Objective To investigate the types of latent profiles and influencing factors of knowledge,attitudes and practice(KAP)in curriculum-based ideological and political education in undergraduate nursing students and to provide evidence for design of ideological and political courses tailored to different types of nursing undergraduates.Methods A convenience sampling method was used to recruit 671 undergraduate nursing students from our school between March and July 2024.Data were collected using a general data survey form,a KAP questionnaire on nursing curriculum-based ideological and political education,a professional identity survey for nursing undergraduates,and the Jefferson empathy scale nursing student edition(JSPE-NS).Latent profile analysis(LPA)was conducted using 22 items of the KAP questionnaire as observed variables,and a logistic regression analysis was used to assess the influencing factors of different KAP latent profiles in ideological and political education.Results A total of 663 nursing undergraduate students completed the survey.They spread in three latent groups:a mediocre group(172/663,25.9%),a competent group(378/663,57.0%),and an exceptional group(113/663,17.1%).From a single-child family,grade point average(GPA),professional identity and empathy were identified as the factors that influenced KAP latent profiles in curriculum based ideological and political education among the undergraduate nursing students(all P<0.05).Conclusion There exists a heterogeneity in KAP in curriculum based ideological and political education among the undergraduate nursing students.Nursing educators should develop targeted enhancement measures according to the characteristics of latent profile groups therefore to facilitate the comprehensive development of the undergraduate nursing students.

Objective To investigate the effect of early stability rehabilitation exercises in elderly patients after the surgery for degenerative lumbar disease and to provide effective guidance for the postoperative rehabilitation.Methods From February 2023 to May 2024,a convenience sampling method was used to select 121 patients who received surgery for degenerative lumbar disease in our hospital as the study subjects.The patients were randomly divided into two groups with a random number table:a control group(n=61)and an intervention group(n=60).Patients in the control group received routine nursing care and rehabilitation exercises,while the patients in the intervention group received 2 weeks of early stability rehabilitation exercises on top of the control group.Lumbar spine function,daily living self-care ability and score of pain were recorded and compared between the two groups on day 1 or day 3 before surgery and at 2 weeks and 4 weeks after surgery.Results JOA scores of the intervention group were found higher than those of the control group at 2 and 4 weeks after surgery,all with significant differences between the groups(P<0.05).VAS scores of the intervention group were lower than those of the control group at 3 days,2 weeks,and 4 weeks after surgery,all with significant differences(P<0.05).Scores for daily living self-care ability of the intervention group were higher than those of the control group at 2 weeks and 4 weeks after surgery,all with significant differences(P<0.05).The repeated measures analysis of variance showed that the time main effect and inter group main effect of JOA score,VAS score and self-care ability score in daily life of different time all showed statistical significance between the groups(all P<0.001).Conclusion An early stability rehabilitation exercise can improve the postoperative lumbar function,pains,and self-care ability in daily life in elderly patients after the surgery for degenerative lumbar diseases,as well as accelerate the postoperative recovery,while ensuring the safety of patients.

Objective To explore the challenges faced by online appointment nurses during nasogastric intubation and to provide a reference for improvement of the quality and safety of the services provided by online appointment nursing.Methods A purposive sampling was employed to select 13 online appointment nurses from our hospital who had previously provided home nasogastric intubation services for patients.Semi-structured interviews were conducted with the online appointment nurses.The results acquired from the interviews were analysed using Colaizzi's method.Results Two themes were identified.Theme 1 covered the increased risks of nasogastric intubation due to the patients themselves and home environment,which included 4 sub-themes of difficulties in identification and response due to complex conditions of patient,high risk of a sudden asphyxia with poor resuscitation facility,psychological stress from unfamiliar home environment,and more challenges in risk identification due to limited conditions for performing home-based intubation procedures;Theme 2 covered the coping strategies of online-scheduled nurses,which included the improvement of knowledge and skills in emergency nursing to improve comfidence and judge ability of intubation,the strengthening of nurse-patient communication to build a trust and cooperation,the conduct of thorough assessment to ensure procedural safety,and the use of alternative tools and collaboration with family members.Conclusion Online appointment nurses face challenges and risks from both of the procedures and patients themselves during home based nasogastric intubation.Hospitals and relevant management should actively implement corresponding strategies,provide training and guidance for online appointment nurses,develop relevant regulations,and improve the management mechanisms of the internet platform to ensure the safety of home based nasogastric intubation for online appointment nurses and improve the quality of the"Internet Plus Nursing Services."

Objective To summarise the best evidence of tracheal intubation and extubation in patients with non-ventilated neurocritical care so as to provide a reference and guidance for clinical work.Methods The"6S"evidence-based pyramid model was employed to search multiple databases and sources,including UpToDate,BMJ Best Practice(BMJ),National Institute for Health and Care Excellence(NICE),National Guideline Clearinghouse(NGC),Guidelines International Network(GIN),Scottish Intercollegiate Guidelines Network(SIGN),Canadian Medical Association:Clinical Practice Guideline(CMA Infobase),New Zealand Guidelines Group(NZGG),European Association of Neurosurgical Societies(EANS),American Association of Neurological Surgeons(AANS),Cochrane Library,Joanna Briggs Institute(JBI),Campbell,PubMed,Embase,CINAHL,ProQuest,Elsevier,EBSCO,Web of Science,CNKI,Wanfang Data,VIP,SinoMed and Yimaitong,from inception of the databases to 31st March,2024 for literature on tracheal extubation of the patients in non-ventilated neurocritical care.The retrieved literature included clinical decisions,guidelines,systematic reviews,evidence summaries,expert consensuses,and randomised controlled trials.Two researchers who were trained in evidence-based nursing comprehensively screened the quality of the included literature and extracted the evidences.Results A total of 15 articles were included consisting of 2 clinical decisions,5 guidelines,4 systematic reviews,2 evidence summaries and 2 expert consensuses.They were synthesised into 23 evidence-based recommendations across 4 themes:pre-extubation assessment,pre-extubation preparation,extubation procedure and post-extubation care.Conclusion The best evidence on endotracheal intubation and extubation in patients with non-ventilated neurocritical care summarised in this study provides an evidence-based reference for clinical practice.

This article introduces the concept of death literacy and reviews the content,evaluation methods,target populations,reliability and validity of assessment tools for death literacy in China and abroad.It summarises the advantages and disadvantages of the tools as well as current status in application of the tools.The aim of this study is to provide a reference for researchers to select an appropriate assessment tool or to develop the assessment tools that are more suitable for the death literacy in China.

Objective To explore current status of alexithymia in middle-aged and young patients with stroke,and to analyse the influencing factors and summarise the nursing strategies therefore to provide references for nursing interventions.Methods A convenience sampling method was used to select 220 patients who had stroke and admitted to the wards of Neurology and Neurosurgery in our hospital between February and April 2024.The patients were surveyed using a general information questionnaire,the stroke symptom experience scale,the stroke-specific quality of life scale(SSQOL),and the Toronto alexithymia scale-20(TAS-20).Pearson correlation analysis was used to evaluate the relationship between alexithymia,stroke symptom experience and quality of life in middle-aged and young patients with stroke.Multiple linear regression analysis was used to identify the influencing factors of alexithymia.Results A total of 205 middle-aged and young patients with stroke completed the study.The mean score of the TAS-20 was 74.67±19.68,with average subscale scores for difficulty in identifying feelings of 3.45±0.73,difficulty in describing feelings of 3.49±0.74 and externally-oriented thinking of 3.22±0.69.The prevalence of alexithymia was 74.63%.Alexithymia was found positively correlated with stroke symptom experience and negatively correlated with quality of life(all P<0.05).The education,family income and stroke symptom experience were the protective factors for alexithymia,while quality of life was a risk factor(all P<0.05).These factors collectively explained 61.50%of the variance in alexithymia.Conclusion Middle-aged and young patients with stroke have a high level of alexithymia.Patients with higher education,family monthly income≥2,000 yuan,lower quality of life and higher symptom burden are more likely to develop an alexithymia.Nursing staff should seek appropriate methods to guide patients in expressing their emotions in order to prevent the alexithymia.

Objective To investigate the risk factors of perioperative aspiration to the pregnant women with gestational diabetes mellitus(GDM)and caesarean section,hence to develop a nomogram model for prediction of perioperative aspiration in the pregnant women with caesarean section.Methods A convenience sampling method was used to select a total of 960 pregnant women who had GDM and received caesarean section in our hospital from January 2019 to July 2023.The data obtained from the pregnant women were used as the training set.Further 320 pregnant women who had GDM and received caesarean section in our hospital between August 2023 and December 2024 were assigned as the validation set.Logistic regression was used to analyse the risk factors of perioperative regurgitation and aspiration.A nomogram model of perioperative regurgitation and aspiration for the pregnant women with GDM was established using the R software.The Bootstrap method was adopted to conduct repeated sampling for 1,000 times for model validation.The receiver operating characteristic(ROC)curve and the calibration curve were used to evaluate the reliability and prediction of the model.Results The included predictive variables in the model were:the strict preoperative fasting and water deprivation,general anaesthesia,emergency caesarean section,BMI≥28kg/m2,administration of inhaled anaesthetics,operation time over 1 hour,and administration of prenatal antibiotics.The calibration curves of both the training set and the validation set were found comprehensively consistent with the ideal curve.The areas under the ROC curves of the training set and the validation set were 0.855(95%CI:0.781-0.929)and 0.843(95%CI:0.771-0.915),respectively.Conclusion The predictive variables for perioperative regurgitation and aspiration in the pregnant women with GDM include obesity,strict preoperative fasting and water deprivation,general anaesthesia,emergency caesarean section,administration of inhaled anaesthetics,over 1 hour of operation time and administration of prenatal antibiotics.The nomogram model established in this study has a high accuracy and a high clinical value.

Objective To explore the mediating effect of adversity quotient(AQ)in the relationship between organizational support and professional identity among nurses undergoing standard nursing training and to provide theoretical guidance for enhancing professional identity.Methods A total of 1,031 nurses receiving standardized training from 12 tertiary general hospitals in Jiangsu Province,were recruited using a convenience sampling.Data were collected using the self-rating scale for nurses'adversity,nurses'organizational support perception scale,and nurse professional identity assessment scale.Pearson correlation analysis was performed to examine associations among organizational support,AQ,and professional identity.Structural equation modeling(SEM)was used to test the mediating role of AQ.Results A total of 930 nurses undergoing standardized training completed the survey.The total scores for AQ,organizational support,and professional identity were 132.44±29.78,45.51±9.60,and 100.88±19.52,respectively.Organizational support was positively correlated with professional identity(r=0.753,P<0.01),but negatively with AQ(r=-0.720,P<0.01).AQ was also negatively associated with professional identity(r=-0.772,P<0.01).SEM analysis revealed that AQ partially mediated the relationship between organizational support and professional identity,accounting for 49.20%of the total effect(effect size=0.392).Conclusion Nurses undergoing standardized nursing training exhibit moderate professional identity.AQ serves as a key mediator between organizational support and professional identity.It indicates that improving organizational support and adversity quotient can strengthen their professional identity.

Objective To explore the potential cross-sectional categories of health promotion behaviors in patients after PCI and analyze their influencing factors,so as to provide a reference for formulating targeted interventions to improve health promotion behaviors in patients after PCI.Methods A total of 242 patients who underwent PCI surgery in the Department of Cardiovascular Medicine of a tertiary hospital in Sichuan Province from February to May 2024 were selected by convenience sampling method.The general information questionnaire,the health promotion lifestyle scale,the health literacy scale for patients with chronic diseases,and the perceived social support scale were used to conduct the survey.The potential profile analysis of health promotion behaviors in patients after PCI was carried out,and the influencing factors were explored by univariate analysis and multiple logistic regression analysis.Results A total of 230 patients after PCI completed the study.The results of potential profile analysis showed that the health promotion behaviors of patients after PCI could be divided into three potential profiles:"low health promotion-poor behavior group"(n=71,30.9%),"medium health promotion behavior group"(n=53,23.0%),and"high health promotion-positive behavior group"(n=106,46.1%).Logistic regression analysis showed that medical payment methods,the number of chronic diseases,whether they had received chronic disease-related knowledge guidance,health literacy,and social support were the influencing factors of the potential profile of health promotion behaviors of patients after PCI(all P<0.05).Conclusion The health promotion behaviors of patients after PCI have obvious categorical characteristics.Nursing staff should formulate personalized intervention strategies according to the characteristics and influencing factors of each category,improve the health literacy and comprehension of social support of patients after PCI,and then improve their health promotion behaviors.

Objective To develop and evaluate a standardised nursing protocol for multidisciplinary team surgery assisted by a da Vinci surgical system based on systems management theory.Methods With the systems management theory,a nursing protocol was developed for multidisciplinary team surgery assisted by a da Vinci surgical system.Convenience sampling was employed to select 100 patients who received surgery assisted by a da Vinci surgical system between October 2022 and September 2023 at a Tire-ⅢA hospital in Longyan.The patients received the surgery between October 2022 and April 2023(n=50)were assigned to the control group,and those between May 2023 and September 2023(n=50)were assigned to the trial group.The patients in the control group received routine nursing care,while those in the trial group received a standardised nursing protocol for multidisciplinary team surgery assisted by a da Vinci surgical system based on systems management theory.Preoperative preparation time,setup time for surgery,surgical time,time of hospital stay,ICU admission rate,rate of surgical complication,and scores of satisfaction from medical staff and patients were compared between the two groups.Results Patients in trial group had a shorter time in preoperative preparation and setup than those in the control group(both P<0.001),However,there was no significant difference in surgical time(P>0.05).Patients in the trial group had shorter time of hospital stay,fewer ICU admission and a lower surgical complication rate(all P<0.05),and with higher satisfaction scores from patients,nurses and surgeons(all P<0.001).Conclusion The developed nursing protocol for the multidisciplinary team surgery assisted by a da Vinci surgical system is scientific.It improves surgical efficiency,patient safety and satisfaction among patients,surgeons and nurses.