Objective:To understand the current status and analyze the factors of demoralization of patients with chronic heart failure (CHF), providing references for targeted psychological interventions of nursing staff.Methods:Using the cross-sectional survey method, from August 2022 to January 2023, 282 CHF patients who were followed up in the Cardiovascular Department of the First Affiliated Hospital of Zhengzhou University were selected as the study subjects. They were investigated using the General Information Questionnaire, Demoralization Scale Revised Mandarin Version, Brief Illness Perception Questionnaire (BIPQ), Fear of Progression Questionnaire-Short Form (FoP-Q-SF), and the factors influencing the demoralization of CHF patients were analyzed using univariate analysis and multiple linear regression.Results:Among 282 cases, male 172 cases, female 110 cases, aged (62.29±10.05) years old. The Demoralization Scale Revised Mandarin Version′s score of CHF patients was (30.30 ± 10.37) points; the score of BIPQ was (42.18 ± 13.94) points; the score of FoP-Q-SF was (35.41 ± 7.29)points, which were at high level. The results of multiple linear regression analysis showed that patient disease duration, disease stages, New York heart association cardiac function classification, the score of BIPQ, and the score of FoP-Q-SF were factors influencing the demoralization of CHF patients ( t values were 3.08 to 12.50, all P<0.05). Conclusions:There is an urgent need to focus on the current status of the demoralization of CHF patients. It is necessary to develop a systematic and effective intervention strategy for demoralization, to take into account patient disease duration, disease stages, illness perception, and fear of progression in a comprehensive manner.

Objective:To explore the mediating role of disease progression′s fear and positive affect in the relationship between disease perception and demoralization in patients with chronic heart failure. It provided a theoretical basis for targeted interventions for healthcare workers.Methods:From October 2022 to March 2023, 320 patients with chronic heart failure in the First Affiliated Hospital of Zhengzhou University were selected as the research objects by convenience sampling. The General Information Questionnaire, Demoralization Scale Redacted Mandarin Version, Brief Illness Perception Questionnaire, Fear of Progression Questionnaire-Short Form, Positive and Negative Affect Schedule (Positive Affect Schedule) were used to conduct the questionnaire survey exploring the mediating effects of fear of disease progression and positive emotions between disease perception and disorientation by construction structural equation model.Results:There were 268 valid questionnaires. Of the 268 patients, 168 were male and 100 were female, 3.36% (9/268) were ≤40 years old, 55.22% (148/268) were 41-65 years old, and 41.42% (111/268) were >65 years old. Correlation analysis showed that disease perception was positively correlated with disease progression ′s fear, and every dimension of demoralization ( r values were 0.300-0.586, all P<0.01), and negatively correlated with positive affect ( r=-0.374, P<0.01); disease progression′s fear was negatively correlated with positive affect ( r=-0.318, P<0.01), and positively correlated with every dimension of demoralization ( r values were 0.339-0.464, all P<0.01); positive affect was negatively correlated with every dimension of demoralization ( r values were -0.430--0.334, all P<0.01). Structural equation model analysis showed that the direct effect of disease perception on demoralization was significant ( β=0.407, P<0.01), and both mediating effects of disease progression ′s fear and positive affect between disease perception and demoralization in patients with chronic heart failure were significant ( β=0.074, 0.079, both P<0.01). The chain mediating effect of disease progression ′s fear and positive effect was also significant ( β=0.019, P<0.01). Conclusions:Disease perception could directly predict the demoralization of patients with chronic heart failure and indirectly predict the demoralization of patients with chronic heart failure through the mediating effect of disease progression ′s fear, positive affect, and the chain mediating effect of disease progression ′s fear and positive affect.

Purpose/Significance To construct a risk prediction model for postoperative massive bleeding in nasopharyngeal carcino-ma after radiotherapy,and to evaluate its predictive performance.Method/Process Inpatients with major bleeding after radiotherapy for nasopharyngeal cancer in the First Affiliated Hospital of Zhengzhou University from 2016 to 2019 are selected as the study objects,and the same number of patients without major bleeding are randomly selected as the control group.The medical record index data of the two groups of patients are collected,and various machine learning algorithms are applied respectively and the optimal algorithm is selected to build the model.Result/Conclusion The model based on support vector machine(SVM)algorithm has a recall rate of 0.94,an F1 val-ue of 0.93,and a precision of 0.93,showing the best performance.It can be used to construct a prediction model for postoperative mas-sive bleeding in nasopharyngeal carcinoma,and provide more accurate personalized prediction for patients,which has good clinical appli-cation prospects.

Objective:To analyze the research hotspots and trends of swallowing disorders in patients with head and neck tumors both domestically and internationally, to provide reference for future research directions.Methods:Using the China National Knowledge Infrastructure and Web of Science core collection databases as data sources, research literature related to swallowing disorders in head and neck tumor patients published from January 1, 2013, to December 31, 2022, was retrieved. A knowledge graph was drawn using Cite Space 6.2 R3 software, and the graph was interpreted and analyzed from the aspects of publication volume, publication country, and institution, high-frequency keyword co-occurrence and clustering, and emergent words.Results:A total of 427 English literature were included. The overall number of publications is on the rise. The countries with a high volume of collaborative publications were the United States, Australia, the Netherlands, and the United Kingdom. The top three institutions in terms of publication volume were the University of Queensland in Australia, the University of Newcastle in the UK, and the Amsterdam Institute in the Netherlands. A total of 10 cluster clusters and 25 prominent keywords were obtained. The hot topics of research and analysis were "swallowing dysfunction" "associated complications" and "long-term effects", with the forefront being "radiation-induced dry mouth syndrome".Conclusions:Compared to foreign countries, China currently has a relatively small number of publications, loose cooperation between research authors and institutions, and a need for more diverse disciplines and research methods. Focusing on hot topics and cutting-edge content, exploring the mechanism of swallowing disorders in head and neck tumors, implementing targeted interventions, strengthening health education, predicting postoperative dangerous complications, constructing feasible nursing plans, and improving the quality of life of patients will become the development trend of future research.

Objective:To investigate the effects of self-efficacy on evidence-based nursing practice (EBNP) behaviors and its underlying mechanisms.Methods:Between September and October 2023, nurses from the otolaryngology departments of 51 hospitals in Henan Province were selected for this study by convenience sampling. Data were collected using general demographic surveys, Self-Efficacy Scale, Information Iiteracy Questionnaire, EBNP Competency Scale, and EBNP Behavior Scale. Pearson correlation analysis was used to explore the relationships among self-efficacy, information literacy, EBNP competencies, and EBNP behaviors. The mediating effects of information literacy and EBNP competencies between self-efficacy and EBNP behaviors were analyzed using Process v4.2.Results:A total of 580 questionnaires were distributed, with 551 valid responses, yielding a response rate of 95%. Scores for self-efficacy, information literacy, EBNP competencies, and EBNP behaviors were (28.60±6.48), (78.56±11.88), (34.86±8.59), and (28.26±7.64), respectively. Pearson correlation analysis indicated that information literacy was positively correlated with self-efficacy, EBNP competencies, and EBNP behaviors ( r=0.640, 0.687, and 0.661, respectively; P<0.001). Mediation tests confirmed the direct effect of self-efficacy on EBNP behaviors and the individual and serial mediating effects of information literacy and EBNP competencies, with mediating effect sizes of 27.273%, 18.379%, and 44.862%, respectively. Conclusions:The serial mediating roles of information literacy and EBNP competencies between self-efficacy and EBNP behaviors among otolaryngology nurses are validated. Future strategies could involve enhancing otolaryngology nurses' information literacy and EBNP competencies to promote their EBNP behaviors.

Objective:To explore the mediating effect of work engagement on the relationship between innovative behavior and core competencies among clinical nursing teachers in the department of otolaryngology.Methods:This was a cross-sectional study. Clinical nursing teachers from the Department of Otolaryngology at the First Affiliated Hospital of Zhengzhou University were selected by convenience sampling between August and October 2023. Data were collected using a general information questionnaire, a Core Competency Evaluation Form for Undergraduate Nursing Clinical Instructors, a Nurse Innovation Behavior Scale, and a Work Engagement Scale.Results:A total of 336 questionnaires were distributed, with 306 valid responses received, resulting in an effective response rate of 91.07%. The total score for work engagement among the 306 clinical nursing teachers was (54.22±8.67), while the total score for innovative behavior was (43.25±6.94), and the total score for core competencies was (106.22±6.74). Pearson correlation analysis showed that the core competencies and innovative behaviors were positively correlated with work engagement ( r=0.289, 0.487, respectively; P<0.01), and the core competencies were positively correlated with innovative behaviors ( r=0.513, P<0.01). Structural equation modeling revealed that work engagement partially mediated the relationship between innovative behavior and core competencies, with a mediation effect value of 0.071, accounting for 12.72% of the total effect. Conclusions:Clinical nursing teachers in the department of otolaryngology demonstrate a moderate to high level of core competencies, and work engagement partially mediates the relationship between innovative behavior and core competencies.

Objective:To explore the effects of solution-focused group therapy nursing intervention on body image and anxiety and depression in young patients with nasopharyngeal carcinoma.Methods:Using a convenience sampling method, 60 young patients with nasopharyngeal carcinoma hospitalized in the First Affiliated Hospital of Zhengzhou University from December 2020 to December 2021 were selected as the study subjects, and were divided into an observation group and a control group using the random number table method, with 30 cases each. The control group received conventional care, and the patients in the observation group implemented a focal solution-oriented group counselling nursing intervention on the basis of the control group. The scores on the Body Image Scale (BIS) and the Hospital Anxiety and Depression Scale (HADS) were compared between the two groups before and after the intervention.Results:Before the intervention, there were no statistically significant differences between the BIS and HADS scores of the two groups ( P>0.05). After the intervention, the total score of BIS and each dimension in the observation group and the score of HADS were lower than those in the control group, and the differences were statistically significant ( P<0.05) . Conclusions:The nursing intervention of solution-focused group therapy can effectively alleviate the body image dysregulation condition and reduce the level of anxiety and depression in young patients with nasopharyngeal carcinoma.

Objective:To explore the effect of the transtheoretical model and stages of change (TTM) led by specialized nurses in the symptom cluster management of radiating muscle group in nasopharyngeal carcinoma.Methods:From January to October 2021, 58 nasopharyngeal carcinoma patients hospitalized in the First Affiliated Hospital of Zhengzhou University were selected as the study subject by convenience sampling. According to the random number table method, patients were divided into a control group and an experimental group, with 29 cases each. The control group implemented the routine nursing, while the experimental group used TTM staged nursing led by specialized nurses on the basis of the control group. We collected data before discharge and six months after discharge, and observed the changes in incisor distance, degree of mouth opening restriction, and swallowing difficulty in both groups of patients.Results:Six months after discharge, the distance between the incisors in the experimental group was greater than that in the control group, and the grading of mouth opening restriction was better than that in the control group, and the swallowing difficulty score of the patients was higher than that in the control group, and the differences were statistically significant ( P<0.05) . Conclusions:The TTM staged nursing led by specialized nurses can improve the symptom cluster management of radiating muscle group and the quality of life of nasopharyngeal cancer patients after radiotherapy, which is worthy of clinical practice.

Objective To explore the effects of WeChat-based peer education on improving special position compliance in patient after retinal detachment and to provide reference for clinical nursing staff.Methods Totally 82 patients after retinal detachment who were hospitalized in the First Affiliated Hospital of Zhengzhou University from March 2017 to April 2018 were selected by purposive sampling and randomly divided into the control group (n=41) and the intervention group (n=41) according to the random number table.Patients in the control group received conventional health education,while patients in the intervention group received WeChat-based peer education on the basis of conventional health education.The special position compliance and the incidence rate of complications 3 months post surgery were compared between the two groups.Their satisfaction with the WeChat-based peer education was also evaluated.Results The score of special position compliance in the intervention group was (5.23±0.854),higher than that of the control group (P＜0.01),which was (2.11±0.997).The incidence rate of nuchal muscle pain,headache,dizziness and insomnia caused by special positions in the intervention group was lower than that in the control group (P＜ 0.05).The patients' satisfaction with the WeChat-based peer education was 92.68%.Conclusions The WeChat-based peer education improves patients' awareness of diseases and enhance their confidence in recovery,thereby improving their special position compliance and accelerating recovery.

Objective To construct mobile-health APP intervention program and investigate effects of mobile-health APP on the treatment compliance and quality of life in patients with chronic rhinosinusitis after endoscopic sinus surgery. Methods From March 2016 to May 2017,a total of 83 chronic rhinosinusitis patients hospitalized in the First Affiliated Hospital of Zhengzhou University were randomly divided into observation group and control group, with 42 cases in the observation group and 41 cases in the control group. Patients in the control group were treated with standard discharged nursing, while patients in the observation group received additional mobile-health APP. The Sinonasal Outcome Test-22 (SNOT-22), Treatment Compliance Questionnaire and Visual Analogue Scale (VAS) were used to evaluate patients in two groups before and after the intervention. Results At 3 months after discharge, SNOT-22 and VAS scores of patients in the observation group were lower than the control group; treatment compliance score of patients in the observation group was higher than the control group; there were statistically significant differences between two groups (P<0.01). Conclusions The mobile-health APP can improve treatment compliance, alleviate the nasal symptoms, and increase the quality of life of patients with chronic rhinosinusitis after endoscopic sinus surgery.