Objective: To explore the experience and demands of patients after resection for lung cancer undergoing analgesia with virtual reality (VR) technology, and to provide reference for the development of relevant nursing protocols. Methods: A purposive sampling method was used to select 26 patients after resection for lung cancer who participated in VR-based analgesia. From June to September 2023, face-to-face semi-structured interviews were conducted, and Colaizzi′s phenomenological analysis was used to analyze the interview data. Results: The experience and demands of patients after resection for lung cancer using VR analgesia were summarized into 3 themes, including VR analgesia positive experience (recognition of VR analgesia effect and promotion of mood improvement), VR negative experience of analgesia (fear of experiencing new technology and discomfort during use), postoperative needs for VR analgesia (desire for enriched VR content and enhanced VR technology, the demand for VR operation guidance, the demand for a quiet environment and safety concerns, communication needs). Conclusion: VR analgesia presents positive analgesia effect and experience for patients after lung cancer resection. However, there are still some unmet service needs. Healthcare providers should explore coping strategies according to patients′ demands and perfect the nursing of VR analgesia for patients after resection for lung cancer.

Objective: To analyze the factors influencing migration stress level of family members of stroke patients who transferred out from ICU. Methods: A total of 228 family members of stroke patients admitted to the ICU ward from December 2019 to December 2021 were included. The family relocation stress scale was used to conduct a questionnaire survey. Multiple linear regression was used to analyze the factors affecting migration stress of family members. Results: The total score of migration stress of family members of stroke patients transferred out of ICU was 54.04±10.35, and the scores of migration preparation, family stress, patient self-care ability and migration satisfaction were 18.18±5.36, 12.00± 3.12, 17.76±3.81 and 6.10±1.47, respectively. Multiple linear regression analysis showed that patients′ first stay in ICU, duration of stay in ICU, the age of family members, family members′ relationship with patient (couple), and family members′ educational level (college degree or above) were significant influencing factors of family migration stress ( P<0.05). Conclusion: The migration stress level of family members of stroke patients was at a moderate level when patients were transferred out of ICU. The migration stress level was affected by factors such as whether the patients admitted to the ICU for the first time, the duration of stay in the ICU, and the age and education level of family members. Nursing staff should take targeted intervention measures to reduce the migration stress level according to the characteristics of family members.

Objective: To develop an instrument for measuring the discharge preparation for patients with varicose veins of lower extremity after radiofrequency ablation surgery and test its reliability and validity. Methods: Under the guidance of transition theory, the dimensions and entry pool of the scale were initially set through comprehensive literature search, screening, reading and group discussion. Items were modified through expert letter inquiry methods, pre-surveys, project analysis and exploration sub-analyses, and then formal scales were formed. Using the convenient sampling method, 176 patients who underwent varicose veins of lower extremity radiofrequency ablation surgery in the vascular ward of general surgery in a Class A tertiary hospital in Tianjin from July 2022 to April 2023 were included and the reliability and validity test were conducted to construct the discharge readiness scale for patients with varicose veins after surgery. Results: The discharge preparation scale for patients with varicose veins of lower extremity after radiofrequency ablation surgery included 22 items in 4 dimensions. They were disease knowledge, personal status, coping ability and social support. The cumulative variance contribution rate was 75.853%. The recovery rate of the two rounds of expert letters was 100%, the expert authority coefficients were 0.83 and 0.86, and Kendall coordination coefficients were 0.433 and 0.351 ( P<0.05). The total Cronbach′s α coefficient of the questionnaire was 0.954 and the Cronbach′s α coefficients of each dimension were 0.850, 0.958, 0.602 and 0.709. The content validity index (S-CVI) of the scale level was 0.962, and the content validity index (I-CVI) of the items level were 0.813 to 1.000. Conclusion: The discharge preparation scale for patients with varicose veins of lower extremity after radiofrequency ablation surgery constructed in this study is scientific and practical, and can be used to evaluate the discharge preparation of patients with varicose veins of lower extremity after radiofrequency ablation surgery.

Abstract Objective: To analyze current status and influencing factors of readiness in family caregivers of elderly patients with first-time stroke and provide reference for future intervention guidance. Methods: A total of 160 elderly patients with first-time stroke and the main caregivers were included in the study. Caregiver readiness scale, first-time stroke related knowledge scale and medical social supports scale were used in the investigation. Results: Score of readiness was 23.53± 6.18. Caregiver′s readiness was positively associated with the level of stroke related knowledge ( r=0.309, P<0.05), and positively associated with social medical support ( r=0.248, P<0.05). Multivariate analysis revealed that care experience, number of caregivers, patient Rankin level, stroke related knowledge level, and medical social support were factors affecting family care readiness of first-time elderly stroke patients ( P<0.05). Conclusion: The readiness of family caregivers of elderly patients with first-time stroke needs to be improved, and medical staff should give timely health education, and help patients and caregivers to develop personalized guidance programs for further rehabilitation. 

Objective: To investigate the current status of knowledge, attitude and practice of clinical nurses in preventing PICC catheter-related infections, and to analyze the influencing factors. Methods: In October 2019, 215 clinical nurses from 5 hospitals in Tianjin were selected by convenience sampling method. The self-designed questionnaire for knowledge, attitude and practice was used to conduct the survey. The multiple linear stepwise regression was used to analyze the influencing factors. Results: The total scores of knowledge, attitude and practice on prevention of PICC catheter-related infections were 90.86 ± 5.23, among which the score of knowledge was 17.36 ± 3.00, the score of attitude was 24.13 ± 1.83, and the score of practice was 49.37 ± 2.36. The results of multiple linear stepwise regression analysis showed that education background, PICC specialist nurses, and knowledge training were the main influencing factors of knowledge scores( P<0.05); PICC specialist nurses, PICC dressing change assessment were the main factor affecting attitude( P<0.05). Conclusion: The nurses’ knowledge, attitude and practice level on the prevention of PICC catheter-related infections were generally good. The scores of nurses’ attitudes and practice were high, but the scores of knowledge was low. It is recommended to strengthen the learning and training of relevant theoretical knowledge to improve infection prevention.

Objective: To explore the effect of full-cycle disease management model based on patient-centered on the self-care ability and complications of patients with multiple myeloma. Methods: A total of 104 patients with multiple myeloma from May 2018 to May 2019 were randomly divided into control group（ n=52）and intervention group（ n=52）.The control group received routine nursing method, and the intervention group adopted full-cycle management on the basis of routine nursing. Results: There was no statistically significant difference in the self-care behavior scores between the two groups before intervention（ P>0.05）.After the intervention, the scores of the self-care benhavior in the intervention group was higher than that in the control group（ P<0.05）, and the incidence of complications in the intervention group was lower than that in the control group, the diffenence was statistically significant（ P<0.05）. Conclusion: The application of the full-cycle management model can effectively improve the self-care ability and reduce the incidence of complications for patients with multiple myeloma.

Objective: To evaluate the research topic and popular themes of domestic and foreign literature on medical adhesive-related skin injuries(MARSI) by using bibliometric methods. Methods: The MARSI related literatures were retrieved from Cochrane Library, PubMed, EMbase, Web of science, sinoMed, CNKI, Wanfang, VIP and other databases. The search time was from construction of the library to May 2019. SPSS 22.0 software was used for bibliometric analysis, and gCLUTO statistical software was used for cluster analysis of high frequency keywords for domestic and foreign literature. Results: A total of 103 papers were included, of which foreign literature accounted for 27.18% of the total literature, and Chinese literature accounted for 72.82%. In the cluster analysis, high-frequency keywords were clustered into 4 categories, which were skin damage and injury types, related risk factors, risk assessment and management, nursing interventions. Conclusion: The research of MARSI is still a hotspot at home and abroad, its pathogenesis and prevention are being explored. In the future, the research of MARSI prevention should be strengthened and multidisciplinary cooperation should be emphasized.