Yingjie Cai

Introduction The internet of things (IoT) is widely used in nursing care for older adults as it improves the efficiency and quality of care, especially in real-time health monitoring, disease management and remote patient supervision. However, no studies have been identified that map the evaluation methods used in existing IoT technology applications for nursing care interventions. This scoping review will map and categorise the evaluation methods used in nursing care interventions examining the IoT for older adults. Methods and analysis This scoping review will be conducted using the Joanna Briggs Institute framework, which encompasses defining inclusion criteria, developing a search strategy, identifying information sources, selecting source of evidence, extracting data, collating data, summarising findings and presenting results. English, Chinese and Japanese databases will be searched (PubMed, Embase, CINAHL, PsycInfo, Cochrane Library, WanFang Data, VIP, SinoMed, China National Knowledge Infrastructure, Ichu-shi Web and CiNii research) for sources published from 1 January 2015 to 31 December 2024. The results will be reported descriptively and thematically according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines for reporting. Descriptive statistics and narrative analysis methods will be conducted to summarise the relevant topics. Ethics and dissemination Ethics approval is not required for this scoping review, as it encompasses a secondary analysis of previously published literature and does not involve the collection of primary data pertaining to human subjects. The findings of this review will be published in a peer-reviewed journal.

Introduction: Agents used in antitumour therapy have toxic effects on the cardiovascular system of breast cancer (BC) patients, increasing the risk of cardiovascular disease, which has become the most common non-cancer cause of death in BC patients. Exercise can effectively prevent or reduce the occurrence of cardiotoxicity, however, most BC patients have low levels of physical activity. The Health Action Process Approach (HAPA) model has been successfully applied to encourage patients to adhere to physical exercise. This study aims to explore the impact of exercise interventions based on the HAPA model on the monitoring indicators related to cardiotoxicity in BC patients during chemotherapy, aiming to prevent cardiotoxicity in BC patients and improve their physical activity level, exercise self-efficacy, exercise social support and exercise compliance. Methods and analysis: In a protocol for a quasi-randomised controlled trial involving a 4-month intervention, 62 patients with BC will be recruited from a tertiary care centre in China. Participants from the first oncology department will be assigned to the HAPA model-based exercise intervention group (n=31), while participants from the second oncology department will be assigned to the control group that will receive standard exercise guidance (n=31). The primary outcome will be the incidence of cardiotoxicity assessed by Electrocardiogram (ECG). The secondary outcomes will include physical activity level, exercise self-efficacy, exercise social support and exercise compliance, which will be evaluated by the short form of the International Physical Activity Questionnaire (IPAQ-SF), Self-Efficacy for Exercise Scale (SEE), Social Support Scale for Exercise (SSSE), and percentage of achieving the recommended total time of exercise per week. The chi-square test or Mann-Whitney U tests will be applied to compare the differences in ECG results and exercise compliance between the two groups. To evaluate the effect of exercise intervention on IPAQ-SF, SSE and SSSE, repeated measures ANOVA will be employed to examine the group-by-time interactions and main effects. Ethics and dissemination: This study has been approved by the Ethics Committee of the First Affiliated Hospital of Dalian Medical University (PJ-KS-KY-2024-267(X)). The results of this study will be published via peer-reviewed publications and presentations at conferences. Trail registration number: ChiCTR2400090672.

Aim: To investigate the relationships and pathways between dyadic coping, intimate relationship and post‐traumatic growth (PTG) in Chinese patients with breast cancer.Design: A cross‐sectional study.Methods: Between November 2019 and November 2020, 133 patients with breast cancer who received therapy in tertiary grade‐A hospitals at Dalian, China completed questionnaires including demographic and clinical questionnaires, Locke–Wallace Marriage Adjustment Test, Chinese version of the Dyadic Coping Inventory and Chinese version of the Post‐traumatic Growth Inventory. Structural equation modelling was used to analyse the pathways.Results: Dyadic coping was positively interrelated with PTG and intimate relationship (r = .355, p < .01; r = .213, p < .05); intimate relationship was negatively interrelated with PTG (r = −.207, p < .05). The structural equation model demonstrated adequate fit. Dyadic coping and intimate relationship directly affected PTG (β = .469, p < .05; β = −.309, p < .05). Dyadic coping indirectly affected PTG through intimate relationship (β = −.066, p < .05).Conclusions: Dyadic coping was a stimulus factor, but intimate relationship was an obstructive factor in enhancing PTG for the Chinese patients with breast cancer. Furthermore, intimate relationship may have significant mediating effects in the link between dyadic coping and PTG. Strategies that improve dyadic coping level and avoid excessive intimacy relationships between couples contribute to the development of PTG among patients with breast cancer.Impact: The research provides new ideas and intervention entry points for global nurses and psychotherapists so that they can enact and implement targeted PTG intervention plans for patients with breast cancer worldwide.