ObjectiveTo observe the clinical effect of anterior seat inclination on sit-to-stand (STS) ability and balance function in patients with stroke, as well as brain functional connectivity based on functional near-infrared spectroscopy (fNIRS). MethodsFrom January, 2024 to December, 2025, 43 patients with stroke were randomly divided into control group (n = 21) and experimental group (n = 22). The control group received conventional rehabilitation combined with STS training on a flat seat, while the experimental group received conventional rehabilitation plus STS training with a 20° anterior seat inclination, for two weeks. Five-times sit-to-stand test (FTSST) and Berg Balance Scale (BBS) were assessed before and after training. fNIRS was used to detect changes in cerebral blood oxygenation in the prefrontal cortex (PFC), primary motor cortex (M1), primary somatosensory cortex (S1) and premotor cortex (PMC), and to analyze functional connectivity strength. ResultsAfter training, FTSST time shortened in both groups (t > 3.469, P < 0.01), and was shorter in the experimental group than in the control group (t = -2.065, P < 0.05); BBS scores increased in both groups (|Z| > 4.019, P < 0.01), and was higher in the experimental group than in the control group (Z = -2.250, P < 0.05). fNIRS showed that after training, the functional connectivity strength between the left M1 and the right PFC increased, as well as between the left M1 and the right S1 in the experimental group (t > 3.311, P < 0.05). ConclusionSTS training with anterior seat inclination can enhance functional connectivity in relevant brain regions, which may contribute to improvements of STS ability and balance function in patients with stroke.

Objective:To develop a Knowledge-Attitude-Practice (KAP) Scale for Fall Prevention in Hospitalized Aged Patients with Cardiovascular Disease and test its reliability and validity.Methods:Using the Knowledge-Attitude-Practice (KAP) framework, scale items were initially constructed through literature review, expert consultation, and a pilot survey. Totally 277 hospitalized cardiovascular patients from the cardiovascular surgery and cardiology departments of the First Affiliated Hospital of Xiamen University were recruited by convenience sampling from September to November 2023 to evaluate the reliability and validity of the scale.Results:A total of 277 questionnaires were distributed, with 254 valid responses, with a response rate of 91.70%. Exploratory factor analysis using principal component analysis and varimax rotation extracted four factors in each dimension (knowledge, attitude, and practice) , explaining 66.506%, 67.847%, and 69.241% of the variance, respectively. Confirmatory factor analysis demonstrated a stable and reliable factor structure. The overall Cronbach's α coefficient of the scale was 0.829, with Cronbach's α coefficients for the knowledge, attitude, and practice dimensions of 0.697, 0.756, and 0.726, respectively. The finalized KAP Scale for Fall Prevention in Hospitalized Aged Patients with Cardiovascular Disease comprised 3 dimensions, 12 factors, and 32 items.Conclusions:KAP Scale for Fall Prevention in Hospitalized Aged Patients with Cardiovascular Disease demonstrated good reliability, validity, and feasibility, making it a suitable tool for clinical nursing practice to better prevent fall incidents in hospitalized aged patients with cardiovascular disease.

Objective:To develop a Knowledge-Attitude-Practice (KAP) Scale for Fall Prevention in Hospitalized Aged Patients with Cardiovascular Disease and test its reliability and validity.Methods:Using the Knowledge-Attitude-Practice (KAP) framework, scale items were initially constructed through literature review, expert consultation, and a pilot survey. Totally 277 hospitalized cardiovascular patients from the cardiovascular surgery and cardiology departments of the First Affiliated Hospital of Xiamen University were recruited by convenience sampling from September to November 2023 to evaluate the reliability and validity of the scale.Results:A total of 277 questionnaires were distributed, with 254 valid responses, with a response rate of 91.70%. Exploratory factor analysis using principal component analysis and varimax rotation extracted four factors in each dimension (knowledge, attitude, and practice) , explaining 66.506%, 67.847%, and 69.241% of the variance, respectively. Confirmatory factor analysis demonstrated a stable and reliable factor structure. The overall Cronbach's α coefficient of the scale was 0.829, with Cronbach's α coefficients for the knowledge, attitude, and practice dimensions of 0.697, 0.756, and 0.726, respectively. The finalized KAP Scale for Fall Prevention in Hospitalized Aged Patients with Cardiovascular Disease comprised 3 dimensions, 12 factors, and 32 items.Conclusions:KAP Scale for Fall Prevention in Hospitalized Aged Patients with Cardiovascular Disease demonstrated good reliability, validity, and feasibility, making it a suitable tool for clinical nursing practice to better prevent fall incidents in hospitalized aged patients with cardiovascular disease.

Objective:To systematically evaluate the impact of the three major nuclear accidents at Three Mile Island, Chernobyl and Fukushima on the mental health status of emergency responders.Methods:MeSH and Entry Terms were searched. Relevant literature on the mental health consequences of the emergency responders to the Three Mile Island, Chernobyl, and Fukushima nuclear accidents were retrieved from PubMed, Web of Science, and APA PsycINFO databases, and screened and reviewed.Results:Totally 37 studies were included. General psychological distress, depression, anxiety, post-traumatic stress disorder and other abnormal psychological problems are prevalent among emergency responders following nuclear accidents. The psychological impact of the Chernobyl nuclear accident was most profound, causing serious mental disorders such as organic mental disorder and personality disorder among the clean-up workers. The mental health condition of emergency responders was associated with disaster-related emergency response tasks and the social factors brought in nuclear accidents.Conclusions:General psychological distress, anxiety, depression, post-traumatic stress reaction/disorder, severe mental disorder and other long-term abnormal psychological problems are common among first responders after nuclear accidents, and baseline mental health and psychological interventions require further study.

Objective:To estimate the mental health status and personality traits of the nuclear radiation emergency rescuers, allowing to provide reference basis for improving their mental health.Methods:Totally 52 nuclear radiation emergency rescuers were selected as the subjects. The symptom checklist 90 (SCL-90) and Cattell′s 16 personality factor scale (16PF) were used to assess their mental health status and personality traits. The results obtained from the survey of these rescuers were compared with those obtained using Students′ t-test, One-Way ANOVA and Pearson correlation analysis. Results:The average scores of multiple factors and positive items of the SCL-90 were significantly lower in the rescuers than in the norm ( t=-4.77 to -2.04, P<0.05), and the positive rate was 21.15%. The symptom checklist 90 subscales such as somatization, obsessive-compulsive and depression were found in the rescuers. Rescuers received high scores in the following components among the 16 factors of Cattell: less intelligent-more intelligent, emotionally stable. Rescuers also received low scores in the following components among the 16 factors of Cattell: tough-minded-tender-minded, trusting-suspicious. Life satisfaction, educational degree and Cattell′s 16 PF were significantly associated with the factors of SCL-90( r=-0.569 to 0.627, P<0.05). Conclusions:The rescuers are better than ordinary Chinese people in psychological health. Mental health-related factors such as literacy, life satisfaction, and personality traits should be taken into account when selecting team members and conducting psychological interventions.