Table of Content

15 April 2023, Volume 39 Issue 8

Previous Issue    Next Issue

Treatise

Analysis on status and influencing factors of job burnout among family doctors in Pudong New Area of Shanghai

FANG Jia-liang, TANG Hui-yun, HUA Wen-zhe

2023, 39(8):  1009-1015. 

Asbtract ( 5 )   PDF (1080KB) ( 5 )  

References | Related Articles | Metrics

Objective To explore the status and influencing factors of job burnout among family doctors in Pudong New Area of Shanghai,provide reference for better development of family doctors' work. Methods In December 2020,according to the urban and rural regional division method of Pudong New Area in Shanghai,three community health service centers were randomly selected from each district,with a total of 350 family doctors from nine community health service centers. An online questionnaire survey was conducted using the self-made family doctor's basic situation questionnaire and the job burnout scale which the Maslach burnout inventory-human service survey（MBI-HSS） translated and revised（including three dimensions of emotional fatigue,job apaism and no sense of work achievement）. A total of 347 valid questionnaires were collected,and the effective response rate was 99.14%（347/350）.The χ² test was used to compare the differences in job burnout among family doctors with different characteristics,and the ordered multi-class logistic stepwise regression analysis was used to analyze the possible influencing factors on the job burnout in various dimensions of family doctors. Results Totally 347 family doctors in Pudong New Area of Shanghai suffered from serious job burnout. Among the three dimensions of emotional fatigue,job apaism and no sense of work achievement,the proportions of serious job burnout were the highest,and the proportion of no sense of work achievement was the highest at 62.5%. The χ² test and logistic regression analysis showed that region,working years of family doctors,overtime,salary and welfare satisfaction,and working hours per week involved in epidemic were the influential factors for severe burnout of family doctors in terms of emotional fatigue（all P<0.05）. The region,marriage,professional title,salary and welfare satisfaction and weekly working hours involved in epidemic situation were the influencing factors for severe burnout of family doctors in terms of job apaism（all P<0.05）. The region,educational background,path of becoming a general practitioner and salary and welfare satisfaction were the influencing factors for severe burnout of family doctors with no sense of job achievement（all P<0.05）. Conclusions The incidence of job burnout among family doctors in Pudong New Area of Shanghai is high,among which,the most prominent one is no sense of job accomplishment. There are many factors affecting family doctors' burnout,and it is suggested that improvement strategies should be given according to the characteristics of different regions and populations,and the working time should be reasonably arranged through teamwork and optimization of the epidemic prevention and control process,family doctors' remunerationshould be improved and a perfect incentive system should be established,and emphasis should be placed on family doctors' system construction and career planning,so as to alleviate family doctors' burnout,stabilize the family doctors' team,and better promote family doctor work.

Analysis on molecular characterization of norovirus GⅠ.P11-GⅠ.6

YIN Song-yue, XIN Zhen-jiang, QIN Meng, GAO Zhi-yong, ZHANG Jian-jun, ZHANG Ling

2023, 39(8):  1016-1020. 

Asbtract ( 5 )   PDF (2409KB) ( 8 )  

References | Related Articles | Metrics

Objective To analyze the genotyping characteristics of norovirus which caused gastroenteritis epidemic in a primary school in Fengtai District of Beijing,provide scientific reference for the prevention and control of norovirus. Methods In October 2021,a gastroenteritis epidemic occurred in a primary school in Fengtai District of Beijing. The stool samples were collected for routine stool test and occulted blood test,nucleic acid was extracted from the samples and detected by fluorescence quantitative PCR,and one-step reverse transcription PCR was used to amplify specific nucleic acid fragments and analyze norovirus subtypes. Results There were 14 cases of gastroenteritis,all specimens had normal routine stool results,seven specimens were positive in occulted blood test,with the positive rate of 50.0%. 13 norovirus positivecases were detected,and the genotype was GⅠ.P11-GⅠ.6. Conclusions The positive rate of fecal occult blood in gastroenteritis caused by norovirus type detected in this epidemic is high,which is higher than that reported in other literature. There are key site mutations in the polymerase area and VP1 area at the amino acid level. In order to reduce the occurrence of the epidemic,continuous epidemic monitoring and prevention and control work should be carried out.

Health fitness status and influencing factors of urban elderly population in Luzhou City

HE Lu-sheng, ZHANG Ting, ZHANG Li, XU Jun, HUANG Chen, FU Jing

2023, 39(8):  1021-1025. 

Asbtract ( 7 )   PDF (1028KB) ( 2 )  

References | Related Articles | Metrics

Objective To explore the status and influencing factors of health fitness（physiology,psychology and society） of urban elderly population in Luzhou City. Methods From May to September 2020,1 227 elderly people were selected by stratified random and convenient sampling to conduct a questionnaire survey,and the data were analyzed. Results In the health fitness assessment,the overall fitness score was （62.35±10.34）points,the physiological fitness score was （55.43±13.07）points,the psychological fitness score was （69.49±12.60）points,and the social fitness score was （64.40±12.66）points. There were statistically significant differences in the health fitness score among elderly people with different gender,age,education level,marital status,monthly family income,monthly personal income and occupation（all P<0.05）.There were statistically significant differences in the health fitness score among elderly people with different smoking frequency,drinking frequency,exercise frequency,number of chronic diseases,health attention,frequency of meeting with children,interests and hobbies,adversity quotient,major traumatic events,life attitude,life satisfaction,and major life events（all P<0.05）.The gender,age,income,educational level,marital status,occupation,smoking frequency,exercise frequency,number of chronic diseases,health attention,frequency of meeting with children,interests and hobbies,adversity quotient,psychological trauma events,life attitude,life satisfaction and major life events were the influence factors of the elderly health fitness status（all P<0.05）. Conclusions The health fitness level of urban elderly population in Luzhou City is lower than the national norm,especially in physical fitness.The health fitness level of the elderly is affected by age,income,educational level,marital status,number of chronic diseases,health attention,frequency of meeting with children,interests and hobbies,psychological trauma events,life satisfaction and major life events.Therefore,multi-dimensional and multi-angle attention should be paid to the health of the elderly.

Analysis on relationship between personality traits and job burnout of employees in new energy enterprises

GUO Yan-fang, LIU Wei

2023, 39(8):  1026-1029. 

Asbtract ( 6 )   PDF (1001KB) ( 1 )  

References | Related Articles | Metrics

Objective To explore the relationship between the Big Five personality traits and job burnout of employees in new energy enterprises. Methods A random sampling method was used to investigate 119 employees of new energy enterprises by the localized Maslach burnout inventory and neuroticism,extroversion,openness to experience-five factor inventory in October 2021,and the data were analyzed. Results The rate of severe job burnout of employees in the new energy enterprises was 0.84%,moderate was 28.57%,and mild was 52.10%. The mean score[（1.70±1.25）points] in the deindividuation dimension of men was higher than that of women[（1.17±0.81）points],and the difference was statistically significant（t=2.771,P<0.05）. The age was negatively correlated with the deindividuation dimension（r=-0.156,P<0.05）,andpositively correlated with low sense of achievement（r=0.172,P<0.05）. Both the monthly income（r=0.156,P<0.05） and the level of education（r=0.246,P<0.05） were positively correlated with the degree of deindividuation.The neuroticism could positively predict emotional exhaustion（β=0.198,P<0.05） and the degree of deindividuation（β=0.251,P<0.05）. The extraversion could negatively predict the low achievement dimension（β=-0.311,P<0.05）.The conscientiousness could negatively predict the degree of deindividuation（β=-0.258,P<0.05）.Conclusion The job burnout of employees in new energy enterprises is serious,there are some certain relationships between job burnout and variables such as gender,age,income level,and level of education,and neuroticism,extraversion and conscientiousness of personality traits could predict the job burnout of employees to a certain extent.

Analysis on radiation effects of peripheral blood cells in 2 387 radiological workers in Wuhan City

MIN Zhi-teng, SHI Meng-die, YIN Wen-jun, LIANG Jiao-jun, YI Gui-lin, CHEN Zhen-long

2023, 39(8):  1030-1034. 

Asbtract ( 6 )   PDF (1041KB) ( 2 )  

References | Related Articles | Metrics

Objective To analyze the situation of occupational health examination of someradiological workers in Wuhan City in 2021,find out the prevention and control countermeasures of occupational diseases. Methods Using the convenience sampling method,2 387 radiological workers from 238 institutions who underwent on-duty and off-duty occupational health examination during and after work in the Wuhan Occupational Disease Prevention and Treatment Hospital from January 1 to December 31,2021 were selected as the radiation group,and divided into subgroups according to gender,age,length of service and type of work. At the same time,614 non-radiation exposure workers were selected as the control group. The peripheral blood cells and lymphocyte micronucleus of different groups were analyzed. Results Compared with the control group,the platelet（PLT） count in the radiation group was decreased,and the difference was statistically significant（P<0.05）,while the differences in detection rate（21.87%） and abnormal rate（0.08%） of lymphocyte micronucleus were not statistically significant（all P>0.05）. The white blood cell（WBC） count,lymphocyte（L） count,neutrophilic granulocyte（NE） count,ed blood cell（RBC） count,hemoglobin（Hb） level and the abnormal rates of Hb and RBC in males were higher than those in females,while PLT count and the abnormal rates of WBC,NE and PLT in females were higher than those in males,and the differences were statistically significant（all P<0.05）.The PLT count and RBC count decreased with age,while the abnormal rate of WBC increased with age,and the differences were statistically significant（all P<0.05）.The WBC count,NE count,Hb level,abnormal rates of WBC and lymphoid micronucleus and detection rate of lymphoid micronucleus increased with the increase of working age. The WBC count,L count,NE count,PLT count,WBC count,Hb level,abnormal rate of Hb and detection rate of lymphatic micronucleus in medical group were higher than those in industrial group and control group,and the differences were statistically significant（all P<0.05）. Conclusion The radiation protection level of radiation workers in Wuhan City is good in general,but the protection of medical radiation workers still needs to be strengthened,and long-term low-level ionizing radiation has some damage to the peripheral blood of radiation workers.

Study on status and relationship of effort-reward imbalance and job burnout among military civilian personnel of a troop

GAN Jun, WANG Wei, LIAO Ai-miao, ZHANG Ben-zhong

2023, 39(8):  1035-1039. 

Asbtract ( 4 )   PDF (1043KB) ( 4 )  

References | Related Articles | Metrics

Objective To understand the current situation of the effort-reward imbalance and job burnout of military civilian staff in a troop,explore the relationship between the two,and provide a scientific basis for dealing with job burnout of civilian staff. Methods The Chinese version of effort reward imbalance questionnaire（ERI） and Maslach burnout inventory general survey（MBI-GS） were used to evaluate 280 military civilian employees randomly extracted from a troop in March-April 2022. The job burnout of civilian personnel of a troop was compared under different demography characteristics and effort-reward imbalance model,and logistic regression was used to explore the influencing factors of job burnout. Results 48.15% of military civilian person were in a condition of effort-reward imbalance. The score of the effort,reward and overload dimensions was （18.70±4.46）,（34.90±5.19） and （18.15±4.23）points,respectively. The detection rate of job burnout was 82.96%.The score of emotional exhaustions,depersonalization,and reduced personal accomplishment dimensions was （13.14±6.41）,（13.34±6.15） and （19.46±6.36）points,respectively. Pearson correlation analysis showed that the effort dimension was positively correlated with the emotional exhaustion and depersonalization dimensions（r=0.073,0.328,both P<0.01）. The reward dimension was positively correlated with the emotional exhaustion and depersonalization dimensions,but it was negatively correlated with the reduced personal accomplishment dimension（r=0.435,0.204,-0.108,all P<0.05）. The overload dimension was positively correlated with the emotional exhaustion,depersonalization and reduced personal accomplishment dimensions（r=0.136,0.303,0.059,all P<0.01）. The logistic regression analysis showed that undergraduate education,working experience <5 years and ERI >1 were the risk factors of job burnout in military civilian staff（OR=3.072,6.312,3.267,all P<0.01）. Conclusion The military civilian staff in this troop has a severe effort-reward imbalance and serious job burnout,andthe effort-reward imbalance aggravate the occurrence of job burnout of military civilian staff.

Analysis on mediating effect of self-resilience between job involvement and job burnout among operating room nurses

SHEN Dan-dan, YANG Zi, TAO Ling, XIAO Jian-ming

2023, 39(8):  1040-1045. 

Asbtract ( 4 )   PDF (1063KB) ( 4 )  

References | Related Articles | Metrics

Objective To understand the current state of burnout among operating room nurses in three tertiary hospitals in Nanjing City,analyze the mediating effect of self-resilience between job involvement and job burnout ofnurses in operating room. Methods The convenience sampling method was used to select 314 operating room nurses from three tertiary hospitals in Nanjing City from March to April 2021. The general information questionnaire,self-resilience scale,occupational burnout scale and work involvement scale were used to investigate the operating room nurses,and AMOS 22.0 software was used to verify the relationship between the three. Results The total score of job burnout of 314 nurses in operating room was （69.79±10.94）points. The mediation effect analysis showed that work involvement directly and negatively predicted job burnout（β=-0.560,P<0.01）,and positively predicted self-resilience（β=-0.580,P<0.01）,while self-resilience directly negatively predicted job burnout（β=-0.350,P<0.01）. The job involvement with self-resilience as a mediating variable had an indirect negative predictor of job burnout,with an indirect effect value of -0.203（P<0.01）. Conclusions The job burnout of operating room nurses in three tertiary hospitals in Nanjing City is at a moderate level. The higher the job involvement and self-resilience of operating room nurses,the lower the job burnout level. The self-resilience plays a partial mediating role in the impact of job involvement on job burnout.It is suggested that nursing managers can enhance the self-resilience of nurses through humanistic care and vocational psychological training,and improve the positive impact of work involvement on job burnout.

Determination of six quinolones residues in milk by QuEchERS-high-performance liquid chromatography-tandem mass spectrometry

XIAO Xiao, WANG Ran-ran, Aiyireti·Maimaiti, LI Jing, YANG Xue-li, LI Fang

2023, 39(8):  1046-1049. 

Asbtract ( 3 )   PDF (1050KB) ( 3 )  

References | Related Articles | Metrics

Objective To develop a methodfor the determination of six quinolones residues in milk by QuEchERS-high-performance liquid chromatography-tandem mass spectrometry. Methods The sample was extracted with acetonitrile containing 1% formic acid,purified with PSA powder,separated by C18 column,and detected by triple quadrupole mass spectrometry. Results The six quinolones showed good linearity in the concentration range of 2.0-100.0 ng/mL,the correlation coefficients were>0.999,the detection limits were 0.222-0.439 μg/kg,the quantitative limits were 0.739-1.464 μg/kg,the recoveries were 76.27%-97.84%,and the relative standard deviations were 3.22%-8.77%. Conclusion The method is simple,rapid and accurate,and can be used for the quantitative determination of quinolone residues in milk.

Survey on status of nutrition claims for prepackaged foods and relationship with nutrients and energy

LI Jing, HUANG Ye, XU Shi-yi, SONG Zhi-xiu

2023, 39(8):  1050-1056. 

Asbtract ( 4 )   PDF (1071KB) ( 1 )  

References | Related Articles | Metrics

Objective To understand the status of nutrition claims of prepackaged foods and the relationship between nutrition claims and nutrients and energy,provide scientific basis for nutrition claims to reflect the nutritional value of prepackaged food and guide people to choose food reasonably. Methods From March to September 2021,food labels were comprehensively collected from nutrition claims,nutrients and ingredients in four large supermarkets（Sugo,Walmart,Golden Eagle and RT-Mart） and three online supermarkets（Tmall,Suning Tesco and Jingdong Mall） in Nanjing City,and the information was entered into Excel to analyse the labelling of nutrition claims in food products,and to analyse and compare the energy and nutrients in similar food products with and without nutrition claims. Results This study included a total of 4 473 prepackaged food label samples from eight categories,and the proportion of food products with nutrition claims was 17.24% of the total number of food products surveyed. The cereal products and dairy products had the highest labeled rates,which were 226 and 152 samples,with the labeled rate of 35.48% and 33.70% respectively,followed by condiments,beverages and confectionery products,which were 215,117 and 31 samples,with the labeled rate of 24.52%,21.59% and 14.35%. The meat,aquatic and egg products,fruits and vegetables,bean products and nuts were generally lacking in the use of nutrition claims,which were 11,8 and 6 samples,with the labeled rate of 1.15%,1.69% and 1.86%,respectively. The cereal products made nutritional claims mainly for fat and dietary fiber,while dairy products made claims mainly for calcium,fat and protein.For carbohydrate claims,the number of claims for "sugar-free""sucrose-free" and "low sugar"was high and was found in a wide range of foods,with 51,24 and 21 samples,respectively. The sodium was limited to condiments and was mainly indicated as "low sodium". Some differences in the energy and core nutrient contents between the nutrition claimsgroup and the non-nutrition claimsgroup were statistically significant. The carbohydrate contents of cereals[63.00（50.80,72.00） vs 60.50（52.00,67.40）],dairy[12.00（5.00,52.50） vs 11.00（5.00,17.50）] and sugars[89.70（56.50,98.00） vs 74.80（61.20,87.60）] in nutrition claimsgroup were higher than those in non-nutrition claims group,and the differences were statistically significant（all P<0.05）. The sodium content of condiments in nutrition claims group was higher than that in non-nutrition claims group,and the difference was statistically significant（P<0.05）. There were not statistically significant differences in energy and core nutrient contents of fruits and vegetables,meat and aquatic products between nutrition claims group and non-nutrition claims group（all P>0.05）. Conclusions The labeled rate of nutrition claims on prepackaged food in Nanjing City is low,and the labeled rate and nutrition claims of different categories of food are different. The nutritional value of foods with nutrition claims does not have an advantage over the corresponding group without nutrition claims,so in order to prevent misleading claims on packaging,clearer information should be presented to help consumers make more informed choices and view nutrition claims more correctly.

Analysis on current situation and influencing factors of awareness of core knowledge of tuberculosis prevention and treatment among residents in remote areas of western China

GUO Xiao-ming, WU Xing, LIN Dong-ling, MA Li

2023, 39(8):  1057-1060. 

Asbtract ( 3 )   PDF (1003KB) ( 3 )  

References | Related Articles | Metrics

Objective To investigate the awareness of core knowledge of tuberculosis（TB） prevention and control among residents in remote areas of western China,analyze the influencing factors,and use them as a basis to develop a targeted health education program. Methods From March to September 2021,the combination of random cluster sampling and convenience sampling was used to select some residents in the western remote areas as the study subjects.The TB-related knowledge survey questions were designed by expert consultation. The status of residents' core knowledge of TB prevention and control was investigated by distributing and collecting questionnaires on site,and the data were analyzed. Results The overall awareness rate of core knowledge of TB prevention and control among residents was 31.1%（3 452/11 099）. Among 11 core knowledge of TB prevention and treatment,the awareness rates of "the correct way to prevent TB" and "the main symptoms of TB" were the lowest,which was 6.6% and 9.4% respectively. The education,occupation and average monthly household income were the factors influencing the awareness of core knowledge of TB prevention and treatment. Conclusion The overall awareness rate of core knowledge of TB prevention and control among residents in remote areas of western China is low,and there are differences in the awareness degree of different core knowledge of TB,so it is necessary to continuously optimize the form of health education,especially for residents with lower education levels,and carry out more targeted health promotion and health activities,to improve the effectiveness of health education programs.

Mediating effect of psychological elasticity on Big Five personality and depression,anxiety,and stress in officers and soldiers of surface combatant troops

ZHAO Wei, YU Hong-zhang, ZENG Wen-feng, WEI Cun, WANG Yun-xia

2023, 39(8):  1061-1065. 

Asbtract ( 5 )   PDF (1038KB) ( 5 )  

References | Related Articles | Metrics

Objective To evaluate the personality traits,depression,anxiety,stress,and psychological resilience among officers and soldiers of surface combatant troops,explore the mediating role of psychological elasticity between Big Five personality and depression,anxiety,and stress. Methods In August 2021,1 530 navy officers and soldiers were selected by cluster sampling method for questionnaire survey. The factors of Big Five personality,factors of psychological resilience,and the levels of depression,anxiety and stress in officers and soldiers were evaluated by the Big Five personality short form scale,CONNOR-DAVIDSON mental resilience scale（Chinese version）,depression,anxiety and stress scale（simplified Chinese version）,and the data were analyzed. Results There were statistically significant differences in the scores of neuroticism,extroversion,responsibility,depression,stress,tenacity and strength factors between gender groups（all P<0.05）. There were statistically significant differences in the scores of agreeableness and optimism factors between respondents who are only child and non-only child（all P<0.05）. There were statistically significant differences in the scores of openness,responsibility,and stress factors between married and unmarried respondents（all P<0.05）. The factors of Big Five personality,factors of psychological resilience in officers and soldiers were significantly related to depression,anxiety and stress（all P<0.01）. The Big Five personality had a significant but low indirect impact on depression,anxiety and stress through psychological resilience（the intermediary effect accounted for 15.24% of the direct effect）,and psychological resilience had a masking effect on the impact of personality traits on depression,anxiety and stress. Conclusions The mental health status in officers and soldiers of surface combatant troops is not optimistic,and psychological resilience plays a partial mediating role between the Big Five personality and depression,anxiety,and stress. It is necessary to explore the psychological resilience improvement scheme which is suitable for officers and soldiers of surface combatant troops,and regulate depression,anxiety,and stress by improving psychological resilience.

Analysis on the correlation between professional deviant behavior and organizational support,sub-health status of clinical nurses

LI Sen, WANG Shuo, MA Jun-jie, FAN Xiao-hua, WEI Yu-lian

2023, 39(8):  1066-1071. 

Asbtract ( 6 )   PDF (1093KB) ( 2 )  

References | Related Articles | Metrics

Objective To understand the status of professional deviant behavior,organizational support and sub-health status of clinical nurses,analyze the correlation among the three,and provide a basis for carrying out targeted interventions. Methods From October to November 2021,285 clinical nurses from a grade-A tertiary hospital in Zibo City were selected as the research object by using the convenient sampling method,were investigated by the general data questionnaire,the nursing staff occupational deviation behavior scale,the organizational support sense scale and the sub-health status scoring standard,and the data were analyzed. Results The total score of occupational deviation behavior of clinical nurses was（28.04±8.78）points,the total score of organizational support was （109.67±24.89）points and the total score of sub-health status was （6.73±5.13）points. The total score of occupational deviation behavior and scores of various dimensions were significantly negatively correlated with the total score of organizational support and scores of various dimensions（r=-0.240--0.454,all P<0.01）,and significantly positively correlated with the total score of sub-health（r=0.359-0.656,all P<0.01）. The results of multiple linear regression analysis showed that gender,education level,average monthly income,department and organizational support,and sub-health status were the influencing factors of clinical nurses' occupational deviation behavior（all P<0.05）. Conclusions The occupational deviation behavior of nurses is generally good,and it is necessary to pay more attention to nurses of male,low education,low average monthly income,and nurses in emergency departments and ICU,take corresponding measures to create a good organizational atmosphere to enhance their sense of organizational support. It is necessary to actively pay attention to their physical and mental health,so as to reduce or avoid the occurrence of their occupational deviation behavior,and then optimize the quality of nursing work and build a harmonious nursing-patient relationship.

Investigation on mental health of recruited civilian personnel to society in a certain army

GAO Mian, WEN Xiao-hua, ZHANG Jing-huan, ZHAO Xiao, ZHANG Yan-min, LIU Yan-ru

2023, 39(8):  1072-1075. 

Asbtract ( 7 )   PDF (1008KB) ( 3 )  

References | Related Articles | Metrics

Objective To understand the mental health status of recruited civilian personnel to society in a certain army,provide reference basis for developing mental health care in the future. Methods A total of 1 430 people were collected,who have participated in the recruitment of civilian psychological test to the society by a certain army in the Department of Health Medicine in the No.980 Hospital of PLA Joint Logistics Support Forces from January 1,2018 to December 31,2019 and met the inclusion criteria. The symptom check-list 90（SCL-90） was collected by the psychological evaluation and management（PEM）,to carry out the psychological examination. The differences among gender,marriage,age,education level,monthly income and other factors were analyzed,to understand their psychological status and find out their potential psychological problems. Results Among the recruited civilian personnel to society in a certain army,there were 64（4.48%） people had the psychological problem tendency,1 076（75.24%） people were at the level of mental health,and 290（20.28%） people were at mental sub-health. The total score of SCL-90 in males[（100.67±13.60）points] was higher than that in females[（99.14±11.57）points],and there were statistically significant differences in the total score of SCL-90 and scores of obsessive-compulsive symptoms,interpersonal sensitivity,paranoia and sleep status between different genders（all P<0.05）. The total score of SCL-90 in unmarried people[（100.37±12.17）points] was higher than that of married people[（99.29±13.70）points]. The total score of SCL-90 in people aged 18-<30 years old [（100.83±12.21）points] was higher than that of people aged 30-≤45 years old[（99.18±13.19）points]. The gender was risk factors for tendency of psychological problems（OR=0.447,P<0.05）. Conclusion The mental health of recruited civilian personnel to society in a certain army is good,and it is suggusted that special attention should be paid to the mental health of people of young age,low monthly income,and unmarried.

Correlation analysis between self-disclosure and psychological resilience of emergency and critical care nurses in three grade-A tertiary hospitals in Shaanxi Province

CAO Jing-jing, YANG Yin, ZHAO Rong-yao, CAI Yu-na, YAN Gai-mei

2023, 39(8):  1076-1080. 

Asbtract ( 5 )   PDF (1033KB) ( 3 )  

References | Related Articles | Metrics

Objective To understand the current situation and correlation of self-disclosure and psychological resilience among emergency and critical care nurses ingrade-A tertiary hospitals in Shaanxi Province. Methods The convenience sampling method was used to select emergency and critical care nurses from three grade-A tertiary hospitals in Shaanxi Province from June to December 2021 as the research objects. Results The total score of self-disclosure in emergency and critical care nurses was （40.07± 5.15）points,which was at a moderate level. The total score of psychological resilience was （61.93± 11.86）points,the score of tenacity dimension was （32.33± 6.31）points,the score of strength dimension was （19.68± 4.28）points,and the score of optimism dimension was （9.92± 2.30）points.The results of univariate analysis showed that the differences in self-disclosure scores among groups in different age,educational background,average monthly income and professional titles were statistically significant（all P< 0.05）,and the differences in psychological resilience scores among groups in different educational background and working years were statistically significant（all P< 0.05）.The correlation analysis showed that there was a positive correlation between self-disclosure and psychological resilience（r=0.289,P< 0.01）.The multivariate analysis showed that psychological resilience,age,educationand average monthly income were the main influencing factors of self-disclosure among emergency and critical care nurses（all P< 0.05）. Conclusion The self-disclosure of emergency and critical care nurses is at a moderate level,and there is a correlation between self-disclosure and psychological resilience,that is,the higher the psychological resilience,the stronger the self-disclosure.

Time-series study on daily mean temperature and daily respiratory hospital admissions in Atushi

TAN Lei, XIAO Shu-ya, XU Tao, Xiaokaiti·Yibulayin

2023, 39(8):  1081-1085. 

Asbtract ( 5 )   PDF (1765KB) ( 2 )  

References | Related Articles | Metrics

Objective To analyze the effect of daily mean temperature on daily respiratory hospital admissionsin Atushi. Methods The data of inpatient cases of respiratory diseasesin Atushi from 2016 to 2019 and the data of meteorology and atmospheric pollutants during the same period were collect,and the effects and lag effects of daily mean temperature on daily respiratory hospital admissions were analyzed by the distribution lag non-linear model（DLNM）. Results There was a "J" shaped relationship between daily average temperature and daily respiratory hospital admissions,and the minimum temperature of hospitalization risk was 23 ℃. The cumulative RR and the 95%CI of the total population in extremely low temperature and general low temperature in the lag of 0-14 days for respiratory hospital admissions were 2.32（1.55-3.47） and 2.09（1.46-3.00）,respectively. The hospitalization risks of the two reached the maximum on the same day. With the increase of lag days,the hospitalization risks showed a trend of first decreasing,then increasing,and then decreasing,and the lag days were all two days. The subgroup analysis showed that extremely low temperature and general low temperature had greater impact on the risk of hospitalization for respiratory diseases among females and people aged ≤15 years old. The extremely high temperature and general high temperature did not show significant health risks or lagging effects on the overall population and different subgroups. Conclusion The low temperature increases the risk of hospitalization for respiratory diseases,it has obviously acute effect in the early stage and has lag effect,and females and people aged ≤15 years old are sensitive people.

Health risk assessment of polycyclic aromatic hydrocarbons in atmospheric fine particulates matters of Baoding City from 2015-2020

YANG Lei, Li Xiao-ping, WANG Ying-ying, HOU Ye, ZHANG Yu-xi

2023, 39(8):  1086-1091. 

Asbtract ( 8 )   PDF (1119KB) ( 9 )  

References | Related Articles | Metrics

Objective To analyze the pollution levels of polycyclic aromatic hydrocarbons（PAHs） in atmospheric fine particulates matterin Baoding City from 2015 to 2020 and assess the health risks. Methods The concentrations of 16 kinds of PAHs in theatmospheric fine particulates matters near a primary school in Jingxiu District of Baoding City were detected from 2015 to 2020. The toxicity equivalent method and daily average exposure were used to calculate the excess carcinogenic risk and non carcinogenic risk,to assess the population healthrisk of 16 kinds of PAHs in theatmospheric fine particulates matters in Baoding City,and the data were analyzed. Results From 2015 to 2020,the total concentration of 16 PAHs during the heating period decreased from 21.96 μg/m³ to 2.17 μg/m³,and the total concentration during the non-heating period decreased from 2.85 μg/m³ to 0.53 μg/m³. The lifetime excess risk of seven carcinogenic PAHs from 2015 to 2020 was 1.09×10^-6-20.49×10^-6. For the non-carcinogenic risk,the hazard quotient of benzopyrene from 2018 to 2020 was >1,but the P₉₅ of benzopyrene hazard quotient was >1. Conclusion There are still excess carcinogenic and non-carcinogenic risks of PAHs in atmospheric fine particulates matters,and certain concerns should be raised,which the measures should continue to be taken to control the atmospheric environment.

Preliminary application of DSM-5 level 1 cross-cutting symptom measure-adult in military cadets

WEI Xiao-liang, WANG Ya-ping, SHI Kai-tian, ZHANG Yi, LIU Tao-sheng

2023, 39(8):  1092-1097. 

Asbtract ( 6 )   PDF (1064KB) ( 4 )  

References | Related Articles | Metrics

Objective To preliminarily explore the applicability of the diagnostic and statistical manual 5th edition（DSM-5） level 1 cross-cutting symptom measure-adult in military cadets,understand their mental health,so as to provide basis for developing the work on psychological hygiene. Methods In April 2019,the DSM-5 level 1 cross-cutting symptom measure-adult,self-reporting inventory（SCL-90）,patient health questionaire-9 items（PHQ-9）,generalized anxiety disorder（GAD-7） and general situation questionnaire were used to evaluate and analyze the mental health status of 940 military cadets in a base. Results Totally 929 valid questionnaires were collected. The average age was （20.4±1.6）years old and 925（99.6%） were male. The score of DSM-5 level 1 cross-cutting symptom measure-adult was （4.62±6.49）points,the score of SCL-90 was （102.10±19.80）points,the score of PHQ-9 was （2.60±3.14）points,and the score of GAD-7 was （1.34±2.40）points. The depression score was （0.49±0.66） points,anger score was （0.40±0.65）points,and suicidal ideation score was （0.02±0.16）points on the DSM-5 level 1 cross-cutting symptom measure-adult.The mental health of cadets with oral ulcer and gastrointestinal symptoms were worse than that of asymptomatic cadets（all P<0.01）. The statistics of five items in the sub-scale of psychotic symptoms and substance use of the DSM-5 level 1 cross-cutting symptom measure-adultwere not ideal（n'≥4）,and the correlations between the scores of the other 18 items and the total score of the scale were all significant（r=0.430-0.755,all P<0.01）,showing good item homogeneity. The scale internal consistency reliability was estimated with a Cronbach's α coefficient of 0.890,Spearman-Brown split reliability coefficient was 0.869,and the correlation coefficient with the SCL-90 total score validity was 0.787（P<0.01）. The correlation coefficients（high value） between DSM-5 sub-scales（except psychotic symptoms and substance use） and SCL-90 sub-scales were r=0.444-0.668（all P<0.01）. Conclusions The applicability of DSM-5 level 1 cross-cutting symptom measure-adultin military cadets is feasible except the dimensions of psychotic symptoms and substance use. The reliability and criterion related validity of the scale are good. The mental health of the cadets is generally good,but the problems of depression and anger still deserved special attention. The psychological service should be carried out according to the distribution characteristics of mental health of cadets.

Chain mediating effect of college students' self-control and stress coping on social support and mobile phone addiction

ZHANG Yu-lu, GU Shi-yan, DAI Jiao, HE Zuo-shun

2023, 39(8):  1098-1101. 

Asbtract ( 4 )   PDF (1006KB) ( 2 )  

References | Related Articles | Metrics

Objective To explore the impact of social support on college students' mobile phone addiction,analyze the mediating role of self-control and stress coping style between social support and mobile phone addiction. Methods The mobile phone addiction index（MPAI）,social support rate scale（SSRS）,self-control scale（SCS） and simplified coping style questionnaire（SCSQ） were used to investigate the students in two colleges in Yunnan Province from April to May 2021,and the data were analyzed. Results The scores of mobile phone addiction,social support,self-control,positive coping style and negative coping style of the students in two colleges in Yunnan Province were （42.73±12.27）,（38.44±6.55）,（63.97±10.84）,（21.42±6.58） and （9.86±4.05） points,respectively. The mobile phone addiction wasnegatively correlated with social support,self-control and positive coping style （r=-0.161,-0.591,-0.079,all P<0.01）,and positively correlated with negative coping style（r=0.211,P<0.01）. The social support was positively correlated with self-control and positive coping（r=0.277,0.289,both P<0.01）. The self-control was positively correlated with positive coping style（r=0.264,P<0.01） and negatively correlated with negative coping style（r=-0.285,P<0.01）.Both self-control and positive coping style played a mediating role between social support and mobile phone addiction,the mediating effect value of the former was -0.152,accounting for 58.015% of the total effect,and the mediating effect value of the latter was -0.016,accounting for 6.107% of the total effect. The self-control and positive coping style played a chain intermediary role between social support and mobile phone addiction in college students,and the chain intermediary effect value was -0.004,accounting for 1.527% of the total effect. Conclusion The college students' social support indirectly affects mobile phone addiction through the chain intermediary of self-control and positive coping,which can negatively predict the trend of mobile phone addiction.

Prevalence and influencing factors of overweight and obesity among school-aged children in urban district of Lanzhou City

WANG Wei, YU Fan-rong, YAN Yu-qin, ZHANG Wei, SU Shao-chen

2023, 39(8):  1102-1106. 

Asbtract ( 4 )   PDF (1040KB) ( 2 )  

References | Related Articles | Metrics

Objective To investigate the prevalence and influencing factors of overweight and obesity among school-age children in urban district of Lanzhou City,provide theoretical basis for the prevention and control of overweight and obesity among school-aged children. Methods Using multistage cluster random sampling method,a total of 1 507 school-age children from 36 classes in six primary schools in Chengguan District of Lanzhou City were investigated for overweight,obesity and influencing factors from February to March 2022,and the data were analyzed. Results The overall detection rate of overweight and obesity among school-aged children in urban district of Lanzhou City was 28.53%,and the detection rates of overweight and obesity were 13.93% and 14.60% respectively. The multivariate logistic regression analysis showed that male（OR=2.205,95%CI：1.716-2.834）,father is overweight and obese（OR=1.787,95%CI：1.384-2.307）,mother is overweight and obese（OR=1.872,95%CI：1.385-2.530）,moderate meal intake（1-<2 bowls/meal,OR=1.911,95%CI：1.316-2.774） or large meal intake（≥2 bowls/meal,OR=3.979,95%CI：1.984-7.981）,and eating out ≥2 times/week（OR=1.529,95%CI：1.149-2.035）were associated with high risk of overweight and obesity in school-age children. The grade 5 and 6（OR=0.718,95%CI：0.531-0.972）,fresh fruit intake ≥1 time/day（OR=0.676,95%CI：0.488-0.935）,moderate eating speed（8-<15 min/meal,OR=0.509,95%CI：0.303-0.855）,or slow（≥15 min/meal,OR=0.253,95%CI：0.146-0.440）,and caries（OR=0.760,95%CI：0.594-0.973） were associated with low risk of overweight and obesity in children. Conclusion The detection rate of overweight and obesity among school-aged children in urban district of Lanzhou City is relatively high,and personal characteristics,parental factors,dietary behaviors,and oral health status are important influencing factors,so comprehensive prevention and control measures should be taken for high-risk groups according to the epidemiological characteristics.

Investigation on relationship between aversion sensitivity and caring behavior of nursing students

CHI Chang-de, GONG Guo-mei, LI Hui, ZHANG Xiao-ling, CHEN Jun-xia

2023, 39(8):  1107-1111. 

Asbtract ( 5 )   PDF (1021KB) ( 1 )  

References | Related Articles | Metrics

Objective To investigate the current situation of aversion sensitivity and caring behavior of nursing students,explore the relationship between aversion sensitivity and caring behavior of nursing students. Methods Using the convenient sampling,2 659 nursing students in a higher vocational college in Quanzhou City were investigated by the self-designed general information scale,the disgust sensitivity scale revised form（DS-R） and the caring behavior inventory（CBI） from January to March 2022,and the data were analyzed. Results Among 2 659 nursing students,62.6% had aversion during nursing,and the total aversion score was （61.89±20.18）points,of which the core aversion score was （30.93±9.78）points,the animal related aversion score was （18.32±8.05） points,and the pollution aversion score was（12.58±4.99）points. There were statistically significant differences in DS-R scores among students with aversion problems in different grade,gender,and nursing practice（P<0.05）.The total score of CBI was （121.89±14.18）points,and the differences in CBI scores were statistically significant among students with aversion problems in different grade,gender,and nursing practice（P<0.05）.There was a negative correlation between DS-R and CBI scores（r=-0.301,P<0.05）. Conclusion The aversion sensitivity of nursing students is generally high,which is related to grade,gender and aversion in nursing practice,the nursing care behavior is also influenced by grade,gender,and aversion in nursing practice,and there is a negative correlation between the aversion score andcare behavior of nursing students.

Mediating effect of psychological crisis between crisis vulnerability and sense of life meaning in undergraduate nursing students

LIU Qin, CHANG Ren-jie, BI Li-xiong, ZHAO Jie, FU Ying-ping, HUANG Dong-mei

2023, 39(8):  1112-1116. 

Asbtract ( 6 )   PDF (1033KB) ( 1 )  

References | Related Articles | Metrics

Objective To understand the status of psychological crisis,crisis vulnerability and sense of life meaning among undergraduate nursing students in a traditional Chinese medicine college of Yunnan Province,explore their relationship,provide scientific basis for promoting the mental health of nursing students. Methods Using the psychological crisis questionnaire,crisis vulnerability questionnaire and sense of life meaning scale,a questionnaire survey was conducted on 330 undergraduate nursing students in the Yunnan University of Traditional Chinese Medicine in October 2021. Results The score of crisis vulnerability in undergraduate nursing students surveyed was （25.48±4.41）points,the score of sense of life meaning was （48.6±8.07）points,and the score of psychological crisis was（17.22±2.54）points.There were statistically significant differences in the score of crisis vulnerability among undergraduate nursing students who identify with their majors or not and have different family relationships（all P<0.05）.There were statistically significant differences in the score of sense of life meaning among undergraduate nursing students who are recognized as a poverty-stricken student or not,identify with their majors or not and have different family relationships（all P<0.05）.There were statistically significant differences in the score of psychological crisis among undergraduate nursing students who have different types of registered residence,identify with their majors or not and have different family relationships（all P<0.01）.The psychological crisis of undergraduate nursing students was positively correlated with the crisis vulnerability（r=0.246,P<0.05）,and negatively correlated with sense of life meaning（r=-0.456,P<0.05）,while the crisis vulnerability was negatively correlated with sense of life meaning（r=-0.275,P<0.05）.The mediating effect test showed that crisis vulnerability can not only directly predict the sense of life meaning,but also predict the sense of meaning of life through the mediation of psychological crisis,the direct effect value was 0.54 and the mediating effect value was 0.20,accounting for 72.68% and 27.32% of the total effect respectively. Conclusion There is a certain correlation between psychological crisis,crisis vulnerability,and sense of life meaning among undergraduate nursing students in a traditional Chinese medicine college of Yunnan Province,and the psychological crisis plays a moderating mesomeric effect between crisis vulnerability and sense of life meaning.

Analysis on current situation and influencing factors of mental health literacy of students in public security college in Shandong Province

ZHANG Guo-jie, YIN Yong-tian

2023, 39(8):  1117-1120. 

Asbtract ( 5 )   PDF (1000KB) ( 1 )  

References | Related Articles | Metrics

Objective To understand the status and influencing factors of mental health literacy of students in a public security college in Shandong Province,provide scientific basis for improving their mental health literacy. Methods Using cluster sampling method,a questionnaire investigation was performed on 388 students from a public security college in Shandong Province by self-made general demographic questionnaire and adolescent mental health literacy assessment scale from October to November 2021. Results The score of mental health literacy of 388 students in a public security college in Shandong Province was （74.81±10.92） points. The results of multiple linear regression showed that grade,mother's education level,academic performance,interpersonal relationship and participation in psychological activities were the independent influencing factors of mental health literacy of students in public security college（all P<0.05）. Conclusions The mental health literacy of students in a public security college in Shandong Province is at a lower level. The college students with higher the grade,the higher education level of mother,the better academic performance,the better interpersonal relationship,and have participated in mental health activities have higher the mental health literacy level. The school educators should establish universal and specific intervention strategies to improve the mental health literacy of studentsin public security college,so as to promote their mental health and reduce the occurrence of psychological problems.

Meta-analysis of job burnout among emergency medical staff in China

CHEN Yue-ye, WANG Ling-ling, SUN Rui-qi, WU Jiao-jiao

2023, 39(8):  1121-1125. 

Asbtract ( 5 )   PDF (1043KB) ( 3 )  

References | Related Articles | Metrics

Objective A meta-analysis of job burnout among Chinese emergency physicians was conducted in order to provide reference for reasonable intervention. Methods We searched databases including CNKI,VIP,Wanfang,Pubmed,Web of Science,the Cochrane Library and EMBASE from inception through February,2022 to retrieve published papers that had estimated the burnout levels among emergency physicians. Data analysis was performed with the use of Stata16.0. Results We identified a total of 13 eligible studies involving 3100 emergency physicians. According to the meta-analysis,the mean estimate was moderate for emotional exhaustion（25.79,95%CI=24.03-27.56）,mild for depersonalization（5.01,95%CI=3.77-6.26）,and severe for personal accomplishment（29.63,95%CI=26.51-32.74） among emergency physicians. Subgroup analyzes showed that there was a significant difference in sample size（F=5.12、1.81、3.25,all P<0.05）. Sensitivity analysis suggested that the results were stable while Egger tests demonstrated publication bias in personal accomplishment dimension（t=-0.98,P<0.05）. Conclusions From 2011 to 2022,the detection level of occupational burnout among emergency physicians in China is significantly high. Factors affecting burnout among emergency physicians should be thoroughly investigated. It is critical to take measures to limit the prevalence rate and harm of burnout among emergency physicians.

Investigation and Research

Epidemic characteristics of public health emergencies in Tianjin from 2011-2021

WU Zhi-guo, ZHANG Li-ying, WEI Zhi-xia

2023, 39(8):  1126-1130. 

Asbtract ( 4 )   PDF (1171KB) ( 6 )  

References | Related Articles | Metrics

Objective To analyze the epidemiological characteristics of public health emergencies in Tianjin from 2011 to 2021,provide a basis for developing effective prevention and control measures. Methods The data collected from the "public health emergenciesmanagement system" of the China disease prevention and control information system were analyzed. Results From 2011 to 2021,a total of 467 public health emergencies were reported in Tianjin,mainly events of infectious diseases. The public health emergencies increased significantly in 2017,and the number of reported emergencies decreased in 2021. The public health emergencies were mainly reported in May,Decemberand November. The school was a main place of public health emergency in Tianjin,accounting for 69.59% of all public health emergencies. Conclusion According to the epidemic trend of monitoring,Tianjin should take targeted prevention and control measures for different events in different places at different periods.

Overview

Research progress on influencing factors and coping strategies of mental health of elderly care workers

ZHANG Xiu-ying, LI Ya-mei, DONG He, SHI Yang, MA Jin-chan

2023, 39(8):  1131-1134. 

Asbtract ( 5 )   PDF (986KB) ( 2 )  

References | Related Articles | Metrics

：The elderly care workers is the main force of pension service,and they are important guarantee of pension service system. Due to the acceleration of the population aging process in China and the particularity of elderly care,the elderly care workers are facing multiple pressures and challenges,causing serious a serious psychological burden on them. The paper summarizes the factors that affect the mental health of the elderly care workers,analyzes the influencing factors mainly from demographic and sociological aspects,so as to actively promote the absorption mechanism of elderly care service,improve the talent incentive policy,strengthen the construction of talent team,increase social support and recognition,strengthen the standardization and professional training of the elderly care workers,provide psychological support for the elderly care workers based on the network,provide basis for the construction of a complete mental health system for the elderly care workers,and lay a foundation for promoting the steady development of the nursing care.

Review of non-suicidal self-injury in adolescents

LIAN Meng-ze, DING Yu, LIU Xiao-ling, ZHAN Yu-ji, WANG Yun-xia, ZENG Wen-feng

2023, 39(8):  1135-1141. 

Asbtract ( 4 )   PDF (1084KB) ( 1 )  

References | Related Articles | Metrics

：The non-suicidal self-injury is a behavior in which an individual intentionally and repeatedly alters or injures individual body tissues without clear suicidal intent,causing some trauma. The adolescent population is at high risk of self-injury behaviors,and repeated self-injury behaviors can seriously endanger the physical and mental health level of adolescents. From an epidemiological perspective,the detection rate of non-suicidal self-injury behavior among domestic adolescents is generally higher than that in the West. The current treatment methods for non-suicidal self-injury mainly include psychotherapy and pharmacotherapy,and adolescent patients are encouraged to actively cooperate with the treatment in order to maximize the protection of adolescent physical and mental health and eliminate the negative effects of non-suicidal self-injury on adolescents. This paper summarizes the factors influencing non-suicidal self-injury in adolescents today and proposes effective measures and responses to prevent non-suicidal self-injury in adolescents in three aspects of society,family and school.

Research progress on current situation and influencing factors of nurses' decent labor perception

REN Yan-yu, LYU Li-ming, YANG Xiao-xia, CHEN Mei-xu

2023, 39(8):  1142-1145. 

Asbtract ( 5 )   PDF (991KB) ( 3 )  

References | Related Articles | Metrics

：On the basis of sorting out the concept of decent work and evaluation tools,the paper reviews the current situation and influencing factors of decent work perception of nurses at home and abroad,proposes the influencing factors of nurses' decent work perception,so as to ensure that nursing managers canpromptly recognize the importance of paying attention to the decent work perception level of nurses and take relevant measures to improve the decent work perception level of nurses,at the same time,provide a reference for nursing researchers to carry out relevant interventional studies in future.

Characteristics and preventive strategies of lumbar muscle strain in military training injury

LIN Fu-wang, YANG Shi-rong, HUANG Lu-hua, WU Jin, WANG Lin-feng, JIAN Wei-ming

2023, 39(8):  1146-1148. 

Asbtract ( 6 )   PDF (967KB) ( 5 )  

References | Related Articles | Metrics

：With the improvement of military training standards and levels of PLA,the prevention and treatment of daily training injuries of officers and soldiers has become particularly important. The lumbar muscle strainis a kind of overworked injury of lumbar muscles,fascia,ligaments and other tissues. It is a common and frequently occurring disease in military training injury,which seriously affects the training progress and quality of life of officers and soldiers. This study discusses epidemiological characteristics,injury mechanism and prevention strategies of lumbar muscle strain,in order to help officers and soldiers better understand the pathogenic characteristics of lumbar muscle strain in military training injury,carry out targeted personal prevention and treatment,and actively maintain the health of officers and soldiers and improve the combat effectiveness of the army.

Research progress on frailty of elderly people with comorbidities in community

LIU Fang-qi, SUN Xin

2023, 39(8):  1149-1152. 

Asbtract ( 5 )   PDF (1002KB) ( 8 )  

References | Related Articles | Metrics

：This paper summarizes the definition and current situation of comorbidity and frailty,analyzes the influencing factors and adverse outcomes of the elderly with comorbidity and frailty in community,puts forward the intervention measures to improve the current situation of comorbidity and frailty in community elderly,summarizes how to control and intervene the current situation of comorbidity and frailty in community elderly,and clarifies the shortcomings of the research in China,so as to provide direction for clinical implementation of personalized programs to effectively prevent comorbidity and frailty in community elderly,and delay the process of frailty.