Objective The scope of literature review correlated to narrative intervention for patients living with breast cancer was conducted to define the object，form，content，timing/duration and patient outcomes. It can provide references for future research and development of efficient，scientific，and rigorous narrative intervention programs for breast cancer patients and guide clinical practice. Methods According to the scoping review methodology，we systematically searched PubMed，CINAHL，Embase，Web of Science，Cochrane library，CNKI，WanFang database and VIP database. The search period is from the establishment of the database to December 31，2022. There are 2 researchers who analyzed the included studies independently. Results A total of 25 papers from 6 countries were included，and 12 of which coming from China. The results found that the narrative intervention runs throughout the treatment of breast cancer patients. Patients at different treatment stages have different needs for narrative intervention. Less attention had been paid to breast cancer survivors. The forms of narrative intervention include “telling story”，“writing story” and “watching/reading story”. Most of narrative practice forms were “telling story”. Overall，the narrative intervention had significant improvements in psychological，physical，cognitive and life quality，family relationship/social support for breast cancer patients. Conclusion Narrative intervention has positive effects on patients with breast cancer. Currently，the forms of narrative practice for patients with breast cancer need to be further enriched. More attention should be paid to breast cancer survivors，and narrative intervention programs should be individualized according to patient characteristics to enhance intervention effects.

Objective To explore the true perception of patients with breast cancer who participated the rehabilitation exercise of limb function.Methods Using the purposive sampling method,18 postoperative breast cancer patients admitted in a tertiary hospital in Wuhan,China,from February 2021 to March 2021 were recruited for semi-structured interviews based on the theory of planned behavior. Collected data were analyzed to summarize the main themes by the Colaizzi phenomenological method（7 steps）.Results The true experience of postoperative breast cancer patients on the rehabilitation behavior of limb function can be summarized as 3 themes. Behavioral attitude：negative emotions following stress,rehabilitation behaviors that are systematically underestimated,and the value of reconstructing the image of women. Subjective normative measurement：influence of social roles,peer effect,and medical staff support. Perceived behavior control：the confinement of the comfort zone,and the needs of the rehabilitation environment.Conclusion The behavior of limb function rehabilitation in postoperative breast cancer patients is affected by the behavioral attitude,subjective norms measurement and perceived behavioral control. From the perspective of patients,medical staff should correct cognitive bias in rehabilitation behavior of breast cancer patients. Negative cognition needs to be avoided through positive belief factors. Meanwhile,multiple sources of support should be highlighted to stimulate patients’ sense of self-management,create a rich rehabilitation environment,and promote the improvement of breast function rehabilitation behavior of postoperative breast cancer patients.

Objective To explore the variation trend of gastric residual volume and influencing factors of full feeding in ICU patients receiving continuous enteral nutrition. Methods Patients admitted in medical ICU of Peking Union Medical College Hospital from January 2014 to August 2019 were enrolled,and a retrospective analysis of patients receiving continuous enteral feeding via nasogastric tube was performed. The variation trend of gastric residual volume during the first 7 ICU days was analyzed;the full feeding rates of the 7th day between different groups with gastric residual volume more or less than 200 ml were compared;influencing factors of full feeding were evaluated by univariate analysis and multivariate logistic regression analysis. Results 1 057 ICU patients were enrolled,and the peak of gastric residual volume during the first 7 ICU days occurred at the 8th to 12th hour after the beginning of continuous enteral feeding. 715 patients who stayed in ICU over 7 days were analyzed for full feeding;23.1% of patients reached full feeding target on the 7th day;the full feeding rates of patients with gastric residual volume larger than 200ml（14.1%） were significantly lower than those of patients with less gastric residual volume（24.3%, χ²=4.023,P=0.045）. Overweight（OR=0.490,P=0.003）,obesity（OR=0.347,P=0.022）,and SOFA score（OR=0.930,P=0.024）were independent risk factors of full feeding,while underweight（OR=2.464,P=0.007,） and mechanical ventilation（OR=2.116,P=0.004）were protective factors. Conclusion The gastric residual volume of ICU patients receiving continuous enteral feeding varies regularly,and many patients have not been fully fed,while large gastric residual volume is not an independent risk factor of full feeding. Therefore,patients who are overweight,obese or have greater SOFA score should receive much attention on their enteral feeding.