Objective To explore the relationship between health literacy （HL）,empowerment and quality of life （QOL） in disabled elderly and their spouses based on the theory of “dyadic coping”. Methods From December 2020 to June 2021,498 disabled elderly and their spouses in Guangzhou,Zhuhai and Shenzhen of Guangdong province were surveyed by sociological data questionnaire,Katz Index ADL Scale,Health literacy Scale for chronic disease patients,Chinese Elders Health Empowerment Scale and Chinese Short Form-36 Health Survey. Spearman correlation analysis and structural equation model were used to analyze the data. Results The median scores of HL,empowerment and QOL of the disabled elderly were 86.00,30.00 and 391.39,respectively. The median scores of HL,empowerment and QOL of the spouses were 93.00,32.00 and 617.28,respectively. Correlation analysis showed that there were positive correlations between all variables（r=0.156~0.657,P<0.05）,except correlation between spouses’ empowerment and QOL of the disabled elders（P=0.91）. The structural equation model showed that the HL of the disabled elderly could affect the QOL directly or indirectly through empowerment （path coefficients were 0.30 and 0.23,P<0.001）,and the model fitted well（GFI=0.811,AGFI=0.788,RMSEA=0.057）. The HL of the disabled elders and their spouses had a positive interaction（path coefficient was 0.47,P<0.001）. The QOL of the disabled elders was positively correlated with the QOL of their spouses（path coefficient was 0.18,P=0.004）. Conclusion The interaction of HL and QOL between the disabled elders and their spouses suggests that the disabled elders and their spouses should not be considered separately under the pressure of disability,which verifies the rationality of the application of “dyadic coping” theory. The disabled elders and their spouses should be educated and empowered together to improve their QOL.

Objective To retrieve relevant evidence of the postoperative home rehabilitation nursing for elderly patients with hip fracture，and provide evidence for clinical nurses to formulate home rehabilitation nursing pro-grams. Methods The relevant evidence of postoperative home rehabilitation nursing for elderly patients with hip fracture was systematically searched from domestic and foreign databases and websites，including clinical decision-making，guidelines，systematic reviews，expert consensuses and evidence summaries，and the search time limit is from the establishment of the databases to Oct.31，2021. There were 2 researchers who evaluated the quality of various literature and extracted recommendations and research conclusions from the included literature. Results A total of 15 articles were involved，including 3 articles on clinical decision-making，3 guidelines，2 systematic reviews，5 expert consensuses，2 evidence summaries. 27 pieces of the best evidence were formed on suitable population，discharge plan，rehabilitation assessment，rehabilitation expectation，exercise strategy，intensive training，health education and health follow-up. Conclusion The best evidence summary for postoperative home rehabilitation nursing in elderly patients with hip fracture was summarized. When applying the evidence，health care professionals should fully consider the specific clinical setting and formulate individualized rehabilitation nursing plans based on the needs and preferences of patients.

Objective To evaluate and summarize the best evidence for the monitoring and management of intra-abdominal pressure via bladder in critically ill patients,and to provide references for clinical practice. Methods We systematically searched the guideline websites,databases and association official websites to collect the literature including guidelines,expert consensuses,evidence summaries,systematic reviews,and other literature after proposing the evidence-based questions. The databases included BMJ Best Practice,UpToDate,Cochrane Library,Joanna Briggs Institute（JBI） Library,National Institute for Health and Clinical Excellence（NICE）,National Guideline Clearinghouse（NGC）,Guideline International Network（GIN）,Scottish Intercollegiate Guidelines Network（SIGN）,Medlive.cn,Registered Nurses’ Association of Ontario（RNAO）,PubMed,CNKI,CINAHL,SinoMed,Wanfang Database,VIP Database,the Abdominal Compartment Society（WSACS） and Chinese Abdominal Intensive Care Association（CAICA）,etc. The retrieval period was from the inception of the databases to June 30,2021. There were 2 researchers who independently assessed the quality of the literature and identified the level of evidence. Results A total of 6 articles were incorporated,including 4 guidelines,1 expert consensus and 1 clinical practice recommendation. Totally 11 pieces of best evidence were summarized,including body position,zero position,the amount of saline instillation,timing and frequency of measurement,and the using of sedative and analgesic programs. Conclusion This evidence summary can provide a reference for the monitoring and management of intra-abdominal pressure via bladder in critically ill patients. It can also help to standardize the method of intra-abdominal pressure monitoring via bladder and improve the accuracy of the monitoring results. Specific clinical background and patient’s preferences should also be considered before application,so as to improve the accuracy of the monitoring and management of intra-abdominal pressure via bladder,and improve the nursing quality.

Objective To evaluate and summarize the best evidence of exercise instructions for breast cancer-related lymphedema,and to provide references for clinical practice. Methods We searched BMJ Best Practice,UpToDate,Cochrane Library,Joanna Briggs Institute（JBI） Library,JBI Clinical Online Network of Evidence for Care and Therapeutics（JBI CONNECT+）,National Institute for Health and Clinical Excellence（NICE）,National Guideline Clearinghouse（NGC）,Guideline International Network（GIN）,Scottish Intercollegiate Guidelines Network（SIGN）,National Comprehensive Cancer Network（NCCN）,Registered Nurses’ Association of Ontario（RNAO）,National Lymphedema Network（NLN）,International Society of Lymphology（ISL）,PubMed,CINAHL,Embase,Web of Science,Physiotherapy Evidence Database,China Guideline Clearinghouse,CNKI,Wanfang Database,CBM and VIP Database to collect guidelines,expert consensuses,evidence summaries and systematic reviews on exercise for patients with breast cancer-related lymphedema. The retrieval period was from the inception of databases to July 2019. 2 researchers with evidence-based nursing background assessed the quality of the literature independently and identified the level of evidence. Results A total of 19 articles were incorporated,including 1 clinical decision,1 clinical practice recommendation,1 evidence summary,5 guidelines,3 expert consensuses,8 systematic reviews. A total of 23 pieces of best evidence including 8 dimensions were summarized,namely contraindication,pre-exercise assessment,pre-exercise test,exercise intensity,safety,exercise program,announcements and health education related exercise. Conclusion Exercise interventions can alleviate symptoms of lymphedema. Clinical staff should consider patients’ opinions and provide personalized exercise programs for patients with breast cancer-related lymphedema according to the clinical situation,in order to further improve effectiveness of the exercise and quality of life of patients.