To summarize the nursing experience of a case of adolescent type 1 diabetes with anorexia nervosa.The key points of nursing:to strengthen blood glucose management and be vigilant against hypoglycemia and ketoacidosis;to establish a regular eating pattem to improve nutritional status;to implement personalized graded exercise programs to reduce compulsive exercise behaviors;to carry out phased family therapy to enhance treatment effectiveness;to implement family centered health education to enhance disease management capabilities.After careful treatment and care by a multidisciplinary team,the patient recovered well and was discharged smoothly after 89 days of hospitalization.

To summarize the nursing experience of a case of adolescent type 1 diabetes with anorexia nervosa.The key points of nursing:to strengthen blood glucose management and be vigilant against hypoglycemia and ketoacidosis;to establish a regular eating pattem to improve nutritional status;to implement personalized graded exercise programs to reduce compulsive exercise behaviors;to carry out phased family therapy to enhance treatment effectiveness;to implement family centered health education to enhance disease management capabilities.After careful treatment and care by a multidisciplinary team,the patient recovered well and was discharged smoothly after 89 days of hospitalization.

Objective:To initially construct the index system of core competence for psychiatric mental health advanced practice registered nurses, and clarify the importance of indicators at all levels, so as to provide reference for further training of psychiatric mental health advanced practice registered nurses in China.Methods:A research group was established in October 2021 to determine the content of the index system of core competence for psychiatric mental health advanced practice registered nurses through literature search and discussion of the research group. From November 2021 to February 2022, 18 experts were consulted by Delphi method in the form of email and WeChat to adjust and modify the items.Results:The enthusiasm of experts in the two rounds of expert consultation was 100.0% (18/18) . After two rounds of expert consultation, the index coefficient of variation was less than 0.25. The Kendall 's coefficients of indicators at all levels in the first round of expert consultation were 0.117, 0.158, 0.100 ( P<0.01) , and the Kendall 's coefficients of indicators at all levels in the second round of expert consultation were 0.250, 0.213, 0.189 ( P<0.01) . An index system consisting of 6 first-level indicators, 16 second-level indicators and 56 third-level indicators were formed. Conclusions:The index system of core competence for psychiatric mental health advanced practice registered nurses has a high degree of enthusiasm, authority and coordination of opinions of consulting experts, which can provide a scientific basis for further training psychiatric mental health advanced practice registered nurses in China.

Objective:To construction the early ambulation scheme for patients after laparoscopic colorectal cancer surgery.Methods:Based on evidence-based nursing method combined with clinical practice, the draft of early ambulation scheme for patients after laparoscopic colorectal cancer surgery was prepared. From August to October 2022, two rounds of correspondence were conducted with 15 experts by Delphi method, and the final draft of early ambulation scheme for patients after laparoscopic colorectal cancer surgery was formed.Results:The coefficient of expert positivity in the two rounds of correspondence was 100%, the coefficient of authority was respectively 0.86 and 0.87, and the Kendall cofficient of concordance was 0.241 and 0.167 ( P<0.001) . The final scheme consisted of preface and text. The text of the scheme contained 2 first-level items, 10 second-level items and 42 third-level items. Conclusions:The early ambulation scheme for patients after laparoscopic colorectal cancer surgery in this study is scientific and feasible, providing references for clinical medical staff to guide early getting out of bed activities for patients after laparoscopic colorectal cancer surgery.