Chinese Journal of Nursing

Construction and application of a nursing consultation information system based on information interaction needs

HUANG Chan, CHI Yanyu, MIN Yudi, CAO Peiye, LIU Jun, ZHENG Rongxin, ZHANG Haiyan

2025, 60(6): 645-651. DOI: 10.3761/j.issn.0254-1769.2025.06.001

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Objective To construct a nursing consultation information system based on consultation process and information interaction needs and explore its application effect. Methods The nursing consultation process and information interaction needs were analyzed；the information process，content modules and information interaction interface were designed；the structured records for nursing consultation were developed. The system was officially applied in January 2024. The application effect was evaluated by comparing the completion time of nursing consultations，nursing consultation record quality score，nursing consultation evaluation completion rate，and satisfaction rate before（August 2023 to October 2023） and after（January 2024 to March 2024） the application of the information system. Results After the application of the nursing consultation information system，the implementation rate of nursing consultation for inpatients increased from 1.27% before the application of the system to 1.47%（P=0.019）. The completion time of nursing consultation in the whole hospital reduced from 351（225，421） minutes before the application of the system to 310（156，402） minutes（P<0.001），and there was a statistically significant difference in the completion time of nursing consultation among the 3 specialties of intravenous therapy，blood purification，and diabetes nursing（P<0.05）. The quality score of nursing consultation records increased from 90.5（82.0，100） points to 95.5（92.0，100） points（P<0.001）. The completion rate of nursing consultation evaluation was higher than those before the system application，with statistical significance（21.6% vs 78.4%，P<0.001）. Conclusion Nursing consultation information system based on information interaction needs can improve the implementation of nursing consultation for inpatients，shorten the completion time of nursing consultations，improve the writing quality of nursing consultation records and the completion rate of nursing consultation evaluation，and it succeeded in real-time quality monitoring.

Research on the construction and application of an information management platform for specialized nurse training

TIAN Junye, ZHANG Xia, SU Li, SUN Lulu, ZHAO Jin, DING Yanming

2025, 60(6): 652-658. DOI: 10.3761/j.issn.0254-1769.2025.06.002

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Objective To design，develop，and implement a specialized nurse training information management platform to enhance the efficiency of training management and improve the quality of training. Methods A platform development team was formed to construct the platform architecture and develop functional modules based on the entire process of specialized nurse training management and the needs of various users. The platform was officially launched in 2020. Data on platform usage from 2020 to 2023 were collected，and in 2023，satisfaction surveys were conducted among specialized nurse training managers and trainees to assess the platform’s effectiveness. Results The specialized nurse training information management platform includes 5 major modules，namely the Chinese Nursing Association，professional committees，hospitals，teaching bases，and trainees. It also includes 4 information databases，namely specialized nurses，teaching experts，teaching bases，and mentor faculty. The platform enables full-process digital management，integrating trainee management，project management，teaching base management，and evaluation management. From 2020 to 2023，the number of users across various categories of the platform showed a significant upward trend. By 2023，the platform had been applied to 28 specialized nurse training programs across professional committees. The highest frequency of use was among specialized nurse training managers at teaching bases. The satisfaction scores for platform usage among professional committees，hospital nursing departments，and specialized nurse training managers at teaching bases were（83.67±7.75）（82.69±8.08） and（84.69±7.75），respectively. The platform usage satisfaction score among 8 704 trainees was（33.07±3.01）. Conclusion The specialized nurse training information management platform is comprehensive and has received high satisfaction ratings from various users. The use of the platform helps to improve the effectiveness and quality of training.

Development and application of a nurse-led intelligent medical waste temporary storage equipment

JIANG Yan, TAN Li, ZOU Mingjun, RAN Maojun, LI Wenyuan, MA Jiaqin

2025, 60(6): 659-665. DOI: 10.3761/j.issn.0254-1769.2025.06.003

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Objective Under the guidance of nurses，an intelligent medical waste temporary storage equipment was developed and its application effect was evaluated，aiming to optimize the medical waste recycling process and save human resources. Methods A research and development（R&D） team was established to analyze the issues in the current medical waste temporary storage process. An intelligent medical waste temporary storage device was developed，equipped with functions such as categorized disposal，permission scanning，barcode recognition，intelligent weighing，overflow alarm，and ozone disinfection. From January 19th to February 20th，2023，an intelligent medical waste storage equipment was placed in the medical waste storage room on the 7th to 9th floors of the outpatient clinic of a tertiary hospital in Wuhan city as an experimental group；traditional medical waste storage bins were placed on the 4th and 5th floors of the outpatient department as a control group. The daily disposal indicators and environmental hygiene monitoring indicators of 2 groups of medical waste were compared. Results With the application of the intelligent medical waste temporary storage device，the disinfection rate of medical waste increased from 5.00% to 100%；the overflow rate decreased from 42.52% to 0%；the handover time reduced from 4.98±2.21 minutes to 1.07±0.35 minutes；the standardization rate of handovers rose from 15.83% to 100%. All these differences were statistically significant（P<0.001）. Additionally，the pass rate of bacterial colonies on the inner walls of bins increased from 53.33% to 67.78%，with a statistically significant difference（P=0.012）. Conclusion The application of the intelligent medical waste temporary storage equipment significantly improves the efficiency and quality of medical waste management；at the same time，it also plays an active role in improving the storage environment，which can safeguard the environmental hygiene of hospitals and the safety of patients.

Establishment of percutaneous coronary intervention nursing registration platform

GAO Chuan, XIE Yunyi, CHEN Yang, ZHANG Yumeng, ZHANG Yuyang, SU Yajing, CAI Wenqing, LI Qingyin

2025, 60(6): 666-670. DOI: 10.3761/j.issn.0254-1769.2025.06.004

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Objective To construct a nursing registry platform for percutaneous coronary intervention（PCI） to provide data support for subsequent real-world research on PCI nursing. Methods From April to December 2023，we established a variable list and data dictionary based on literature review and expert discussion，and constructed a web-based PCI nursing registry platform based on registry-related standards. Results A total of 191 variables were screened in this study，and a corresponding data dictionary was developed for each variable according to the variable name，variable code，variable definition，variable type，variable value range，data source and data collection node. Three levels of account privileges has been set up in the platform，which can realize different data management privileges，and the data can be saved only after filling in and reviewing at each level. The platform is also equipped with automatic data checking function，which reduces data filling errors and improves data quality. Conclusion The constructed PCI nursing registration platform has strong scientific and professional characteristics，and can provide data support for subsequent research，and the content and functions of the platform can be further optimized in the future.

Application research of immersive virtual reality technology in pediatric patients undergoing elective surgery under general anesthesia

ZHANG Ju, WEI Lili, XIN Chen, WANG Jing, HAN Yan, YANG Yanyan, SUN Mengzhu

2025, 60(6): 671-676. DOI: 10.3761/j.issn.0254-1769.2025.06.005

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Objective To explore the application effect of immersive virtual reality（IVR） technology and different viewing content in pediatric patients with general anesthesia during elective surgery，and to provide references for clinical implementation. Methods A total of 180 pediatric patients who underwent elective surgery under general anesthesia in a tertiary hospital in Qingdao from February to October 2023 were selected as study population using convenient sampling method. According to the operation time，60 pediatric patients who underwent surgery from May to July 2023 were included in the immersive panoramic surgical education group，and they could watch the panoramic surgical education video immersively on the basis of routine care. A total of 60 pediatric patients who underwent surgery from August to October 2023 were included in the immersive animation group to watch cartoons immersively on the basis of routine care. A total of 60 pediatric patients who underwent surgery from February to April 2023 were included in the control group and routine preoperative care was implemented. The preoperative anxiety levels，anesthesia induction compliance，and incidence of emergence agitation were compared in the 3 groups by the modified Yale Preoperative Anxiety Scale-Short Form（mYPAS-SF），anesthesia induction cooperation grade，and the Pediatric Anesthesia Emergence Delirium scale（PAED）. Results There were statistically significant differences in preoperative anxiety level，anesthesia induced compliance and incidence of emergence agitation during awakening between the 3 groups（P<0.001）. Among them，the preoperative anxiety level of the immersive panoramic surgical education group and the immersive animation group was lower than that of the control group，and the difference was statistically significant（P<0.001）. The anesthesia induced compliance degree of the immersive panoramic surgical education group and the immersive animation group was better than that of the control group，and the difference was statistically significant（P<0.017），and the incidence of emergence agitation in the immersive panoramic surgical education group was lower than that of the control group，and the difference was statistically significant（P=0.004）. Conclusion The use of IVR technology to watch panoramic surgical education videos and cartoons can help reduce the preoperative anxiety level and improve anesthesia induction cooperation degree of pediatric patients with general anesthesia during elective surgery，but the intervention effect of panoramic surgical education videos is better in improving the emergence agitation.

Remote nursing care for a pediatric patient with severe burns based on augmented reality technology：a case report

HAN Wenwen, HU Chunxia, ZHANG Kai, SUI Weijing, HUANG Meili, PAN Hongying, GONG Xiaoyan, ZHUANG Yiyu

2025, 60(6): 677-679. DOI: 10.3761/j.issn.0254-1769.2025.06.006

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This article summarizes the experience of providing remote nursing care for a pediatric patient with severe burns using augmented reality（AR） technology. Key nursing points include：to establish a remote management team to enhance multidisciplinary collaboration；to conduct remote nursing ward rounds to provide real-time guidance for clinical nursing practice；to remotely guide PICC（Peripherally Inserted Central Catheter） insertions and conduct precise fluid management；to remotely assess ward environments and provide guidance on disinfection and isolation measures；to alleviate pediatric pain through comprehensive management measures. After meticulous care and treatment，the patient’s condition stabilized after 23 days，and the patient was transferred to a specialized hospital for continued treatment requiring skin grafting.

Development and initial implementation of a neonatal home skin care guidance scheme

YANG Tongling, CHEN Yuying, WAN Fan, DOU Yalan, HU Xiaojing

2025, 60(6): 680-687. DOI: 10.3761/j.issn.0254-1769.2025.06.007

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Objective To develop a home skin care guidance scheme for newborns，and initially implement it to reducing the risk of skin-related issues. Methods Searching both domestic and international databases，we identified relevant literature. Following a quality evaluation，evidence integration，and group discussions，we developed the content of the home skin care guidance for newborns. Subsequently，we refined this content through 2 rounds of expert consultations to finalize the scheme. To initially implement the scheme，we conveniently selected 20 healthy newborns born between August 1st and 15th，2024，at a tertiary-level comprehensive hospital in Fujian Province as an experimental group. Their parents received skin care guidance based on our scheme via a WeChat platform. In contrast，we selected another group of 20 healthy newborns delivered between July 1st and 15th，2024，at the same hospital as a control group；their parents were provided with conventional skin care guidance. We compared the incidence rates of diaper dermatitis and eczema between these 2 groups of newborns at a month of age. Results A total of 33 experts from 30 tertiary hospitals across 19 provinces（including autonomous regions and municipalities） were invited to participate in a questionnaire survey. The response rates for both rounds of expert questionnaires reached 100%. The authority coefficients for the experts were recorded at 0.78 and 0.83，while the Kendall concordance coefficients were found to be 0.188 and 0.142（all P<0.001）. The final newborn home skin care guidance scheme consists of 6 first-level items，41 second-level items，such as the selection of newborn care products，methods for neonatal bathing and prevention of neonatal diaper dermatitis，and so on. Preliminary application results indicated that the incidence of diaper dermatitis in the experimental group was significantly lower than that observed in the control group，with a statistically significant difference noted（P=0.047）. There was no significant difference in the incidence of eczema between the 2 groups at the age of a month（P=0.201）. Conclusion The Neonatal Home Skin Care Guidance Scheme for newborns has been demonstrated to be scientific，reliable and feasible. The implementation of this scheme has proven beneficial in reducing the incidence of diaper dermatitis at a month of age. However，the sample size needs to be expanded to further verify its implementation effect.

Construction and application of precision symptom management based on Internet plus in patients with corneal ulcer

LEI Dan, BIAN Wei, WANG Zonghua, SU Jun, WAN Junli, WANG Lu

2025, 60(6): 688-695. DOI: 10.3761/j.issn.0254-1769.2025.06.008

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Objective To evaluate the influence of precision symptom management based on Internet plus on patients with corneal ulcer. Methods An intervention team was set up to build an Internet + precise symptom management plan for corneal ulcer patients，and the research involved 120 patients with corneal ulcers in a tertiary A hospital in Chongqing from July to December 2023. The patients were divided into an intervention group（n=60） and a control group（n=60） according to the random number table generated by SPSS. Symptom assessment questionnaires were completed once a day during hospitalization and twice a week after discharge，and visual acuity，quality of life，and self-efficacy were assessed on the day of admission and 4 weeks after discharge. Results A total of 112 patients completed the study. The data of 54 cases in the intervention group and 58 cases in the control group were statistically analyzed. During hospitalization and within 4 weeks after discharge，the reported symptom threshold events in the intervention group were lower than those in the control group（P=0.031，P=0.027），and the visual acuity，quality of life，and self-efficacy of the intervention group patients were better than those of the control group patients at the end of the 4th week，with statistically significant differences（all P<0.05）. Conclusion Symptom management program based on internet plus can alleviate patients’ symptom experience，improve patients’ visual acuity，quality of life and self-efficacy.

The experience of exercise adherence in breast cancer patients with endocrine-therapy based on the theory of stage change：a qualitative study

ZHANG Zhongning, SHEN Aomei, QI Weifang, LI Xin, ZHENG Ruishuang, QIANG Wanmin, WANG Jing

2025, 60(6): 696-702. DOI: 10.3761/j.issn.0254-1769.2025.06.009

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Objective To explore the thoughts and experiences of exercise adherence in breast cancer patients undergoing endocrine therapy，aims to provide reference for targeted intervention. Methods Employing purposive sampling, a descriptive qualitative study was conducted from Octomber 2023 to November 2024，and 24 breast cancer patients receiving endocrine therapy who visited a tertiary-level hospital in Tianjin, China, were selected for semi-structured in-depth interviews.The data was analyzed through traditional content analysis to extract themes. Results 3 primary themes and 6 sub-themes were identified，including sense of benefits from exercise（including physical benefits and psychological well-being），factors influencing exercise adherence（barriers and facilitators），and supportive needs for exercise adherence（including professional support and guidance，as well as emotional support and companionship）. Conclusion Healthcare providers should consider the influencing factors，supportive needs of behavior change，and exercise experiences of breast cancer patients receiving endocrine therapy. Developing targeted exercise rehabilitation programs to address these needs could enhance exercise adherence.

Influencing factors and nursing enlightenment of bone metabolism abnormalities in lung transplant reci-pients

WANG Yandie, ZENG Fei, LIANG Jiangshuyuan, GU Peipei

2025, 60(6): 703-709. DOI: 10.3761/j.issn.0254-1769.2025.06.010

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Objective To explore the current status of bone metabolism abnormalities after lung transplantation and its influencing factors，and provide scientific references for the formulation of nursing intervention measures. Methods A retrospective analysis of the clinical data of 125 patients undergoing lung transplantation at a lung transplant center from June 2021 to August 2023 was conducted. The paired sample t-test was used to compare the trends in bone mineral density（BMD） before and after transplantation. Postoperative BMD was compared to domestic age-matched norms using the single sample t-test. Univariate analysis and unordered multinomial logistic regression were employed to identify factors associated with bone metabolism abnormalities post-transplantation. Results The incidence of bone metabolism abnormalities after lung transplantation was 62.4%，with osteopenia and osteoporosis rates at 36.8% and 25.6%，respectively. The BMD of the femoral neck and left hip joint generally showed a declining trend post-transplantation（P<0.001）. Additionally，both male and female patients had lower BMD than the age-matched national norms（P<0.001）. Logistic regression analysis indicated that pre-transplant Activities of Daily Living（ADL） score was a significant factor for post-transplant osteopenia（OR 0.957，95%CI 0.928~0.987）. Female gender，pre-transplant low body weight，obesity，reduced forced expiratory volume in one second/forced vital capacity percentage（FEV1/FVC），and ADL score were significant factors for post-transplant osteoporosis，with OR values of 7.181，7.521，15.465，0.960，0.964；95%CI were 1.287~40.061，2.039~27.738，1.158~206.586，0.937~0.983，0.930~0.999，respectively. Conclusion Bone metabolism abnormalities are common in patients post-lung transplantation. Healthcare providers should pay particular attention to female patients，those with low pre-transplant body weight，obesity，reduced FEV1/FVC，and lower ADL scores. Timely，individualized，and multidisciplinary interventions are crucial to slowing postoperative bone loss，reducing the incidence of bone metabolism abnormalities，and improving the health-related quality of life for these patients.

An analysis influencing factors of subsequent fracture among elderly osteoporotic patients and nursing countermeasures

TANG Nan, GAO Yuan, SU Qingqing, SONG Mi, QIU Chen, SHAO Mengqi

2025, 60(6): 710-716. DOI: 10.3761/j.issn.0254-1769.2025.06.011

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Objective To explore influencing factors of subsequent fracture among elderly osteoporotic patients and provide a basis for improving the management and early intervention after osteoporotic fracture. Methods A total of 14 349 elderly patients with osteoporotic fracture in 594 hospitals across 31 provinces（autonomous regions and municipalities） were selected by convenience sampling method from September to December 2023. A general information questionnaire and a clinical characteristics of fracture questionnaire were used. The univariate analysis and logistic regression were used to clarify the influencing factors and gender differences. Results A total of 11 364 valid questionnaires were collected，with a valid questionnaire recovery rate of 79.20%. Gender，age，occupation，education，marital status，family history of osteoporosis，comorbid osteoarthropathies/rheumatism/ophthalmopathies，bone mineral density，risk of fall，risk of fracture grade，reasons and site for first fracture, whether to use walking aid and receive home rehabilitation guidance were associated with the occurrence of subsequent fracture. Gender comparisons found that widowhood，family history of osteoporosis，comorbid rheumatism，vertebral fracture，alcohol consumption，fall or no causative factor triggering the fracture，and educational level，home rehabilitation instruction were associated with the risk of subsequent fracture only in women（P<0.05）. Smoking was associated with the risk of subsequent fracture only in men（P<0.05）. Conclusion Osteoporotic subsequent fracture in the elderly is affected by multidimensional factors，with significant gender differences. The surveillance of key populations should be strengthened in prevention，control and intervention.

An analysis of correlation between dyadic coping in patients with hematological tumors and their spouses and fear of progression

LIU Xuehua, WANG Jianhong, YANG Lihong, LIU Jiali, QIAO Yanping, LI Xiaoyan

2025, 60(6): 717-722. DOI: 10.3761/j.issn.0254-1769.2025.06.012

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Objective To explore the impact of dyadic coping on fear of progression in patients with hematological tumors and their spouses based on the Actor-Partner Interdependence Model（APIM），and to provide references for clinical intervention. Methods By the convenient sampling method，136 pairs of hematological tumor patients and their spouses were selected from October 2023 to January 2024 in 5 tertiary hospitals in Shandong Province. A general information questionnaire，Dyadic Coping Inventory，Fear of Progression Questionnaire Short Form，and Fear of Progression Questionnaire Short Form/Partner Version were used to conduct the investigation. Amos 24.0 software was used to establish the APIM for dyadic coping with fear of progression. Results A total of 280 survey questionnaires were distributed，and 272 valid questionnaires were collected，including 136 from patients and their spouses，with an effective rate of 97.14%. The dyadic coping scores of hematological tumors patients and their spouses were （129.50±20.58） and （132.71±15.70），respectively，while the fear of progression scores were（31.71±3.13） and （29.01±3.05），respectively. Regarding the actors’ effects，the level of dyadic coping strategies of patients and their spouses can both predict their own fear of progression，and are negatively correlated（β₁=-0.52，β₂=-0.41；P<0.001）. Regarding the partners’ effects，the degree of fear of progression in patients is negatively correlated with the dyadic coping level of their spouses（β=-0.19，P<0.001）. Conclusion There is an interactive effect between the fear of progression and the level of dyadic coping between hematological tumor patients and their spouses. This suggests that clinical nursing staff should pay attention to the evaluation of fear of progression in patients with hematological tumors and their spouses，and effectively reduce the level of fear of progression on both sides.

Development of an Assessment Scale of Oropharyngeal Candidiasis Risks in HIV-infected Patients and its test of validity and reliability

SUN Danping, WANG Huafen, HUANG Ying, SHAO Lifang, LU Huiqin, ZHAN Xiaoqin

2025, 60(6): 723-728. DOI: 10.3761/j.issn.0254-1769.2025.06.013

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Objective To develop an assessment scale of oropharyngeal candidiasis risks in HIV-infected patients，and to test its reliability and validity. Methods The draft of the assessment scale was constructed by the literature analysis method，Delphi consultations and analytic hierarchy process. Totally 231 HIV-infected patients in a tertiary A hospital of Hangzhou were recruited for questionnaire survey in October 2023 to January 2024. Results The scale includes 3 dimensions，including general factors，HIV related factors and oral related factors，12 first-level items and 21 second-level items. The Cronbach’s α coefficient of the scale was 0.813；the content validity index was 0.98；the correlation of each dimension was 0.574~0.733（P<0.05）. Confirmatory factor analysis showed that the 3 factor models fitted the data well. The critical value（30.5 points） of the scale was determined by ROC curve；the area under the curve was 0.909；the sensitivity of index system was 0.962，and specificity was 0.697. Conclusion The assessment scale of oropharyngeal candidiasis risks in HIV-infected patients has good reliability and validity，and it can be used as an auxiliary tool for effective identification and prediction of oropharyngeal candidiasis risk.

Textual studies of domestic long-term care nursing workforce policies from the perspective of policy tools

ZHU Yuhan, LI Wenjia, ZHU Xuehua

2025, 60(6): 729-735. DOI: 10.3761/j.issn.0254-1769.2025.06.014

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Objective To explore the status quo of domestic long-term care nursing team construction policy in January 2008—June 2024，analyze the favored direction and structure proportion of existing policy tools，so as to provide references for the follow-up policy and system optimization. Methods Based on McDonnell & Elmore policy tools and construction elements to two-dimensional analysis framework，the coding policy arrangement and quantitative analysis were conducted on the related policies of long-term care nursing team construction. Results Finally，63 policy documents were included，and the 355 pieces of policy were analyzed. In the policy instrument dimension，the proportions of mandate tools，incentive tools，capacity building tools，authority reorganization tools，and counseling tools were 48.45%，11.55%，5.35%，11.27%，and 23.38%，respectively. Team-building dimension in the post management，education training，rights management，post employment，professional development，respectively accounted for 27.04%，22.25%，11.27%，10.70% and 28.73%. Conclusion At present，there is uneven application of the policy tools related to nursing team building in the context of long-term care in China，and most of the entries are for goal planning. It is recommended that the ratio of the various policy tools should be optimised continuously，so as to ensure that the details of the policies are effectively implemented. The construction of the long-term care nursing team system needs to be improved，and the protection of the rights of nursing staff needs to be strengthened；specific，feasible，special and targeted strategies should be formulated.

Sinicization of Evidence-Informed Decision-Making Competence Measure for nurses and its reliability and validity test

WEI Yongting, TIAN Shumei, YANG Jiao, YU Lianghuan, NI Fu, FAN Yuqing, XIAO Yao, XI Zuyang, SHA Juyan, LIU Cong

2025, 60(6): 736-742. DOI: 10.3761/j.issn.0254-1769.2025.06.015

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Objective To translate Evidence-Informed Decision-Making Competence Measure for Chinese nurses and test its validity and reliability. Methods A research group was set up to use the Brislin translation model to translate the original scale into Chinese，and the back translation，cross-cultural adaptation，pre-experiment and cognitive interview were conducted to finally form the Chinese version of the Evidence-Informed Decision-Making Competence Measure for nurses. A total of 1 247 nurses from 7 tertiary A hospitals in Beijing，Hubei，Hunan and Xinjiang were selected by convenience sampling method in April 2024 to test its reliability and validity. Results 1 026 effective question-naires were collected，with an effective recovery rate of 82.28%. The Chinese version of the Evidence-Informed Decision-Making Competence Measure included 25 items，including knowledge/skill，attitude and behavior. A total of 3 common factors were extracted from exploratory factor analysis，and the cumulative variance contribution rate was 91.725%. The content validity index at the item level was 0.83-1.00；the content validity index at the scale level was 0.988；the calibration association validity was 0.496. The Cronbach’s α coefficient of the whole scale was 0.992；the half-point reliability was 0.930；the retest reliability was 0.927. Conclusion The Chinese version of Evidence-Informed Decision-Making Competence Measure for nurses has good reliability and validity，and it can be used to evaluate the evidence-informed decision-making competence of Chinese nurses，provide references for promoting evidence-based nursing practice and evidence-informed decision-making.

The rescuing and nursing of 3 ectopic pregnancy patients suffering from severe toxicity of low-dose methotrexate treatment

ZHANG Xiaoyuan, LU Huifeng, YU Na, YAN Yuying, WANG Yu, XIE Li

2025, 60(6): 743-747. DOI: 10.3761/j.issn.0254-1769.2025.06.016

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To summarize rescuing and nursing experience of 3 ectopic pregnancy patients，suffering from severe toxicity caused by low-dose methotrexate（MTX） treatment. The key points include：constantly monitoring of patients for at least a week after MTX administration，and identifying MTX toxicity related symptoms as soon as possible；promptly establishing a multidisciplinary medical team to establish individualized rescue plans；quickly initiating the rescue therapy and implementing targeted fluid management to accelerate MTX excretion；intensifying protective isolation caring to prevent and control infection；applying refined safety management to prevent spontaneous bleeding；providing intensive caring of skin and mucosal toxicity symptoms to promote healing process；supplying individualized psychological counseling and support in time；strengthening the protection of the damaged organ. After emergent rescuing and intensive nursing，all 3 patients successfully recovered and were discharged from the hospital.

Nursing care of a patient with pernicious placenta previa and severe polyhydramnios complicated with massive hemorrhage during cesarean section

FENG Jiayuan, TIAN Hefeng, ZHAO Guijun, LI Ting

2025, 60(6): 748-752. DOI: 10.3761/j.issn.0254-1769.2025.06.017

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To summarize the perioperative nursing experience in a case of perioperative hemorrhage during cesarean section due to pernicious placenta previa with concurrent placenta implantation accompanied and severe polyhydramnios. Nursing key points：①to set up a multidisciplinary team before the operation，and work together to formulate a systematic intraoperative emergency plan；②to activate the intraoperative emergency plan，fully cooperate with the implementation of the rescue；to optimize the blood management process，to maintain the stability of the patient’s blood circulatory system；to implement a diversified nursing program，to minimize the risk of infection of the surgical site；to optimize the process of preterm asphyxiation rescue，to ensure that the child’s respiratory circulation is stable；③to strengthen the risk of postoperative thrombosis and hemorrhage，to strengthen the early warning and management of postoperative thrombosis and bleeding risk；to strengthen the risk prevention and monitoring management of acute colonic pseudo-obstruction；to apply the ‘5G+VR remote visiting service system’ to enhance patients’ emotional support. After multidisciplinary joint treatment and refined nursing care，the patient was discharged from the hospital on the seventh day after the operation，and both the mother and the child recovered well in the one-month follow-up after the operation.

Nursing care of a patient with focal segmental glomerulosclerosis for kidney re-transplantation

WANG Yuxia, CHEN Xiaofei, YAO Yuanyuan, SONG Dan, HUANG Haojie

2025, 60(6): 753-756. DOI: 10.3761/j.issn.0254-1769.2025.06.018

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To summarise the nursing experience of caring for a patient with focal segmental glomerulosclerosis for kidney re-transplantation. Nursing key points：early recognition of recurrence of the original disease and rapid activation of emergency response；stabilization of cyclosporine concentration by precision management；optimizing in vitro anticoagulation regimens and vigilance for bleeding and clotting；regulate adrenocorticotropic hormone use and being alert for adverse effects；implementing the whole process of infection prevention and control to prevent infection；implementing the whole process of psychological counseling to alleviate negative emotions. After active treatment and careful care，the patient’s transplanted kidney function recovered and was successfully discharged. After a follow-up for 2 months，the patient recovered well.

Application of eye tracking techniques in ICU patients with aphasia：a scoping review

HUANG Zhenzhen, SUI Weijing, DONG Jing, ZHANG Junru, ZHANG Chuchu, ZHOU Hongting, ZHANG Jiayu, ZHANG Na, ZHUANG Yiyu

2025, 60(6): 757-763. DOI: 10.3761/j.issn.0254-1769.2025.06.019

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Objective This review aims to investigate the application of eye tracking（ET） in patients with speech impairment in the ICU. The review summarizes the current status and prospects of ET technology applications. Methods Following the scoping reviews framework，a systematic search was conducted across Web of Science，PubMed，Cochrane Library，Embase，CINAHL，CNKI，Wanfang Data，Chinese Medical Database，and Chinese biomedical database. The search covered publications from the inception of each database to October 29th，2024. The included studies were comprehensively analyzed. Results A total of 12 pieces of the literature were included，including 4 prospective cohort studies，4 experimental studies，3 prospective observational studies，and 1 randomized controlled trial. The application population of ET in the ICU mainly includes patients on mechanical ventilation，those at high risk of delirium，patients with spinal cord injury，etc. The types of integrated ET system equipment are mainly head-mounted and fixed；the types of ET involve gaze，blinking，etc.；the functions include standardized scale assessment，free interaction，and eye-movement model recognition. The main outcome indicators of the research are feasibility，physical symptoms and social-psychological status. Conclusion ET is applicable to a specific group of ICU patients with aphasia，and has shown good feasibility and effectiveness in the expression of patients’ basic needs，self-assessment of symptoms and improvement of psychosocial status.

The application progress of music intervention in nursing of patients with psychiatric disorders

LI Haijiao, WEI Dongshuai, WANG Ruiyan, LIU Rongxun, ZHANG Chaofeng, JIA Jie, WEI Yange

2025, 60(6): 764-768. DOI: 10.3761/j.issn.0254-1769.2025.06.020

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Music intervention is an innovative nursing method that integrates music，medicine，and psychology. It is safe，effective，and easy for implemention. It has demonstrated positive effects in alleviating psychotic symptoms，stabilizing emotions，and improving sleep，and it is gradually being applied in psychiatric disorders. This article provides a review of the theoretical basis and current research status of music intervention，and offers a perspective on future applications，with the aim of providing a reference for the application of music intervention in the rehabilitation nursing of mental illnesses.

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