Objective To explore the health promotion behaviors among patients with pulmonary tuberculosis （TB），and to analyze its relationship with health locus of control，in order to provide scientific references for improving TB patients’ health-promotion behaviors in clinical nursing care. Methods The interpretive sequence mixed method design was utilized. A convenient sampling was used to enroll 300 TB patients from 2 TB specialized tertiary hospitals in Xi’an as research subjects from January to April 2023. General information questionnaire，Health promoting lifestyle profile-Ⅱ，and Multidimensional health locus of control scale were used to collect data，and single-factor analysis and multiple linear regression analysis were conducted. Purposeful sampling was used to select 11 TB patients for a semi-structured interview，and the Colaizzi 7-step method was used to extract themes. Results In the quantitative study，the total score of health promoting behaviors in 294 TB patients was（110.26±15.74）. Patients’ internal health locus of control，chance health locus of control，and occupational status significantly influenced their health-promotion behaviors（P<0.05）. In the qualitative study，4 themes were extracted，including awakening self-awareness of health，the desire to establish a normal life，the distress of multiple uncertainties，and the immediate effect of authoritative guidance. The qualitative and quantitative studies complemented each other and further verified the relationship between health promotion behaviors and health locus of control of TB patients. Conclusion The level of health-promotion behaviors in TB patients needs to be further improved. Nurses need to take systematic health education as an opportunity by the catalytic effect of individual health awareness，to improve their internal locus of control，reduce their opportunity control tendency due to multiple uncertainties，with the ultimate purpose of helping TB patients form and maintain health promotion behaviors.

Objective To investigate the current situation of clinical nurses’ knowledge of vessel catheter-associated infection（VCAI） and analyze its influencing factors，so as to provide a basis for homogenizing training on prevention and control strategies of VCAI. Methods A total of 1 450 nurses were selected from 15 hospitals in East，West，Central，South and North area of China from April 9 to June 9 2022 by multi-stage random sampling method. They were investigated by general data questionnaire and VCAI knowledge questionnaire. The questionnaire included 7 dimensions，covering definition，clinical manifestations，diagnosis methods，risk factors，prevention measures，treatment measures and management system. Results A total of 1 424 valid questionnaires were collected，with an effective recovery rate of 98.21%. Nurses’ knowledge of VCAI was 50.97±19.20. There were 442 qualified nurses （30.9%），169 good nurses（11.8%），and 50 excellent nurses（3.5%）. Multiple linear regression analysis showed that the main influencing factors of clinical nurses’ knowledge score on VCAI were age，hospital grade，job post，educational background，and whether or not they were intravenous therapy specialist nurses（P<0.05）. Conclusion Nurses in county-level and prefecture-level hospitals who participated in the survey had a lower knowledge of VCAI than nurses in provincial or minister-level hospitals. Nursing managers should conduct homogenized training on VCAI knowledge for nurses in county-level and prefecture-level hospitals，so as to change the prevention and treatment behavior of nurses in county-level and prefecture-level hospitals，and reduce the incidence of VCAI.

Objective To summarize the best evidence of exercise guidance programs for patients with ankylosing spondylitis based on the evidence，and to provide the basis for exercise therapy for patients with ankylosing spondylitis. Methods The computer system retrieved UpToDate，BMJ，OVID，CINAHL，Cochrane，Embase，Pubmed，Scopus，CNKI，Wanfang Database，Chongqing VIP，China Biomedical Database，Yimaitong and other guidelines on exercise programs for patients with ankylosing spondylitis，systematic reviews，Meta-analysis，expert consensuses，evidence summaries，randomized controlled trials，etc. The retrieval time was from January 1，2021 to January 1，2022. There were 2 nurses who independently screened the literature，evaluated the quality，and extracted the best literature，evidence and grading，and then summarized the best evidence for exercise guidance programs. Results A total of 16 articles，involving 1 guideline，6 systematic reviews，4 meta-analyses，and 5 expert consensus articles，were included. The best evidence for exercise guidance programs was summarized. There are 38 pieces of evidence in a total of 7 aspects，including pre-exercise evaluation，scope of exercise，exercise in different stages，sports content （project，exercise intensity，frequency，period），sports monitoring indicators，sports risk assessment and related precautions. Conclusion Based on the best evidence of ankylosing spondylitis exercise guidance programs summarized by evidence-based nursing，this study standardizes the theory and practice of rehabilitation exercise for patients with ankylosing spondylitis，and forms a scientific，standardized exercise guidance program with the best evidence.

Clinical practice guidelines are important bridges between research-based evidence and clinical practice. Therefore，adherence to clinical practice guidelines by nurses will improve the scientific nature of the nursing practice. However，the implementation process of clinical practice guidelines is complex，which results in low adherence of recommended guidelines，and thus affecting the scientificity of nursing practice. The development，dissemination，and implementation of clinical guidelines is a continuous process. Several factors may affect guideline adherence in various levels. This paper summarizes the developmental history，status，evaluation methods，and factors influencing guideline adherence based on nursing fields. Possible countermeasures and suggestions are proposed for improving guideline adherence，and provide theoretical references for the formulation，dissemination，and application of clinical guidelines.

Objective To systematically analyze and compare studies related to the intervention effect of topical oxygen therapy on patients with diabetic foot ulcers，and provide references for nursing practice. Methods We searched PubMed，Embase，Web of Science，CENTRAL，CINAHL，Clinical Trial，China Biomedical Literature Database，CNKI，Wanfang Database，and VIP from inception to February 1，2023，to collect studies on the effect of topical oxygen therapy interventions on patients with diabetic foot ulcers. 2 researchers independently screened the literature，and extracted the information，and a meta-analysis of the included literature was performed by RevMan 5.4 software. Results 8 studies with 622 patients were included. Meta-analysis results showed that compared with conventional care，topical oxygen therapy improved the response rate[RR=1.59，95%CI（1.16，2.17），P=0.004] and the reduction of diabetic foot ulcer area[MD=28.78，95%CI（14.83，42.73），P<0.001]，and the method did not increase the incidence of adverse events[RR=0.83，95%CI（0.63，1.10），P=0.190]，but the difference was not statistically significant in terms of healing time[MD=9.86，95%CI（-15.39，35.11），P=0.440]. Conclusion Topical oxygen therapy helps to improve the response rate and reduce the ulcer size in patients with diabetic foot ulcers with a better safety profile，but the effect of the intervention on healing time is unclear. Further high-quality randomized controlled trials should be conducted in the future to validate the efficacy of topical oxygen therapy in patients with diabetic foot ulcers.

Objective To systematically integrate the qualitative research on the experience of fertility preservation decision-making in child-bearing period women with cancer，in order to provide the references for providing decision-making aids and increasing decision-making satisfaction. Methods Databases of CNKI，VIP，Wanfang，PubMed，Web of Science，Cochrane Library，Embaseand Sinomed were retrieved on qualitative research about the experience of fertility preservation decision-making in child-bearing period women with cancer. The retrieval period is from the establishment of the databases to June 2022. Results A total of 15 studies were included，and 58 available research results were extracted，which were then classified into 14 new categories，and finally 5 integrated re-sults were formed：difficulties on decision-making process，accompanied experience of negative emotion；multiple wor-ries and concerns about their own health and their children；dilemma of decision-making；demand of support for decision-making；positive coping patterns. Conclusion Child-bearing period women with cancer usually lacked sup-port for decision making and harbored much stress on themselves，which leads to much psychological burden，when they faced decision-making on fertility preservation. Therefore，medical staff should understand the decision-making needs of patients，and should provide aid on scientific decision making，which can help patients release decision-mak-ing pressure and reduce decision-making conflicts.

Objective To explore the effect of information-motivation-behavioral（IMB） model on self-efficacy of fathers of late preterm infants in support of breastfeeding. Methods A total of 86 fathers of late preterm infants who were transferred to the neonatology department immediately after delivery in a tertiary A hospital in Taiyuan City from October 2021 to February 2022 were conveniently selected as the research objects. According to the length of hospitalization，43 fathers from December 2021 to February 2022 were selected as the experimental group. 43 fathers from October to November 2021 were used as a control group. The experimental group received IMB model based on routine nursing，and the control group received routine nursing. The scores of self-efficacy of paternal breastfeeding support and exclusive breastfeeding rate were compared between the 2 groups at different time points. The scores of breastfeeding knowledge，behavior and attitude of the 2 groups were compared，as well as the incidence of insufficient lactation. Results The self-efficacy scores of fathers supporting breastfeeding in the experimental group were higher than those in the control group at discharge and 1 month after discharge，and the difference was statistically significant（P<0.001）. With the extension of time，the self-efficacy scores of each group increased gradually. The scores of fathers’ breastfeeding knowledge and behavior at discharge in the experimental group were higher than those in the control group；the incidence of maternal insufficient lactation in the experimental group was lower than that in the control group；the exclusive breastfeeding rate of preterm infants at 40 weeks，3 months and 6 months of adjusted gestational age was higher than that in the control group；the difference was statistically significant（P<0.05）. Conclusion Nursing intervention based on IMB model can effectively improve the self-efficacy and scores of breastfeeding knowledge，behavior and attitude of fathers of late preterm infants to support breastfeeding，reduce the pressure of fathers to take care of mothers and preterm infants，so as to increase the rate of exclusive breastfeeding of premature infants.

Objective To investigate the level of kinesiophobia in patients undergoing coronary artery bypass grafting（CABG） and analyze the influencing factors，so as to provide references for rehabilitation exercise intervention in patients with CABG. Methods A convenient sampling method was used to select 249 patients with CABG hospitalized in 3 tertiary hospitals in Urumqi，Xinjiang from January 2022 to August 2022. A month after the CABG，the general information questionnaire，the Tampa Scale for Kinesiophobia Heart（TSK-SV Heart），Multidimensional Fatigue Symptom Inventory-Short Form（MFSI-SF-C） and Exercise Self-Efficacy Scale（PSE） were conducted for investigation. Latent class analysis（LCA） was used to explore the potential categories of kinesiophobia among patients with CABG. Single factor analysis and logistic regression analysis were used to identify the factors associated with the potential categories of kinesiophobia. Results A total of 249 patients were included. Based on the analysis of potential categories，the kinesiophobia of patients with CABG was divided into 2 potential categories，namely high fear-kinesiophobia group（59.4%） and low fear-exercise avoidance group（40.6%）. The results of logistic regression analysis showed that gender，body mass index（BMI），MFSI-SF-C score and PSE score were important factors of the potential categories of kinesiophobia in CABG patients. Conclusion The kinesiophobia of patients with CABG can be divided into 2 latent classes. Patients with the gender of female，body mass index≥24.0，a high MFSI-SF-C score and a low PSE score were more likely to be classified into the high fear-kinesiophobia group. Healthcare providers should identify the characteristics and influencing factors of different latent classes of CABG patients，and carry out individualized intervention strategies，in order to reduce the kinesiophobia.

Case management of prostate cancer patients can promote their behavior change and meet the health needs of patients and their families. Network technology has been applied in case management with its advantages of convenience and strong promotion. Case management is a process of conducting dynamic medical collaboration by its steps,including the assessment,planning,implementation,coordination and supervision. Based on the dynamic steps of case management,this paper summarizes advantages and disadvantages of the application form and application effect of the network technology,in order to provide references for the application of network technology in the case management of prostate cancer patients in China.

Objective To explore the latent class in developmental trajectory of unmet needs of lung cancer patients during chemotherapy and the different characteristics of each potential category. Methods A total of 226 lung cancer patients were sampled from the oncology wards of 4 tertiary hospitals in Harbin and Xi’an from September 2019 to June 2020 using a convenient sampling method. The patients were followed up for 3 times,and the latent class growth model was used to analyze the data. Results 5 latent growth trajectories for unmet needs were identified,namely the high-needs rise group（11.5%）,the medium-needs stable group（32.3%）,the high-needs stable group（43.7%）,the low-needs rise group（6.6%）,and the high-needs decrease group（5.8%）. There were differences in demographic information,disease-related data,psychological factor and quality of life among the groups. Conclusion Clinical staff should make the individualized intervention according to the developmental trajectory of unmet needs of patients.

Objective To search，evaluate and summarize the best evidence of oral intake management during labor and to provide references for clinical practice. Methods According to the “6S” model of evidence resources，clinical decision support，best practice recommendations，guidelines，evidence summaries，expert consensuses and systematic reviews related to oral intake management published in computer decision support systems，guideline websites，association official websites and databases were searched from the establishment of databases to December 2021. A supplementary search was performed for randomized controlled trials published between January 2018 and December 2021. 2 researchers evaluated the methodological quality of the literature，extracted and summarized evidence according to the subject. Results A total of 12 articles were included，including 1 clinical decision support，5 guidelines，1 evidence summary，3 expert consensuses and 2 randomized controlled trials，and 19 pieces of best evidence were summarized from 4 aspects of health education，dynamic evaluation during labor，recommended schemes of oral intake during labor and systematic support. Conclusion This study summarized the best evidence of oral intake management during labor，which can provide a basis for clinical evidence-based practice. Healthcare professionals should combine the best evidence with clinical situation，expert judgment and maternal wishes to develop personalized oral intake management programs during labor for different groups，so as to ensure energy supply，improve maternal and child delivery outcomes，while improving maternal food satisfaction and relieving emotional stress.

Objective To retrieve，evaluate，integrate the evidence of catheter related skin injuries prevention practices in cancer patients with PICC from home and abroad，and then summarize the relevant best evidence to provide evidence-based practice for clinical standardized management of catheter related skin injuries. Methods Evidence on prevention of catheter related skin injuries in cancer patients with PICC was systemically retrieved in the websites and databases，namely the BMJ Best Practice，UpToDate，Guidelines International Network，National Guideline Clearinghouse，National Institute for Health and Care Excellence，Scottish Intercollegiate Guidelines Network，Registered Nurses Association of Ontario，Intravenous Nurses Society，National Comprehensive Cancer Network，Oncology Nursing Society，medlive，Cochrane Library，Joanna Briggs Institute，PubMed，Embase，CINAHL，Taiwan academic literature database，CNKI，WanFang，VIP，SinoMed，including clinical decision-making，guidelines，evidence summaries，best practice，recommended practice，systematic reviews，expert consensuses，and government documents. The literature retrieval period was from the database construction to September 12，2021. The guidelines were individually evaluated by 4 experts，and the remaining literature was independently evaluated by 2 researchers. The literature that met the criteria was extracted and graded. Finally，the expert group integrated the evidence and summarized the evidence topics. Results A total of 12 articles were involved，including 1 government document，3 guidelines，4 evidence summaries，3 expert consensuses，and 1 systematic review. Finally，7 evidence topics and 26 pieces of best evidence were formed，including assessment，skin cleaning and antisepsis，dressing selection，operation and securement techniques，skin protection at PICC insertion site，patient education，supervision and training. Conclusion The best evidence of catheter related skin injuries in cancer patients with PICC can provide resources preparation for clinical transformation and offer nurses clinical decision-making for scientific and effective nursing practice. Specialist nurses should reasonably choose the best evidence for localized application，and constantly update the best evidence，standardize nursing practice，and ensure the safety of patients.

Objective To design a modified one-piece ostomy bag used for abdominal drainage tube nursing in post-Kasai biliary atresia infants,and to assess its clinical application effects. Methods The modified one-piece ostomy bag consisted of an extra thin hydroactive dressing and a one-piece ostomy bag. From January,2018 to December,2020,all 79 post-Kasai biliary atresia patients were chosen. According to admission date,patients were divided into 2 groups. From January,2020 to December,2020,20 infants in the experimental group received modified one-piece ostomy bag nursing for abdominal drainage tube;from January,2018 to December 2019,59 patients in the control group received common dressing change nursing for abdominal drainage tube. The dressing change counts,costs,incidence of dermatitis and tube dislocation were compared between the 2 groups,and clinical nursing effects were observed. Results During abdominal drainage carriage,compared with it in the control group,the median counts of dressing change in experimental group were 1.4 counts less（P<0.001） and costs were ￥46.1 higher（P=0.002）,and the incidences of dermatitis were lower in the experimental group（5% vs. 22%,P=0.102）. There were no unexpected drainage tube dislocation in the experimental group,and 2 cases in the control group. Conclusion The clinical use of modified one-piece ostomy bag for abdominal drainage tube nursing in post-Kasai biliary atresia infants are feasible,which can reduce counts of dressing change and the incidence of dermatitis,with precise measurement of drained ascites volume.

Objective Through systematic evidence retrieval and literature quality evaluation,the best evidence for respiratory muscle training in patients with chronic obstructive pulmonary disease (COPD) was extracted and summarized,so as to provide research-based evidence for respiratory muscle training in the clinical settings. Methods The evidence search was performed across 17 databases and official websites systematically,including UpToDate,BMJ Best Practice,Joanna Briggs Institute Library,Cochrane Library,British National Institute for Health and Care Excellence,Registered Nurses’ Association of Ontario,Canada,British Thoracic Society,Canadian Thoracic Society,American Thoracic Society,Thoracic Society of Australia and New Zealand,Web of Science,PubMed,Embase,Sinomed,CNKI,and Wanfang Database. The guidelines,expert consensuses,evidence summaries,systematic reviews,and randomized controlled trials were included. The retrieval timeframe was ranged from the establishment date of the databases or websites to October 31,2020. All literature was independently evaluated by 2 researchers,and they determined whether the literature met the standards and then extracted the data. Results A total of 12 pieces of literature were eligible for inclusion. They were 2 guidelines,2 expert consensuses,2 evidence summaries,and 6 systematic reviews. There were 21 pieces of best evidence with 7 dimensions being summarized,namely training purposes,training subjects,training places,training plans,training methods,quality control,and effectiveness evaluation. Conclusion The best evidence of respiratory muscle training in patients with COPD was summarized. It is recommended that health care professionals should fully consider the allocation of medical resources when they apply the evidence and formulate individualized and feasible training programs based on the needs and preferences of patients.

This paper reviewed the patient-reported outcomes and assessment tools for patients with breast cancer,and summarized the major contents,application and limitations of generic and specific patient-reported outcome measures. We also analyzed the characteristics and existing problems of the assessment tools,so as to provide references for the development of patient-reported outcome measures and implementing management of symptoms and clinical decisions in patients with breast cancer.

Objective To evaluate the effect of exercise therapy on the prevention and treatment of cardiac toxicity in cancer patients undergoing chemotherapy.Methods CNKI,WanFang Data,VIP,SinoMed,PubMed,Web of Science,Embase,Cochrane Library were searched for randomized controlled trials about exercise therapy of cardiac toxicity in cancer patients undergoing chemotherapy published from inception to August 2020. Excel was used for basic information extraction;bias risk assessment tool in Cochrane Reviewers Handbook 5.1.0 was used for literature quality evaluation. Meta-analysis was implemented with Review Manager 5.3 software;Grade pro 3.6 was used for quantitative evaluation of evidence.Results 11 articles were included in the analysis. Meta-analysis showed results as following.（1）Compared with the control group,exercise therapy could reduce HRmax[MD=-3.39,95%CI（-3.87,-2.92）,P<0.001],CK-MB[SMD=-3.59,95%CI（-5.83,-1.36）,P=0.002] and NT pro BNP[SMD=-5.92,95%CI（-11.29, -0.55）,P=0.03] of tumor patients receiving chemotherapy.（2）Exercise therapy could increase LVEF[MD=9.12,95%CI（1.32,16.93）,P=0.02] and VO₂max[SMD=1.47,95%CI（0.68,2.26）,P<0.001] of tumor chemotherapy patients.Conclusion Exercise therapy can reduce the HRmax,CK-MB and NT-proBNP in tumor patients receiving chemotherapy,and increase their LVEF and VO₂max. In one word,it has a positive effect on the remission of cardiac toxicity in tumor patients.

Objective To investigate the current status of cognition and attitude of community residents for advance care planning（ACP） in Zhengzhou and its influencing factors. Methods A multi-stage random sampling was used through a questionnaire survey on 342 residents from 4 communities in Zhengzhou. The factors influencing positive attitude of community residents were analyzed by logistic regression. Results The cognition of community residents to ACP in Zhengzhou was scored 0~5 [0（0,1）];the total score of attitude is 15~62 [40（26,49）]. Logistic regression analysis showed that age,the previous experience of caring for family or friends in hospital and the experience of family or friends receiving life support treatment were the influencing factors of positive attitude of community residents to ACP in Zhengzhou（P<0.05）. Conclusion The cognition of community residents to ACP is at a low level,while the overall attitude is positive. Senior residents,residents with experience of caring for relatives and friends in hospitals and experience of family or friends receiving life-sustaining treatment have a more positive attitude towards ACP. Health care workers should work with relevant organizations to promote the popularization and acceptance of ACP,and should also provide targeted education and services for different groups in order to promote ACP.

Objective To develop an instrument for measuring narrative competence of medical staff and to test its reliability and validity. Methods The research was completed under the guidance of the Storytelling/Narrative Theory,the Story Theory as well as Nodding's Care Theory. Combined with literature analysis and interviews with 17 narrative medicine/narrative nursing staff,the Narrative Competence Scale was constructed. The items were formed by Delphi technique and pilot survey,and 607 medical staff were surveyed to test the reliability and validity of the scale. Results The Narrative Competence Scale consisted of 27 items with 3 dimensions（accumulated variance contribution rate of 65.02%）,The total scale's Cronbach's α coefficient was 0.950,the split-half reliability was 0.935,the one month test-retest reliability was 0.717（ P< 0.001）,the content validity index was 0.89. The Narrative Competence Scale was positively correlated with JSE-HP,CAI（ P< 0.001）. Conclusion The Narrative Competence Scale has good reliability and validity,which is suitable for the evaluation of medical narrative ability of medical staff in China.

Persistent vegetative state（PVS） is a special state of unconsciousness after severe brain damage. Due to a lack of effective treatment methods,it imposes heavy burdens on both individuals and society. The care of PVS patients mainly relies on nursing care,which is difficult and complicated. However,there has been no clinical guideline to ensure the quality of care. The purpose of this article is to review the literature concerning nursing care on consciousness recovery,nutritional support,prevention of complications,psychological support and education for family caregivers of PVS patients. It was anticipated that this review will provide references to improve nurses’ knowledge on the care of PVS patients and to construct clinical guidelines and pathway on nursing care.

Objective To explore influence of participating in a family-centered group prenatal care model on pregnant women,and to provide theoretical evidence for this model.Methods A family-centered group prenatal care model was established,60 pregnant women were conveniently selected to participate in group activities under this model. Qualitative study method was undertaken to interview 16 pregnant women who participated in the group model using semi-structured interviews. Colaizzi’s analysis method was used to analyze data.Results Three themes（holistic self-care management,participatory health education,and diverse social support） and the core theme of fitting existing and potential needs of pregnancy emerged from data,which reflected the comprehensive experience of pregnant women.Conclusion Compared with traditional prenatal care model,the family-centered group prenatal care model can meet women and their family’s needs of peer support and family support,as well as their expectations of professional support and self-care management. The group model can enhance the utilization and efficiency of prenatal care.