Objective To explore the relationships among non-suicidal self-injury (NSSI), attachment, and attribution styles in adolescents with mood disorders. Methods A total of 232 adolescents aged 10 to 24 years with mood disorders who were about to be discharged from the psychiatry department of a hospital in Guangzhou were selected by the convenience sampling method. The Ottawa Self-injury Inventory-Chinese Revised Version(OIS-CRV), experiences in closed relationships scale(ECRS), attributional styles questionnaire(ASQ), 17-item Hamilton depression rating scale(HAMD-17), and the Young Manic rating scale(YMRS)were used to measure their NSSI, attachment, attribution style, depression, and mania symptoms. Regression equations were used to test the mediating effect. Results The detection rate of NSSI among the 232 patients was 78.4%;Attachment avoidance was a negative predictor of positive situation attribution (β = -0.404, P = 0.031) and a positive predictor of negative situation attribution (β = 0.430, P = 0.031), and attachment anxiety was a positive predictor of negative situation attribution (β = 0.659, P < 0.001); Negative situation attribution was a risk factor for NSSI (OR = 1.191, P = 0.026) Negative situation attribution plays a mediating role in attachment avoidance, attachment anxiety, and NSSI. Conclusion Adolescents with mood disorders' attachment influences NSSI through attribution style.

Objective To investigate the current situation of obstetric nurses' professional identity of "Internet + nursing service", and to analyze its influencing factors, so as to provide a reference for constructing a targeted intervention model and improving the professional identity of nurses in the emerging nursing service model. Methods This study was conducted from August 2025 to December 2025. Using the convenience sampling method, 241 obstetric nurses from 8 tertiary grade A hospitals in Changsha were selected as the research subjects. The study employed the obstetric nurse general demographic data questionnaire, the "internet + nursing Service" professional identity scale, the nurse professional benefit scale (NPBS), the nurse information competence assessment scale (NICAS), and the "internet + nursing service" nurse risk factors and risk outcomes assessment scale to conduct the investigation. Results The professional identity of obstetric nurses in "internet + nursing service" is at a moderate to upper-moderate level, the sense of professional benefits is at a upper-moderate to higher level, information competence is at an moderato to upper-moderate level, risk factors are at a moderate to upper-moderate level risk out comes are Univariate analysis showed that there were statistically significant differences in professional identity scores among nurses of different ages, marital status, obstetric working years, regular training on"Internet + nursing service", and standardized service processes (P < 0.05), and there was no significant difference in professional identity scores among nurses of different genders, education, professional titles, and monthly income (P > 0.05). The total score of obstetric nurses' occupational identity was significantly positively correlated with SPBS and SCALE scores, and was significantly positively correlated with risk factors, The risk outcome score was significantly negatively correlated (P < 0.05). The multivariate linear regression analysis showed that obstetric work experience:6 to 10 years, being married, regularly participating in "Internet + nursing service" training, having a standardized service process, a good sense of professional benefit, and strong information competence were protective factors for the professional identity of obstetric nurses. The risk factors of nurses and the high score of risk outcomes were independent risk factors (P < 0.05). Conclusion The professional identity of obstetric nurses is at a moderate level, which is affected by various factors such as obstetric nurses' working years, marital status, whether they regularly carry out "Internet + nursing service" training, whether the service process is standardized, the sense of professional benefit, the information competence of nurses, and the risk factors and risk outcomes of nurses.Managers should attach importance to and establish targeted intervention models to enhance the professional identity of nurses in the emerging nursing service models.

Accurate assessment and judgment of the severity of the condition of critically ill patients is a necessary professional ability for emergency nurses. This paper systematically reviews the core contents, application characteristics, clinical practice status and limitations of the modified early warning score (MEWS), shock index (SI) and Glasgow coma scale (GCS), aiming to provide a scientific basis for emergency department nurses to reasonably select evaluation tools according to the characteristics of patients' conditions, realize the early identification of critically ill patients, optimize the timeliness of emergency nursing intervention, improve the success rate of rescue, and ensure the safety of patients.

Objective To investigate the effect of risk screening combined with full-process body temperature management strategy on hypothermia prevention and coagulation function in acute trauma patients. Methods A total of 92 patients with acute trauma who attended the emergency department of our hospital from January 2023 to June 2024 were enrolled as the research subjects and divided into two groups by random sampling, with 46 cases in each group. Patients in the control group received routine acute trauma first aid care, while those in the observation group received risk screening combined with the whole process of temperature management on the basis of the control group. The incidence of hypothermia and chills, the duration of hypothermia and coagulation indicicators before and after the intervention were compared between the two groups. Results The incidence of hypothermia and chills in the observation group was lower than that in the control group, and the difference was statistically significant (P < 0.05), and the duration of hypothermia in the observation group was shorter than that in the control group (P < 0.05).After the intervention the differencs in prothrombin time (PT) and activated partial thromboplastin time in the observation group were shorter than those in the control group (P < 0.05). Conclusion The implementation of risk screening combined with full-process body temperature management strategy in acute trauma patients can effectively improve the coagulation function, prevent the occurrence of hypothermia and chills, and shorten the duration of hypothermia.

Objective To explore the clinical effects of six-minute walk combined with mindfulness meditation in lung cancer patients undergoing chemotherapy. Methods This study selected 60 patients diagnosed with lung cancer who were admitted to Yueyang Central Hospital from January 2024 to June 2024 as the research subjects. Using the random number table method, they were divided into a control group and an intervention group, with 30 cases in each group. The patients in the control group received routine care, while the patients in the intervention group received six- minute walking combined with mindfulness meditation intervention. The lung function, cancer-related fatigue (CRF) conditions, and comfort levels of the two groups of patients were compared. Results The improvement in peak expiratory flow rate (PEF) and forced expiratory volume in the first second (FEV₁) of the intervention group were greater than those in the control group(P < 0.05); the total score decline of the cancer fatigue scale (CFS) and the score of the emotional fatigue dimension in the intervention group were greater than those in the control group (P < 0.05); the increase in the total score of the general comfort questionnaire (GCQ) and the scores of the psychological comfort and environmental comfort dimensions in the intervention group were greater those that in the control group (P < 0.05). Conclusion The application of six-minute walk combined with mindfulness meditation in lung cancer patients undergoing chemotherapy can improve lung function, alleviate cancer-related fatigue, and enhance comfort levels.

Objective To investigate a clustered outbreak of Norovirus gastroenteritis on a university campus in Changsha City, in March 2025, and to analyze the causes of the outbreak and corresponding prevention and control measures. Methods The outbreak investigation method of field epidemiology was adopted. A total of 1956 people, including students and cafeteria staff of a university, were searched for cases. 456 fecal swab samples from cafeteria staff were collected for nucleic acid testing, and 1500 students were tested for Norovirus antigen rapid detection. Pathogen analysis was conducted for confirmed cases. Results A total of 15 cases of Norovirus gastroenteritis were diagnosed in this outbreak, including 10 cases among students and 5 cases among cafeteria staff. Among the 456 fecal swab samples from cafeteria staff, 5 were positive for nucleic acid testing. Among the 1500 students, 10 were positive for Norovirus antigen detection. The 15 confirmed patients mainly presented symptoms of fever, diarrhea, nausea, and vomiting. The first case appeared on March 14th, and the peak of the outbreak was from March 19th to 20th (a total of 10 cases were reported). Among the confirmed cases of students, there were 5 cases on the 1st floor of Building 2 and 5 cases on the 2nd floor of Building 4. Among the confirmed cases among the cafeteria staff, there were 4 cases in No. 1 cafeteria and 1 case in No. 2 cafeteria. There were 12 male patients and 3 female patients. Conclusion The source of infection of this outbreak is highly suspected to be contaminated takeout food by Norovirus. The spread of the outbreak is related to multiple factors such as unstandardized hand hygiene of cafeteria staff, improper disposal of vomit, and pollution of public facilities. In response to this outbreak,it is suggested that universities incorporate the staff in the logistics department into the regular Norovirus anal swab screening program configure vomiting disposal kits in all classrooms and simultaneously train on standard operating procedures; and jointly build a rapid detection channel and material reserve system with the local disease control center. This outbreak reminds us that cutting off the "human-environment-food" cross-transmission chain is the core stage of university infectious disease prevention and control; and systematic health management covering all campus populations is needed to achieve long-term prevention.

Objective To analyze the epidemic characteristics and trends of other infectious diarrhea (OID) in Jiaojiang District, Taizhou City, Zhejiang Province from 2013 to 2023, providing a basis for formulating of prevention and control measures for OID. Methods By relying on the data platforms of the "China Disease Prevention and Control Information System" and the "Public Health Emergency Management Information System," we systematically collected relevant data on OID cases from 2013 to 2023, and then conducted an in-depth analysis of the dynamic evolution patterns and epidemiological characteristics of intestinal infectious diseases in Jiaojiang District. Results From 2013 to 2023, a total of 11,576 OID cases were reported in Jiaojiang District, with no fatalities recorded. The annual reported incidence rate was 147.15 per 100,000 population, showing a a general danward trend (P < 0.05). The peak incidence periods were concentrated in July-September and December-January of the following year, with bacterial infections predominating in summer and viral infections in winter. Geographically, Dachen Town had the highest incidence rate (328.16/100,000), while Sanjia street had the lowest (92.48/100,000).Among the cases, there were 6475 male cases and 5101 female cases. The incidence rate was the highest in the < 1-year-old group, mainly among scattered children. In terms of etiological distribution, among the 4127 laboratory-confirmed cases, 674 cases completed etiological testing. Among them, rotavirus accounted for the largest proportion at 55.64%, norovirus accounted for 19.14%, Salmonella accounted for 13.12%, adenovirus accounted for 8.61%, other bacteria accounted for 2.82%, and Vibrio parahaemolyticus accounted for 0.59%. Except for August and September when the proportion of bacferial infections was higher than that of viral inefections, viral infections were the main cause in the other months. Conclusion During the period from 2013 to 2023, the overall annual incidence rate of OID in Jiaojiang District showed a fluctuating downward trend year by year. The peak incidence periods were mainly concentrated in summer and winter. The patient group was mainly in the < 1-year-old age group. Among them, Rotavirus was the main pathogen type causing OID in this area.

Objective To explore the effect of implementing an overall optimized rehabilitation program based on a multidisciplinary collaboration model for elderly patients undergoing hip replacement surgery. Methods A total of 86 elderly patients who underwent hip replacement surgery in our hospital from January 2023 to August 2024 were selected as the research subjects. They were divided into an observation group and a control group by the random number table method. with 43 cases in each group. The patients in the control group received routine perioperative care for hip replacement, while the patients in the observation group received an overall optimized rehabilitation plan based on the multidisciplinary collaboration model in addition to the care provided by the control group. The hip joint function and functional independence, degree of postoperative pain, and hospital stay of the two groups of patients were compared. Results At 7 days after surgery, the scores of Harris hip score before and after the surgery (HHS) and the functional independence measure (FIM) of the observation group were higher than those of the control group (P < 0.05); at 12 hours and 48 hours after surgery, the numerical rating scale (NRS) score of pain in the observation group was lower than that of the control group (P < 0.05). The hospitalization time of patients in the observation group was shorter than that of the control group (P < 0.05). Conclusion Implementing an overall optimized rehabilitation program based on a multidisciplinary collaboration model for elderly patients undergoing hip replacement surgery can effectively improve the hip joint function and functional independence of patients, relieve postoperative pain, shorten the hospital stay, and promote postoperative recovery.

Objective To discussion the efficacy of using cerebral vascular balloon angioplasty stent implantation, clopidogrel, and alteplase thrombolysis combined therapy in the treatment of acute cerebral infarction. Methods A total of 90 patients with acute cerebral infarction admitted to our hospital from April 2023 to April 2025 were selected as the research subjects. They were randomly divided into a control group and an experimental group, with 45 cases in each group. The patients in the control group received clopidogrel and alteplase thrombolysis combined therapy, while the patients in the experimental group received cerebral vascular balloon angioplasty stent implantation therapy in addition to the control group. The levels of inflammatory factors, hemorheological indicators, degree of consciousness disorder, neurological function impairment, and treatment effect of the two groups before and after treatment were compared. Results After treatment, the levels of high-sensitivity C-reactive protein (hs-CRP), interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α), whole blood viscosity (WBV), plasma specific viscosity (PSV), and platelet aggregation rate (PAR) in the experimental group were lower than those of the control group (P < 0.05); after treatment, the Glasgow coma scale (GCS) in the experimental group was higher than that of the control group, and the score of National Institutes of Health stroke scale (NIHSS) was lower than that of the control group (P < 0.05); the clinical total effective rate of the experimental group was higher than that of the control group (P < 0.05). Conclusion The combined therapy of cerebral vascular balloon angioplasty stent implantation, alteplase thrombolysis, and clopidogrel can reduce the inflammatory response degree of patients with acute cerebral infarction, improve their hemorheological indicators and degree of consciousness disorder, reduce neurological function impairment, and improve the treatment effect.

To summarize the nursing experience of a patient with peritoneal dialysis catheter tunnel infection. The key points of nursing include: first, carry out a comprehensive assessment, covering catheter-associated infection, peritonitis, nutritional status and risk factors for home dialysis to clarify the degree of infection and individualized needs; Secondly, local precision care is realized, with amikacin punctular injection under ultrasound guidance, combined with abscess incision and drainage and pulsed irrigation with indwelling needles. Finally, multi-dimensional comprehensive nursing is carried out, including standardized care for catheter outlet, external application of ginger to promote the dissipation of induration, individualized nutritional support, operation retraining and psychological counseling. After 28 days of comprehensive treatment and nursing, the patient's infection symptoms were significantly controlled, local redness and swelling subsided, the catheter function was good, the infection did not recur, and he was discharged from the hospital smoothly.

Objective To explore the application of a chain management approach combined with emergency nursing procedures in the emergency treatment of patients with severe upper gastrointestinal bleeding. Methods A total of 84 patients with severe upper gastrointestinal bleeding admitted to the gastroenterology department of Changzhou Second People's Hospital from January 2022 to June 2023 were selected as the study subjects. They were randomly divided into a control group (42 cases) and an observation group (42 cases) using a random number table. Patients in the control group received routine nursing interventions, while those in the observation group additionally received a chain management approach combined with emergency nursing procedures. The efficiency of treatment, treatment outcomes, outcome indicators, and satisfaction with inpatient care were compared between the two groups. Results The time for establishing intravenous access, the time for starting endoscopic examination and the length of hospital stay of the patients in the observation group were all shorter than those in the control group, the total effective rate of treatment in the observation group was higher than that in the control group, and the case fatality rate was lower than that in the control group, the differences were all statistically significant (P < 0.05). The scores of each dimension and the total score of the self-made inpatient nursing satisfaction questionnaire of the patients in the observation group were all higher than those in the control group, the difference was statistically significant (P < 0.05). Conclusion Implementing a chain management approach combined with emergency nursing procedures for patients with severe upper gastrointestinal bleeding can effectively improve treatment efficiency and outcomes, as well as enhance satisfaction with inpatient care.

Objective To explore the relationship and mechanism between nurses' non-compliant task perception, work engagement and turnover tendency, in order to provide a reference for managers to maintain the stability of nursing human resources. Methods From March to April 2024, clinical nurses from five tertiary hospitals in Gansu Province were selected as research objects, and questionnaires were conducted using the general information questionnaire, non-compliant task perception scale, turnover tendency scale, and work engagement scale, and the structural equation model was used to test the mediating effect of work input between non-compliant task perception and turnover tendency. Results A total of 909 nurses participated in the survey. The total score of the nurse's non-compliant task perception scale was 2.0 (1.5, 2.9), the total score of the turnover intention scale was 2.2 (1.5, 2.5), and the total score of the work engagement scale was 3.6 (2.1, 5.0). The results of the multiple linear regression analysis indicated that work engagement, non-compliant task perception level, nurse level, employment form, and shift were the main influencing factors of nurses' turnover intention (P < 0.05). The results of the Pearson correlation analysis showed that the total score of nurse's non-compliant task perception was negatively correlated with the total score of work engagement (r = -0.448, P < 0.001), positively correlated with the total score of turnover intention (r = 0.492, P < 0.001), and negatively correlated with the total score of turnover intention (r = -0.496, P < 0.001). The results of the mediation effect test and Bootstrap analysis showed that work engagement played a partial mediating role between non-compliant task perception and turnover intention (β = 0.207, P < 0.001), its contribution rate to the total effect was 36.7%. Conclusion Nursing managers should face up to the impact of nurses' non-compliant task perception and work engagement on turnover tendency, assign tasks that meet the professional identity and role expectations of nurses, or communicate fully and effectively after assigning tasks, reduce the level of nurses' non-compliance task perception, and take effective measures to improve the level of work engagement, so as to reduce nurses' turnover tendency.

Patients with chronic kidney disease (CKD) often suffer from renal anemia (RA). Besides the absolute or relative insufficiency of erythropoietin (EPO), the disorder of iron metabolism in the body also participates in the occurrence of RA. Therefore, correcting the disorder of iron metabolism is an important part of treating RA. Current studies have shown that traditional Chinese medicine can improve RA by regulating iron metabolism. In clinical practice, it has proven to be effective and has a promising future. This article systematically reviews the relevant literature on the use of single Chinese medicine and compound medicines to target and regulate iron metabolism to improve RA, and summarizes and analyzes the progress in the diagnosis and treatment of iron metabolism in traditional Chinese medicine. The aim is to provide new ideas for the comprehensive prevention and treatment of RA.

Based on a systematic analysis of the basic concepts, epidemiological characteristics, and transmission chains of foodborne diseases, this paper proposes multiple targeted countermeasures from the perspective of clinical prevention and control, including strengthening early identification and monitoring, improving reporting and early warning mechanisms, enhancing the prevention and control capabilities of primary medical institutions, strengthening health management for key populations, and promoting intelligent technology and information support. The aim is to establish a prevention and control model covering "early detection - early reporting - early intervention - full-process management".

Objective To explore the application effect of targeted nursing under the guidance of comprehensive geriatric assessment for elderly patients with vascular dementia. Methods A total of 86 elderly patients with vascular dementia admitted to our hospital from January 2024 to December 2024 were selected as the research subjects. They were divided into a control group and an observation group by the random number table method, with 43 cases in each group. Patients in the control group received routine care, while those in the observation group received targeted care under the guidance of comprehensive geriatric assessment. The cognitive function, daily living ability, quality of life before and after the nursing care, sleep quality and nursing satisfaction of the two groups were compared. Results After the nursing care, the scores of the Montreal cognitive assessment (MoCA), mini-mental state examination (MMSE), activities of daily living (ADL), and the dimensions of the World Health Organization quality of life-brief (WHOQOL-BREF) in the observation group were all higher than those in the control group (P < 0.05); the scores of each dimension of the Pittsburgh sleep quality index (PSQI) in the observation group were all lower than those in the control group, and the total satisfaction rate of nursing was higher than that in the control group (P < 0.05). Conclusion Implementing targeted nursing under the guidance of comprehensive geriatric assessment for elderly patients with vascular dementia can effectively improve their cognitive ability, enhance their daily living ability, quality of life, sleep quality and nursing satisfaction.

Gastrointestinal malignancies represent a significant public health issue worldwide, characterized by insidious early symptoms and rapid disease progression, posing substantial challenges to clinical diagnosis and treatment. Serum tumor marker testing, with its non-invasive and repeatable dynamic monitoring advantages, has become a core auxiliary tool in the full-cycle management of digestive system tumors. However, single markers detection often suffer from insufficient sensitivity and specificity, leading to potential missed or misdiagnoses and failing to meet the strict requirements of precision medicine. This article aims to systematically elaborate on the core value of combined detection of multiple serum tumor markers detection in the diagnosis and treatment of gastrointestinal malignancies, conducting a deep analysis from multiple dimensions including molecular biological mechanisms, clinical diagnostic efficacy, dynamic monitoring of therapeutic effects, and prognosis assessment. Research indicates that constructing multi-dimensional diagnostic models by scientifically combining markers sensitive to different pathological types can significantly improve the early detection rate, accurately reflect changes in tumor burden, and provide solid evidence-based support for the formulation of individualized treatment plans. This article will explore how the combined detection of multiple indicators can overcome the limitations of single indicators, achieve precise diagnosis through logical complementarity in complex clinical scenarios, and thereby optimize the diagnosis and treatment of gastrointestinal tumors.