planning.

Objective To construct a quality control information system for the entire process of neonatal breastfeeding and evaluate its application effect. Methods Based on the “evidence-based guidelines for breastfeeding of inpatient newborns” and combined with clinical practice，hazard analysis and critical control point methods were applied to construct a quality control information system for the entire breastfeeding process，which includes medical order reminder module，knowledge assessment module，breast milk outside the hospital management module，breast milk inventory reminder module，and adverse feeding record module. The pure breastfeeding rate，qualified rate of breast milk quality，and incidence of adverse events of hospitalized newborns before the application of the system（June and August 2021） and after the application of the system（June and August 2022） were compared. Results After the implementation of the system，the pure breastfeeding rate of hospitalized newborns increased from 15.12% to 28.05%，with a statistically significant difference（χ²=4.170，P=0.041）. The qualified rate of breast milk quality increased from 68.44% to 96.79%，with a statistically significant difference（χ²=531.853，P<0.001）. The incidence of adverse events decreased from 5.81% to 0，with a statistically significant difference（P=0.026）. Conclusion The quality control information system for the entire process of breastfeeding accurately identified risks and warning signs against them，standardized the management of breast milk outside the hospital，improved the qualification rate of breast milk quality and pure breastfeeding rate，reduced adverse events of breastfeeding，and ensured the effectiveness and safety of breastfeeding.

Objective To investigate the effects of different modes of intermittent pneumatic compression（IPC） in preventing deep vein thrombosis（DVT） in patients undergoing laparoscopic rectal cancer surgery.Methods From April 2020 to April 2021,130 patients for laparoscopic radical rectal cancer surgery（Dixon） were sequentially selected in a tertiary hospital,and they were divided into the control group,group Ⅰ,group Ⅱ,and groupⅢ by random number table method. The control group were routinely treated to prevent thrombosis during perioperative period,and other groups were treated with corresponding IPC mode during the operation on the basis of the treatment in the control group. Specifically,group Ⅰ adopted the IPC bipedal mode,and the plantar airbag was applied to 130 mmHg for 6 s,and then relaxed for 12 s. Group Ⅱ adopted the IPC double calf model,and the airbag was applied to the calf sequentially by 80 mmHg for 12 s and relaxed for 24 s. Group Ⅲ adopted IPC double calf + thigh mode,and airbags sequentially pressed 80 mmHg,70 mmHg and 60 mmHg from the ankle,calf and thigh respectively for 24 s and relaxed for 24 s. The venous hemodynamic changes of the lower extremities and the incidence of DVT in the 4 groups were compared before and after operation.Results Compared with the control group,group Ⅰ and group Ⅱ have statistically significant differences in the velocity rates of bilateral femoral common,superficial and popliteal veins before and after surgery（P<0.05）,while there is no difference in the change of blood vessel caliber. The incidences of DVT on the first day were improved significantly（P=0.039,P=0.042）,respectively. Compared with those in the control group,there were no significant difference in the velocity rates of bilateral total femoral veins,as well as the change of blood vessel caliber of bilateral common femoral vein,superficial femoral vein and popliteal vein in the group Ⅲ（P>0.05）. The incidence of DVT on the first day after surgery was not improved（P=0.820）. There were no statistically significant differences in the incidences of DVT between the 4 groups on the 7th day after surgery（P=0.125）.Conclusion Both the IPC foot mode and the IPC leg mode can reduce the incidence of DVT on the first day after laparoscopic rectal cancer surgery with similar efficacy.

Objective To explore effects of kangaroo mother care on the parenting pressure and parenting sense of competence of mothers of premature infants with non-invasive mechanical ventilation. Methods The convenience sampling method was adopted to select 64 mothers and preterm infants with non-invasive mechanical ventilation who were born and admitted to the NICU of a tertiary A comprehensive hospital in Yinchuan from March 2019 to May 2020 as the research subjects. They were divided into an experimental group and a control group with 32 cases in each group by random number table method. In addition to routine development supportive care，after the vital signs were stable on the 7th day of hospitalization，the experimental group was treated with kangaroo mother care once a day for 2 hours and it lasted for 7 days. The control group was treated with routine development supportive care. On the 7th and 14th day of hospitalization，and at the age of 2nd，4th and 6th month of premature infants with non-invasive mechanical ventilation，the Parenting Stress Index-Short Form and Parenting Sense of Competence Scale were used to evaluate the parenting stress and parenting sense of competence of mothers of premature infants with non-invasive mechanical ventilation respectively. Results There was no significant difference in scores of the Parenting Stress Index-Short Form and Parenting Sense of Competence Scale between the 2 groups before the intervention（P>0.05）. After the intervention，the total score of the Parenting Stress Index-Short Form of the mothers in the experimental group were lower on the 14th day of hospitalization and at the age of 2nd，4th and 6th month than those in the control group，while the total score of Parenting Sense of Competence Scale were higher，and the differences were statistically significant（P<0.05）. Conclusion Kangaroo mother care can reduce the parenting pressure of mothers of premature infants with non-invasive mechanical ventilation and improve their parenting sense of competence within 6 months after delivery.

Objective To apply the best evidence for out-hospital management of breast milk in hospitalized neonates to clinical practice and to evaluate its effects. Methods We used the method of evidence-based nursing to obtain the best evidence. From September 2021 to February 2022，the evidence was applied to the clinical practice through 4 steps，including evidence acquisition，baseline evaluation，evidence introduction，and after-effect evaluation. The incidence of breast milk-related infection，nurses and maternal women’s cognitive level of out-hospital management about breast milk，the implementation rate of review items about maternal women were compared before and after the application of evidence-based practice. Results We finally included 21 pieces of evidence，with a total of 18 review indicators. The incidence of breast milk-related infection decreased from 5.81% to 0（P=0.026）;the scores of nurses and maternal women on out-hospital management of breastfeeding increased from（70.1±5.4） and（55.8±8.3） to（87.6±5.0） and（74.5±6.2）（t=10.606，P<0.001;t=8.055，P<0.001）;except for items 8，13，and 16，the compliance of out-hospital management review indicators for breastfeeding increased to more than 80%. Conclusion Evidence-based practice can standardize the correct operation of family members’ breast milk collection，storage，and transportation，thereby reducing the risk of breast milk contamination and ensuring the quality and safety of breast milk.

Objective To establish and apply an information system of early warning scoring for neonates,so as to provide clinical nurses in neonatal departments with a rapid and dynamic method of assessing the conditions of patients,and to improve their ability to perform homogeneous early warning assessment. Methods 100 neonates hospitalized in a neonatal department from July to December 2019 in a tertiary hospital of Wenzhou City were selected as an observation group,and the early warning scores of neonates were evaluated using an information system. 100 neonates hospitalized from January to June 2019 were selected as a control group. The number of oxygen inhalation cases,oxygen inhalation time,the number of invasive mechanical ventilation cases,the number of cases transferred to NICU,the length of hospitalization,the accuracy of the early warning score,and the time consuming of the scoring were compared as the comparison indicators by artificial early warning scoring. Results The number of invasive mechanical ventilation cases and the number of cases transferred to NICU in the observation group were lower than those in the control group（P<0.05）. There was no significant difference in the number of oxygen inhalation cases,the time of oxygen inhalation and the length of hospital stay;the differences were statistically significant（P<0.05）. The accuracy rates of early warning scoring for nurses were significantly improved,and the time consuming for scoring decreased significantly with statistical differences（all P<0.05）. Conclusion The neonatal early warning scoring information system has obvious advantages in improving the accuracy of scores and saving time,improving the ability of nurses of different ages to make early warning assessments of neonatal conditions,and early detection of potentially critically ill children. Early intervention and early treatment can reduce the incidence of adverse events and improve clinical outcomes.

Objective To explore the effects of improvement in timing of medication administration in patients with pain after liver cancer embolization.Methods A total of 160 patients underwent liver cancer embolization were divided into the intervention group and the control group according to random number table method with 80 cases in each group. In the intervention group,the daily medication administration time was set at 15：00 and 21：00,the time was set at 9：00 and 15：00 for the control group. The incidence of pain occurred in different time periods within 24 hours and pain control satisfaction after liver cancer embolization were recorded.Results Incidence of pain decreased in the intervention group（P<0.05）,satisfaction of pain control was significantly improved in the intervention group（P<0.05）.Conclusion Improvement in timing of medication administration is helpful for pain management in patients after liver cancer embolization.

Objective To explored the effect of Integrated Oral Motor Interventions on feeding performance and clinical outcomes in premature infants.Methods Premature infants born in a tertiary hospital from December 2016 to August 2017 and admitted to the neonatal intensive care unit（NICU） were selected as participants. Premature infants were randomly divided into the control group,Oral Motor Interventions group（OMIs group） and Integrated Oral Motor Interventions group（IOMIs group） by a randomized grouping method. IOMIs group received 3-min oral stimulate,2-min non-nutritive sucking,and 2-min oral support. OMIs group received 12-min oral stimulate and 3-min non-nutritive sucking. the control group received routine developmental support care. Feeding performance,feeding intolerance,hyperbilirubinemia（HB）,necrotizing enterocolitis（NEC） of premature infants in three groups were compared.Results The feeding efficiency and feeding effectiveness on Day 1,2,3,and 4 in IOMIs group were better than those in other two groups（P<0.05）. There was no significant difference in incidence of feeding intolerance,HB and NEC among three groups（P>0.05）.Conclusion IOMIs can improve feeding performance without increasing incidence of related complications.