Table of Content

20 March 2026, Volume 61 Issue 6

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Special Planning-Nursing Care for Hematologic Disorders Patients

Development and application of a follow-up protocol for lymphoma patients undergoing chemotherapy

CHEN Shuping, XIE Baoyuan, CHEN Mianmian, LI Meiling, LIN Cuifen

2026, 61(6):  725-732.  DOI: 10.3761/j.issn.0254-1769.2026.06.001

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Objective To develop a follow-up protocol for lymphoma patients undergoing chemotherapy and to evaluate its application effects，aiming to provide a reference for standardizing lymphoma follow-up practice. Methods Guided by the theoretical framework of “interactive patient participation in patient safety”，a follow-up protocol was developed through literature review，semi-structured interviews，expert consultation，and a pilot test. Using consecutive sampling，65 lymphoma patients hospitalized in a tertiary grade A general hospital in Fujian Province from July to November 2023 were recruited. Patients admitted from September to November 2023 were assigned to an experimental group and received the developed follow-up protocol，while those admitted from July to August 2023 were assigned to a control group and received routine follow-up care. The follow-up lasted for 3 chemotherapy cycles. Differences in self-care ability，treatment compliance，anxiety and depression scores，and follow-up satisfaction were compared between the 2 groups. Results 4 patients dropped out during the study. Finally，32 patients in the experimental group and 29 in the control group completed the study. After the follow-up，the experimental group showed significantly higher scores in self-care ability，treatment compliance，and follow-up satisfaction，and significantly lower anxiety and depression scores compared to the control group（all P<0.05）. Conclusion The follow-up protocol for lymphoma patients undergoing chemotherapy demonstrates good scientific rigor and feasibility. The implementation of this protocol can improve patients’ self-care ability，enhance their treatment compliance and follow-up satisfaction，and alleviate their anxiety and depression.

Development and validation of a malnutrition risk prediction model in patients with hematologic neoplasms

LI Chunxiu, XIU Hong, LIU Min, ZOU Xiaojun, WANG Qing, DING Shufan, ZHAO Zhiping, LI Xiaojuan

2026, 61(6):  733-740.  DOI: 10.3761/j.issn.0254-1769.2026.06.002

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Objective To develop and validate a predictive model for malnutrition risk in patients with hematologic neoplasms，providing a reference for the early identification of high-risk patients. Methods Using a convenience sampling method，292 patients with hematologic neoplasms admitted to the Department of Hematology of a tertiary hospital in Qingdao between January and March 2025 were enrolled as a modeling cohort. Concurrently，126 patients admitted to another tertiary hospital in Qingdao during the same period served as a validation cohort. The influencing factors were screened by LASSO regression and Logistic regression，and the nomogram was constructed. Internal validation was performed using the Bootstrap method. The model’s predictive performance was evaluated using the area under the receiver operating characteristic（ROC） curve and the Hosmer-Lemeshow test. Results The incidence of malnutrition was 27.40% in the modeling cohort and 25.40% in the validation cohort. Logistic regression analysis identified age，body mass index（BMI），presence of gastrointestinal reactions，serum albumin level，C-reactive protein level，depression score，and performance status score as independent risk factors for malnutrition. In the modeling cohort，the area under the ROC curve（AUC） was 0.924（95%CI：0.888~0.960），with a sensitivity of 81.3% and a specificity of 90.6%. The Hosmer-Lemeshow test indicated good model fit （χ²=6.349，P=0.608）. In the validation cohort，the AUC was 0.895（95%CI：0.838~0.952），with a sensitivity of 81.3% and a specificity of 85.1%，and the Hosmer-Lemeshow test also showed good calibration（χ²=5.456，P=0.708）. Conclusion The developed risk prediction model demonstrates favorable predictive performance，facilitating the early identification of patients with hematologic neoplasms at high risk for malnutrition and offering a practical basis for healthcare providers to implement tailored nutritional interventions.

Change trajectory and influencing factors of psychological resilience in adult patients with acute leukemia during chemotherapy

ZHU Jing, SUN Yan, SI Huifang, LI Xiujuan, GAMINA Wahefu, CHANG Haixia

2026, 61(6):  741-748.  DOI: 10.3761/j.issn.0254-1769.2026.06.003

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Objective This study aimed to investigate the trajectories of psychological resilience among adult patients with acute leukemia during chemotherapy and to identify influencing factors，in order to provide evidence for targeted psychological intervention strategies. Methods A total of 260 adult patients confirmed acute leukemia who received chemotherapy at Department of Hematology and Oncology of a tertiary hospital in XinJiang between January 2023 and August 2024 were enrolled using convenience sampling method. Data on psychological resilience，positive and negative emotion，perceived social support，illness perception，and medical coping styles were collected at the initiation of chemotherapy. Psychological resilience was reassessed at 1，3，and 6 months after chemotherapy. A group-based trajectory modeling（GBTM） was used to identify distinct trajectories of psychological resilience，and multinomial logistic regression was performed to explore the influencing factors. Results A total of 244 patients completed the follow-up. 4 trajectories of psychological resilience with GBTM were identified，high resilience-increasing group（36.5%），moderate-stable group（39.3%），low resilience group（14.8%），and resilience-vulnerable group（9.4%）. Multinomial logistic regression analysis revealed that positive and negative affect，level of social support，illness perception，and medical coping styles were significant influencing factors for the trajectory of psychological resilience during chemotherapy（P<0.05）. Conclusion There are 4 distinct psychological resilience trajectories among adult patients with acute leukemia during chemotherapy. Healthcare professionals should develop targeted psychological interventions based on the identified influencing factors to enhance patients’ psychological resilience and improve their quality of life.

Study on current status and influencing factors of frailty in elderly patients with newly diagnosed hematologic neoplasm

ZHANG Ying, DU Ruofei, YANG Huimin, XU Xiaoxia, LI Liming, DU Yating

2026, 61(6):  749-756.  DOI: 10.3761/j.issn.0254-1769.2026.06.004

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Objective To investigate the current status of frailty in elderly patients with newly diagnosed hematological neoplasm and analyze the related influencing factors，so as to provide a basis for early prevention，timely identification and precise intervention of frailty. Methods Using the convenience sampling method，250 elderly patients with newly diagnosed hematologic neoplasm hospitalized in the hematology departments of 5 tertiary hospitals in Henan Province from January to June in 2025 were selected as the survey participants. The general information questionnaire，Tilburg Frailty Assessment Scale，Montreal Cognitive Assessment Basic Scale，Short Physical Performance Battery，Chinese version of the Comprehensive Health Literacy Scale，Generalized Anxiety Disorder Scale，and Control Nutritional Status Score Scale were employed for the investigation. Univariate and logistic regression analyses were conducted to identify the influencing factors of frailty in elderly patients with newly diagnosed hematologic neoplasm. Results A total of 250 questionnaires were distributed and 246 valid questionnaires were collected，with an effective recovery rate of 98.40%. The Tilburg Frailty Scale score of newly diagnosed elderly patients with hematological neoplasm was（5.11±2.73），and the incidence of frailty was 51.22%. Logistic regression analysis revealed that disease type，marital status，appetite loss，Montreal Cognitive Assessment basic scale score，Short Physical Performance battery score，Generalized anxiety disorder scale score，control of nutritional status score were the influencing factors of frailty in elderly patients with newly diagnosed hematologic neoplasm（P<0.05）. Conclusion The incidence of frailty is relatively high among elderly patients with newly diagnosed hematologic neoplasm，and there are many influencing factors. Nurses should attach significance to the assessment of frailty in such patients and promptly adopt targeted intervention measures according to relevant influencing factors to prevent and delay the occurrence and development of frailty.

Nursing care for a case of HIV infection complicated by thrombotic thrombocytopenic purpura

SUN Danping, HUANG Ying, TANG Danting, SHAO Lifang

2026, 61(6):  757-760.  DOI: 10.3761/j.issn.0254-1769.2026.06.005

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To summarize the nursing experience of a patient with HIV-related thrombotic thrombocytopenic purpura. Nursing key points：establishing a multidisciplinary care team centered on the AIDS department as the core to implement whole-process management；collaboratively handling plasma exchange and immune regulation therapy to reduce bleeding risk；quickly initiating and optimizing anti-retroviral therapy to improve patient prognosis；implementing multi-dimensional infection prevention and control measures within the hospital to ensure the safety of medical staff and patients；practicing phased guidance to enhance patients’ psychological adaptability. After careful treatment and nursing care，the patient was discharged successfully after 25 days，and continued to be followed up in the outpatient department for 3 months，showing good recovery.

Specialist Nursing Practice and Research

Exploring trajectories of tube-feeding dependence symptoms and their determinants in critically ill patients：a longitudinal study

WANG Min, JI Yanan, CAO Fang, NIE Chencong, CHEN Yao, ZHANG Jiquan, CHEN Zhimei, DU Jinlei

2026, 61(6):  761-767.  DOI: 10.3761/j.issn.0254-1769.2026.06.006

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Objective To investigate the developmental trajectories of tube-feeding dependence symptoms after enteral nutrition therapy in critically ill patients and to identify the influencing factors. Methods A longitudinal study was conducted using convenience sampling. 245 critically ill patients who discontinued tube feeding in the Department of Critical Care Medicine of a tertiary general hospital in Zigong，Sichuan Province，between June and September，2025 were assessed using the Tube-Feeding Dependence Symptom Scale on the day of tube-feeding cessation （T1），day 5 （T2），and day 15 （T3）. Latent growth mixture modeling was employed to identify trajectory classes，and multinomial logistic regression was used to analyze the associated factors. Results A total of 229 valid cases were included. Totally 3 distinct symptom trajectories were identified：persistently high-risk group（36.68%），rapid-symptom-resolution group （47.16%），and low-risk favorable group （16.16%）. Older age，longer duration of tube feeding，and comorbid chronic digestive diseases were significant predictors of trajectory class membership（all P<0.05）. Conclusion Critically ill patients exhibit 3 distinct trajectories of tube-feeding dependence symptoms，with notable inter-individual heterogeneity. Nurses should tailor interventions to each patient’s specific trajectory.

Application research of postoperative cardiac delirium patients risk prediction models

ZHENG Yan, ZENG Yongke, CHEN Jing, LUO Xiaoqin, XIA Liangxiang, ZHENG Silin

2026, 61(6):  768-774.  DOI: 10.3761/j.issn.0254-1769.2026.06.007

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Objective To conduct an external validation study of the postoperative cardiac delirium patients risk prediction model to provide a basis for clinical screening of appropriate prediction models. Methods The data of patients who underwent cardiac surgery from October 2023 to January 2025 in a tertiary general hospital in southwest Sichuan Province were retrospectively collected. Totally 3 postoperative cardiac delirium patients risk prediction models screened by systematic evaluation were externally validated. The predictive performance of the models was evaluated by plotting and calculating the Area Under Curve（AUC）；the predictive accuracy of the models was evaluated by the Hosmer-Lemeshow test and plotting calibration curves；the clinical utility of the model was evaluated by applying Decision Curve Analysis（DCA）. Results A total of 562 cardiac surgery patients were included，of which 76 had postoperative delirium，and the incidence rate of postoperative cardiac delirium was 13.52%. The results of external validation showed that the AUC of the 3 postoperative cardiac delirium patients risk prediction models ranged from 0.710 to 0.859；the results of the Hosmer-Lemeshow test showed that the predictive accuracy of 2 of the models was better（P=0.865，P=0.270），and the DCA indicated that the net clinical benefit of the perioperative delirium screening in cardiac surgery model had the greatest net clinical benefit. Conclusion All 3 predictive models demonstrated moderate or above discriminatory efficacy（all AUC values >0.700），but only 2 models were well calibrated，and DCA analysis showed some utility for all models. Combining model performance and clinical applicability，external validation concluded that the perioperative delirium screening in cardiac surgery model was superior to the remaining 2 models. Further multicenter studies are needed to optimize the generalizability of the model and to develop intelligent assistive systems to promote clinical application.

A study on creating and implementing a caregiving skills program for family caregivers of chronic heart failure patients

ZHAO Hao, ZHAO Ying, YANG Yanzhen

2026, 61(6):  775-782.  DOI: 10.3761/j.issn.0254-1769.2026.06.008

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Objective This study aims to develop an intervention program to enhance the caregiving skills of family caregivers of patients with chronic heart failure，grounded in empowerment theory and incorporating a triadic collaboration among hospital，community，and family. Additionally，the study seeks to evaluate the effectiveness of the program. Methods The intervention program was designed through a comprehensive literature review，expert consultations，and pilot testing. The study involved 90 matched pairs of patients with chronic heart failure，who were admitted to the cardiology department of a tertiary hospital in Xuzhou between August 2023 and February 2024，and who resided within the service areas of 3 affiliated community health centers. 2 spatially separated cardiology wards were randomly assigned via coin toss to either an experimental group or a control group，each comprising 45 pairs. The experimental group received the intervention program alongside routine health guidance，while the control group received only routine health guidance. Both groups were monitored over a 12-month period. The study compared differences in caregivers’ caregiving abilities and burdens，as well as patients’ quality of life，before and after the intervention. Results A total of 84 dyads completed the intervention，with 42 dyads allocated to each group. A repeated measures ANOVA demonstrated significant main effects of group and time，as well as a significant interaction effect on caregivers’ caregiving ability and burden，in addition to patients’ quality of life（P<0.001）. Subsequent simple effects analysis revealed that at 3-，6-，9-，and 12-months post-intervention，the experimental group exhibited significantly lower scores in caregiving ability，lower scores in caregiving burden，and higher patient quality of life compared to the control group（P<0.05）. Conclusion The implementation of this program can effectively enhance caregivers’ caregiving skills，alleviate their caregiving burden，and improve patients’ quality of life.

A study on the correlation between core symptoms of cancer-related cognitive impairment and quality of life in lung cancer patients

FU Haiwei, ZHU Xiaoju, BI Jianjing, LI Meixian, ZHANG Xiaodi, WANG Zonghua

2026, 61(6):  783-789.  DOI: 10.3761/j.issn.0254-1769.2026.06.009

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Objective To identify the core symptoms of cancer-related cognitive impairment（CRCI） in lung cancer patients and their complex relationships with various dimensions of quality of life based on a symptom network model，so as to provide a basis for precise nursing interventions. Methods A cross-sectional study was conducted. A convenience sample of 348 lung cancer patients was recruited from 3 tertiary hospitals in Chongqing，China，between April and December 2024. Cognitive function was assessed using the telephone interview for cognitive status-modified（TICS-M） and the functional assessment of cancer therapy-cognitive function（FACT-Cog）. Quality of life was assessed using the European organisation for research and treatment of cancer quality of life questionnaire （EORTC QLQ-C30）. The R software was used to construct a partial correlation network model depicting the relationships between CRCI symptoms and QoL dimensions. Node strength，closeness，betweenness，and predictability were analyzed to identify core symptoms and key association pathways. Results A total of 326 lung cancer patients were included. Symptom network analysis revealed that the top 3 edge weights were between physical function and role function（weight=0.35），between impact on QoL and other’s perception of cognitive functioning（weight=0.34），and between perceived cognitive impairments and other’s perception of cognitive functioning（weight=0.33）. The strongest negative edge connection was between social function and impact on QoL. Perceived cognitive impairments had the highest strength（r_s=1.28），closeness（r_c=0.007 4），betweenness（r_b=18），and predictability（65.7%），identifying it as the core symptom of CRCI in lung cancer patients. The network demonstrated good accuracy and stability，indicating a reliable model. Conclusion The symptom network model reveals the complex interactive mechanisms between CRCI symptoms and QoL dimensions in lung cancer patients. Perceived cognitive impairments is identified as the core intervention target. It is recommended that nursing staff prioritize designing intervention strategies targeting this core symptom and pay attention to its strong associations with dimensions such as physical functioning and social functioning to synergistically improve patients’ overall quality of life.

Influencing factors analysis of sarcopenia in lung transplant candidates and nursing strategies

GU Peipei, WANG Yandie, ZENG Fei, LIANG Jiangshuyuan, CAI Lingyun, ZHU Yan, ZHAO Shuhua

2026, 61(6):  790-796.  DOI: 10.3761/j.issn.0254-1769.2026.06.010

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Objective To investigate the prevalence and influencing factors of sarcopenia in lung transplant candidates，providing a basis for early identification of high-risk populations and the development of individualized intervention strategies. Methods A retrospective analysis was conducted on the clinical data of patients who completed lung transplant evaluation at a tertiary hospital in Zhejiang Province between January 2022 and December 2023. Skeletal muscle index was assessed at the level of the 12th thoracic vertebra using chest CT. Based on established cut off values，patients were categorized into sarcopenia and non-sarcopenia groups. Univariate analysis and logistic regression were employed to identify factors associated with sarcopenia in lung transplant candidates. Results A total of 268 eligible patients were included（with 289 cases collected and 21 excluded），and the prevalence of sarcopenia was 46.6%. Multivariate logistic regression analysis indicated that age >60 years （OR=7.324，95%CI：1.974~27.183，P=0.003），low body mass index（BMI；compared with underweight patients，ORs for normal，overweight，and obese patients were 0.021，0.035，and 0.046，respectively，all P<0.001），and a reduced percentage of predicted forced vital capacity（OR=0.964，95%CI：0.942~0.986，P=0.002） were significant factors influencing sarcopenia. Conclusion Sarcopenia is highly prevalent in lung transplant candidates，and its risk is influenced by multiple factors including age，nutritional status，and pulmonary function. Nursing staff should strengthen early identification and dynamic monitoring of high-risk patients and implement goal-oriented individualized interventions to optimize functional status during the waiting period and improve post-transplant outcomes.

Multidisciplinary Collaborative Nursing Research

A study on latent profile analysis of psychosocial adaptation and its determinants in elderly HIV patients

QIN Wenting, YANG Lianzhao, LONG Xiuhong, CHEN Ling, GAO Hui, SANG Shulin

2026, 61(6):  797-805.  DOI: 10.3761/j.issn.0254-1769.2026.06.011

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Objective To explore the latent profiles of psychosocial adaptation among elderly people living with HIV（PLWH） and identify the influencing factors of different profiles，thereby providing a reference for formulating targeted intervention measures. Methods A convenient sampling method was used to recruit elderly PLWH who visited the Care Clinic of the Infectious Diseases Department in a tertiary general hospital in Guangxi Zhuang Autonomous Region from January to August 2025. Data were collected using a general information questionnaire，the Psychosocial Adaptation to Illness Scale，the Brief Illness Perception Questionnaire，the Medical Coping Modes Questionnaire，the Social Support Rating Scale，and the Connor-Davidson Resilience Scale（CD-RISC）. Latent profile analysis，univariate analysis，and multivariate logistic regression analysis were employed to explore the latent profiles of psychosocial adaptation and their influencing factors. Results A total of 427 questionnaires were distributed，with 408 valid responses recovered，resulting in an effective response rate of 95.55%. The psychosocial adaptation of elderly PLWH was categorized into 3 latent profiles：relatively well-adapted type（64.46%），fully maladapted type （30.15%），and partially adaptive disorder type（5.39%）. Multivariate logistic regression analysis revealed that age，duration of HIV infection，per capita monthly household income，illness perception，social support，and psychological resilience were significant influencing factors of the distinct latent profiles（P<0.05）. Conclusion The psychosocial adaptation of elderly PLWH is at a moderate level and exhibits distinct categorical characteristics. Healthcare providers should prioritize attention to patients with the fully maladapted type and partially adaptive disorder type，and implement personalized interventions based on patients’ illness perception，social support，and psychological resilience to facilitate the development of a relatively well-adapted model.

Construction and application research of a family support program in cervical cancer patients of reproductive age

WANG Xuejiao, JIANG Ling, MA Qian, LI Xianwen, ZHANG Yan, LÜ Ya, SHI Xiaoyun

2026, 61(6):  806-813.  DOI: 10.3761/j.issn.0254-1769.2026.06.012

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Objective To evaluate the effect of a family support program based on the McMaster model in cervical cancer patients of childbearing age，aiming to provide a reference for family support in this population. Methods By convenience sampling，108 cervical cancer patients of reproductive age and their caregivers in a tertiary specialized hospital in Wuxi city from January to December 2024 were selected as research subjects. Among them，54 patients and their caregivers from July to December 2024 were designated as an experimental group，and another 54 from January to June 2024 constituted a control group. The experimental group received a family support program based on the McMaster model，and the control group received conventional family support care，and the 2 groups were compared in terms of their pre-intervention and post-intervention 12-week scores on the Family Assessment Device（FAD），Functional Assessment of Cancer Therapy-Cervix（FACT-Cx） score，Self-rating Anxiety Scale（SAS） score，and Self-rating Depression Scale（SDS） score. Results After the intervention，the score of the FAD in the experimental group was（114.31±4.03） points，which was lower than（131.93±4.29） points in the control group. The score of the FACT-Cx after cervical cancer treatment was（109.11±7.81） points，which was higher than（97.26±5.66） points in the control group. The scores of the SAS and the SDS were both lower than those of the control group. Comparisons between the 2 groups showed statistically significant differences（P<0.001）. Conclusion The family support program based on the McMaster model can improve the level of family functioning，alleviate negative emotions，and enhance the quality of life of patients.

A qualitative study on discharge readiness experiences and needs of adolescents with anorexia nervosa and their parents

LIU Xiao, LI Li, SHI Zhongying

2026, 61(6):  814-821.  DOI: 10.3761/j.issn.0254-1769.2026.06.013

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Objective To explore the discharge preparation experiences and needs of adolescent patients with anorexia nervosa（AN） and their parents，and to provide a basis for formulating scientific and effective discharge preparation intervention programs. Methods Using purposive sampling，12 adolescent AN patients and their parents who received treatment in a tertiary grade A mental health hospital in Shanghai from December 2022 to June 2024 were selected as research subjects. Semi-structured in-depth interviews were conducted，and the data were organized and analyzed using Colaizzi’s 7-step analysis method. Results A total of 4 themes and 12 sub-themes were extracted，including intertwined positive and negative emotional experiences，insufficiency of disease management knowledge and skills and related support needs，challenges in reconstructing family interaction patterns and corresponding demands， and experiences of lack in diversified social support systems and needs for construction. Conclusion The discharge preparation process of adolescent AN patients and their families faces multi-dimensional challenges，highlighting the urgent need for a “hospital-family-community” collaborative support network. Nursing staff should assist the parents of the affected children in formulating a systematic and continuous care plan to achieve seamless connection in care and help adolescent patients with AN smoothly transition from the disease and achieve comprehensive recovery.

Analysis of influencing factors of nutritional literacy in women with twin pregnancies and nursing implications

ZHANG Rou, HE Fangyuan, YANG Xiaoyu, CHEN Dongsun, LI Genxia, SUN Keying, ZHAO Jing, GUO Xiaoli

2026, 61(6):  822-828.  DOI: 10.3761/j.issn.0254-1769.2026.06.014

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Objective To investigate the current status and influencing factors of nutritional literacy among women with twin pregnancies，so as to provide references for developing targeted nutritional management strategies. Methods A convenience sampling method was used to investigate 210 women with twin pregnancies from a tertiary-level hospital in Henan Province between October 2024 and March 2025. Data were collected using a general information questionnaire，the Nutrition Literacy Assessment Instrument for Pregnancy Women（NLAI-P），and the Intuitive Eating Scale-2. Univariate analysis and multiple linear regression analysis were employed to explore the influencing factors of nutritional literacy in pregnant women with twin pregnancies. Results A total of 205 valid questionnaires were collected，with a response rate of 97.62%. The score on the NLAI-P was（44.21±8.80） points. Multiple linear regression analysis showed that educational level，presence of comorbidities/complications，and gestational weight gain were significant predictors of nutritional literacy in women with twin pregnancies（P<0.05）. Conclusion The nutritional literacy level of women with twin pregnancies needs to be improved. Clinical healthcare providers should emphasize and monitor their nutritional literacy levels，develop personalized nutritional management plans to enhance their nutritional status.

Review

A study on the correlation between intrinsic capacity and social frailty in older adults with chronic diseases in the community

HAN Zhaoying, ZHAO Yaning, LIU Yao, LI Xuemei, CHANG Xueyou, LI Jianmin

2026, 61(6):  829-835.  DOI: 10.3761/j.issn.0254-1769.2026.06.015

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Objective To investigate the association between intrinsic capacity and social frailty in community-dwelling older adults with chronic diseases，and to provide a scientific basis for the assessment and intervention of social frailty in this population. Methods Using convenience sampling，a total of 1，098 older adults with chronic diseases were recruited from 5 communities in Lunan District，Tangshan City，between July 2024 and May 2025. Data were collected using a general information questionnaire，the Social Frailty Scale，the eHealth Literacy Scale，the Athens Insomnia Scale，and assessment tools for the 5 domains of intrinsic capacity. Inverse Probability of Treatment Weighting was employed to balance baseline characteristics. Restricted Cubic Spline analysis was used to explore the dose-response relationship between intrinsic capacity and social frailty，followed by subgroup analyzes. Results A total of 1，034 valid questionnaires were recovered. The prevalence of intrinsic capacity decline and social frailty in community-dwelling older adults with chronic diseases was 52.80% and 34.04%，respectively. Hierarchical logistic regression analysis showed that intrinsic capacity decline was an independent risk factor for social frailty（OR=2.920，P<0.001）. RCS analysis revealed a significant non-linear association between the two；the risk of social frailty increased significantly when the intrinsic capacity score was <3（OR=3.877，P<0.001）. Subgroup analysis indicated that the association between intrinsic capacity and social frailty was more pronounced in older adults who were aged >70 years，had a junior high school education or below，had ≥2 chronic diseases，possessed low eHealth literacy，or suffered from sleep disorders（P<0.05）. Conclusion A decline in intrinsic capacity significantly increases the risk of social frailty among community-dwelling older adults with chronic diseases. Healthcare professionals should prioritize the assessment of intrinsic capacity levels in older adults and implement targeted interventions to reduce the risk of social frailty.

Evaluation of the application effect of group music therapy in community mental disorders patients

ZHANG Yong, ZHENG Weihui, DENG Qianqian, ZHOU Xiaoying, LIU Dan, GU Jiayi, CHANG Hongjuan

2026, 61(6):  836-843.  DOI: 10.3761/j.issn.0254-1769.2026.06.016

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Objective Exploring the impact of group music therapy on the improvement and recovery of social function in community mental disorder patients，providing references for enhancing their self-rehabilitation management ability，improving their social function，and promoting their recovery. Methods Adopting a quasi experimental research design，80 patients with mental disorders in the rehabilitation period in Wuhan from September to December 2024 were selected as the research subjects through convenience sampling，and randomly divided into an experimental group and a control group（40 cases each）. The experimental group received group music therapy for 16 weeks on the basis of routine care，while the control group received routine care. The social function and recovery status of 2 groups were compared at baseline，8 weeks after intervention，and 16 weeks after intervention. Results No patients withdrew from the study. Repeated measures ANOVA showed that there was an interaction effect between time and groups in terms of social function and recovery between the 2 groups（P<0.05）. Simple effects analysis showed that the social function and recovery of the experimental group were better than those of the control group at 8 and 16 weeks of intervention（P<0.05）. Both groups did not experience any adverse events. Conclusion Group music therapy can help improve the social functioning of patients with mental disorders in the community and promote their recovery.

Machine learning-based prediction models for intraoperative hypothermia risk in adults：a scoping review

WU Ling, WU Bo, CHEN Hong, GU Chenxi, LIU Yang, ZHANG Chunjin, CHEN Mengqi, ZHANG Qing

2026, 61(6):  844-851.  DOI: 10.3761/j.issn.0254-1769.2026.06.017

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Objective To conduct a scoping review of studies on machine learning-based prediction models for intraoperative hypothermia in adults，in order to provide a reference for optimizing the management of intraoperative hypothermia. Methods Following scoping review guidelines，we systematically searched original studies in databases including Embase，Web of Science，CINAHL，Cochrane Library，Elsevier ScienceDirect，Scopus，PubMed，IEEE Electronic Library Electronic Library，CNKI，CBM，Wanfang Database，and VIP Database from their inception to September 26th，2025. The included literature was summarized and analyzed. Results A total of 15 articles were included，encompassing 42 prediction models. The area under the receiver operating characteristic curve（AUC） of the models ranged from 0.717 to 0.974，with an average value of 0.830. The quality of data requires improvement. Commonly used machine learning algorithms included Random Forest，XGBoost，Logistic Regression，Decision Tree，and Support Vector Machine. Frequent predictive factors were anesthesia duration，surgery duration，intraoperative fluid volume，BMI，baseline body temperature，operating room temperature，and age. The studies only conducted internal validation，lacking external validation；only a few studies performed hyperparameter optimization or interpretability analysis. Conclusion In the past 5 years，the number of machine learning-based prediction models for intraoperative hypothermia in adults has grown rapidly. Machine learning demonstrates significant potential in predicting intraoperative hypothermia，with tree-based models（e.g.，Random Forest，XGBoost） showing particularly optimal performance. Future efforts should focus on improving data quality，promoting multi-center prospective studies，employing hyperparameter tuning methods，strengthening external validation，incorporating explainable artificial intelligence techniques to enhance model interpretability and clinical translation，and evaluating their cost-effectiveness and clinical utility to achieve precise temperature management.

Research progress of square step exercise in the prevention of motor cognitive risk syndrome in the elderly

GUO Xiaobei, WANG Ying, GUO Yue, CUI Mengying, LU Zhihui, HUANG Zijing

2026, 61(6):  852-857.  DOI: 10.3761/j.issn.0254-1769.2026.06.018

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As a key pre-dementia warning state，elderly motor cognitive risk syndrome is characterized by slow walking speed and subjective cognitive decline as core traits，which significantly increases the risk of adverse outcomes such as falls，disability，and dementia in the elderly. Because of its characteristics of being interesting and easy to operate，as well as its synergistic improvement effect on balance and cognitive function，square-step exercise has gradually become a new strategy for preventing motor cognitive risk syndrome. This article reviews the origin，core content，implementation process，precautions of square-step exercise and the application status of square-step exercise in the prevention of elderly motor cognitive risk syndrome，analyzes the challenges it faces and puts forward countermeasures，aiming to provide references for constructing a scientific and effective prevention strategy for motor cognitive risk syndrome.

Exercise intervention in children with juvenile idiopathic arthritis：a scoping review

CHEN Jing, WANG Junjun, WEI Xiaoqiong, HE Huan, SUN Qiuyi, TANG Ying, HAN Ying, HE Huayun

2026, 61(6):  858-864.  DOI: 10.3761/j.issn.0254-1769.2026.06.019

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Objective To review the research of exercise interventions in children with juvenile idiopathic arthritis，clarify the intervention elements and effects，so as to provide references for clinical practice. Methods Guided by scoping review methodological guidelines，systematic searches were performed in domestic and international databases from their establishment to March 31，2025. Totally 2 researchers independently conducted literature screening and data extraction. Results A total of 16 studies were included，consisting of 9 randomized controlled trials，6 quasi-experimental studies， and 1 mixed-methods study. Exercise interventions included aerobic exercise，resistance training，flexibility exercises，and coordination training. Most protocols were designed as 2 to 3 times peer week，30 to 45 minutes peer times，and lasted 8 to 12 weeks. Outcome measures covered，such as pain，quality of life，physical fitness. Results showed that exercise intervention can alleviate pain，enhance muscle strength，improve joint function and quality of life，and is both safe and feasible. Conclusion Exercise interventions exert positive effects for paediatric patients；however，existing evidence is mostly derived from overseas studies. It is recommended to develop individualized exercise prescriptions based on the characteristics of Chinese juvenile idiopathic arthritis，and carry out standardized research.