Background: Depression is a prevalent mental health issue among adolescents, and timely treatment can prevent it from worsening. However, many adolescent depressed patients delay seeking medical treatment. To clarify the reasons for delayed medical treatment in adolescent depressed patients and to provide reference to help adolescent depressed patients to seek medical treatment on time.Methods: From July 2022 to March 2023, a semi-structured interview was conducted using a purposive sampling method with adolescent depressed patients attending the Mental Health Center of the First Hospital of Shanxi Medical University. Based on inclusion and exclusion criteria, 22 adolescent depression inpatients with delayed access to medical care were finally included as the study population. This study applied the phenomenological research method in qualitative research and used the Colaizzi seven-step data analysis method to analyze and refine the interview data.Results: The study found that 22 adolescents with depression delayed medical care for 1–6 years, with a mean of 2.86 years. Six themes were identified as the reasons for delayed medical treatment: (1) inadequate levels of mental health literacy; (2) lack of disease-related knowledge and information; (3) negative emotional experiences; (4) negative attitudes toward health care; (5) inadequate medical insurance policy for psychotherapy; (6) unequal distribution of resources for mental health medical services.Conclusion: The phenomenon of delayed medical treatment for adolescent depression patients should not be ignored. Efforts should be made to explore the trajectory of delayed illness in adolescents with depression, improve patient symptom assessment, improve poor patient experience, promote positive patient behavior, and improve the current situation of delayed medical treatment for adolescent depression patients through the joint efforts of individuals, families, schools, and society.

Background: Functional endoscopic sinus surgery (FESS) is required to minimize bleeding to maintain a clear operative field during surgery, so it is important to preoperative anti-anxiety and stable hemodynamics. Initial evidence suggests cognitive behavioral therapy (CBT) is effective to minimize surgery-related stress and to speed up recovery. The study aimed to evaluate the efficacy of a newly developed computer-assisted CBT (cCBT) program on surgery-related psychobiological responses in patients undergoing FESS. Methods: Participants were allocated to a CCBT group (cCBT; n = 50) or a UC group (usual care; n = 50) by random number table. The State Anxiety Inventory (SAI), Patients Health Questionnaire-9 (PHQ-9), Athens Insomnia Scale (AIS), systolic blood pressure (SBP), diastolic blood pressure (DBP), and heart rate (HR) were assessed before intervention (T1), at 1 h before operation (T2), at postoperative 48 h (T3), and 96 h (T4: after intervention completed) respectively. The stress hormone was assayed at T1 and T2. The duration of surgery, anesthesia, and post-anesthesia care unit (PACU) were recorded. A satisfaction survey about nursing services was completed by participants before discharge. Results: Compared to the UC group, the SAI scores at T2 and the AIS scores at T3 were lower in the CCBT group (p < 0.01 and p = 0.002). The positive rate of participants who were moderate and severe anxiety (SAI score > 37) at T2 were lower (72% vs. 88%, p = 0.04); the cortisol levels, SBP, DBP, and HR at T2 in the CCBT group were lower (p = 0.019 and all p < 0.01); the duration of anesthesia and PACU was shorter (p = 0.001 and p < 0.01); the CCBT group showed higher satisfaction scores. Conclusion: The newly developed cCBT program was an effective non-pharmacological adjunctive treatment for improving the surgery-related psychosomatic responses and perioperative outcomes. Trial registration: The study was registered with the Chinese Clinical Trial Registry (ChiCTR1900025994) on 17 September 2019.

Aims and objectives: To construct a risk assessment scale for medical adhesive‐related skin injuries (MARSI) at the peripherally inserted central catheter (PICC) insertion site in oncology patients and test its reliability and validity.Design: The STARD 2015 statement guided this study.Methods: Literature research and a modified Delphi method were adopted in this study. A total of 31 experts participated in two rounds of consultation to build the assessment scale. A convenient sampling method was used to select 195 oncology patients at the PICC clinic from January to June 2022. Inter‐rater reliability was used to test the reliability of the scale. Validity was evaluated using the content validity index (CVI) and predictive validity.Results: After the two rounds of consultation, the assessment scale with five dimensions and 13 primary entries and 36 secondary entries was developed, and the expert authority coefficients for both were 0.90. The inter‐rater reliability was 0.968. The CVIs of the items ranged from 0.83 to 1.00. The area under the subject's work characteristic curve was 0.757, and the sensitivity and specificity of the scale were 80.0% and 65.6%, respectively, at a cutoff score of 15.5.

To search, evaluate and synthesize the evidence on the use and management of non-coring needles for implanted venous access ports in cancer patients, aimed at developing evidence-based clinical practice guidelines to optimize patient care and safety. This study follows the reporting frameworks for evidence summaries from the Fudan University Center for Evidence-Based Nursing. The evidence-based question was formulated based on the PIPOST model. In accordance with the “5S” evidence model, a systematic search was conducted across Chinese and English clinical decision-making systems, guidelines, nursing professional association and government websites, and databases for literature pertaining to the use and management of non-coring needles. The literature types contain clinical decisions, guidelines, evidence summaries, systematic reviews, expert consensuses, and practice standards, with the search timeframe from the inception of each database to November 2025. Two researchers independently performed literature quality assessment and data extraction, and our research team synthesized the extracted evidence. A total of 13 publications were included, consisting of 2 guidelines, 2 evidence summaries, 2 systematic reviews, 3 randomized controlled trials, and 4 expert consensus. And we compiled 35 best-practice recommendations across 6 domains: staff training, pre-puncture assessment, insertion and application, replacement and removal, identification and management of complications, and patient education. This study culminated the best evidence summary for the use and management of non-coring needles in totally implantable venous access devices (TIVAD) among cancer patients, which can provide an evidence-based basis for standardizing clinical practice. Healthcare professionals are advised to apply these recommendations judiciously by considering specific clinical situation and patient preferences, thereby minimizing non-coring needle related complications, enhancing treatment safety and the quality of life among cancer patients, and ultimately contribute to the continuous quality improvement in intravenous therapy for oncology care. Registration statement: This study has been registered at Fudan University Center for the Evidence-based Nursing (No. ES20259325).