Objective? To construct a multidisciplinary nutrition management model of stroke patients with nasal feeding based on Omaha system and to evaluate its effects. Methods? With the core of nutrition management of stroke patients with nasal feeding and based on patients' needs in hospitals, communities and families, we constructed a comprehensive assessment scale which included Omaha nursing problems of patients, intervention and outcome evaluation. And then, we carried out standardized intervention under the guide of the scale. From December 2017 to February 2018, we selected 65 stroke patients with nasal feeding from Taiyuan City Centre Hospital in control group (routine intervention) by convenience sampling. From March to May 2018, we selected 65 patients from Taiyuan City Centre Hospital in intervention group (nutrition management model intervention based on Omaha system). We compared the nutrition condition two weeks after catheterization and incidence of nasal feeding related complications one month after catheterization of patients between two groups respectively. We also evaluated the scores of Omaha cognition, behavior and condition of patients at catheterization, two weeks and one month after catheterization. Results? The serum albumin and nutritional status scores of the two groups of stroke patients were significantly different two weeks after intubation (P＜0.05). One month after intubation, the intervention group had diarrhea, aspiration pneumonia, constipation and accident. The incidence of extubation was significantly lower than that of the control group, and the difference was statistically significant (P＜0.05), but the improvement of vomiting and occlusion was not obvious, and the difference was not statistically significant (P＞0.05). In intervention group, patients' scores of Omaha cognition, behavior and condition of patients two weeks and one month after catheterization all increased with statistical differences (P＜0.05). Conclusions? Problems classification system of Omaha system can systematically and comprehensively evaluate the nursing problems among stroke patients with nasal feeding which helps assessors to find the neglected problems in traditional nursing and provides direction for formulating targeted intervention. Assessment for nursing outcomes promotes nurses to dynamically master patients' needs and improves patients' nutrition condition and incidence of complications. Therefore, nutrition management model of stroke patients with nasal feeding based on Omaha system is suitable for whole process management of stroke patients with nasal feeding which is worthy of being explored and popularized.

Background: Here we investigated whether cold chain workers’ insomnia, work-related stress, and viral anxiety contributed to their depression. Furthermore, we investigated the role of viral anxiety in mediating the association between work-related stress and depressive symptoms. Methods: All 200 invited cold chain workers voluntarily responded to an online survey. All were working at a market in Taiyuan, Shanxi Province, China, and responsible for testing nucleic acids in imported cold chain foods and disinfecting outer packaging at government request. We collected their demographic variables and rated their symptoms using the Stress and Anxiety to Viral Epidemics-6 Items (SAVE-6), Patient Health Questionnaire-9, Insomnia Severity Index (ISI), Perceived Stress Scale (PSS), and Maslach Burnout Inventory - General Survey (MBI-GS). Results: Cold chain workers’ depression was significantly correlated with higher SAVE-6 (r = 0.450, P < 0.01), ISI (r = 0.603, P < 0.01), MBI-GS (r = 0.481, P < 0.01), and PSS (r = 0.390, P < 0.01) scores. SAVE-6 score was significantly correlated with ISI (r = 0.462, P < 0.01), MBI-GS (r = 0.305, P < 0.01), and PSS (r = 0.268, P < 0.01) scores. Linear regression revealed that their depression was predicted by SAVE-6 (β = 0.183, P = 0.003), ISI (β = 0.409, P < 0.001), and MBI-GS (β = 0.236, P = 0.002, adjusted R2 = 0.440, F = 40.04, P < 0.001) scores. Mediation analysis showed that their burnout directly influenced their depression, while viral anxiety or insomnia severity mediated the influence of burnout on depression. Conclusion The study showed that burnout was a direct cause of depression and that viral anxiety and insomnia severity mediated the relationship between burnout and depression.

At present, transitional nursing of mobile platform improves the self-management ability of stroke patients after they are discharged from the hospital, promotes their home rehabilitation and reduces the readmission rate of them. This paperreviews main forms, application effects and problems existing in the application process of the mobile platform for transitional nursing for stroke patients in China. By referring to the foreign research results, it analyzes the development trend of transitional nursing of mobile platform for stroke patients in China, aiming to provide reference for Chinese medical staff to conduct multi-directional application of the mobile platform in the practice of transitional nursingfor stroke patients in the future.

Cognitive pre-rehabilitation can maintain and improve perioperative cognitive function and reduce postoperative neurocognitive disorders in elderly patients. This article will elaborate on the concept and pathogenesis of perioperative neurocognitive disorders and the content and existing shortcomings of cognitive pre rehabilitation, so as to provide references for the research and application of cognitive pre rehabilitation in elderly patients in China.

Objective: This study explored the psychometric properties of the Chinese version of the Stress and Anxiety to Viral Epidemics-6 Items (SAVE-6) scale for cold chain practitioners exposed to moderate-to-high risk of infection. Methods: A total of 233 cold chain practitioners participated in an anonymous online survey, conducted from October to November 2021. The questionnaire comprised participant demographic characteristics, the Chinese version of SAVE-6, the Generalized Anxiety Disorders-7 (GAD-7), and the Patient Health Questionnaire-9 (PHQ-9) scales. Results: Based on the results of the parallel analysis, the single-structure model of the Chinese version of SAVE-6 was adopted. The scale showed satisfactory internal consistency (Cronbach’s alpha=0.930) and good convergent validity based on Spearman’s correlation coefficient with the GAD-7 (rho=0.616, p<0.001) and PHQ-9 (rho=0.540, p<0.001) scale scores. The optimal cutoff score for Chinese Stress and Anxiety to Viral Epidemics-9 Items was identified as ≥12 (area under the curve=0.797, Sensitivity=0.76, Specificity=0.66) for cold chain practitioners. Conclusion The Chinese version of the SAVE-6 scale has good psychometric properties and can be applied as a reliable and valid rating scale to assess the anxiety response of cold chain practitioners in the post-pandemic era.

Objective To explore the influence of nutrition status on cognitive function in patients with Alzheimer disease(AD)so as to provide theoretical support for clinical intervention. Methods A total of 182 patients with AD(over 60 years old)treated in Neurology Departments and Geriatrics Department from three class Ⅲ grade A general hospitals in Taiyuan City were selected as study subjects by purposive sampling from June to December 2016. The cognitive function and nutrition status were evaluated with the mini-mental state examination(MMSE)and the short-form mini-nutritional assessment(MNA-SF)respectively. The relation between them was analyzed with variance analysis,correlation analysis and regression analysis. Results The average score of MMSE and the total score of MNA-SF were(18.13±5.44)and(9.66±2.40). There were statistically significant differences in the dimension scores(weight loss during the last 3 months, having suffered psychological stress or acute disease in the past 3 months,mobility,neuropsychological problems,having food intake declined over the past 3 months due to loss of appetite,digestive problem, chewing or swallowing difficulties)and the total score of nutrition status among groups of mild,moderate and severe cognitive impairment(F=4.600,5.046,12.265,12.962,64.361,12.767;P<0.05). Pearson correlation analysis showed that the dimension scores(weight loss during the last 3 months,mobility,neuropsychological problems,having food intake declined over the past 3 months due to loss of appetite,digestive problem,chewing or swallowing difficulties)and the total score of nutrition status had positive correlations with the score of MMSE with significant differences(r=0.033,0.510,0.324,0.550,0.386;P<0.05). The score of dimension on having suffered psychological stress or acute disease in the past 3 months had a significantly negative correlation with the score of MMSE(r=-0.166,P<0.05). Regression analysis revealed that there was still a positive correlation between the total score of nutrition status and the score of MMSE after adjusting ages,days for reading books and newspapers one week,being with brain diseases or medical histories(β′=0.365,P<0.05). Conclusions Medical staff should strengthen evaluation on early nutrition status in AD patients and take effective interventions so as to delay the progression of cognitive impairment and improve the quality of life of patients.

Objective:To explore the effect of structured interdisciplinary bedside rounds (SIBR) model on diarrhea and nutritional status in patients with stroke receiving enteral nutrition through nasogastric tube.Methods:From February to September 2021, 117 stroke patients with enteral nutrition through nasogastric tube admitted to Taiyuan Central Hospital were selected as the study subject by convenient sampling. The patients were divided into the control group (57 cases) and the intervention group (60 cases) according to the ward at the time of admission. The control group received routine enteral nutrition intervention, and the intervention group carried out enteral nutrition intervention based on SIBR model. The incidence of diarrhea and incontinence dermatitis during hospitalization, the nutritional indicators before treatment and on the seventh and fourteenth days of nutritional treatment, the incidence of complications during hospitalization and the length of hospitalization were compared between the two groups.Results:The incidence, duration, severity of diarrhea and the incidence of incontinence dermatitis in the intervention group were lower than those in the control group, and the incidence of constipation, gastric retention and pulmonary infection were lower than those in the control group, and the length of hospitalization was less than that in the control group, and the differences were statistically significant ( P<0.05) . After 14 days of nutritional treatment, the albumin, total protein and hemoglobin in the intervention group were better than those in the control group, with statistical differences ( P<0.05) . Conclusions:SIBR model integrates the content of ward round, shortens the time of ward round, increases the work efficiency, effectively reduces the incidence of diarrhea and incontinence dermatitis in patients with stroke receiving enteral nutrition through nasogastric tube, improves the nutritional status of patients, reduces the incidence of complications, and shortens the length of hospitalization.

Objective:To develop a self-directed learning feedback system for patients with post-stroke dysphagia (PSD) and analyze its effectiveness.Methods:From November 2022 to July 2023, convenience sampling was used to select 108 PSD patients from the Neurological Disease Center of Taiyuan Central Hospital as the research subject. The patients were divided into a control group and an experimental group using a random number table method, with 54 cases in each group. The control group received routine nursing upon discharge, while the experimental group was treated intervention measures through the self-directed learning feedback system. The self-efficacy, quality of life, swallowing function, and psychological status of two groups of patients were compared before intervention and one and three months after intervention, respectively.Results:A total of 52 patients in the experimental group and 50 patients in the control group completed the study. Repeated measures analysis of variance showed that the self-efficacy and quality of life scores of both groups improved with the extension of intervention time, and the self-efficacy and quality of life scores of the experimental group were higher than those of the control group at one and three months after intervention, with statistical differences ( P<0.01). After one and three months of intervention, the severity scores of dysphagia in the experimental group were lower than those in the control group, and the differences were statistically significant ( P<0.01). As the intervention time extended, the psychological status scores of the experimental group were lower than those of the control group at different time periods, and the differences were statistically significant ( P<0.05) . Conclusions:The application of self-directed learning feedback system in the rehabilitation of PSD patients at home can improve their self-efficacy, quality of life and swallowing function, and relieve negative emotions, which is worthy of further promotion.