Table of Content

10 December 2023, Volume 58 Issue 23

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Research Paper

Effects of multi-component exercise nursing intervention on frailty in elderly patients with chronic heart failure

LIANG Qian, WANG Xiaoli, LIU Mengqi, WANG Jiurui, LUAN Xiaorong

2023, 58(23):  2821-2828.  DOI: 10.3761/j.issn.0254-1769.2023.23.001

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Objective To investigate the effects of a multi-component exercise nursing intervention on frailty，activities of daily living and quality of life in elderly patients with chronic heart failure. Methods Through literature analysis and expert meeting，the multi-component exercise nursing intervention program was formed. A total of 71 elderly patients with chronic heart failure who admitted from January 2022 to September 2022 in a tertiary A hospital in Shandong Province were randomly divided into an intervention group（35 cases） and a control group（36 cases）. The control group received usual care，while the intervention group received an additional multi-component exercise nursing training. 2 groups were evaluated by Tilburg frailty indicator scale，modified Barthel index scale and 12-item short form health survey scale before the intervention，4 weeks and 12 weeks after the intervention. Results A total of 62 patients（31 in the experimental group and 31 in the control group） completed the study. Generalized estimation equation results showed that the inter-group effect，time effect and interaction effect of frailty，activities of daily living and quality of life in the 2 groups were statistically significant（P<0.05）. At 4 weeks and 12 weeks after the intervention，the Tilburg Frailty Indicator scale scores in the intervention group were lower than that in the control group（P<0.05），and the scores of the modified Barthel index scale and 12-item short form health survey scale were significantly higher than those in the control group（P<0.05）. Conclusion The multi-component exercise nursing intervention can effectively improve frailty，activities of daily living and quality of life in elderly patients with chronic heart failure.

Application of a closed-loop tracking system in the quality monitoring program for intravenous infusions

LI Guwei, LUO Jinkai, ZHANG Jie, MAO Wenping, GUO Xiaoxiao, LIU Yu’an

2023, 58(23):  2829-2834.  DOI: 10.3761/j.issn.0254-1769.2023.23.002

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Objective To monitor the quality of intravenous infusions in a constructed closed-loop tracking system，and to discuss its application effect. Methods The information program is reinvested in a team for the closed-loop tracking system of the intravenous infusion. There are modules of processing medical orders，pharmacy preparations，execution procedures with the doctor’s orders，as well as the computing module. The system was put into clinical trial operation in November 2021 and officially applied in January 2022. Specifically，the number of infusion-related adverse events/red-light alert is recorded and compared before（January to December 2021） and after（January to December 2022） the application of the system. Random sampling method has been performed in a ward to investigate the amount of abnormal infusion for the comparison. Results It is shown that it occurred 3 times for the infusion-related adverse events before the operation of the system，and a time after that. In the neurological inpatients，we observe the amount of red-light alert as 5，120.25±775.82 before the system operation，and 1，518.25±74.77 after that. It is shown to decline by 70.35% on average with statistical significance on the total difference（P<0.001）. Monthly amount of infusion in the ward is 5，184 with 155 times of overfast（2.99%）for 775 minutes in total，and with 207 times of slow（3.99%） for 1，035 minutes in total. The average handling time per contact is 5 minutes. Conclusion The closed-loop tracking system for intravenous infusion quality monitoring can track and record the whole process of intravenous infusions. It is expected to provide accurate and objective data for closed-loop quality inspection on clinical nursing practice，which is conducive to nursing managers for any potential problems during infusion processing timely，to promote standardized nursing operations，and to further improve the safety of inpatients with intravenous infusion and medication.

Special Planning—Nursing Care of Patients with Critical Diseases

Construction and evaluation of a risk prediction model of hypoglycemia risk in emergency intensive care unit patients

QIAO Mengyuan, WANG Haiyan, QIN Mengzhen

2023, 58(23):  2835-2842.  DOI: 10.3761/j.issn.0254-1769.2023.23.003

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Objective To construct and validate a risk prediction model of hypoglycemia in emergency intensive care unit（EICU） patients. Methods A retrospective study was conducted among 2 093 EICU patients in a department of a tertiary A hospital in Urumqi from January to December 2022，as research subjects. Univariate analysis and logistic regression analysis were used to determine the risk factors for hypoglycemia，and R software was used to establish a nomogram prediction model. The area urder the receiver operator characteristic（ROC） curve was used to test the model differentiation，and the Hosmer-Lemeshow test was used to test the goodness of fit of the model. The risk prediction model was validated by the prospective study with inclusion of 699 EICU patients admitted to the same hospital from January to March 2023. Results The model variables included whether hypoglycemia occurred in the past year，acute physiology and chronic health evaluation Ⅱ score at admission，coefficient of variation of blood glucose，history of renal disease，history of diabetes，insulin treatment，and serum creatinine. The Hosmer-Lemeshow test of the model was P=0.497；the area urder the ROC curve was 0.820（95%CI：0.794~0.847）；the best cutoff value was 0.495；the sensitivity was 0.856；the specificity was 0.751. The model validation results showed that the Hosmer-Lemeshow test P=0.537；the area urder the ROC curve was 0.859（95%CI：0.819~0.898）；the best cutoff value was 0.597；the sensitivity was 0.840；the specificity was 0.757. Conclusion The established nomogram prediction model helps clinical staff to screen patients at high risk of hypoglycemia and provides a reference for optimizing the management of hypoglycemia in EICU patients.

Construction and validation of ICU Acquired Weakness Risk Prediction Model in elderly patients undergoing tertiary and quaternary surgery

WEI Mengyao, LI Mengwen, LI Qiuping, TANG Shuao, XU Ludan, HAN Binru

2023, 58(23):  2843-2851.  DOI: 10.3761/j.issn.0254-1769.2023.23.004

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Objective To investigate the independent influences on the occurrence of ICU Acquired Weakness （ICU-AW） in elderly patients undergoing third- and fourth-level surgeries，to construct a prediction model and draw a column-line diagram，and to internally validate the model. Methods A convenience sampling method was used to select 186 elderly patients undergoing tertiary and quaternary surgeries who were hospitalized in 3 tertiary A hospitals in Beijing from May to December 2022 as the study subjects. Single-factor and multifactor logistic regression were used to analyze the risk factors for ICU-AW in elderly patients undergoing third- and fourth-degree surgeries.A risk prediction model was established and the model was visualized by drawing a column-line diagram，and the receiver operator characteristic curve（ROC） and the Hosmer-Lemeshow tests were applied to verify the predictive effect of the model. Results ICU-AW occurred in 40 of 186 cases in the modeling group，with an incidence rate of 21.5%. The results of univariate analysis showed that the 2 groups of preoperative physiology score and surgical severity score included in the physiology and surgical severity scoring system，age，presence of cardiac disease，hemoglobin（within 24 h of admission to the ICU），blood urea nitrogen（within 24 h of admission to the ICU），blood creatinine（within 24 h of admission to the ICU），presence of braking，mode of establishment of mechanical ventilation，presence of nutritional therapy，number of sedative or analgesic drugs used，whether vasoactive drugs were used，whether diuretics were used，and the level of hemoglobin，blood urea nitrogen and blood creatinine within 24 h after admission to ICU the difference is statistically significant（P<0.05）. The results of multifactorial logistic regression analysis showed that preoperative physiology scores included in the physiology and surgical severity scoring system，the presence of cardiac disease，the presence of braking，the presence of nutritional therapy，and the number of sedative or analgesic medications used were the predictors of the occurrence of ICU-AW in elderly patients undergoing third- and fourth-degree surgeries（OR were 1.364，2.344，5.568，5.823，1.109，all P<0.05）. The above 5 factors were plotted as independent variables in a column-line graph，and the area under the ROC curve of the model was 0.859（95%CI 0.793~0.924），with an optimal critical value of 0.156，a sensitivity of 0.875，a specificity of 0.705，and a Hosmer-Lemeshow goodness-of-fit test of χ²=3.906，P=0.865，Brier score of 0.109，and a decision analysis curve indicating that patients could benefit. Conclusion The predictive effect of the constructed model is good，and it can be used as a reference for early and rapid identification of the risk of ICU-AW in elderly patients undergoing third-and fourth-degree surgeries by clinical staff，and timely provision of preventive intervention programs.

A case study on caring of a post-operational patient with valvular heart disease and prolonged weaning due to tracheomalacia

JIN Jiamin, YU Chao, GAO Chunhua, QI Zhiyang, ZHOU Li, CUI Dongdong

2023, 58(23):  2852-2855.  DOI: 10.3761/j.issn.0254-1769.2023.23.005

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To summarize the nursing experience of a post-operational patient with valvular heart disease and prolonged weaning due to tracheomalacia. Key points of nursing include real-time monitoring of bleeding and coagulation，dynamic implementation of anticoagulation programs；strengthening airway management，early warning and treatment of airway collapse；multi-dimensional joint diagnosis and treatment to speed up the rehabilitation process；real-time assessment，sequential management of sedation，analgesia and nutrition programs. After 27 days of careful treatment and nursing，the patient was weaned from a ventilator successfully and transferred to another department，and was discharged after 5 days.

Summary of best evidence for the management of enteral nutrition with gastric retention in critically ill patients

DU Jing, SUN Jiao, LI Ting, YANG Yang, ZHAO Xiaosu

2023, 58(23):  2856-2863.  DOI: 10.3761/J.ISSN.0524-1769.2023.23.006

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Objective To retrieve，evaluate and summarize the best evidence from home and abroad on the management of enteral nutrition complicating gastric retention in critically ill patients，and to provide a reference basis for clinical nursing staff to manage enteral nutrition complicating gastric retention in critically ill patients. Methods We searched websites and databases，including UpToDate，BMJ Best Practice，National Institute for Health and Clinical Excellence，Guidelines International Network，Registered Nurses Association of Ontario，Scottish Intercollegiate Guidelines Network，JBI，World Health Organization，Yimaitong guide network，Cochrane Library，PubMed，Embase，Web of Science，Sinomed，CNKI，Nutrition Society website，CINAHL（EBSCO），Wanfang Database，and collected relevant clinical decisions，guidelines，evidence summaries，expert consensuses and systematic reviews. 2 researchers independently assessed methodological quality of included papers and extracted data. Results A total of 18 publications were included，including 3 guidelines，4 expert consensuses，4 systematic reviews，5 randomized controlled trials，1 quasi-experimental study，and 1 best evidence summary. 18 pieces of the best evidence were summarized in 5 areas，including identification of gastric retention，management of enteral nutrition，management of monitoring，management of threshold determination，and management of treatment. Conclusion This study provides evidence-based evidence for nursing staff to manage enteral nutrition in critically ill patients with concomitant gastric retention，which can help reduce the incidence of gastric retention in critically ill patients.

Summary of best evidence for ventilator alarm management for ICU patients

QIU Lulu, ZHANG Hongtao, WAN Weiwei, LIN Huaquan, RAN Yuhua, XU Xiaoming

2023, 58(23):  2864-2872.  DOI: 10.3761/j.issn.0254-1769.2023.23.007

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Objective To retrieve the relevant evidence of ICU nurse ventilator alarm management and summarize the best evidence to provide a reference for ICU nurse ventilator alarm management decision. Methods The clinical decision，guideline，systematic evaluation，expert consensus and all kinds of original studies related to the alarm management of ICU nurses in PubMed，CINAHL，Embase，Web of Science，VIP，CNKI and Wanfang were searched from database construction until April 22，2023. The literature quality evaluation and result extraction were performed independently by 2 investigators. Results 14 articles were finally involved，including 4 guidelines，2 international standards，2 national standards，2 expert consensuses，3 systematic evaluations and 1 randomized controlled trial；combined with professional judgment，27 pieces of the evidence were summarized，including multidisciplinary teamwork，alarm monitoring and processing，alarm setting，alarm management requirements，alarm education and training and ventilator maintenance. Conclusion This study summarizes the best evidence of ventilator alarm management for ICU nurses，which can provide evidence-based bases for clinical decisions，solve clinical ventilator alarm problems in a scientific management way，and improve the quality of management.

Specialist Practice and Research

Quality of life of patients after laparoscopic fundoplication and influencing factors analysis

ZHENG Yulin, KONG Lingling, ZHANG Mingming, GUO Jing, LIU Xuemin, WANG Xinran

2023, 58(23):  2873-2879.  DOI: 10.3761/j.issn.0254-1769.2023.23.008

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Objective To investigate the quality of life of patients after fundoplication，and to analyze the influencing factors. Methods The convenience sampling method was used to select 223 patients who were hospitalized in the gastroesophageal reflux disease surgical diagnosis and treatment center of a tertiary hospital in Beijing from March 2021 to December 2022 as the research subjects. General information questionnaire，Quality index，General Hospital Anxiety and Depression Scale，Comprehended Social Support Scale，etc. were employed for investigation. Results A total of 207 valid questionnaires were collected，and the sample loss rate was 7.2%. At 3 months after operation，the physical and psychological quality of life of the patients were significantly improved compared with those before the operation（P<0.05），but were lower than the normative level of the healthy population in China（P<0.05）. Multivariate analysis showed that age，BMI，family per capita monthly income，anxiety，depression，and the number of postoperative complications were the influencing factors of patients’ physical quality of life（P<0.05），and BMI，anxiety，and depression were the influencing factors of patients’ psychological quality of life（P<0.05）. Conclusion 3 months after fundoplication，the quality of life of the patients was significantly improved compared with that before operation，but it did not return to the normal level. Postoperative nursing staff should focus on elderly patients，as well as patients with BMI<18.5，low per capita monthly family income，many postoperative complications，anxiety，and depression. It is recommended to take early intervention measures to promote the early return of patients to society.

Development and reliability and validity tests of the Quality of Life Scale for Patients with Aplastic Anemia

XU Min, YE Menghua, LIU Ting, HUANG Xinrui, CHENG Fang, LI Xiaohong, SUN Qiuhua

2023, 58(23):  2880-2888.  DOI: 10.3761/j.issn.0254-1769.2023.23.009

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Objective To develop the Quality of Life Scale for Patients with Aplastic Anemia（QLS-AA） and to test its reliability and validity. Methods According to the concept category and the four-dimensional model of quality of life，the scale item pool was initially constructed through literature review and qualitative interview. The draft of the QLS-AA was formed through expert inquiry，cognitive interviews and expert consultation. A questionnaire survey was conducted on 429 patients with aplastic anemia from the hematology departments of a tertiary general hospital in Zhejiang Province and a tertiary hematology hospital in Tianjin with the convenient sampling method from December 2021 to November 2022，and the item analysis and reliability，validity test of the pre-test scale were carried out. Results 422 valid questionnaires were collected，and the effective questionnaire recovery rate was 98.37%. 3 common factors were extracted by exploratory factor analysis，and the cumulative variance contribution rate was 66.113%. The scale level consensus content validity index was 0.821，the scale level average content validity index was 0.970，the item level content validity index was 0.833~1.000，and the correlation coefficient with SF-36 was 0.719. The Cronbach’s α was 0.944，and the split half reliability was 0.882，and retest reliability was 0.931. The final QLS-AA includes 3 dimensions with 39 items. Conclusion The process of developing QLS-AA in this study is scientifically standardized，and the scale has good reliability and validity，which can effectively evaluate the quality of life for patients with aplastic anemia.

Nursing Management

Analysis of the current situation and influencing factors of work engagement of wound therapists

MAI Zhide, LI Ke, YU Miao, ZHANG Jianxia, DING Yanming

2023, 58(23):  2889-2895.  DOI: 10.3761/j.issn.0254-1769.2023.23.010

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Objective To understand the current status and analyze the factors affecting the work engagement of wound therapists，and to provide references for promoting their work engagement. Methods From September 2022 to March 2023，wound therapists who were certificated by European Wound Management Association for more than 3 months were selected as subjects by convenient sampling method. The data was collected by the General Information Questionnaire，Hospitals and Wound Clinics Questionnaire，Areas of Worklife Scale and Specialty Nurse Work Engagement Scale，and the factors influencing the work engagement of wound therapists were analyzed by univariate and multiple liner regression. Results A total of 219 wound therapists were included. The total mean score of areas of worklife was （99.37±13.70）；the average score of items was（3.55±0.49）；the total mean score of the specialty nurse work engagement was （140.01±16.00）；the average score of items was（4.38±0.50）. The results of multiple linear regression analysis showed that reward，community，fairness，and values were factors influencing the work engagement of wound therapists（P<0.05）. Conclusion The higher average score of each dimension of areas of worklife could predict the higher level of work engagement for wound therapists. Nursing managers should pay more attention to the job-matching degree of specialty nurses and adopt scientific and effective management methods to improve the job-matching，which will help improve the specialty nurses’ work engagement and satisfaction and reduce job burnout.

Reform measures of nursing vertical management under the background of diagnosis related groups

ZHAO Fang, DING Jinghong, ZHOU Jun, ZHAO Peiyu, ZHENG Zhi, SUN Yuhong, ZHAO Li, FENG Chenqiu

2023, 58(23):  2896-2900.  DOI: 10.3761/j.issn.0254-1769.2023.23.011

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To summarize the reform measures of nursing vertical management in our hospital under the background of diagnosis related groups，including refined performance management，cancellation of nursing main pharmacy classes，implementation of attending nursing working group，establishment of DRGs nursing quality control coder position，head nurse responsible for bed allocation，deepening nursing quality management and other measures，so as to provide references for other hospitals to carry out the reform of nursing vertical management under the background of DRGs.

Construction and validation of a low-level disaster resilience prediction model for medical rescue workers

XU Yehua, MAO Xiaorong, GUAN Jinying, ZENG Xia, WANG Haiyan, CHEN Xuemei, CHE Hong

2023, 58(23):  2901-2909.  DOI: 10.3761/j.issn.0254-1769.2023.23.012

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Objective To analyze the influencing factors of disaster resilience in medical rescue workers，to construct a prediction model for the low-level risk of disaster resilience in medical rescue workers，and to verify the predictive effect of the model. Methods Using the convenience sampling method and the snowball method，1 037 medical rescue workers who participated in disaster rescue in 18 provinces（autonomous regions and municipalities） were selected as the participants from May to July 2022. Online questionnaire surveys were conducted using general information questionnaires，disaster resilience measuring tools for healthcare rescuers，the Mindful Attention Awareness Scale，the Simple Coping Style Questionnaire and the Depression-Anxiety-Stress Scale. Univariate and multivariate logistic regression analyses were used to determine the independent influencing factors for the low level of disaster resilience of medical rescue workers. A risk prediction model was constructed，and a nomogram chart was drawn. The model’s effectiveness was evaluated using the receiver operating characteristic curve（ROC） and calibration curve. The Bootstrap method was applied for internal validation. Results The logistic regression analysis showed that per capita monthly income of households，whether to participate in on-site disaster rescue，positive coping，mindfulness level，and adequacy of rescue supplies were independent influencing factors for the disaster resilience of medical rescue workers（P<0.05）. The predictive formula for the low-level risk of disaster resilience in medical rescue workers was established as follows：Logit（P）=8.741-0.381 × per capita monthly income of households -0.891 × whether to participate in on-site disaster rescue -2.544 × positive coping -0.020 × mindfulness level -0.222 × adequacy of rescue supplies. The area under the ROC curve was 0.823，and the optimal critical value was 0.353. The sensitivity and specificity were 79.12% and 71.43%，respectively. The Hosmer-Lemeshow test showed that χ²=12.250（P=0.140），and the predicted curve fitted well with the ideal curve. The external validation showed that the sensitivity and specificity of the model were 75.00% and 66.39%，respectively，and the overall accuracy was 69.95%. Conclusion The prediction model in this study has sound predictive effects and can provide references and guidance for managers to select，recruit，and train medical rescue workers.

Case Study

Perioperative nursing care of a child with Berry syndrome recognized by radical surgery

XU Ruqing, ZHU Jihua, ZHOU Jun, XIA Shanshan, LI Hui, DING Yaping

2023, 58(23):  2910-2914.  DOI: 10.3761/j.issn.0254-1769.2023.23.013

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To summarize the perioperative nursing experience of a child with Berry syndrome who underwent radical surgery. The key points of preoperative care include the prevention of heart failure and vigilance against ischemia and hypoxia in the lower limbs. The key points of postoperative care include maintaining stable cardiac function，preventing pulmonary hypertension crisis，ensuring safe transition during delayed chest closure，paying attention to psychological support，and emphasizing continuous care. After 54 days of careful treatment and nursing care，the child recovered well and was discharged from the hospital. The follow-up was couducted a month after discharge，and the child was good.

Perioperative nursing care of a child with erythropoietic protoporphyria undergoing liver transplantation and splenectom

WANG Fang, LU Fangyan, WANG Yan

2023, 58(23):  2915-2919.  DOI: 10.3761/j.Issn.0254-1769.2023.23.014

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To summarize the perioperative nursing experience of a child with erythropoietic protoporphyria who underwent liver transplantation and splenectomy. The key points of preoperative care include implementing diversified interventions to reduce the accumulation of porphyrin in the body； actively controlling pain and improving the comfort of children； early debridement and treatment，and good care of solar allergic dermatitis. The key points of postoperative care include protecting the transplanted liver and preventing the deposition of protoporphyrin； strengthening respiratory management to control lung infection； psychological counseling throughout the process to reduce negative emotions； individualized follow-up management to prepare for bone marrow transplantation. After careful treatment and nursing，the child recovered smoothly and was discharged from the hospital. A follow-up visit after 1 month discharge showed a good recovery.

Evidence Synthesis Research

Psychosocial intervention for improving health in patients with bariatric surgery：a Meta-analysis

ZHAN Xiaoqing, ZHENG Xilan, WANG Jiwei, YANG Nian, CAI Jiumei, REN Minmin, XIE Ming

2023, 58(23):  2920-2927.  DOI: 10.3761/j.issn.0254-1769.2023.23.015

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Objective To systematically evaluate the intervention effect of social psychological intervention on the health status of patients with bariatric surgery（BS）. Methods 8 databases，including PubMed，PsycInfo，and Embase and Clinic Trials，were retrieved to recruit randomized controlled trials with computer from database establishing time to Sep. 2022. Independent quality evaluation was conducted by 2 researchers，and Meta-analysis was performed by the RevMan5.3 software. Results Totally 23 RCTs were included. The meta-analysis showed that psychosocial interventions in BS patients improve emotional eating and binge eating behavior[SMD=-0.44，95%CI（-0.78，-0.09），P=0.010；MD=-5.88，95%CI（-8.65，-3.11），P<0.001]，promote better quality of life[SMD=0.30，95%CI（0.02，0.59），P=0.040] and physical mobility，alleviates anxiety and depression[SMD=-0.37，95%CI（-0.67，-0.08），P=0.010；SMD=-0.59， 95%CI（-0.84，-0.33），P<0.001]. However，the effect on improving eating disorders[MD=-0.01，95%CI（-0.19，0.18），P=0.950] is not significant，and subgroup analysis results of different intervention measures and follow-up times showed that there was no statistically significant difference in weight changes between the social psychological intervention group and the control group. Conclusion Psychosocial intervention can effectively improve the mental state and eating behavior of the bariatric surgery patients，improve the quality of life and increase physical activity of patients. However，the effect of intervention on eating disorder and weight change is still unclear. More high-quality clinical studies need to be carried out for further verification.

The real experience of frailty in elderly patients：a qualitative Meta-synthesis

FENG Jingyi, ZHANG Xuefang, ZHOU Xueying, CAI Wenjing

2023, 58(23):  2928-2935.  DOI: 10.3761/j.issn.0254-1769.2023.23.016

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Objective To systematically evaluate the real experience of frailty in elderly patients to provide a reference for formulating targeted intervention strategies. Methods The Cochrane Library，PubMed，Embase，Web of Science，CINAHL，Proquest，CNKI，Wanfang，VIP，and CBM were searched by computer for qualitative studies on the experience of frailty in elderly patients，and the search period was from the establishment of the databases to February 25，2023. Results A total of 14 papers were included，and 56 primary research findings were extracted and grouped into 12 categories，resulting in 4 integrated findings：the negative impacts in daily lives of frailty in elderly patients；the negative impact on the psychological state of frailty in elderly patients；elderly patients with frailty positively deal with the multidimensional effects of frailty；the unmet needs of elderly patients with frailty. Conclusion Healthcare professionals should pay attention to the multidimensional impact of frailty，focus on the real needs of elderly patients with frailty，explore forms of patient participation in frailty management，and continuously optimize the frailty management program，and improve the accessibility and continuity of healthcare services.

Review

Advances in the application of e-health technology in family caregivers of cancer patients

YU Shuanghan, ZHANG Wei, ZHANG Chen, XU Mengmeng, TIAN Qi, LIU Yantong, CAO Minglu, PIAO Li

2023, 58(23):  2936-2939.  DOI: 10.3761/j.issn.0254-1769.2023.23.017

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With the rapid development of the Internet，e-health technology-based interventions provide high-quality supportive care to meet the care needs of family caregivers of cancer patients，thereby improving the physical and mental health of family caregivers. This article aims to summarize the concept of e-health technology，its current applications，intervention content，and effects among family caregivers of cancer patients. Additionally，it analyzes the shortcomings in the current stage of research and applications，with the goal of providing insights for promoting the utilization of e-health technology in the context of family caregivers of cancer patients.

Progress in the application of digital health interventions in the palliative care of adolescent cancer patients

SHANG Junting, CHEN Yan, ZHAO Junya, SONG Xueqing, XU Cuiping

2023, 58(23):  2940-2944.  DOI: 10.3761/j.issn.0254-1769.2023.23.018

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The global incidence rate of cancer continues to rise，and shows an obvious trend of youth. Implementing digital health interventions can improve the accessibility and quality of palliative care for adolescent cancer patients. At present，there is a gradual increase in related research，but foreign research is the main focus，and domestic research is relatively small，which has not yet attracted the attention of medical staff. Starting from the needs of palliative care for adolescent cancer patients，this article reviews the forms of digital health interventions and their applications in health education，symptom assessment，psychological support and grief counseling，and the development of advance care planning. It analyzes existing problems and proposes nursing strategies，aiming to provide references for clinical nursing practice.