Objective To explore the potential categories and influencing factors of the fear of progression in patients with inflammatory bowel diseases（IBD）. Methods IBD patients who received inpatient treatment in a tertiary hospital in Nanjing from July 2022 to July 2023 were selected as the study subjects by convenience sampling method. The General Demographic Information Questionnaire，the Chinese version of the Fear of Progression Questionnaire-Short Form（FoP-Q-SF），the Chinese version of Inflammatory Bowel Disease Self-efficacy Scale（IBD-SES），and Social Support Rating Scale（SSRS） were administered to the participants. We applied one-way ANOVA and Logistic regression analysis to identify the factors associated with the potential categories of the fear of progression. Results A total of 303 returned questionnaires（out of the 310） were valid，resulting an effective response rate of 97.74%. According to the results of latent profile analysis，we classified the respondents into 3 categories by the fear of progression，namely “low risk fear of disease adaptation group”（n=127，41.91%），“medium risk fear of illness distress group”（n=139，45.88%），“high risk fear of dysfunction group”（n=37，12.21%）. 3 groups showed statistically significant differences in permanent address，self-rated financial pressure，current disease status and self-efficacy（P<0.05）. Conclusion Patients with IBD had obvious differences in characteristics on the fear of progression. Nursing personnel should formulate personalized intervention strategies based on the classification characteristics of the fear of progression of IBD patients. Moreover，nurses should focus on improving patients’ self-efficacy and promoting patients to treat medical care，stress and emotion management correctly.

Objective To retrieve，evaluate and summarize the best evidence for management of arteriovenous access（AVA） cannulation in maintenance hemodialysis （MHD） patients，and to provide references for consolidation of standardized management of AVA cannulation. Methods We searched UpToDate，AHRQ，SIGN，GIN，NICE，RANO，Medlive and other guideline websites，ACP Journal Club，Cochrane Library，PubMed，Web of Science，CINAHL，CNKI，Wanfang，VIP，SinoMed and other databases to collect relevant clinical decisions，guidelines，best practices，evidence summaries，systematic reviews，and expert consensuses related to management of AVA cannulation in MHD patients. The retrieval time was from January 2017 to December 2021. The evidence-based team evaluated，extracted and summarized the evidence. Results A total of 8 articles were included through literature search，including 2 clinical decisions，4 guidelines，1 systematic review and 1 expert consensus. Finally，25 pieces of best evidence were summarized in 8 aspects，including timing of first cannulation，pre-cannulation evaluation and preparation，cannulation techniques，diagnostic method for successful cannulation，treatment of cannulation-related complications，compression after needle withdrawal，the use of cannulation auxiliary equipment，and qualification and training of cannulation personnel. Conclusion In clinical practice，medical staff should select the best evidence based on the characteristics of the hospital and specific clinical situations，to improve the success rate of primary cannulation of AVA，reduce cannulation-related adverse events，and extend the life span of AVA.

Objective To investigate the current situation of disordered eating behaviors in adolescents with type 1 diabetes mellitus，and to analyze the influencing factors of disordered eating behaviors. Methods A total of 187 adolescents with type 1 diabetes mellitus were recruited from a tertiary hospital during follow-up by the convenient sampling method from December 2021 to September 2022. The General Information Questionnaire，the Diabetes Eating Problem Survey-Revised，the Problem Areas in Diabetes Scale-5，the Diabetes Strengths and Resilience Measure for Adolescents，and the Dual-Mode of Self-Control Scale were used to explore the current status of disordered eating behaviors in adolescents with type 1 diabetes. We adopted the multiple linear regression model to analyze the influencing factors of disordered eating behaviors. Results 174 participants completed the questionnaires. The scores of disordered eating behaviors were（21.25±10.93） points. The incidence of disordered eating behaviors was 54.60%. The multiple linear regression analysis showed that the influencing factors of disordered eating behaviors involved gender，BMI，mental distress，resilience，and self-control. Conclusion High disordered eating behaviors exist in adolescents with type 1 diabetes. Medical practitioners should regularly evaluate patients’ disordered eating behaviors，especially female，obese or overweight patients. Through correcting the patients’ problematic body image cognition，and enhancing their confidence in disease control，medical staff could help them cope with stress positively，reduce negative emotional experiences，and further decrease the occurrence of disordered eating behaviors.

Objective To explore the effects of resilience,acceptance of illness and social support on self-management behavior among patients with inflammatory bowel disease（IBD）. Methods By using the convenient sampling method,200 patients with IBD were selected from December 2019 to August 2020 in a tertiary hospital in Nanjing. General information questionnaire,social support rating scale,acceptance of illness scale,resilience scale for IBD,self-management behavior scale for IBD were used to conduct the investigation. We established the structural equation model by AMOS 26.0 software. Results The score of self-management behavior of patients with IBD was（139.00±21.13）. Patients’ resilience and acceptance of illness had direct positive effects on self-management behavior,and the effect values were 0.294 and 0.453 respectively（all P<0.05）. Patients’ resilience has indirect positive effects on self-management behavior,with effect values of 0.371（P<0.001）. Social support could affect self-management behavior indirectly through resilience and（or） acceptance of illness,and the total effect value was 0.158（P<0.05）. Resilience,acceptance of illness and social support can explain 50.1% of the total variation of self-management behavior. Conclusion The self-management behavior of patients with IBD was at a moderate level. Resilience,acceptance of illness and social support of patients with IBD had positive impacts on their self-management behavior. Nurses can promote patients’ self-management behavior by positive psychological interventions,helping patients set phased goals,and obtaining positive support from their families and colleagues.

Objective To investigate the cognition and attitude of family-integrated care（FICare） among medical staff in NICU and to clarify the status of implementation,aiming at providing a reference for the construction of FICare program. Methods A total of 764 NICU medical staff from 23 grade A tertiary hospitals across 13 provinces and cities were selected between March 10th to March 30th,2021 by convenience sampling to respond to a self-designed questionnaire. Results A total of 655 valid questionnaires were collected from 5 children’s hospitals,7 women and children’s hospitals,and 11 general hospitals,with a response rate of 85.7%. The cognition scores of medical staff are（68.22±7.99） points,with the score rate of 90.96%. The attitude scores are（27.34±4.14）poins,with the score rate of 78.11%. FICare has been launched in 17 of the hospitals surveyed,but with variable practice methods. The children’s hospitals have a higher implementation rate（80.0%）. The major obstacles against implementing this program include limited space in NICU,insufficient human resources,and the lack of a scientific and systematic implementation approach,etc. Conclusion Medical staff do not fully understand FICare,and it is necessary to conduct targeted and in-depth training. Hospitals with practical experience can jointly develop a scientific and standardized FICare procedure,and play a leading role in guiding and promoting its implementation in the lower-level medical institutions.