Table of Content

20 January 2026, Volume 61 Issue 2

Previous Issue   

Special Planning-Precision Nursing for Cardiovascular Diseases

Development and application research of a Graded and Categorized Symptom Recognition Tool in patients with chronic heart failure

ZHU Haixiang, LI Yan, XU Qijin, CHEN Jinxuan, HAN Xiaoxue, WU Yuan

2026, 61(2):  149-156.  DOI: 10.3761/j.issn.0254-1769.2026.02.001

Asbtract ( )   HTML ( )   PDF (1882KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To develop and validate a graded and categorized symptom recognition tool for patients with chronic heart failure（CHF），and to evaluate its effectiveness in improving patients’ symptom recognition，self-management behaviors，and delays in seeking care，thereby providing evidence for clinical nursing interventions. Methods The tool was developed through systematic literature review，Delphi expert consultation，and patient usability feedback，followed by content validity and reliability testing. A non-randomized controlled trial was conducted from July 2023 to June 2024 in the cardiovascular department of a tertiary hospital in Zhejiang Province，China. A total of 160 hospitalized CHF patients were enrolled. Those admitted from January to June 2024 were assigned to an intervention group（n=80），and those admitted from July to December 2023 to a control group （n=80）. The intervention group received routine health education plus the graded and categorized symptom recognition intervention（including standardized education sessions，pictorial card-based training，and follow-up），while the control group received routine standardized health education and follow-up alone. Symptom recognition ability，self-management behavior（reverse scoring），and care-seeking delay were assessed at baseline and after 3 months of intervention. Results During the study，a case died and 2 cases were lost to follow-up，resulting in 78 cases in the experimental group and 79 cases in the control group being ultimately enrolled. After 3 months of intervention，the symptom recognition score in the intervention group was（9.28±1.19） points，which was significantly higher than that of the control group（4.34±1.89） points and its baseline score（4.38±1.02） points（P<0.001）. The self-management score was（16.62±5.59） points，lower than that of the control group（19.28±5.84） points and its baseline value（18.73±5.69）（P<0.05）. The incidence of delayed medical visits in the intervention group was 14.1%，significantly lower than the 43.0% of the control group（P<0.001）. The 3-month readmission rate in the intervention group was 26.9%，compared with 64.6% in the control group（P<0.001）. In addition，the scores for all dimensions of symptom recognition in the intervention group were significantly higher than those in the control group（P<0.001）. Conclusion The graded and categorized symptom recognition tool effectively improved CHF patients’ ability to recognize and respond to symptoms，enhanced self-management behaviors，and reduced delays in seeking care. The tool demonstrated good scientific rigor，validity，reliability，and clinical applicability，offering a practical nursing-led approach for structured health education and risk intervention in CHF management.

Research on fluid balance thresholds in heart failure patients and nursing strategies

WANG Weiyun, GU Zejuan, TANG Yifan, SU Ziwen, LIU Changhong

2026, 61(2):  157-165.  DOI: 10.3761/j.issn.0254-1769.2026.02.002

Asbtract ( )   HTML ( )   PDF (1404KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To investigate the effect of average daily fluid balance（AFB） on plasma volume in heart failure patients stratified by left ventricular ejection fraction（LVEF） and estimated glomerular filtration rate（eGFR），and to identify safe AFB thresholds for each subgroup. Methods A convenience sample of 477 patients hospitalized with heart failure between March 2023 and June 2024 was recruited from 3 tertiary general hospitals in Nanjing and Lianyungang（Jiangsu Province） and Zhumadian（Henan Province）. Patients were classified into 4 groups based on LVEF and eGFR：a normal for both indicators group，a reduced eGFR only group，a reduced LVEF only group，and a both indicators abnormal group. General demographic and clinical data，AFB，and changes in plasma volume were collected. Intergroup differences were compared，and Pearson and Spearman correlation analyses were performed to assess the relationships between these variables. Linear regression was used to further analyze the associations，and receiver operating characteristic（ROC） curves were generated to determine the optimal AFB thresholds for each group. Results After excluding 17 patients with inaccurate fluid intake/output records，460 patients were included in the final analysis. In the normal group，AFB had no statistically significant effect on plasma volume（P>0.05）. In the reduced eGFR group，reduced LVEF group，and both indicators abnormal group，AFB was positively correlated with plasma volume（P<0.05），with respective upper AFB threshold limits of 193.75，579.25，94.75 mL. Conclusion Heart failure patients with different cardiac and renal functional profiles exhibit markedly different tolerances to fluid load. Nursing staff should consider both LVEF and eGFR when developing individualized fluid management strategies to prevent excessive plasma volume expansion.

Fear experiences and coping needs of patients with acute myocardial infarction after percutaneous coronary intervention：a qualitative study

WU Xiaomin, GU Yanrong, CHAI Yiyi, MA Xinrui, ZHU Dou, ZHANG Zheng, LIN Ping, LI Ling

2026, 61(2):  166-173.  DOI: 10.3761/j.issn.0254-1769.2026.02.003

Asbtract ( )   HTML ( )   PDF (1690KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To explore the fear experiences and coping needs of patients with acute myocardial infarction（AMI） following percutaneous coronary intervention（PCI），and to provide theoretical and practical guidance for the development of individualized psychological interventions and continuity of care strategies. Methods Using purposive sampling，22 patients with AMI who underwent PCI were recruited from a tertiary general hospital in Harbin，China，between Septemberand December 2024 as research participants. Semi-structured interviews were conducted，and the data were analyzed using content analysis. Results A total of 5 major themes and 11 sub-themes were identified: cognitive misperceptions intensifying fear experience（emotional shock induced by illness misinterpretation，fear of uncontrollability resulting from ambiguous causal attributions）；temporal evolution of fear across disease stages（intense fear at onset and persistent fear during postoperative recovery）；fear-driven transformation of coping strategies（health belief reconstruction and lifestyle adjustment）；lasting impact of fear on life and psychological state（limitations in daily activities and concerns about quality of life，emotional distress and psychological disturbance); multidimensional support needs in coping with fear（professional and individualized guidance from healthcare providers, accessibility of rehabilitation services and continuity of health insurance coverage， companionship from family members and support from peers）. Conclusion Fear experiences among AMI patients after PCI exhibit multidimensional characteristics and are accompanied by significant psychological and practical needs. Clinical nurses should conduct comprehensive assessments of patients’ illness perceptions andneeds for coping，early identify sources of fear，and provide targeted health education and psychological support based on individual differences. These efforts can facilitate emotional regulation，promote sustained health behavior transformation，and ultimately improve postoperative recovery and adaptation.

Development and validation of a Symptom Perception Distress Scale for patients with cardiovascular diseases

ZHANG Yingying, MA Yan, WU Lili, ZHANG Li, SUN Ying, LIU Lu, ZHUANG Yiyu

2026, 61(2):  174-181.  DOI: 10.3761/j.issn.0254-1769.2026.02.004

Asbtract ( )   HTML ( )   PDF (1435KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To develop a Symptom Perception Distress Scale for patients with cardiovascular diseases and validate its reliability and validity，in order to provide a reliable tool for accurate assessment of symptom perception distress in this population. Methods Using the grounded theory approach，in-depth interviews were conducted with patients with cardiovascular disease. Open coding，axial coding，and selective coding were applied to extract core and main categories of symptom perception distress and construct a conceptual framework. The initial scale was developed through literature analysis，qualitative interviews，and expert consultation. A convenience sample of 600 patients with cardiovascular diseases from a tertiary hospital in Zhejiang Province was surveyed between November 2024 and February 2025 to test the reliability and validity of the preliminary scale. Results The Symptom Perception Distress Scale for cardiovascular diseases comprises 4 dimensions，including identification difficulty，attribution conflict，meaning confusion，and perception distress with a total of 45 items. Exploratory factor analysis extracted 4 common factors，accounting for a cumulative variance contribution rate of 56.38%. Confirmatory factor analysis indicated good model fit. The scale demonstrated a Cronbach’s α coefficient of 0.948，test-retest reliability of 0.881，and split-half reliability of 0.934. Conclusion The developed Symptom Perception Distress Scale for cardiovascular diseases had good reliability and validity. It effectively differentiated symptom perception levels among patients with varying genders，ages，disease durations，and cardiac function classifications，and it can be used as a tool for the degree of symptom perception distress in patients with chronic cardiovascular disease.

Home care experiences of caregivers of patients with left ventricular assist device implantation：a qualitative Meta-synthesis

TAO Juan, YIN Yongtian, QIN Yuting, WANG Shiyuan, HAN Rong, ZHANG Handan

2026, 61(2):  182-189.  DOI: 10.3761/j.issn.0254-1769.2026.02.005

Asbtract ( )   HTML ( )   PDF (1280KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To systematically evaluate qualitative studies on the home care experiences of family caregivers of patients with left ventricular assist device implantation，and to provide a reference for developing individualized support strategies. Methods A comprehensive computer search was conducted in domestic and foreign electronic databases for articles related to the caring experience of family caregivers of patients with left ventricular assist device implantation. The search time frame was limited from the inception of database through July 2025. Literature quality was evaluated using the Australian JBI Centre for Evidence-Based Health Care Literature Quality Assessment Criteria for Qualitative Research，and the results were integrated by the aggregative integration method. Results A total of 11 studies were included，from which 50 findings were extracted，categorized into 9 new categories and further synthesized into 3 integrated outcomes：significant physical and mental exhaustion under the heavy burden of caregiving，difficulties and challenges in the caregiving process，adaptation and growth of caregiving roles. Conclusion Family caregivers of patients with left ventricular assist device implantation face complex physical and mental challenges and many difficulties and needs during home care. A multi-dimensional support system can be established in the future，including psychological support，professional guidance and remote care，to provide comprehensive healthcare services for patients and their families，to help caregivers adapt to and transform their roles and improve their quality of care and life.

Specialist Nursing Practice and Research

Construction and verification of a risk prediction model for venous inflammation in preterm neonates with PICC placed in lower limbs

LI Fang, XU Cuirong, JIANG Lin, ZHANG Lixia, XIAO Yanhua, YUAN Xiao, HUANG Chaoyang, BAO Jiawei

2026, 61(2):  190-197.  DOI: 10.3761/j.issn.0254-1769.2026.02.006

Asbtract ( )   HTML ( )   PDF (1259KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To analyze the influencing factors of phlebitis in premature infants undergoing peripherally inserted central catheter（PICC） placement via the lower limb，construct and validate a risk prediction model，and provide references for early identification and prevention of phlebitis. Methods Using a convenience sampling method，366 premature infants who underwent lower limb PICC placement in a tertiary general hospital in Nanjing between January 2019 and December 2022 were selected as a modeling group. A total of 158 premature infants who underwent the same procedure between January 2023 and December 2024 were selected as a validation group. Relevant data were collected retrospectively. Logistic regression analysis was used to identify the influencing factors of phlebitis in premature infants with lower limb PICC placement，based on which a risk prediction model was constructed and its predictive performance evaluated. Results In the modeling group，97 cases developed phlebitis，with an incidence rate of 26.50%. Logistic regression analysis indicated that gestational age，infusion of irritant drugs，punctured vein，puncture site，total puncture duration，and number of dressing changes within 7 days after puncture were significant influencing factors（P<0.05）. Based on these results，a risk prediction model was established. In the validation group，the optimal cut-off value of the model was 0.311，with an accuracy of 92%，sensitivity of 94%，specificity of 88%，positive predictive value of 0.94，and negative predictive value of 0.86. Hosmer-Lemeshow test results showed χ²=8.100（P=0.424）. Conclusion The risk prediction model for phlebitis in premature infants undergoing lower limb PICC placement demonstrates good discrimination and calibration，and can provide references for neonatal nurses to predict related risks.

Analysis of clinical practice status and influencing factors of the Group Standard “Endotracheal Suctioning in Adults Receiving Invasive Mechanical Ventilation”

ZENG Hanyue, PENG Yinsen, CHEN Tengxia, LI Yun, ZHU Shoulin, HUANG Lejiao, WANG Cailian, MAO Shifang

2026, 61(2):  198-204.  DOI: 10.3761/j.issn.0254-1769.2026.02.007

Asbtract ( )   HTML ( )   PDF (1031KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To investigate critical care nurses’ cognition and application status regarding the group standard “Endotracheal Suctioning in Adults Receiving Invasive Mechanical Ventilation”，and to assess its clinical implementation level and effectiveness，so as to provide a basis for developing targeted intervention strategies. Methods A cross-sectional survey was conducted among critical care nurses from 17 provinces and cities across China between October and December 2024，using convenience sampling. Data were collected using a self-developed questionnaire based on the Capability，Opportunity，Motivation and Behaviour（COM-B） model. Binary logistic regression was employed to analyze the factors influencing critical care nurses’ practice level. Results A total of 1 110 questionnaires were distributed，with 1 057 valid responses retained for analysis. The total practice score among Critical care nurses was 197（169，225） points. Binary logistic regression identified age，senior professional title，awareness of the “Standards”，having a standardized endotracheal suctioning procedure in the department，receiving training and interpretation on the “Standards”，and implementation situation as significant facilitators of clinical practice（P<0.05）. Conclusion Critical care nurses’ clinical practice regarding the group standard "Endotracheal Suctioning in Adults Receiving Invasive Mechanical Ventilation" needs improvement and encounters a range of obstacles. It is recommended that managers implement precise interventions based on the identified influencing factors to enhance standard compliance，optimize the quality of endotracheal suctioning care，and promote the effective clinical application of the group standard.

A longitudinal qualitative study on self-management experiences and needs of patients with urinary incontinence after orthotopic neobladder surgery

DING Jiarong, CHEN Hui, WANG Xuerui, SUN Xiaoling, ZHANG Yin

2026, 61(2):  205-212.  DOI: 10.3761/j.issn.0254-1769.2026.02.008

Asbtract ( )   HTML ( )   PDF (1875KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective Based on the patient journey map，this study longitudinally tracks the staged self-management and needs of patients with urinary incontinence following orthotopic neobladder surgery to provide a foundation for developing phased and individualized nursing intervention programs. Methods A longitudinal qualitative research approach was adopted. A total of 16 bladder cancer patients who underwent orthotopic neobladder（ONB） surgery in the Department of Urology at a tertiary hospital in Nanjing between April and June 2024 were recruited by purposive sampling. Semi-structured interviews were conducted with the patients at 1 month （T1），3 months（T2），and 6 months（T3） postoperatively. Data were analyzed by content analysis，and patient journey maps were constructed. Results Using the 3 postoperative rehabilitation phases-recovery（1-3 months），adaptation（4-6 months），and stabilization（>6 months） as the timeline，patients’ self-management experiences and needs were systematically summarized in terms of tasks，emotions，and pain points. A total of 20 themes were identified，including adaptive self-training for the neobladder，systematic learning of self-care skills，anxiety and confidence crises triggered by urinary incontinence，regret over surgical decisions and doubts about outcomes due to symptom recurrence，imbalance in physical and psychological adaptation，multidimensional lifestyle restrictions，and information overload with a disconnect between knowledge and practice. Patient journey maps were constructed accordingly. Conclusion Self-management of urinary incontinence following ONB surgery is both phased and long-term in nature. Healthcare professionals should provide timely and appropriate phased comprehensive nursing interventions based on patients’ dynamic experiences and core needs at different stages to optimize rehabilitation outcomes.

Multidisciplinary Collaborative Nursing Research

Development and application study of a pelvic fracture patient risk assessment system

DU Xuelian, CHEN Huajian, HUANG Shaojuan, LI Canhui, DONG Peiwen, LIAO Jiangbo, OU Bowei

2026, 61(2):  213-219.  DOI: 10.3761/j.issn.0254-1769.2026.02.009

Asbtract ( )   HTML ( )   PDF (1283KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To develop a risk assessment system for pelvic fracture patient and explore its application effectiveness in improving nursing quality. Methods A research and development team was formed in February 2022. The content of the pelvic fracture patient risk assessment system was determined after literature review，expert consultation，and clinical pre-testing. An intelligent assessment system was developed，and applied to the clinical practice in October 2022. Using the convenience sampling method，412 pelvic fracture patients hospitalized in the Department of Trauma and Orthopaedics of a tertiary A hospital in Foshan from October 2022 to September 2023（after the system implementation） were taken as a test group，while 386 pelvic fracture patients hospitalized from October 2021 to August 2022（before the system implementation） were taken as a control group. Differences in the incidence of resuscitation，the mortality rates，hospitalization duration，and scores on the Nurse-Physician Collaboration Scale were compared between the 2 groups，and the satisfaction of healthcare nurses with the use of the system was assessed. Results 5 cases（1.21%） of resuscitation occurred in the test group and 36 cases（9.33%） in the control group；1 case（0.24%） of death occurred in the test group and 11 cases（2.85%） in the control group. The hospitalization duration of the test group was（16.58 ± 10.48） days， shorter than（22.46 ± 9.61） days in the control group. The Nurse-Physician Collaboration Scale Score of the test group was（94.63 ± 5.37） points，higher than（83.19 ± 6.41） points in the control group，and the differences were statistically significant（P<0.05）. The nurses’ satisfaction score for the use of the system was（1.88±0.25） points. Conclusion The development and application of pelvic fracture patient risk assessment system can help to improve the efficiency of medical and nursing cooperation，effectively reduce the incidence of resuscitation，the mortality and hospitalization duration of patients with pelvic fracture，and improve the patients’ prognosis. The system integrates automatic scoring，intelligent warning，and response measures，and nurses are highly satisfied with the use of the system.

Construction and application of an evidence-based bundled care for breastfeeding of parturients separated from their hospitalized infants

LI Xuemei, LI Yongqi, LIU Ying, LI Junying, SHI Jinjin, ZHANG Lan, JIANG Hui

2026, 61(2):  220-228.  DOI: 10.3761/j.issn.0254-1769.2026.02.010

Asbtract ( )   HTML ( )   PDF (1331KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To develop and implement a bundled care intervention program for breastfeeding among mothers separated from their infants，providing a reference for promoting breastfeeding among such mothers. Methods Using convenience sampling，138 mothers separated from their hospitalized infants who delivered at a tertiary maternity hospital in Shanghai from March to June 2023 were randomly assigned to either an intervention group（n=69） receiving the bundled intervention or a control group（n=69） receiving routine care. Outcomes including breastfeeding outcomes，family support，knowledge，and self-efficacy were compared at 3 time points：separation phase，transition phase，and maintenance phase. Results Final analysis included 61 participants in the intervention group and 59 in the control group，respectively. Following intervention，the exclusive breastfeeding rate in the intervention group was significantly higher than that in the control group during both the transition and maintenance phases of rooming-in（P<0.05）. The breastfeeding family support scores in both groups showed statistically significant differences in between-group effects，time effects，and interaction effects（P<0.05）. Breastfeeding knowledge scores differed significantly in between-group effects（P<0.05）. Breastfeeding self-efficacy scores differed significantly in between-group effects and time effects（P<0.05）. Conclusion The evidence-based bundled intervention effectively improved exclusive breastfeeding rates and family support levels，though its sustained effects on breastfeeding knowledge and self-efficacy require further validation.

Human Resource Management and Career Development

Latent profile analysis of nursing assistants’ death cognition and coping abilities

WU Ping, YU Wanchen, LIU Jiayi, YIN Siwen, WANG Shanshan

2026, 61(2):  229-236.  DOI: 10.3761/j.issn.0254-1769.2026.02.011

Asbtract ( )   HTML ( )   PDF (1228KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To explore the current situation of death cognition and coping abilities among nursing assistants，and to analyze its latent profiles and influencing factors，and provide a basis for developing targeted training programs and enhancing their end-of-life care competencies. Methods From March to May 2025，convenience sampling was used to select 305 nursing assistants from 16 nursing homes in Tianjin as the study subjects. The demographic characteristics questionnaire，the Death Literacy Index Scale，and the Frommelt Attitude Toward Care of the Dying Scale were used for investigation. The latent profile analysis was conducted using the 4 manifest variables of the Death Literacy Index Scale，and Logistic regression analysis was employed to investigate the influencing factors across different categories. Results A total of 302 valid questionnaires were collected，representing a valid response rate of 99.02%. The Death Literacy Index Scale score for nursing assistants was（7.17±1.37） points. Their death cognition and coping abilities can be categorized into 3 latent profiles，namely weak（13.91%），developing（34.11%），and advanced（51.99%）. The results of logistic regression analysis showed that gender，educational attainment，self-rated health status，bereavement experience，having cared for terminally ill elderly individuals，receiving death education，and attitudes toward end-of-life care are the influencing factors of the latent profile of nursing assistants’ death cognition and coping abilities（P<0.05）. Conclusion It exists significant heterogeneity in death cognition and coping abilities of nursing assistants. Managers should develop targeted training programs based on the influencing factors of different latent profiles to enhance their end-of-life care competencies.

A survey study on the current status of work and management of anesthesia specialty nurses in 700 medical institutions

LAN Xing, LIU Ting, LI Qing, KE Wen, LI Xin, ZHANG Zhuanyun, ZHAI Jie, LIU Jiajia

2026, 61(2):  237-243.  DOI: 10.3761/j.issn.0254-1769.2026.02.012

Asbtract ( )   HTML ( )   PDF (1080KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To investigate the current status of work and management of anesthesia specialist nurses，in order to provide references for the training and use of anesthesia specialist nurses. Methods Convenience sampling was used to select anesthesia specialist nurses from 700 medical institutions in 31 provinces（autonomous regions，municipalities） in China as the survey subjects in March 2025. A self-designed questionnaire was used for the survey，and descriptive analysis was conducted on the results. Results A total of 1 002 valid questionnaires were collected，with a valid questionnaire collection rate of 96.62%. The education level of anesthesia specialist nurses is mainly undergraduate（87.92%），with intermediate professional titles（71.16%） being the majority. 38.42% of anesthesia specialist nurses stated that their unit does not have any job responsibilities for anesthesia specialist nurses；anesthesia specialist nurses mainly undertake anesthesia nursing teaching or clinical guidance，critical anesthesia nursing，nursing management，and nursing research work；56.59% of anesthesia specialist nurses have an overall job satisfaction rate of very satisfied or satisfied. They believe that the main factors affecting their clinical role include excessive clinical workload（68.26%），unclear job responsibilities（43.41%），insufficient support policies （35.23%），and unclear role positioning（31.04%）；81.24% of anesthesia specialist nurses believe that there is a need for specialized nurse retraining，with a focus on specialized knowledge，clinical practice skills，and research methods. Conclusion Anesthesia specialist nurses play an important role in anesthesia nursing. However，their job management，training，and certification work need to be further improved，and retraining programs need to be further explored.

Rare Disease and Critical Care

Emergency nursing care for a patient with delayed hemorrhage complicated by abdominal compartment syndrome following gastric endoscopic submucosal dissection：a case report

ZHOU Shuaishuai, WANG Sa, LIU Yajie, CHAI Jingjing, YAN Danping, WANG Yuwei

2026, 61(2):  244-248.  DOI: 10.3761/j.issn.0254-1769.2026.02.013

Asbtract ( )   HTML ( )   PDF (834KB) ( )  

References | Related Articles | Metrics

This report summarizes the emergency management and nursing care of a patient who developed delayed massive gastrointestinal bleeding complicated by abdominal compartment syndrome following gastric endoscopic submucosal dissection（ESD）. Key nursing points：accurately identification of delayed massive hemorrhage after endoscopic submucosal dissection，rapid initiation of nursing interventions and facilitation of multidisciplinary management；dynamic differentiation between hemorrhagic shock and obstructive shock， implementation of restrictive fluid resuscitation strategies；early recognition of abdominal compartment syndrome（ACS），individualized decompres-sion interventions. With timely multidisciplinary treatment and meticulous nursing care，the patient recovered well after 16 days of hospitalization and was successfully discharged. At 1-month follow-up，the patient recovered well with no recurrent symptoms such as hematemesis or abdominal distension.

Exercise rehabilitation nursing practice for 4 pediatric heart transplant recipients

JIANG Weihong, TANG Xiaomin, ZHOU Jun, ZHU Jiajia, JIN Hongcheng, CHEN Mengyi, ZHU Jihua

2026, 61(2):  249-253.  DOI: 10.3761/j.issn.0254-1769.2026.02.014

Asbtract ( )   HTML ( )   PDF (830KB) ( )  

References | Related Articles | Metrics

This study summarizes exercise rehabilitation nursing care for 4 pediatric heart transplant recipients across disease phases. Key interventions are establishing a multidisciplinary cardiac rehabilitation team with comprehensive assessment. The initiation of early exercise interventions in critical care phase：passive exercises during mechanical ventilation to prevent complications；active exercises post-weaning to facilitate ambulation. The implementation of progressive training in cardiac rehabilitation phase：beginning with low-intensity aerobic games for muscle recovery，advancing to resistance-aerobic collaborative training to enhance endurance. Continuous risk monitoring with dynamic adjustments was conducted to ensure safety. Personalized nursing care improved both motor abilities and muscle endurance. All children completed rehabilitation and were discharged without adverse events.

Nursing care of a patient with septic shock complicated with hemophagocytic syndrome caused by Listeria infection during pregnancy

XU Xiaopei, LI Qiufang, TAN Xiaoxue, WU Yujie

2026, 61(2):  254-257.  DOI: 10.3761/j.issn.0254-1769.2026.02.015

Asbtract ( )   HTML ( )   PDF (951KB) ( )  

References | Related Articles | Metrics

The nursing experience of a patient with sepsis and hemophagocytic syndrome（HPS） secondary to Listeria infection in pregnancy was summarized. Nursing points include：early first aid and restrictive fluid resuscitation for septic shock；HPS high-risk signs identification and coagulation storm intervention，including prioritized monitoring of bleeding risk and coagulation function，precise protection of maternal-fetal collaborative treatment，multi-organ function support and critical illness collaborative management；continuing psychological nursing care and remote follow-up management. After 16 days of active treatment and nursing care，the patient recovered and was discharged. After 3 months of follow-up，the patient gave birth to a boy at full term，and the mother and child were in good condition.

Evidence Synthesis Research

Subsequent pregnancy experiences and needs of women with pregnancy loss：a Meta-synthesis of qualitative research

WANG Yawen, SUN Fei, QIN Yue, SHEN Qiyi, LEI Xia, ZHOU Lin

2026, 61(2):  258-266.  DOI: 10.3761/j.issn.0254-1769.2026.02.016

Asbtract ( )   HTML ( )   PDF (1326KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To systematically evaluate the pregnancy experiences and needs of women who have experienced pregnancy loss and subsequently become pregnant again，providing evidence for the development of targeted psychological intervention measures. Methods PubMed，Web of Science，CINAHL，Cochrane Library，Embase，CNKI，Wanfang Database，CBM，and VIP Database were searched to collect qualitative studies on the pregnancy experiences and needs of women who have experienced pregnancy loss and are pregnant again. The search time was from inception to March 14，2025. The quality of the included literature was evaluated according to the 2016 edition of the Qualitative Research Quality Evaluation Criteria of the Joanna Briggs Institute for Evidence-Based Health Care in Australia，and the results were summarized by meta-synthesis method. Results A total of 15 studies were included，and 64 research results were extracted，which were grouped into 10 new categories. 3 integrated themes were finally synthesized，including the complex interplay of hope and unease，coping strategies amid uncertainty，and multitiered support needs. Conclusion Women who have experienced pregnancy loss and are attempting to conceive again face complex emotional experiences during pregnancy. Clinical healthcare providers should proactively address and alleviate their negative emotions，identify their underlying needs，and provide emotional and informational support to promote positive pregnancy experiences and ensure maternal and infant safety.

The effect of compression sleeves on patients with breast cancer-related lymphedema：a Meta-analysis

CHENG Haifeng, GONG Jianmei, FENG Xiaoyu, OU Wenna, WANG Huan, ZHONG Hongjing

2026, 61(2):  267-274.  DOI: 10.3761/j.issn.0254-1769.2026.02.017

Asbtract ( )   HTML ( )   PDF (1350KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To systematically evaluate the intervention effects of compression sleeves on breast cancer-related lymphedema（BCRL），thereby providing an evidence-based support for its clinical practice. Methods The randomized controlled trials（RCTs） regarding the effect of compression sleeves intervention in BCRL patients were systematically retrieved from databases including CNKI，Wanfang Database，VIP，CBM，PubMed，and Embase from inception to September 1，2025. Totally 2 researchers independently screened the literature and extracted data according to inclusion and exclusion criteria. The quality of the included studies was assessed using the Cochrane Risk of Bias Tool for Randomized Controlled Trials（version 5.1.0）. Meta-analysis was performed using RevMan 5.4 software，and the evidence was synthesized and graded with the GRADE（grading of recommendations assessment，development，and evaluation） approach. Results A total of 11 studies involving 418 BCRL patients were included. The meta-analysis showed that compression sleeves significantly reduced the volume or circumference of the affected limb in patients with BCRL[SMD=-0.39，95%CI（-0.59，-0.19），P<0.001]，and improved flexion of shoulder[SMD=-2.09， 95%CI（-3.85，-0.33），P=0.020]. However，the effects on abduction of shoulder[SMD=-0.87，95%CI（-2.14，0.40）， P=0.180]，subjective symptoms[SMD=0.19，95%CI（-0.03，0.35），P=0.670]，and quality of life[MD=0.36，95%CI （-8.68，9.40），P=0.940] were not significant. GRADE evidence grading showed the certainty of evidence for limb volume or circumference as an outcome was moderate，while that for all other outcomes was low. Conclusion Compression sleeves can effectively reduce the volume or circumference of the affected limb in patients with BCRL，and this evidence is highly certain. They also improve shoulder anterior flexion function. Further research is needed to confirm its effects on abduction of shoulder，subjective symptoms，and quality of life.

Review

Research progress on influencing factors and intervention strategies of home-based skin cleansing behaviors in patients with traumatic wounds

CHEN Lin, PENG Qing

2026, 61(2):  275-282.  DOI: 10.3761/j.issn.0254-1769.2026.02.018

Asbtract ( )   HTML ( )   PDF (1299KB) ( )  

Figures and Tables | References | Supplementary Material | Related Articles | Metrics

Objective To analyze the facilitators and barriers of systemic skin cleaning behavior adherence in traumatic wound patients，and to identify potentially effective behavioral intervention strategies to reduce the risk of wound infection，promote wound healing，and improve patient comfort. Methods Totally 8 Chinese and English databases，including PubMed，Web of Science，Cochrane Library，CNKI，Wanfang Database and VIP Database，were searched from the establishment of the databases to April 2025. A mixed-method evaluation tool was used to assess the quality of the included studies. Potential barriers and facilitators were identified based on the capacity，opportunity，motivation，behavioral dimensions and theoretical domain framework of the theory of behavior change. Results A total of 32 studies were included，and 17 barriers，20 facilitators，and 35 potentially effective behavioral intervention strategies were identified. Conclusion Although the benefits of skin cleansing for trauma patients have been widely recognized，there are still many barriers to the implementation of cleansing behaviors in practice. In the future，it is necessary to further refine，evaluate and validate the influencing factors summarized in this study and develop a cleaning protocol to improve the adherence of cleaning behavior of trauma patients to achieve the goals of promoting healing and improving comfort.

Application progress of a neonatal integrated developmental care model within neonatal intensive care unit

XIONG Xiaoju, YU Genzhen, YU Yaqi, DING Lingli, LI Xinyu, LI Changyan, ZHANG Ping, RONG Zhihui

2026, 61(2):  283-288.  DOI: 10.3761/j.issn.0254-1769.2026.02.019

Asbtract ( )   HTML ( )   PDF (960KB) ( )  

References | Related Articles | Metrics

The neonatal integrated developmental care model effectively improves neuroprotective efficacy in preterm infants through 7 core interventions，further expanding the theoretical and practical dimensions of neuroprotective interventions. This article introduces the practice framework，core elements，application and recommendations of neonatal integrated developmental care model in NICU，providing theoretical and applied references for optimizing neuroprotection in preterm infants.