International Journal of General Practice Nursing

Nonverbal Communication in Dementia Care: A Review of Its Application and Influence on Patients’ Quality of Life

Lijia Liu, Di Wang — Mon, 15 Dec 2025 15:49:12 +0800

Objective: To review the mechanism, application scenarios, and existing problems of nonverbal communication in improving dementia patients’ quality of life and to provide a reference for nursing practice and future research. Methods: Literature related to “dementia”, “non-verbal communication”, and “quality of life” published from 202 to 2024 was searched through CNKI, Wanfang, PubMed, etc., are included in studies on clinical nursing, non-pharmacological interventions, and communication strategies for narrative integration. Results: Existing studies show that nonverbal communication elements (eyes, gestures, touch, spatial distance, intonation, and environmental cues) can improve patients’ subjective security and quality of life through cognitive activation, emotion regulation, memory arousal, behavioral stability, self-care promotion, and social participation. Application needs and implementation priorities differ across hospitals, elderly care institutions, and home care. Current evidence is limited by small sample sizes, high heterogeneity, and a lack of standardized assessment tools and high-quality randomized controlled trials. Conclusion: Nonverbal communication is a key nursing strategy to compensate for language barriers and improve quality of life in dementia care. In the future, it is necessary to establish a unified evaluation system, conduct high-quality multi-center research, and explore AI’s potential to support objective quantification and individualized intervention of nonverbal signals.

Firsekibart in Reducing High-Sensitivity C-reactive Protein Levels of Gout

Yu Xue, Yi Li, Yuling Lian, Fei Gu, Chunxia Chen, Qian Xu — Fri, 07 Nov 2025 16:00:59 +0800

Background: Gout remains a challenging condition with rising global prevalence. The IL-1β drives disease pathogenesis, and high-sensitivity C-reactive protein (hsCRP) correlates with gout activity. Firsekibart, a novel fully human anti-IL-1β monoclonal antibody, has proven its efficacy on gout, while the data on reducing hsCRP remains limited. Methods: This multicenter, randomized, double-blind phase III trial compared Firsekibart (200 mg subcutaneous) with compound betamethasone (7 mg intramuscular) in acute gout patients who were contraindicated to, intolerant of, or unresponsive to NSAIDs and/or colchicine. Serum hsCRP levels were measured at 72 hours, 7 days post-dose, and 4 weeks post-dose. Results: Both groups achieved comparable hsCRP reduction at 72 hours (Firsekibart: −14.68 mg/L [95% CI: −15.75, −13.61] vs. compound betamethasone: −14.58 mg/L [−15.66, −13.50]; P=0.898). Firsekibart demonstrated better sustained suppression at 7 days post-dose (−18.63 vs. −9.28 mg/L, P<0.001) and 4 weeks (−18.37 vs. −12.65 mg/L, P<0.0001). Conclusion: Compared with compound betamethasone, Firsekibart showed a longer-lasting anti-inflammatory effect on gout patients. This result may provide significant clinical value in the management of gout and its associated complications.

The Optimization of the Handover Process Between the Disinfection Supply Center and the Geriatric Department Material Promotes the Prevention and Control of Hospital Infection

Fengjuan Wang, Jiawei Zhang — Wed, 17 Dec 2025 09:23:02 +0800

As a critical department for hospital infection control, the disinfection supply center is responsible for cleaning, disinfecting, sterilizing, and distributing reusable medical devices and items across the hospital. Geriatric departments, due to their patient population’s weakened immune systems and multiple underlying conditions, are particularly vulnerable to infection outbreaks. The material transfer process between these two departments directly impacts infection prevention effectiveness. This study analyzes existing issues in current material transfer procedures between disinfection centers and geriatric departments, proposes targeted optimization measures, and explores how process improvements enhance standardized material management, reduce contamination risks, and strengthen staff infection control awareness. The findings aim to provide practical references for hospitals to refine infection control systems and ensure elderly patient safety, ultimately advancing comprehensive infection management capabilities.

Effectiveness of a Phase I Cardiopulmonary Rehabilitation Nursing Protocol on Functional Outcomes in Patients after Open Type A Aortic Dissection Surgery: A Case-Control Study

Hui Yang — Wed, 17 Dec 2025 09:31:27 +0800

Objective: To explore the effectiveness of a Phase I cardiopulmonary rehabilitation nursing protocol on functional outcomes in patients after open Type A aortic dissection (TAAD) surgery. Methods: A total of 64 patients who underwent open TAAD surgery in the hospital from January 2023 to December 2024 were selected and randomly divided into the control group and the study group using a random number table, with 32 patients in each group. The control group received routine cardiopulmonary rehabilitation intervention, while the study group received a Phase I cardiopulmonary rehabilitation nursing protocol guided by the Theory of Planned Behavior. The 6-minute walk distance (6MWD), Borg Rating of Perceived Exertion (RPE) score, time to first postoperative ambulation, incidence of hypoxemia, incidence of hypoxemia-related complications, and incidence of rehabilitation nursing-related adverse events were compared between the two groups. Results: After intervention, the study group had a longer 6MWD, lower Borg RPE score, earlier time to first postoperative ambulation, and lower incidence of hypoxemia than the control group (all P < 0.05). There were no statistically significant differences in the incidence of hypoxemia-related complications or rehabilitation nursing-related adverse events between the two groups (both P > 0.05). Conclusion: The Phase I cardiopulmonary rehabilitation nursing protocol guided by the Theory of Planned Behavior is scientific, feasible, and clinically relevant for TAAD patients. It can improve patients’ exercise capacity and reduce the incidence of hypoxemia.

Practice and Effectiveness Analysis of Electricity Conservation in Pediatric Wards Based on a Multi- Dimensional Collaborative Intervention Strategy

Ruizhi Huang, Qiuqing Jin, Jialin Ye — Wed, 17 Dec 2025 09:40:08 +0800

As high-energy-consuming public buildings and medical institutions, hospitals hold profound significance for the realization of China’s “dual carbon” goals through their energy management. Taking pediatric wards as the research object, this study constructed a three-dimensional collaborative intervention model of “institutional level—equipment level—behavioral level” targeting their energy consumption characteristics (dense wards, high accompanying rate, and continuous operation of medical equipment). Through a stepped controlled trial design (self-control during 2024—2025 and spatial control with gynecological wards), this study systematically evaluated the implementation effect of energy-saving measures. The research results show that after the implementation of intervention measures, the monthly average electricity savings in pediatric wards exceeded 900 kWh, with an average electricity saving rate of 21.36%. Through difference analysis, the impact of external environments was excluded, verifying the effectiveness of the three-dimensional collaborative mechanism. This study provides a comprehensive “technology-management-behavior” energy-saving path for medical institutions, which has high promotion value.

Analysis of the Effectiveness of Precision Nursing Based on the KANO Model in Improving Health Outcomes for Patients with Threatened Abortion

Yongju Xu, Jianying Zhu, Jiamin Xu, Xiaoqun Zhang, Li Wen — Wed, 17 Dec 2025 09:48:32 +0800

Objective: To explore the application effect of a continuous precision nursing model based on the KANO model in patients with threatened abortion and evaluate its improvement on patients’ clinical symptoms, psychological state, and sleep quality. Methods: A total of 100 patients with early threatened abortion admitted to the hospital from January 2023 to December 2024 were randomly divided into a control group and an intervention group, with 50 cases in each group. The control group received routine nursing, while the intervention group received continuous precision nursing under the guidance of the KANO model. The improvement time of clinical symptoms, changes in the Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), and Pittsburgh Sleep Quality Index (PSQI) scores were compared between the two groups. Results: The intervention group had significantly shorter times for cessation of vaginal bleeding, relief of abdominal pain and low back pain, and total hospital stay compared to the control group (P<0.05). After the intervention, the SAS, SDS, and PSQI scores in the intervention group were significantly lower than those in the control group (P<0.05). Conclusion: Continuous precision nursing based on the KANO model can effectively promote symptom relief, improve psychological state, and enhance sleep quality in patients with threatened abortion, demonstrating its value for promotion.

Application and Development of Nursing Education in the Emergency Department and Surgical Critical Care

Feifei Liang — Wed, 17 Dec 2025 09:52:49 +0800

This paper explores theoretical frameworks in emergency and surgical critical care education, particularly the application and significance of situational simulation teaching. It analyzes teaching models, including traditional apprenticeship systems and micro-teaching methodologies, evaluating their respective advantages and limitations. The study identifies existing challenges such as fragmented curriculum development and faculty imbalance, while proposing targeted improvement measures. The paper emphasizes the strategic application of emerging technologies in educational reform.

Yinao Capsules Combined with Memantine Hydrochloride in the Treatment of Alzheimer’s Disease in the Elderly

Jian Zhao, Xuelian Jia — Wed, 17 Dec 2025 10:06:52 +0800

Objective: To investigate the clinical efficacy of Yinao capsule combined with memantine hydrochloride in the treatment of Alzheimer’s disease (AD) in the elderly, and to analyze its effects on cognitive function and quality of life of patients. Methods: A total of 84 elderly AD patients admitted to the hospital from June 2022 to June 2023 were randomly divided into an observation group (42 cases, Yinao capsule combined with memantine hydrochloride) and a control group (42 cases, memantine hydrochloride monotherapy), both of which were treated for 3 months. The Mini-Intelligent Mental State Scale (MMSE) was used to evaluate cognitive function, and the Quality of Life Scale for Alzheimer’s Patients (QOL-AD) was used to evaluate the quality of life. Results: Before treatment, there was no significant difference in the MMSE AND QOL-AD scores between the two groups (P>0.05). After 3 months of treatment, the MMSE AND QOL-AD scores of both groups were significantly higher than those before treatment (both P<0.001), and the MMSE (24.70±3.70 points) and QOL-AD (31.60±3.59 points) scores in the observation group were significantly higher than those in the control group (21.24±3.33 points) and (28.44±3.26 points), both P<0.001. There were no serious adverse reactions in either group. Conclusion: Yinao capsule combined with memantine hydrochloride can significantly improve cognitive function and quality of life in elderly AD patients, and the efficacy is better than memantine hydrochloride monotherapy, and the safety is good.

Application of the MDT Clinical Teaching Model in Screening for Geriatric Sarcopenia and Nutrition Intervention Education

Qing Ma — Wed, 17 Dec 2025 10:13:21 +0800

Objective: To investigate the effectiveness of the multidisciplinary team (MDT) clinical teaching model in screening for sarcopenia and nutrition intervention education among the elderly. Methods: Sixty undergraduate medical students undergoing clinical internships in the geriatrics department of a hospital from June 2024 to May 2025 were randomly assigned to a control group (n=30) and an observation group (n=30) using a random number table. The control group received conventional bedside teaching, while the observation group underwent MDT-based teaching. Post-internship assessments compared both groups on theoretical knowledge, clinical practice skills, and clinical reasoning. Results: The observation group achieved significantly higher scores than the control group in both basic theoretical knowledge (83.40 ± 10.03 vs. 72.24 ± 11.64, P < 0.05) and clinical practice assessment (89.81 ± 5.87 vs. 76.73 ± 6.48, P < 0.05). 2. Scores for the observation group in “comprehensiveness of problem analysis”, “accuracy of evidence-based decision-making”, “multidisciplinary integration ability”, and “risk prediction and complication management ability” were (20.58 ± 1.87), (22.44 ± 1.18), (22.28 ± 1.53), and (23.21 ± 1.46) points, respectively, all significantly higher than the control group’s (18.83 ± 1.95), (20.21 ± 1.36), (19.56 ± 1.74), and (21.02 ± 1.37) points, respectively, with statistically significant differences (P < 0.05). Conclusion: The application of the MDT clinical teaching model in screening for sarcopenia and nutrition intervention education among the elderly demonstrated significant efficacy, effectively enhancing students’ understanding of sarcopenia-related knowledge and comprehensive diagnostic and therapeutic capabilities.

Effect of Magnesium Sulfate Wet Compress Intervention During the Second Stage of Labor on Maternal and Neonatal Outcomes in Vaginal Delivery

Qian Ye, Shaoxin Kong, Meifang Yuan, Yinmei Huang, Chunqi Hu — Wed, 17 Dec 2025 10:28:30 +0800

Objective: To investigate the effects of magnesium sulfate wet compress applied during the second stage of labor in vaginal delivery on maternal and neonatal outcomes, and to provide evidence for perineal protection in midwifery practice. Methods: In this retrospective cohort study, 117 women who delivered vaginally between September and October 2025 at the study center were enrolled. According to perineal management during the second stage of labor, participants were assigned to the magnesium sulfate wet compress group or the control group. Maternal outcomes (labor duration, perineal laceration rate, NRS pain score, perineal edema, and postpartum cold compress requirement) and neonatal outcomes (body length, birth weight, Apgar score, and transfer rate) were compared between groups. Results: There were no statistically significant differences in baseline characteristics between the two groups (P > 0.05). Compared with the control group, parturients in the observation group had significantly lower pain scores at 2 hours postpartum, as well as lower incidences of perineal edema and reduced demand for cold compress therapy; moreover, the rates of perineal laceration and episiotomy were significantly decreased (P < 0.05). No statistically significant differences were observed between the two groups with respect to neonatal length, birth weight, Apgar score, or neonatal transfer rate (P > 0.05). Conclusion: Magnesium sulfate wet compress during the second stage of labor is a safe and feasible intervention that effectively reduces perineal pain, edema, and birth-related perineal trauma without compromising neonatal outcomes. Larger randomized controlled studies are needed to confirm these findings.

Application Effect of Team Responsibility System Nursing in the Care of Patients in the Intensive Care Unit

Lingyu Li, Xiang Ma, Jiao Yan, Haijing Han — Wed, 17 Dec 2025 10:42:51 +0800

Patients admitted to the Intensive Care Unit (ICU) have the characteristics of rapid and complex changes in their conditions, thus putting forward higher requirements for nursing work. As an important part of the ICU medical team, nurses should actively explore the application of the team responsibility system nursing in daily care. Based on this, this paper briefly analyzes the significance of applying the team responsibility system nursing in the care of ICU patients, and discusses the improvement strategies and application effects of team responsibility system nursing in the care of ICU patients, aiming to provide certain references for the innovation and development of ICU patient care work.