Table of Content

10 March 2026, Volume 61 Issue 5

Previous Issue    Next Issue

Multi-Dimensional Health Management for Dialysis Patients

Development and application of an exercise snacks intervention program for elderly maintenance hemodialysis patients

YANG Jiaqi, WANG Yitong, LI Jie, WANG Lina

2026, 61(5):  581-589.  DOI: 10.3761/j.issn.0254-1769.2026.05.001

Asbtract ( )   HTML ( )   PDF (1471KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To develop an Exercise Snacks（ES） intervention program for elderly patients undergoing maintenance hemodialysis，aiming to provide a practical approach to improve their physical function. Methods Guided by the Theory of Planned Behavior（TPB），the ES intervention program was designed through literature review，expert consultation，and a pilot study. Using convenience sampling，the final sample included 28 participants in the experimental group and 28 participants in the control group from September 2024 to July 2025 at a tertiary hospital in Xinxiang. The experimental group received the ES intervention in addition to routine nursing care，while the control group received routine care only. Changes within groups and differences between groups in Short Physical Performance Battery（SPPB） scores，Kidney Disease Questionnaire（KDQ） scores，and Chinese Self-efficacy for Exercise Scale（SEE-C） scores were evaluated before and after the 12-week intervention. Exercise completion and any exercise-related adverse events were also recorded. Results Totally 26 participants in each group completed the study. The experimental group had higher scores in physical function，quality of life，and exercise self-efficacy compared with the control group（P<0.05）. Exercise adherence was good，and no exercise-related adverse events were reported. Conclusion The ES intervention program for elderly patients undergoing maintenance hemodialysis is safe，feasible，and effective in enhancing physical function，quality of life，and exercise self-efficacy.

Study on the relationship between diet and sarcopenia in patients undergoing peritoneal dialysis and nursing implications

ZHANG Xiaotian, HUANG Jiao, ZHENG Yuanhua, XIONG Yuxin, SUN Xin, LI Hongyan

2026, 61(5):  590-597.  DOI: 10.3761/j.issn.0254-1769.2026.05.002

Asbtract ( )   HTML ( )   PDF (1931KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To explore the relationship between dietary intake and the risk of sarcopenia in patients undergoing peritoneal dialysis（PD），and to analyze the dose-response relationship between them，so as to provide accurate dietary guidance. Methods A 1 ∶ 2 matched case-control study was conducted. A total of 213 PD patients who received regular follow-up in a tertiary hospital in Nanchang from December 2024 to May 2025 were included，with 71 cases in the sarcopenia group and 142 cases in the non-sarcopenia group. Dietary intake was assessed using a 3-day 24-hour recall method，and restricted cubic splines（RCS） were applied to analyze the dose-response relationship. Results There was a non-linear dose-response relationship between energy intake and the risk of sarcopenia （non-linear P=0.029）. When energy intake was less than 1880 kcal/day，the risk of sarcopenia decreased significantly with the increase in dietary intake；when energy intake exceeded this value，the protective effect tended to stabilize. Multivariate analysis showed that high intake of vegetables（OR=1.034） and vitamin C（OR=1.253） increased the risk of sarcopenia，while high intake of tubers（OR=0.868），fruits（OR=0.965），livestock and poultry meat（OR=0.950），total vitamin A（OR=0.955），vitamin B₁（OR=0.991），vitamin D（OR=0.244），and calcium（OR=0.998） had protective effects against sarcopenia. Conclusion There is a threshold effect of energy intake（1 880 kcal/d） in PD patients. Clinical nursing should take ensuring adequate energy intake as the primary goal and optimize the dietary structure. It is recommended to prioritize increasing the intake of protective foods such as tubers，fruits，and livestock and poultry meat，while controlling vegetable intake within 300 g/d to avoid its diluting effect on the intake of key nutrients such as protein.

Identification and strategic analysis of risk factors for social alienation in maintenance hemodialysis patients based on latent variable mixed growth model

ZHUANG Shanshan, XU Chaofan, SHI Yafeng, CAO Yuexiu, LÜ Ying

2026, 61(5):  598-604.  DOI: 10.3761/j.issn.0254-1769.2026.05.003

Asbtract ( )   HTML ( )   PDF (1153KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To identify the developmental trajectory of social alienation and its risk factors in maintenance hemodialysis（MHD） patients，for early detection of high-risk individuals and development of personalized care. Methods A total of 320 MHD patients treated in the First Affiliated Hospital of Ningbo University from June 2022 to December 2024 were prospectively selected. The General Alienation Scale was used to assess the level of social alienation in MHD patients，with measurements taken at 1 week，1 month，3 months，and 6 months after dialysis initiation. The optimal number of latent classes was determined and named using a latent variable mixed growth model. Multivariate Logistic regression analyses were performed to identify independent influencing factors among the latent classes. Results A total of 300 patients were finally included in the study. Social alienation was divided into 3 latent classes，namely the slow-decreasing social alienation class（36.00%），the continuous-increasing social alienation class（38.00%），and the persistent high social alienation class（26.00%）. The results showed that age，marital status，place of residence，dialysis vintage，comorbid chronic diseases，social impact，disease acceptance，and family care were independent influencing factors for the developmental trajectory of social alienation in MHD patients（all P<0.05）. Conclusion The heterogeneity in social alienation trajectories among MHD patients underscores the need for clinicians to accurately identify high-risk trajectories and implement differentiated interventions to alleviate social alienation in MHD patients.

Social isolation in maintenance hemodialysis patients：a scoping review

WEN Jia, GUO Huifang, GUO Jingjing, TIAN Yunxia, YANG Yue, LIU Bo

2026, 61(5):  605-611.  DOI: 10.3761/j.issn.0254-1769.2026.05.004

Asbtract ( )   HTML ( )   PDF (1437KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To conduct a scoping review of the psychological experiences，influencing factors，and intervention strategies related to social isolation among patients undergoing maintenance hemodialysis，with the aim of informing future research and clinical practice. Methods According to the scoping review framework，relevant literature was systematically retrieved，with the search period extending from the database inception to September 3，2025. The included studies were summarized and analyzed. Results A total of 16 studies were included，comprising 3 qualitative studies，11 cross-sectional studies，and 2 intervention studies. The main psychological experiences include social avoidance，self-isolation，role weakening，and a sense of isolation within the healthcare system. The influencing factors cover multiple dimensions，including demographic data，disease-related information，and psychosocial factors，with some studies showing heterogeneous results. Intervention strategies involve family-oriented acceptance and commitment therapy and group-based mindfulness interventions，both of which were shown to alleviate social isolation and improve psychological well-being. Conclusion Research on social isolation among maintenance hemodialysis patients remains in its preliminary stage. The influencing factors are complex，and the underlying mechanisms remain incompletely elucidated，while intervention strategies are relatively limited. Future studies should focus on developing disease-specific assessment tools，establishing early identification models，and conducting longitudinal and interventional research，in order to generate robust evidence that supports social reintegration and enhances quality of life for this patient population.

Standards

Expert consensus on the strategies of humanistic caring for emergency nurses

Humanistic Nursing Professional Committee of Chinese Nursing Association, Emergency Nursing Professional Committee of Chinese Nursing Association, （Writing Committee：LIU Yilan, WANG Wei, GAN Xiuni, ZHU Chenping, YANG Xia, XIONG Lijuan, ZHU Lihui, XU Cuirong, GUO Shujie, ZHANG Jie, JIN Xiaoyan, LI Jun, LI Li, HUANG Sufang, WANG Xiaojie, ZHOU Chenxi, LI Yinglan

2026, 61(5):  612-615.  DOI: 10.3761/j.issn.0254-1769.2026.05.005

Asbtract ( )   HTML ( )   PDF (724KB) ( )  

References | Supplementary Material | Related Articles | Metrics

Objective To formulate an expert consensus on humanistic care strategies for emergency department nurses（hereinafter referred to as the “consensus”），aiming to provide guidance for caring for emergency department nurses. Methods The initial draft of the “consensus” was compiled through methods such as literature review and qualitative interviews. From May to June 2025，2 rounds of expert inquiries were conducted with 16 experts from 10 provinces and municipalities in the fields of emergency nursing，nursing management or humanistic caring. Through expert argumentation，the initial draft was revised to form a “consensus” final version. Results The recovery rates of valid questionnaires in both rounds of expert inquiries were 100%. The authority coefficient of experts is 0.86；the coefficient of judgment basis is 0.81；the coefficient of familiarity is 0.90. The Kendall harmony coefficients were 0.211 and 0.247 respectively，both with P<0.05. The final “consensus” formed encompasses 6 aspects：organizational management，working environment，training empowerment and psychological support，occu-pational health，professional development and self-caring. Conclusion The “consensus” is scientific and applicable，and can guide nursing managers to enhance humanistic care for nurses in the emergency department.

Expert consensus on postoperative graded exercise for elderly patients with lung cancer

Oncology Rehabilitation and Integrated Nursing Committee of China Anti-Cancer Association, （Writing Committee：ZHONG Jiudi, WANG Yingxin, LIU Fei, QIAN Yan, KANG Lu, YAN Hongyan, YANG Mingxue, LIAO Yangyang, LIU Qunhong

2026, 61(5):  616-621.  DOI: 10.3761/j.issn.0254-1769.2026.05.006

Asbtract ( )   HTML ( )   PDF (1100KB) ( )  

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

Objective This study aims to develop an expert consensus on postoperative graded exercise for elderly patients with lung cancer（hereinafter referred to as the “consensus”），aiming to provide clinical healthcare professionals with safe，effective，and practical guidance for graded exercise rehabilitation in elderly patients after lung cancer surgery. Methods A systematic search of the literature was conducted in accordance with evidence-based methodology across domestic and international guideline repositories，websites of professional organisations，and databases to identify relevant studies，with the search period spanning from database inception to October 2024. Following literature screening，quality assessment，and evidence extraction and synthesis，the findings were consolidated into a comprehensive evidence summary. Integrating these findings with the physiological and pathological characteristics of elderly patients with lung cancer and their specific postoperative exercise rehabilitation needs，an initial draft of the “consensus” was developed. From February to March 2025，16 experts were invited to participate in 2 rounds of expert consultations，during which the draft content was revised and improved，and the final version of the "consensus" was determined through expert validation. Results A total of 16 experts responded，with a 100% valid response rate for both rounds of the questionnaire. The expert authority coefficient was 0.91；the judgment coefficient was 0.96；the familiarity coefficient was 0.93 for all experts. The Kendall’s coefficient of concordance for the 2 rounds of correspondence was 0.371 and 0.386，respectively（all P<0.001）. This consensus covers 4 aspects and 26 items，encompassing the significance of graded exercise，principles of graded exercise，assessment of graded exercise and risk classification of exercise，and management of graded exercise. Conclusion This consensus focuses on early postoperative exercise for elderly patients with lung cancer. The proposed graded exercise program combines scientific rigor with practical applicability，providing standardized guidance for healthcare providers to help reduce postoperative complications and improve functional status in elderly patients with lung cancer.

Specialist Nursing Practice and Research

Construction and application research of a family integrated multimodal exercise intervention program for young and middle-aged lung cancer patients undergoing chemotherapy

XU Xiaojing, SHANG Qian, LI Juan, ZHANG Peipei, SHI Suling

2026, 61(5):  622-629.  DOI: 10.3761/.issn.0254-1769.2026.05.007

Asbtract ( )   HTML ( )   PDF (1433KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To construct a family integrated multimodal exercise intervention program for young and middle-aged lung cancer patients undergoing chemotherapy and evaluate its application effect in improving patients’ physical fitness and family functioning satisfaction，providing a reference for optimizing the rehabilitation nursing of this population. Methods The family integrated multimodal exercise intervention program based on the Theory of Planned Behavior was constructed through literature review and analysis, expert meetings, and pilot experiments. A total of 94 young and middle-aged lung cancer patients undergoing chemotherapy who were hospitalized in a tertiary grade A hospital in Zhengzhou City from September 2024 to May 2025 were selected as research subjects. The patients were divided into an experimental group（n=47） and a control group（n=47） by ward. Both groups received interventions throughout chemotherapy cycles 1 to 4. The experimental group received a family integrated multimodal exercise therapy based on the Theory of Planned Behavior，while the control group received conventional nursing interventions. The results of the Adult Functional Fitness Test and the Family Care Index were collected before and immediately after the intervention，and 3 months after the intervention. Results A total of 84 patients completed the study，including 41 in the experimental group and 43 in the control group. Repeated measures ANOVA revealed that the time effect，group effect，and interaction effect on the Adult Functional Fitness Test and the Family Care Index were statistically significant（P<0.05）. Simple effects analysis demonstrated that the experimental group showed significantly higher scores in the Adult Functional Fitness Test and the Family Care Index compared with the control group both after the intervention and 3 months after the intervention（P<0.05）. Conclusion The family integrated multimodal exercise intervention program based on the Theory of Planned Behavior can improve the adult functional fitness and family functioning satisfaction of young and middle-aged lung cancer patients undergoing chemotherapy.

The construction and preliminary validation of an intervention program for social alienation in patients with enterostomy

YAN Manlin, HUANG Weirong, ZHANG Zhihui, LI Xianrong

2026, 61(5):  630-638.  DOI: 10.3761/j.issn.0254-1769.2026.05.008

Asbtract ( )   HTML ( )   PDF (1348KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To construct an intervention program for social alienation in patients with enterostomy，and preliminarily verify the clinical feasibility of this program in reducing social alienation in enterostomy patients. It is expected to provide a reference for clinical nursing to promote the development of healthy behaviors in patients. Methods From December 2023 to November 2024，based on the theory of planned behavior and nudge strategies，an intervention program for social alienation in patients with enterostomy was constructed through mixed-methods research，literature research，expert meetings. Patients with enterostomy who attended the Department of Gastrointestinal Surgery and Stoma Clinic of a tertiary A hospital in Luzhou from August to October 2024 were selected as research subjects using the convenient sampling method. They were divided into an intervention group and a control group by time stratification. The control group received routine health education of the department，while the intervention group received the intervention program revised by expert meetings. The levels of social alienation，self-esteem，and self-concealment of patients in both groups were evaluated before the intervention and 4 weeks after the intervention，respectively. Results A total of 16 experts participated in the expert meeting，with a 100% valid questionnaire return rate and an expert authority coefficient of 0.86. 6 modification suggestions were proposed, leading to the development of an intervention program for social alienation in enterostomy patients，which included 5 intervention themes and 14 intervention measures. A total of 39 enterostomy patients were enrolled，and they were divided into an experimental group（20 cases） and a control group（19 cases）. No statistically significant differences were found in the general data of both groups before the intervention（P>0.05). At 4 weeks after the intervention, the experimental group scored lower than the control group on all dimensions of social alienation and total score，while the experimental group had higher self-esteem scores and lower self-concealment scores than the control group, with statistically significant differences（P<0.05). Conclusion The intervention program can alleviate social alienation，enhance self-esteem，and reduce self-concealment tendencies in patients with enterostomy.

Construction and validation of a risk prediction model for cognitive frailty in elderly patients with diabetic retinopathy

LIU Miaomiao, TANG Langjuan, WU Li, GAO Yunqian, LIANG Hui, YAN Kangrong, XIE Fangting

2026, 61(5):  639-645.  DOI: 10.3761/j.issn.0254-1769.2026.05.009

Asbtract ( )   HTML ( )   PDF (1197KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To construct a risk prediction model for cognitive frailty in elderly patients with diabetic retinopathy（DR），providing references for the prevention of cognitive frailty in elderly DR patients. Methods 320 elderly DR patients from November 2024 to April 2025 were selected in a tertiary A ophthalmology hospital in Nanchang by convenient sampling method. The survey was conducted using general data questionnaires，the frailty risk screening tool for elder inpatients，the Mini-Mental State Examination Scale，the Mini Nutritional Assessment Scale，the Short version of Center for Epidemiologic Studies Depression Scale，and the Visual Function Related Quality of Life Scale-25. The risk factors for cognitive frailty in elderly DR patients were explored using univariate analysis，Lasso regression，and binary Logistic regression analysis. A nomogram prediction model was constructed，and the Hosmer-Lemeshow test，receiver operator characteristic curve，and calibration curve were applied to evaluate the model’s fitting performance. Internal validation was conducted through the enhanced Bootstrap method with 1，000 re-samplings. Results A total of 314 valid questionnaires were collected，and the incidence of cognitive frailty in elderly DR patients was 27.39%. Age，the number of chronic diseases，the degree of visual impairment，the quality of life related to visual function，depression，and nutritional status are the influencing factors of cognitive frailty in elderly DR patients（P<0.05）. Hosmer-Lemeshow test showed that χ²=9.530，P=0.300；the receiver operator characteristic curve was 0.936；the sensitivity was 0.919；the specificity was 0.820；the calibration curve had a Brier score of 0.091 and a mean prediction error of 0.021；the internal validation results of Bootstrap method showed that the specificity was 0.908 and the sensitivity was 0.672. Conclusion The risk predictive model of cognitive frailty in elderly DR patients has good predictive power，enabling clinical staff to identify the elderly DR patients with high risk of cognitive weakness and to take preventive measures.

Network analysis of morning symptoms in elderly patients with stable chronic obstructive pulmonary disease

LIU Ningning, WAN Yufeng, TIAN Xiaohong, WANG Ying, LIU Wenjun, GAO Liying

2026, 61(5):  646-652.  DOI: 10.3761/j.issn.0254-1769.2026.05.010

Asbtract ( )   HTML ( )   PDF (1128KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To investigate the incidence and severity of morning symptoms in elderly patients with stable chronic obstructive pulmonary disease，and to construct a symptom network to identify core symptoms and bridge symptoms，providing a basis for the clinical construction of precise and efficient symptom management plans. Methods The convenience sampling method was employed to select 314 elderly patients with stable chronic obstructive pulmonary disease who visited a tertiary grade A hospital in Huai’an City from October 2023 to April 2025 as research subjects. The general information questionnaire and the Chinese version of the chronic obstructive pulmonary disease morning symptom diary were used for the investigation. Exploratory factor analysis was used to extract morning symptom clusters. Network analysis was conducted using R 4.4.1 software to identify core symptoms and bridge symptoms through expected influence and bridge expected influence. Results A total of 308 valid questionnaires were collected. Among the 308 patients，dyspnea when starting an activity had the highest incidence rate（88.31%），and the highest severity score. The highest incidence of the remaining symptoms was cough（91.88%），and the top 3 severity scores were cough，chest tightness，and expectoration. A total of 4 symptom clusters were extracted：dyspnea symptom cluster，cough-expectoration symptom cluster，chest discomforts-asthma symptom cluster，and general discomfort-sleep symptom cluster. The expected impact of “difficulty breathing when starting an activity” and “expectoration” was the highest （1.392 and 1.250 respectively）. The bridge expected influence of “difficulty breathing when starting an activity”，“phlegm volume”，“chest tightness”，and “feeling relaxed” was the highest in their respective symptom clusters （0.543，0.373，0.464 and 0.215 respectively）. Conclusion There are 4 symptom clusters for elderly patients with stable chronic obstructive pulmonary disease in the morning. “Difficulty in breathing when starting an activity” and “expectoration” are the core symptoms of patients with chronic obstructive pulmonary disease in the morning. “Difficulty in breathing when starting an activity” “phlegm volume” “chest tightness” and “feeling relaxed” are the bridge symptoms connecting the other 3 symptom clusters in their respective symptom clusters.

A qualitative study on illness perception experience of patients with obstructive sleep apnea syndrome

ZHU Jinxing, GU Zhaoqin, TANG Ting, CHEN Qiuyuan, DING Ning, LI Fang

2026, 61(5):  653-659.  DOI: 10.3761/j.issn.0254-1769.2026.05.011

Asbtract ( )   HTML ( )   PDF (1272KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To deeply explore the illness perception experiences of patients with Obstructive Sleep Apnea Syndrome（OSAS） based on the common-sense model of self-regulation（CSM），providing a basis for developing precise nursing intervention strategies. Methods A descriptive qualitative design was employed. Totally 17 OSAS inpatients from a tertiary hospital in Nanjing City were purposively sampled with maximum variation sampling for semi-structured interviews from August to October 2024. Interview data were analyzed and themes were extracted using Colaizzi’s seven-step phenomenological analysis method. Results Totally 3 core themes of disease perception in OSAS patients were identified，including cognitive disease manifestations（ambiguity，bias，and delayed coping in disease perception），emotional disease manifestations（heavy emotional burden and psychosocial distress），inadequate disease coping capacity（management challenges under multiple constraints）. Conclusion This study systematically revealed the tri-dimensional structure（cognitive-emotional-coping） of illness perception in OSAS patients within the CSM framework. Consequently，nursing interventions should prioritize personalized cognitive restructuring，emotion management techniques，and social support to enhance patients’ self-management efficacy and long-term prognosis.

A longitudinal qualitative study on the rehabilitation needs of liver transplant patients at different stages

LU Mengxin, YU Xiaoyan, ZHANG Shenglong, MA Lu, WANG Ziyu, DING Jinping, XIN Tingting, ZHANG Bing-liang

2026, 61(5):  660-666.  DOI: 10.3761/j.issn.0254-1769.2026.05.012

Asbtract ( )   HTML ( )   PDF (1211KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To explore the rehabilitation needs of liver transplant patients at different disease stages and provide evidence for developing phased and individualized intervention strategies. Methods A longitudinal qualitative research design was employed. From August 2024 to November 2025，17 liver transplant patients from the Liver Transplant Department of a tertiary-level A hospital in Qingdao were selected as study participants. Semi-structured interviews were conducted with patients at 3 stages：the preoperative waiting period，discharge preparation period，and out-of-hospital adjustment period. Content analysis was applied to interpret the interview data. Results A total of 7 themes were extracted，including the demand for optimizing preoperative health status，knowledge and resource guarantee related to transplantation，mastering self-management knowledge and skills after transplantation，psychological adjustment and emotional support after transplantation，continuous medical management，life reconstruction and family and social reintegration，and sustainable guarantee of long-term medical expenses，covering 16 sub-themes. Conclusion The rehabilitation needs of liver transplant patients exhibit distinct stage-specific characteristics. Clinicians should establish a phased，structured，and whole-process supportive system based on the core requirements of each stage. This approach is conducive to enhancing the accuracy and continuity of interventions，thereby improving the quality of life and long-term prognosis of patients.

Longitudinal study on muscle status and influencing factors in geriatric patients undergoing major abdominal surgery

CUI Yifan, ZHANG Mingming, ZHANG Xiaoxue, ZHENG Yulin, WANG Wenshuang, WANG Xinran

2026, 61(5):  667-673.  DOI: 10.3761/j.issn.0254-1769.2026.05.013

Asbtract ( )   HTML ( )   PDF (1181KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To investigate the dynamic changes and influencing factors of perioperative muscle status in older patients undergoing major abdominal surgery，thereby providing a reference for developing individualized nursing care plans. Methods A convenience sample of 164 older patients undergoing major abdominal surgery in the Department of General Surgery at a tertiary hospital in Beijing was enrolled between January 2023 and January 2024. Muscle status was assessed preoperatively，at a week，and a month postoperatively using grip strength，gait speed，and bioelectrical impedance analysis. Group-based trajectory modeling（GBTM） was employed to identify latent classes of muscle status progression. Logistic regression analysis was used to examine the influencing factors across the different trajectory groups. Results Among the 147 elderly patients completing the study，and the effective response rate was 89.63%. Repeated measures ANOVA revealed statistically significant differences in sarcopenia status at 3 time points（P<0.05）. Totally 3 progression models were identified：stable non-sarcopenic group，potential recovery sarcopenic group，and rapid deterioration sarcopenic group. Multivariate analysis confirmed advanced age as risk factors for worsening sarcopenia，and conversely，higher BMI，and higher Barthel Index scores and male sex as protective factors（P<0.05）. Conclusion The study found that there was heterogeneity in the development of muscle condition from preoperative to 1 month after surgery in elderly patients with major abdominal surgery. Barthel Index，BMI，age，and sex were identified as significant predictors of sarcopenia progression. Therefore，implementing stratified nursing care and early interventions for high-risk groups is recommended.

The status and influencing factors of treatment adherence among patients after bariatric surgery

YE Huilin, WU Xiaorong, TANG Weirong, YIN Yunrui, LI Yuerong

2026, 61(5):  674-681.  DOI: 10.3761/j.issn.0254-1769.2026.05.014

Asbtract ( )   HTML ( )   PDF (1146KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To investigate the status and influencing factors of treatment adherence among patients after bariatric surgery，and to provide a reference for developing individualized intervention strategies. Methods Using convenience sampling，we recruited 451 patients who completed postoperative follow-up after bariatric surgery at a tertiary Grade A hospital in Chongqing，China，between February and April 2024. The general information questionnaire and the Treatment Adherence Scale for Post-Bariatric Surgery Patients were administered. Latent profile analysis and multinomial logistic regression were performed for data analysis. Results A total of 434 valid questionnaires were collected，yielding an effective response rate of 96.23%. The total score for treatment adherence was（62.81±17.40） points. Treatment adherence among patients after bariatric surgery could be categorized into 4 latent profiles：high adherence group（28.34%），follow-up-driven group（26.73%），self-management group（21.89%），and low adherence group（23.04%）. Gender，time since surgery，and current body mass index（BMI） were significant factors associated with latent profile classification of treatment adherence in patients after bariatric metabolic surgery（P<0.05）. Conclusion Treatment adherence after bariatric surgery is suboptimal and heterogeneous，influenced by multiple factors. Healthcare professionals may develop individualized intervention programs based on the characteristics and associated factors of each profile to improve treatment adherence and optimize weight-loss outcomes.

Nursing Quality and Safety

A survey of the current knowledge，attitudes，and practices of peripheral arterial catheter management among ICU nurses in 15 tertiary pediatric hospitals

ZHOU Min, WANG Linjuan, HUANG Quelan, FU Qin, LI Jiajia, FU Kunhui, DONG Qi, MENG Lingyu

2026, 61(5):  682-688.  DOI: 10.3761/j.issn.0254-1769.2026.05.015

Asbtract ( )   HTML ( )   PDF (927KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To investigate the current status of knowledge，attitudes，and practices（KAP） regarding peripheral arterial catheter（PAC） management among pediatric intensive care unit（PICU） nurses，and to analyze the associated influencing factors，with the aim of providing evidence for developing standardized training programs and optimizing management pathways. Methods This multicenter cross-sectional study was executed from November 2024 to April 2025. PICU nurses were recruited from 15 tertiary hospitals by convenience sampling. Data were gathered using a general information questionnaire and a PAC management KAP questionnaire. Multiple linear regression analysis was utilized to ascertain influential elements. Results A total of 465 questionnaires were disseminated，and 458 valid responses were obtained，resulting in a valid response rate of 98.49%. The average scores for the knowledge，attitude，and practice aspects were（59.58±11.85）（45.27±5.72），and （85.71±10.97），respectively，yielding a cumulative score of（190.56±23.78）. The respective score rates were 79.44%，90.54%，77.92%，and 81.09%. Significant positive relationships were observed between knowledge and attitude（r=0.538，P<0.001），knowledge and practice （r=0.516，P<0.001），and attitude and practice （r=0.514，P<0.001）. Multiple linear regression study revealed that specialized training，professional title，and geographic region significantly influenced PICU nurses’ knowledge，attitudes，and practices about PAC administration. Conclusion PICU nurses exhibited favorable views towards PAC management；still，their knowledge and practice behaviors necessitate enhancement. Nursing administrators ought to enhance organized training and develop diverse training programs matched to nurses’ professional titles to comprehensively elevate the quality of PAC management in critically pediatric patients.

Construction and validation of a predictive model for puncture site bleeding complications in liver cancer patients after interventional therapy

WANG Fan, ZHAO Wenjuan, CAO Jiawei, LU Zhenqi

2026, 61(5):  689-696.  DOI: 10.3761/j.issn.0254-1769.2026.05.016

Asbtract ( )   HTML ( )   PDF (1464KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To construct and validate a prediction model for bleeding complications at the puncture site in liver cancer patients after percutaneous femoral artery interventional therapy，providing a reference for healthcare professionals to early identify and prevent the occurrence of such complications. Methods Using a prospective study design，915 liver cancer patients undergoing percutaneous femoral artery interventional therapy were consecutively enrolled from a tertiary hospital in Shanghai between June and December 2024 as a modeling cohort. An external validation cohort comprising 582 liver cancer patients from 3 tertiary hospitals in Shanghai and Beijing was prospectively enrolled between March and May 2025. Characteristic predictors were screened using Lasso-Logistic regression to construct a Logistic regression model and visualized as a Nomogram. Model performance was evaluated using receiver operating characteristic curves，Hosmer-Lemeshow tests，and decision curve analysis to assess discrimination，calibration，and clinical utility. Internal validation was performed via the bootstrap method. Results Based on Lasso-Logistic regression，5 predictors were selected for model construction：thrombocytopenia，postoperative hypertension，total bilirubin level，number of vascular punctures，and compression method. The prediction model demonstrated an area under the receiver operating characteristic curve of 0.760（95%CI：0.719~0.800），with a sensitivity of 66.9%，a specificity of 74.6%，and an accuracy of 82.8%. The calibration curve，Hosmer-Lemeshow test（P=0.818），and decision curve analysis all indicated favorable goodness-of-fit and clinical utility of the model. Conclusion The constructed predictive model effectively identifies the risk of puncture site bleeding complications in liver cancer patients，demonstrating robust generalizability and reliability. It provides a clinical basis for healthcare providers to recognize high-risk patients and implement personalized，precision preemptive care strategies.

Rare Disease and Critical Care

Early rehabilitation nursing for a pediatric patient undergoing combined heart-lung transplantation with non-intubated spontaneous ventilation anesthesia：a case report

HUANG Jingwen, YE Guilian, YANG Hong, ZHONG Meihua, ZHOU Huaqing

2026, 61(5):  697-701.  DOI: 10.3761/j.issn.0254-1769.2026.05.017

Asbtract ( )   HTML ( )   PDF (852KB) ( )  

References | Related Articles | Metrics

To summarize the early rehabilitation nursing experience for a pediatric patient undergoing combined heart-lung transplantation with non-intubated spontaneous ventilation anesthesia. Nursing measures included：preoperative pulmonary adaptive rehabilitation；postoperative nursing observation for non-invasive mechanical ventilation and complication recognition；safety management of ECMO circuits；leveraging the advantages of non-intubated anesthesia to facilitate early interprofessional collaborative rehabilitation；comprehensive psychological preparation to strengthen the child’s will to live. Following treatment and nursing，the patient was transferred out of the cardiac and great vessel surgery ICU on postoperative day 12 and discharged home on postoperative day 23. At 3-month follow-up，the child demonstrated good recovery of daily activities.

Perioperative nursing care of a patient undergoing biventricular assist device implantation surgery

LU Lu, ZHU Lin, ZHOU Xiao, LI Zhe, LU Fangyan

2026, 61(5):  702-706.  DOI: 10.3761/j.issn.0254-1769.2026.05.018

Asbtract ( )   HTML ( )   PDF (850KB) ( )  

References | Related Articles | Metrics

To summarize the perioperative nursing experience of a patient with dilated cardiomyopathy and pulmonary hypertension who underwent biventricular assist device implantation surgery. Preoperative nursing points：establishing a multidisciplinary case team and developing the best management plan；maintain volume management to ensure hemodynamic stability；implementing a comprehensive environmental protection strategy and strictly controlling the risk of preoperative infection. Postoperative nursing points：closely monitoring changes in the condition and promptly identifying high-risk factors；carrying out goal oriented capacity management to promote cardiac function recovery；dynamically monitoring coagulation indicators and implementing precise anticoagulant management strategies；providing personalized nutritional support and guiding patients’ rehabilitation activities；implementing continuity of care，strengthening educational guidance and monitoring. After treatment and refined nursing by a multidisciplinary team，the patient was transferred from the ICU to a general ward 9 days after surgery and recovered and discharged 38 days after surgery. Follow-up after discharge showed good recovery.

Review

Brief mindfulness-based interventions in perioperative surgical patients：a scoping review

KUANG Wan, ZHU Min, HU Luhong

2026, 61(5):  707-714.  DOI: 10.3761/j.issn.0254-1769.2026.05.019

Asbtract ( )   HTML ( )   PDF (1110KB) ( )  

Figures and Tables | References | Related Articles | Metrics

Objective To conduct a scoping review on the application of brief mindfulness-based interventions in perioperative surgical patients，systematically summarizing their application scope，intervention protocols，and effects，so as to provide references for clinical practice. Methods A systematic search was conducted in PubMed，Embase，CINAHL，Web of Science，Scopus，ProQuest，Cochrane Library，CNKI，Wanfang Database，and CBM. The search period was from the inception of the databases to August 20，2025. The included literature was analyzed and summarized. Results A total of 16 papers were included，consisting of 14 randomized controlled trials and 2 non-randomized controlled trials. The target population for brief mindfulness-based interventions was primarily patients undergoing surgery under local anesthesia. The intervention forms were mainly media-guided，and the content included body scan，loving kindness meditation，and mindful breathing. The intervention frequency ranged from once every 2 weeks to once daily，with single session durations ranging from 1 min to 1 h，and the total duration ranged from 1 day to 6 weeks. The interventions showed positive effects in improving patients’ anxiety，depression，and fatigue，but the efficacy in pain relief remained inconsistent. Conclusion Brief mindfulness-based interventions demonstrate high feasibility and have a positive effect on improving the physical and mental health status of perioperative surgical patients. However，the application scope is relatively limited，and there is significant heterogeneity in intervention protocols. Future research should expand to patients undergoing surgery under regional and general anesthesia，and construct and validate standardized intervention protocols tailored to different perioperative contexts.

The development status and enlightenment of family nurse practitioners in the United States

CHEN Ling, SONG Xiuqi, REN Wei, YU Lihua, QUAN Hongmei, YANG Yani, CAI Wenzhi

2026, 61(5):  715-720.  DOI: 10.3761/j.issn.0254-1769.2026.05.020

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

References | Related Articles | Metrics

Establishing the family nurse practitioner role was a significant initiative in the United States to address challenges such as population aging，physician shortages，and limited healthcare accessibility in rural and remote regions. This article reviews the historical development，current practice landscape，and educational and credentialing systems of family nurse practitioners in the United States and offers insights to deepen the understanding of the advanced practice nurse role. It further provides guidance for optimizing nursing talent cultivation and the service system within China’s primary healthcare system.