Objective: To visualize the foreign literature on pediatric nursing with co-word clustering analysis method in the last 10 years, and then summarize the research hot spots in this field. Methods: With“Pediatric,Nursing[Mesh Terms]” as the free word, the PubMed database was searched for the journal articles that met the research criteria from 2011 to 2020. To reveal the relationship between different high-frequency key words, Bicomb 2 was used for extracting high frequency key words and setting up a matrix, and Netdraw which was one function of Ucinet 6.0 software was used for co-occurrence analysis, while SPSS 19.0 was used to make multi-dimensional scale analysis and clustering analysis. Results: Total of 2 510 articles were identified and 21 frequently used keywords were extracted. And research hot spots were divided into 3 clusters:①study on nursing of newborns; ②study on the relationship between pediatric nurses and patients and the psychological nursing; ③study on nursing education and management in pediatrics. Conclusion: It is helpful to understand the research hot spots in the field of foreign pediatric nursing by the co-word clustering analysis.

Objective: To construct the health management need assessment scale for elderly patients with chronic diseases and test its reliability and validity. Methods: Based on the Omaha system, the first draft of the health management need scale for elderly patients with chronic diseases was formed through literature analysis, expert correspondence and preinvestigation. A questionnaire survey was conducted in elderly patients with chronic diseases in a Class A tertiary hospital in Tianjin from March to September 2022 to test the reliability and validity of the scale. Results: A total of 330 questionnaires were distributed and 320 valid questionnaires were recovered. The final scale consisted of 27 items in 4 dimensions including physical health need, psychosocial health need, environmental health need and health behavior related needs. Exploratory factor analysis showed that the four common factors explained 58.646% of the total variance. Cronbach′s α were 0.803 ～0.886 for subscales, and Cronbach’s α for the total scale was 0.917. Split -half reliability coefficients were 0.801～0.914 for subscales, and 0.815 for the total scale. Test-retest reliability coefficients were 0.498～ 0.647 for subscales, and 0.911 for the total scale. Conclusion: The health management need assessment scale for elderly patients with chronic diseases is scientific, reasonable, reliable and valid, which can be used to evaluate the health management needs of elderly patients with chronic diseases.

Objective: To explore the obstacle factors for ICU nurses to perform physical restraint minimization action, and to provide reference for formulating standardized physical restraint management plan. Methods: The interview outline was developed based on the theoretical domains framework(TDF). Totally 12 ICU nurses from a tertiary hospital in Tianjin were selected for semi-structured interviews by purposive sampling, the transcribed texts were categorized according to the relevant domains of TDF, and the interview data were analyzed by content analysis. Results: In the current clinical work, ICU nurses had bias in understanding of physical restraint minimization action and unfamiliarity with the content of alternative restraint measures, which was one of the obstacles to their implementation of physical restraint minimization action. The decision process of evaluation tool of physical restraint minimization plan was not uniform and standardized, which has caused some obstacles to the development of restraint minimization action. The limitation of environmental factors and the concern about the outcome of reduction constraints made ICU nurses not confident enough to perform; The lack of organizational atmosphere supporting reduction constraints in the department made it difficult for nurses to pay attention to the implementation of reduction actions, and thus reduce the motivation of implementation. Combined with TDF, the above obstacles were classified into 5 domains: knowledge, beliefs about capabilities, environmental context and resources, social influences, behavioural regulation. Conclusion: On the basis of clarifying the obstacle factors, the department needs to strengthen the leadership’s attention and support to the implementation of physical restraint minimization, and develop the standardized decision-making process of restraint reduction assessment and training programs to advocate team cooperation, create an organizational atmosphere supporting physical restraint minimization action, encourage ICU nurses to firmly implement the confidence of restraint minimization, and promote the continuous implementation of physical restraint minimization action.

Objective: To explore the effect of LEARNS health education on metabolic indicators, enthusiasm and related problems in patients with type 2 diabetes. Methods: A total of 118 patients with type 2 diabetes were randomly divided into the observation group (60 cases) and the control group(58 cases). The observation group adopted the LEARNS health education model intervention, while the control group adopted routine health education. The metabolic indicators(glycosylated hemoglobin, fasting blood glucose, triglyceride and total cholesterol), patients’ enthusiasm and diabetes related problems were compared between the two groups before and after intervention. Results: After the intervention, the metabolic indicators of the patients in the observation group were superior to those in the control group, the scores of enthusiasm were higher than those in the control group, and the scores of diabetes related problems were lower than those in the control group, with a statistically significant difference( P<0.05). Conclusion:LEARNS health education model can improve the metabolic indicators of patients with type 2 diabetes, improve the enthusiasm of patients, reduce diabetes related problems, and alleviate the pressure and bad mood of patients with type 2 diabetes. 

Objective: To construct an evaluation tool for rehabilitation training compliance in patients after pacemaker implantation. Methods: Through literature review and group discussion, an initial rehabilitation training compliance scale for patients after pacemaker implantation was formed. After two rounds of expert consultation, a questionnaire survey was conducted among 250 patients who met the inclusion criteria and received permanent pacemaker implantation in the department of cardiovascular medicine of one Class A tertiary hospital in Anhui Province from March to July 2019 and the reliability and validity of the scale was tested. Results: Exploratory factor analysis showed that the rehabilitation training compliance scale contained three dimensions and 10 items in total, and the cumulative variance contribution rate was 66.945%. The item-level content validity index of the scale was 0.856~1.000, the scale-level content validity index was 0.945, the Cronbach’s α coefficient of the scale was 0.795, the split-half reliability of the scale was 0.814, and the retest reliability of the scale was 0.822. Conclusion: The rehabilitation training compliance scale has good reliability and validity in patients after pacemaker implantation, which can be used to assess the compliance of rehabilitation training in patients after pacemaker implantation.

Objective: To investigate the status of loneliness in patients with thyroid cancer after ¹³¹ I isolation treatment, and to analyze its influencing factors. Methods: The convenience sampling method was used and 228 patients with thyroid cancer after ¹³¹ I isolation treatment from March to December 2021 were included. The general information questionnaire, Cancer Loneliness Scale (CLS) and General Alienation Scale (GSA) and Security Scale (SQ) were used for investigation, and multiple linear regression was used to analyze the influencing factors of loneliness in patients. Results: The total score of loneliness in patients undergoing ¹³¹ I isolation treatment after thyroid surgery was 18.86±4.03, the total score of alienation was 32.07±4.87, the total score of security was 59.73±12.39. Age, negative social expectation, sense of alienation, sense of security, educational background, and living status were the influencing factors of loneliness ( P<0.05), which could explain 56% of the total variance. Conclusion: The loneliness of patients undergoing 131 I isolation treatment after thyroid cancer surgery is at a moderate level, and patients with older age, lower education, living alone, alienation and lack of security need more attention. Medical staffs should identify the loneliness of patients undergoing 131 I isolation treatment at an early stage, take positive attitudes and scientific methods to improve or solve the problem of loneliness in patients, improve the treatment effect, so as to help patients return to society as soon as possible.

Objective: To investigate the effect of individual reminiscence therapy on anticipatory grief and quality of life in spouses of young patients with advanced cancer. Methods: A total of 90 spouses of young patients with advanced cancer treated in one cancer hospital from October 2019 to July 2020 were selected and were divided into the observation group and the control group. The control group received routine health education and guidance, and the observation group was given individual reminiscence therapy combined with routine health education and guidance. The Chinese version of Anticipatory Grief Scale and Caregiver Quality of Life Scale were used to evaluate the efficacy of the intervention. Results: After the intervention, except the dimension of loss of the sense, the scores of other dimensions and the total score of anticipatory grief in the observation group were significantly lower than the control group; the scores of physical health dimension, mental health dimension and the total score of quality of life in the observation group were significantly higher than the control group( P<0.05). Conclusion: Individual reminiscence therapy can decrease the expected level of sadness and improve the quality of life in spouses of young patients with advanced cancer.