摘要：Objective:To translate and adapt the dementia knowledge assessment scale(DKAS)into Sinhala version and to evaluate its psychometric properties among nursing students. Methods:A cross-sectional validation study was conducted in two phases:(ⅰ)translation and adaptation and(ⅱ)evaluating psychometric properties(N=394 nursing students). Results:The DKAS was adapted to the Sinhala(Si-DKAS)version,and the content validity index(CVI=0.9)was satisfactory.Exploratory factor analysis(EFA)and confirmatory factor analysis(CFA)resulted in an 18-item Si-DKAS with a four-factor model:"care considerations,""causes and characteristics of dementia,""health promotion,"and"misconceptions about dementia."The model fit indices were suboptimal(comparative fix index[CFI]=0.809 and Turker-Lewis index[TLI]=0.773),and some indices were acceptable(standardized root-mean-squared residual[SRMR]=0.040 and root-mean-squared error of approximation[RMSEA]=0.053).Internal consistency(0.7)and test-retest correlation(0.9)were acceptable.Discriminant validity was confirmed by knowledge score differences based on academic years. Conclusions:This is a valid and reliable tool for assessing knowledge of dementia among Sinhala-speaking nursing students.

摘要：Objective:To describe the effects of an early mobilization program in a critically ill patient with acquired muscle weakness in the intensive care unit(AMWICU). Methods:Case report of a 65-year-old male diagnosed with pneumoperitoneum,septic shock,and multiple organ dysfunction.The patient underwent an early mobilization program between 13th and 30th of June 2022,based on expert consensus on safety criteria for mobilization in critically ill patients.The intervention was delivered by a rehabilitation nursing team. Results:The early mobilization program contributed to improvements in muscle strength,body mobility,and functional independence in the critically ill patient. Conclusions:Although there is no consensus on the ideal type,timing,or intensity of early mobilization in critically ill patients,this case study suggests that individualized early mobilization may promote functional recovery and should be considered in intensive care settings.

摘要：Objective:Breast cancer in India is growing at an alarming rate,and the fact that it is currently being detected more frequently in the younger age groups is even more concerning.In India,a woman dies of breast cancer every 8 min,which is a terrible situation.Breast cancer claims one life for every two women who are diagnosed with it.However,the morbidity level is gradually increasing due to advanced medical treatment,but we need to be aware and alert. Methods:The research has been structured as a randomized controlled trial.A total of 180 breast cancer patients were taken from Acharya Vinoba Bhave Rural Hospital(AVBRH),Cancer Center Sawangi Meghe for the study as per inclusion and exclusion criteria.With intervention,the period of the study was 11 months.A signed consent form was taken from each participant and based on the answers before,during,and after the trial the data were analyzed using IBM SPSS v29. Results:The investigator believes that the Buerger-Allen exercise and Epsom salt foot bath will improve the symptoms in the symptomatic group of breast cancer patients and will prevent or delay the occurrence of peripheral neuropathy symptoms among the asymptomatic group as well as improve the overall quality of life(QoL).However,during the trial,if any of the study participants developed any side effects,they would be identified early and prompt treatment would be initiated. Conclusions:This study protocol aims to evaluate and compare the non-pharmacological treatment options for chemotherapy-induced peripheral neuropathy(CIPN)and to develop a new treatment option that will pave the way to lead a new non-pharmacological cost-effective treatment option for breast cancer patients which also could improve the QoL.

摘要：Objectives:To investigate the parenting stress,care burden,and coping styles in mothers of autistic children during the pandemic of COVID-19.The outbreak of COVID-19 and the closure of education and care centers for these children may affect stress,care burden,and adaptation of these mothers. Methods:This study was a cross-sectional research.A total of 110 mothers completed questionnaires.Data were analyzed by descriptive statistics(frequency,percentage,mean,and standard deviation),independent t-test,ANOVA,and multiple linear regressions. Results:Findings showed that parenting stress has a strong and direct correlation with caring burden(P＜0.001,r=0.95),and a strong and indirect correlation with coping styles(P＜0.001,r=-0.91).Variables of caring burden,coping strategies,mother's age,mother's job,mother's education,number of autistic children,economic status,children's age,and functional level of autism in children can predict 72.21％of the variance in parenting stress in these mothers. Conclusions:In the present study,parenting stress of mothers of autistic children was reported to be high during the COVID-19 pandemic.Based on the findings of this study,it can be concluded that pediatric nurses and health policymakers should provide a suitable educational and supportive environment for mothers of autistic children to enhance the coping level of these mothers and consequently reduce their parenting stress and care burden.

摘要：Objective:Investigating the effects and molecular mechanisms of nursing interventions based on environmental enrichment on cognitive function in ischemic stroke rats. Methods:A total of 30 Sprague-Dawley(SD)rats belonging to the same batch were randomly divided into 3 groups(n=10)using a random number table:Sham Surgery Control Group(Sham),Ischemia-Reperfusion(I/R)Group,and Ischemia-Reperfusion Group with Environmental Enrichment Intervention(I/R+EEI).The expression levels of brain-derived neurotrophic factor(BDNF)protein in the hippocampus region were measured and compared among different groups. Results:Compared with the Sham group,the I/R group showed significantly reduced learning and memory abilities,with notably lower BDNF levels(P＜0.05).Compared to the I/R group,the I/R+EEI group exhibited significantly improved learning and memory abilities as well as increased BDNF protein levels(P＜0.05). Conclusions:Abnormal BDNF protein secretion may be the molecular mechanism of cognitive dysfunction due to hippocampal neuronal damage in ischemia-reperfusion,and modifying this neurotransmitter's secretion can effectively improve cognitive function in ischemia-reperfusion rats.

摘要：Objective:To determine the relationship between the color of vaginal discharge and the volume of vaginal discharge and the types of microorganisms in the genital organs. Methods:Cross-sectional study by conducting vaginal swab examinations on 56 women with complaints of vaginal discharge in Bareng Lor Village,Klaten,and Sewugalur,Kulon Progo,Indonesia.A vaginal swab was carried out with a Gram examination.Data were coded and analyzed using the chi-c test. Results:The color of vaginal discharge was divided into:non-vaginal discharge 16.1％(9/56),white/clear/mucoid 50％(28/56),greenish/white 14.3％(8/56),brownish white/brown 3.6％(2/56),powdery and white 3.6％(2/56),post coitus bleeding 7.1％(4/56),and other complaints(itching,odor,erosion)5.4％(3/56).The volume of vaginal discharge was divided into:normal 16.1％(9/56),a little 48.2％(27/56),and a lot 35.7％(20/56).The types of microorganisms obtained were:no microorganisms growing 8.9％(5/56),Gram positive cocci/bacilli 7.1％(4/56),Gram negative cocci/bacilli 19.6％(11/56),Gram positive/negative coccobacilli 7.1％(4/56),growth of＞2 bacteria 42.9％(24/56),and fungus/yeast cells/clue cells 14.3％(8/56).There is a significant relationship between volume and type of microorganisms(P=0.011),while the relationship between color/type of vaginal discharge and microorganisms is not significantly related. Conclusions:The volume of vaginal discharge reflects the presence of risky microorganisms.

摘要：Objective:To evaluate nurses' levels of knowledge and practice regarding preoperative hair removal and prevention of surgical site infection(SSI). Methods:The descriptive and cross-sectional research was conducted between February 2023 and May 2023 in a public hospital in northern Turkey with 123 nurses who agreed to participate in the study. Results:The results showed that 64.2％of the nurses thought that preoperative hair removal should be done by shaving with a razor,74％thought that hair removal should be performed the night before the operation,and 70.7％thought that the patient/patient's relative should perform preoperative hair removal. Conclusions:This study found that nurses' levels of knowledge and practice regarding preoperative hair removal and prevention of SSI were not at the desired level.Following current resources and improving their levels of knowledge and practices are considered to be important for nurses.

摘要：Objective:To evaluate the factors predicting fatigue among patients undergoing hemodialysis(HD).Fatigue is a common health problem in patients receiving HD.Understanding the factors that predict fatigue is crucial for helping patients to manage their weariness. Methods:A descriptive design was utilized with a convenient sample of 200 subjects who were on HD therapy at the Mansoura University Hospital and Mansoura International Hospital in Mansoura,Egypt,for at least 3 months.Four tools were utilized in collecting data. Results:The study subjects had a moderate level of fatigue regarding all sub-dimensions of the Piper Fatigue Scale(PFS).Among the total subjects,78.5％suffered from anxiety,and 31.0％had depression.A positive correlation was found between fatigue and anxiety,depression,and overall symptoms of distress,while a negative correlation was found between perception of the ability to manage symptoms and fatigue.The factors predicting fatigue included anxiety(β=0.274,P＜0.001),depression(β=305,P＜0.001),and the overall symptoms of distress(β=0.248,P＜0.001),while the perceived ability to manage symptoms did not predicted. Conclusions:Fatigue was ranked as the top distressing symptom among HD patients,with psychological factors such as anxiety,depression,and the overall symptoms of distress predicting fatigue.Regular screenings of these factors and psychological therapies to modulate them might decrease fatigue severity and its related disability in HD clients.Multidimensional nurse-led interventions involving physical and psychological therapies are required to manage fatigue in HD patients.

摘要：Objective:The combination of science and art in nursing is essential for providing effective care.Since art is inherent and a part of human personality traits,it is believed that nurses' personality traits are important to achieve this cohesive combination in nursing.Accordingly,this study was conducted to determine the relationship between nurses' personality traits and the esthetics of nursing care. Methods:A cross-sectional descriptive design was employed.Study participants that consisted of 95 nurses and 285 patients from health centers in Iran were selected by convenience sampling method.Measures included the five-factor personality questionnaires(NEO-FFI)scale and Esthetics of Nursing Care Scale(ENCS). Results:The findings indicated a significant relationship between neuroticism(r=-0.149,P=0.028)and extraversion traits(r=0.136,P=0.045)of nurses in esthetics nursing care.In this study,no significant relationship was found between the personality traits and esthetics of nursing care using nurses' demographic information. Conclusions:The esthetics of nursing care depends on nurse personality traits.Since the art of nursing complements the expected care,it is suggested that nursing managers pay attention to the personality traits of nurses in planning to provide effective care.

摘要：Objective:To gain insight into the potential factors that may cause perceived stress and anxiety in simulation education. Methods:A secondary qualitative analysis study using qualitative thematic synthesis.A local higher education institution that conducted pre-registration nursing programs.A total of 189 undergraduate nursing students that were never attained any clinical placement prior to the parent study.Focus group interviews were conducted to collect data that were then transcribed and analyzed through the qualitative thematic synthesis approach to develop themes. Results:Three themes were emerged from the participants' simulation experiences in terms of peoples(the observers vs the observed),actions(the prepared vs the unprepared),and settings(the realism vs the simulation). Conclusions:By considering and reviewing the current design and development of the simulation practice,the findings of this study contribute to the body of knowledge with valuable insights on stress and anxiety that may affect students' learning in simulation.

摘要：Objective: To understand the effect of humanistic nursing care model wards in Children Caring Ward School (CCWS) on the nurses' caring ability. <br> Methods: Questionnaire 25 nurses of humanistic nursing care model wards in CCWS using the Nkongho Caring Ability Inventory (CAI) before and after implement the humanistic nursing care model, including reform the systems of nursing care, introduce humanistic care model, implement the humanistic care, to measure the nurses' caring ability. <br> Results: The nurses' caring ability had significantly developed on total, cognition dimension, courage dimension and patience dimension after all measures considered (p<0.05). <br> Conclusions: The humanistic nursing care model wards in CCWS has a positive effect on the nurses' caring ability, not only to help build great relationships between nurses and patients but also to enhance the patients' satisfaction.

摘要：Objective: To explore the feasibility of the nurse’ s prescription right in China, to develop the requirements for the qualification of the ap-plicant for the prescription right of nurse, and to determine the content of certain prescriptions in the specific circumstances. Methods: Literature review on the relevant articles/material with the contents of the nurse’ s right of prescription home and a-broad. Semi-structured depth interview method was used to interview 18 experts on whether the nurses can participate in the graded nursing decision and whether nurses with certain ability can make the decision. Using the self-made questionnaire“Nur-ses involved in graded nursing decision-recognition questionnaire”, 553 nurses completed questionnaires on willingness to nurse decision-making grading. Using the analytic hierarchy process, the 23 experts’ judgment on the main body of the graded nurs-ing was rated. Using semi-structured depth interview method, 17 experts were interviewed on the graded nursing quality assess-ment and training outline. The form of expert personal judgment and the“grading nursing qualification experts predict question-naire”were used as a preliminary designing tool, 32 experts were asked to predict the graded nursing quality. The relatively im-portant factors that might promote implementation of right of Chinese nurse prescribing weights setting were obtained by analytic hierarchy process. Using Delphi method, 2 rounds of consultation to 291 experts/times were performed, and determined its con-tent on the fields of graded nursing decision, nurses’ job description, decision making nurse in graded nursing work process and related management system, decision-making main body of clinical nursing, nurse authority of prescription application qualifi-cation, clinical nurses, diabetes specialist nurses, tumor specialist nurses, nurses in emergency department, community nurses in certain circumstances writing prescription, and nursing undergraduate added with nurse authority of prescription related courses. Results: The physician is not considered to be the best decision-making main body of clinical nursing work and graded nurs-ing, nurses can participate in the work of decision-making. The qualification of hierarchical decision-making nurse and nurse prescribing applicants have been determined. The hierarchical nursing decision-making nurses’ position description and training outline have been compiled. Experts suggest that clinical nurses with certain qualifications should be given the rights of some prescription form ( independent prescription, prescription, prescription protocol extension) to prescribe specific drugs in high fe-ver, hypoglycemia, hypertension, anaphylactic shock and other 11 specific circumstances. The nurses of the diabetes should be given the right of prescribing sulfonylureas, biguanides, glucosidase inhibitor, and protamine zinc insulin, and the right to write the prescription and consultation for part of medical equipment, health education, and four routine tests, which contains blood sugar monitoring, urine glucose monitoring, glycosylated hemoglobin assay, and oral glucose tolerance test. Tumor specialist nurses should be given the right to write the prescription of 7 specific circumstances including blood routine tests, electrocardio-gram, blood biochemistry and other 9 laboratory tests, constipation, phlebitis, and cancer pain, and the right of 5 tumor emer-gency prescription including chemotherapy drug allergy, hemorrhagic shock, acute upper gastrointestinal bleeding. Nurses in e-mergency department with certain qualification should be given the right to prescribe specific drugs in 15 circumstances which include cardiac arrest, ventricular fibrillation, and acute cardiogenic chest pain. Community nurses with certain qualification should be given the right to write the prescriptions on 14 contents including disinfection and cleaning, sterile infusion type, and wound care products. Experts suggest that nursing undergraduate education in China should be added with 2 courses which are prescription rights related laws and regulations and nursing intervention, and that pharmacology course should be supplemented with related course in order to adapt to the implementation of nurse prescribing rights. Conclusions: China’ s nurses with certain qualification or after special training have the ability to accept and should be given the right of prescriptions in certain circumstance within the scope of their work.

摘要：Objective:We aimed to explore the effect of a new health education model on continuous nursing care in elderly patients with diabetes mellitus who had undergone an operation for fracture.Methods:Convenience sampling was used to select 59 elderly patients with diabetes mellitus and fracture.New health education methods were used,and patient parameters were evaluated before and after the intervention.Results:Evaluation of medication,reasonable diet,regular exercise,blood glucose monitoring,and regular follow-up compliance were significantly improved in the experimental group compared to the control group (P ＜ 0.05).There were also significant differences between groups in fasting blood glucose,2-hour postprandial blood glucose,triglyceride,high-density lipoprotein,and low-density lipoprotein levels (P ＜ 0.05);however,the differences between groups in terms of glycosylated hemoglobin and total cholesterol levels were not statistically significant (P ＞ 0.05).Finally,the functional recovery and mental health of the experimental group were significantly better than those of the control group (P ＜ 0.05).Conclusions:The implementation of a menu of voluntary services in community-based continuous nursing provided standardized nursing care for elderly patients with fracture and diabetes mellitus and improved their quality of life.

摘要：The status of ostomy-specialized nurses' training and the specialized care for patients with permanent colostomy both in China and abroad are analyzed. Based on features and characteristics of the devel-opment of ostomy care outside China, problems in China's ostomy care are discussed to promote the sustainable development of this type of care.

摘要：Objective:This meta-analysis aims to evaluate the effects of traditional Chinese medicine (TCM) nursing combined with conventional nursing in patients with chronic obstructive pulmonary disease (COPD).Methods:Data were collected from the databases of PubMed,Embase,the Cochrane Library,Web of Science,Goggle Scholar,China National Knowledge Infrastructure (CNKI),WanFang Data (WF) and VIP Database,including literature regarding the effects of TCM nursing combined with conventional nursing in patients with COPD published before January 2017.The Jadad scale was used to assess the quality of the eligible literature.The weighted mean differences and odds ratios were used to analyze St.George's Respiratory Questionnaire (SGRQ) scores,pulmonary function,hospital stay,and clinical efficacy.Results:Twenty-three randomized controlled trials comprising 3116 cases (TCM nursing combined with the conventional nursing group:1559;conventional nursing group:1557) met the inclusion criteria.TCM nursing combined with conventional nursing was associated with a lower SGRQ score,higher forced expiratory volume in 1 second (FEV1) value,higher FEV1/forced vital capacity (FVC) value,higher FEV1％ value,higher FEV1 predicted value,shorter hospital stay,and preferable clinical efficacy.Conclusions:TCM nursing combined with conventional nursing emphasized that dialectical nursing can be performed preferably in patients with COPD.

摘要：Population aging is a global issue. The problem is especially critical in societies, such as China and India, where there has been both rapid aging of the population and a tradition that children are the primary caregivers for their elderly parents who are no longer independent. This article discus-ses a variety of options for various types of professional and non-professional caregivers and serv-ices for the elderly in their homes used in the U. S. and how technology has been used to support this heterogeneous model of caregiving. Efforts have been made to coordinate among caregivers and outside services and track changes in health conditions effectively over time through the greater use of technology. These ideas offer a possible path for other societies, such as China and India, facing growing health needs and limited resources to care for the elderly.

摘要：Objective: To explore the influence of applying educational animated film as continuous post-discharge rehabilitation guidance for patients after total hip arthroplasty (THA).Methods: Sixty patients discharged after THA were randomly divided into two groups. Traditional methods, such as distributing manuals of rehabilitation guidance on THA and phone call follow-ups,were adopted in the control group, whereas educational animated film was used as continuous rehabilitation guidance after discharge in the experimental group. Differences in recovery of hip joint function, accuracy of functional exercise, mastery of rehabilitation knowledge and quality of life between the two groups were compared.Results: The experimental group had superior performance on all indicators compared to the control group (P < 0.05).Conclusions: The use of educational animated film as continuous post-discharge rehabilitation guidance in patients after THA achieved better effects than traditional education methods.

摘要：Objective:The aims of this study were to investigate the status quo of self-management behaviors in stroke patients at the recovery stage and to explore its influencing factors.Methods:A total of 440 hospitalized convalescent stroke patients were recruited and investigated using the Basic Situation Questionnaire,Self-management Behavior Scale of Stroke,Stroke Prevention Knowledge Questionnaire and Social Support Rating Scale.Results:The mean self-management behavior score was (151.95±23.58),and dimensions in descending order were as follows:dietary management,drug safety management,social function and interpersonal relationships,life management,emotion management,rehabilitation exercise management and disease management.Five regional self-management behavior scores were statistically significant,and the scores from Minnan and Minzhong of the Fujian province,China,were higher than the others.Gender,age,family income and self-management behavior were significantly correlated (P＜0.05);educational level,stroke knowledge level,social support level and self-management behavior were positively correlated,and the difference was statistically significant (P＜0.01).Conclusions:The overall self-management level of convalescent stroke patients should be improved to strengthen health education;focus on the educational level,which is relatively low;strengthen the social support system of patients;stimulate the enthusiasm and initiative of self-management disease patients to promote disease rehabilitation and improve the quality of life.