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Expert consensus on emergency nursing practice for patients with acute aortic dissection Internal Medicine Nursing Professional Committee of the Chinese Nursing Association, Nursing Professional Committee of the National Cardiovascular Disease Expert Committee, （Writing Committee：TIAN Qing, PANG Ran, ZHAO Rui, WANG Mengwei, XIE Yunyi, LIU Yuwen, WANG Fei, HA Shusong, WANG Hanle Chinese Journal of Emergency and Critical Care Nursing    2026, 7 (1): 70-76.   DOI: 10.3761/j.issn.2096-7446.2026.01.010 Abstract （940）   HTML （6）    PDF（pc） （1177KB）（25）       Knowledge map    Save Objective To formulate the expert consensus on emergency nursing practice for patients with acute aortic dissection（AAD） （hereinafter referred to as the “consensus”） in order to standardize clinical nursing practice. Methods Based on the review of relevant literature，evaluation and summary of relevant evidence，and classification of evidence levels，the first draft of the consensus was formed. From March to April 2025，2 rounds of expert consultations and 9 experts were invited to conduct a validation and revise the items to form the final consensus. Results Totally 19 experts participated in the inquiry. The positive coefficient of experts was 95% and 100%，the authority coefficient was 0.929. The average value of each index was more than 3.5；the coefficient of variation was less than 0.25. The Kendall’s harmony coefficient for 2 rounds of expert consultation was 0.14 and 0.188（P<0.001）. The final consensus included four domains：emergency triage，emergency examination，emergency and nursing，and patient transportation. Conclusion The consensus is highly scientific，and it can provide a practical reference for clinical nurses managing emergency care for AAD patients. Table and Figures | Reference | Supplementary Material | Related Articles | Metrics | Comments（0）

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Evidence transformation and effect evaluation of glycemic monitoring and multidimensional management in adult ICU patients YANG Huijie, HE Jiatao, HUANG Ganying Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (12): 1413-1420.   DOI: 10.3761/j.issn.2096-7446.2025.12.001 Abstract （723）   HTML （2）    PDF（pc） （1078KB）（27）       Knowledge map    Save Objective Guided by the Evidence Implementation Model developed by the Fudan University Centre for Evidence-Based Nursing，this study aimed to apply the best evidence for glycemic management in critically ill patients and evaluate its effectiveness. Methods A four-phase approach—comprising evidence retrieval，baseline audit，practice innovation，and outcome evaluation—was employed to implement best practice in glycemic management in the ICU of a tertiary class A hospital in Zhejiang Province. Outcomes were compared before（June-July 2024） and after（October-November 2024） the evidence application，focusing on healthcare providers’ compliance with audit criteria，the proportion of patients within the time in target blood glucose range，glucose variability，and the incidence of hypoglycemia. Results The study included 8 physicians，28 nurses，and 60 patients（30 before and 30 after the intervention）. After the evidence practice，there was a significant improvement in the execution rates of audit criteria among clinicians，with 12 audit indicators showing statistically significant differences compared to baseline（P<0.05）. System-level audit criteria（items 10，24） achieved 100% compliance. The differences in the average proportion of patients within the time in target blood glucose range and glucose variability before and after the evidence-based practice were statistically significant（P=0.026，0.027）. However，the difference in the incidence of hypoglycemia was not statistically significant（P=0.667）. Conclusion The evidence-based practice for blood glucose management effectively standardized the behaviors of healthcare providers，improved the proportion of critically ill patients within the target blood glucose range，reduced glucose variability and the incidence of hypoglycemia. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

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A scoping review of central venous pressure monitored via peripherally inserted central catheters XU Xin, WANG Zixin, WANG Wei, FENG Xiuqin Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (9): 1138-1143.   DOI: 10.3761/j.issn.2096-7446.2025.09.020 Abstract （678）   HTML （0）    PDF（pc） （1071KB）（2）       Knowledge map    Save Objective To analyze relevant studies on the use of peripherally inserted central catheters（PICC） for monitoring central venous pressure（CVP），and to clarify the feasibility，accuracy，material selection，measurement methods，and precautions for monitoring CVP via PICC，providing reference for clinical practice. Methods A computer search was conducted across PubMed，Cochrane Library，Web of Science，MEDLINE，CNKI，VIP，and Wanfang Data for literature published from the inception of the databases until 2024，regarding PICC for CVP monitoring. The selected articles were summarized. Results A total of 21 studies were included，of which 19 were randomized controlled trials（RCTs） and 2 were meta-analyses. Most studies compared CVP results measured through PICC and through central venous catheter（CVC），and there was high consistency between the two. The main factors influencing the measurement of CVP by PICC included the change of thoracic pressure，patency of catheter，the inherent resistance of catheter，the position of catheter tip，and the type of catheter front opening. Conclusion The CVP values measured via PICC are consistent with those measured using CVC. PICC can be used to measure CVP when CVC placement is not feasible due to time constraints or patient-related reasons. However，attention should be given to catheter selection and the avoidance of factors that could lead to measurement errors during the process. Table and Figures | Reference | Supplementary Material | Related Articles | Metrics | Comments（0）

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The best evidence summary of early identification and nursing care for emergency adult patients with sepsis WANG Yuchuan, HUANG Ping, ZHOU Tiantian, TAO Junjie, CHEN Meng, YAN Zhenlong, HE Jingjing Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (10): 1253-1260.   DOI: 10.3761/j.issn.2096-7446.2025.10.019 Abstract （668）   HTML （3）    PDF（pc） （1176KB）（12）       Knowledge map    Save Objective To comprehensively search，screen，evaluate，and summarize the best evidence of identification and nursing for emergency patients with sepsis at home and abroad. Methods The clinical decision，recommended practice，evidence summary，guidelines，systematic review，expert consensus on the early identification and nursing of emergency patients with sepsis were systematically searched in domestic and foreign databases. The search period was from January 1，2015 to January 1，2025. Results A total of 18 articles were included，including 2 clinical decisions，5 guidelines，4 evidence summaries，3 systematic reviews，and 4 expert consensuses. A total of 34 pieces of evidence from 8 aspects were summarized，including early screening and identification，cluster nursing，hemodynamic monitoring，respiratory support，sedation and analgesia，nutritional support，blood glucose management，teamwork and quality evaluation. Conclusion This study summarizes the best evidence for early identification and nursing of adult emergency patients with sepsis. It suggests that clinical nursing staff should combine the domestic evidence application situation to select and transform the evidence pertinently，implement the early identification and timely rescue of emergency patients with sepsis，to improve the clinical outcome of patients. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

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Construction and applicability analysis of management scheme for preventing unexpected interruption of continuous renal replacement therapy in ICU patients PENG Li, XU Cuirong, FENG Bo, YAO Yuanyuan, XING Xingmin, YU Lin Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (9): 1036-1041.   DOI: 10.3761/j.issn.2096-7446.2025.09.002 Abstract （668）   HTML （3）    PDF（pc） （1354KB）（2）       Knowledge map    Save Objective To construct a prevention and management scheme of unexpected interruption of continuous renal replacement therapy with regional citrate anticoagulation（RCA-CRRT） in ICU patients，and to provide a theoretical basis for reducing the probability of unexpected interruption and improving the efficiency of continuous replacement therapy. Methods Based on fault tree theory，a prevention and management scheme of unexpected interruption of RCA-CRRT in ICU patients was drafted through literature review. Then the expert correspondence questionnaire was prepared，and the Delphi method was used to conduct expert consultation. Combined with the coefficient of variation，average score and expert opinion of the items，the contents of the scheme were amended and screened，forming the final scheme. Results Twenty experts were selected for two rounds of letter consultation. The final effective recovery rates of both rounds were 100%，the expert authority coefficient was 0.943 and 0.958，and the Kendall’s W was 0.224 and 0.229，respectively. The prevention and management scheme for unexpected interruption of RCA-CRRT in ICU patients was finally formed，including 5 first-level items（individual patient level，CRRT treatment level，catheter function level，quality control level，instrument and equipment level），15 second-level items and 60 third-level items. Conclusion The scheme which constructs from five levels provides a basis for the standardization of the management of RCA-CRRT，helps to further improve the use efficiency of extracorporeal circulation filter，optimize the allocation of medical resources and improve the therapeutic effect. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

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Bibliometric analysis of research hotspots in critical care nursing ZOU Ying, CHEN Ouying, DING Junhao, LIU Ping, LI Nijina Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (9): 1131-1137.   DOI: 10.3761/j.issn.2096-7446.2025.09.019 Abstract （617）   HTML （0）    PDF（pc） （1121KB）（1）       Knowledge map    Save Objective To analyze the research hotspots and development trends of literature in the field of critical care. Methods With the core database of Web of science as the data source，the critical nursing care research literature collected from January 1，2020 to December 31，2024 were retrieved. CiteSpace software was used to analyze. Results 4 288 articles were included，and the number of published articles showed an increasing trend. High-frequency keywords included “palliative care”，“mechanical ventilation”，etc. A total of 14 cluster tags such as palliative care and 25 emergent words such as early ambulation were generated. The hot topics of research involved palliative care，moral distress，prone position，mechanical ventilation，post-intensive care syndrome and so on. The research trends included the diversification of search contents of hospice care in the field of critical care，the vertical development from basic nursing quality to critical care specialization and the integration of data empowerment and emerging technologies to promote the intelligent transformation of critical care. Conclusion From 2020 to 2024，the research in the field of critical nursing care has been rising，and the research scope has been expanding，involving humanistic care，mental health promotion，quality improvement of critical care technology，rehabilitation care，intelligent care and so on. In the future，it is still necessary to strengthen multidisciplinary cooperation，actively explore and summarize the hotspots in the field of critical nursing care，and provide basis for promoting the depth and breadth of research in the field of critical nursing care. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

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Effects of implementing an early activity multidisciplinary collaboration model in ICU mechanically ventilated patients WANG Xueqin, LÜ Ying, ZHAO Qinghua, ZHANG Chuanlin, MI Jie Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (9): 1029-1035.   DOI: 10.3761/j.issn.2096-7446.2025.09.001 Abstract （605）   HTML （6）    PDF（pc） （1036KB）（8）       Knowledge map    Save Objective To evaluate the implementation effect of an early activity multidisciplinary collaboration model based on the framework of the interprofessional collaborative team development theory in ICU mechanically ventilated patients. Methods Critically ill patients who received mechanical ventilation treatment in the Department of Intensive Care Medicine of a tertiary-level A hospital from July 2023 to February 2024 were selected as the study subjects using quasi-experiment research method，and were divided into 54 cases in the experimental group and 56 cases in the control group according to the sequence of admission time. The experimental group implemented the multidisciplinary cooperation mode of early activity based on the interprofessional collaborative team development theory，and the control group implemented the routine early activity program. The differences between the groups before and after intervention were compared in the level of cooperation of multidisciplinary team members，the rate of early activity among patients，the cumulative activity duration during ICU，the incidence of adverse events，the time of first active activity，the rate of out-of-bed activity，and the length of mechanical ventilation. Results The team cooperation level of multi-disciplinary members in experimental group was improved from（3.32±0.71） points to（3.72±0.50） points（P<0.01）. The early activity rate of experimental group was increased （The rates in experimental and control group were 48.21% and 35.22%）（P<0.05）The out-of-bed activity rate of experimental group was increased（The rates in experimental and control group were 48.1% and 7.1%）（P<0.01）. The cumulative activity time of patients during ICU stay was increased（P<0.05），and the length of mechanical ventilation was shortened（P<0.05）. There were no significant adverse events between the two groups during the activity period，and there was no significant difference in the time of the first active activity（P>0.05）. Conclusion The multidisciplinary collaboration model of early activity based on the theory of interprofessional collaborative team development may improve the cooperation level of multidisciplinary team members，promote the early activity of mechanical ventilation patients，and improve the efficiency of activity. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

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A study on the journey map of enteral nutrition tube feeding experience in elderly patients with pneumonia LI Jingnan, HU Ziyue, SUN Chao, WU Quanying, HU Huixiu, GUO Hong, FAN Juan, HUANG Jingyuan Chinese Journal of Emergency and Critical Care Nursing    2026, 7 (2): 133-141.   DOI: 10.3761/j.issn.2096-7446.2026.02.001 Abstract （575）   HTML （0）    PDF（pc） （1360KB）（8）       Knowledge map    Save Objective To explore the lived experiences and needs of elderly pneumonia patients during enteral tube feeding，providing insights for optimizing comprehensive care in this population. Methods A descriptive qualitative study was conducted. Using purposive sampling，15 elderly pneumonia patients receiving enteral nutrition in the Department of Respiratory and Critical Care Medicine at Beijing Hospital from February 2025 to April 2025 were enrolled for semi-structured interviews. Thematic analysis was performed with NVivo 11.0 software. Results Interviews with 15 participants were completed. By mapping the enteral nutrition timeline as the horizontal axis and categorizing content into three dimensions（task-related，emotional，and pain points），25 themes were identified，including understanding necessity，risk perception，emotional venting，care support，and symptom management. These findings were synthesized to construct an experience journey map of enteral nutrition for elderly pneumonia patients. Conclusion The enteral nutrition support process for elderly patients with severe pneumonia is often prolonged，with a high incidence of feeding intolerance and significant individual variability. Using journey mapping，the needs of patients during tube feeding can be elaborated in detail. For instance，the lack of meticulous observation during the adjustment and optimization phase may lead to failure in early identification of enteral nutrition intolerance，thereby posing greater challenges in symptom management. To address this issue，it is essential to strengthen shift-based risk assessments and symptom monitoring to reduce the risk of worsening enteral nutrition intolerance symptoms. Furthermore，peer interaction and role dynamics directly influence patient experience，particularly highlighting the need to emphasize the quality of post-discharge care provided by family members. Additionally，exploring suitable remote continuity-of-care models for elderly patients with severe pneumonia is crucial. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

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Construction and application effects of an analgesia and sedation management program for adult patients undergoing extracorporeal membrane oxygenation therapy LIU Yuting, QI Mengying, MENG Siya, WANG Binghan, WANG Qiaosha, HE Guilan Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (8): 901-907.   DOI: 10.3761/j.issn.2096-7446.2025.08.001 Abstract （569）   HTML （5）    PDF（pc） （1090KB）（15）       Knowledge map    Save Objective This study aims to construct an analgesia and sedation management program for adult patients undergoing extracorporeal membrane oxygenation（ECMO） therapy in order to prevent the accumulation of analgesics and sedatives，avoid inadequate analgesia and sedation，reduce adverse events，and optimize ECMO support. Methods By searching domestic and foreign literature，obtaining best practice evidence，we constructed the first draft of an adult extracorporeal membrane oxygenation analgesia and sedation management program. From March to May 2024，16 experts were consulted for 2 rounds using the Delphi method to form the final draft of the adult ECMO analgesia and sedation management program. Convenience sampling method was used to select ECMO patients from the critical care medicine department of a tertiary A hospital in Shenzhen from July to September 2024 for preliminary application. The Critical-Care Pain Observation Tool（CPOT） and the Richmond Agitation and Sedation Scale（RASS） evaluation scales were used to evaluate the analgesia and sedation effect of the patients after application of the program. Results The effective questionnaire recovery rate for the two rounds of Delphi consultation were 88.9% and 100%，respectively. The expert authority coefficient was 0.862 and Kendall’s coordination coefficient was 0.069 and 0.085（both P<0. 001）. The sedation and analgesia management program in ECMO therapy for adult patients was finally formed，including 5 primary indicators（assessment tools，analgesia and sedation goals，drug selection，drug titration，monitoring），11 secondary indicators，and 24 tertiary indicators. After application of this program，the CPOT score was <3 points，the patient had no adverse stimulation that caused by pain，and the RASS score was -3 to 1. The patient did not experience insufficient or excessive sedation，and an appropriate level of sedation was maintained. Conclusion The adult ECMO analgesia and sedation management program constructed in this study is comprehensive，specific，scientific and feasible，and can provide reference for adult ECMO analgesia and sedation management. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

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Summary of the best evidence for early bedside sitting activity plan in mechanically ventilated awake patients JIANG Yunlong, ZHOU Yan, Hu Jun, GAO Bingbing, HUANG Fangfang Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (11): 1342-1348.   DOI: 10.3761/j.issn.2096-7446.2025.11.010 Abstract （568）   HTML （2）    PDF（pc） （1063KB）（11）       Knowledge map    Save Objective To evaluate the relevant evidence of bedside sitting in ICU awake patients with mechanical ventilation，so as to provide a reference for clinical medical staff to implement their practice of bedside sitting. Methods Based on PIPOST，evidence-based questions were identified，search strategies were developed，and all guidelines，evidence summaries，best practice information books，recommended practices，systematic reviews and original studies on bedside sitting of mechanically ventilated awake patients in ICU were searched by computer in professional guide networks，association networks and databases at home and abroad. The quality evaluation，evidence extraction and evidence summary of the included literatures were carried out by the evidence-based team. Results 14 literatures were included，including three guidelines，a systematic review，an evidence summary and nine original studies. 25 pieces of evidence were summarized into 11 dimensions，including the establishment of multidisciplinary team，bedside sitting education，bedside sitting assessment，bedside sitting start time，bedside sitting preparation，bedside sitting mode，bedside sitting frequency，ventilator mode selection，patient placement，bedside sitting monitoring management，and termination standards. Conclusion Bedside sitting in awake patients with mechanical ventilation in ICU has important practical significance. Medical staff should scientifically manage bedside sitting according to the heterogeneity of bedside sitting，strengthen the quality control of bedside sitting，and ensure the safety of patients. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

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Summary of the best evidence for the assessment and management of gastric retention in preterm infants and application effects LI Changyan, YU Genzhen, DING Lingli, HAN Lingzhi, WANG Wenchao Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (10): 1175-1182.   DOI: 10.3761/j.issn.2096-7446.2025.10.004 Abstract （552）   HTML （2）    PDF（pc） （1310KB）（6）       Knowledge map    Save Objective To integrate the best evidence for the assessment and management of gastric retention in premature infants and apply it in clinical practice，and evaluate the application effects. Methods The best evidence for the assessment and management of gastric retention in premature infants was integrated. After baseline audits，analysis of barriers and facilitators，an optimal evidence-based practice protocol was developed and implemented in the Neonatal Intensive Care Unit（NICU） of a tertiary hospital from September to December 2023. Healthcare professionals’ cognitive levels，the implementation rates of audit indicators and the clinical outcomes of the infants were compared before and after the application of the evidence. Results Ultimately，10 pieces of best evidence were included. After the application of the evidence，nurses’ awareness of the evidence for assessing and managing gastric retention in premature infants increased，with cognitive levels for each indicator exceeding 80%. Healthcare professionals’ compliance with evidence-based practice behaviors improved，with implementation rates for each indicator exceeding 75%. The duration of parenteral nutrition in premature infants was shortened（P<0.05）. Conclusion The development and application of the best evidence for the assessment and management of gastric retention in premature infants improved healthcare professionals’ knowledge and standardized practice behaviors，which was beneficial for improving patient outcomes. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

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Factors influencing hypothermia in trauma patients and management strategies：a scoping review JIN Dingping, WANG Sa, WANG Yuwei, FENG Xiuqin, XU Shurong, YAN Danping Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (9): 1082-1088.   DOI: 10.3761/j.issn.2096-7446.2025.09.009 Abstract （551）   HTML （1）    PDF（pc） （1094KB）（6）       Knowledge map    Save Objective To conduct a scoping review of the factors influencing hypothermia in trauma patients，monitoring tools，monitoring frequency，and temperature management strategies，aiming to provide references for optimizing temperature management in trauma patients. Methods Following the 2020 scoping review framework of the Joanna Briggs Institute（JBI），systematic searches were conducted in PubMed，Web of Science，Embase，Cochrane Library，CINAHL，CNKI，Wanfang and VIP，covering the period from January 1，2016，to December 27，2024. After literature screening，the factors influencing hypothermia，temperature monitoring tools，monitoring frequency，and temperature management strategies in trauma patients were summarized. Results A total of 16 articles were included for analysis. Common influencing factors included the severity of trauma，wet clothing，ambient temperature，and patient positioning. Ear temperature measurement was the most frequently mentioned monitoring method，with measurement frequency varying from continuous monitoring to every 2 hours. Rewarming methods were categorized into external and internal rewarming. Conclusion Various temperature monitoring tools，monitoring frequencies，and management strategies exist for trauma patients. Future research should focus on determining the optimal monitoring tools，frequencies，and management strategies for different trauma mechanisms in multi-center，large-sample studies. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

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Transformation of the best evidence and effect evaluation of stepwise physical restraint in neurocritical care patients ZHANG Ying, JI Cuiling, LIANG Haijuan, XU Bo, DI Hengdan Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (12): 1421-1430.   DOI: 10.3761/j.issn.2096-7446.2025.12.002 Abstract （548）   HTML （1）    PDF（pc） （1533KB）（10）       Knowledge map    Save Objective To apply the best evidence of stepwise physical restraint protocol for critically ill neurological patients in clinical practice，guided by a humanistic care model，and to evaluate its effectiveness. Methods The best evidence regarding stepwise physical restraint for critically ill neurological patients was systematically reviewed. Evidence-based nursing protocols were developed，baseline assessments were conducted to identify potential barriers，and a best implementation strategy was formulated. A stepwise physical restraint program incorporating the principles of humanistic care was designed. This program was implemented in the neurosurgical intensive care unit（ICU） of a Class Ⅲ Grade A hospital in Jiangsu Province. The compliance rates of various audit indicators，the duration of physical restraint，and the incidence of related complications were compared before and after the implementation of the evidence. Results There were statistically significant improvements in the implementation of 26 indicators following the application of the evidence. Statistically significant differences were observed in the physical restraint rate，total restraint time，first and second restraint durations，and negative patient experiences associated with restraint between the two groups（P<0.05）. The reduction in physical restraint did not lead to an increase in unplanned extubation. Conclusion The application of best evidence of stepwise physical restraint for critically ill neurological patients can effectively shorten restraint duration，reduce restraint rates，and ensure patient safety. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

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The effect of high-flow nasal cannula on thirst sensation and degree of mouth dryness after extubation in mechanically ventilated patients TANG Qi, YANG Baoyi, WANG Rong Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (11): 1292-1296.   DOI: 10.3761/j.issn.2096-7446.2025.11.002 Abstract （541）   HTML （3）    PDF（pc） （850KB）（21）       Knowledge map    Save Objective To compare and analyze the effects of high-flow nasal cannula（HFNC） and conventional oxygen therapy（COT） on thirst and dry mouth after extubation in mechanically ventilated patients. Methods A prospective cohort study was applied. Conveniently selected 226 patients who underwent mechanical ventilation and were hospitalized in the ICU of a tertiary Grade A hospital in Shiyan City from May 2022 to April 2024 as the study subjects. According to the oxygen therapy plan after extubation，patients were divided into HFNC group and COT group. Propensity Score Matching（PSM） was applied to balance the general information of two groups of patients. The degree of thirst and dry mouth after extubation were compared and analyzed between two groups. Results After PSM，multiple indicators were matched and balanced in both HFNC and COT groups，with improved comparability（P>0.05）. 4 and 24 hours after extubation，the degree of thirst in the HFNC group was significantly reduced compared to the COT group（P<0.05）. However，there was no significant difference in the degree of dry mouth between the two groups. There was no correlation between thirst sensation and oral dryness after extubation among HFNC and COT patients（P>0.05）. Conclusion Compared with COT，HFNC therapy can reduce the intensity of thirst in mechanical ventilation patients within 24 hours after extubation，but has no significant effect on the degree of dry mouth in patients. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

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Application progress and challenges of intelligent technology in rehabilitation nursing for critically ill patients MA Jiahui, LIN Hongjing, ZHANG Xueli, Qin Zeyu, JIANG Nan Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (8): 953-956.   DOI: 10.3761/j.issn.2096-7446.2025.08.008 Abstract （531）   HTML （1）    PDF（pc） （743KB）（1）       Knowledge map    Save With the deep integration of artificial intelligence，Internet of Things and wearable devices，intelligent technology is promoting the transformation of rehabilitation mode from “passive response” to “active early warning”and “precise intervention”. This paper reviews the core applications of intelligent technology in the field of critical care rehabilitation abroad in recent years，including intelligent monitoring and dynamic assessment，remote rehabilitation and rehabilitation robot-assisted work，and discusses the problems and application prospects in clinical application. It also proposes to build a three-in-one collaborative innovation framework of “technology-clinical-ethical” to meet the needs of clinical practice. Reference | Related Articles | Metrics | Comments（0）

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The current status of ICU nurses’ competence in delirium care and analysis of influencing factors WANG Ping, LAO Yuewen, CHEN Xiangping, DONG Lianlian, GONG Xiaoyan, ZHUANG Yiyu Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (9): 1112-1117.   DOI: 10.3761/j.issn.2096-7446.2025.09.016 Abstract （528）   HTML （0）    PDF（pc） （846KB）（3）       Knowledge map    Save Objective To survey the current status of ICU nurses’ competency in delirium care，and to analyze and explore the influencing factors of ICU nurses’ delirium care competency. Methods A convenience sampling method was used to select ICU nurses from five general hospitals in Zhejiang Province from January to May 2024 as the study subjects. A cross-sectional survey was conducted using the general information questionnaire and the Chinese version of the Nurse Delirium Competence Care Scale as research tools. The current status of nurses’ delirium care competency was analyzed，and univariate analysis and multiple linear regression analysis were used to explore the related factors influencing nurses’ delirium care competency. Results The total score of nurses’ delirium care competency was（88.41 ± 15.11）. Among the dimensions，the scores for items in the management process dimension were the lowest at（3.15 ± 0.75），while the scores for items in the prevention dimension were the highest at（3.35 ± 0.62）. The analysis of influencing factors showed that the degree of hospital，whether the nurse was a specialist nurse，and whether the nurse had participated in delirium-related training were independent influencing factors of nurses’ delirium care competency（P<0.05）. Conclusion The overall level of delirium care competency among ICU nurses is relatively high，but there is still room for improvement in the management process dimension. The degree of hospital，whether the nurse is a specialist nurse，and whether the nurse has participated in delirium-related training are the main factors influencing nurses’ delirium care competency. Different dimensions are affected by different factors，and targeted improvement strategies should be adopted. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

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Feasibility study of family involvement in the care of patients with severe pneumonia WU Yuchen, WANG Guoqiang, WEI Huaping, LI Bin, ZHANG Zhigang, MA Fangli, YANG Junfen, WANG Xin Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (11): 1285-1291.   DOI: 10.3761/j.issn.2096-7446.2025.11.001 Abstract （523）   HTML （3）    PDF（pc） （1209KB）（5）       Knowledge map    Save Objective To investigate the feasibility and safety of family participation in the care of patients with severe pneumonia and its impact on the family of patients. Methods For severe pneumonia and respiratory failure patients admitted to three adult ICUs of a tertiary class A hospital in Gansu Province between March 2019 and March 2023，the patients were divided into an intervention group and a control group based on the preferences of both the patients and their family members. Patients in the control group received routine care. In the intervention group，family members were encouraged to participate in the daily life of patients（washing face，brushing teeth，foot bath，etc.） and participated in the early activities of patients under the guidance of medical personnel. The primary outcomes included the incidence of delirium，cognitive impairment，and 1-year mortality. Results 261 patients were eventually enrolled and assigned to the intervention group（n=134） or control group （n=127）. Incidence of delirium in intervention group and control group were 23.88% and 40.94%，frequency of delirium was （0.61 ± 1.25） vs （1.26 ± 1.82），incidence of cognitive dysfunction 23.88% vs 44.09%，and there were statistically differences（P<0.05）. There was no significant difference in the incidence of ICU acquired weakness，ICU acquired infection and adverse events between groups（P>0.05）. Patients in the intervention group exhibited a higher 1-year survival rate（73.88% vs 59.06%） and quality of life score compared to the control group，and there were statistically differences（P<0.05）. Family members in the intervention group reported lower total illness uncertainty scores than those in the control group（80.11 ± 4.23 vs. 82.91 ± 4.64） and higher overall satisfaction（90.81 ± 5.17 vs. 85.60 ± 4.72），with these differences being statistically significant（P<0.05）. Conclusion The participation of family members in the care of patients with severe pneumonia is not only beneficial to reduce the incidence of delirium and cognitive impairment in patients with severe pneumonia in ICU，shorten the length of hospitalization，improve the quality of life and 1-year survival rate，but also help reduce the uncertainty of disease and improve the satisfaction of family membersn ICU. Table and Figures | Reference | Supplementary Material | Related Articles | Metrics | Comments（0）

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Development and validation of Job Competency Assessment Scale for Emergency Nurses XU Shihai, YANG Xiufen, ZHANG Weiwei, ZOU Lin, WANG Bingdong, GUAN Suili, GUAN Xin, CHENG Shouzhen Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (8): 982-987.   DOI: 10.3761/j.issn.2096-7446.2025.08.015 Abstract （523）   HTML （0）    PDF（pc） （927KB）（10）       Knowledge map    Save Objective To develop an emergency nurse competency assessment scale suitable for China’s national conditions and to test its reliability and validity. Methods Based on Leung’s nurse competency model，an item pool was constructed through literature review and semi-structured interviews. The scale was developed through Delphi expert consultation and pre-survey. From June to August 2024，a cluster random sample of 676 emergency nurses from 9 hospitals in Shenzhen was surveyed to test the scale’s reliability and validity. Results The scale comprises 5 dimensions and 46 items. The Cronbach’s α coefficient was 0.980，and the test-retest reliability was 0.982. The item-level content validity index ranged from 0.800 to 1.000，and the scale-level content validity index was 0.948. Exploratory factor analysis extracted 5 common factors with a cumulative variance contribution rate of 87.602%；confirmatory factor analysis showed good model fit. Conclusion The scale has good reliability and validity and can be served as a scientific assessment tool for the competency of emergency nurses. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

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The influence of flexible on-demand visiting based on the KAP model on the occurrence of delirium in ICU patients FANG Yexiang, HAN Jiangying, DU Xiaoling, WU Shanshan, LI Juan, YANG Xue Chinese Journal of Emergency and Critical Care Nursing    2026, 7 (2): 148-154.   DOI: 10.3761/j.issn.2096-7446.2026.02.003 Abstract （515）   HTML （0）    PDF（pc） （1136KB）（11）       Knowledge map    Save Objective To investigate the effect of flexible on-demand visiting intervention model based on the Knowledge，Attitudes and Practices（KAP） model on the occurrence of delirium in ICU patients. Methods Eighty patients treated in the ICU of the First Affiliated Hospital of Anhui Medical University during the time period of December 2024 to March 2025 were selected as the study subjects，and they were randomly divided into the control group and the experimental group，each with 40 cases. The control group implemented conventional nursing care，and the experimental group implemented the flexible on-demand visiting intervention model based on the KAP model. The ICU delirium scale（CAM-ICU-7） was used to compare the delirium levels of patients in the two groups 14day before and 3day，7day，and 14day after the intervention. And the nursing care satisfaction scores，adherence scores of the two groups were assessed and compared 14day before and after the intervention. Results After the intervention，the delirium score of patients in the experimental group was lower than that of the control group（P<0.001）. The nursing care adherence of patients in the experimental group was higher than that of the control group（P<0.05）. The delirium scores of patients in both groups decreased，and the patient satisfaction score of the experimental group was higher than that of the control group（P<0.001）. The levels of patient adherence and nursing satisfaction increased in both groups compared with the pre-intervention period. Conclusion Flexible on-demand visitation intervention based on the KAP model can reduce delirium level of ICU patients，improve treatment adherence，and thus enhance the nursing satisfaction of patients and their families. Table and Figures | Reference | Related Articles | Metrics | Comments（0）

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Development and validation of a risk prediction model for venous thromboembolism in patients with intracerebral hemorrhage YE Hongmin, GAN Xiuni, GAO Yan, ZHANG Huan, ZHOU Wen, LI Dongxue Chinese Journal of Emergency and Critical Care Nursing    2025, 6 (9): 1042-1049.   DOI: 10.3761/j.issn.2096-7446.2025.09.003 Abstract （507）   HTML （0）    PDF（pc） （1450KB）（0）       Knowledge map    Save Objective To develop and validate a risk prediction model for venous thromboembolism（VTE） in patients with intracerebral hemorrhage（ICH） and compare its predictive ability with Caprini score. Methods The modeling group retrospectively selected ICH patients from the Medical Information Mart for Intensive Care-IV （MIMIC-IV） database（2008—2019）. Risk factors were identified using univariate and logistic regression analyses，and a risk prediction model was established. Internal validation was conducted using the bootstrap resampling method. The validation group retrospectively selected ICH patients in a tertiary hospital in China from 2016 to 2024 for external validation and compared it with the Caprini score. Results ICU length of stay（OR=1.064），absolute lymphocyte count（OR=0.711），and BMI（OR=1.932） were identified as the three independent risk factors for VTE in ICH patients. In the modeling group，the model demonstrated an AUC of 0.767，with a sensitivity of 0.718 and specificity of 0.684. The Hosmer-Lemeshow test indicated good calibration（χ2=3.075，P= 0.930）. In the external validation group，the model achieved an AUC of 0.785，AUC of the Caprini score was 0.608. Conclusion This prediction model has good predictive performance and can provide theoretical basis for clinical medical staff to early identify high-risk VTE populations in ICH patients. Table and Figures | Reference | Related Articles | Metrics | Comments（0）