Journal of Clinical and Nursing Research

Practical Exploration of the “Six-Step” Situational Teaching Method in Operating Room Nursing Education

Kun Zhu — 2025-12-26

Abstract: Objective: To explore the application effectiveness of the “Six-Step” Scenario-Based Teaching Method in operating room nursing education. Methods: Seventy nursing students undergoing clinical training in the operating room of a certain hospital from January 2024 to June 2025 were selected. They were randomly divided into an observation group (n = 35) and a control group (n = 35) using a random number table. The control group received traditional “mentor-apprentice” on-the-job training, while the observation group underwent the “six-step” scenario-based teaching method. The two groups were compared on final assessment scores, comprehensive competency, surgical nursing emergency response ability, and teaching satisfaction indicators. Results: The observation group achieved significantly higher final assessment scores (85.54 ± 5.05) than the control group (78.63 ± 4.75); After instruction, the observation group scored significantly higher than the control group in: mastery of basic duties and procedures (4.22 ± 0.30 vs. 3.98 ± 0.30), understanding of surgical nursing essentials (4.39 ± 0.19 vs. 3.98 ± 0.30), proficiency in surgical assistance (4.11 ± 0.33 vs. 3.98 ± 0.30), aseptic awareness (4.32 ± 0.24 vs. 3.98 ± 0.30), risk awareness (4.22 ± 0.17 vs. 3.98 ± 0.30), and occupational safety awareness (4.01 ± 0.23 vs. 3.98 ± 0.30). (4.01 ± 0.23), which were significantly higher than the control group’s scores (3.36 ± 0.28), (3.14 ± 0.27), (3.29 ± 0.24), (3.53 ± 0.36), (3.17 ± 0.25), and (3.51 ± 0.18), respectively. Students in the observation group scored significantly higher than the control group in emergency hands-on skills (24.53 ± 1.85 points), surgical coordination skills (27.65 ± 1.87 points), emergency coordination skills (25.34 ± 1.83 points), and patient condition observation skills (24.34 ± 1.79 points) were significantly higher than those of the control group (20.78 ± 1.74 points, 26.31 ± 1.95 points, 22.92 ± 1.69 points, and 21.58 ± 1.77 points, respectively). The satisfaction rate with operating room nursing education among students in the observation group (97.00%) was significantly higher than that in the control group (77.00%). All differences were statistically significant (p < 0.05). Conclusion: The “Six-Step” Scenario-Based Teaching Method effectively enhances operating room students’ mastery of theoretical knowledge, practical skills, and core comprehensive abilities, while significantly improving their teaching satisfaction. It warrants promotion and application in operating room nursing education.

Perioperative Nursing Experience of a Case with Intrauterine Device Ectopia to the Stomach

Na Wang — 2025-12-30

Objective: To summarize the perioperative nursing strategies of a patient undergoing laparoscopic retrieval and partial gastrectomy because of the gastric migration of an intrauterine device. Methods: The following individualized care strategies were implemented: preoperative psychological optimization using cognitive-behavioral counseling, modified bowel preparation, accelerated postoperative recovery through early ambulation and stepwise nutritional advancement, strict condition monitoring of the patient, multimodal step analgesia, early tube removal, integration of medical and nursing checkups, and nursing measures using traditional Chinese medicine. Results: The patient was discharged from the hospital smoothly after 8 days. A follow-up visit was conducted one-week post-discharge, during which the patient’s general condition was assessed as good, and no complications were reported. Conclusion: The use of individualized nursing strategies has aided in the smooth postoperative recovery of patients with ectopic intrauterine devices while improving the quality and safety of nursing.

Evidence-Based Nursing Optimization for Catheter Tip Positioning in PICC Insertion in Patients with Persistent Left Superior Vena Cava

Qian Wang — 2025-12-31

Abstract: Objective: To explore the evidence-based nursing optimization strategy for catheter tip positioning during peripherally inserted central catheter (PICC) insertion in patients with persistent left superior vena cava (PLSVC). Methods: For one ovarian cancer patient with PICC malposition in the coronary sinus (CS) due to PLSVC, multi-modal imaging techniques were integrated to accurately locate the catheter tip. The catheter position was adjusted based on evidence (withdrawing 5 cm), and a standardized nursing process was established, including personalized health education, catheter fixation and displacement monitoring, complication monitoring, establishment of a specialized disease information archive system, and formulation of a follow-up plan. Results: The catheter tip was successfully withdrawn from the coronary sinus (at the T8 level) to the middle and lower part of the PLSVC (at the T6 vertebral level), and the catheter functioned normally after adjustment. No complications such as arrhythmia or thrombosis occurred during the 332-day chemotherapy period. Conclusion: The PICC tip in PLSVC patients should be positioned in the middle and lower part of the PLSVC (at the T5–T7 vertebral level). This new standard can effectively avoid CS-related complications. The integration of multi-modal imaging techniques and evidence-based nursing management are key to ensuring safe infusion.

Research Progress and Prospect of Biofeedback Technology Combined with Occupational Therapy in Hand Function Rehabilitation after Stroke

Guokai Gu — 2025-12-31

Hand function impairment after stroke has become a key and difficult issue in clinical rehabilitation due to complex neural innervation and a long recovery cycle. Biofeedback technology combined with occupational therapy can make up for the limitations of single therapy and provide a new solution for hand function rehabilitation after stroke. This paper systematically sorts out the theoretical basis and clinical research progress of biofeedback technology combined with occupational therapy in hand function rehabilitation after stroke, and looks forward to the future development direction, aiming to provide reference for clinical rehabilitation practice and scientific research.

Development of a Liquid Bandage Containing Rhubarb and Borneol

Ying Zhao — 2025-12-31

To address the limitations of traditional adhesive bandages such as poor air permeability, insufficient adaptability, and single function, this study developed a novel liquid bandage using rhubarb and borneol as core raw materials, polyvinyl butyral as the film-forming matrix, combined with glycerol and diethyl phthalate. The preparation process was optimized via L₉(3⁴) orthogonal experiment, with film-forming time, film adhesion, and 24-hour emodin dissolution rate as evaluation indicators to determine the optimal process parameters. The product’s film-forming performance, antibacterial activity, skin safety, and wound healing-promoting effect were systematically investigated. Results showed that the optimal process parameters were: rhubarb extract concentration of 12%, borneol concentration of 1.5%, and film-forming temperature of 45 ℃. Under these conditions, the product had a film-forming time of 3.2 ± 0.3 min, film adhesion of 3.8 ± 0.2 N, and 24-hour emodin dissolution rate of 86.7 ± 1.6%. Performance evaluation indicated that the product exhibited excellent water resistance, antibacterial activity, hemostatic effect, and high stability. This liquid bandage achieves efficient integration of traditional Chinese medicine efficacy and modern film-forming technology, holding promising application prospects in the field of wound care.

Efficacy of Biofeedback Combined with Occupational Therapy on Upper Limb Function in Stroke Patients

Guokai Gu — 2025-12-31

Objective: To study the efficacy of biofeedback combined with occupational therapy in stroke patients, including upper arm function, hand function, and self-care ability. Methods: A total of 60 stroke patients who met the inclusion and exclusion criteria of this study were divided into a treatment group and a control group, with 30 cases in each group, using a random number table method. The total course of treatment was 4 weeks, with 5 treatments per week. Both groups received routine rehabilitation treatment, while the treatment group was supplemented with biofeedback therapy on the basis of routine rehabilitation. Before treatment and after 4 weeks of treatment, the Hemiplegic Hand Function Assessment Scale, Carroll Upper Extremity Function Assessment Scale, Wolf Motor Function Test (WMFT), and Brunnstrom Scale were used to evaluate patients’ hand function, Activities of Daily Living (ADL) ability, and motor function, respectively. Adverse events during treatment were observed. Results: After treatment, the Brunnstrom stages, Carroll upper extremity function scores, and Wolf upper extremity function scores of patients in both groups were significantly improved (p < 0.001), and the improvement effect in the treatment group was more significant (p < 0.001). Conclusion: Stroke patients receiving basic rehabilitation treatment combined with occupational therapy and biofeedback therapy can better improve their upper arm and hand functions. Meanwhile, the combination of biofeedback therapy and occupational therapy is superior to occupational therapy alone, enhancing the self-care ability of stroke patients.

Pathogenesis of Hyaline Membrane Disease in Newborns and Advances in Non-invasive Ventilation Therapy

Ying Guo — 2025-12-31

Hyaline Membrane Disease (HMD) in newborns, also known as neonatal respiratory distress syndrome, is a common critical illness in premature infants, with an incidence inversely correlated with gestational age, posing a serious threat to the life and health of newborns. This paper systematically reviews the core pathogenesis of HMD, focusing on the abnormal metabolism of pulmonary surfactant (PS), genetic factors, immature lung development, and the synergistic effects of inflammatory oxidative stress. It highlights the advances in non-invasive ventilation (NIV) therapy for HMD, including the mechanisms of action, clinical application effects, and optimization strategies of mainstream modalities such as nasal continuous positive airway pressure ventilation (NCPAP), nasal intermittent positive pressure ventilation (NIPPV), and heated humidified high-flow nasal cannula ventilation (HHHFNC). The aim is to provide references for standardized clinical treatment.

Perioperative Nursing Management of a Lateral Ventricle Trigone Meningioma Resected via a Contralateral Approach: A Case Report

Li Hu — 2026-01-02

This article summarizes the nursing experience with a patient who underwent resection of a lateral ventricle trigone meningioma via a contralateral interhemispheric approach. Key nursing measures included preoperative health education and psychological care, baseline neurological assessment, and comprehensive physiological preparation. Postoperative care focused on intensive vital sign monitoring and support, comprehensive neurological evaluation and early rehabilitation, as well as a proactive strategy for preventing secondary epilepsy and controlling intracranial infection. Through active treatment and systematic nursing care, the patient achieved an uncomplicated recovery and was discharged on postoperative day 9. The successful implementation of these structured nursing interventions contributed to favorable postoperative outcomes, offering a valuable reference for the perioperative management of similar complex neurosurgical cases.

Sequential Treatment and Systematic Management of Vertical Root Fracture in Molars

Jiajia Wei — 2026-01-02

Vertical root fracture (VRF) in molars is a complex and frequently encountered dental condition. Successful management relies on accurate diagnosis, sequential treatment strategies, and systematic care. This paper provides a comprehensive review of the sequential therapeutic approaches and systematic management models for molar VRF over the past five years. Particular attention is given to the diagnostic value of cone-beam computed tomography (CBCT), recent advances in tooth-preserving techniques, and the establishment of full-course management frameworks. By constructing an integrated pathway encompassing diagnostic assessment, treatment decision-making, clinical intervention, and long-term maintenance, a "dentist–nurse–patient community" model is proposed to promote standardized clinical guidance. This collaborative model aims to extend the lifespan of affected teeth and restore optimal masticatory function.

A Case Report of Ulnar Osteotomy for the Treatment of Monteggia Fracture in a Child

Wenrong Yang — 2026-01-02

Monteggia fracture-dislocation is a rare and complex injury that typically involves an ulnar fracture combined with a dislocation of the proximal radioulnar and radiocapitellar joints. Ulnar osteotomy is an effective treatment method. This article reports a case of chronic Monteggia fracture in an 11-year-old male patient successfully treated with a simple proximal ulnar osteotomy.

Mediating effects of knowledge, attitudes, and practice of rehabilitation on the relationship between fatigue and kinesiophobia in patients with coronary heart disease

Lele Bi — 2026-01-02

This study aimed to investigate the mediating role of knowledge, attitude, and practice (KAP) in the relationship between fatigue and kinesiophobia in 200 coronary heart disease patients from three Chinese tertiary hospitals. Using validated scales (MFSI-SF, TSK-SV Heart, and the Rehabilitation Exercise Knowledge-Attitude-Practice Scale for Patients ), data analysis via SPSS 25.0 and AMOS 24.0 structural equation modeling identified a significant KAP-mediated pathway (total indirect effect=0.377). KAP of rehabilitation was significantly negatively correlated with fatigue (r=-0.51, p<0.01) and kinesiophobia (r=-0.60, p<0.01), whereas fatigue was significantly positively correlated with kinesiophobia (r=0.678, p<0.01). Results indicate that fatigue amplifies kinesiophobia by compromising KAP of rehabilitation.A significant mediating effect of KAP of rehabilitation on the relationship between fatigue and kinesiophobia was found. Improving patient fatigue and the knowledge, attitudes, and practices of rehabilitation can help reduce kinesiophobia.

A Study on the Effect of Symptom Management Education Based on the Knowledge-Attitude-Practice (KAP) Theory on the Symptom Cluster of Fatigue, Pain, and Sleep Disturbances in Lung Cancer Patients

Min Zhu — 2026-01-02

Abstract: Objective: To investigate the intervention effect of symptom management education based on the Knowledge-Attitude-Practice (KAP) theory on the symptom cluster of fatigue, pain, and sleep disturbances in lung cancer patients. Methods: A total of 232 lung cancer patients treated in the oncology department from October 2024 to October 2025 were included and randomly divided into an experimental group and a control group, with 116 cases in each group. The control group received routine nursing care for lung cancer, while the experimental group received additional symptom management education intervention based on the KAP theory. Fatigue, pain, and sleep conditions were quantified at the 4th and 8th weeks after the intervention. Results: After 4 and 8 weeks of intervention, the RPFS scores, VAS scores, and PSQI scores in the experimental group were lower than those in the control group at the same time points (p < 0.05); moreover, the scores in the experimental group at each time point were lower than those before the intervention (p < 0.05). Conclusion: Symptom management education based on the KAP theory can effectively improve the symptom cluster of fatigue, pain, and sleep disturbances in lung cancer patients, enhance their quality of life, and has clinical promotion value.

Prediction Models for Postoperative Deep Vein Thrombosis in Elderly Hip Fracture Patients: A Systematic Review

Shuqing Yang — 2026-01-02

Objective: To systematically evaluate prediction models for postoperative deep vein thrombosis (DVT) in elderly hip fracture patients and assess their methodological quality and predictive performance. Methods: Following PRISMA guidelines, we searched eight databases (PubMed, Embase, Cochrane Library, Web of Science, CINAHL, CNKI, Wanfang, VIP) from inception to May 2025. Studies developing or validating DVT prediction models in elderly hip fracture patients were included. Two reviewers independently screened studies, extracted data, and assessed risk of bias and applicability using the PROBAST tool. Results: Eleven studies were included, all conducted in China between 2021 and 2025. Sample sizes ranged from 101 to 504 patients (total n = 3,286). Models incorporated 3 to 9 predictors, with D-dimer, age, and time from injury to surgery being most common. All 11 studies (100%) were rated as high risk of bias, primarily due to small sample sizes, lack of validation, and inadequate missing data handling. Applicability concerns were low in 8 studies (72.7%). AUC values ranged from 0.648 to 0.967, with 10 studies (90.9%) reporting AUC > 0.7. Meta-analysis identified time from injury to surgery (OR = 4.63, 95% CI: 2.58–6.68), age (OR = 1.99), D-dimer (OR = 1.51), and Caprini score (OR = 1.75) as significant predictors. Conclusion: Current DVT prediction models for elderly hip fracture patients demonstrate acceptable discrimination but are limited by high risk of bias and lack of external validation. Prospective, multicenter studies with rigorous validation are needed to develop clinically applicable models.

Analysis of the Sleep Regulation Effects of Herbal Sleep-Aiding Pillows in Treating Insomnia Due to Gallbladder Deficiency

Qijuan Chen — 2026-01-02

Objective: To analyze the value of herbal sleep-aiding pillows in regulating sleep quality in patients with insomnia due to gallbladder deficiency. Methods: Eighty patients with insomnia due to gallbladder deficiency were treated from April 2023 to April 2024 and were randomly divided into groups by drawing lots. Group A used herbal sleep-aiding pillows, while Group B received Western medication. Results: The therapeutic efficacy, HAMA scores, HAMD scores, PSQI scores, and symptom scores of patients in Group A were all superior to those in Group B, with p < 0.05. Conclusion: Treatment with herbal sleep-aiding pillows for insomnia due to gallbladder deficiency resulted in decreased emotional scores, improved sleep quality, and reduced insomnia symptom scores, which is beneficial for the prognosis of patients with insomnia.

Research on the Application of “Internet + Continuous Nursing” in the Pregnancy Management of Pregnant Women with High-Risk Pregnancy

Qingyan Cheng — 2026-01-02

Pregnant women with high-risk pregnancy face a higher risk of complications due to factors such as chronic diseases, multiple pregnancies, and a history of adverse pregnancy and childbirth, requiring more systematic and dynamic health management support. In view of this, “Internet + continuous nursing” can break the limitations of time and space by integrating mobile communication, remote monitoring, data sharing, and intelligent analysis technologies, realizing closed-loop care with collaboration among hospitals, communities, and families. Research shows that continuous nursing based on the “Internet +” significantly improves the professional response ability of caregivers. Medical staff can grasp the patient’s status in real time, optimize diagnosis and treatment decisions, providing a feasible path for building an efficient, precise, and humanized high-risk pregnancy management system, which has broad clinical promotion value and public health significance.

Application and Prospect of Artificial Intelligence in Acute and Critical Care Nursing Teaching

Guangfa Song — 2026-01-02

Driven by social needs, national policies, and digital innovation, the traditional teaching model of acute and critical care nursing can no longer meet the demand for high-quality acute and critical care nursing talents in modern medical care. Artificial intelligence (AI) technology provides effective innovative solutions for acute and critical care nursing teaching through capabilities such as virtual simulation, big data technology, and natural language processing. This paper systematically sorts out the application scenarios of AI in acute and critical care nursing teaching, analyzes the current challenges such as technical costs, teachers’ literacy, and ethical risks in application, and looks forward to the future development direction from the dimensions of technological integration, policy support, and talent training, aiming to provide useful references for the reform of acute and critical care nursing teaching.

The Predictive Value of Combined Synthetic MRI Features and PSAD for Clinically Significant Prostate Cancer

Yunqi Yang — 2026-01-02

Objective: To investigate the diagnostic and predictive value of MRI features combined with clinical indicators for prostate cancer (PCa) and clinically significant prostate cancer (csPCa), and to establish a non-invasive combined model. Methods: A total of 36 patients with pathologically confirmed benign lesions (44 foci) and 23 patients with PCa (49 foci), including 25 foci of csPCa and 68 foci of non-csPCa, were included. SyMRI quantitative maps and clinical indicators were collected, and 224 imaging features were extracted. The intra- and inter-group correlation coefficients (ICC) for each feature were calculated using intra- and inter-group correlation analysis, and features with an ICC > 0.75 were selected as stable features that could be reproducibly extracted. Independent predictors were screened using logistic regression to construct single and combined models, and the performance was evaluated using ROC curves. Results: Age, PSAD, PD map contrast, and T2 map joint entropy were significantly higher in the PCa group compared to the benign group, while the median ADC was significantly lower (p < 0.05). The above-mentioned indicators were significantly correlated with PCa and csPCa, and the diagnostic performance of the combined model was superior to that of a single MRI or clinical model. Conclusion: MRI features combined with PSAD can effectively differentiate PCa and predict csPCa, providing a non-invasive quantitative diagnostic basis for clinical practice.

Research on the Application of Humanized Nursing in Clinical Obstetrics and Gynecology Nursing

Xiaohua Ding — 2026-01-02

Clinical nursing in obstetrics and gynecology is far more than mere disease treatment and technical operations; it also carries profound humanistic care connotations. Through clinical practice analysis, this study systematically elaborates on the risks existing in clinical obstetrics and gynecology nursing, analyzes the importance of humanized nursing, and proposes corresponding application countermeasures. It is found that the application of the humanized nursing model in clinical obstetrics and gynecology nursing can effectively meet the physical, psychological, and social needs of patients, establish a harmonious nurse-patient relationship, and have positive clinical value in promoting the physical and mental rehabilitation of patients. It is worthy of extensive promotion and application in clinical practice.

Research on the Implementation Strategies of Curriculum Ideological and Political Teaching Reform in Higher Vocational Gerontological Nursing Under the Background of Educational Digitalization

Yingying Li — 2026-01-02

In recent years, with the advent of the era of educational digitalization, the curriculum ideological and political teaching of gerontological nursing in higher vocational colleges has ushered in new development opportunities. Under the background of educational digitalization, in addition to teaching students’ professional knowledge and skills of gerontological nursing, teachers should also focus on improving their ideological and moral literacy, guiding students to establish correct values in their hearts, promoting their all-round development in a true sense, and thus cultivating them into gerontological nursing talents with exquisite medical skills and noble medical ethics. This will better meet the social demand for professional gerontological nursing talents and inject inexhaustible motivation into the development of the elderly care industry. In this regard, this paper first elaborates on the value implication of the curriculum ideological and political teaching reform of higher vocational gerontological nursing under the background of educational digitalization, and then puts forward effective implementation strategies for teaching reform, aiming to provide certain reference for relevant researchers and better improve the effectiveness of curriculum ideological and political education in higher vocational gerontological nursing teaching.

Exploration and Practice of the “Dual-Teacher Linkage” Collaborative Teaching Model in Internal Medicine Nursing Teaching

Nai Wang — 2026-01-02

Objective: To address the problems of disconnection between teaching and practice, weak clinical thinking, and poor post adaptability of students in traditional internal medicine nursing teaching, explore the “dual-teacher linkage” collaborative teaching path, and improve teaching quality and students’ post adaptability. Methods: Two classes of nursing majors in Grade 2023 of our college were selected as research objects. The experimental group (100 students) adopted the “dual-teacher linkage” model (on-campus teachers + clinical experts) to build a “pre-class co-research–in-class co-guidance–post-class co-evaluation” system; the control group (98 students) adopted traditional teaching. Comparisons were made after one semester of practice. Results: The average score of the comprehensive assessment in the experimental group was 85.6 points (76.3 points in the control group, p < 0.05). The clinical decision-making ability, program improvement ability, and post competence evaluation of the experimental group were all superior to those of the control group, and 93.3% of students were satisfied with this model. Conclusion: The “dual-teacher linkage” model can organically unify knowledge transmission and ability training, and is an effective and innovative practice to deepen the reform of internal medicine nursing teaching and cultivate high-quality skilled nursing talents.

Integration Paths of Curriculum Ideological and Political Education and Obstetrics and Gynecology Nursing Teaching in the New Era

Qianying Wu — 2026-01-02

In the new era, curriculum ideological and political education has become one of the core approaches for higher education to implement the fundamental task of moral education. Obstetrics and gynecology nursing is a professional basic course for medical nursing majors, featuring professionalism, humanism, and sociality, which has a natural fit with the integration of curriculum ideological and political education. Based on the professional characteristics of obstetrics and gynecology nursing teaching, this paper constructs a “six-in-one” integration path from six dimensions: integration goals, element excavation, content penetration, method innovation, evaluation system, and teacher team construction. It provides a reference for cultivating obstetrics and gynecology nursing talents with both exquisite professional skills and noble professional literacy.

Synergistic Antidepressant Effects of Total Saikosaponins Combined with Volatile Oil of Cyperi Rhizoma in Mice Models Induced by Chronic Restraint plus Mild Stress

Lei Zhang — 2026-01-02

This study aimed to evaluate the antidepressant effects of the combined administration of total saikosaponins (SSA) and volatile oil of Cyperi Rhizoma (VO) using a mouse depression model induced by chronic restraint plus mild stress (CRMS), and to compare the effects with the traditional antidepressant fluoxetine. Male Kunming mice were subjected to 14-day CRMS modeling and then randomly divided into four groups: the combined treatment group (intraperitoneal injection of SSA 3.5 mg/kg + VO 35 mg/kg), the fluoxetine treatment group (20 mg/kg), the normal saline treatment group, and the non-model group. Drugs were administered continuously for 14 days. Depressive-like behaviors were assessed using the Forced Swimming Test (FST), Tail Suspension Test (TST), and Open-Field Test (OFT). The results showed that the absolute immobility time of mice in the CRMS model group was significantly prolonged in FST and TST. Combined administration of SSA and VO significantly improved depressive-like behaviors, restoring the absolute immobility time in FST and TST to levels close to the control group, with efficacy comparable to fluoxetine. This study confirms that the combination of SSA and VO exhibits antidepressant effects equivalent to fluoxetine in the CRMS model, providing experimental evidence for the further clinical development of this traditional Chinese medicine (TCM) compatibility.