Self-management helps patients alleviate the impact of disease on their social functions, emotions, and interpersonal relationships. This article provides an overview of the origin, key components, and current application of Individual and Family Self-Management Theory in clinical nursing. Based on this overview, the article presents future directions to enhance the understanding of this theory among Chinese nursing personnel and to further promote its application in nursing practice in China.

Although significant progress has been made in the development of novel targeted drugs for the treatment of acute myeloid leukemia(AML)in recent years,chemotherapy still remains the mainstay of treatment and the overall survival is poor in most patients.Here,we demonstrated the antileukemia activity of a novel small molecular compound NL101,which is formed through the modification on bendamustine with a suberanilohydroxamic acid(SAHA)radical.NL101 suppresses the proliferation of myeloid malignancy cells and primary AML cells.It induces DNA damage and caspase 3-mediated apoptosis.A genome-wide clustered regularly interspaced short palindromic repeats(CRISPR)library screen revealed that phosphatase and tensin homologous(PTEN)gene is critical for the regulation of cell survival upon NL101 treatment.The knockout or inhibition of PTEN significantly reduced NL101-induced apoptosis in AML and myelodysplastic syndrome(MDS)cells,accompanied by the activation of protein kinase B(AKT)signaling pathway.The inhibition of mammalian target of rapamycin(mTOR)by rapamycin enhanced the sensitivity of AML cells to NL101-induced cell death.These findings uncover PTEN protein expression as a major determinant of chemosensitivity to NL101 and provide a novel strategy to treat AML with the combination of NL101 and rapamycin.

Objective: To explore the correlation between different nutritional status and depressive symptoms among adolescents, so as to provide a theoretical basis for targeted improvement of nutritional status and depressive symptoms in adolescents. Methods: A total of 8 102 adolescents aged 12-17 years in Shanghai, Urumqi, Changsha and Kunming were selected by random cluster sampling. Depressive symptoms were assessed by the Center for Epidemiologic Studies Depression Scale(CES-D). Height and weight were measured. Kruskal Wallis H test, Chi square test and ordinal Logistic regression were used to analyze the relationship between nutritional status and depressive symptoms in adolescents. Results: The overall detection rate of depressive symptoms in adolescents was 25.6%, with girls (30.1%) higher than that of boys (21.1%) ( χ 2=87.60, P <0.01). There were statistically significant differences in the scores of depressive symptoms among girls with different nutritional status ( Z =8.34, P <0.05). The detectable rate of depressive symptoms increased with BMI among girls( χ 2 trend =6.04, P <0.05). After controlling for confounding factors, ordinal Logistic regression showed that the obese girls had higher risks in depressive symptoms detection compared with normal weight girls ( OR=1.45, 95%CI=1.10-1.91, P <0.05). Conclusion The nutritional status of girls is better than boys, but the prevalence of depressive symptoms is higher than boys. The risk of depressive symptoms in girls increases with BMI.

Objective: To analyze the correlation between physical activity and depressive symptoms in adolescents, so as to provide a reference for the early prevention of depression among adolescents. Methods: Using a random cluster sampling method, 8 102 adolescents from Shanghai, Urumqi, Changsha and Kunming were investigated via the Physical Activity Assessment Questionnaire of Chinese Children and Adolescents aged 7 to 18 and the Center for Epidemiologic Studies Depression Scale (CES-D) for physical activity and depressive symptoms. Multivariate Logistic regression analysis was used to analyze the correlation between physical activity and depressive symptoms in adolescents. Results: The proportion of adolescents who met moderate to vigorous physical activity (MVPA) standard was 37.0%, and the detection rate of depressive symptoms was 25.6%. The detection rate of depressive symptomsin compliant with MVPA standard group was significantly lower than that in non compliant group among different age and gender( χ 2=7.62-34.54, P <0.05). Adolescents with severe depressive symptoms had high light intensity physical activity(LPA) duration and low vigorous intensity physical activity(VPA) duration, while adolescents with mild depressive symptoms or asymptomatic adolescents had higher MVPA duration. There were differences in LPA and VPA among adolescents with different levels of depressive symptoms in the overall sample, and the differences were still significant among girls, middle school and statistically significant differences in LPA, moderate intensity physical activity(MPA), MVPA were also found among the high school subgroup. However, differences only in LPA were observed among boys with different levels of depression( H=46.48, 10.31, 25.02, 29.54, 30.25, 19.80, 22.20, 9.54, 8.62, 18.06, P <0.05). Multivariate Logistic regression model showed that gender and duration of MVPA were significantly related to risk of depressive symptoms( OR=1.56, 1.42, P <0.05). Conclusion Physical activity among adolescents is significantly related to depressive symptoms. MVPA may be an effective measure to reduce the degree of depressive symptoms.To improve the physical health and prevent depression among adolescents, it is important to choose appropriate physical activity types and effectively increase the duration of MVPA.

Objective: To understand the relationship between family environment and depressive symptoms among adolescent, and to provide a reference for adolescent mental health promotion and intervention. Methods: From September to December in 2021, a questionnaire survey on family environment and depressive symptoms was conducted among 8 102 middle school students by random cluster sampling method in Shanghai, Urumqi, Changsha and Kunming. The Chi square test was used to compare the depression status of students in different family environments. Multivariate Logistic regression analysis was used to explore the relationship between family environment and depressive symptoms. Results: The detection rates of possible depression, likely depression and severe depression in adolescents were 11.2%, 5.9% and 8.4%, respectively. There were significant differences in the detection rate of depression by gender, academic period, urban and rural areas, family forms and only child statu( χ 2=87.60, 27.19, 6.65, 45.59, 4.78, P <0.05). Logistic regression analysis showed that adolescents in single parent families ( OR =1.45) and reorganized families( OR =1.69) were positively correlated with the occurrence of depressive symptoms compared with those in nuclear families( P <0.01). Conclusion Compared with nuclear families, the risks of adolescent depressive symptoms in single parent families and reorganized families are higher. Attention should be paid to the mental health education of teenagers from single parents and reorganized families to ensure the development of their physical and mental health.

Objective In this research,we constructed a skin care program for radiodermatitis in breast cancer patients and explore its clinical application effect.Methods The skin care program for radiodermatitis of breast cancer patients was constructed by the evidence summary and expert meeting.By the convenient sampling method,the patients admitted from July 2022 to September 2022 were selected as the control group for routine nursing,and the patients admitted from October 2022 to December 2022 were selected as the intervention group.The severity of radiodermatitis and quality of life of patients were compared between the 2 groups.Results The Radiation-Induced Skin Reaction Assesment Scale score of the intervention group was(4.63±2.12)after intervention,which was lower than(9.88±2.35)of the control group.After intervention,our results determined by RTOG showed that 16 patients in the control group had grade Ⅰ dermatitis(66.7%);8 patients had grade Ⅱ dermatitis(33.3%);22 patients in the intervention group had grade Ⅰ dermatitis(91.7%),and 2 patients in the intervention group had grade Ⅱdermatitis(8.33%).The score of quality of life after intervention was(102.04±18.20)in the intervention group and(78.29±13.18)in the control group.The differences were statistically significant(P＜0.001).Conclusion The skin care program for radiodermatitis can effectively reduce the severity of radiodermatitis of breast cancer patients,and the quality of life of breast cancer patients during radiotherapy can be effectively improved.

A 67-year-old female patient with severe osteoporosis received an intravenous infusion of zoledronic acid injection 5 mg(100 ml). Twenty-four hours later,the patient developed conjunctival congestion in bilateral eyes,blurred vision,and difficult lifting of the right eyelid. Ofloxacin eye drops and polyethylene glycol eye drops were given,but the above symptoms were not improved markedly. On the 3rd day of zoledronate acid injection,conjunctivitis with blepharoptosis was diagnosed by an ophthalmologist. On the 4rd day,tobramycin dexamethasone eye drops and esculin and digitalisglycosides eye drops were given. Eight days later,the patient's eyes discomfort disappeared. It was considered that conjunctivitis with blepharoptosis was induced by zoledronic acid injection.

A 67-year-old female patient with severe osteoporosis received an intravenous infusion of zoledronic acid injection 5 mg(100 ml). Twenty-four hours later,the patient developed conjunctival congestion in bilateral eyes,blurred vision,and difficult lifting of the right eyelid. Ofloxacin eye drops and polyethylene glycol eye drops were given,but the above symptoms were not improved markedly. On the 3rd day of zoledronate acid injection,conjunctivitis with blepharoptosis was diagnosed by an ophthalmologist. On the 4rd day,tobramycin dexamethasone eye drops and esculin and digitalisglycosides eye drops were given. Eight days later,the patient's eyes discomfort disappeared. It was considered that conjunctivitis with blepharoptosis was induced by zoledronic acid injection.