Routine Intervention Research Articles

What is the phenotype of heterozygous lipoprotein lipase deficiency?

Purpose of review Genetic testing of patients with severe hypertriglyceridemia often identifies a single heterozygous pathogenic variant in the LPL gene. The complex and variable phenotype associated with this genotype is the topic of this review. Recent findings Previous research showed that heterozygosity for lipoprotein lipase deficiency is associated with reduced but variable post heparin lipolytic activity alongside inconsistent plasma lipid phenotypes ranging from normal to mild-to-moderate to severe hypertriglyceridemia. Recent research confirms and extends these observations, showing that a heterozygous individual can express a highly variable phenotype over time, depending on the presence of secondary factors. About 10% (range 8–20%) of patients with severe hypertriglyceridemia or multifactorial chylomicronemia syndrome are heterozygous for a rare pathogenic LPL variant, and a clinically relevant minority of these has recalcitrant or sustained hypertriglyceridemia. Summary Heterozygosity for lipoprotein lipase deficiency predisposes to hypertriglyceridemia, which is sometimes severe depending on secondary factors, but is typically quite responsive to routine interventions such as diet, lifestyle and existing lipid-lowering therapies. However, many heterozygotes for pathogenic variants in LPL have completely normal plasma lipids.

Improvement of IL-4, IL-6, IL-10, TNF-α and IFN-γ in children with mycoplasma pneumonia through the combination of video scenario-based breathing training and antibiotics.

This study aims to investigate the effects of video scenario-based breathing training on interleukin-4 (IL-4), interleukin-6 (IL-6), interleukin-10 (IL-10), tumor necrosis factor-α (TNF-α), and interferon-γ (IFN-γ) in children with Mycoplasma pneumonia. A total of 106 children with Mycoplasma pneumonia treated in our hospital from February 2022 to April 2024 were selected. According to different nursing methods, children receiving routine intervention were assigned to the control group, while those undergoing video scenario-based breathing training were assigned to the training group. The serum inflammatory indexes, improvement time of clinical symptoms and lung function recovery were compared between the two groups before training, and at 1 and 2 weeks after training. Before training, there was no statistically significant difference in serum inflammatory and lung function indexes between the two groups (p > 0.05). After 1 and 2 weeks of training, the forced expiratory volume in 1s (FEV1), peak expiratory flow rate (PEF), and the ratio of FEV1 to forced vital capacity (FEV1/FVC) in both groups increased, with higher values in the training group than in the control group, and the difference was statistically significant (p < 0.05). The time for cough disappearance, wheezing disappearance, lung rales disappearance and high fever abatement in the training group was lower than that in the control group, with statistically significant differences (p < 0.05). The levels of IL-4, IL-6, IL-10, TNF-α, and IFN-γ decreased in both groups, with lower levels in the training group than in the control group, and the difference was statistically significant (p < 0.05). Video scenario-based breathing training can improve lung function, alleviate clinical symptoms and signs, and reduce serum inflammatory levels of IL-4, IL-6, IL-10, TNF-α and IFN-γ in children with Mycoplasma pneumonia.

Impact of Vitamin D3 Deficiency on Quality of Life in Epilepsy: A Call for Routine Screening and Intervention

Impact of Vitamin D3 Deficiency on Quality of Life in Epilepsy: A Call for Routine Screening and Intervention

Sleeping Beauty? A Prospective Study on the Prevalence of Sleep Problems and Their Potential Determinants in Professional Dancers

BackgroundSleep is important for health and performance but has rarely been studied in professional dancers. The aim was to analyse the prevalence of sleep problems in professional dancers and their potential determinants at the beginning of and during the season.MethodsProfessional dancers of six German companies answered a comprehensive baseline questionnaire on physical and mental health, including the Sleep Difficulty Score of the Athletic Sleep Screening questionnaire (ASSQ-SDS) in the beginning of the season and weekly health reports during the season. Numerical rating scales were used for severity of poor sleep, musculoskeletal pain, being stressed/overloaded, all health problems, impaired ability to dance, and workload in the previous seven days.ResultsOf the 147 dancers who answered the baseline questionnaire, 104 (70.7%) completed in total 3186 weekly health reports (response rate: 71.2%). In the beginning of the season 53% of the dancers reported sleep problems of mild (34.0%), moderate (13.6%) or severe extent (5.4%), without differences between sexes, age groups, ranks of the dancers, company sizes or dance styles. The average weekly prevalence of “poor sleep” during the season was 68.8%. Multivariate regression analyses showed that symptoms of depression were significant determinants of sleep problems and the rating of “poor sleep” at baseline; while musculoskeletal pain, being stresses/overloaded, all health problems, impaired ability to dance, and physical and mental workload were significant determinants of “poor sleep” during the season. Variables of the baseline questionnaire were not significantly related to the individual mean rating of “poor sleep” during the season, except of the quality and duration of sleep.ConclusionSleep problems are frequent in professional dancers and related to their physical and mental health and workload. An assessment of sleep should be part of routine health screenings and interventions to improve sleep should be implemented, especially for dancers with pre-existing sleep problems and for periods of high workload.

English learners with dyslexia benefit from English dyslexia intervention: an observational study of routine intervention practices

IntroductionLearning to read when the language of the curriculum differs from one’s home language can pose unique challenges. For example, compared to the language spoken at home, the learner may be less familiar with the sound structure and have relatively limited word knowledge in the language of instruction. In the United States, English is the primary language of reading instruction for students who are English Proficient (EP) and for English Learners (EL). Current evidence indicates that for both EP and EL students, code-based competencies and meaning-based skills are important for learning to read. English-language reading interventions have been shown to be beneficial for EPs and ELs with reading problems, though it is not clear if this is also true when the reading problem is a reading disorder like dyslexia.MethodsThe current study addresses this question by comparing EL and EP student’s reading profile at baseline and changes over time in response to evidence-based English Language Dyslexia Instruction (ELDI) in public schools. One-hundred eighty-six students with dyslexia were followed over the course of two academic years. Assessments measured code and meaning-based reading skills. Multivariate profile analysis and linear mixed effects modeling were conducted to compare baseline reading profiles as well as growth in targeted skills over time.ResultsFindings reveal similar patterns of reading profiles across EL and EP groups, with more severe baseline deficits emerging for ELs. Groups performed equivalently on target reading skills after two years of intensive multi-componential reading intervention.ConclusionFindings confirm and extend previous research, suggesting ELs with Dyslexia can be identified and successfully served through routine practices, including ELDI.

Effect of Narrative Nursing Intervention on Patients with Specific Digestive Tract Malignancies (Esophageal, Gastric, and Intestinal Cancers): A Retrospective Study.

To explore the effect of narrative nursing intervention on patients with esophageal, gastric, and intestinal cancers. A retrospective analysis was conducted on the clinical data of 103 patients with digestive tract malignant tumors admitted to our hospital from January 2022 to January 2024. According to the nursing intervention received by the patients, they were divided into a control group (n=51) and an observation group (n=52). The control group received routine nursing intervention, while the observation group received narrative nursing intervention in addition to the routine nursing intervention. The compliance behavior, negative emotional status, self-perceived burden, quality of life, and adverse reactions of the two groups were compared. After intervention, the observation group showed higher scores in medication, exercise, dietary, and emotional regulation adherence than the control group (P<0.05). Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) for negative emotions decreased in both groups, with a greater reduction in the observation group (P<0.05). Economic, physical, and emotional burden levels also decreased more in the observation group (P<0.05). Quality of life scores in physiological, social/family, emotional, and functional conditions improved more in the observation group (P<0.05). Adverse reactions, including nausea, vomiting, fatigue, pain, gastrointestinal reactions, and insomnia, were less frequent in the observation group than in the control group (P<0.05). Narrative nursing intervention for patients with digestive tract malignant tumors can effectively improve patient compliance behavior, alleviate negative emotions, reduce self-perceived burden, promote the improvement of patient quality of life, and reduce the occurrence of related adverse reactions. However, the study is limited by its small sample size and single-center design, which may affect the generalizability of the findings. Further research with larger and more diverse populations is recommended.

Effect of sensory retraining program on latency, amplitude and conduction velocity of sensory nerves of lower limb in type 2 diabetic peripheral neuropathy

Introduction and aim. India is known as the world’s diabetes capital. Diabetic neuropathy is the most common complication of diabetes, and if not managed properly, leads to diabetic foot complications like ulcers and amputations. Physiotherapy interventions addressing these complications are very limited. Hence, this study was performed to access to what extent a sensory retraining program affects the latency, amplitude, and conduction velocity of the sural nerve in lower limbs. The study aims to improve the nerve conduction velocity of the sural nerve in diabetic neuropathy with a sensory retraining program. Material and methods. One-hundred individuals who met the inclusion criteria were randomly allocated into 2 groups. The control group had received routine medical care. The experimental group individuals were managed with a sensory retraining program 5 days a week for 16 weeks. Latency, amplitude, and conduction velocity values were recorded before and after the study. Results. Results conclude that the sensory retraining program is effective in decreasing the latency and improving conduction velocity. It did not have any effect on the amplitude. Conclusion. Hence, we conclude that a sensory retraining program can be incorporated into routine physical therapy intervention in subjects with diabetic peripheral neuropathy.

Delirium assessment, management and barriers to effective care across Scotland: A secondary analysis of survey data from World Delirium Awareness Day 2023.

Delirium is a common, severe neuropsychiatric syndrome in hospitalised older adults. We evaluated use of validated delirium assessment tools, adherence to national guidelines and prevalence and management of delirium across Scotland, identifying barriers to effective care. Secondary analysis of national survey data, collected by participating clinicians on World Delirium Awareness Day (15 March 2023). Among 120 responses (3,257 patients), the 4AT was the most frequently used assessment tool (75%), while 14% of units reported using clinical judgement alone. The delirium assessment rate was 74%, with a prevalence of 22% at 8 am. Management protocols varied, with frequent routine non-pharmacological interventions including pain management (88%), hydration (87%) and open family visiting (80%). Barriers to delirium care included insufficient staffing and training. While many hospital settings follow national delirium guidelines, some still rely on clinical judgement for assessment, with variability in management protocols and practices. We have highlighted key barriers to effective delirium care in Scotland.

Effectiveness of a Novel Web-Based Intervention to Enhance Therapeutic Relationships and Treatment Outcomes in Adult Individual Psychotherapy: Randomized Controlled Trial and Analysis of Predictors of Dropouts.

Routine process and outcome monitoring interventions added to psychotherapy are known to improve treatment outcomes, although they vary in format and effectiveness. This study aimed to evaluate whether a therapist-independent, internet-based routine process monitoring and feedback system could significantly reduce psychological distress and enhance the quality of the therapeutic relationship compared with a treatment-as-usual control group among individuals already engaged in individual psychotherapy. We randomized 475 participants into either the intervention group, which received access to an internet-based routine process monitoring and feedback system in addition to psychotherapy, or the control group, which received only psychotherapy. The trial lasted for 10 weeks. Follow-up assessments at 5 weeks and 10 weeks used the Clinical Outcomes in Routine Evaluation-Outcome Measure as the primary outcome, with the Working Alliance Inventory-Short Revised and the Real Relationship Inventory-Client form as secondary outcomes. Per-protocol analyses (n=166) showed that psychological distress decreased in both groups, but there was no significant advantage for the intervention group. The intervention group experienced a decline in the genuineness dimension score of the real relationship, with an effect size of d=-0.27, compared with d=0.01 in the control group. In the intervention group (but not in the control group), dropouts showed significantly lower real relationship levels (P=.002), working alliance quality (P=.051), and emotional disclosure (P=.01) compared with those who completed the study. Additionally, logistic regression revealed distinct predictors of dropout within the control group and intervention group. The findings do not provide conclusive evidence for the efficacy of the new internet-based intervention in enhancing self-monitoring and prompting reflection on patients' emotional responses to their therapists. However, the intervention appears to influence patients' perceptions of the genuineness dimension in the therapeutic relationship, warranting further investigation. We hypothesize that this alteration in the genuineness dimension could be attributed to the intervention facilitating a more realistic and accurate perception of the therapeutic relationship among participants. ClinicalTrials.gov NCT06038747; https://clinicaltrials.gov/study/NCT06038747. RR2-10.2196/55369.

Effect of comprehensive management combined with cognitive intervention on patient cooperation and complications during digestive endoscopy

BACKGROUND As lifestyles continue to change worldwide, the incidence of digestive tract carcinoma has gradually increased. Digestive endoscopy is an important tool that can assist in the diagnosis, treatment, and surgical intervention for this disease. However, the examination process is affected by many factors, and patient cooperation is often poor, which can increase the risk of complications. AIM To explore the effects of integrated management and cognitive intervention on cooperation and complications in patients undergoing endoscopy for early gastrointestinal neoplasms. METHODS A total of 354 patients with early stage gastrointestinal cancer who underwent digestive endoscopy procedures between January and December 2023 at our hospital were divided into observation and control groups (177 patients in each group) in a randomized controlled blind trial. The control group received routine interventions, while the observation group received comprehensive integrated management combined with cognitive interventions. We compared the changes in adverse mood, discomfort, examination time, cooperation with the examination, and complications before and after the intervention between the two groups. RESULTS The self-rated anxiety and depression scale scores were lower in the observation group than in the control group (P &lt; 0.05). The visual analog scale scores for discomfort during intubation and examination were also lower in the observation group than in the control group (P &lt; 0.05). Furthermore, the examination time was shorter in the observation group than in the control group (P &lt; 0.05), and the degree of cooperation (94.35%) was higher in the observation group than in the control group (84.75%; P &lt; 0.05). Lastly, the incidence rates of gastrointestinal adverse reactions (10.17% vs 20.34%), choking agitation (14.69% vs 24.86%), abdominal pain (8.47% vs 18.08%), and muscle tension (5.08% vs 14.12%) were all lower in the observation group than in the control group (P &lt; 0.05). CONCLUSION Integrated management and cognitive intervention in early gastrointestinal neoplasm endoscopy alleviate mood, reduce discomfort, shorten examinations, improve cooperation, and reduce complications.

Impact of dynamic health intervention models through online and offline on self-efficacy and quality of life among chronic disease patients

Background The increasing prevalence of chronic diseases in China has prompted a surge in demand for nursing services, yet conventional care models often fail to coordinate effectively between hospitals and homes, leading to significant care disconnection and reduced patient satisfaction. Dynamic health intervention models, delivered through mobile networks both online and offline, offer comprehensive and proactive care experiences for chronic disease patients. Objective This study explores the impact of dynamic health intervention models through online and offline mobile networks on the patients self-efficacy and quality of life undergoing chronic disease examinations. Methods Ninety chronic disease patients who underwent examinations at our hospital from July 2021 to August 2022 were selected. They were randomly divided into a control group (45 cases, receiving routine health care intervention) and a research group (45 cases, undergoing dynamic health intervention care through online and offline mobile networks). The intervention lasted for six months. nursing compliance to health interventions, and nursing satisfaction with health intervention were compared between two groups. Results After six months of health intervention, the research group showed higher scores in Exercise of Self-Care Agency Scale (ESCA), General Self-Efficacy Scale (GSES), and Chinese version of the World Health Organization Quality of Life Brief Scale (WHOQOL-BREF) compared to the control group (P &lt; 0.05). Nursing compliance during health intervention was higher in the research group than in the control group (97.78% vs. 77.78%), and the health intervention services in nursing satisfaction was also higher in the research group (100.00% vs. 86.67%) (P &lt; 0.05). Conclusion To carry out the dynamic health intervention model of mobile network online and offline in patients with chronic diseases is beneficial to improve the self-care ability of patients, enhance their sense of self-efficacy and improve their quality of life, patients had higher nursing compliance and satisfaction.

Stimulus responsive wireless sensor integrated smart urine bag for early detection of catheter-associated infections

Urinary catheterization is a routine intervention in intensive care unit (ICU) patients with prolonged immobility. However, extended use of urinary catheters significantly increases the risk of urinary tract infections (UTIs), posing serious healthcare concerns. Early detection of UTIs can effectively prevent disease progression and mitigate additional health complications. Most conventional diagnostic methods rely on periodic urine sample collection and laboratory analysis, which are time-consuming and lack the capacity for continuous, real-time assessment. To address these limitations, we developed a Smart Urinary Bag (SUB) system with an integrated sensor platform designed for real-time monitoring of UTI-associated biomarkers in urine directly within the urinary bag. The sensor platform incorporates two interdigitated electrode (IDE) patterns coated with stimuli-responsive polymers to selectively detect elevations in pH and xanthine oxidase (XOD) levels—two critical biomarkers for urinary infections. These IDEs connect to spiral planar coils, forming sensor tags that enable battery-free, wireless monitoring of urine conditions through near-field inductive coupling with an external reader. The sensor tags, measuring 10 cm × 6 cm, and the coating thickness were optimized using High-Frequency Structure Simulator (HFSS) software to ensure effective wireless readability and sensitivity for practical miniaturization and integration into standard urinary bags. Systematic characterization of the functional coatings confirmed effective compositions that allowed reliable wireless detection of elevated pH (>8) and XOD (>500 U/L) levels in urine, with a response time of less than 3 hours. The sensors maintained stable performance over 14 days under physiologically relevant conditions with high specificity, as verified through tests with both artificial and real urine. As proof of concept, the fully integrated SUB system was tested under simulated patient conditions with varying pH and XOD levels. The platform successfully identified high-risk UTI conditions, enabling timely alerts to healthcare providers for immediate intervention. This platform aims to enhance patient monitoring in ICUs by reducing healthcare provider burden, facilitating early identification of UTI risks, and promoting timely interventions, ultimately reducing antibiotic overuse and addressing the challenge of rising antibiotic-resistant bacterial strains.

MOBILE APPLICATIONS AND SUICIDE: A SYSTEMATIC ANALYSIS ON THE EFFECTIVENESS OF MOBILE APPLICATIONS FOR SUICIDE PREVENTION

MOBILE APPLICATIONS AND SUICIDE: A SYSTEMATIC ANALYSIS ON THE EFFECTIVENESS OF MOBILE APPLICATIONS FOR SUICIDE PREVENTION ABSTRACT Objective: This study aimed to evaluate the effectiveness of mobile applications designed to prevent suicide. Design: Within the scope of the study, open access Turkish and English articles published in online databases (Web of Science, PubMed (MEDLINE), WİLEY, Taylor &amp; Francis Online, Science Direct) between 2019 and August 2024 were reviewed. Randomized controlled trials on mobile applications whose role in preventing suicide was clearly stated in the articles were included in the study. Results: As a result of the screening, seven studies that met the inclusion criteria were included in this study. In four of the included studies, a routine intervention (awareness training, psychotherapy or medical treatment) was compared with an additional mobile application; in three studies, a routine intervention was compared with a mobile application. As a result of the evaluation, different results were obtained in terms of the effectiveness, acceptability and usability of mobile applications. It was concluded that mobile applications with psychotherapy content, especially applied together with face-to-face interventions, provided more positive results in reducing the risk of suicide. However, the level of effectiveness may vary depending on the content of the application, the characteristics of the sample, and whether it is a treatment support. At the same time, it has been determined that mobile applications are usable but that there is limited data on their acceptability. Conclusion: Mobile applications aimed at preventing suicide are potential tools that can be used in preventing suicide. However, there is no definitive result regarding their effectiveness. It is important to increase randomized controlled studies with a large sample, long follow-up period, and high level of evidence. Keywords: Mental health, mobile application, suicide

The effect of cardiac rehabilitation prescription on medication complications and ET-1, WMSI in elderly patients with coronary heart disease

ObjectiveTo explore the effects of cardiac rehabilitation prescriptions on medication complications, Endothelin 1 (ET-1), and Wall Motion Score Index (WMSI) in elderly patients with coronary heart disease.Methods98 elderly patients with coronary heart disease admitted to the Department of Cardiology of a hospital from January 2020 to June 2022 are selected. According to the red and blue ball method, 98 research subjects are divided into a control group and an observation group. The control group receives routine treatment and exercise intervention, while the observation group receives cardiac rehabilitation prescriptions. After a follow-up of 6 months, the incidence of medication complications between the two groups is compared. The changes in ET-1 and WMSI levels are compared before treatment, 1 month, 3 months, and 6 months after treatment.ResultsThe two groups had no significant difference in ET-1 and WMSI levels before intervention. After intervention, both groups showed significant reductions in ET-1 and WMSI compared with baseline. The ET-1 of the observation group decreased significantly faster than the control group after 1 month, 3 months, and 6 months of intervention. The WMSI decreased more significantly at 6 months. The repeated measurement variance showed that there was a significant difference in the trend of ET-1 changes between the two groups, while the difference between the WMSI groups was not significant. The incidence of medication complications in the observation group was 10.20%, significantly lower than the 26.53% in the control group.ConclusionCardiac rehabilitation prescriptions can reduce the incidence of medication complications in elderly patients with coronary heart disease. It can reduce ET-1 levels faster, improve myocardial motor function, which has better myocardial function and medication safety than conventional treatment.

Correlation between Fundus Damage and Renal Function Deterioration in Chronic Kidney Disease Patients

Introduction: This study aimed to explore the correlation between the extent of fundus damage and the severity of chronic kidney disease (CKD). Methods: We collected data from 118 CKD patients, including general information, renal function indicators, and fundoscopic examination results. The stages of CKD and degrees of fundus lesions were graded. SPSS 25.0 software facilitated the analysis of correlations using Kendall’s tau-b correlation analysis and ordinal regression analysis. Results: Statistically significant differences were observed among multiple CKD stages in the distribution of age, systolic blood pressure, diastolic blood pressure, hemoglobin, total cholesterol, homocysteine, cystatin C, serum creatinine, blood urea, eGFR, 24-h urine protein, urine microalbumin, urine microalbumin/urine creatinine, and blood β2-microglobulin, complement C3. Notably, the levels of cytokeratin 19 fragment and transforming growth factor β significantly increased in all CKD stages. Kendall’s tau-b correlation analysis revealed a significant positive correlation between CKD stage and fundus lesion grade. Ordinal regression analysis indicated that sex differences, total cholesterol levels, and hemoglobin levels were significant predictors of fundus lesion risk. Compared with patients at stage 5 CKD, the risk of fundus damage is significantly lower in patients in stage 2 and stage 3, further demonstrating a positive correlation between renal function deterioration and increased risk of fundus damage. Conclusions: Routine fundus screening and early intervention for fundus lesions are vital for assessing CKD deterioration, providing new directions for future related research.

The state of evidence for the daily routine intervention for carotid artery stenosis

The state of evidence for the daily routine intervention for carotid artery stenosis

Variation between countries for routine transvaginal cervical length measurement and interventions to prevent preterm birth

ObjectiveTo assess the variation between countries for routine transvaginal ultrasound assessment of the cervical length and interventions offered to prevent preterm birth (PTB). Study DesignAn anonymous digital questionnaire was sent out between August and October 2023 to delegates of the European Spontaneous Preterm Birth Congress. Outcomes assessed included method, indications (i.e. singleton pregnancy in women with or without a history of PTB, or a multiple pregnancy), timing and frequency of routine cervical length measurement, interventions offered to pregnant women with a short cervix or a history of PTB, and advice on physical- and sexual activity. ResultsIn total, 247 visitors of the European Spontaneous Preterm Birth Congress were approached for this study and 103 (42 %) participants completed the questionnaire representing 15 countries. Most participants worked in a Public/University hospital (n = 54, 53 %) and worked as a specialist (registrar or consultant; n = 84, 82 %). In most countries, the cervix was measured via a straight-line method without the cervical isthmus, but variety existed also within countries. Routine cervical length measurement in women with no prior PTB or a multiple pregnancy is rarely performed in the first trimester. For women with a history of PTB, 39 (38 %) respondents from six countries reported to start serial cervical measurement in the first trimester and 99 (96 %) from 14 countries in the second trimester. Follow-up for women at risk for PTB mainly occurs fortnightly (n = 40, 39 %) or monthly (n = 14, 14 %). However, follow-up is often individualized according to patient’s history and/or cervical length. In women with a history of PTB or a short cervix progesterone is administered vaginally (n = 99, 96 %), however dosage vary between 100 mg and 400 mg daily. The timing and gestational age at which a (primary/secondary/tertiary) vaginal cerclage is offered widely differ between countries (e.g. up to 24–28 weeks of gestation for a secondary cerclage). Advice on restrictions regarding sexual activity in pregnancy is frequently prescribed for women with a short cervix (n = 38, 37 %). ConclusionSubstantial variation exist between and within countries regarding the indications and timing of cervical length measurement and interventions offered. There is a need for a more universal approach to manage patients at risk for PTB based on the existing evidence.

Interdisciplinary cooperation with solution-focused brief therapy to reduce job stress, burnout, and coping in Chinese nurses: A randomised controlled trial

BackgroundIncreased job stress and burnout are common among clinical nurses in China, reducing their work efficiency and nursing quality. Multiple studies have been conducted on brief interventions to reduce job stress and burnout among nurses. However, research has been hampered by a lack of psychological knowledge among nursing staff. AimTo assess a solution-focused brief therapy for enhancing nurses' coping styles and mitigating job stress and burnout based on interdisciplinary cooperation. DesignThis randomised controlled trial. SettingsWe randomly allocated 60 nurses working at a tertiary general hospital in a city in China to an experimental (n = 30) or a control group (n = 30). MethodsA collaborative research team comprising psychology and nursing specialists was established to conduct this study. The control group received routine psychological intervention, whereas the intervention group received a solution-focused brief therapy based on interdisciplinary cooperation. Chinese nurses’ job stressors, Maslach Burnout Inventory, and simplified coping style questionnaire were used to evaluate both groups before and after the intervention. ResultsA comparison of the scores for job burnout, total job stress, and positive coping before and after the interventions revealed significant improvements in the experimental group, whereas the scores for emotional exhaustion, depersonalisation, and total job stress in the control group demonstrated statistically significant differences. No significant differences were observed in the scores for negative coping, personal accomplishment, and coping style between the test and control groups before and after the intervention. ConclusionsSolution-focused brief therapy implemented through interdisciplinary collaboration effectively enhances clinical nurses' active coping style, alleviates job stress and burnout, and offers valuable guidance for nursing management practices.

The Impact of Individual Cognitive Stimulation Therapy on Caregivers of Burn Patients.

This study aimed to investigate the effects of Individual Cognitive Stimulation Therapy (ICST) on the cognition, quality of life, and family relationships of caregivers of burn patients. A total of 98 caregivers of burn patients were randomly divided into a control group and a study group. The control group received routine interventions, while the study group underwent ICST, focusing on psychological diagnosis, comprehension, communication, and re-education phases. Burn awareness levels, quality of life, social support utilization, and psychological resilience were assessed before and after the intervention. Before intervention, there were no significant differences in burn awareness levels, quality of life, social support utilization, or psychological resilience between the two groups. After the intervention, caregivers in the study group exhibited significantly higher scores in burn awareness levels, quality of life dimensions, social support utilization, and psychological resilience compared to the control group (P < 0.05). Individual Cognitive Stimulation Therapy can improve the burn awareness level, quality of life, and social support utilization of caregivers of burn patients, highlighting its significant clinical implications in enhancing caregiver well-being and patient care.

The Effects of Health Education Model Based on Goal-setting Theory on lifestyle, Diet and Nutrition, and Psychological Regulation of Thyroid Cancer Patients after Surgery

Objective: The effects of a health education model based on goal-setting theory on lifestyle, diet and nutrition, and psychological regulation of thyroid cancer patients after surgery. Methods: A total of 60 thyroid cancer patients from the First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine from January 1, 2020 ~ December 31, 2023 were selected and grouped.They were divided into 30 observation groups and 30 control groups based on the principle that baseline data between groups could be compared. Patients in both groups were given routine postoperative care for thyroid cancer, and on this basis, the control group was given routine health education intervention, and the observation group was given health education intervention based on goal-setting theory. Both groups were intervened until discharge, and both groups were followed up for 1 month after discharge. Before the intervention and one week after the intervention, the self-made disease knowledge questionnaire and the self-management assessment scale of cancer patients were used to evaluate the disease knowledge, self-management ability and quality of life of the two groups. The compliance of patients with rehabilitation exercises, hoarseness, tetany and quality of life before intervention and at the end of follow-up were observed. Results: After 1 month of intervention, there were significant differences between the observation group and the normal control group in terms of disease knowledge knowledge score, self-efficacy, control of daily living habits, treatment of disease symptoms, and management of psychological adjustment (P&lt;0.05). In the process of intervention, the compliance of the observation group was significantly higher than that of the control group, and there was a significant difference, (P&lt;0.05). At the end of the follow-up, the symptoms of hoarseness, tetany and dyspnea in the observation group were significantly lower than those in the control group, and the difference was statistically significant (P&lt;0.05). Finally, the two groups were significantly better than the control group in terms of physiological, psychological, functional exercise and special scores (P&lt;0.05). Conclusion: Health education based on goal-setting theory has high application value in thyroid cancer surgery patients, which can improve patients' awareness of the disease, improve patients' rehabilitation compliance and self-management ability, and promote the recovery and improvement of postoperative living standards.