Objective. The study aimed to analyze the effect of hospital-community-family (HCH) nutrition management combined with early exercise nursing on nutrition status and postoperative rehabilitation of patients after gastric cancer surgery. Methods. A total of 80 patients with gastric cancer admitted from January 2019 to June 2021 were selected and divided by the odd-even grouping method into two groups, i.e., 40 cases in the control group adopting routine nursing combined with early exercise nursing and 40 cases in the study group adopting HCH nutrition management; the nutrition status and postoperative rehabilitation of the two groups were compared. Results. The times of feeding, bowel sound, anal exhaust, and defecation in the study group after surgery were shorter than those in the control group, with a difference of statistical significance ( P < 0.05 ). 3 months after discharge, the scores of Patient-Generated Subjective Global Assessment (PG-SAG) in the study group were lower than those in the control group, while the body mass index (BMI), prealbumin, albumin, hemoglobin, and the score of the Gastrointestinal Quality of Life Index (GIQLI) were higher than those of the control group ( P < 0.05 ). Conclusion. Hospital-community-family nutrition management combined with early exercise nursing can improve the postoperative nutrition status of patients undergoing gastric cancer surgery and advance the time of postoperative exhaust and defecation.

Objective. To investigate the influence of long-term night shift nurses on the composition. Methods. The feces of 30 night shift nurses (test group) and 30 day shift nurses (control group) over 1 year were collected, and double-end sequencing based on bacterial 16S rDNA V3 + V4 and fungal 18S rDNA V3 + V4 was used to determine the differences by OTU clustering, diversity, flora abundance, and differential analysis. The results of 60 samples were sequenced for a total of 3, 052. There were 418 high-quality sequences, each sample produced an average of 50, 874 high-quality sequences. The OTU cluster analysis revealed that the number of OTUs was 365. The number of day-shift shift OTUs was 362. There was no significant difference ( p < 0.05 ). There was no significant statistical difference in the Chao, Ace, Shan’non, and Simpson index between the 2 groups ( P > 0.05 ). Differential analysis of gut microflora between 2 groups showed that at the phylum level, the relative abundance of firmicutes in long-term night shift nurses was higher than in day shift nurses. However, the relative abundance of bacteroidetes was lower than that of white shift nurses (all p < 0.05 ). At the genus level, long-term night shift nurses’ Bacteroides, Faecacterium, and Bifidobacterial were lower than that of white shift nurses ( p < 0.05 ). However, the relative abundance of Prevotella and Megomonas was higher than that of white shift nurses (all p < 0.05 ). Conclusion. There are differences between night shift nurses, which lead to a decrease in intestinal probiotic flora and increased conditional pathogenic flora. Nursing managers should improve the intestinal flora change of night shift nurses through reasonable scheduling and dietary regulation.

The population of survivors with gynaecological cancer has dramatically increased due to improvements in screening and treatment (Abrahams et al., 2014;Holman, 2019). Gynaecological cancers, including cervical, uterine and ovarian cancers, account for 5% of all new cancers in China (Feng et al., 2021). Patients tend to report a negative body image, sexual function problems and menopausal symptoms caused by gynaecological cancer, which may affect their intimate relationships with their partners and result in intimate partner violence (IPV) (Brennan et al., 2021). IPV can be defined as physical violence, sexual violence and/or psychological aggression perpetrated by a current or former intimate partner, and it is associated with multiple health problems, including chronic genitourinary disorders, sleep disturbances, depression, posttraumatic stress disorder and even suicide attempts (Messing et al., 2017). IPV can cause superimposed negative impacts for women with cancer, which affect their health outcomes. Evidence shows that patients with gynaecological cancer who have undergone IPV are more likely to engage in unhealthy behaviours such as risky sexual behaviour, drinking