Objective To systematically summarize the psychological experience of lung transplantation recipients to comprehensively understand their needs and to provide better evidence for clinical treatment.Methods We searched databases including Cochrane Library,PubMed,Embase,Web of Science,Medline,PsycINFO,ProQuest,Scopus,CNKI,Wanfang Database,VIP and CBM from the start to January 2021,to collect the literature on qualitative studies of the psychological experience and needs of lung transplant recipients.Results A total of 12 studies were included,and 69 findings were extracted. Similar results were combined into 10 new categories,and then 4 integrated results were integrated,including the decision-making experience of lung transplantation,the joy and gratitude after lung transplantation,the distress caused by lung transplantation,and the adjustment after lung transplantation.Conclusion In the decision-making process of lung transplantation,medical personnel should provide lung transplant recipients and their families with comprehensive postoperative information to help them make a prudent choice after comprehensive consideration. Meanwhile,it is suggested that a follow-up management system should be established after lung transplantation.

Objective To systematically review women’s experience of undergoing reconstructive surgery after breast cancer to fully understand patients’ psychological needs and provide better evidence for clinical work.Methods We searched databases including the Cochrane Library,Joanna Briggs Institute Library,PubMed,EMbase,Scopus,Web of Science,CINAHL,PsycINFO,CNKI,and CMB from inception to September 2018,to collect qualitative studies on women’s experience of undergoing reconstructive surgery after breast cancer. The quality of included studies was evaluated according to JBI Critical Appraisal Tool for qualitative studies in Australia. The results were integrated by integrating methods.Results A total of ten studies were included. Twenty-nine complete findings were grouped according to similarities to form seven new categories. These categories resulted in three synthesized findings：decision making for breast reconstruction：lack of information and hesitation;painful struggle after breast reconstruction：difficulties insurgical process and frustration with the outcome;adjustment after breast reconstruction：psychological and life style adjustment.Conclusion Healthcare workers should pay attention to psychological changes and information needs of patients with breast reconstruction,provide necessary support to help patients to adapt to life after breast reconstruction,and improve patients’ quality of life.

Objective To explore trends of the National Early Warning Scores (NEWS) 24h prior to in-hospital cardiac arrest (IHCA) for patients with acute coronary syndromes (ACS). Methods We conducted a retrospective case-control study in 3 tertiary hospitals in Fujian Province,patients with ACS who experienced cardiac arrest were in the case group. We randomly selected patients with ACS who had not experienced cardiac arrest as the control group. The NEWS was calculated at 24h,16h,8h,1h and 0.5h before cardiac arrest and the trends were analyzed. Results The NEWS were significantly different between the case group and the control group at 24h,16h, 8h, 1h and 0.5h before cardiac arrest, the scores in the case group were higher than those in the control group, and the trend was continuingly rising (P<0.001). The proportion of high-risk NEWS group was enlarged before cardiac arrest (from 24h to 0.5 h,NEWS increased from 11.6% to 36.62), and the proportion of low-risk NEWS group was smaller (from 24h to 0.5h,NEWS decreased from 67.7% to 21.4%). From 24h to 0.5h prior to cardiac arrest, compared to low-risk group, the incidence of cardiac arrest of high-risk group was increased from 7.00 times to 56.57 times. Conclusion The NEWS can properly predict cardiac arrest among patients with ACS, and can better identify high-risk patients.