Table of Content

20 July 2026, Volume 61 Issue 14

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Special Planning—Nursing Care for Patients with Heart Failure

Application of board game-based health education in fluid management for patients with chronic heart failure

WANG Weiping, HU Zelan, ZHANG Jing, WANG Wei, YU Na, FANG Si

2026, 61(14):  1877-1884.  DOI: 10.3761/j.issn.0254-1769.2026.14.001

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Objective To explore the effectiveness of board game-based health education in enhancing fluid management among patients with chronic heart failure，thereby improving their fluid management capabilities. Methods Using convenience sampling，190 heart failure patients hospitalized in the cardiology department of a tertiary hospital in Zhejiang Province from April 2024 to April 2025 were selected. They were randomly assigned via a random number table to either an intervention group（n=95） or a control group（n=95）. The intervention group received board game-based health education on fluid management，while the control group received conventional fluid management health education. After the intervention，the fluid management compliance rate，fluid management knowledge level，self-management behaviors，and length of hospital stay were compared between the 2 groups. Results Finally，90 patients in the intervention group and 92 in the control group completed the study. The fluid management compliance rate in the intervention group（92.22%） was higher than that in the control group（75.00%）. The fluid management knowledge level in the intervention group was（16.57±2.16），higher than（13.88±2.67） in the control group. The self-management behavior score in the intervention group was（67.86±9.24），better than（51.46±8.75） in the control group. The length of hospital stay in the intervention group was（8.27±3.58） days，shorter than（10.56±3.27） days in the control group. All these differences were statistically significant（P<0.05）. Conclusion Board game-based health education can improve the fluid management compliance rate and knowledge level of patients with chronic heart failure，enhance their fluid management behaviors，shorten the length of hospital stay，and improve patient prognosis.

Analysis of ego-depletion development trajectory among heart failure patients and nursing countermeasures

TAO Xiu, GAO Min, WU Fan, LU Jing, LI Yunxia, ZHU Yue, WANG Qin, SUN Guozhen

2026, 61(14):  1885-1893.  DOI: 10.3761/j.issn.0254-1769.2026.14.002

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Objective To explore the development trajectory of ego depletion in patients with heart failure and analyze the influencing factors，aiming to provide a basis for the implementation of targeted intervention measures. Methods Convenience sampling was adopted to select heart failure patients who were hospitalized in a tertiary hospital in Nanjing from July 2024 to March 2025 as the survey subjects. The general information questionnaire，the Ego-Depletion Scale for Heart Failure Patients，the Symptom Status Questionnaire-Heart Failure，the Perceived Social Support Scale，and the Chinese version of the Distress Disclosure Index were used to collect baseline（T0） data. The Ego-Depletion Scale for Heart Failure Patients was used to assess the ego-depletion level of the patients 1 month（T1），3 months（T2），and 6 months（T3） after discharge. The latent class growth model was used to analyze the change trajectory of ego depletion in heart failure patients，and multiple Logistic regression was used to analyze the influencing factors of different trajectory categories. Results A total of 338 patients were included. During the T1 to T3 periods，20，17，and 14 patients were lost to follow-up respectively. Eventually，a total of 287 patients were included. The ego depletion scores of heart failure patients at the 4 time points were 52.00（42.00，61.00），43.00 （34.00，53.00），40.00（34.00，54.00），39.00（33.00，51.00） points. The 3 subgroups of ego depletion change trajectories were identified： moderate depletion-slow adaptation type（63.07%），moderate depletion-rebound increase type （24.04%），and high depletion-fluctuating improvement type（12.89%）. The results of Logistic regression analysis showed that the number of comorbidities，the level of fatigue or lack of energy and perceived social support were the influencing factors of the ego depletion change trajectory of heart failure patients（all P<0.05）. Conclusion The ego depletion of patients with heart failure shows a gradually decreasing trend in the short term after discharge，but there is a population heterogeneity development trajectory. Healthcare professionals should formulate precise nursing interventions based on the characteristics of these trajectories and the influencing factors，in order to improve the ego depletion level of heart failure patients and enhance their self-management ability.

A mixed-methods study on the current status and influencing factors of learned helplessness in patients with chronic heart failure

MA Danni, TANG Jiamin, DING Yiqi, HE Hong, ZHOU Xuemei

2026, 61(14):  1894-1901.  DOI: 10.3761/j.issn.0254-1769.2026.14.003

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Objective To explore the current status of learned helplessness in patients with chronic heart failure and analyze its influencing factors. Methods The convergent mixed design in the mixed research method was used to facilitate the selection of 380 patients with chronic heart failure who were hospitalized in the cardiovascular department of a tertiary hospital in Nantong City from January to October 2025. The quantitative study was conducted using through the general information questionnaire，the learned helplessness scale，the Chinese version of the heart failure-specific health literacy scale，the simple disease perception questionnaire，the perceived social support scale，and the medical coping style scale for investigation. Multiple linear regression was used to explore its influencing factors. In the qualitative study，16 patients with chronic heart failure in the quantitative study of the same period were selected for semi-structured interviews，and the data were analyzed by traditional content analysis. The joint display method was used to comprehensively analyze the research results. Results A total of 362 valid questionnaires were collected. The score of learned helplessness in patients with chronic heart failure was（47.12±8.66） points. The results of quantitative research showed that working conditions（farming），cardiac function classification，number of hospitalizations in the past year，health literacy，perceived social support and coping style were the influencing factors of learned helplessness（P<0.05）. There were 3 themes being extracted from the qualitative research： the representation of learned helplessness，the risk factors of learned helplessness，and the mitigation factors of learned helplessness. The results of integration showed that in quantitative research and qualitative research，“cardiac function classification and the number of hospitalizations in the past year”，“coping style” and “social support” demonstrated consistency，while “heavy economic burden”，“cognitive hopelessness and attribution bias”，“search for meaning in life” and “health literacy” were supplemented. Conclusion The learned helplessness of patients with chronic heart failure is at a medium level. Affected by personal and social aspects，medical staff should evaluate in time，provide targeted psychological interventions，guide patients to actively respond to the disease，and build a multi-dimensional support network to reduce patients’ learned helplessness.

Nursing care of 10 patients with skin allergy caused by chlorhexidine disinfectant after implantation of left ventricular assist device

ZHANG Yanming, JIN Yan, WANG Xianqiang

2026, 61(14):  1902-1907.  DOI: 10.3761/j.issn.0254-1769.2026.14.004

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This article summarizes the nursing experience of 10 patients with post-left ventricular assist device （LVAD） implantation，where skin allergic reactions of varying degrees and associated cable exit infections occurred after disinfection of the cable exit with 2% chlorhexidine gluconate. Key nursing points：accurately identifying allergic reactions to chlorhexidine disinfectant and providing timely symptomatic care；enhancing skin care to prevent or mitigate infections at the catheter insertion site；conducting thorough patient and family education and training to improve self-monitoring and management of allergic reactions. Through meticulous treatment and nursing care，with follow-up periods ranging from 6 to 30 weeks，7 patients did not experience recurrence of allergies，and 3 cases of secondary infection at the cable exit site showed improvement after treatment and nursing care，with no recurrence of allergic reactions.

Research progress in nursing for self-management of patients with chronic heart failure

CHAI Tianfeng, YANG Qiuyan, CHEN Hongyan

2026, 61(14):  1908-1914.  DOI: 10.3761/j.issn.0254-1769.2026.14.005

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Chronic heart failure is characterized by a protracted disease course and high readmission rates，with long-term outcomes heavily dependent on the self-management of patients and families. From a nursing perspective and drawing on chronic disease self-management theory and temporal self-regulation theory，this review summarizes current research status of the self-management support models such as nurse-led interventions，collaborative care，and telehealth/digital health approaches. Existing evidence suggests that structured nursing interventions can improve self-care behaviors and self-efficacy and，to some extent，reduce adverse outcomes such as readmission and depression. However，there is substantial heterogeneity in intervention components，follow-up duration，and population selection，with a notable lack of evidence specific to older，frail，and cognitively impaired patients. Future studies should clarify the key active components and appropriate models of nursing interventions in high-risk older populations and，by integrating objective behavioral data and real-world research，evaluate the long-term effectiveness and cost-effectiveness of human-technology collaborative management，thereby providing evidence to optimize self-management-oriented nursing care for patients with chronic heart failure.

Advances in the application of digital phenotypes in personalized management of heart failure

WANG Yike, WANG Ya, XU Mingyi, LÜ Shuangshuang, HE Xiaodi, SONG Jianping

2026, 61(14):  1915-1921.  DOI: 10.3761/j.issn.0254-1769.2026.14.006

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Heart failure is characterized by significant heterogeneity，which creates challenges for individualized management. Digital phenotyping is an emerging technology that objectively quantifies and analyzes individual biological and behavioral characteristics through real-time data collection from digital devices or sensors and the application of digital technologies. This paper reviews the application of digital phenotyping in the individualized management of heart failure from 5 aspects： the definition and classification system of heart failure-related digital phenotyping，its practice in individualized management，as well as its application advantages，limitations and prospects. It aims to provide a reference for technological innovation and promote the development of individualized and precise heart failure care.

Specialist Nursing Practice and Research

Construction and application of an exercise management program for patients with peripheral artery disease based on the Behaviour Change Wheel Theory

YANG Qin, LAI Yuting, ZHAO Yuming, HUANG Yan, LIU Lu, YANG Meiwu, XU Wenxiang, TIAN Xuebing

2026, 61(14):  1922-1929.  DOI: 10.3761/j.issn.0254-1769.2026.14.007

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Objective To develop and evaluate an exercise management program for patients with peripheral artery disease（PAD） based on the Behaviour Change Wheel（BCW） theory，and to provide a practical reference for the standardized management of exercise rehabilitation in clinical practice. Methods Guided by the BCW theory，we developed an exercise management program through a process involving evidence synthesis，expert consultation，and pilot testing. Using a convenience sampling method，80 PAD patients（admitted between July 2023 and June 2024） were enrolled. Among them，40 patients admitted from January to June 2024 were assigned to an intervention group，and 40 admitted from July to December 2023 served as a control group. The intervention group received the BCW-based program，employing integrated strategies targeting capability，opportunity，and motivation. The control group received routine exercise advice. Both groups underwent a 12-week intervention. Exercise adherence，the 6-minute walk distance（6MWD），and Vascular Quality of Life（VascuQoL） scores were assessed at baseline and after 12 weeks. Results All 80 patients completed the study. After the 12-week intervention，the exercise adherence rates in the intervention group and the control group were 87.50%（35/40） and 25.00%（10/40），respectively. The 6MWD were（345.53 ± 101.68） m and（286.63 ± 120.75） m，respectively. The VascuQoL were（5.84 ± 0.69） points and（4.64 ± 1.04） points，respectively. All differences between the 2 groups were statistically significant（P<0.05）. Conclusion The exercise management program based on the BCW theory effectively improved exercise adherence，walking capacity，and quality of life in PAD patients，demonstrating its scientific validity and clinical feasibility.

Application of immersive virtual reality visualization health education in patients undergoing elective hepatectomy

WANG Shasha, GUO Hui, CHEN Jing, LI Deyu

2026, 61(14):  1930-1938.  DOI: 10.3761/j.issn.0254-1769.2026.14.008

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Objective To explore the application effect of immersive virtual reality visualization health education in patients undergoing elective hepatectomy，and to provide a reference for the implementation of clinical perioperative nursing interventions. Methods Using convenience sampling method，112 patients undergoing elective hepatectomy in the Department of Hepatobiliary and Pancreatic Surgery of a tertiary hospital in Zhengzhou from April 2024 to July 2025 were selected and divided into an experimental group（December 2024 to July 2025） and a control group（April 2024 to November 2024） according to the admission time，with 56 patients in each group. The experimental group carried out immersive virtual reality visualization health education，and the control group received routine preoperative health heducation. The preoperative anxiety，physiological stress indexes，postoperative pain，postoperative kinesiophobia and early postoperative rehabilitation related indicators were compared between the 2 groups after intervention. Results A total of 54 cases were included in the experimental group，and 55 cases were included in the control group. The anxiety score at 30 min before operation in the experimental group was lower than that in the control group，and the mean arterial pressure and heart rate before anesthesia induction were lower than those in the control group，and the differences were statistically significant（P<0.05）. The first time to get out of bed in the experimental group was shorter than that in the control group. The pain scores at rest at 24 h，48 h，and 5 d after operation and the number of analgesic pump compressions at 48 h after operation were lower than those in the control group. The motor fear scores at 48 h and 5 d after operation were lower than those in the control group，and the differences were statistically significant（P<0.05）. Conclusion Immersive virtual reality visualization health education can relieve preoperative anxiety and physiological stress responses，reduce postoperative pain and kinesiophobia，and shorten the first time to get out of bed in patients undergoing elective hepatectomy.

Current condition of maternal breastfeeding self-efficacy and its influencing factors

SUI Sheng, LI Suhang, ZHU Liqun, JIN Huayi, ZHUANG Ruo, CAO Songmei

2026, 61(14):  1939-1946.  DOI: 10.3761/j.issn.0254-1769.2026.14.009

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Objective This study aimed to analyze the current status of maternal breastfeeding self-efficacy，identify its heterogeneous characteristics within the population through latent profile analysis，and systematically explore the influencing factors across different identified profiles. Methods A stratified sampling method was employed to select 886 postpartum women from 23 tertiary hospitals across 13 cities in Jiangsu Province，China，from July to October 2024. Data were collected using the General Information Questionnaire，Breastfeeding Self-Efficacy Scale，Edinburgh Postnatal Depression Scale，Social Support Rating Scale，and Exclusive Breastfeeding Knowledge Questionnaire. Latent profile analysis was conducted to identify distinct profiles of breastfeeding self-efficacy，and their influencing factors were examined using univariate and multiple logistic regression analyses. Results A total of 855 valid questionnaires were collected，BSES score was（100.58±21.63）points. LPA identified three distinct profiles，namely“limited skills and emotional support”（58.24%），“support dependent”（30.06%），and “autonomous and competent”（11.70%）. Significant factors associated with profile membership included medical history，parity，timing and success of first breastfeeding，feeding duration，spouse’s attitude，EPDS and SSRS scores，exclusive breastfeeding knowledge，and experience of breastfeeding difficulties（P<0.05）. Conclusion Maternal breastfeeding self-efficacy is heterogeneous and influenced by multiple factors. Healthcare support should be tailored according to these efficacy profiles to improve breastfeeding outcomes and increase exclusive breastfeeding rates.

A qualitative study on illness perception in patients with cancer-associated venous thromboembolism

SHAO Manna, WANG Lei, SUN Xiaoning, LIANG Hejing, XU Que, LU Qiaodan, LIU Yafei, WANG Huan, ZHENG Yuehong, MA Yufen

2026, 61(14):  1947-1953.  DOI: 10.3761/j.issn.0254-1769.2026.14.010

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Objective To describe the illness perceptions of patients with cancer-associated thrombosis（CAT），to gain an in-depth understanding of the characteristics and existing problems of their illness perceptions，and to provide a basis for subsequent precision interventions based on illness perception assessment. Methods Guided by the Common-Sense Model of Self-Regulation as the theoretical framework，a descriptive qualitative study design was adopted. Purposive sampling was used to select 17 patients with CAT for semi-structured interviews. Data were analyzed using Colaizzi’s seven-step method. Results A total of 4 themes and 12 sub-themes regarding the patients’ illness perceptions of venous thromboembolism（VTE） were extracted：①cognitive biases in illness perceptions（to identity biases in perception of disease symptoms，biases in causal attribution，biases in disease course expectation，biases in consequence perception，and perceived lack of control）；②individual differences in coping behaviors influenced by illness perception（information avoidance driven by low perceived control，passive compliance driven by externalized control，and active self-management driven by high perceived control）；③mul-tidimensional burden experience influenced by illness perception（superimposed perception of multiple physical consequences and multidimensional intertwining of negative emotions）； ④treatment decision-making dilemmas influenced by illness perception（impact of consequence prioritization under multimorbidity on anticoagulation therapy，impact of cognitive conflict under polypharmacy on acceptance of anticoagulation）. Conclusion CAT patients exhibit cognitive biases in VTE illness perceptions，significant individual differences in coping behaviors，multidimensional burden，and treatment decision-making conflicts. Future interventions based on illness perception assessment and precision strategies should be implemented to promote positive coping and improve prognosis.

Multidisciplinary Collaborative Nursing Research

The current status and influencing factors of physical resilience in elderly patients with chronic comorbidities： a mixed-methods study

LIU Aihong, ZHAO Yang, ZHANG Zhixia, CHANG Hongjuan

2026, 61(14):  1954-1961.  DOI: 10.3761/j.issn.0254-1769.2026.14.011

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Objective To explore the status of physical resilience among older adults with multimorbidity and to identify its influencing factors，so as to provide evidence for developing targeted clinical interventions. Methods An explanatory sequential mixed-methods design was adopted. A total of 349 hospitalized older adults with multimorbidity were recruited by convenience sampling from a tertiary hospital in Wuhan between April and June 2025. Data were collected using a general information questionnaire，the Physical Resilience Scale for Older Adults，the Chinese version of the Frailty Scale，the Chinese version of the Depression Scale，the Chinese version of the Perceived Social Support Scale，and the Chinese version of the Positive Aging Scale. From July to September 2025，purposive sampling was used to select 15 participants from the quantitative phase for semi-structured interviews. Traditional content analysis was applied to analyze qualitative data，and a joint display method was used to integrate quantitative and qualitative findings. Results The quantitative results showed that the median physical resilience score of older adults with multimorbidity was 47.0（37.0，57.0） points. Multiple linear regression analysis indicated that age，number of chronic diseases，frailty，perceived social support，and positive aging were significant influencing factors of physical resilience in elderly patients with chronic multimorbidity（P<0.05）. Based on social ecological system theory，3 themes were identified from the qualitative analysis：（1）individual（microsystem） level：the dual role of impaired physiological function and behavioral regulation；（2）family-social（mesosystem） level：the bidirectional effects of structural and functional social support；（3）cultural-environmental（macrosystem） level：the dual regulatory role of sociocultural environmental factors. The mixed-methods integration demonstrated convergence，complementarity，and expansion between quantitative and qualitative findings. Conclusion The physical resilience of older adults with chronic multimorbidity is at a moderately low level and is influenced by multilevel interacting factors. Healthcare professionals should develop individualized intervention strategies based on these influencing factors.

A study on the association between symptom clusters and quality of life in kidney transplant patients and its nursing implications

WANG Juan, ZHANG Mengqi, HAN Ye, LUO Ruzhen, LIU Yanhui

2026, 61(14):  1962-1969.  DOI: 10.3761/j.issn.0254-1769.2026.14.012

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Objective To investigate the associations among symptom clusters in kidney transplant patients，examine their correlations with various domains of quality of life，and identify both core and bridge symptom clusters，thereby providing a basis for developing targeted symptom cluster management strategies. Methods Convenience sampling was adopted to recruit 451 kidney transplant patients who received outpatient follow-up in a tertiary A hospital in Tianjin from April 2025 to October 2025. Data were collected using a general information questionnaire，the Chinese version of the Modified Transplant Symptom Occurrence and Symptom Distress Scale，and the Quality of Life Scale for Patients of Renal Transplantation. Symptom clusters were extracted by exploratory factor analysis. R 4.4.0 software was used to construct an integrated symptom clusters-quality of life network，calculate metrics including strength and bridge strength centrality，and evaluate the stability of the network structure. Results A total of 432 valid questionnaires were recovered. The most common symptoms in 432 kidney transplant patients were hair thinning or hair loss（38.66%），difficulty falling asleep（36.34%），fatigue（33.10%），hand tremor（31.94%），and difficulty concentrating or poor memory（28.94%）. A total of 7 symptom clusters were identified，including the fatigue-cognition-related symptom cluster，the emotion-related symptom cluster，the hormone-related symptom cluster，the metabolism-related symptom cluster，the vision-hair symptom cluster，the joint pain-diarrhea symptom cluster，and the acne-constipation symptom cluster. The combined symptom clusters-quality of life network analysis revealed that the fatigue-cognition-related symptom cluster was the core symptom cluster（r_s=1.007），while the emotion-related symptom cluster served as the bridge symptom cluster（r_bs=1.244）. Psychological function exhibited the highest strength centrality（r_s=1.064） and bridge strength centrality（r_bs=2.622）. The network showed high accuracy and stability，and was found to be reliable. Conclusion Medical staff can mitigate interactions among symptoms within the fatigue-cognition-related and emotion-related symptom clusters through cognitive behavioral therapy. By taking into account the individual characteristics of kidney transplant patients，medical staff can prioritize psychological functioning as a core intervention target to comprehensively enhance quality of life.

Care Quality and Safety

Influencing factors and path analysis of nursing safety attitudes in pediatric nurses

WEI Qiao, SUN Cuicui, SONG Haiyan, ZHU Jiajia, JIANG Li, ZHU Jihua

2026, 61(14):  1970-1977.  DOI: 10.3761/j.issn.0254-1769.2026.14.013

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Objective To investigate the current status of nursing safety attitudes among pediatric nurses，analyze its influencing factors and pathways，and provide evidence for formulating pediatric nursing safety management strategies. Methods Using convenience sampling，920 pediatric nurses from 9 secondary grade A and above hospitals in Anhui，Shanghai，Zhejiang and other regions were selected as participants from October to December 2025. Data were collected using a general information questionnaire，the Safety Attitudes Questionnaire，the Perceived Organizational Support Scale，the 10-item Connor-Davidson Resilience Scale，and the Professional Quality of Life Scale. Univariate analysis，Pearson correlation analysis，and multiple linear regression analysis were used to explore the influencing factors of nursing safety attitudes among pediatric nurses，and a structural equation model was constructed. Results A total of 898 valid questionnaires were returned，with a valid response rate of 97.61%. The mean score of the Safety Attitudes Questionnaire among pediatric nurses was（118.10±23.61） points. Multiple linear regression analysis showed that perceived organizational support，psychological resilience，professional quality of life，whether considering resignation in the past year，and working years were influencing factors of nursing safety attitudes among pediatric nurses（P<0.05）. Path analysis revealed that perceived organizational support not only directly and positively predicted nursing safety attitudes（β=0.277，P<0.001），but also indirectly predicted nursing safety attitudes through the independent mediating effects of psychological resilience and professional quality of life，as well as their chain mediating effect. The independent mediating effects were 0.084 and 0.042，respectively，and the chain mediating effect was 0.021. The total mediating effect of perceived organizational support on nursing safety attitudes was 0.147，accounting for 34.67% of the total effect. Conclusion The nursing safety attitudes of pediatric nurses are moderately high. Nursing managers can improve nursing safety attitudes by systematically building a supportive environment to enhance nurses’ perceived organizational support，psychological resilience，and professional quality of life.

Investigation and analysis of the current status of standardized construction of nurse-led diabetes clinics in 1 093 hospitals

ZHANG Mingxia, ZHAO Fang, YUAN Li, LI Caihong, LI Rao, MO Yongzhen, PAN Hong-ying, XU Rong, XIAO Lingfeng, ZHOU Yingxia, DONG Yingyue, XING Qiuling, WU Quanying, ZHOU Lihua, GUAN Yuxiang

2026, 61(14):  1978-1986.  DOI: 10.3761/j.issn.0254-1769.2026.14.014

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Objective To investigate the current status of standardization construction of nurse-led diabetes clinics in hospitals of different levels across 30 provinces in China，and to provide evidence for promoting national standardized development. Methods Using a convenience sampling method，a self-designed questionnaire was administered to managers of nurse-led diabetes clinics in hospitals at various levels across 30 provinces，autonomous regions，and municipalities in China from May to July 2024. Results A total of 1093 valid questionnaires were collected. In terms of post management，49.04% of the surveyed clinics met the staffing standards，and 48.58% met the training and assessment standards. Regarding regulations and norms，59.74% had established management systems，and 67.43% had formulated service and operational technical specifications. In terms of site，equipment and clinic functions，79.87% had a fixed independent site，with basic equipment and health education tools being relatively well-equipped，whereas specialist nursing assessment equipment and first-aid equipment were relatively insufficient. In operation management，over 90.00% provided health education and nursing technical services，but the proportions of clinics implementing nursing assessment，providing continuing care services，and establishing patient visit and follow-up management records were all less than 80.00%. In quality improvement，less than 65.00% conducted service quality supervision and continuous improvement. Statistically significant differences in the compliance rates were observed among different levels of hospitals in staffing and qualifications，training and assessment，management systems，service and technical specifications，and site conditions（P<0.05）. Conclusion Nurse-led diabetes clinics in China have laid a solid foundation，but standardization is insufficient in nurse training and assessment，management systems，specialist nursing，information management，and quality improvement. There is an urgent need to formulate and implement a unified national standard for the construction of nurse-led diabetes clinics and improve supporting policies to promote their sustainable and high-quality development.

Rare Disease and Critical Care

Perioperative nursing care of a pediatric patient with aortic atresia complicated with ventricular septal defect undergoing Yasui operation

SUN Yu, WANG Huimei, XU Yulu, YE Ming, ZHANG Huifeng, ZHU Bingxue, LU Kai, GU Ying

2026, 61(14):  1987-1991.  DOI: 10.3761/j.issn.0254-1769.2026.14.015

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To summarize the perioperative nursing experience of a pediatric patient with aortic atresia combined with ventricular septal defect undergoing Yasui surgery. Peroperative nursing points are as follows：implementing prehabilitation interventions to optimize the preoperative physical status；adopting the principle of shared decision-making can reduce the fear and anxiety associated with a second surgery；closely monitoring cardiac function，standardizing fluid management and preventing heart failure. Postoperative nursing points are as follows：precisely regulating blood pressure，reducing afterload，and protecting left ventricular function；implementing goal-directed anticoagulation management to prevent bleeding and thrombosis；carrying out early and staged cardiac rehabilitation training to accelerate postoperative recovery. After careful treatment and nursing care，the pediatric patient recovered and was discharged from the hospital at 36 days after the surgery without any complications in one-year follow up.

Perioperative nutritional care of 3 patients with encapsulating peritoneal sclerosis and sarcopenia

ZHU Huidi, LI Yan, DONG Kimberly, JIANG Yuehong, XU Qiaoying, LI Beibei, LIU Xiaosun

2026, 61(14):  1992-1996.  DOI: 10.3761/j.issn.0254-1769.2026.14.016

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This article summarized the perioperative nutritional care experience of 3 patients with encapsulating peritoneal sclerosis complicated with sarcopenia. Key nursing interventions included：establishing a multidimensional nutritional assessment system；early warning and nursing intervention for refeeding syndrome during preoperative progressive nutritional support；implementing exercise pre-rehabilitation to optimize nutrient utilization；postoperative volume management using goal-directed fluid therapy；implementing and intelligently monitoring enteral nutrition via retrograde intestinal obstruction catheter；providing continuous nutritional follow-up management after discharge. Following meticulous nursing care and treatment，all 3 patients recovered and were discharged successfully.

Evidence Synthesis Research

Psychosocial adaptation experiences in nasopharyngeal carcinoma patients undergoing radiotherapy：a qualitative Meta-synthesis

ZHOU Lin, WU Fei, LI Bing, LÜ Heping, ZHOU Jing, QIN Yuqin, CHEN Xiao-fang, ZENG Guqing

2026, 61(14):  1997-2005.  DOI: 10.3761/j.issn.0254-1769.2026.14.017

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Objective To systematically evaluate and integrate the psychosocial adaptation experience of patients with nasopharyngeal carcinoma undergoing radiotherapy，providing a reference for optimizing psychosocial support strategies. Methods We searched databases including PubMed，Embase，Web of Science，Cochrane Library，CINAHL，CNKI，Wanfang，VIP，and CBM Database. The literature of qualitative research on the psychosocial adaptation experience of patients with nasopharyngeal carcinoma from the establishment of the database to March 2026 was retrieved. Literature quality was assessed using the Australian JBI Quality Evaluation Criteria for Qualitative Research in Evidence-based Health Care Centers（2016），and the results were consolidated using an aggregative integration approach. Results A total of 96 themes were extracted，and 7 new categories were formed after induction and integration，which were finally merged into 3 integrated results，including facing psychosocial adaptation difficulties，generating a need for external support，and adopting diverse coping strategies. Conclusion Healthcare professionals should pay attention to the psychosocial adaptation difficulties，support needs，and coping strategies of patients with nasopharyngeal carcinoma undergoing radiotherapy，provide comprehensive intervention guidance，establish a medical-family-peer support system，assist patients in overcoming challenges，and improve their overall quality of life.

Review

The development status and enlightenment of nursing professional development practitioners in the United States

YANG Lili, FAN Huamei, ZHENG Sufen, WANG Jinyun, YU Jie

2026, 61(14):  2006-2011.  DOI: 10.3761/j.issn.0254-1769.2026.14.018

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The nursing professional development practitioner is a core professional role in the United States for standardizing clinical nurse training and promoting the development of nursing profession. Its standardized role definition，qualification requirements and practice system provide an effective approach to addressing problems such as insufficient systematization of nurse training and non-standardized training faculty. This paper reviews the development history，current practice status，education and certification system，and practical effects of nursing professional development practitioners in the United States. Combined with the practical problems in the development of nursing in-service training faculty in China，the targeted implications are proposed，aiming to provide references for constructing a training and practice system of nursing in-service educators suitable for China’s national conditions and improving the hierarchical training mechanism for clinical nurses.

Application progress of digital twin technology in blood glucose management for patients with diabetes and its nursing implications

FAN Wenqi, HU Han

2026, 61(14):  2012-2016.  DOI: 10.3761/j.issn.0254-1769.2026.14.019

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Diabetes is one of the major global public health problems. Diabetes is one of the major public health problems in the world. Digital twin technology has the advantages of individualization，accuracy，real-time and so on. By constructing personalized virtual metabolic models for patients with diabetes，it enables personalized blood glucose management. This study provides an overview of digital twin technology，summarizes its applications in medication management，nutrition，exercise，and the identification and prediction of complications among people with diabetes，and offers recommendations regarding data integration，clinical care practices，and education and training. It serves as a reference for improving glycemic control and preventing complications in people with diabetes.