Table of Content

10 August 2025, Volume 60 Issue 15

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Special Planning——Elderly Chronic Disease Management & Health Promotion

Application of fragmented resistance exercise in exercise rehabilitation of elderly patients with chronic obstructive pulmonary disease

FAN Yingying, LÜ Pengpeng, CHEN Xueang, ZHANG Junmei, ZHAO Rui, ZHANG Shibian

2025, 60(15):  1797-1803.  DOI: 10.3761/j.issn.0254-1769.2025.15.001

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Objective Exploring the application effect of fragmented resistance exercise in the exercise rehabilitation of elderly patients with chronic obstructive pulmonary disease，providing references for improving their quality of life. Methods From October to December 2024，96 elderly patients with chronic obstructive pulmonary disease admitted to a tertiary hospital in Pingdingshan city were conveniently selected as the research subjects. They were randomly divided into an experimental group and a control group（all n=48） using a random number table method. The experimental group received a fragmented resistance exercise program on the basis of routine pulmonary rehabilitation，while the control group received routine pulmonary rehabilitation nursing care for a duration of 3 months. The lung function，exercise endurance，quality of life，and exercise compliance were compared between the 2 groups before and after intervention. Results The experimental group ultimately included 46 cases, while the control group ultimately included 47 cases. The lung function of the experimental group was better than that of the control group after 3 months of intervention（P<0.05），and the exercise compliance scores of the experimental group were higher than those of the control group after 1 and 3 months of intervention（P<0.001）. Repeated measures ANOVA showed that there was an interaction effect（P<0.05） in the comparison of exercise endurance and quality of life between the 2 groups. Simple effects analysis showed that the experimental group had better exercise endurance after 3 months of intervention than the control group（P<0.05），and better quality of life after 1 and 3 months of intervention than the control group（P<0.05）. Conclusion Fragmented resistance exercise can effectively improve lung function，enhance exercise endurance and compliance，and improve quality of life in elderly patients with chronic obstructive pulmonary disease.

Latent profile analysis and influencing factor of oral frailty in elderly patients with multiple chronic conditions

WU Min, LIU Rui, XU Caijie, ZHAO Yunfeng, ZHANG Ying, PAN Aihong

2025, 60(15):  1804-1810.  DOI: 10.3761/j.issn.0254-1769.2025.15.002

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Objective To explore the latent profile analysis of oral frailty in elderly patients with multiple chronic conditions and to analyze the influencing factors of different potential profiles in order to provide a theoretical basis for constructing clinical intervention programs. Methods Convenience sampling method was used to select elderly patients with multiple chronic conditions in a tertiary hospital in Hefei City from July to December 2024 as the survey subjects. General information questionnaire，the Chinese version of the Oral Frailty Index-8，Mini-Nutritional Assessment Short-Form，Consumer Health Activation Index and Family APGAR Index Questionnaire were used to conduct the survey，and multivariate logistic regression was used to analyze the influencing factors. Results A total of 418 elderly patients with multiple chronic conditions were included，with a total oral frailty score of（7.21±2.83）. Oral frailty in elderly patients with multiple chronic conditions can be classified into 3 potential profiles，namely severe oral frailty-low oral functioning group（60.53%），moderate oral frailty-high social behaviors group（8.85%），mild oral frailty-high oral health behavior group（30.62%）. Age，family care，type of chronic disease，type of oral medication，and consumer health activation index were influential factors for different potential profiles（P<0.05）. Conclusion The oral frailty in elderly patients with multiple chronic conditions was heterogeneous. Caregivers should focus on the severe oral frailty-low oral functioning group and the moderate oral frailty-high social behavior group，and develop targeted interventions according to the patients’ different profile characteristics and influencing factors to prevent and delay the occurrence of oral frailty.

Construction and validation of a nomogram model for predicting cognitive frailty in hospitalized older adults

LIU Yuhua, HAN Mengya, XU Yan, LUO Yuhong, XIN Chen, LIU Guixin, HAN Binru

2025, 60(15):  1811-1817.  DOI: 10.3761/j.issn.0254-1769.2025.15.003

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Objective A Nomogram model of cognitive frailty was constructed and validated in hospitalized older adults，providing a reference for early screening，intervention and personalized management of cognitive frailty. Methods A convenience sampling approach was employed to recruit 322 elderly inpatients from a tertiary hospital in Beijing between October 2024 and February 2025 as study participants，and data were collected using the General Information Questionnaire，the Short Form-Mini-Nutritional Assessment，the Asens Insomnia Scale，the Activity of Daily Living Rating，the Self-Rating Anxiety Scale，the Geriatric Depression Scale-15，the Social Support Rating Scale，the Frailty Phenotype scale，the Subjective Cognitive Decline Questionnaire-9，the Mini-Mental State Examination，and the Clinical Dementia Rating. Lasso-Logistic regression was used to screen the variables，R software was used to draw the nomogram model；Bootstrap method was used for internal validation. Results Lasso-Logistic regression screened 8 predictors of age，depression，anxiety，support utilization，nutritional status，literacy，physical activity，and chronic pain，with an area under the subject operating characteristic curve of 0.830（95%CI：0.787-0.873），a sensitivity of 0.764，a specificity of 0.730，an accuracy of 0.748，and a calibrated curve，Brier score，and Hosmer-Lemeshow test（P=0.774） all showed that the model fit was good. Conclusion The Lasso-Logistic regression-based nomogram model of cognitive frailty in hospitalized older adults has good predictive performance and clinical utility，and can be used as a reference for early identification and intervention of cognitive decline in hospitalized older adults.

Concept analysis of care-resistant behavior in dementia patients

LI Han, HUANG Yingqi, DU Fei, ZHANG Qiushi, MEI Yongxia, XU Hui

2025, 60(15):  1818-1823.  DOI: 10.3761/j.issn.0254-1769.2025.15.004

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Objective To analyze and clarify the concept and connotation of care-resistant behavior in dementia patients，so as to provide references for the evaluation and practice of care-resistant behavior in clinical dementia patients. Methods PubMed，Scopus，Web of Science，Cochrane Library，Embase，CINAHL，CNKI，VIP，Wanfang database and Chinese Biomedical Literature Database were systematically searched for the literature on care-resistant behavior in dementia patients. The search time limit was from the establishment of the database to December 2024. Walker and Avant’s classical concept analysis method was used to analyze the literature. Results The care-resistant behavior in dementia patients included 5 conceptual attributes，including nursing background，perceived threat，unmet needs，lack of understanding and multi-dimensional performance. The antecedent factors include patient factors，caregiver factors，environmental factors and organizational factors. Post-impact includes the impact on patients and the impact on caregivers. Conclusion This study clarified the conceptual attributes，antecedents and post-effects of care-resistant behavior in dementia patients through concept analysis. In the future，researchers should combine the connotation of dementia patients’ care-resistant behavior，develop localized assessment tools for dementia patients’ care-resistant behavior，and construct targeted intervention programs，so as to improve the quality of nursing staff and enhance the care experience of dementia patients.

Application progress of network analysis in health management of elderly patients with chronic diseases

XU Jiale, WANG Qiuyi, ZHANG Zhilin, ZHOU Lanshu

2025, 60(15):  1824-1828.  DOI: 10.3761/j.issn.0254-1769.2025.15.005

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Network analysis serves as a critical methodological approach for enhancing the efficiency of health management in elderly patients with chronic diseases，demonstrating unique advantages in precisely identifying intervention targets. This article comprehensively reviews recent advancements in the application of network analysis for managing chronic conditions in older adults，systematically organizing research findings across 3 analytical dimensions：cross-sectional networks，dynamic networks，and individualized networks. The review aims to provide healthcare professionals with a robust theoretical foundation and methodological support for developing personalized health management strategies.

Specialist Nursing Practice and Research

Construction and application research of a discharge preparation plan for patients with head and neck cancer undergoing tracheotomy

ZHAO Xin, WU Yu, ZHU Hui, LI Zuhong, ZHU Lina, WANG Yueqi, FENG Qianqian, LI Hui

2025, 60(15):  1829-1836.  DOI: 10.3761/j.issn.0254-1769.2025.15.006

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Objective To construct a discharge preparation plan for patients with head and neck cancer undergoing tracheotomy and explore its application effect to provide a reference for improving the at-home self-care ability of tracheostomy patients with head and neck cancer. Methods The discharge preparation plan for patients with head and neck cancer undergoing tracheotomy was constructed through literature analysis and expert consultation. A total of 160 patients with tracheotomy for head and neck cancer who were hospitalized in the Department of Otolaryngology and Head and Neck Surgery of a tertiary A general hospital in Jinan City，Shandong Province from May 2023 to February 2025 were selected by convenience sampling method as the study subjects，and were divided into an experimental group and a control group by block randomization method，with 80 cases in each group. The experimental group received a discharge preparation plan for patients undergoing tracheotomy for head and neck cancer，while the control group received routine nursing and health education. Data from admission to 1 month after discharge were collected. The levels of mindfulness awareness，self-care ability，and discharge readiness were compared between 2 groups of patients before and after intervention. Results The constructed discharge preparation plan includes 5 stages（pre-contemplation，contemplation，preparation，action，and maintenance）. There were no sample dropouts in either group of patients. The experimental group had higher levels of mindfulness awareness，self-care ability and discharge readiness scores than the control group，and the differences were statistically significant（P<0.001）. Conclusion The discharge preparation plan for patients with head and neck cancer undergoing tracheotomy is scientifically reasonable，safe，and feasible，which can effectively improve patients’ discharge preparation and mindfulness level，and enhance their self-care ability.

A study on the correlation between symptom networks structure and rehabilitation confidence in middle-aged patients during the recovery period of stroke

GUO Peiran, ZHANG Zhixia, YE Jiao, CHENG Rong, QIAO Linru, CHEN Qiuxia, JIANG Fang, LIU Yaping

2025, 60(15):  1837-1842.  DOI: 10.3761/j.issn.0254-1769.2025.15.007

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Objective To investigate the interaction relationship among symptoms in middle-aged patients during the recovery period of stroke and explore its correlation with rehabilitation confidence，providing a reference for the implementation of precise rehabilitation nursing. Methods A cross-sectional study was conducted，and 365 middle-aged patients in the recovery period of stroke who were hospitalized in 4 tertiary general hospitals in Wuhan from April 20 to August 31，2024 were conveniently selected as the subjects of the investigation. Data were collected using the General Information Questionnaire，Stroke Symptom Experience Scale，and Confidence after Stroke Measure Questionnaire. Symptom network analysis was conducted using R software，and a network structure model of symptoms-rehabilitation confidence was constructed； meanwhile，the stability of the network structure was evaluated. Results Finally，350 middle-aged stroke patients in the recovery period were included. The most common symptom was “limb weakness”（81.1%）. Symptom network analysis showed that “limited limb movement” was the core symptom（r_s=1.118）. The symptoms strongly associated with recovery confidence were “limited physical movement”，“annoyance at not being able to do what you want to do” and “slow reaction times”. Stability tests suggest that the model results are all good. Conclusion Symptoms of middle-aged patients in the recovery period after stroke are interrelated，and the mechanisms by which different symptoms affect rehabilitation confidence are also different. It is recommended that healthcare professionals prioritize interventions based on core symptoms and inter-symptom relationships in order to accurately enhance patient outcomes and improve recovery outcomes.

Latent profile analysis of psychosocial adaptation among young and middle-aged stroke patients and its relationship with quality of life

LI Jiaxuan, PAN Xi, XU Lan, WANG Zhi, ZHONG Weiying, ZHANG Yi, CHEN Lei, YAO Lin

2025, 60(15):  1843-1849.  DOI: 10.3761/j.issn.0254-1769.2025.15.008

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Objective To explore the different potential subtypes of psychosocial adaptation among young and middle-aged stroke patients，and analyze the relationship between different potential subtypes and quality of life，so as to provide references for the subsequent development of targeted interventions. Methods A total of 406 young and middle-aged stroke patients in 4 tertiary hospitals in Suzhou from June 2023 to June 2024 were recruited by convenience sampling. The General Information Questionnaire，the Self-Report Psychosocial Adjustment to Illness Scale and the EuroQol five-dimensional questionnaire were conducted for investigation. Latent profile analysis was used to explore the potential subtypes of psychosocial adaptation among young and middle-aged stroke patients. Generalized linear regression analysis was conducted with quality of life as dependent variables. Results A total of 380 young and middle-aged stroke patients were included. The psychosocial adaptation of patients could be classified into 3 potential subtypes：high adaptation level type（23.90%），medium adaptation level with health concerns type（46.40%），and low adaptation level with psychological barriers type（29.70%）. The results of generalized linear regression analysis showed that potential subtypes of psychosocial adaptation were the influencing factors for quality of life in young and middle-aged stroke patients（P<0.05）. Conclusion There was group heterogeneity in psychosocial adaptation among young and middle-aged stroke patients，and the potential subtype of psychosocial adaption was an important factor affecting the quality of life of patients. It is suggested that medical staff should focus on patients with low adaptation level with psychological barriers type，and take targeted interventions according to characteristics of different subtypes of patients，so as to improve their quality of life.

A journey map study of disease management in young and middle-aged liver transplant recipients

QIAO Yue, LIU Qingwei, LIN Hui, ZHU Kai, LI Hui, DU Yanan, ZHANG Hongyan

2025, 60(15):  1850-1856.  DOI: 10.3761/j.issn.0254-1769.2025.15.009

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Objective Utilizing patient journey mapping to decipher disease management behaviors，barriers，and needs in young and middle-aged liver transplant recipients，providing implications for self-management optimization and quality of life improvement. Methods Using purposive sampling，12 young and middle-aged liver transplant patients who attended outpatient clinics or were hospitalized in liver transplant center of a tertiary hospital in Qingdao were selected for semi-structured interviews from September to November 2024. Thematic extraction and analysis were performed using Colaizzi’s 7-step analysis，ultimately resulting in the development of a patient journey map. Results The journey stages were divided into transplantation decision-making period，transplantation waiting period，perioperative period，and post-discharge management period，and the journey key elements were designed as behaviors，barriers，and needs. A total of 25 themes were extracted，including behaviors（such as referrals to higher-level hospitals，verification of treatment options），barriers（such as lack of decision-making autonomy，health information-seeking barriers），and needs（such as shared decision-making，financial assistance）. Ultimately，resulting in a map of the disease management journey for young and middle-aged liver transplant recipients. Conclusion The behaviors，barriers，and needs in disease management among young and middle-aged liver transplant recipients demonstrate distinct phase-specific patterns. Healthcare providers should deliver precise and dynamic interventions tailored to each clinical phase，aiming to foster optimal self-management behaviors，address phase-specific barriers，and meet evolving patient needs throughout the transplant continuum.

Dynamic network analysis of postoperative core symptoms in hepatocellular carcinoma patients and nursing insights

SUN Chengxin, WANG Yuying, YANG Qinghong, XUE Fan, LIN Ke

2025, 60(15):  1857-1863.  DOI: 10.3761/j.issn.0254-1769.2025.15.010

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Objective This study conducted a dynamic network analysis of the symptoms in patients with hepatocellular carcinoma（HCC） at different postoperative time points，aiming to explore evolving core symptoms and provide a basis for developing precise clinical symptom management programs. Methods A longitudinal study was carried out involving 370 HCC patients who underwent surgical treatment at a hospital in Kunming city between February and December 2024. Questionnaires were administered on postoperative day 2（T1） and day 7（T2），using the Chinese version of the Memory Symptom Assessment Scale. Symptom networks of 18 symptoms were constructed for both time points using R software to explore core symptoms and their interconnections. A network comparison test was also performed to assess differences between the 2 time points. Results All 370 patients completed the questionnaire at T1，and 357 valid responses were collected at T2，yielding a response rate of 96.49%. At T1，“feeling nervous” had the highest centrality（r_s=1.29），while at T2，“feeling sad” was most central（r_s=1.11）. Overall strength of the symptom networks showed that notable changes were observed in the edge weights between symptoms（P=0.01）. Conclusion While the overall structure of early postoperative symptoms in HCC patients remained relatively stable over time，the core symptoms shifted. “Feeling nervous” emerged as the central symptom at T1，whereas “feeling sad” became predominant. Digestive-related symptoms are progressively more closely linked over time. Healthcare professionals should dynamically assess patients’ early postoperative psychological symptoms and digestive system related symptoms，and focus on intervening with symptoms of tension and sadness.

Patients waiting for a liver transplantation from the perspective of psychological resilience：a qualitative study

WANG Jiamin, ZHOU Dan, ZHOU Yinghao, SONG Lei, ZHANG Bingliang, GONG Yufei, ZHAO Lin

2025, 60(15):  1864-1870.  DOI: 10.3761/j.issn.0254-1769.2025.15.011

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Objective To explore the psychological feelings and coping resources of patients waiting for a liver transplantation，in order to provide references for implementing psychological nursing care. Methods Using purposive sampling，15 patients waiting liver transplantation surgery from June to November 2024 at a tertiary hospital in Qingdao were selected as study subjects. Semi-structured in-depth interviews were conducted，and data were analyzed using interpretative phenomenological analysis to extract themes. Results The psychological feelings of patients waiting for a liver transplantation included 2 main themes with 6 sub-themes，namely，the complex and contradictory psychological feelings of liver transplant patients during the waiting period（expectations for transplanta-tion and future outlook，multiple psychological burdens intertwining，introspection and growth），and mobilizing psychological resilience resources to deal with complex psychological feelings（core resources，internal resources，external resources）. Conclusion Clinical medical staff should implement psychological care for patients waiting for a liver transplantation based on the complex and contradictory psychological feelings they experience. Also，they should target the coping resources for psychological feelings to construct coping strategies，thereby comprehensively improving patients’ psychological health during the waiting period. The coping strategies include promoting patients’ health behaviors, improving their psychological status, and providing multidimensional social support for them.

Enteral and Parenteral Nutrition

A study of a comprehensive nutrition education program in patients undergoing pancreaticoduodenectomy

BI Shumin, YAO Yuanyuan, FAN Yunshan, FANG Ying, JIANG Mingmei, ZHOU Jia, HE Yanlin, REN Chunxia

2025, 60(15):  1871-1878.  DOI: 10.3761/j.issn.0254-1769.2025.15.012

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Objective Based on the intervention map to develop a comprehensive nutrition education program for pancreaticoduodenectomy patients and to explore the effect of its clinical application，aiming at providing references for clinical nursing practice. Methods A convenience sampling method was used to select 76 patients who were to undergo pancreaticoduodenectomy in the department of hepatobiliary and pancreatic surgery of a tertiary hospital in Anhui Province as the study subjects. The 38 patients admitted from October 2021 to September 2022 were in a control group，and the 38 patients admitted from October 2022 to July 2023 were in an experimental group. The experimental group received the comprehensive nutritional education programme constructed in this study，and the control group used conventional nutrition health education measures，and the length of intervention for both groups was from pre-hospitalization to discharge for 6 months. Nutrition-related indicators，postoperative complications，hospitalisation time，hospitalisation costs and satisfaction were compared between the 2 groups. Results A total of 64 patients completed this study，with 33 in the experimental group and 31 in the control group. Repeated measurement analysis of variance showed that the interaction effects of BMI，total serum protein and serum preprotein were statistically significant（P<0.05）. The incidence of complications，hospitalization days and hospitalization costs of the experimental group were lower than those of the control group（P<0.05）. The scores of nutrition education-related satisfaction in the experimental group were higher than those in the control group（P<0.001）. Conclusion A comprehensive nutritional education program based on intervention map can improve the nutritional status of pancreaticoduodenectomy patients to a certain extent，reduce the occurrence of complications，and promote patients’ recovery.

Human Resource Management and Career Development

Construction and application of a hierarchical dynamic management intelligent system for nurses

GUO Yuanzhi, KOU Jie, WANG Junjie, QIN Hongli, ZHAO Pei, ZHANG Yifan, WANG Qi, ZHANG Hongmei

2025, 60(15):  1879-1883.  DOI: 10.3761/j.issn.0254-1769.2025.15.013

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Objective To construct a hierarchical dynamic management intelligent system for nurses and to validate its application effectiveness，providing a reference for the development of intelligent nursing human resource management. Methods The nurse hierarchical classification and dynamic promotion management mechanism were clarified，and a hierarchical dynamic management system for nurses was established，comprising 2 modules：personal growth，and tier management and review. The system was officially implemented in a tertiary A hospital in Henan Province in March 2024. A comparison was conducted between pre-implementation（2023） and post-implementation（2024），including nurse tier applications and promotions，efficiency in tier promotion evaluations，Psychological Capital Questionnaire scores of nurses，and user satisfaction with the system. Results Following the implementation of the hierarchical dynamic management intelligent system for nurses，the application rate for tier promotion increased by 11.33%. After system implementation，the promotion pass rate and Psychological Capital Questionnaire scores of nurses were significantly higher than those before implementation，while the time required for tier review was significantly shorter. These differences were statistically significant（P<0.05）. The satisfaction survey scores for nurses applying for tier promotion and for reviewers using the system were（62.28±4.56） and（64.09±3.17） scores，respectively. Conclusion The application of the hierarchical dynamic management intelligent system for nurses helps enhance nurses’ promotion pass rates and psychological capital，streamlines the nurse tier review process，and demonstrates high user satisfaction with the system.

Construction of a classification model for surgical patients and its application in nursing human resource allocation

LI Huixia, ZHANG Lina, JIANG Yinfen, TAN Liping, ZHANG Xuemei, HUANG Juanying, HUANG Hui, TAO Xiaojuan

2025, 60(15):  1884-1891.  DOI: 10.3761/j.issn.0254-1769.2025.15.014

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Objective To construct a classification model for surgical patients and apply it in the allocation of nursing human resources，providing a reference for nursing human resource management. Methods A convenience sampling method was used to retrospectively select 5，431 hospitalized surgical patients admitted to 6 surgical nursing units of a tertiary general hospital in Suzhou from July to November 2022 as the subjects of this study. The nursing hours were measured，and related influencing factors were analyzed. A decision tree classification method was used to establish a classification model for surgical patients. From August to October 2022，1，527 hospitalized surgical patients admitted to 3 nursing units of the same hospital were conveniently selected. The minimum number of nurses required daily was calculated using the surgical patient classification model，actual nursing hours measurement method，nurse-to-bed ratio method，and 8-hour continuous shift scheduling method. The application effect of the surgical patient classification model in nursing human resource allocation was evaluated with the actual nursing hours measurement method as the standard. Results The surgical patient classification model includes 7 classification indicators：length of hospital stay，diagnosis-related group weight，presence or absence of secondary care orders，surgical grade，anesthesia method，age，and presence or absence of critical illness orders. Patients were divided into 14 groups，and the model explained 90.5% of the total variance in nursing workload. The minimum number of nurses required in surgical nursing units calculated based on this model was closest to the result of the actual nursing hours measurement method and was superior to the results of the nurse-to-bed ratio method and the 8-hour continuous shift scheduling method. Conclusion The surgical patient classification model can accurately reflect the nursing workload of such patients. The classification indicators are simple and easy to obtain，and can guide the allocation of human resources in surgical nursing units.

Rare Disease and Critical Care

Emergency nursing care of 1 patient with neck suicide complicated with airway obstruction and hemorrhagic shock

DING Youya, WANG Sa, YAN Danping, ZHOU Shuaishuai, HE Tiantian, WANG Yuwei

2025, 60(15):  1892-1895.  DOI: 10.3761/j.issn.0254-1769.2025.15.015

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To summarize the emergency nursing experience of 1 patient with neck suicide complicated with airway obstruction and hemorrhagic shock. Nursing points：to ensure airway safety and establish artificial airway； to optimize airway management and implement early sedation and wake-up； to control injury bleeding and limited fluid resuscitation； to establish a micro blood station in the emergency department and start a high-dose blood transfusion procedure； to carry out the refined target body temperature management to reduce complications； to optimize speech communication strategies and implement early psychological care. After 7 days of careful treatment and nursing，the patient’s condition improved and recovered. After 2 months of follow-up，the patient recovered well.

Nursing care of a case of thrombotic microangiopathy complicated with intrahepatic cholestasis of pregnancy

YANG Yinglin, ZHANG Yan, ZHANG Lili, XU Xiaowei

2025, 60(15):  1896-1899.  DOI: 10.3761/j.issn.0254-1769.2025.15.016

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To summarize the nursing care of a case of thrombotic microangiopathy complicated late pregnancy with intrahepatic cholestasis of pregnancy resulting in fetal demise. Nursing interventions include：to optimize the maternal status，reduce the risk of induction of labor； to assess the cervical conditions，and complete the preparations for childbirth； to ensure the safety of childbirth and prevent and treat postpartum hemorrhage； to standardize blood purification，promote the recovery of renal function； to pay attention to breast conditions and be vigilant against the occurrence of mastitis； to provide grief care for perinatal loss. After careful treatment and care，the patient was discharged after 25 d of hospitalization，and the prognosis was good at 1-month follow-up after discharge.

Review

Mobile health technologies in cognitive rehabilitation of stroke patients：a scoping review

ZENG Ying, SHI Hui, SHI Yaru, WANG Yueying, WANG Qin

2025, 60(15):  1900-1906.  DOI: 10.3761/j.issn.0254-1769.2025.15.017

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Objective To describe the application related to mobile health（mHealth） technology in cognitive rehabilitation of stroke patients，aiming to identify the types of mHealth technologies，intervention content，and outcome measures，so as to provide references for future research. Methods According to the methodological framework of the scoping review，we systematically searched relevant studies in Chinese and English databases. The retrieval time was from establishment of databases to February 16，2025. Data extraction and meta-analysis were performed on the included literature. Results Totally 28 studies were finally included，involving 5 intervention types，including APP，VR combined with APP，the internet platform，VR integrated with the internet platform and telerehabilitation system. The content elements of the intervention included cognitive training，remote cognitive assessment，monitoring and reminders and health guidance. Conclusion The intervention types based on mHealth technology are diverse and the intervention strategies are rich，which can effectively improve the cognitive function of patients. It is necessary to conduct large-sample，high-quality and long-term follow-up studies to provide higher quality evidence support for this field in the future.

The application of prehabilitation in patients undergoing hepatocellular carcinoma surgery：a scoping review

YOU Wanlu, ZHANG Yuping, JIN Jingfen

2025, 60(15):  1907-1913.  DOI: 10.3761/j.issn.0254-1769.2025.15.018

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Objective This scoping review systematically examines current evidence on prehabilitation interventions for patients undergoing hepatocellular carcinoma（HCC） surgery. The study aims to establish an evidence-based foundation for optimizing perioperative care in clinical nursing practice and inform the development of standardized prehabilitation protocols for future research. Methods According to the research method of scope review，Cochrane Library，PubMed，Embase，Web of Science，China Biomedical Literature Database，China Knowledge Network，Wanfang Database，and VIP Database were searched. The included literature was screened，summarized and analyzed. The literature search covered the period from the establishment of the database up to 30 November 2024. Totally 2 professionally trained researchers independently screened，extracted，and analyzed the included studies in accordance with the predefined inclusion and exclusion criteria. Results A total of 16 papers were included，including 11 randomized controlled studies（RCTs），4 retrospective studies and 1 class-experimental study. Prehabilitation is systematically implemented through 3 core modalities（nutritional optimization，structured exercise training，and psychological interventions） to enhance patients’ physiological and psychological readiness for surgery，thereby improving operative outcomes and facilitating postoperative recovery. Conclusion Adopting a series of prehabilitation measures for patients with HCC undergoing elective surgery can improve the physical and psychological status of patients with HCC，enhance postoperative quality of life，and thus optimize clinical outcomes. Future studies should focus on exploring the optimal combination of prehabilitation strategies，formulating precise programmes based on individualized differences，strengthening patient compliance monitoring，and realizing efficient management with the help of digital technology.

Infant-cued behavior-based feeding pattern in preterm infants：a scoping review

TU Ting, GUO Hongqing, HU Lan, YUAN Ying

2025, 60(15):  1914-1921.  DOI: 10.3761/j.issn.0254-1769.2025.15.019

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Objective To generalize and summarize the types，content elements，outcome measures，application effects，and safety monitoring of the infant-cued behavior-based feeding，so as to provide guidance for the clinical application and research in the future. Methods The literature was retrieved from PubMed，CINAHL，CNKI，and Wanfang Data-base，with a retrieval timeframe from database establishment to August 20，2024. The included literature was sum-marized and analyzed. Results A total of 28 studies were included，of which 15 were randomized controlled trials，7 were quasi-experimental studies，and 6 were observational studies. The infant-cued behavior-based feeding pattern could be categorized as ad libitum feeding，demand feeding，semi-demand feeding，and behavioral cue-based feeding. The content elements included assessment，supporting strategies，and advancement of oral feeding. The infant-cued behavior-based feeding pattern had a positive impact on feeding and developmental outcomes，immune function，rate of complications and length of hospital stay in preterm infants. The safety monitoring consisted of heart rate，blood oxygen saturation，blood sugar，and daily weight gain. Conclusion It is beneficial to implement the infant-cued behavior-based feeding pattern in preterm infants，which leads to better clinical outcomes. To support its implementation in clinical practice，we need to validate and enhance the application value of the feeding pattern in the future by concentrating on clinically individual differences，refining feeding intervention programs，improving effect evaluation and safety monitoring.