Objective To develop evidence-based health science popularization works for the prevention of deep vein thrombosis（DVT） in patients after joint replacement. Methods In this study，guided by the Guideline International Network patient guideline formulation manual and Patient Education Materials Assessment Tool，we conducted semi-structured interviews to clarify the health science themes. These themes were matched with relevant evidence，and the relevant evidence recommendation items for each theme were refined. It is translated into easily understandable language and other forms. 12 representatives（doctor，nurse，patient，science popularization expert and evidence-based methodology expert） conducted an external review of the quality of these science popularization works. Results Prevention of post-operative DVT，patients’ main concerns and the most urgent need for action were extracted from a total of 6 scientific topics. After the matching with 22 pieces of evidence，a health education content system for the prevention of DVT after total joint arthroplasty was created. According to the system framework and evidence，as well as the preferences and needs of patients，a popular science manual and popular science video were created，with the final external review rate of 94%~100% and the coefficient of variation of 0~0.101. The revised health science works for the prevention of DVT after joint replacement included popular science manuals-trifolds and popular science videos. The copyright of both popular science manuals（copyright number：Guozuo Dengzi-2022-L-10159159） and popular science videos（copyright number：Guozuo Dengzi-2022-I-10162339） have been registered. Conclusion The method of developing science popularization works on the prevention of DVT in patients after joint replacement is scientific. It can provide a methodological reference for the development of other science popularization works.

Objective To investigate the general well-being of breast cancer peer educators and to analyze its influencing factors. Methods Convenience sampling method was used to select 210 breast cancer peer educators from 8 tertiary hospitals in China from January to February 2023. General information questionnaires，General Well-Being Scale，Cornor-Davidson Resilience Scale，and Social Support Rating Scale were used for investigation. Multiple linear regression analysis was used to explore the influencing factors of the general well-being in peer educators of breast cancer. Results A total of 206 breast cancer peer educators were investigated. The general well-being score was（86.70±14.08）. The results of multiple linear regression analysis showed that psychological resilience，the utilization of social support and the current self-funded treatment of less than 1，000 yuan per month were the influencing factors of general well-being（P<0.001）. Conclusion The general well-being of breast cancer peer educators is at a high level. Improving the social support system for breast cancer patients，selecting peer educators with strong psychological resilience，high utilization of social support and low self-funded treatment，and paying attention to the psychologic status of peer educators，providing timely and positive psychological interventions will help to raise the general well-being of breast cancer peer educators and ensure the quality and continuity of peer education.

Objective To analyze and summarize the strategies to improve nurses’ compassion fatigue through reviewing the application research of mindfulness-based intervention，to provide the guidance for clinical medical staff to carry out mindfulness-based intervention and related research. Methods According to the research method of scoping review， a literature search was performed in the CNKI， Wanfang， CBM， PubMed， Embase， CINAHL， Web of Science，Scopus，ProQuest， the Cochrane Library. The retrieval time limit was from the establishment of the databases to June 15，2022. The included studies were summarized and analyzed. Results A total of 26 articles were included. The main elements of mindfulness-based interventions include curriculum theory introduction，mindfulness skills training，compassion training，stress coping guidance and mindfulness commitment practice. The main forms of mindfulness intervention are offline training，online training and mixed training. The frequency and length of training for the theoretical course of mindfulness intervention is mostly once a week，and 1.0~2.0 h per session；the frequency and length of skill training is mostly 2~4 times per week，and less than 30min per session. The outcome evaluation indicators include application effectiveness，feasibility，and application experience. Conclusion Mindfulness-based intervention has a variety of content elements and implementation strategies，and has positive application effects on nurses’ compassion fatigue. In the future，we need to continuously optimize the content and strategies of mindfulness intervention by combining the Internet and intelligent technologies，and conduct more high-quality randomized controlled studies to verify their long-term intervention effects.

Chronic disease is one of the public health problems that threatens the health of patients，with long-term and incurable characteristics. The development of artificial intelligence provides the possibility for achieving efficient health management of chronic diseases. This paper introduces the overview of artificial intelligence and its application in the chronic disease health management，including disease-risk prediction，lifestyle optimization，disease monitoring，drug management，rehabilitation training and daily care. Meanwhile，the existing challenges and expectations were summarized，in order to provide references for the application of artificial intelligence in chronic disease health management in China.

Cognitive adaptation training can bypass the cognitive deficits of patients with severe mental illness （SMI），use personalized compensation strategies and environment to support the development of patients’ adaptive behaviors，and improve their social function，medication adherence，quality of life and prognosis. In recent years，nurse-led cognitive adaptation training has developed into a mature nursing intervention after feasibility exploration and continuous improvement of research methods abroad，and it has been integrated into psychiatric wards as routine nursing. This paper reviews the application status，intervention contents and intervention effects of cognitive adaptation training in patients with SMI，and puts forward suggestions on cognitive adaptation training in psychiatric wards and community environments in China from 4 aspects，in order to provide references for the research and clinical practice on cognitive adaptation training in China.

The awake self-prone positioning（ASPP） is an auxiliary position ventilation mode used in conscious patients. It can significantly improve oxygenation，reduce intubation rate and mortality in patients with acute respiratory distress syndrome. This article introduces the definition，indications，contraindications，starting and ending time，key monitoring contents，prevention and treatment of complications of ASPP ventilation，and summarizes the nursing difficulties in the application process. At the same time，this article puts forward suggestions to provide references for the nursing care of ASPP ventilation patients and improves their clinical outcomes.

Objective To analyze the potential categories and influencing factors of care dependency trajectory among first stroke patients. Methods From October 2021 to August 2022，278 first stroke patients in the Department of Neurology of a tertiary hospital in Zhengzhou were selected as the study subjects by the convenience sampling method. The Care Dependency Scale was used to investigate the patient’s care dependency level on 3 days after admission，at discharge and 1，3，6 months after discharge，and the latent growth mixture model，univariate analysis and multiple logistic regression were used for data processing. Results The developmental trajectory of 278 first stroke patients’ care dependency was divided into 4 latent subgroups，including low dependence-high recovery（42.1%），medium dependence-medium recovery（24.8%），medium dependence-high decline（13.3%） and high dependence-low recovery（19.8%）. The influencing factors included age，Charlson complication index value，stroke type，stroke severity，anxiety，depression and nutrition score（P<0.05）. Conclusion There are heterogeneous trajectories of care dependency in first stroke patients. Medical staff can make individualized interventions according to the influencing factors to reduce the degree of care dependence.

Objective To retrieve，evaluate and summarize domestic and foreign latest evidence on the prevention and management in breast cancer patients for aromatase inhibitors-induced musculoskeletal symptoms. Methods We systematically searched relevant guideline networks and association websites，as well as Cochrane Library，JBI，PubMed，Web of Science Core Collection，Embase，CINAH，CNKI，VIP，Wanfang，and CBM to collect guidelines，expert consensuses，systematic reviews，and meta-analyses，best practices and recommended practices related to preventions and management about breast cancer patients for aromatase inhibitors-induced musculoskeletal symptoms. The retrieval period was from the inception of databases to July 12，2022. There were 2 researchers who independently evaluated the quality of included literature，and extracted and summarized the evidence. Results A total of 21 articles were incorporated，including 1 guideline，3 expert consensuses，and 17 systematic reviews or meta-analyses. Finally，37 pieces of best evidence including 8 aspects were summarized，namely incidence，clinical features，symptom assessment，risk assessment，prevention，pharmacotherapy，non-pharmacotherapy，and management strategy. There were 17 pieces of Level-1 evidence. Conclusion The best evidence for prevention and management in breast cancer patients for aromatase inhibitors-induced musculoskeletal symptoms could provide references to develop the plan of symptom management and conduct the best clinical practice of clinicians and nurses，but the best evidence should be selected according to the clinical situations and patients’ preferences.

The symptom science model integrates 4 core elements （complex symptom，phenotype characterization，biobehavioral factors，and clinical application） and 3 influencing factors（patient-centered experience，social determinants of health，policy and population health） to explore the symptom assessment，biological mechanisms and management of chronic diseases. The symptom science model emphasizes the important role of genomics，proteomics，microbiomics，and metabolomics and other methods in the study of symptom science，promotes nurses’ understanding of the potential biological mechanisms and biomarkers of symptoms，and develops targeted，cost-effective and innovative interventions and control measures to prevent，manage or improve the symptoms of chronic diseases. This study describes the formation and framework of symptom science model，analyses the application status of symptom science model in chronic disease nursing care，and provides references for multidisciplinary integration development in chronic disease symptom management.

Objective To investigate the effect of a phased oral feeding promotion program in preterm infants with gestational age less than 32 weeks. Methods 128 preterm infants less than 32 gestational weeks admitted to the neonatal intensive care unit（NICU） of a tertiary Children’s Hospital in Shanghai from January to December 2020 were consecutively enrolled as the subjects of this study. They were randomly divided into an experimental group and a control group by block method. The modified phased oral feeding promotion program was applied in the experimental group. The control group received the traditional feeding method. The days of life，corrected gestational age and weight of 2 groups at attaining full oral feeding，at the beginning of oral feeding and the first oral intake of 50% of the meal were compared. The hospital stays and the occurrence of feeding related complications were also compared. Results There were 5 cases lost，and finally 61 cases were included in the experimental group and 62 cases were included in the control group. The corrected gestational age at attaining full oral feeding in the experimental group was lower than that in the control group（P<0.05）. The days of life，corrected gestational age and body weight of the experimental group were significantly lower than those of the control group at the beginning of oral feeding and the first oral intake of 50% of this meal（P<0.05）. There was no significant difference between 2 groups in hospital stay（P>0.05）. No feeding related complications occurred in 2 groups. Conclusion For premature infants with gestational age less than 32 weeks，the phased oral feeding promotion program can achieve full oral feeding at an earlier time.

Objective The relevant evidence of perinatal management of systemic lupus erythematosus（SLE） patients was searched，screened，summarized and analyzed，and the best evidence summary was formed，so as to provide a reliable evidence-based basis for the clinical management and nursing care of SLE patients in the perinatal period. Methods A systematic search was conducted on US Guide Network（National Guideline Clearinghouse，NGC），UK National Institute of Health and Clinical Technology Optimization（National Institute for Health and Clinical Excellence，NICE），UpToDate，PubMed，Web of Science，Cochrane Library，BMJ Best Practice，Australia Joana Briggs Institute（JBI） Evidence-based Health Care Center Database，Yimaitong，China Biomedical Literature Database，China National Knowledge Infrastructure and Wanfang Database for all the evidence related to the perinatal care of SLE patients，including guidelines，expert consensuses，systematic reviews，clinical decision-making，meta-analysis. The search period was from January 1，2011 to November 18，2021. The quality of the included literature was evaluated and the data were extracted by 2 researchers，and the evidence of the literature that met the criteria was summarized and integrated. Results A total of 10 articles were included，including 1 recommendation of clinical practice，4 guidelines，3 expert consensuses and 2 Meta-analysis. Finally，21 pieces of best evidence were formed，including planning pregnancy，monitoring and follow-up during pregnancy，medication management during pregnancy，lactation and neonatal management. Conclusion Nurses should make continuous and dynamic evaluation of SLE patients according to their clinical characteristics and working environment，and formulate treatment and nursing plans to improve maternal and infant outcomes and improve the quality of life of patients.

Objective To develop a multi-module rehabilitation nursing model，and apply it in intelligent follow-up of stroke patients，and evaluate the effect on symptom experience and quality of life of stroke patients. Methods From January 1，2020 to October 31，2021，a total of 316 stroke patients in the Department of Neurology of a tertiary A hospital in Xinjiang Uygur Autonomous Region were selected by convenience sampling. According to the order of admission time，160 patients admitted from January 1，2021 to October 31，2021 were selected as the experimental group. A total of 156 patients admitted from January 1 to October 31，2020 were selected as the control group. The historical control method was used to verify the effect of multi-module rehabilitation nursing model on symptom experience and quality of life of stroke patients during intelligent follow-up. Results The symptom experience of the experimental group was improved compared with that before intervention；the quality of life and self-management behavior were improved；compared with the control group，the differences were statistically significant（P<0.05）. Conclusion The application of multi-module rehabilitation nursing model in intelligent follow-up of stroke patients can reduce or alleviate the symptom experience of stroke patients，and effectively improve their quality of life and self-management behavior.

To summarize the emergency nursing experience of a patient with extremely severe burns and inhalation injury who developed laryngospasm when establishing an artificial airway. Nursing points include：identification and treatment of complications during artificial airway establishment for high-risk airway patients，and elimination of the risk factors of airway spasm in patients. Conduction of early sedation and awakening，the use of simple communicatio. Methods，and the conduction of off-line respiratory assessment and training. The use of active warming measures，and paying attention to fluid resuscitation and body temperature management of burn patients. Trauma team manages the whole process to shorten the emergency stay time of extremely severe burn patients. After 44 days of active treatment and meticulous nursing care，the patient was successfully treated and discharged from the hospital.

Objective In order to improve the "high-dose blood transfusion procedure"，shorten the preparation time for blood transfusion in patients with clinical traumatic hemorrhagic shock，and improve the outcome of patients. Methods Patients with emergency traumatic hemorrhagic shock from January to December 2021 were selected as the study subjects. Patients who received improved high-dose transfusion procedures from July to December were selected as the experimental group，and patients who received conventional transfusion procedures from January to June were selected as the control group. The timeliness indexes and outcome indexes of the 2 groups were compared. Results The delivery time for blood type and routine examination was shortened from 15 min to 8 min（U=143.50，P=0.024）；transfusion preparation time was shortened from 31 min to 19 min（U=126.50，P=0.026）；the time for decision-making blood preparation was shortened from 44 min to 18 min（U=152.50，P=0.007）；emergency stay time was shortened from 135 min to 114 min（U=91.50，P=0.036）；the outcome distribution of patients（χ²=10.64，P=0.031） was improved. Conclusion The improved high-dose blood transfusion procedure can significantly shorten the blood transfusion preparation time for patients with traumatic hemorrhagic shock and improve the treatment rate of patients.

Objective To learn about current status of knowledge，attitude and practice of humanistic care in Chinese nurses and their influencing factors，so as to provide references to the mangers to accordingly improve their knowledge，attitude and practice. Methods From July to August，2022，a general information questionnaire and a clinical nurse questionnaire of knowledge，attitude and practice were sent out and filled by 15 727 nurses from 107 hospitals in 27 provincial administrative regions of China. Results 15，653 nurses completed the investigation. The total score of knowledge-attitude-practice was 84.19±12.98. The scores of knowledge，belief or attitude，and standard score of practice were 80.22±15.61，83.55±15.17，and 87.92±12.70，respectively. The influencing factors were gender，title，department，satisfaction degree with work，emphasis degree of self-care，received training of humanistic care or not，supporting degree from family to their work，relationship with colleagues，satisfaction degree with salary，and having worked or not in a trial ward of humanistic care（P<0.001）. Conclusion The overall humanistic care of Chinese nurses currently stands at medium level. The knowledge of humanistic care is relatively inadequate. The managers should strength nurse humanistic care training，give organizational support，build a better department atmosphere，and improve nurses’ satisfactions to their work，salaries，and relationship with colleagues，so as to improve nurses’ humanistic care of knowledge，attitude and practice.

Objective To describe the real psychological experience of patients waiting for a second kidney transplantation，so as to provide references for clinical medical staff to formulate targeted intervention strategies. Methods The descriptive qualitative research method was adopted. 15 patients waiting for a second kidney transplant were recruited from a hospital in Zhejiang Province by purposive sampling. Semi-structured interviews were performed to collect data，and qualitative content analysis was conducted to analyze the data. Results 4 themes were extracted，including the strong desire for a second kidney transplant，feeling guilty and worried for waiting a second kidney transplant，feeling deeply grateful for the medical staff’s support and being confidence for a successful second kidney transplant. Conclusion Clinical medical staff should attach importance to the psychological experiences of patients waiting for a second kidney transplant and construct patient-centered psychological intervention schemes by cultivating patients’ positive emotions，enhancing support level to improve their quality of life.

Objective To investigate the environmental factors of physical activity among pregnant women，so as to provide a basis for the formulation of targeted intervention programs. Methods Using convenient sampling method，from May to December 2021，we investigated 1200 pregnant women who were received routine prenatal examination in obstetric clinic of a tertiary hospital in Zhejiang province with the general information questionnaire，Pregnancy Physical Activity Questionnaire，Falls Efficacy Scale International，Home Falls and Accidents Screening Tool，and Social Support Rate Scale. Univariate analysis，Spearman correlation were used to analysis the data，and the structural equation model was established. Results A total of 1118 pregnant women were enrolled，and only 202（18.70%） of whom met the criteria of physical activity. Pathway analysis showed that fear of falling，residential environment and social support had a direct impact on the physical activity during pregnancy with an effect of -0.168，0.326 and 0.381，respectively. Residential environment also affected physical activity through the independent mediating effect of fear of falling with an effect of 0.074，accounting for 18.50% of the total effects. Social support also affected physical activity through the independent mediating effect of residential environment and fear of falling，and the chain mediating effect of residential environment and fear of falling，accounting for 34.20% of the total effects. Conclusion The rate of pregnant women met the criteria of physical activity is low. Medical staff should pay attention to the impact of fear of falling，residential environment and social support on physical activity during pregnancy，and take targeted measures to increase the level of activity，so as to improve the level of physical activity during pregnancy.

With the transformation of the bio-medical-community medicine model，more studies change their research of heart failure care services from the medical perspective to the family perspective，and family system theory has guiding significance for family care for patients with chronic heart failure. This paper reviews the theory of family systems and the concept of family caregivers，the impact of chronic heart failure on family caregivers，measurement tools and interventions for family care relationships in patients with chronic heart failure，and puts forward the shortcomings and suggestions of the research status，in order to provide a theoretical basis for the research and development of family care for patients with chronic heart failure.

Zeitgebers are time signals in the external environment that can cause circadian rhythm disturbances in patients，and patients in the ICU setting often experience circadian rhythm disturbances and poor outcomes due to zeitgebers abnormalities. This article reviews the types of zeitgebers，the causes of zeitgebers abnormalities in patients in the ICU setting，and analyzes feasible intervention options from a nursing perspective.

Objective To investigate the current status and influencing factors of technophobia among the elderly，and to provide references for promoting the digital adaptation of the elderly. Methods By the multistage sampling method，606 elderly people from Sichuan，Chongqing and Guizhou were selected from July to August 2022. The general information questionnaire，the Technophobia Scale，the General Self-Efficacy Scale，and the Lubben Social Network Scale were used. Results The score of technophobia among the elderly was （38.39±10.30）. Multiple regression results showed that age，degree of education，monthly income，place of residence，frequency of network use，willingness to use digital health technology，self-efficacy and social isolation were the main influencing factors of technophobia（P<0.05），which explained 56.6% of the variance. Conclusion The level of technophobia among the elderly was in medium level. Nursers should continue to pay attention to elderly people’ technophobia level and actively take relevant measures according to influencing factors，in order to reduce the level of technophobia among the elderly and improve the effective utilization of digital health services，and to improve nursing service efficiency and promote active aging.

Objective To provide solid evidence for clinical development and implementation of yoga exercise for patients with cancer-related fatigue，we systematically retrieve，extract，summarize and analyze both the latest and the best evidence of yoga exercise for patients with cancer-related fatigue. Methods We searched BMJ Best Practice，UpToDate，NICE，RNAO，SIGN，NCCN，GIN，Yimaitong Guideline，JBI Library，Cochrane Library，PubMed，Web of Science，CINAHL，Wanfang Database，CNKI，CBM，AACR and ONS website to collect all relevant evidence，including guidelines，evidence summaries，best practice，expert consensuses，systematic reviews and et al. published from establishment of the database to December，2021. There were 2 researchers who independently screened articles and evaluated methodological quality. Evidence was extracted and summarized according to the theme. Results A total of 7 articles were finally included，containing 1 guideline and 6 systematic reviews. 22 pieces of evidence related to yoga exercise for patients with cancer-related fatigue were extracted and summarized into 9 themes，including exercise cognition，effects，yoga type，assessment，guidance and supervision，target population，principles formulation，exercise parameters and measurements. Conclusion Health care providers should carry out the best evidence practice of personalized yoga exercise prescription for cancer patients according to the characteristics of different cancer population，in order to reduce their fatigue and improve their quality of life.

Objective To explore the barriers in the clinical use of evidence-based deep vein thrombosis prevention after joint replacement,and to provide bases for clinical measures. Methods The interview outline was developed based on the Theoretical Domains Framework（TDF） from July to August 2020. Totally 16 nurses working in the department of orthopedic at a tertiary A hospital in Beijing were selected for semi-structured interviews by convenient sampling,and the content analysis was conducted based on the results. The content of the transcribed text is analyzed,and specific topics and codes are classified according to the relevant fields of TDF. Results In clinical practice,the department has used the HIS system to assess DVT risks,but the nurses do not have a good grasp of the assessment scale,and the case information need to be retrieved,which has caused certain obstacles to the development of the assessment work. Nurses have the awareness to carry out health education and nursing prevention,but due to the lack of auxiliary tools,it is difficult to attract patients’ attention,and thus they lose the will to act,and hold doubts about the prevention effects. Nurses master health education related content and can implement physical and drug prevention,and the department has carried out prevention effect evaluation. However,due to the lack of relevant procedures,there are differences in behaviors among nurses. Combined with TDF,the above obstacles are classified into 5 domains：knowledge,environmental factor,motivation and target,result expectation,and code of conduct. Conclusion There is a variety of obstacles that affect the prevention of deep vein thrombosis after joint replacement in clinical application. It is necessary for the department to carry out the reform of evidence-based nursing practice on the basis of obstacles and promote the clinical application of the best evidence for the prevention of deep vein thrombosis after joint replacement.

Objective The constipation score scale for patients with severe craniocerebral injury was developed,and its reliability and validity were tested,providing an intuitive,effective and simple tool for assessing the risk degree of constipation in patients with severe craniocerebral injury. Methods Guided by the framework of the theoretical study on the cause of constipation in patients with severe craniocerebral injury,a systematic literature analysis was conducted on this theme. A preliminary comprehensive pool of items was then formed,evaluated and supplemented through Delphi expert reviews. The preliminary investigation was conducted and the ambiguous items were revised. Finally,project analysis and exploratory factor analysis were employed to identify the best potential structure of the scale. The convenience sampling method was adopted to select 108 patients with severe craniocerebral injury admitted to the Department of Neurosurgery of a tertiary hospital in Jinzhong City,Shanxi Province from January to December 2019 as the research subjects,and a questionnaire survey was conducted to evaluate the reliability and validity of the scale. Results A pre-test questionnaire of 27 items was formed according to the results of expert letter consultation. 3 items that did not meet the standard were deleted after item analysis. 5 factors were extracted by exploratory factor analysis,and the cumulative variance contribution rate was 66.347%. The 5 factors were named as intestinal peristalsis function,neuro-conscious dysfunction,excessive transport of intestinal water molecules,patient factor and medical personnel factor. The Cronbach’s α coefficient of the scoring scale was 0.908;the Cronbach’s α coefficient of each dimension was 0.830-0.957;the retest reliability was 0.879. Conclusion The constipation risk scale for patients with severe craniocerebral injury developed in this study has good reliability and validity. It can be used as an effective tool to evaluate the risk of constipation in patients with severe brain injury.

Objective To summarize the valuable experience of the specialist nurse team in the multidisciplinary outpatient care on weight-loss. Methods The team consists of diabetes nurses,nutrition nurses,rehabilitation nurses,psychiatric nurses and traditional Chinese medicine nurses,providing a comprehensive assessment,individualized weight management and follow ups based on metabolic,nutritional and behavioral aspects for patients in outpatient setting. Results Our specialist nurse team followed 47 patients for 6 months.Body weight,total cholesterol（TC）,triglyceride（TG）,low density lipoprotein cholesterol（LDL-C） and insulin resistance index（HOMA-IR） were significantly reduced compared to baseline. Moreover,the prevalence of unhealthy lifestyle,anxiety and depression was also significantly lower than baseline（P<0.05）. Conclusion The specialized nurse team has provided the comprehensive and standard weight management for overweight or obese patients,which helps the patients to lose weight,improve anxiety,depression and metabolism state in the multidisciplinary outpatient care on weight loss.

This article summarizes the postoperative nursing experiences of 7 patients with Stanford type A aortic dissection with superior mesenteric artery ischemia. Nursing points include dynamic monitoring of abdominal symptoms and signs;anticoagulant therapy to prevent postoperative thrombosis;prevention and care of complications;providing nutritional support to promote recovery;moderately moving limbs and providing rehabilitation exercise guidance. After careful treatment and care, 7 patients were discharged from the hospital.

Objective To explore the expert consensus on risk assessment and preventive nursing of venous thromboembolism（VTE） in general surgical patients. Methods This consensus was drafted through a systemic literature review on VTE prevention and the interviews of nursing experts. The draft was thereafter reviewed by a total of experts in related fields,and it was finalized after 2 rounds of expert consultation. Results 4 domains with 26 components were established through a modified Delphi method. The effective recovery of the ques-tionnaire was 100%;the expert judgment coefficient was 0.960;the familiarity was 0.912;the authority coefficient was 0.936. The Kendall coefficients of the first and second level topics in the 2 rounds were 0.149 and 0.261,and 0.122 and 0.203,respectively,with statistically significant differences（P<0.05）. The consensus includes risk factors for VTE in general surgical patients,risk assessment,risk response,education and quality control,and it is applicable to perioperative patients of general surgery. Conclusion The consensus was based on the recommendations of 25 clinical nursing experts. The results are scientific,rigorous and authoritative,and can provide guidance for clinical nursing staff in the prevention and control of VTE in general surgical patients.

Objectives To explore the level of resilience among adolescents with Type 1 diabetes and its association with glycemic control,diabetes distress,and quality of life. Methods A total of 360 adolescents with Type 1 diabetes were recruited from the outpatient and inpatient in Endocrinology departments of 2 public hospitals in Nanjing by convenience sampling method. The data were collected by the Diabetes Strengths and Resilience Measure for Adolescents,the Problem Areas in Diabetes Scale-5,the Short Form of the Chinese version Diabetes Quality of Life for Youth Scale,and the Self-Designed General Information Questionnaire. Results The resilience of adolescents with Type 1 diabetes was 40.18±9.27,which was above the medium level. Resilience was negatively correlated with glycosylated hemoglobin value（r=-0.373,P<0.001） and diabetes distress（r=-0.336,P<0.001）,while it was positively correlated with quality of life（r=0.431,P<0.001）. Hierarchical regression analysis showed that resilience independently explained 10.0% of the variation in glycemic control,7.8% of diabetes distress,and 17.7% of the quality of life,after controlling for demographic and disease variables. Conclusions Interventions that target patients’ resilience may improve their glycemic control,mental health,and quality of life,which should arouse the attention of medical workers.

Objective To understand the current situation of aspiration in ICU patients with different feeding patterns and to compare its characteristics,so as to provide a basis for targeted prevention of aspiration. Methods The study was a prospective study. The convenience sampling method was used to select patients who were admitted to the ICU of a tertiary hospital in Suzhou from January 2020 to April 2021 as the survey subjects. According to the different feeding patterns,patients were divided into an oral feeding group,a gastric tube feeding group and a post-pyloric feeding group. The occurrence and characteristics of dominant aspiration and micro-aspiration of patients with different feeding patterns were observed and compared. Results A total of 721 patients were enrolled. The incidences of dominant aspiration in the oral feeding group,the gastric tube feeding group and the post-pyloric feeding group were 8.10%,15.26%,and 11.26%. The incidences of micro-aspiration were 76.95%,77.11%,and 58.28%,respectively. The characteristics of the occurrence of dominant aspiration in 3 groups were compared. The time of first aspiration in the gastric feeding group earlier than that in the post-pyloric feeding group;the oral feeding group had the most frequent aspirations. The proportions of patients with impaired consciousness,gastric retention,intra-abdominal hypertension,dysphagia,and mechanical ventilation in the gastric feeding group and the post-pyloric feeding group were higher than that in the oral feeding group（Bonferroni method,all P<0.017）. The characteristics of micro-aspiration among 3 groups were compared;the proportion of patients with vomiting in the oral feeding group was higher than that in the post-pyloric feeding group;the acute physiology and chronic health scores and ICU stay time of the patients in the post-pyloric feeding group were higher than those in the oral feeding group;the proportions of patients with impaired consciousness and mechanical ventilation in the gastric tube feeding group and the post-pyloric feeding group were higher than that in the oral feeding group. The above differences are statistically significant（Bonferroni method,all P<0.017）. Conclusion The incidence of dominant aspiration and micro-aspiration in ICU patients fed by gastric tube was higher, and the characteristics of aspiration in ICU patients with different feeding patterns were significantly different. Clinically,individualized preventive measures should be taken as early as possible according to the characteristics of the patient and the way of eating.

Objective To form an expert consensus of enteral feeding and nursing care for patients with severe neurological diseases,and to promote the standardized,safe and effective implementation of enteral feeding by neuro intensive nursing personnel,so as to provide effective nutritional support for patients. Methods The evidence in this field was searched,evaluated and summarized to extract the recommendations related to enteral feeding in patients with severe neurological diseases. The first draft of consensus was formed. Through 2 rounds of Delphi expert consultations and expert demonstration meetings,the expert suggestions were analyzed,modified and improved to form the final draft of consensus. Results The positive coefficient of inquiry experts was 100%;the coefficient of expert judgment was 0.93;the degree of familiarity was 0.88;the coefficient of authority was 0.91. The concordance coefficient of Kendall was 0.256~0.278,which was statistically significant（P<0.05）. The final consensus included the evaluation of enteral feeding care for patients with several neurological illness,selection of feeding methods,nutrient solution infusion,identification and care of complications,and indicators for terminating tube feeding. Conclusion This consensus provides guidance for clinical nursing practice and quality control of enteral feeding in critically ill patients.

This paper reviews the existing assessment tools，outlines the development process，main contents，and application status of universal and disease-specific health-related quality of life assessment tools for patients with DVT，analyzes the characteristics and limitations of existing tools，and aims to provide references for clinical selection of appropriate assessment tools and for the development of health-related quality of life assessment tools for patients with DVT in accordance with the cultural background of China.