diff --git a/healthlink-his-mobile/src/api/index.js b/healthlink-his-mobile/src/api/index.js
index ec4acb680..8f681a093 100644
--- a/healthlink-his-mobile/src/api/index.js
+++ b/healthlink-his-mobile/src/api/index.js
@@ -19,7 +19,9 @@ request.interceptors.response.use(
 export const nursingApi = {
   getTasks: (params) => request.get('/mp/nursing/tasks', { params }),
   completeTask: (id, data) => request.post(`/mp/nursing/tasks/${id}/complete`, data),
+  getPatientList: (params) => request.get('/mp/nursing/patient/list', { params }),
   getPatientInfo: (id) => request.get(`/mp/nursing/patient/${id}`),
+  getOrders: (patientId) => request.get(`/mp/nursing/orders/${patientId}`),
   getVitalSigns: (patientId) => request.get(`/mp/nursing/vital-signs/${patientId}`),
   submitVitalSign: (data) => request.post('/mp/nursing/vital-sign', data),
   getAssessments: (patientId) => request.get(`/mp/nursing/assessments/${patientId}`),
diff --git a/healthlink-his-mobile/src/views/AssessmentForm.vue b/healthlink-his-mobile/src/views/AssessmentForm.vue
index cd1c6f8a2..985282289 100644
--- a/healthlink-his-mobile/src/views/AssessmentForm.vue
+++ b/healthlink-his-mobile/src/views/AssessmentForm.vue
@@ -61,11 +61,19 @@ const riskLevel = computed(() => {
 })
 const riskLevelText = computed(() => ({ HIGH: '高风险', MEDIUM: '中风险', LOW: '低风险' }[riskLevel.value]))
 
+const loading = ref(false)
+
 const submit = async () => {
+  loading.value = true
   try {
     await nursingApi.submitAssessment({ patientId: route.params.patientId, assessmentType: selectedType.value, totalScore: totalScore.value, riskLevel: riskLevel.value, detail: JSON.stringify(formData.value) })
     ElMessage.success('评估提交成功')
-  } catch (e) { ElMessage.error('提交失败') }
+  } catch (e) {
+    console.error(e)
+    ElMessage.error('提交失败')
+  } finally {
+    loading.value = false
+  }
 }
 </script>
 
diff --git a/healthlink-his-mobile/src/views/Mine.vue b/healthlink-his-mobile/src/views/Mine.vue
index 6a7278902..fecb50355 100644
--- a/healthlink-his-mobile/src/views/Mine.vue
+++ b/healthlink-his-mobile/src/views/Mine.vue
@@ -17,7 +17,15 @@
 </template>
 
 <script setup>
-const logout = () => { localStorage.removeItem('token'); window.location.href = '/login' }
+import { ElMessageBox } from 'element-plus'
+
+const logout = async () => {
+  try {
+    await ElMessageBox.confirm('确认退出登录？', '提示', { confirmButtonText: '确认', cancelButtonText: '取消' })
+    localStorage.removeItem('token')
+    window.location.href = '/login'
+  } catch {}
+}
 </script>
 
 <style scoped>
diff --git a/healthlink-his-mobile/src/views/PatientDetail.vue b/healthlink-his-mobile/src/views/PatientDetail.vue
index 017cc2a0a..7fdca131f 100644
--- a/healthlink-his-mobile/src/views/PatientDetail.vue
+++ b/healthlink-his-mobile/src/views/PatientDetail.vue
@@ -1,40 +1,44 @@
 <template>
   <div class="patient-detail">
-    <div class="patient-header">
-      <div class="avatar">{{ patient.name?.charAt(0) }}</div>
-      <div class="info">
-        <div class="name">{{ patient.name }} <span class="bed">{{ patient.bedNo }}床</span></div>
-        <div class="diag">{{ patient.diagnosis }}</div>
-      </div>
-    </div>
-    <div class="tabs">
-      <div v-for="tab in tabs" :key="tab.key" class="tab" :class="{ active: activeTab === tab.key }" @click="activeTab = tab.key">{{ tab.label }}</div>
-    </div>
-    <div class="tab-content">
-      <div v-if="activeTab === 'orders'">
-        <div v-for="order in orders" :key="order.id" class="order-item">
-          <div class="order-name">{{ order.orderName }}</div>
-          <div class="order-dose">{{ order.dosage }} {{ order.frequency }}</div>
-          <button v-if="order.status === 'PENDING'" class="exec-btn" @click="executeOrder(order)">执行</button>
+    <div v-if="loading" class="empty">加载中...</div>
+    <template v-else>
+      <div class="patient-header">
+        <div class="avatar">{{ patient.name?.charAt(0) }}</div>
+        <div class="info">
+          <div class="name">{{ patient.name }} <span class="bed">{{ patient.bedNo }}床</span></div>
+          <div class="diag">{{ patient.diagnosis }}</div>
         </div>
       </div>
-      <div v-if="activeTab === 'vitals'">
-        <div class="vital-grid">
-          <div class="vital-item" v-for="v in latestVitals" :key="v.key">
-            <div class="vital-value" :class="v.status">{{ v.value }}</div>
-            <div class="vital-label">{{ v.label }}</div>
+      <div class="tabs">
+        <div v-for="tab in tabs" :key="tab.key" class="tab" :class="{ active: activeTab === tab.key }" @click="activeTab = tab.key">{{ tab.label }}</div>
+      </div>
+      <div class="tab-content">
+        <div v-if="activeTab === 'orders'">
+          <div v-for="order in orders" :key="order.id" class="order-item">
+            <div class="order-name">{{ order.orderName }}</div>
+            <div class="order-dose">{{ order.dosage }} {{ order.frequency }}</div>
+            <button v-if="order.status === 'PENDING'" class="exec-btn" @click="executeOrder(order)">执行</button>
           </div>
+          <div v-if="orders.length === 0" class="empty">暂无医嘱</div>
         </div>
-        <button class="add-btn" @click="$router.push(`/mobile/vital-entry/${$route.params.id}`)">录入体征</button>
-      </div>
-      <div v-if="activeTab === 'assessments'">
-        <div v-for="a in assessments" :key="a.id" class="assess-item">
-          <div class="assess-type">{{ a.assessmentType }}</div>
-          <div class="assess-score">评分: {{ a.totalScore }} <span :class="'risk-' + a.riskLevel">{{ a.riskLevel }}</span></div>
+        <div v-if="activeTab === 'vitals'">
+          <div class="vital-grid">
+            <div class="vital-item" v-for="v in latestVitals" :key="v.key">
+              <div class="vital-value" :class="v.status">{{ v.value }}</div>
+              <div class="vital-label">{{ v.label }}</div>
+            </div>
+          </div>
+          <button class="add-btn" @click="$router.push(`/mobile/vital-entry/${$route.params.id}`)">录入体征</button>
+        </div>
+        <div v-if="activeTab === 'assessments'">
+          <div v-for="a in assessments" :key="a.id" class="assess-item">
+            <div class="assess-type">{{ a.assessmentType }}</div>
+            <div class="assess-score">评分: {{ a.totalScore }} <span :class="'risk-' + a.riskLevel">{{ a.riskLevel }}</span></div>
+          </div>
+          <button class="add-btn" @click="$router.push(`/mobile/assessment/${$route.params.id}`)">新建评估</button>
         </div>
-        <button class="add-btn" @click="$router.push(`/mobile/assessment/${$route.params.id}`)">新建评估</button>
       </div>
-    </div>
+    </template>
   </div>
 </template>
 
@@ -42,6 +46,7 @@
 import { ref, onMounted } from 'vue'
 import { useRoute } from 'vue-router'
 import { nursingApi } from '../api'
+import { ElMessage } from 'element-plus'
 
 const route = useRoute()
 const patient = ref({})
@@ -49,18 +54,40 @@ const orders = ref([])
 const latestVitals = ref([])
 const assessments = ref([])
 const activeTab = ref('orders')
+const loading = ref(false)
 const tabs = [{ key: 'orders', label: '医嘱' }, { key: 'vitals', label: '体征' }, { key: 'assessments', label: '评估' }]
 
 onMounted(async () => {
   const id = route.params.id
+  loading.value = true
   try {
-    const res = await nursingApi.getPatientInfo(id)
-    patient.value = res.data || {}
-  } catch (e) { console.error(e) }
+    const [patientRes, ordersRes, vitalsRes, assessRes] = await Promise.all([
+      nursingApi.getPatientInfo(id),
+      nursingApi.getOrders(id),
+      nursingApi.getVitalSigns(id),
+      nursingApi.getAssessments(id)
+    ])
+    patient.value = patientRes.data || {}
+    orders.value = ordersRes.data || []
+    latestVitals.value = vitalsRes.data || []
+    assessments.value = assessRes.data || []
+  } catch (e) {
+    console.error(e)
+    ElMessage.error('加载患者数据失败')
+  } finally {
+    loading.value = false
+  }
 })
 
 const executeOrder = async (order) => {
-  try { await nursingApi.completeTask(order.id, { result: '执行完成' }); order.status = 'COMPLETED' } catch (e) { console.error(e) }
+  try {
+    await nursingApi.completeTask(order.id, { result: '执行完成' })
+    order.status = 'COMPLETED'
+    ElMessage.success('医嘱执行成功')
+  } catch (e) {
+    console.error(e)
+    ElMessage.error('医嘱执行失败')
+  }
 }
 </script>
 
diff --git a/healthlink-his-mobile/src/views/PatientList.vue b/healthlink-his-mobile/src/views/PatientList.vue
index b76264c9d..23e47b421 100644
--- a/healthlink-his-mobile/src/views/PatientList.vue
+++ b/healthlink-his-mobile/src/views/PatientList.vue
@@ -3,33 +3,47 @@
     <div class="search-bar">
       <input v-model="searchText" placeholder="搜索患者姓名/床号..." class="search-input" />
     </div>
-    <div v-for="p in filteredPatients" :key="p.id" class="patient-card" @click="$router.push(`/mobile/patient-detail/${p.id}`)">
-      <div class="patient-avatar">{{ p.name?.charAt(0) }}</div>
-      <div class="patient-info">
-        <div class="patient-name">{{ p.name }} <span class="bed-no">{{ p.bedNo }}</span></div>
-        <div class="patient-diag">{{ p.diagnosis || '暂无诊断' }}</div>
-        <div class="patient-level">
-          <span :class="'level-' + p.nursingLevel">{{ p.nursingLevel }}级护理</span>
+    <div v-if="loading" class="empty">加载中...</div>
+    <template v-else>
+      <div v-for="p in filteredPatients" :key="p.id" class="patient-card" @click="$router.push(`/mobile/patient-detail/${p.id}`)">
+        <div class="patient-avatar">{{ p.name?.charAt(0) }}</div>
+        <div class="patient-info">
+          <div class="patient-name">{{ p.name }} <span class="bed-no">{{ p.bedNo }}</span></div>
+          <div class="patient-diag">{{ p.diagnosis || '暂无诊断' }}</div>
+          <div class="patient-level">
+            <span :class="'level-' + p.nursingLevel">{{ p.nursingLevel }}级护理</span>
+          </div>
         </div>
       </div>
-    </div>
-    <div v-if="filteredPatients.length === 0" class="empty">暂无患者</div>
+      <div v-if="filteredPatients.length === 0" class="empty">暂无患者</div>
+    </template>
   </div>
 </template>
 
 <script setup>
 import { ref, onMounted, computed } from 'vue'
 import { nursingApi } from '../api'
+import { ElMessage } from 'element-plus'
 
 const patients = ref([])
 const searchText = ref('')
+const loading = ref(false)
 const filteredPatients = computed(() => {
   if (!searchText.value) return patients.value
   return patients.value.filter(p => p.name?.includes(searchText.value) || p.bedNo?.includes(searchText.value))
 })
 
 onMounted(async () => {
-  try { const res = await nursingApi.getPatientInfo('list'); patients.value = res.data || [] } catch (e) { console.error(e) }
+  loading.value = true
+  try {
+    const res = await nursingApi.getPatientList()
+    patients.value = res.data || []
+  } catch (e) {
+    console.error(e)
+    ElMessage.error('加载患者列表失败')
+  } finally {
+    loading.value = false
+  }
 })
 </script>
 
diff --git a/healthlink-his-mobile/src/views/TaskList.vue b/healthlink-his-mobile/src/views/TaskList.vue
index 72a3cc0bc..80ffe1fa6 100644
--- a/healthlink-his-mobile/src/views/TaskList.vue
+++ b/healthlink-his-mobile/src/views/TaskList.vue
@@ -1,25 +1,34 @@
 <template>
   <div class="task-list">
-    <div v-for="(group, type) in groupedTasks" :key="type" class="task-group">
-      <div class="group-header">{{ type }}</div>
-      <div v-for="task in group" :key="task.id" class="task-card" @touchstart="swipeStart" @touchend="swipeEnd($event, task)">
-        <div class="task-info">
-          <div class="task-patient">{{ task.patientName }} - {{ task.bedNo }}</div>
-          <div class="task-content">{{ task.taskContent }}</div>
-          <div class="task-time">{{ task.dueTime }}</div>
-        </div>
-        <div class="task-status" :class="task.taskStatus">{{ statusText(task.taskStatus) }}</div>
-      </div>
+    <div class="task-header">
+      <h3>护理任务</h3>
+      <button class="refresh-btn" @click="loadTasks" :disabled="loading">{{ loading ? '刷新中...' : '刷新' }}</button>
     </div>
-    <div v-if="tasks.length === 0" class="empty">暂无任务</div>
+    <div v-if="loading" class="empty">加载中...</div>
+    <template v-else>
+      <div v-for="(group, type) in groupedTasks" :key="type" class="task-group">
+        <div class="group-header">{{ type }}</div>
+        <div v-for="task in group" :key="task.id" class="task-card" @touchstart="swipeStart" @touchend="swipeEnd($event, task)">
+          <div class="task-info">
+            <div class="task-patient">{{ task.patientName }} - {{ task.bedNo }}</div>
+            <div class="task-content">{{ task.taskContent }}</div>
+            <div class="task-time">{{ task.dueTime }}</div>
+          </div>
+          <div class="task-status" :class="task.taskStatus">{{ statusText(task.taskStatus) }}</div>
+        </div>
+      </div>
+      <div v-if="tasks.length === 0" class="empty">暂无任务</div>
+    </template>
   </div>
 </template>
 
 <script setup>
 import { ref, onMounted, computed } from 'vue'
 import { nursingApi } from '../api'
+import { ElMessage, ElMessageBox } from 'element-plus'
 
 const tasks = ref([])
+const loading = ref(false)
 const groupedTasks = computed(() => {
   const groups = {}
   tasks.value.forEach(t => {
@@ -33,7 +42,16 @@ const groupedTasks = computed(() => {
 const statusText = (s) => ({ PENDING: '待完成', IN_PROGRESS: '进行中', COMPLETED: '已完成' }[s] || s)
 
 const loadTasks = async () => {
-  try { const res = await nursingApi.getTasks({ status: 'PENDING' }); tasks.value = res.data || [] } catch (e) { console.error(e) }
+  loading.value = true
+  try {
+    const res = await nursingApi.getTasks({ status: 'PENDING' })
+    tasks.value = res.data || []
+  } catch (e) {
+    console.error(e)
+    ElMessage.error('加载任务失败')
+  } finally {
+    loading.value = false
+  }
 }
 
 let startX = 0
@@ -41,7 +59,17 @@ const swipeStart = (e) => { startX = e.touches[0].clientX }
 const swipeEnd = async (e, task) => {
   const diff = startX - e.changedTouches[0].clientX
   if (diff > 80 && task.taskStatus === 'PENDING') {
-    try { await nursingApi.completeTask(task.id, { result: '完成' }); task.taskStatus = 'COMPLETED' } catch (e) { console.error(e) }
+    try {
+      await ElMessageBox.confirm('确认完成此任务？', '提示', { confirmButtonText: '确认', cancelButtonText: '取消' })
+      await nursingApi.completeTask(task.id, { result: '完成' })
+      task.taskStatus = 'COMPLETED'
+      ElMessage.success('任务已完成')
+    } catch (e) {
+      if (e !== 'cancel') {
+        console.error(e)
+        ElMessage.error('任务完成失败')
+      }
+    }
   }
 }
 
@@ -50,6 +78,10 @@ onMounted(loadTasks)
 
 <style scoped>
 .task-list { padding: 0; }
+.task-header { display: flex; justify-content: space-between; align-items: center; padding: 8px 0; }
+.task-header h3 { margin: 0; font-size: 16px; }
+.refresh-btn { background: #1890ff; color: #fff; border: none; padding: 6px 16px; border-radius: 4px; font-size: 14px; }
+.refresh-btn:disabled { background: #ccc; }
 .group-header { padding: 8px 16px; font-size: 14px; color: #666; background: #f0f0f0; margin: 8px 0; border-radius: 4px; }
 .task-card { background: #fff; border-radius: 8px; padding: 12px 16px; margin-bottom: 8px; display: flex; justify-content: space-between; align-items: center; box-shadow: 0 1px 3px rgba(0,0,0,0.1); }
 .task-patient { font-weight: 600; font-size: 16px; }
diff --git a/healthlink-his-mobile/src/views/VitalSignEntry.vue b/healthlink-his-mobile/src/views/VitalSignEntry.vue
index 9b01679e0..5d95d94bc 100644
--- a/healthlink-his-mobile/src/views/VitalSignEntry.vue
+++ b/healthlink-his-mobile/src/views/VitalSignEntry.vue
@@ -45,11 +45,19 @@ const painLabel = computed(() => {
   return '重度疼痛'
 })
 
+const loading = ref(false)
+
 const submit = async () => {
+  loading.value = true
   try {
     await nursingApi.submitVitalSign({ ...formData.value, patientId: route.params.patientId })
     ElMessage.success('提交成功')
-  } catch (e) { ElMessage.error('提交失败') }
+  } catch (e) {
+    console.error(e)
+    ElMessage.error('提交失败')
+  } finally {
+    loading.value = false
+  }
 }
 </script>