Table of Content

10 October 2026, Volume 61 Issue 19

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Special Planning—Nursing Quality and Safety Management

Development and application of an unobtrusive nursing rounding system

CHEN Xia, LI Yuxin, ZHANG Xinyue, WU Yu, ZOU Zhenya, LIU Xia

2026, 61(19):  2597-2603.  DOI: 10.3761/j.issn.0254-1769.2026.19.001

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Objective To develop an unobtrusive rounding system for graded nursing care and evaluate its effectiveness in supporting digital management of nursing rounds. Methods A system featuring identity recognition，round detection，reminders，statistical analysis，operational monitoring and anomaly handling was developed based on near-field interaction technology and graded nursing care requirements. From December 2025 to January 2026，210 patients from Neurology Ward 2 of a tertiary hospital in Jinan were assigned to an intervention group and received system-assisted rounds，while 210 patients from Neurology Ward 1 served as a control group and received rounds recorded using mobile nursing terminals. The groups were compared for compliance rate with required rounding intervals，mean intervals of compliant rounds，and patient experience. Bedside stay duration and nurse acceptance were also assessed in the intervention group. Results The overall compliance rate was higher in the intervention group than it in the control group. Mean intervals of compliant rounds for both level I and level Ⅱ nursing care were shorter，and the overall and dimension scores of the patient experience questionnaire were higher in the intervention group（P<0.05）. The bedside stay duration was 19.66（17.10，25.14） s，and the mean item score for nurse acceptance was（4.49±0.50）. Conclusion The application of the unobtrusive rounding system for graded nursing care may improve the compliance rate with required rounding intervals，shorten the mean intervals of compliant rounds，enhance patients’ experiences of nursing rounds，and nurses showed a high level of acceptance of the system.

Application and effectiveness evaluation of an intelligent management system of fiberoptic bronchoscopy cleaning and disinfection based on multi-source data fusion

ZHANG Dongfang, DI Ruiqing, ZHAO Yuxia, WANG Xiuli, QIAO Panpan, CAI Libai, GE Xiaowei, YI Jingna, SUN Zhihui

2026, 61(19):  2604-2611.  DOI: 10.3761/j.issn.0254-1769.2026.19.002

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Objective To develop and preliminarily apply an intelligent management system for the whole process of fiberoptic bronchoscopy cleaning and disinfection based on the data fusion of clinical diagnosis and treatment-laboratory test-disinfection supply center，and to evaluate the timeliness and accuracy of information acquisition and hospital infection prevention and control among different departments in the process of fiberoptic bronchoscopy reprocessing. Methods A research team was set up to develop an intelligent management system for fiberoptic bronchoscopy cleaning and disinfection based on multi-source data fusion，including 2 platforms of data reporting and central monitoring and traceability. The system was applied in a tertiary general hospital in Zhengzhou in January 2025. The application effect was evaluated by comparing the reprocessing time of single endoscope，the qualified rate of biological monitoring disinfection，analyze the integrity of system data fusion，the compliance of early warning rules and the availability of the system after the application of the system（January to June 2025） and before the application（June to November 2024）. Results The reprocessing time of single endoscope before and after the application of the system was 317（290，336） mins and 107（96，119） mins，respectively，and the difference was statistically significant（P<0.001）. The qualified rates of biological monitoring disinfection were 93.75% and 100%，respectively，and the difference was not statistically significant（P=0.272）. The data fusion integrity rate of system was 99.82%；the coincidence rate of early warning rules is 100%；the staff’s system availability score was（43.80±3.16） points. Conclusion The intelligent management system of fiberoptic bronchoscopy cleaning and disinfection constructed by multi-source data fusion has the functions of accurate early warning，dynamic real-time supervision，multi-department data coordination and auxiliary decision-making. It can improve the phenomenon of data island between departments of fiberoptic bronchoscopy centralized processing and help hospital infection prevention and control.

Investigation on the current situation of quality management system construction in central sterile supply departments of 2 377 hospitals

QIAO Sainan, DU Zhijuan, CHEN Lu, ZHAO Yue, LI Baohua

2026, 61(19):  2612-2619.  DOI: 10.3761/j.issn.0254-1769.2026.19.003

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Objective To investigate the current status of quality management system construction in central sterile supply departments（CSSDs） of hospitals across China，to analyze differences between hospitals of different levels，and to provide references for promoting standardized CSSD construction. Methods A national cross-sectional survey was conducted from May 12 to 30，2025，using convenience sampling. A validated，self-developed questionnaire was administered to 2，456 hospitals across 31 provinces in China. The questionnaire，based on the “Structure-Process-Outcome” Model，encompasses 3 dimensions：Structure（institutional development，satisfaction with human resource allocation），Process（information management system），and Outcome（establishment of quality monitoring indicators，continuous quality improvement），consisting of 31 items in total. The descriptive statistical analysis was conducted to assess the current status of hospital management practices and compare variations across hospitals stratified by administrative grade. Results A total of 2，456 questionnaires were distributed，yielding 2，377 valid responses，resulting in an effective response rate of 96.78%. In structural dimensions：over 95.00% of CSSDs have established formal regulations covering core operational domains（including job responsibilities，emergency response plans，standard operating procedures，workflow protocols，disinfection and isolation practices，equipment and facility management，and adverse event reporting systems）. Regarding satisfaction with human resource allocation，18.13% of CSSD managers reported being fully satisfied，noting that staffing levels were adequate to complete tasks to a high standard，while 54.77% reported being generally satisfied，noting that although workloads were sometimes heavy，they were manageable. Notably，satisfaction with personnel allocation was significantly higher in tertiary hospitals than in secondary hospitals（P<0.001）. In the process dimensions：only 28.23% of CSSDs have achieved information-based monitoring of quality-sensitive indicators；23.52% of CSSDs possess information systems with built-in quality control functionalities；merely 21.37% of the CSSD information systems support quantitative analysis of personnel workload. In the outcome dimensions：the setting rate for the instrument cleaning quality pass rate indicator was 95.37%. The setting rates for other indicators—listed in descending order—were as follows：sterilization quality pass rate（89.27%），packaging quality pass rate （89.19%），sterilization wet-pack rate（77.41%）. The sterile item timely supply rate had the lowest proportion of hospitals conducting monitoring，at only 25.54%. Finally，regarding continuous quality improvement activities，9.42% of CSSDs reported no engagement in structured continuous quality improvement activities. Conclusion The structural framework of the domestic CSSD quality management system has largely taken shape，but process management remains weak，and there is still room for improvement in areas such as the depth of digital traceability and mechanisms for continuous quality improvement.

Construction of an evaluation index system for perioperative nursing quality of patients with implanted brain-computer interfaces

LIU Qingbo, CAO Yong, REN Yajuan, DENG Lan, LI Kangyuan, ZHONG Liyun

2026, 61(19):  2620-2625.  DOI: 10.3761/j.issn.0254-1769.2026.19.004

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Objective To construct an evaluation index system for the perioperative nursing quality of patients with implanted brain-computer interfaces，providing a tool for systematic and quantitative assessment and monitoring of nursing care quality during this period. Methods Based on the “structure-process-outcome” three-dimensional quality evaluation model，this study employed literature review，the Delphi method，and the analytic hierarchy process to determine the content of perioperative nursing quality evaluation indicators for implanted brain-computer interfaces and to establish the weights of each indicator level. Results The effective recovery rates of the 2 rounds of questionnaire surveys were 93.75% and 100%，respectively. The expert authority coefficients were 0.920 and 0.923 respectively，and the Kendall’s coefficients of concordance were 0.149 and 0.117 respectively. Finally，an evaluation index system for the nursing quality of implantable brain-computer interface patients during the perioperative period was formed，which included 3 first-level indicators，12 second-level indicators，and 46 third-level indicators. Conclusion The nursing quality evaluation indicator system developed in this study demonstrates strong scientific validity，reliability，and specialty specificity，aligns with clinical practice，and can serve as a reference for objectively assessing the quality of perioperative nursing care for patients with implanted brain-computer interfaces.

Advances in the application of artificial intelligence in nursing quality and safety management in operating rooms

ZHAO Zihan, XU Chaojun, LI Mingtian, ZHOU Yi, LI Chuan, LIU Yanling

2026, 61(19):  2626-2631.  DOI: 10.3761/j.issn.0254-1769.2026.19.005

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Artificial intelligence has strong capabilities in data processing，self-learning，predictive analysis，and intelligent decision support. It can be applied to surgical consumables management，optimization of operating room workflow，nursing risk warning，and surgical safety checklist support，thereby improving the timeliness，accuracy，and traceability of operating room nursing management. This review summarizes the application progress of artificial intelligence in operating room nursing management，analyzes related challenges，and proposes corresponding strategies，aiming to provide a reference for the standardized application of artificial intelligence in operating room nursing management and the improvement of nursing quality.

Standards

Expert consensus on death education for patients undergoing palliative care

Palliative Care Professional Committee of Chinese Nursing Association, Palliative Care Professional Committee of Anhui Province Nurs-ing Association (Writing Committee：LI Fengxia, HU Chengwen, CHEN Yongyi, ZHU Xiaoming, YING Wen-juan, XIANG Weilan, LENG Feifei, GU Daoqin, LIU Zhengzheng, XU Baohui, SUN Li, WANG Yaping, SHEN Boting)

2026, 61(19):  2632-2637.  DOI: 10.3761/j.issn.0254-1769.2026.19.006

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Objective To formulate an expert consensus on death education for patients undergoing palliative care（hereinafter referred to as the “consensus”），and to provide references for standardizing related clinical prac-tices. Methods A “consensus” formulation team was established. Through systematic literature search，quality eval-uation，and evidence extraction and integration，the initial draft of the "consensus" was formed. From August to November 2025，2 rounds of expert Delphi consultations and 1 round of expert panel discussion were conducted to revise and polish the content，ultimately forming the final version of the consensus. Results The expert response rate for both rounds of consultation was 100%；the expert authority coefficients were 0.93 and 0.92 respectively；the Kendall’s concordance coefficients were 0.438 and 0.409 respectively（both P<0.001）. In the second round of the Delphi survey，the mean score for item importance ranged from 4.70 to 4.98，with the coefficient of variation ranging from 0.03 to 0.10. The finalized consensus covers 7 dimensions，including educational targets，educators，educational objectives，educational content，educational preparation，educational implementation and effect evaluation. Conclusion This “consensus” possesses certain scientific validity and operability，while further verification and optimization are required in different clinical situations.

Expert consensus on wound care for snakebite

Emergency Nursing Professional Committee of Chinese Nursing Association (Writing Committee：NIE Anliu, HE Binbin, ZHANG Shuzeng, LI Jianfeng, ZHANG Jianxia, ZENG Yan, LIU Wanjuan, GAN Xiuni, HUANG Yanmei, SU Xiangfen)

2026, 61(19):  2638-2645.  DOI: 10.3761/j.issn.0254-1769.2026.19.007

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Objective To formulate an expert consensus on wound care for snakebite（hereinafter referred to as the ‘consensus’），and to guide nurses in standardized implementation of wound care for snakebite. Methods Chinese and international databases as well as relevant guideline websites were systematically searched. The available evidence was summarized and appraised to formulate the initial draft of the ‘consensus’. A total of 2 rounds of Delphi expert consultations（conducted in December 2025 and February 2026） and 1 expert panel discussion（held in May 2026） were conducted to revise the content of the ‘consensus’，resulting in the final draft. Results A total of 21 experts from 11 provinces in China participated in the consultations. The expert response rates for the 2 rounds of Delphi consultations were 95.5% and 100%，respectively. The authority coefficient was 0.893. The coefficients of variation was 0.03~0.21 points and 0~0.13 points correspondingly. The Kendall’s concordance coefficients were 0.236 and 0.374（all P<0.001）. The consensus consists of 7 sections. Conclusion The ‘consensus’ is scientific and rigorous，which can provide standardized guidance for nurses in the assessment and nursing management of snakebite wounds.

Specialist Nursing Practice and Research

Application of an intelligent nursing program in patients with acute ST-segment elevation myocardial infarction

YE Lixia, YAO Hui, ZHOU Jianping, ZHOU Hong, JI Kexin, LI Qin

2026, 61(19):  2646-2652.  DOI: 10.3761/j.issn.0254-1769.2026.19.008

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Objective To explore the effects of an intelligent nursing program based on dynamic business process management（DBPM） on the emergency nursing quality and clinical outcomes of patients with acute ST-segment elevation myocardial infarction（STEMI），so as to provide a reference for constructing an emergency nursing quality improvement path for STEMI patients based on an information platform. Methods A non-concurrent pre-post controlled study design was adopted. A total of 81 patients with acute STEMI admitted to the chest pain center of a tertiary grade-A hospital in Hangzhou were conveniently selected as the research subjects. 38 patients admitted from July to December 2025 were assigned to an experimental group，receiving the DBPM-based intelligent nursing program on the basis of conventional emergency nursing. 43 patients admitted from October 2024 to March 2025 were assigned to a control group，receiving the conventional emergency nursing workflow. The emergency nursing-sensitive time indicators，clinical rescue quality，and outcomes were compared between the 2 groups. Results There was no sample loss in either group. The triage-to-process activation time，dual antiplatelet therapy（DAPT） administration time，troponin feedback time，catheterization laboratory activation time，and overall door-to-wire time in the experimental group were significantly shorter than those in the control group（P<0.05）. The incidence of heart failure after percutaneous coronary intervention and the rescue process interruption rate in the experimental group were significantly lower than those in the control group，while the transfer handover compliance rate was significantly higher than that in the control group（P<0.05）. Additionally，the hospitalization cost and length of stay in the experimental group were lower than those in the control group（P<0.05）. Conclusion The intelligent nursing program based on DBPM can effectively optimize the emergency nursing workflow for STEMI patients，shorten key nursing-sensitive time indicators，reduce the process interruption rate，and improve emergency nursing execution quality as well as clinical outcomes.

Application of open visitation for terminally ill children and their families in the pediatric intensive care unit

XU Haili, WANG Longjun, WANG Dan, CUI Yining, SHEN Yan

2026, 61(19):  2653-2660.  DOI: 10.3761/j.issn.0254-1769.2026.19.009

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Objective To develop an open visitation protocol for children at the end of life in the Pediatric Intensive Care Unit（PICU） and to explore its implementation effects on both the children and their family members，aiming to provide a reference for implementing open visitation in domestic PICUs. Methods Using convenience sampling，children at the end of life admitted to the PICU of a tertiary grade A hospital in Henan Province and their family members from July 2024 to June 2025 were selected as study subjects. Those admitted from January to June 2025 were assigned to an experimental group and received open visitation，while those admitted from July to December 2024 served as a control group and received the unit’s original restricted visitation policy. Comparisons were made between 2 groups regarding family members’ levels of anticipatory grief and quality of life，their satisfaction with high-quality nursing care，and the incidence of hospital-acquired infections among the children. Results Ultimately，26 child-family dyads in the experimental group and 28 in the control group completed the study. After the intervention，the experimental group showed significantly lower anticipatory grief scores（P<0.001），and higher quality of life and satisfaction scores（all P<0.05） among family members compared to the control group. There was no significant difference in the incidence of hospital-acquired infections among the children between the 2 groups during the intervention period（P=0.986）. Conclusion The open visitation protocol developed in this study for children at the end of life in the PICU not only effectively reduced the level of anticipatory grief among family members and improved their quality of life and satisfaction，but also did not increase the incidence of hospital-acquired infections in the children. This provides a valuable reference for optimizing visitation policies in PICUs.

Effect of multicomponent exercise on improving physical function and quality of life in patients with peritoneal dialysis complicated by sarcopenia

LI Lijiao, JIA Yinaxi Azhati, WU Yaqin, TAN Yixiang, CHI Pingping, ZHANG Qingqing

2026, 61(19):  2661-2668.  DOI: 10.3761/j.issn.0254-1769.2026.19.010

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Objective To explore the therapeutic effect of multicomponent exercise in patients with peritoneal dialysis（PD） complicated by sarcopenia，further clarify its improvement on patients’ muscle function，inflammatory expression，and quality of life，and thereby providing relevant diagnostic and therapeutic basis for non-pharmacological rehabilitation intervention programs for such patients in clinical practice. Methods A total of 122 peritoneal dialysis patients who were regularly followed up in the Department of Nephrology of a tertiary Grade A hospital in Xinjiang from January to August 2025 were selected as study subjects and randomly divided into a control group （n=61） and an experimental group（n=61）. The experimental group received a 12-week multicomponent exercise intervention based on conventional diagnosis and treatment，while the control group only underwent conventional treatment and nursing care. Indicators including appendicular skeletal muscle mass index（ASMI），grip strength，physical function，serum levels of interleukin-6（IL-6） and tumor necrosis factor-alpha（TNF-α） were measured before and after the intervention. The Kidney Disease Quality of Life Scale was used to evaluate patients’ quality of life. Results This study included 60 cases in the experimental group and 59 cases in the control group. Compared with the control group，after 12 weeks of intervention，the experimental group showed significant improvements from baseline in ASMI，grip strength，physical function score，and quality of life score，which were also significantly better than those of the control group at the same period（all P<0.05）. Serum IL-6 and TNF-α levels were significantly decreased from baseline and also significantly lower than those of the control group（all P<0.001）. Patient satisfac-tion in the experimental group was superior to that in the control group at the same period（P=0.004）. Conclusion Multicomponent exercise can effectively improve muscle mass and strength，enhance physical function，alleviate microinflammation，and improve quality of life and satisfaction in patients with peritoneal dialysis complicated by sarcopenia.

Construction and internal validation of a risk prediction nomogram for social frailty in older adults with visual impairment

YAN Kangrong, TANG Langjuan, WU Li, XIE Fangting, MIAO Hongyan, LIU Ziyue, MO Ni

2026, 61(19):  2669-2675.  DOI: 10.3761/j.issn.0254-1769.2026.19.011

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Objective To analyze the influencing factors of social frailty in older adults with visual impairment，construct a risk prediction nomogram model，and provide a reference for early identification of high-risk populations. Methods Using convenience sampling，data of 350 older adults with visual impairment who visited a tertiary hospital in Jiangxi Province from December 2025 to April 2026 were retrospectively collected. The cohort was randomly divided into a training set and a validation set at a 7∶3 ratio. In the training set，univariate analysis and LASSO regression were used to screen candidate predictors. The intersection variables of the 2 methods were included in multivariable Logistic regression to construct the prediction model，and a nomogram was plotted. Model performance was evaluated using the area under the receiver operating characteristic curve，calibration curve，Hosmer-Lemeshow test，and decision curve analysis. Results A total of 344 cases were ultimately included. The incidence rate of social frailty in older adults with visual impairment was 32.56%. Per capita monthly household income，social support score，and visual function-related quality of life score were the influencing factors of social frailty. The area under the curve of the constructed nomogram model was 0.955 in the training set and 0.960 in the validation set. The Hosmer-Lemeshow test showed that χ²=13.046，P=0.110 for the training set，and χ²=1.571，P=0.666 for the validation set. Decision curve analysis showed that the model had a good clinical net benefit in the threshold probability range of 5%-90%. Conclusion The nomogram model constructed in this study has good predictive performance and can be used for early screening of social frailty in older adults with visual impairment.

A study on current status of blood glucose monitoring barriers in patients with type 2 diabetes mellitus

ZHENG Jiaxing, LIN Siyin, DONG Lili

2026, 61(19):  2676-2683.  DOI: 10.3761/j.issn.0254-1769.2026.19.012

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Objective To explore the current status and latent profiles of blood glucose monitoring barriers in patients with type 2 diabetes mellitus（T2DM），and analyze the influencing factors of different profiles，so as to provide a basis for formulating targeted intervention measures. Methods A convenience sample of 305 patients with T2DM attending the endocrinology outpatient clinic or the ward of a tertiary hospital in Shantou from September to October 2025 were recruited. Data were collected using a general information questionnaire，the Self-Monitoring of Blood Glucose Barriers Scale，the Generalized Anxiety Disorder Scale，the Patient Health Questionnaire，the General Self-Efficacy Scale，the Perceived Social Support Scale，and the Diabetes Self-Management Scale. Latent profile analysis and multivariable logistic regression were performed for statistical analysis. Results A total of 301 valid questionnaires were obtained. The mean score of blood glucose monitoring barriers was（54.18±21.05） points. A total of 3 latent profiles were identified：low-barrier-autonomy/support type（21.26%），moderate-bar-rier-cognitive deficit type（40.86%），and high-barrier-multidimensional type（37.87%）. Comorbidities，complications，duration of diabetes，prior education on blood glucose monitoring，availability of monitoring devices，anxiety，perceived social support，and diabetes self-management level were significantly associated with profile membership（P<0.05）. Conclusion Blood glucose monitoring barriers among patients with T2DM exhibit marked heteroge-neity. Healthcare providers should assess patients’ barrier profiles and implement tailored interventions to improve adherence to self-monitoring of blood glucose.

A qualitative study on facilitators and barriers to caregiving behaviors among caregivers of children with epidermolysis bullosa

WANG Chunting, CHEN Jie, MA Lili, JIANG Yuanyuan, LUO Mengyu

2026, 61(19):  2684-2690.  DOI: 10.3761/j.issn.0254-1769.2026.19.013

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Objective To explore the facilitators and barriers influencing home-based caregiving behaviors among caregivers of children with epidermolysis bullosa（EB） based on the Capability-Opportunity-Motivation-Behavior （COM-B） model，and to provide evidence for developing targeted home-based caregiving support and intervention strategies. Methods A descriptive qualitative study was conducted. From February to April 2025，12 caregivers of children with EB were recruited using purposive sampling and participated in semi-structured interviews. Directed content analysis was employed to categorize and synthesize the facilitators and barriers influencing caregiving behaviors. Results A total of 6 facilitators and 6 barriers were identified. Facilitators included：capability factors，namely the accumulation of preventive caregiving experience and the improvement of wound care skills through repeated practice；opportunity factors，informational and emotional support from peer groups and collaboration and shared responsibility among family members；motivation factors，active learning to alleviate children’s suffering and a sense of value derived from caregiving outcomes and children’s responses. Barriers included：capability factors，namely insufficient ability to translate caregiving knowledge into practice and inadequate ability to cope with caregiving needs across developmental stages；opportunity factors，limited accessibility of professional healthcare resources and restricted choices of care supplies under financial pressure；motivation factors，accumulated negative emotions during long-term home-based caregiving and temporary avoidance in home care. Conclusion The effective implementation of home-based caregiving for children with epidermolysis bullosa relies on the combined influence of caregivers’ capabilities，environmental support，and intrinsic motivation. Nursing professionals should provide stage-specific home care guidance during diagnosis and follow-up，promote family collaboration and professionally guided peer support，and offer timely feedback and emotional support，so as to facilitate the continuity and safety of caregiving behaviors.

Rare Disease and Critical Care

Nursing care of 11 patients undergoing extracorporeal membrane oxygenation bridging to double lung transplantation

ZENG Fei, HE Peng, JIANG Yue, LIANG Jiangshuyuan

2026, 61(19):  2691-2695.  DOI: 10.3761/j.issn.0254-1769.2026.19.014

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This study summarizes the nursing experience of 11 patients undergoing extracorporeal membrane oxygenation（ECMO） bridging for double lung transplantation. Key nursing strategies included：muscle strength risk stratification management with early functional exercises，dynamic monitoring of diaphragmatic function with stepwise mechanical ventilation weaning，early screening of swallowing function with progressive rehabilitation training，tissue perfusion monitoring with comprehensive protection against acute skin failure，psychological intervention for trauma patients along with self-identity reconstruction，and staged follow-up management with continuous rehabilitation guidance. Through meticulous nursing care，all patients were successfully transferred out of the ICU. 2 patients were readmitted to the ICU on days 125 and 48 after being transferred out and ultimately died，and 9 patients recovered and were discharged. During follow-up，a patient died from pulmonary infection，and the remaining 8 patients were followed up for 2~9 months postoperatively，with normal pulmonary function and restored daily living abilities.

Nursing care for a patient with Japanese encephalitis complicated by fulminant myocarditis and respiratory failure

SUN Jiaqi, YU Chao, LIN Yan, JIN Jiamin, GENG Ke

2026, 61(19):  2696-2700.  DOI: 10.3761/j.issn.0254-1769.2026.19.015

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To summarize the nursing experience of a patient with Japanese encephalitis complicated by fulminant myocarditis and respiratory failure. Key points of nursing：multidimensional dynamic monitoring was performed to prevent multiple organ dysfunction；respiratory support and airway management were optimized to accelerate the recovery of respiratory function；individualized rehabilitation protocols were formulated to promote neurological functional reconstruction；comprehensive infection prevention and control measures were implemented to prevent vector-borne transmission and secondary infection. After 27 days of meticulous treatment and nursing care，the patient’s condition improved and he was discharged smoothly. During a 3-month telephone follow-up，the patient remained in good condition.

Evidence Synthesis Research

Experiences of brace treatment in adolescents with idiopathic scoliosis：a Meta synthesis

GUAN Yinghui, XIE Jianhui, WANG Fangyuan, OUYANG Yaqi, TIAN Jiaqi, GUO Huicong, YAO Lulu

2026, 61(19):  2701-2707.  DOI: 10.3761/j.issn.0254-1769.2026.19.016

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Objective To systematically evaluate and integrate the brace treatment experiences of adolescents with idiopathic scoliosis，and to provide evidence for clinical interventions to improve brace compliance in adolescents with idiopathic scoliosis patients. Methods Computerized searches were conducted in PubMed，Web of Science，Embase，CINAHL，Cochrane Library，China National Knowledge Infrastructure（CNKI），Wanfang Database，VIP Database，and China Biomedical Literature Database from inception to January 10，2026. Included studies were evaluated and synthesized using the 2016 Joanna Briggs Institute Centre for Evidence-Based Healthcare Qualitative Research Evaluation Criteria. Results A total of 11 studies were included，yielding 47 findings，categorized into 10 themes and finally synthesized into 3 integrated results：perceived benefits of brace treatment，perceived barriers to brace treatment，and support needs and expectations for brace treatment. Conclusion Adolescents with idiopathic scoliosis experience both benefits and challenges during brace treatment. Healthcare providers should strengthen patients’ awareness of treatment benefits，emphasize the comprehensive assessment and management of physical and psychological symptoms，and integrate multiple support resources from family，school，peers，and the healthcare system to improve patients’ compliance with brace treatment.

Health information needs among women with fetal abnormalities and their spouses：a Meta-synthesis of qualitative studies

ZHOU Zaimei, DENG Yongfang, DAI Ying

2026, 61(19):  2708-2715.  DOI: 10.3761/j.issn.0254-1769.2026.19.017

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Objective To conduct a systematic review of qualitative studies on health information needs of women with fetal abnormalities and their spouses，to provide evidence for formulating systematic information support strategies. Methods Computerized searches were conducted in Pubmed，Web of Science，Embase，Cochrane Library，CINAHL，CNKI，Wanfang Database，VIP Database，and CBM for qualitative studies on the health information need among women with fetal abnormalities and their spouses，with the retrieval timeframe from the inception to January 2026. The quality of the included studies was assessed using the Quality Assessment Criteria for Qualitative Research from the Joanna Briggs Institute Evidence-based Healthcare Center in Australia. Meta-integration methods were used to synthesize the findings. Results A total of 12 papers were included，from which 39 findings were extracted and grouped into 9 categories. These categories were further synthesized into 3 integrated findings：information needs for psychological adaptation；multichannel information-seeking needs；needs for diversified information interaction and communication. Conclusion Healthcare professionals should dynamically assess the diverse information needs of pregnant women with fetal anomalies and their spouses and develop targeted，comprehensive information support strategies to enhance their medical decision-making capacity and promote the maintenance of healthy physical and mental states among families affected by fetal anomalies.

Review

Research progress on the application of swallowing muscle training in patients with ICU-acquired swallowing disorders

XU Jiamin, SHUAI Qinyan

2026, 61(19):  2716-2722.  DOI: 10.3761/j.issn.0254-1769.2026.19.018

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ICU-acquired dysphagia（ICU-ASD） is a prevalent complication in critically ill patients，which elevates the risk of adverse outcomes including aspiration，malnutrition，and pulmonary infection，and significantly impairs patients’ prognosis and quality of life. As a non-invasive intervention，swallowing muscle training is characterised by its ease of administration and high safety profile，and has been proven to improve swallowing function. This paper focuses on the pathogenesis of ICU-acquired dysphagia and provides a systematic review of the theoretical basis，training methods，training formats and clinical outcomes of swallowing muscle training both domestically and internationally. It also analyzes the limitations of existing research，with the aim of providing theoretical guidance for swallowing muscle training programmes for patients with ICU-acquired dysphagia.

Burnout in family caregivers of cancer patients：a scoping review

LIU Xiaoyan, HAN Xiaojuan, XU Han, SHANG Linping

2026, 61(19):  2723-2730.  DOI: 10.3761/j.issn.0254-1769.2026.19.019

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Objective To conduct a scoping review of research on caregiving burnout among family caregivers of cancer patients，aiming to comprehensively map the current state of research in this field and provide a reference for future studies. Methods Following the scoping review reporting framework，a systematic search of domestic and international literature on caregiving burnout among family caregivers of cancer patients was conducted. The search period spanned from database inception to October 17，2025. The included literature was summarized and analyzed. Results A total of 22 articles were included，comprising 9 cross-sectional studies，4 randomized controlled trials，6 qualitative studies，1 quasi-experimental study，1 retrospective cohort study，and 1 mixed-methods study. Family caregivers of cancer patients have different levels of caregiving burnout. Assessment tools primarily include burnout-specific instruments（eg，Maslach Burnout Inventory） and general assessment tools containing burnout dimensions （eg，Personal Competence Inventory）. Influencing factors encompass multiple dimensions，including caregiver individual dimension，caregiving burden and demand dimension，social and environmental dimension，and psychological dimension，for a total of 10 factors. Intervention programs involve emotion regulation interventions，caregiving knowledge and skills support，and creative arts interventions，all of which can alleviate caregivers’ burnout and improve their psychological state. Conclusion Family caregivers of cancer patients experience varying degrees of caregiver burnout，with multidimensional influencing factors. Current intervention programs primarily focus on emotion regulation. Future efforts should focus on developing specific assessment tools for caregiver burnout，and implement family-centered comprehensive interventions to alleviate caregiving burnout among family caregivers of cancer patients.

Digital health technologies in patients with cancer-related cognitive impairment of breast cancer：a scoping review

YAN Huina, XIAO Shuang, ZOU Yiran, LIAO Lianmei

2026, 61(19):  2731-2737.  DOI: 10.3761/j.issn.0254-1769.2026.19.020

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Objective To conduct a scoping review on the application of digital health technologies in breast cancer-related cognitive impairment，so as to provide references for relevant research. Methods Guided by the scoping review methodological framework，relevant literature in Chinese and English databases was systematically searched from January 1，2016 to May 19，2026. Data extraction and synthesis were performed on the included literature. Results A total of 16 articles were included，comprising 11 randomized controlled trials，4 quasi-experimental studies，and 1 mixed-methods study. The digital health technology platforms included video conferencing，mobile applications，telemedicine platforms，virtual reality，and gamified programs. The intervention content centered on cognitive training，combined with health education，symptom management，monitoring and reminders，physical or mind-body exercise，and psychosocial support. The outcome measures covered overall and specific cognitive functions，adherence，mood，fatigue，sleep，and quality of life. Conclusion Digital health technologies demonstrate certain application potential in the management of breast cancer-related cognitive impairment. Future research should be grounded in the needs of domestic patients，develop adaptive platforms，standardize the reporting of core intervention elements，and establish standardized cognitive assessment systems，so as to improve patient rehabilitation outcomes and quality of life.