Objective To understand the current status and influencing factors of patient perception for humanistic care in China hospitals，and to provide a basis for developing nursing humanistic care measures and improving the quality of nursing humanistic care services. Methods A total of 30，099 outpatients and inpatients from 107 hospitals in 30 provinces（autonomous regions and municipalities） from July to August 2022 as survey subjects. A general information questionnaire and the Relational Caring Questionnaire-Patient Form were used for a cross-sectional survey，and a single-factor analysis was used to analyze the influencing factors of patient relationship care. Results Finally，29 108 valid questionnaires were collected，and the effective questionnaire recovery rate was 96.7%. The patient evaluation of relationship care was（65.72±8.61） points. Single-factor analysis showed that gender，age，marital status，children’s situation，education level，occupation，place of residence，average family income，medical insurance type，visiting department，and location of the visiting hospital，and whether or not surgery were influencing factors of patient relationship care（P<0.05）. Conclusion The evaluation score of caregiver-patient relationship care among Chinese hospital patients is above average，but there is still room for improvement in western and rural regions，seriously ill and outpatient patients，low-income and low-medical insurance reimbursement populations，and non-surgical patients. Medical institutions at all levels should optimize and improve nursing humanistic care services based on influencing factors，and further enhance patients’ perception of nursing humanistic care.

To summarize the perioperative nursing experience of a child with erythropoietic protoporphyria who underwent liver transplantation and splenectomy. The key points of preoperative care include implementing diversified interventions to reduce the accumulation of porphyrin in the body； actively controlling pain and improving the comfort of children； early debridement and treatment，and good care of solar allergic dermatitis. The key points of postoperative care include protecting the transplanted liver and preventing the deposition of protoporphyrin； strengthening respiratory management to control lung infection； psychological counseling throughout the process to reduce negative emotions； individualized follow-up management to prepare for bone marrow transplantation. After careful treatment and nursing，the child recovered smoothly and was discharged from the hospital. A follow-up visit after 1 month discharge showed a good recovery.

To summarize the perioperative nursing experience of a child with ornithine transcarbamlase deficiency after liver transplantation. Key points of nursing care：blood purification care were taken in the acute stage of high blood ammonia;predictive care were adopted during the remission period of high blood ammonia;early sequential anticoagulation treatment was carried out and supplemented by bleeding observation and nursing;early progressive rehabilitation training were taken to promote the growth and development of the child;psychological counseling was applied through the whole process to relieve the negative emotions of the child and their parents;personalized discharge guidance and continuous rehabilitation care were provided. After 20 days of treatment and care,the child recovered and was discharged,followed up for 4 months and recovered well up to now.

Objective To search and evaluate the systematic review of telerehabilitation management in stroke patients,providing references for clinical decision making and continuous improvement of rehabilitation exercise intervention strategies. Methods Systematic reviews/meta-analysis of telerehabilitation management of motor function in stroke patients was searched in Cochrane Library,Embase,PubMed,Web of Science,CINAHL,Joanna Briggs Institute（JBI）,China National Knowledge Infrastructure,China Science and Technology Journal Database,Wanfang Database,and Chinese Biomedicine Literature Database. The search time limit was from the inception of the database until September 19,2021. 2 researchers trained in evidence-based knowledge system applied AMSTAR （Assessment of Mutiple Systematic Reviews） to evaluate the methodological quality of the literature. GRADEE （Grades of Recommendations Assessment,Development and Evaluation） system was used for evidence summary and grading. Results There were 124 preliminary studies in this study,of which 14 were included. AMSTAR quality evaluation results showed that there were 5 studies of medium quality,and the rest were all of high quality,indicating that the overall research methodology of the included literature was of high quality. According to the evidence quality evaluation results of GRADE system for 67 main outcome indicators of 14 articles,22 pieces of evidence were medium,29 pieces of evidence were low,and 16 pieces of evidence were extremely low. Conclusion The methodological quality of systematic evaluation included in this study is high,but the evidence quality of outcome indicators is low. Telerehabilitation exercise management is beneficial to improve patients’ motor function,self-care ability and quality of life,and improve patients’ satisfaction and participation. However,the design,operation and evaluation of the outcome index of telerehabilitation management still need to be improved.

This article summarized the postoperative nursing experience of 6 children with classic maple syrup urine disease undergoing liver transplantation. Key points of nursing care included：precisely take immunosuppressants to prevent acute rejection;early rehabilitation exercises to promote the development of the nervous system;closely observe changes in the condition and do emergency care for gastrointestinal bleeding;structured skin care to reduce diaper dermatitis;provide multiple forms of support to relieve family pressure;implementation of the "Internet +" follow-up model,continuous family rehabilitation care. After careful treatment and care,the 6 children recovered and were discharged after surgery. They were followed up for 15 days to 4 months and recovered well up to now.

Objective To explore the effect of a modified chest strap after minimally invasive thyroid surgery. Methods A improved chest strap was developed,which can be adjusted and fixed according to the patient’s body and needs. At the same time,the ice pack device can be placed on the chest as needed. The chest strap and cold compress are maintained simultaneously during the use. From July 2019 to August 2020,82 patients underwent elective minimally invasive thyroid surgery. The patients were divided into a control group with 42 cases and an experimental group with 40 cases according to the time. The control group selected from July to December 2019 used traditional medical chest straps. The experimental group selected from January to August 2020 used improved vest-style chest straps. The pain scores,comfort,subcutaneous congestion,and satisfaction with the chest straps were compared between the 2 groups after using the chest straps. The patient’s pain score was evaluated by Numerical Rating Scale;the patient’s comfort score was evaluated by Kolcaba Comfort Scale;patients satisfaction was evaluated by a satisfaction questionnaire. Results The pain score in the experimental group was 2.1±0.2,which was lower than 2.9±0.2 in the control group（t=2.776,P=0.007）. The comfort score in the experimental group was 84.9±1.4,which was better than 79.7±1.1 in the control group（t=2.871,P=0.005）. 20% of patients in the experimental group had symptoms of subcutaneous congestion,while 31% of patients in the control group had subcutaneous congestion（χ²=1.290,P=0.256）. Patients’ overall satisfaction in the experimental group was 95%,which was significantly higher than 59.5% in the control group（Z=14.642,P=0.001）. Conclusion The use of the new and improved vest-style chest strap can reduce the patient’s pain and improve the patient’s comfort and satisfaction.

Objective To investigate the situation of insertion and maintenance of peripheral arterial catheter in adult ICU patients of Beijing tertiary hospitals. Methods The questionnaire was developed using Delphi consensus process. ICU nurses were recruited form 20 tertiary general hospitals in Beijing by stratified sampling method from May to June 2020. Results 992 questionnaires were sent out and 981 were received with an effective recovery rate of 98.9%. ICU physicians（41.1%）and nurses（45.2%） were mainly responsible for catheterization. 24.1% of ICU nurses only occasionally or never performed Allen tests before catheterization. 58.6% of nurses used heparin saline as rinse solution. However,42.2% of nurses occasionally or never adjusted the type of rinse solution according to patient conditions,and 54.4% occasionally or never performed square wave test. Only 45.2% of nurses reported that the volume of discarded blood was 3 times the volume in the front of the catheter;56.4% used a syringe to suck blood at the junction;42.9% rinsed blood into a container. Conclusion The cognition and practice of nursing staff in Beijing in terms of catheter insertion,maintenance and blood sampling are still insufficient,which needs to be further improved. Uniform standards and specifications are recommended to be developed both by doctors and nurses. The training on catheter insertion and maintenance should be strengthened in order to enhance nursing quality in the future.

Objective To explore the application effects of pain management program in perioperative patients with brain neoplasms. Methods The convenient sampling method was used to select postoperative patients with brain neoplasms who met the inclusion and exclusion criteria in neurosurgery of a tertiary hospital in Nanjing. Among them,51 patients from August to October 2019 were selected as the experimental group. The pain management program was implemented on the basis of routine nursing,and 51 patients from May to July in 2019 were selected as the control group. The pain scores at 24 h and 72 h after operation,self-efficacy scores at 24 h and 1 week after operation,patient satisfaction score and incidence of postoperative complications were compared between the 2 groups. Results In resting state,the score of Numerical Rating Scale（NRS）in experimental group（2.49±0.86）was lower than that in the control group（3.43±0.92）,and the difference was statistically significant（t=5.339,P<0.001）;one week after operation,the General Self-Efficacy Scale（GSES） score of the experimental group was（21.22±1.71）,which was higher than that of the control group（19.51±1.87）,and the difference was statistically significant（t=-4.805,P<0.001）;the satisfaction score of the experimental group （93.67±2.20） was higher than that of the control group（90.86±2.03）,and the difference was statistically significant（t=-6.694,P<0.001）. Conclusion The pain management program is helpful to relieve the postoperative resting pain of patients with brain neoplasms,to improve self-efficacy and patient satisfaction,so as to enhance the rehabilitation belief of patients and promote the prognosis of the disease.

Objective To investigate the caring experiences of parents of neonates with enterostomy in different phases based on “Timing It Right” framework. Methods Phenomenological method was used in this study. 43 parents of neonates with enterostomy in different caring phases participated in the non-structured interviews. Data was analyzed by Colaizzi phenomenon analyzing methods. Results Based on “Timing It Right” framework,different caring experiences in 5 phases of neonates with enterostomy were extracted. They experienced the complicated emotion reaction in the diagnosis period,the increased uncertainty and strong demand for support in the stable period,the insufficiency of confidence,anxiety and helplessness in the discharge preparation period,the eager for professional support in the adjustment period,the positive engagement and the sense of growth in the adaptation period. Conclusion The caring experiences of parents of neonates with enterostomy in different phases of disease are dynamic,and medical staff should provide personalized services to help parents get through the hard times smoothly and enhance the continuity of home care.

Objective To retrieve,appraise and summarize the best evidence of the insertion and maintenance of peripheral arterial catheterization among adult ICU patients. Methods We searched literature from the Registered Nurses' Association of Ontario（RNAO）,National Institute for Health and Care Excellence（NICE）,Scottish Intercollegiate Guidelines Network（SIGN）,Guidelines International Network（GIN） and Chinese Medive etc.,coupled with database search including PubMed,CINAHL,Embase,UpToDate,Joanna Briggs Institute（JBI）,CNKI,WANFANG to collect relevant guidelines,evidence summaries,recommended practice,and expert consensuses. The timeframe of data search ran from the inception of the databases to September 2019. 3 researchers evaluated the quality of the literature independently. With the help of external experts,eligible literature was selected for analysis. Results Totally 13 articles were selected,including 1 clinical decision,3 guidelines,7 evidence summaries,and 2 expert consensuses. Finally,27 items of best evidence were synthesized into 10 categories including education & training,catheter selection,catheter insertion and auxiliary technology,catheter label,skin sterilization and aseptic technique,dressing selection and replacement,transducers,pressure monitoring system,flush solution and replacement time. Conclusion This study summarized the best evidence for insertion and maintenance of peripheral arterial catheterization,and added supplemental evidence to standardize the management of arterial catheter in clinical practice,which may reduce the incidence of catheter-related complications and ensure the security of patients.