Climate change has evolved from an environmental issue into a global public health crisis, posing severe challenges to healthcare systems. Issues such as shifts in patient disease patterns, increased care demands for vulnerable populations, and insufficient resilience in nursing systems are becoming increasingly prominent. As the frontline of healthcare delivery, nursing practice directly confronts multiple health risks triggered by climate change. Under the Healthy China 2030 strategy, the role of nursing in addressing climate change cannot be overlooked. Therefore, this paper systematically reviewed the impacts of climate change on nursing practice and corresponding domestic and international strategies, and proposed recommendations for localized development pathways. First, strengthen climate health literacy in nursing education by integrating the climate change system into curricula and clinical practice. Second, promote nursing policy participation in global health governance to establish a climate-adaptive nursing policy system with Chinese characteristics. Finally, establish a multidisciplinary nursing research framework to foster integration among nursing science, climate science, public health, traditional Chinese medicine, and other relevant fields. This paper aims to provide theoretical foundations for constructing a climate-adaptive nursing system with Chinese characteristics, thereby advancing the coordinated development of Healthy China initiative and climate governance.

Objective To explore the comprehensive nursing care in elderly patients with hip replacement. Methods A total of 68 elderly patients with hip replacement was randomly divided into experimental group ( routine nursing and comprehensive nursing care ) and control group ( routine nursing ) . After intervention, we compared the satisfaction of patients and the incidence rate of complication such as the score of hip Harris score, infection, constipation and electrolyte disturbances. Results The scores of joint motion range, function, pain and deformity were (4. 35 ± 0. 44),(40. 91 ± 2. 30),(40. 58 ± 1. 18) and (3. 60 ± 0. 23) in the experimental group, compared with (3. 88 ± 0. 18),(39. 32 ± 2. 48),(39. 00 ± 1. 37) and (3. 41 ± 0. 36) in the control group (t=5. 689,2. 379,5. 114,2. 512, respectively;P<0. 05). While the incidence rate of infection, electrolyte disturbances, constipation and other other complication were 2. 9%, 2. 9%, 5. 9%, 5. 9% in the experimental group, these of the control group were 17. 6%, 17. 6%, 23. 5%, 23.5% (χ2 =3. 981,3.981,4. 221,4. 221, respectively; P < 0. 05). After intervention, the scores of fundamental nursing, specific nursing, attitude of service, health education and total satisfaction degree were (28. 88 ± 0. 91),(29. 06 ± 0. 81),(18. 50 ± 1. 19),(18. 65 ± 1. 04),(95. 18 ± 2. 89), all that were higher than those in the control group (P<0. 05). Conclusions The comprehensive nursing care for elderly patients with hip replacement can contribute to rehabilitative quality after operation, minimize complication incidence and promote elderly satisfaction.

The better conditions for flask fermentation of Grifola frondosa are:QF medium.25℃.pH4 5 filled volume 60mL/500mL flask.rotated speed 100rpm.When 0 4%CMC is added to medium,the growing point of mycelia can increase and the biomass is rised.Scale\|up test has done in 10 litre airlift bioreactor.The rate of biotransformation between biomass and original sugar or between biomass and consuming sugar is over 24% or up to 435%.In mycelium the polysaccharide content is 10 2%.In culture fluid the polysaccharide content is 1 38%.