Objective:To understand the current situation and existing problems of nursing practice of intravenous thrombolysis in acute ischemic stroke and to reflect on and put forward specific suggestions, so as to provide reliable practical basis for improving nursing practice level of acute ischemic stroke.Methods:Using the phenomenological method of qualitative research, 12 nurses attended in an advance studies from different area of China who participated in in-hospital treatment of acute ischemic stroke in Xuanwu Hospital of Capital Medical University were selected as the research objects from October to November 2019, and they were interviewed by semi-structured in-depth interview. Data were collected by notes and recordings, and Colaizzi content analysis was used for data analysis.Results:The nurses' experience of intravenous thrombolysis nursing for acute ischemic stroke included: full awareness of participating in the in-hospital treatment of intravenous thrombolysis for acute ischemic stroke, but lack of professional knowledge of venous thrombolysis for acute ischemic stroke and easy confusion of thrombolytic nursing practice knowledge and basic first aid knowledge. In terms of nursing management, nurses had low cognition and enthusiasm for quality control of intravenous thrombolysis nursing practice.Conclusions:The organized treatment mode of ischemic stroke is still in the practice stage. The training of stroke specialists and the quality control of intravenous thrombolysis nursing practice is an important part of improving the level of medical treatment in the hyperacute phase of ischemic stroke.

Stroke-related sleep disorder is a common clinical manifestation after stroke, which has a greater impact on the prognosis and recovery of patients, but it is often overlooked in actual clinical work. Therefore, it is necessary to quantitatively evaluate the severity of stroke-related sleep disorders through relevant assessment scales in order to facilitate clinical intervention and improve patient prognosis. This article reviews the subjective and objective assessment tools of stroke-related sleep disorders, so as to provide certain theoretical support and a reference basis for the diagnosis, intervention and effect evaluation of stroke-related sleep disorders.

Objective:To develop an expert consensus on safety management of inpatients with Alzheimer's disease (AD) (referred to as the " Consensus") and standardize safety management strategies for AD inpatients. Methods:The evidence on safety management of AD inpatients was searched, evaluated, and summarized, with a search period from database establishment to July 31, 2023. This study conducted methodological quality evaluation and evidence extraction on the included article to form a consensus draft. A total of 24 experts from 15 hospitals across the country were selected for two rounds of Delphi expert consultation to analyze, revise, and improve their opinions, forming the final draft of the Consensus. Results:The positive coefficients for both rounds of expert consultation were 100.00% (24/24). In the second round of consultation, the expert judgment basis coefficient was 0.925, familiarity level was 0.846, authority coefficient was 0.886, Kendall harmony coefficient was 0.044 ( P<0.01). The Consensus elaborated on five common safety problems (loss, falling, aspiration/choking, self-injury/other injury, and medication errors in AD inpatients) from three aspects (assessment, identification of risk factors, and nursing strategies) . Conclusions:The Consensus is scientific and practical to a certain extent, providing guidance and reference for the safety management practice of AD inpatients.