Objective To understand the clinical applicability and implementation of expert consensus on the implementation and removal of protective restraints in psychiatry,and to provide references for promoting the standardized practice of psychiatric protective restraints and updating the consensus.Methods By the convenience sampling method,a questionnaire survey was conducted among nurses from 480 hospitals in 30 provinces from June 15 to July 15,2024.The survey was conducted using the instrument for evaluating clinical applicability of guide-lines(version 2.0)and a self-compiled questionnaire on the clinical implementation of the restraint consensus.Results A total of 7,844 valid questionnaires were collected,with a valid questionnaire recovery rate of 93.78％.The results of clinical applicability scoring showed that the consensus had the lowest availability score(64.72％)and the highest acceptability score(76.74％).The results showed that nurses' receiving training and the level of their hospitals were the main influencing factors for scores in various dimensions(P＜0.05).4,774 participants(87.42％)believed that the application of consensus could enhance the standardization of nurses' restraint operations.The safety rate of the restraint consensus was 79.51％,and the economic ratio was 76.87％.Among the evaluators,1,739(22.17％)believed that there were implementation obstacles in the consensus.Conclusion The clinical applicability of the consensus is relatively good,and the application of the consensus helps to improve the standardization of clinical operations.In the future,efforts should be made to strengthen the promotion and training of the consensus,develop hierarchical promotion strategies according to the characteristics of medical institutions,and improve the quality of evidence for the consensus,so as to further enhance the clinical application effect of the consensus.

Objective To understand the clinical applicability and implementation of expert consensus on the implementation and removal of protective restraints in psychiatry,and to provide references for promoting the standardized practice of psychiatric protective restraints and updating the consensus.Methods By the convenience sampling method,a questionnaire survey was conducted among nurses from 480 hospitals in 30 provinces from June 15 to July 15,2024.The survey was conducted using the instrument for evaluating clinical applicability of guide-lines(version 2.0)and a self-compiled questionnaire on the clinical implementation of the restraint consensus.Results A total of 7,844 valid questionnaires were collected,with a valid questionnaire recovery rate of 93.78％.The results of clinical applicability scoring showed that the consensus had the lowest availability score(64.72％)and the highest acceptability score(76.74％).The results showed that nurses' receiving training and the level of their hospitals were the main influencing factors for scores in various dimensions(P＜0.05).4,774 participants(87.42％)believed that the application of consensus could enhance the standardization of nurses' restraint operations.The safety rate of the restraint consensus was 79.51％,and the economic ratio was 76.87％.Among the evaluators,1,739(22.17％)believed that there were implementation obstacles in the consensus.Conclusion The clinical applicability of the consensus is relatively good,and the application of the consensus helps to improve the standardization of clinical operations.In the future,efforts should be made to strengthen the promotion and training of the consensus,develop hierarchical promotion strategies according to the characteristics of medical institutions,and improve the quality of evidence for the consensus,so as to further enhance the clinical application effect of the consensus.

Objective:To explore the effect of emotional ABC theory-based cognitive education on the emotions of lung cancer patients and their families and quality of life of patients.Methods:From January 2019 to January 2022, 111 lung cancer patients and 111 main caregivers admitted to the First Affiliated Hospital of Zhengzhou University were selected as the study subject by convenience sampling. 55 patients and 55 main caregivers enrolled from January 2019 to June 2020 were assigned to the control group, and 56 patients and 56 main caregivers enrolled from July 2020 to January 2022 were assigned to the experimental group. The main caregivers in the control group adopted conventional cognitive education, while the main caregivers in the experimental group adopted cognitive education based on emotional ABC theory on the basis of the control group. A survey was conducted on patients and their main caregivers using the Positive and Negative Affect Scale (PANAS) and the Functional Assessment of Cancer Therapy-Lung (FACT-L) to compare the negative emotions of the two groups of main caregivers and patients, as well as quality of life of patients before and after intervention.Results:There was no statistically significant difference in PANAS scores between the two groups of main caregivers and patients before intervention ( P>0.05). After intervention, the PANAS scores of the main caregivers and patients in both groups decreased, and the scores in the experimental group were lower than those in the control group, with statistical differences ( P<0.05). There was no statistically significant difference in scores of physical well being, social/family well being, relationship with doctor, emotional well being, functional well being, additional attention, and total score in FACT-L between the two groups of patients before intervention ( P>0.05). After intervention, the scores of physical well being, social/family well being, relationship with doctor, emotional well being, functional well being, additional attention, and total score in FACT-L of the experimental group patients were higher than those of the control group, and the differences were statistically significant ( P<0.05) . Conclusions:Emotional ABC theory-based cognitive education for lung cancer patients and their main caregivers can alleviate the negative emotions of the main caregivers and patients, and improve patients' quality of life.

To clarify the relationship between angiotensin converting enzyme (ACE) gene insertion/deletion (I/D) polymorphism and diabetic retinopathy in type 2 diabetic patients by meta analysis. 16 eligible articles were selected in this study, including 1 014 patients with diabetic retinopathy and 1 135 controls. The meta analysis revealed that systematic data Z= 2.91 ( P = 0.004 ), OR = 1.69 ( 95% CI 1.19-2.40). There is association between ACE gene I/D polymorphism and the diabetic retinopathy in type 2 diabetic patients.