Objective:To summarize the best evidence for non-pharmacological interventions for patients with perimenopausal sleep disorders and to provide an evidence-based basis for improving sleep disorders and quality of life in perimenopausal women.Methods:All the evidence of sleep disorder in perimenopausal period in databases were searched by the computer in UpToDate, BMJ Best Clinical Practice, Cochrane Library, Joanna Briggs Institute Database, National Guideline Cleaninghouse, National Institute for Health and Clinical Excellence, Scottish Intercollegiate Guidelines Network, Wanfang Database, CNKI, et al. The evidences includes guidelines, expert consensus, evidence summary, systematic evaluation, best practice information book, randomized controlled trial, etc. The search deadline was from database establishment to October 15, 2022. Finally, methodological quality evaluation was conducted on relevant literature to extract and integrate the best evidence.Results:A total of 22 literatures were included, including 6 guidelines, 1 position statement, 4 systematic reviews and 11 randomized controlled trials. A total of 21 pieces of evidence were collected from 5 aspects, including sleep assessment, psychological intervention, physical intervention, traditional Chinese medicine intervention and exercise intervention.Conclusions:Regular evaluation should be conducted on the sleep status of perimenopausal women, and appropriate and feasible individualized intervention measures should be provided based on the actual situation to improve their sleep quality. When applying evidence, it should be combined with the clinical environment to transform it into localized evidence to guide best practice.

Objective To understand the ehealth literacy of coronary disease patients and to explore the problems encountered when searching for disease related health task by computer so as to provide a reference for constructing the ehealth literacy intervention for coronary disease patients. Methods From June 2018 to December 2018, this study selected 20 coronary disease inpatients at a class Ⅲ grade A hospital in Hangzhou by purposive sampling to carry out operational experiment. Subjects operated 6 experimental tasks related to coronary network health designed by researchers in computers. In the experiment, subjects were required to use the method of think-aloud. At the same time, screen video experts recorded the screen activity track, image and sound produced when subjects operated tasks to collected subjects' experimental data. Moreover, two researchers recorded the completion, expression and time of subjects when operating 6 tasks. Colaizzi 7-step analysis was used to summary and analyze the experimental data. Results Problems encountered when coronary disease patients searched for disease related health task by computer included four themes, operating computers and browsers, navigation and location on the Web, using search strategy as well as evaluating the information correlation and reliability. Conclusions Health professionals should pay attention to the basic computer skills of patients,health information search strategy and quality evaluation ability of network health information when providing ehealth literacy training for coronary disease patients to improve the ehealth literacy of coronary disease patients.

Patients with severe liver diseases are prone to nosocomial infection due to serious liver dysfunction, low immune function, and reduced stress ability to infection, and such infections further aggravate patients’ conditions and directly affect their clinical outcome. This article reviews the clinical features of nosocomial infection in patients with severe liver diseases and related risk factors.

This paper summarized the work of nursing acute chest pain pre-examination and triage from the following 4 aspects: the general situation of the work of nursing acute chest pain pre-examination and triage at home and abroad, the factors influencing the decision-making of nurses' chest pain triage, the mode of acute chest pain pre-examination and triage, and the tools of acute chest pain pre-examination and triage, so as to provide reference for improving the quality of nursing pre-examination and triage.

Objective? To explore the knowledge demand on disaster nursing of nurses so as to provide the countermeasure and suggestions for improving the knowledge on disaster nursing of nurses. Methods? From August to October 2016, a total of 510 nurses at a ClassⅢ Grade A hospital in Hangzhou City were investigated with the Disaster Nursing Training Needs Questionnaire for the nurses. The SPSS 21.0 was used to data analysis. A total of 510 questionnaires were sent out and 479 valid questionnaires were collected with 93.92% for the recovery rate. Results? A total of 479 nurses were with the high demand for the professional knowledge and management knowledge of disaster nursing along with 4 and above for the scores of all terms. In the demand of professional knowledge, the highest demand term was the self-protection knowledge (4.70±0.54). Among 9 training modes with multiple choices by 479 nurses, the highest demand for the training mode was theoretical teaching. Among different training modes, 36.7% to 54.9% of nurses selected theoretical teaching. There were statistical differences in the training contents demands among nurses with different departments (P＜ 0.05). Conclusions? Hospitals should strengthen training for the disaster nursing events capability of nurses. Different disaster nursing knowledge and skills should adopt suitable training modes. Nurses with no rescue experience need to attend more effective organizational management training in the disaster.

Acute myocardial infarction (AMI) is an acute, dangerous, and serious disease. Scholars at home and abroad are constantly exploring ways to reduce its first-aid time, improve the treatment efficiency and the prognosis. Multidisciplinary collaboration is one of the keys to emergency treatments in AMI, and nurses play an important role in this process. However, no clear criteria for emergency care procedures for AMI have been found at home and abroad. Through comprehensive analysis of related research, this paper attempts to find the shortcomings of emergency care procedures for AMI and propose the direction for its future development. This article reviews the status quo of emergency care procedures for AMI at home and abroad in order to provide reference for nursing staff.

Objective To establish the cancer pain nursing quality indicators, and to explore the effect on improving the quality of cancer pain nursing in the oncology department.Methods Based on the literature review and cross-sectional survey, according to the characteristic of oncology department and cancer pain nursing needs, guided by previous research findings of standard cancer pain nursing management framework, according to the nursing procedure of "admission-cancer pain assessment-nursing intervention-cancer pain control evaluation-discharge follow up", eight cancer pain nursing quality indicators were established, including nurse-to-patient ratio, comprehensive assessment rate for cancer pain, dynamic assessment rate, patients' awareness rate of pain knowledge, cancer pain intervention efficiency, qualified rate of nursing records, patients' satisfaction rate with cancer pain control, and the follow-up rate. These indicators were applied in the oncology department to manage the nursing quality, and the data were supervised and analyzed regularly to improve the quality of cancer pain management continuously.Results After six months of the application of cancer pain management quality indicators, the comprehensive assessment rate for cancer pain increased from 86.1% to 100.0%; the dynamic assessment rate increased from 83.3% to 97.5%; patients' awareness rate of pain knowledge increased from 77.8% to 95.0%; the cancer pain intervention efficiency increased from 77.8% to 97.5%; the qualified rate of nursing records increased from 80.0% to 95.0%; patients' satisfaction rate with pain control increased from 83.3% to 96.7%; the follow-up rate increased from 80.0% to 96.0% (χ2=3.90, 3.01, 3.53, 5.29, 4.11, 5.93, 4.25;P<0.05).Conclusions The application of cancer pain nursing quality indicators can promote the normalization and quality of cancer pain nursing. It can provide evidence for continuous quality improvement of cancer pain nursing and help improve the cancer pain management.

Objective To explore influence of multi-disciplinary team health education on knowledge-attitude-practice for non-osteoporosis patients .Methods A total of 70 patients without osteoporosis from two different wards of a tertiary hospital in Hangzhou were selected by convenience sampling method and divided into control group ( n =35 ) and observation group ( n =35 ) .The control group was given osteoporosis health education only by nurses , while the observation group received osteoporosis health education by multi-disciplinary team including nurses , doctors, nutritionists and medical experts of endocrinology .The osteoporosis knowledge , health belief , self-efficacy and daily intake of calcium were evaluated before and after health education in hospital , one month and three months after health education .Results A total of 33 subjects in control group and 34 subjects in observation group completed the study .The differences in osteoporosis knowledge , self-efficacy and daily intake of calcium between two groups were statistically significant at different time points (P<0.05).After health education, the scores of osteoporosis knowledge , health belief, self-efficacy and daily intake of calcium in two groups were higher than before (P<0.05), while all of them declined one month and three months after health education .The indexes in observation group were better than those in control group one month after health education, the differences were statistically significant (P <0.05).The indexes except health belief in observation group were better than those in control group three months after health education , the differences were statistically significant (P <0.05).Conclusions The multi-disciplinary team osteoporosis health education in hospital can improve the osteoporosis knowledge , health belief , self-efficacy and daily intake of calcium.

Objective To explore the effect on family members′ cardiopulmonary resuscitation ( CPR) training and improving psychological state of patients after percutaneous coronary intervention ( PCI ) . Methods We selected 94 patients after PCI surgery and their family members from September 2013 to August 2014 in the Department of Cardiology, they were randomly divided into experimental group ( 49 cases ) and control group (45 cases). The patients of control group were implemented conventional coronary heart disease health education, while patients and their families in the observation group were to be trained with coronary heart disease health education and CPR. The SAS, SDS scores were collected compared at the time before training, three days after training, and training after three months between two groups. Results Before the training, the scores of SAS and SDS of two groups had no significant differences (P>0. 05). At the three months and three days after the training, the scores of SAS in the observation group and control group were statistically significant compared with scores before training (P<0. 05). In the observation group and control group, three days and three months after traing, the scores of SAS and SDS were statistically significant compared with the scores before training (P<0. 05). Conclusions CPR training plays an active role in patient′anxiety psychology, but it still needs to strengthen the duration of training. The way of CPR training for the family members is worth of promotion.