Background: Evidence-based interventions (EBIs) are frequently adapted or modified during the implementation process to meet the needs of the target context, public health professionals, or health practitioners. However, little is known about how the EBIs of the same clinical problem at a different time (sustainability) and a different setting (scalability) should be adapted to facilitate implementation. To address this gap, this research aims to analyze the adaptations process of EBIs by taking post-stroke dysphagia screening as an example based on a series of empirical studies.

Methods: We reviewed three best practice implementation projects of post-stroke dysphagia identification and management in mainland China, and conducted a comparative analysis of three projects of dysphagia screening practical decision-making according to core elements of evidence-based nursing (EBN).

Results: We identified the core elements of EBN that influence decision-making in each best practice implementation project. The decision-making of screening time and tool for dysphagia in the three projects varied. Project 1: Post-stroke dysphagia was screened using Water Swallow Test (WST) before the first intake of liquid or food. Project 2: A sustainability study based on project 1, post-stroke dysphagia was screened using Standardized Swallowing Assessment (SSA) before the first intake of liquid or food, within 24 hours of admission. Project 3: A community scalability study based on project 2, post-stroke dysphagia was screened using Water Swallow Test (WST) before the first intake of liquid or food, within 24 hours after referral.

Conclusions: Adaption of EBIs needs to fully consider the best available external evidence from systematic research, clinical expertise, patient preferences, as well as context.

Objective: To explore and build traditional Chinese medicine (TCM) nursing inheritance on the talent training scheme, the foundation for cultivating outstanding talents of TCM nursing inheritance. 

Methods: The modified Delphi method was used for conducting two rounds of consultation with 15 TCM nursing experts to formulate training plan.

Results: The questionnaire recovery rates of two rounds of expert enquiry were 100.00%, with high experts enthusiasm, experts coefficients were 0.83 and 0.81, respectively. Kendall coordination coefficient were 0.26 and 0.30, respectively (P<0.01). After two rounds of expert consultation, the TCM nursing inheritance talent training scheme was finally formed, including 3 first-level indicators, 7 second-level indicators and 24 third-level indicators.

Conclusion: Construction of talent cultivating program of TCM nursing inheritance is scientific and feasible, with a certain reference value.

Objective: To analyze the investigation results of mental health Symptom Checklist-90 (SCL-90) of nursing interns (hereinafter referred to as nursing students) in a hospital in Gansu Province, to comprehensively and objectively understand the mental health status of nursing students, in order to provide the basis of maintaining and improving the mental health level of nursing students.

Methods: Totally 121 nursing interns were surveyed using SCL-90, and statistical analysis was performed using SPSS19.0.

Results: The mental health status of nursing students in a hospital in Gansu Province is higher than that of normal adults in China. The scores of the six factors (somatization, obsessive-compulsive symptoms, depression, anxiety, horror, and psychosis) are higher (P<0.01). Compared with the group norm, the four factors of somatization, obsessive-compulsive symptoms, terror, and anxiety are higher (P<0.01), but they are better than the mental health status of college students in China (except for somatic symptoms) (P<0.01).

Conclusion: The mental health status of nursing students is poor and needs attention. Interventions can be taken to alleviate psychological problems of nursing students, thoroughly improve their anxiety and depression, and thus improve their health.

Probiotics are a kind of living microorganisms added into food or drug，which are beneficial to our health. Probiotics can regulate the balance of microecosystem in intestine. Recently, people have paid more attention to the effect on the intestinal microecology. This article mainly made a review on the mechanism and application of probiotics.

Objective: To explore the relationship between treatment compliance, treatment attitude and belief, and quality of life in patients with hypertension in the community, and to provide evidence for improving their quality of life.

Methods: A convenient sampling method was used to survey 250 patients with hypertension who met the inclusion criteria using the General Questionnaire, Treatment compliance, Treatment Attitudes and Beliefs, and Quality of Life Scale.

Results: The total score of treatment compliance of hypertension patients in the community was (91.678±11.431), treatment attitude and belief score (70.407±9.008), quality of life score (113.599±13.511), Pearson correlation analysis showed that the treatment compliance of hypertension patients was positively correlated with quality of life (r=0.433, P<0.01), and treatment attitude and belief were positively correlated with quality of life (r=0.463, P<0.01).

Conclusion: The quality of life of patients with hypertension in the community is related to treatment compliance and treatment attitudes and beliefs.

Objective: To explore the therapeutic effect of five-element music therapy based on syndrome differentiation plus head and face massage in relieving insomnia of patients with heart and spleen deficiency.  

Methods: Sixty patients with heart and spleen deficiency were divided into control group and test group, 30 cases each. The control group received routine treatment and nursing. The experimental group was given five-element music therapy plus head and face massage on the basis of the control group, once a day, 15 minutes/time, 5 times/week, and continuous observation for 4 weeks. The Pittsburgh Sleep Quality Index (PSQI) was used to assess sleep quality before and after intervention.

Results: After 30 days, the total effective rate of the experimental group was 86.67%, which was higher than the total effective rate of 76.67% in control group (P<0.05). There were significant differences in the time of sleep, sleep quality, sleep efficiency and PSQI score between the two groups (P<0.05).

Conclusion: Five-tone therapy based on syndrome differentiation combined with head and face massage can effectively improve the sleep quality of patients with heart and spleen deficiency, prolong sleep time, with no adverse reactions, so it is worthy of clinical application.

Objective: To explore the effect of "Jianpi Tongwei Prescription" acupoint application combined with moxibustion in the treatment of gastric retention in elderly patients with nasal feeding. 

Method: 60 cases elderly patients with nasogastric gastric retention in our hospital were selected as the research object from March 1, 2019 to on October 31, 2019, and were randomly divided into treatment group and control group. Patients in the control group received the nasal feeding of domperidone, 10 mg/time, 3 times/d, for 21 days or until gastric retention <100 mL. On the basis of the control group, patients in the treatment group was treated with traditional Chinese medicine (TCM) characteristic nursing "Jianpi Tongwei Prescription" acupoint application combined with moxibustion on Zusanli.

Results: The effective rate of Jianpi Tongwei Prescription combined with moxibustion in the treatment of gastric retention in elderly patients with nasal feeding was higher than that of conventional treatment (51.2% vs. 23.3%, P<0.05), and the rate of gastrointestinal reaction in the treatment group was significantly lower than that in the control group (P < 0.05), moderate and severe gastrointestinal reactions were significantly lower than the control group (P < 0.05).

Conclusion: "Jianpi Tongwei Prescription" acupoint application combined with moxibustion is effective in the treatment of early clinical symptoms of gastric retention in elderly patients with nasal feeding, no adverse reactions, worthy of clinical promotion and application.