Table of Content

01 February 2024, Volume 40 Issue 3

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Treatise

Study on risk prediction model of waist,neck and shoulder musculoskeletal diseases among coal miners

MA Xiangyu, Dilinaer Aikebaier, LI Fuye

2024, 40(3):  289-295. 

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Objective To understand the risk factors of coal miners'work-related musculoskeletal disordes（WMSDs） and construct the risk prediction model of coal miners' WMSDs. Methods From 2019 to 2020,1 588 coal miners in 6 coal mines in Xinjiang were selected by the method of stratified cluster sampling,the revised musculoskeletal diseases questionnaire was used to investigated the incidence of WMSDs among them.For the top 3 parts,the logistic regression method was used to screen the variables and construct the prediction model to draw the Nomogram line diagram.The differentiation of the model was evaluated by the area under the receiver operating curve（ROC）,the internal verification of the model was carried out by the method of Bootstrap resampling,and the Calibration curve was drawn. Results The incidence of WMSDs among coal miners was as high as 80.4%,and the top 3 were waist,neck and shoulder.Gender,length of service and type of work had significant differences in WMSDs of waist,neck and shoulder（all P<0.05）. Maintaining a posture for a long time,working in an uncomfortable position,bearing too much weight at a single time,repeating a movement for many times and not getting a rest in time were related to the occurrence of WMSDs（all P<0.05）. Length of service（OR=1.575,95%CI：1.351-1.837）,bachelor degree of education（OR=2.039,95%CI：1.258-3.306）,cold/cool breeze or temperature change（OR=1.419,95%CI：1.109-1.817）,neck tilt for a long time（OR=2.035,95%CI：1.591-2.603）,foot slippage or fall（OR=1.886,95%CI：1.458-2.440）,difficulty in using strength（OR=1.327,95%CI：1.004-1.755） because of uncomfortable posture,and need for upper limb or hand strength（OR=1.264,95%CI：1.004-1.755） were positively correlated with WMSDs. Adequate rest time between work（OR=0.709,95%CI：0.557-0.904）,tunneling workers（OR=0.560,95%CI：0.340-0.922） and electric fitters（OR=0.536,95%CI：0.324-0.887） were negatively correlated with WMSDs. The risk model of WMSDs of coal miners has good prediction efficiency,and the area under the ROC curve was 0.729（95%CI：0.702-0.756 ）. Conclusion Multiple occupational factors are the risk factors of WMSDs of coal miners,and the incidence is relatively high,mostly concentrated in the waist,neck,shoulder.The risk prediction model constructed in this paper can play an auxiliary role in predicting the WMSDs of coal miners.

Moderating effect of resilience on perceived stress and mental health among workers in a transportation construction company

FAN Jiali, LIU Xinming, HUANG Long, WANG Yan, YU Jianfei

2024, 40(3):  296-300. 

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Objective To investigate the influencing factors for mental health among workers in a transportation construction company and association of perceived stress and resilience,and to provide a scientific basis for the improvement of mental health among workers. Methods From June to December 2021,a total of 451 employees of a transportation construction company in Wuhu were selected by cluster sampling method as the survey object.Symptom check list 90（SCL-90）,10-item conner-davidson resilience scale（CD-RISC-10）,and Chinese version perceived stress scale（CPSS） were used to conduct questionnaire survey,and the data were analyzed. Results The score of mental health tendency was（144.75±50.35）points of the 451 employees of a transportation construction company,and the incidence rate of SCL-90 was 32.4%（146/451）. There were significant differences in the score of perceived stress and resilience in different gender,education levels and working age（all P<0.05）. There were significant differences in the score of mental health in different working age and marital status groups（both P<0.05）. The total score and all dimensions of mental health were positively correlated with perceived stress（r=0.432-0.585,all P<0.01）. The total score and all dimensions of mental health were negatively correlated with resilience（r=-0.324--0.698,all P<0.01）. The interaction among resilience and perceived stress was statistically significant（β=-0.13,P<0.01）,the independent on mental health is 2%（ΔR²=0.02）. The resilience moderated the relationship between perceived stress and mental health. Conclusions The mental health level of workers in the transportation construction company is relatively high. Perceived stress is an important influencing factor for mental health. When the stress perceptions increases,the mental health of workers with low mental resilienceis worse. Reduce perceived stress and improve resilience as a way to protecting mental health among workers in this company.

Construction and empirical research on post competency model of public health physicians in disease control and prevention institutions in Hebei Province

ZHANG Xinping, FU Shuoxiong, CHEN Haoyang, MO Wenxi

2024, 40(3):  301-305. 

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Objective To systematically sort out the post competency characteristic indexes of public health physicians,build a post competency model of public health physicians in disease control and prevention institutions in Hebei Province,and provide reference for the recruitment and training of public health talents,the investigation of the current situation of post competency of health human resources and performance appraisal management. Methods The competency indicators that are suitable for the public health physicians in disease control and prevention institutions were screened using literature analysis and behavioral event interviews,and then a two-round Delphi method was used to round up the indicators from December 2021 to February 2022 to finally form a post competency model for public health physicians in disease control and prevention institutions. The reliability and validity of the model was verified by an empirical study from March to June 2022,and the status of competency among public health physicians in disease control and prevention institutions in Hebei Province was evaluated. Results The post competency model for public health physicians in disease control and prevention institutions consists of 8 primary indicators and 63 secondary indicators. The overall rating of the competency of public health physicians in Hebei Province was 4.051,and the top level indicators were "professionalism" and "public health professional skills",while "scientific research ability" ranked last. Conclusions The model constructed in this study belongs to the general competency model of public health physicians in disease control and prevention institutions,which is reliable,innovative and practical,and has good reliability and validity. In addition,the overall competency of public health physicians in Hebei Province is at a moderate to high level,but the scientific research ability and supporting knowledge reserve need to be enhanced. The institutions need to take timely measures to mobilize learning enthusiasm and arrange training sessions in a timely manner to improve the overall competency level.

Job burnout and its correlation with occupational life quality and personality characteristics of community nurses in Liuzhou City

HUANG Xiongfen, GUO Qinyuan, QIN Cuizhen, HUANG Ju, DENG Huihong, LIANG Qi

2024, 40(3):  306-310. 

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Objective To understand the current situation of job burnout of community nurses in Liuzhou City of Guangxi Zhuang Autonomous Region,explore its relationship with occupational life quality and personality characteristics,so as to provide reference for reducing the loss of community nursing talents. Methods From July 2020 to June 2022,a total of 2 420 nurses from community health service centers in Liuzhou City of Guangxi Zhuang Autonomous Region were selected by convenience sampling. The Chinese version of MBI-general survey（MBI-GS）,quality of working life（QWL7-32） and Chinese version of Eysenck personality questionnaire-revised short scale（EPQ-RSC） were used to conduct the investigation,and the data were analyzed. Results The total score of job burnout of 2 420 community nurses in Liuzhou City was （48.90±11.73）points. The job burnout was negatively correlated with occupational life quality,and positively correlated with psychoticism and neuroticism（r=-0.195,0.137,0.178,all P<0.01）. The age,gender,marital status,working years,whether in the establishment,occupational life quality,neuroticism,internal and external tendencies,and psychoticism were the main influencing factors of job burnout of community nurses（all P<0.05）. Conclusions The job burnout of community nurses in Liuzhou City is at a medium level. The job burnout is clearly correlated with the occupational life quality and personality characteristics. The higher the occupational life quality,the lower the level of psychoticism and neuroticism,and the lower the job burnout. The managers should pay attention to the job burnout of community nurses who are young,male,divorced,working years of 5-10 years,and unofficial employment,actively take effective intervention measures to improve the occupational life quality of community nurses,and improve their personality characteristics of psychoticism and neuroticism,so as to reduce the level of job burnout of community nurses.

Mediating role of psychological capital between compassion fatigue,job burnout and secondary trauma of tumor surgery nurses

LI Fen, SHENG Jinwen, QIN Wei, WANG Xiaoxiao, LI Juan

2024, 40(3):  311-315. 

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Objective To discuss the mediating role of psychological capital between compassion fatigue,job burnout and secondary trauma of tumor surgery nurses. Methods From October 2020 to December 2022,176 tumor surgical nurses of five comprehensive hospitals in Wuhan City were selected by convenient sampling method as the subjects of investigation,and were investigated and analyzed with the general situation scale,psychological capital scale,compassion fatigue scale,job burnout scale and secondary trauma scale. Results The score of psychological capital of tumor surgery nurses was （82.31±10.38）points,the score of job burnout was （60.86±7.82）points,the score of compassion fatigue was （86.62±9.37）points,and the score of secondary trauma was （52.36±8.38）points. There were statistically significant differences in the scores of secondary trauma among tumor surgery nurses with different age,working years,professional title,monthly income and monthly night shift frequency（all P<0.05）. The psychological capital of tumor surgery nurses was negatively correlated with sympathy fatigue,job burnout and secondary trauma（all P<0.01）,the compassion fatigue was positively correlated with job burnout and secondary trauma（all P<0.01）,and the job burnout was positively correlated with secondary trauma（P<0.01）. The psychological capital played a part of intermediary role between compassion fatigue and secondary trauma of tumor surgical nurses,the intermediary effect was 0.240,accounting for 45.63% of the total effect. The psychological capital played a partial intermediary role between job burnout and secondary trauma of tumor surgery nurses,with the intermediary effect of 0.232,accounting for 39.59% of the total effect. Conclusion The compassion fatigue and job burnout of tumor surgery nurses can indirectly affect secondary trauma through the mediation of psychological capital,and improving their psychological capital is beneficial to reduce the level of secondary trauma.

Analysis on abnormal hemogram and influencing factors of benzene exposed workers in Tianjin in 2020

ZHANG Jinyue, LOU Heren, LI Pei, GAO Ya, ZENG Qiang, WANG Xin

2024, 40(3):  316-319. 

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Objective To analyze the health status of benzene exposed workers in Tianjin,provide a scientific basis for the development of preventive and control measures for occupational diseases in the city. Methods The information on occupational health surveillance in Tianjin in 2020 were collected,10 658 workers working in benzene operations were selected as the exposed group,and 10 658 workers working in non-benzene operations were selected as the control group by the matching method. The data on age,length of service,gender,economic type of enterprise,enterprise size,industry classification,and region to which the employer belongs were collected. The univariate and multivariate unconditional logistic regression were used to analyze the relationship between basic information,occupational history,enterprise information of benzene exposed workers and workers' abnormal hemogram. Results The rate of abnormal hemogram in the benzene exposed group was 3.26%,which was higher than that in the control group（2.38%）,with a statistically significant difference（χ²=14.809,P<0.01）. The univariate logistic regression analysis showed that benzene exposed workers who are female（OR=2.79,95%CI：2.25-3.47,P<0.01）,long working age（OR=1.04, 95%CI：1.03-1.05,P<0.01）,and enterprises whose employer's region was suburban（OR=1.49,95%CI：1.12-1.97,P<0.01） had the higher risk of abnormal hemogram. The multivariate unconditional logistic regression showed that benzene exposed workers who are female（OR=3.01,95%CI：2.41-3.77,P<0.01）,long working age（OR=1.09,95%CI：1.07-1.11,P<0.01）,young age（OR=0.95, 95%CI：0.93-0.96,P<0.01）,micro-enterprises（OR=2.18,95%CI：1.13-4.17,P<0.05）,small enterprises（OR=1.66,95%CI：1.17-2.37,P<0.01）,and enterprises whose employer's area was suburban（OR=1.46,95%CI：1.09-1.95,P<0.05） had the higher risk of abnormal hemogram. Conclusion In Tianjin,it is necessary to focus on the abnormal hemogram of benzene-exposed workers of female and high working age group,strengthen the health promotion and education in the lower age group,pay attention to the supervision and management of micro and small enterprises and enterprises with employers in suburban areas,and conduct regular occupational health examination for benzene-exposed workers,to protect the health of benzene-exposed workers.

Effects of perceived algorithmic control,occupational stigma perception and self-efficacy on job burnout in delivery riders

MIAO Zixin, GUO Tongmei

2024, 40(3):  320-324. 

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Objective To explore the effects of perceptual algorithm control and occupational stigma perception on job burnout of the delivery riders,analyze the moderating role of self-efficacy on the relationship between perceived algorithmic control,occupational stigma perception and job burnout. Methods From January to March 2023,the food delivery riders from five sites of a food delivery platform in Taiyuan City were investigated by using the perception algorithm control scale,occupational stigma perception scale,self-efficacy scale and job burnout scale,and the data were analyzed. Results The scores of perception algorithm control scale,occupational stigma perception scale,self-efficacy scale and job burnout scale among 286 food delivery riders from five sites of a food delivery platform in Taiyuan City were （41.50±9.77）,（21.69±5.55）,（34.27±8.98） and （51.96±11.32）points,respectively. The perceived algorithm control,occupational stigma were positively correlated with job burnout（r=0.487,0.576,both P<0.01）,and self-efficacy was negatively correlated with job burnout（r=-0.204,P<0.01）. The self-efficacy played a significant moderating role in the relationship between perceived algorithm control and job burnout（β=-0.129,t=2.695,P<0.01）,and the self-efficacy had a significant moderating effect on the relationship between occupational stigma and job burnout（β=-0.095,t=2.085,P<0.05）. Conclusion The perceived algorithm control and occupational stigma perception of the food delivery riders from five sites of a food delivery platform in Taiyuan City positively affect job burnout,and self-efficacy plays a negative moderating role in perceived algorithm control,occupational stigma and job burnout.

Study on the effect of season factor and syndrome differentiation and typing on acupoint application adjuvant therapy on pneumoconiosis

LI Qi, CAO Dianfeng, ZHENG Yanyan, JIN Yi, JIA Xuemin, HAN Ping

2024, 40(3):  325-329. 

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Objective To explore the influence of season factor and syndrome differentiation on the therapeutic effect of acupoint application on pneumoconiosis. Methods From June 2021 to May 2022,a total of 360 pneumoconiosis patients hospitalized in the Department of Occupational Diseases of Zibo Institute for Occupational Disease Prevention and Control were randomly divided into the control group（n=180） and the observation group（n=180）. Symptomatic and supportive treatment such as taking oral drugs to relieve a cough,reducing phlegm and preventing asthma and intravenous drip to improve pulmonary circulation was performed on the control group.In addition to the regular treatment performed on the control group,point application theropy and dialectical classify treatments of traditional chinese medicine were performed once every 10 days for 4 h and 3 courses of treatment were performed on the observation group（continuous treatment for 30 days as 1 course）. The body mass index,airflow obstruction,dyspnea,and exercise capacity index（BODE index） score,COPD assesment test（CAT） score,clinical symptom score,the frequency of respiratory acute attack and serological index score before and after treatments of patients in both groups were followed and recorded. Results Results showed that pneumoconiosis theropy with point application theropy as the adjuvant therapy had significant effect.The improvement of BODE index score,CAT score,clinical symptom score,the frequency of respiratory acute attack and levels of INF-α and IL-8 of the observation group were significantly different from those of the control group（all P<0.05）. The summer group showed significant differences in improvement of CAT score,clinical symptom score（expectoration,breathing difficulty,character of sputum）,and INF-α from other seasons（all P<0.05）. Among syndrome differentiation of traditional Chinese medicine,the phlegm dampness impeding lung syndrome group showed significant difference in expectoration and the frequency of respiratory acute attack（all P<0.05）. The pulmonary qi deficiency syndrome group showed significant difference in improvement of INF-α level（P<0.05）. Conclusions Although point application theropy has the best effect in summer,its curative effect in other seasons is also significantly better than that of the control group. Therefore,regardless of seasons,point application theropy could achieve good curative effect as regular treatment for pneumoconiosis patients. In the observation of syndrome differentiation of traditional Chinese medicine,the clinical symptom and frequency of attack reduced significantly in the phlegm dampness impeding lung syndrome group. And the INF-α level reduced significantly in the pulmonary qi deficiency syndrome group. Results of this research could direct the clinical use of poit application theropy on pneumoconiosis patients regardless of seasons,and promote this method as effective treatment to improve clinical symptoms and delay the progress of pneumoconiosis.

Identification and analysis method for chromosomal aberrations in peripheral blood lymphocytes during occupational health examination of radiation workers

XIONG Xiaoyun, JIANG Qiuxia, WANG Wei, XU Guang, MAO Shanci

2024, 40(3):  330-336. 

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Objective To explore the methods and practical guidance for identifying chromosomal aberrations in peripheral blood lymphocytes during occupational health examinations for radiation workers,so as to provide reference for peer research. Methods From December 2016 to December 2021,6 658 radiation workers were subjected to peripheral blood trace whole blood culture,automatic cell harvesting equipment,and manual production. The chromosome aberration analysis was performed using a fully automated chromosome karyotype scanning analysis system. Results A total of 500 368 metaphase mitotic phases were analyzed,and 142 bicentric bodies（dic）,10 bicentric rings（r）,261 acentric fragments（f）,and 11 obvious translocations（t） were confirmed after review. Three chromosomal forms that need to be distinguished from dicentric bodies（dic） were 79 chromatid intersections,23 chromosomes in contact with each other,and 18 secondary constrictions. The proportion of the sum of these three numbers to the number of bicentric bodies（dic） was 84.5%. Two types of chromosome morphology that need to be distinguished from acentric fragments（f） early separation of 9 and chromosome fissures of 11,and the sum of which was 7.66% in proportion to acentric fragments（f）. Conclusion The proficient identification of various types of chromosome aberrations and mastery of chromosomal aberration identification methods are important quality control measures for chromosome aberration analysis,and are crucial for evaluating the results of the test subject's project.

Analysis on status and influencing factors of work engagement of nurses in psychiatric hospitals of Shaanxi Province

SHI Yanru, LI Qi, CAO Xiaoqin, LI Jingxia, HUA Yan

2024, 40(3):  337-342. 

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Objective To investigate the current situation of work engagement of nurses in psychiatric hospitals of Shaanxi Province,analyze its influencing factors,so as to provide a reference for improving the level of work engagement of nurses in psychiatric hospitals. Methods From June to July 2022,the convenience sampling was used to investigate 444 nurses in psychiatric hospitals in Shaanxi Province with the general information questionnaire,nursing practice environment scale and Utrecht work engagement scale,and the data were analyzed. Results The score of work engagement of nurses in psychiatric hospitals in Shaanxi Province was （3.40±1.69）points,and the dimensional score from high to low was dedication[（3.48±1.76）points],vitality[（3.39±1.72）points] and concentration[（3.32±1.84）points]. The professional title,weekly working hours,nurses' participation in hospital affairs,nursing managers' ability and leadership style were entered into the regression equation（all P<0.05）,which can explained 35.3% of the total variation. Conclusions The work engagement of nurses in psychiatric hospitals in Shaanxi Province is at a moderate level. The professional title,weekly working hours,nurses' participation in hospital affairs,nursing managers' ability and leadership style have an impact on work engagement of nurses. It is suggested that nursing managers improve their own management ability and skills,and encourage nurses to participate in the daily decision-making of the department,so as to improve the level of nurses' work engagement.

Correlation analysis of cognitive function,self-efficacy and social support among the elderly in community in Wuhan City

PENG Yunqiao, ZHANG Yu, HU Hui, LIU Shuhong, DENG Bei, YE Niansi

2024, 40(3):  343-347. 

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Objective To explore the relationship among the cognitive level,self-efficacy and social support in the elderly in community,so as to provide ideas and basis for the cognitive health management of the elderly people in community. Methods From May to August 2022,the Montreal cognitive assessment（MoCA）,the general self-efficacy scale（GSES） and the social support rating scale（SSRS） were used to investigate 92 elderly people in community in Wuhan City. Results The average MoCA score of 92 elderly people in community was （22.74±4.99）points,indicating that 61.5% of them had cognitive function decline. The correlation analysis showed that cognitive function was significantly correlated with self-efficacy and social support（both P<0.05）,while self-efficacy was not significantly correlated with social support（P>0.05）. Conclusions The proportion of elderly people with cognitive decline in the community in Wuhan City is relatively high,the self-efficacy and social support are important factors affecting the cognitive level of the elderly people in community. In the future,it is feasible to improve the self-efficacy and social support of the elderly who live in community to prevent their cognitive decline.

Analysis on current situation and influencing factors of multidimensional health of the elderly in western Hunan Province

XIA Mi, TAN Jianghong, LI Jinxiu, LI Xingxing, SUN Jinghan, CHEN Zhengying

2024, 40(3):  348-351. 

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Objective To understand the current status of multidimensional health and its influencing factors among the elderly in western Hunan Province,provide the basis for the government to formulate relevant policies. Methods A multi-stage stratified sampling method was adopted to select 540 elderly people who met the criteria of inclusion and exclusion in western Hunan Province from January to March 2022. Their multidimensional health status was evaluated using the Chinese multidimensional assessment scale of health functioning in the elderly（MHASE）. Results The mean score of total multidimensional health of the elderly was （72.98±12.22）points,and six dimensions scores from highest to lowest were：daily living ability[（23.47±3.16）points],social relationship resources[（18.50±3.37）points],mental health[（18.23±3.16）points],physical health[（18.22±3.40）points],economic resources[（17.97±3.49）points],and cognitive ability[（13.43±2.09）points]. The multiple stepwise regression analysis results indicated that the presence of chronic diseases,education level,current residence,and marital status were the main influencing factors of multidimensional health of the elderly（all P<0.05）. Conclusions The multidimensional health level of the elderly in western Hunan Province needs to be improved. The chronic illness,low education level,current residence in an urban/rural area,and unmarried are the risk factors for multidimensional health in the elderly. It is recommended that family and social security support should be strengthened for older adults who are female,divorced,less educated,live in urban-rural areas,rely on assistance from government or others,have chronic diseases,and have no children.

Study on relationships between nurses' professional life quality and self-compassion in 215 hospitals of 29 provinces in China

WU Wenjing, HUI Zhaozhao, HOU Fang, ZHANG Zhenxiang, WANG Mingxu

2024, 40(3):  352-357. 

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Objective To investigate the status quo and influencing factors of nurses' professional life quality in 215 hospitals of 29 provinces in China,analyze the relationships between professional life quality and self-compassion,therefore providing scientific basis for improving nurses' professional life quality. Methods By the convenience sampling method,a total of 12 316 nurses from 215 hospitals in 29 provinces were investigated with the general information questionnaire,professional life quality scale and self-compassion scale-short form from January to March in 2022,and the data were analyzed. Results The scores of empathy satisfaction, job burnout and secondary trauma in 12 316 nurses were （32.05±6.33）,（27.46±4.69） and （28.81±6.50）points,respectively. 78.6% of nurses had moderate and high compassion satisfaction,77.5% of nurses had moderate and severe burnout and 71.5% of nurses had moderate and severe secondary traumatic stress. The compassion satisfaction was positively correlated with self-compassion（r=0.266,P<0.01）,while the compassion fatigue（job burnout and secondary traumatic stress） was negatively correlated with self-compassion（r=-0.458,-2.227,both P<0.01）. The professional title,position,working years and self-compassion were the influencing factor of empathy satisfaction in nurses（all P<0.05）. The professional title,position,education background,age and self-compassion were the influencing factor of job burnout in nurses（all P<0.05）. The professional title,position,education background,and self-compassion were the influencing factor of secondary trauma in nurses（all P<0.05）. Conclusions Totally 12 316 nurses from 215 hospitals in 29 provinces mainly have moderate and high empathy satisfaction,as well as moderate and severe empathy fatigue. It is necessary to pay attention to the nursing population with low professional title,position,educational background and young age,less work experience. At the same time,the empathy satisfaction can be improved by increasing the level of self compassion among nurses,so as to reduce the empathy fatigue.

Analysis on anxiety symptom characteristics and influencing factors of Chinese veteran

LI Yuanyuan, FENG Zhengzhi, LIAO Xingya, ZHAO Mengxue, WANG Huizhong, XIA Fan

2024, 40(3):  358-364. 

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Objective To analyze the anxiety symptom characteristics and influencing factors of Chinese veteran. Methods The stratified convenience sampling was used to conduct a questionnaire investigation among 2 400 ex-servicemen from 12 cities in China during six months since March 2021,with the general information questionnaire and the general anxiety disorder scale（GAD-7）,and the data were analyzed. Results Among Chinese veteran,the overall incidence of anxiety symptoms was 30.8%,and the incidence of mild,moderate and severe symptoms was 19.0%,5.8% and 6.0%,respectively. Among demographic factors,there were statistically significant differences in the incidence and score of anxiety symptoms among groups in gender,age,place of residence,education level,marital status and current illness（all P<0.05）. Among the factors of military experience,there were statistically significant differences in the incidence and score of anxiety symptoms among groups in service years,service type,special environment,military operation type,meritorious service award,illness during service,reasons for retirement,and ways of retirement（all P<0.05）. The risk factors for anxiety symptoms were female,25-<31 years old,31-<45 years old,occupation（farmer, commercial service worker）,and serious illness（all P<0.05）,while the protective factor was higher education level（P<0.05）. Conclusion The incidence of anxiety symptoms of Chinese ex-servicemen is higher than that of active servicemen and non-servicemen,which is affected by the factors of physiological status,current occupation and education level.

Analysis on surveillance results of female sex workers in Chongming District of Shanghai from 2018-2021

YAO Lan

2024, 40(3):  365-369. 

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Objective To understand the status knowledge,behavior characteristics and prevalence of human immunodeficiency virus（HIV） infection among female sex workers in Chongming district of Shanghai,and provide reference data for the development of acquired immunodeficiency syndrome（AIDS） prevention and control strategies. Methods Women engaged in commercial sex trade in entertainment venues in Chongming District of Shanghai from 2018 to 2021 were selected as the research subjects. A questionnaire survey was conducted for female sex workers,and blood samples were collected for HIV,syphilis and HCV antibody testing. Results A total of 1 600 subjects were monitored from 2018 to 2021,with an age of（38.4±8.39）years old.The awareness rates of AIDS prevention and control over the years were 94.5%,95.75%,97.50% and 98.50%,showing an upward trend,with statistical significance（χ²=11.505,P<0.05）. The total condom use rate of the last commercial sex was 92.19%,and the previous years were 93.5%,99%,90.5% and 85.75%,respectively,with statistical significance（χ²=51.33,P<0.05）. The total positive rate of HIV antibody was 0,the total positive rate of syphilis was 1.5%,and the total positive rate of HCV was 0.8%. Conclusion There is no HIV positive among the female sex workers in Chongming District of Shanghai,and the knowledge rate of AIDS prevention and treatment is relatively high. However,the proportion of insisting on using condoms needs to be improved and new intervention models should be explored to expand the coverage of intervention and testing,aiming to improve the self-protection awareness of female sex workers.

Analysis on spatio-temporal trend of category C infectious diseases in Nanning City from 2011-2021

LIU Haohui, NONG Hao, TANG Xianyan, ZHANG Jie

2024, 40(3):  370-374. 

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Objective To analyze the spatio-temporal trend of category C infectious diseases reported by medical institutions in Nanning City from 2011-2021,understand the epidemiological characteristics of category C infectious diseases in Nanning City,provide a basis for scientifically formulating prevention and control policies. Methods The descriptive epidemiological methods and geographic information system（GIS） mapping approaches were used to analyze the characteristics of category C infectious diseases and several major infectious diseases in Nanning City from 2011-2021. Results A total of 714 533 cases of 10 kinds of category C infectious diseases were reported in Nanning City from 2011-2021,accounting for 73.29% of the total cases of notifiable infectious diseases in the city during the same period,with an average annual incidence of 873.57/100 000. There were 66 deaths,and the average annual mortality rate was 0.0807/100 000. The incidence trend showed a "horizontal" fluctuation in the years（P<0.05）,and the peaks appeared April to July and September to October. The incidence in urban areas was significantly higher than that in rural areas（P<0.05）. The high-incidence population were children aged 0-<5 years old,accounting for 81.64%. The main occupation was scattered children,accounting for 62.31%,followed by the preschool care children,accounting for 24.45%. The high-incidence diseases were hand-foot-mouth disease,other infectious diarrhea,mumps and influenza,with an average annual incidence of 642.83/100 000,123.74/100 000,49.52/100 000 and 44.67/100 000,respectively. Conclusion The priority to prevent and control category C infectious diseases in Nanning City should be given to hand-foot-mouth disease,followed by other infectious diarrhea,the children under 3 years old are the major population for prevention and control,and kindergarten institutions,primary and secondary schools are the key fields for prevention and control.

Analysis on current situation and influencing factors of electronic health literacy of non-medical college students in Wuhan City

YU Renru, LIAO Wenjiang, CHE Ling, FANG Yong, ZHENG Taoyun

2024, 40(3):  375-380. 

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Objective To understand the current situation and influencing factors of electronic health literacy of non-medical college students in Wuhan City. Methods Using the convenient sampling,an online questionnaire survey was conducted on 2 515 non-medical college students in Wuhan City by the self-prepared electronic health literacy questionnaire from December 2021 to January 2022,to describe the current situation of their electronic health literacy and explore the major influencing factors. Results Totally 2 298 valid questionnaires were collected. The total score of electronic health literacy of non-medical college students in Wuhan City was （69.77±10.45）points,and the qualified rate of electronic health literacy was 7.91%. The average score was （3.03±0.71）points for electronic health information attitude,（3.25±0.75）points for ability to access electronic health information,（3.40±0.68）points for ability to judge electronic health information,and （3.11±0.69）points for ability to apply electronic health information. The average score of attitude to electronic health information dimension was the lowest. The univariate analysis showed that there were statistically significant differences in the total scores of electronic health literacy among students in different characteristics：place of origin,whether he/she is an only child,age,professional direction,daily mobile phones use hours, monthly family income,health self-assessment,the first person to ask when the body was unwell（all P<0.05）. Conclusions The electronic health literacy of non-medical college students in Wuhan City is relatively low,and is influenced mainly by professional direction,daily mobile phones use hours,health self-assessment,and the first person to ask when the body was unwell. It is necessary to take effective targeted intervention measures to change their attitude towards electronic health information,and improve their practical application ability of online health information,so as to improve the electronic health literacy of non-medical college students.

Mediating effect of social anxiety on relationship between social network addiction and sleep quality among undergraduate nursing students

WANG Zixuan, ZHAO Yijun, WANG Ying, YUAN Zhenqing, LUO Chujie, HONG Feifei

2024, 40(3):  381-384. 

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Objective To explore the influence of social network addiction and social anxiety on sleep quality of undergraduate nursing students,and analyze the mediating effect of social anxiety between social network addiction and sleep quality of undergraduate nursing students,so as to provide reference for improving sleep quality of nursing students. Methods From September to November 2021,a total of 324 undergraduate nursing students were investigated by using the college students' social network addiction tendency questionnaire,interaction anxiousness scale（IAS） and Pittsburgh sleep quality index（PSQI）. Pearson correlation method was used to analyze the correlation among social anxiety,social network addiction and sleep quality. The logistic regression was used to test the mediating effect of social anxiety between social network addiction and sleep quality,and Bootstrap method was used to verify the mediating effect. Results The total score of sleep quality of undergraduate nursing students was （5.60±2.96）points. The higher the level of social network addiction,the more serious the social anxiety（r=0.429,P<0.01）. The social anxiety was positively correlated with sleep quality（r=0.211,P<0.01）. The higher the level of social network addiction,the worse the sleep quality（r=0.233,P<0.01）. The social anxiety played a partial mediating role between social network addiction and sleep quality,and the mediating effect accounted for 25.05% of the total effect. Conclusion The sleep quality of undergraduate nursing students is poor,the social anxiety is an intermediary variable between social network addiction and sleep quality of undergraduate nursing students,and the colleges and universities should pay attention to the sleep quality of nursing students,provide intervention guidance from social anxiety,to improve the sleep quality of nursing students.

Analysis on influence of mobile phone dependence on depression and anxiety of college students in Xinjiang Production and Construction Corps and the mediating effect of insomnia

Remina Maimaitijiang, WEI Zhu

2024, 40(3):  385-388. 

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Objective To explore the impact of mobile phone dependence on depression and anxiety in college students,and analyze the mediating effect of insomnia in it,so as to provide scientific evidence for preventing depression and anxiety problems in college students. Methods From March to May 2021,792 undergraduate students from a university in Xinjiang Production and Construction Corps were surveyed using the mobile phone addiction index（MPAI）,patient health questionnaire-9（PHQ-9）,generalized anxiety disorder-7（GAD-7）,and Athens insomnia scale（AIS）. Results Among the surveyed subjects,the detection rate of mobile phone dependence was 48.4%,the detection rate of insomnia was 37.4%,and the proportion of moderate/moderate/severe depression was 21.9%,and anxiety was 37.5%. There was a positive correlation between mobile phone dependence and depression,anxiety,and insomnia scores（r=0.47,0.42,0.43,all P<0.01）. There was a positive correlation between insomnia scores and depression,anxiety scores（r=0.63,0.58,both P<0.01）.Insomnia played a partial mediating role between college students' mobile phone dependence and depression,anxiety,with mediating effects of 0.098（95%CI：0.075-0.124） and 0.079（95%CI：0.059-0.103）,respectively,accounting for 48.04% and 49.07% of the total effect. Conclusion Mobile phone dependence can directly or indirectly affect depression and anxiety problems through insomnia. Therefore,appropriate intervention measures should be taken for college students with sleep disorders caused by mobile phone dependence,so as to reduce the harm of mobile phone dependence on their mental health.

Correlation analysis of social appearance anxiety and negative physical self in nursing students

HE Quanzhen, LIU Yanmei, GAO Xiaoxi, BAI Congcong, CHENG Fan, TONG Yunjie

2024, 40(3):  389-392. 

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Objective To explore the correlation between social appearance anxiety and negative physical self in nursing students. Methods A total of 230 nursing students from 2 universities in Hunan Province and Shaanxi Province were investigated with the general information questionnaire,social appearance anxiety scale and negative body self-scale during October to December 2022. Results The score of social appearance anxiety and negative physical self was （45.54±16.36） and （71.89±27.44）points respectively. There was a positive correlation between social appearance anxiety and negative physical self（r=0.599,P<0.01）. The social appearance anxiety was affected by age,place of residence,family atmosphere,and negative physical self（all P<0.05）. Conclusion Nursing students have a moderate level of social appearance anxiety,and the negative physical self plays an important role in social appearance anxiety.Nursing students can reduce their social appearance and negative physical self through psychological counseling and improving family atmosphere,then to promote their mental health development.

Evaluation on effect of new media health intervention on adolescent in Minhang District of Shanghai City

XU Xiaoli, DING Keying

2024, 40(3):  393-397. 

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Objective Based on the investigation of adolescent health knowledge,attitude,behavior and the access to adolescent health information of senior primary school students in Minhang District of Shanghai City,to analyze and evaluate the effect and satisfaction of new media health intervention in adolescent health,and improve the intervention strategy. Methods By the randomized cluster control trial,the new media was adopted to investigate and intervene all the students in the selected class from September 2021 to December 2021. Totally 1 354 senior primary school students from four primary schools in Minhang District were selected for investigation and intervention. Results In this study,a total of 1 354 adolescents in Minhang District were investigated,and 1 314 valid questionnaires were collected,with an effective rate of 97.05%. After adolescent health intervention through the new media,the median of overall score of health knowledge in the intervention group（9 points） was significantly higher than that in the control group（7 points）（full score of 10 points）,and the difference was statistically significant（Z=-18.148,P<0.01）. The qualified rate of health knowledge in the intervention group（97.89%） was significantly higher than that in the control group（74.00%）（χ²=156.406,P<0.01）. The proportions of correct attitudes and behaviors in the intervention group were significantly higher than those in the control group（all P<0.01）. The top three access ways were social media（64.00%）,parent-child communication（59.89%）,doctors and experts（58.98%）. There was statistically significant difference in ways to obtain network resources between the two groups（χ²=12.715,P<0.01）. 86.60% of the respondents were satisfied with the new media health intervention,and the difference between boys and girls was statistically significant（χ²=4.525,P<0.05）. Conclusions The new media adolescent health intervention applied to adolescents in Minhang District is feasible and effective,and female adolescents are more satisfied with this new media adolescent health intervention than male adolescents. It is suggested that relevant departments should make full use of the combination of parent-child communication and online media,and provide scientific,practical and high-quality professional health communication knowledge for teenagers in the information age in many ways,so as to steadily improve their health level.

Intervention of reading therapy on depression among Chinese college students：A meta-analysis

HU Shiqun, LIU Rui

2024, 40(3):  398-403. 

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Objective To systematically evaluate the effect of reading therapy on depression among Chinese college students. Methods The China National Knowledge Network（CNKI）,Wanfang Database and VIP Database were searched by computer to retrieve the literature related to reading therapy for college students,and the retrieval period was from the establishment of the database to December 2021. The meta-analysis was performed on the included studies using RevMan 5.4.1. Results A total of 17 articles were included,and a total of 1 669 people were included in the study. The subgroup analysis showed that there was little heterogeneity on data between before and after intervention among the 12 controlled trials using the symptom check list 90（SCL-90）,and the total effect size was 0.44,95%CI was 0.32-0.57,which was beneficial after intervention,and the difference was statistically significant（P<0.05）. The sensitivity analysis showed that there was little heterogeneity on data among 10 randomized controlled trials,and the total effect size was -0.30,95%CI was -0.42--0.18,which was favorable to the therapy group,and the difference was statistically significant（P<0.05）. Conclusion The reading therapy is effective in the intervention of depression among Chinese college students.

Health Management and Research

Study on development predicament and countermeasures of health counterpart assistance in Tianjin

WANG Li, LIANG Liang, CHEN Jian, LI Fangshi, QIU Xinyu, DU Yue, BAI Linru

2024, 40(3):  404-408. 

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Objective To analyze the development dilemmas and weak links of the health counterpart assistance model,thereby providing references for better development of health counterpart assistance. Methods From July to August 2022,the purposive sampling was used to select 10 support workers in Tianjin and 10 aid recipients in Hetian People's Hospital of Xinjiang for one-on-one semi-structured interviews,and grounded theory method was used to analyze the data. Results After three levels of coding,43 original categories,seven main categories,and two core categories were sorted out,and they were summarized into two levels：health assistance dilemma and countermeasure promotion mechanism,which formed the research framework of drawbacks and development countermeasures of health counterpart assistance model. Conclusion There are problems such as imperfect security mechanism,incomplete work planning and insufficient emotional care in health counterpart assistance in Tianjin,and it is necessary to improve the security mechanism,carry out hospital cultural construction,carry out precise assistance and strengthen personnel training to achieve more efficient assistance effect.

Analysis on human resource allocation and fairness of county-level disease control and prevention institutions in Hebei Province from 2014-2021

MA Xiaojiang, ZHOU Ran, ZOU Xiandong, ZHANG Zhenxi, GAO Guijun, CUI Lizheng

2024, 40(3):  409-413. 

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Objective To understand the human resource allocation and fairness degree of county-level centers for disease control and prevention（CDC） in Hebei Province,provide a scientific basis for improving the public health service capacity construction of county-level CDC institutions in Hebei Province. Methods The personnel information of county-level CDC institutions in Hebei Province from 2014-2021 were collected by the questionnaire and China comprehensive management information system for disease prevention and control. The human resources status and fairness of the county-level CDC institutions were analyzed by description analysis,Gini coefficient and aggregation degree. Results In 2021,there were 2 825 people in vacancy from the county-level CDC institutions in Hebei Province,with the vacancy rate of 21.64%,and 36 counties（districts） had a vacancy rate of more than 50%,8 counties（districts） had a vacancy rate of more than 80%. Although it had increased by 14.65% compared with 2014,but it still did not meet the national standard requirements. The public health personnel and other technicians were on the rise,which was increased by 26.48% and 88.42% respectively. The Gini coefficient was calculated from the population distribution,the value of different specialties and overall personnel was less than the critical value of 0.4,which were in line with the general fairness characteristics. The Gini coefficient was calculated from the geographical area,the overall personnel value was >0.4,indicating a worrying fairness. The aggregation degree P value statistics showed that there was a large personnel gap in Zhangjiakou and Chengde. Conclusions The county-level CDC institutions in Hebei Province have insufficient staffing,aging personnel structure,single discipline and regional differences. It is suggested that the fairness of the allocation of professional and technical personnel among regions should be strengthened,the high-level talents should be appropriately introduced,and the training of interdisciplinary talents should be improved.

Overview

Research progress on team resilience in nurses

CHEN Tangyu, HU Sanlian, WEI Xiaomei, CHEN Zhiling

2024, 40(3):  414-418. 

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The team resilience originates from research related to individual and organizational resilience in positive psychology. Recently it has become an emerging research hotspot in the field of resistance. This article aims to summarize four aspects of team resilience,including definition,assessment tools,influencing factors and intervention strategies,to provide reference and revelation for the research of team resilience in nursing.

Research progress on eHealth literacy of college students

XU Shicong, LI Xianrong

2024, 40(3):  419-423. 

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The eHealth literacy describes an individual's ability to absorb reliable health knowledge from the internet and transform it into skills to promote their own health. In such a developed era of electronic communication technology,it has become normal for college students to obtain network information through mobile phones,computers and other electronic devices. At present,improving college students' electronic health literacy to promote their physical and mental health has gradually become a research hotspot. This paper summarizes the research focus and influencing factors of eHealth literacy of college students at home and abroad,aiming to provide a basis for Chinese scholars to better apply eHealth literacy to promote the physical and mental health of college students.

Research progress on assessment tools for health education competencies of nursing staff

HU Jiebo, ZHAO Fang, SONG Lijuan, ZHANG Yi, ZHU Aiyong

2024, 40(3):  424-428. 

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Health education is to comprehensively improve citizens' health literacy,promote citizens' health and improve their quality of life through planned,organized and systematic social education activities. As the largest group in the health sector,nurses are important health professional groups providing health education. Their health education ability directly or indirectly affects citizens' health literacy and quality of life. Therefore,the evaluation of health education ability of nursing staff is an important prerequisite to ensure the effectiveness of health education. The paper mainly reviews the content,characteristics and application of health education ability assessment tools for nurses at home and abroad,in order to provide reference for the selection or development of appropriate evaluation tools in the future,and provide reference for the relevant research on improving the health education ability of nurses.

Research progress on nurses' emergency preparedness

SHAN Dandan, ZHANG Yaqin, SUN Mingli, ZHANG Ye, LI Sisi

2024, 40(3):  429-432. 

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The natural disasters occur frequently around the world. Nurses,as one of the medical staff,play an important role in emergency preparedness and response. Improving nurses' emergency preparedness is a positive measure to cope with natural disasters and epidemics. The paper systematically reviews the concept and influencing factors of emergency preparedness and the status quo of emergency preparedness of clinical nurses at home and abroad,so as to provide reference for nursing managers to improve the emergency preparedness level of clinical nurses and carry out related research in China.