Table of Content

15 September 2024, Volume 40 Issue 18

Previous Issue    Next Issue

Treatise

Mediating role of nurses' general self-efficacy in the relationship between work environment perception and job burnout

YAO Yichao, CAO Zhijiao, TENG Haimao, MA Pei, GAO Weina

2024, 40(18):  2449-2454. 

Asbtract ( 34 )   PDF (1096KB) ( 11 )  

References | Related Articles | Metrics

Objective To investigate the mediating role of nurses' general self-efficacy in their work environment perception and job burnout. Methods In March 2023,a convenience sampling method was used to conduct a questionnaire survey of 1 261 nurses from three grade-A tertiary hospitals in Baoding City using a self-compiled general information questionnaire,nursing work environment scale（C-NWE）,Chinese version of Maslach burnout inventory（MBI）,general self-efficacy scale（GSES）,and the data were analyzed. Results The total scores of C-NWE,MBI,GESE for 1 261 nurses were （123.32±24.14）,（65.80±23.33） and （28.27±6.83）points,respectively. The detection rates of zero,mild,moderate,and severe job burnout were 24.74%,24.66%,47.18% and 3.40%,respectively. General self-efficacy had a partial mediating effect between nursing work environment and job burnout,with an effect value of -0.097,accounting for 21.54% of the total effect. General self-efficacy had a moderating effect on the relationship between nursing work environment and job burnout（β=0.005,△R²=0.003,P<0.05）. Conclusion The current situation of job burnout among nurses in three grade-A tertiary hospitals in Baoding is not optimistic and should be taken seriously by hospital managers. Nurses' general self-efficacy has both mediating and moderating effects between the nursing work environment and job burnout. Nursing managers should carry out targeted interventions from two aspects：the nursing work environment at the organization level and the general self-efficacy at the individual level.

Evaluation of occupational disease hazard control effectiveness for municipal biogas and power generation projects in Xuzhou City

WANG Yonglin, SUN Hui, SONG Zhifang, WANG Peili

2024, 40(18):  2455-2458. 

Asbtract ( 36 )   PDF (1083KB) ( 5 )  

References | Related Articles | Metrics

Objective To analyze and evaluate the occupational disease hazard control effects of a certain energy technology Co.,Ltd. in Xuzhou City on biomass and fecal waste production of biogas,biogas power generation,and biogas organic compost production. Methods In 2022,data were collected from a certain enterprise in Xuzhou City using methods such as occupational health on-site investigation methods,occupational disease hazard factor detection methods,and a combination of occupational disease protection facilities,emergency rescue facilities,personal protective equipment,and occupational health monitoring methods to comprehensively analyze and evaluate the project of fecal pollution,biomass to biogas production,biogas power generation,and biogas residue to compost. Results The main types of occupational disease hazards in this project include chemical hazards（other dust,ammonia,hydrogen sulfide,methyl mercaptan,ethyl mercaptan,sodium hydroxide,urea,nitrogen oxides,sulfur dioxide）,noise,high temperature,and power frequency electric field. The detection results of occupational hazard factors showed that the qualified rate of the tested factors was 100.0%.The occupational health examination results showed no contraindications or suspected occupational diseases,and the intact rate of personal protective equipment was 100.0%. Conclusion This project belongs to the industries of biomass energy generation（industry code D4417）,biomass gas production and supply（industry code D4520）,and natural gas production and supply（industry code D4511）,and is a construction project with serious occupational disease hazards.

Uncertainty evaluation of noise measurement in welding workshop of a large automobile manufacturing plant in Tianjin

HAN Cheng, LI Xinrong, WANG Xuesong, LIU Jing, ZENG Qiang

2024, 40(18):  2459-2463. 

Asbtract ( 44 )   PDF (1072KB) ( 8 )  

References | Related Articles | Metrics

Objective Noise is the main occupational hazard factor in automobile manufacturing plants. Through the uncertainty evaluation of noise measurement in welding workshop of a large automobile manufacturing plant in Tianjin,the source of uncertainty,quantitative calculation,evaluation method and reporting methods of measurement results were expounded. Methods According to GBZ/T 189.8-2007 "Measurement of Physical Factors in the Workplace Part 8：Noise",GBZ 2.2-2007 "Occupational Exposure Limits for Hazardous Factors in the Workplace Part 2：Physical Factors" and GB/T 21230-2014 "Engineering Method for Determination of Occupational Noise Exposure in Acoustics",from June 2022 to February 2023,the 30 representative operators from parts mounting position,assembly position and mold repair position in the welding workshop were selected for noise measurement. Using explosion-proof individual noise dosimeters,develop a reasonable measurement plan,read and record the A-weighted equivalent continuous sound pressure level（L_p,A,eqT,n） of three positions operators,calculate the A-weighted 8-hour exposure sound level（L_{AE,8 h}） for each positions,and conduct uncertainty evaluation. Results Calculation showed that L_{AE,8 h} of parts mounting position,assembly position and mold repair position were 83.8,84.6,80.5 dB（A）,with expanded uncertainty of 3.3,3.6,3.3 dB（A）（k=1.65）.The calculated L_{AE,8 h} of parts mounting position and assembly position was below the exposure limit of 85 dB（A） but could include 85 dB（A）（confidence level：90%）.The L_p,A,eqT,n of part of the workers in parts mounting position and assembly position didn’t meet the occupational exposure limit requirements for noise in GBZ 2.2-2007. Conclusion The evaluation of noise uncertainty characterizes the dispersion and degree of suspicion of noise measurement results,with the main source of uncertainty being measurement operations.It is recommended to maintain and update noise control facilities,strengthen on-site management of wearing ear protectors as required,and implement relevant health monitoring and management systems.

Simultaneous determination of 16 indole alkaloids in Chinese herbal medicine and poisoning samples by LC-MS/MS-IDA-EPI method

HUANG Lizhen, QIN Kunfei, LI You

2024, 40(18):  2464-2473. 

Asbtract ( 39 )   PDF (4500KB) ( 12 )  

References | Related Articles | Metrics

Objective To establish a liquid chromatography tandem mass spectrometry-multiple reaction monitoring-information dependent acquisition-enhanced product ion（LC-MS/MS-IDA-EPI） method for simultaneous determination of 16 indole alkaloids in Chinese herbal medicine and poisoning samples,including gelsemium elegans alkaloids,evodia rutaecarpa alkaloids,U. rhynchophylla alkaloids,yohimbine,strychnine,etc. Methods The 16 indole alkaloids were separated on a Phenomenex Kinetex C₁₈ column using mobile phases of 0.01% ammonia（v/v） aqueous solution and methanol for gradient elution at a flow rate of 0.4 mL/min. The multiple reaction monitoring-information dependent acquisition-enhanced product ion（MRM-IDA-EPI） scanning modes was used for detection. Results The matching degree of the EPI spectra for the positive samples was greater than 70%,with a deviation in retention time within ±0.1 min. All compounds had good linear relationships within the corresponding concentration range,with correlation coefficients >0.998. The limits of detection and the limit of quantification were 0.01-4.00（μg/L or μg/kg） and 0.04-13.00（μg/L or μg/kg）,respectively. The average recovery rate was 83.43% to 109.41%,and the relative standard deviations（RSD） were 1.70% to 4.51%（n=6）. Conclusion The established method is simple,rapid,accurate,and reliable,and can be used for the rapid qualitative and quantitative analysis of 16 indole alkaloids in Chinese herbal medicine and poisoning samples.

Determination of 13 pyridine and pyrimidine herbicides in fruit and vegetable sauce by liquid chromatography-tandem mass spectrometry

GUO Aijing, ZHANG Lihua, CHEN Longxing, TIAN Huifang, ZHAO Wei

2024, 40(18):  2474-2477. 

Asbtract ( 31 )   PDF (1092KB) ( 7 )  

References | Related Articles | Metrics

Objective To establish a multi residue liquid chromatography-tandem mass spectrometric（LC-MS/MS） method for the determination of 13 pyridine and pyrimidine herbicides in fruit and vegetable sauce. Methods The samples were extracted with acetonitrile（containing 1% formic acid）,purified using QuEChERS（quick,easy,cheap,effective,rugged and safe） technology,and separated using a ZORBAX SB-Aq column（2.1 mm×150 mm,3.5 μm）. The gradient elution was performed using an acetonitrile 0.1% formic acid aqueous solution（containing 5 mmol/L ammonium acetate） as the mobile phase,and detected using LC-MS/MS in multiple-reaction monitoring（MRM） mode. Quantification was performed using an external standard method. Results 13 pyridine and pyrimidine herbicides showed good linear relationships within their respective concentration ranges,with correlation coefficients greater than 0.999. The average recovery rates for three different concentrations ranged from 80.36% to 118.74%,with relative standard deviations of 0.22% to 9.62%,and the limits of detection was 0.06-1.60 μg/kg. Conclusion The method is simple and sensitive,with good reproducibility,and can be used for simultaneous detection of 13 pyridine and pyrimidine herbicides in fruit and vegetable sauce.

Pollution status and health risk assessment of 10 elements in animal aquatic products sold in Cangzhou City

SHAO Hanbing, ZHANG Rui, DONG Xiaofeng, GAO Qinghui, LYU Hengxi

2024, 40(18):  2478-2483. 

Asbtract ( 34 )   PDF (1352KB) ( 3 )  

References | Related Articles | Metrics

Objective To understand the content of 10 elements in animal aquatic products sold in Cangzhou City,analyze the pollution status,and evaluate the potential health risk to human body. Methods A total of 324 samples of shellfish,fish,crustaceans and cephalopods were collected from 16 counties in Cangzhou City. The contents of manganese（Mn）,copper（Cu）,zinc（Zn）,cadmium（Cd）,nickel（Ni）,chromium（Cr）,arsenic（As）,selenium（Se）,mercury（Hg） and lead（Pb） in the samples were detected by microwave digestion and inductively coupled plasma mass spectrometer. The pollution levels were evaluated by single factor pollution index（Pi） and pollution index（MPI）. The target risk factor（THQ） and target carcinogenic risk（TR） were used to assess human health risks. Results The contents of elements in different aquatic products were different. The excess of Cd in crustaceans and shellfish was 1.83%. The overall pollution degree of aquatic products was not high,Cu（Pi=0.2） of shellfish was mildly polluted,Cd（Pi=0.856） and As（Pi=0.846） of crustaceans were moderately polluted. Values at different percentiles showed that most elements in aquatic products do not present potential health risks,but the combined health risk index（TTHQ）>1 of crustacean intake in children and adults and total carcinogenic risk index（TCR）>10⁴,and health risks were generally higher in children than in adults. Conclusion There are some potential health risks of crustaceans sold in Cangzhou City,and the contribution rate of As is the largest. Relevant departments should increase monitoring efforts to ensure food safety.

Chain mediating effect of perceived stress and occupational uncertainty on workplace resilience and the impairment of health productivity among surgical medical staff

MIAO Shiqian, DENG Xiaojiao

2024, 40(18):  2484-2490. 

Asbtract ( 29 )   PDF (1103KB) ( 8 )  

References | Related Articles | Metrics

Objective To explore the multiple mediating effects of perceived stress and occupational uncertainty in the influence mechanism of workplace resilience on the impairment of health productivity among surgical medical staff. Methods From March to May 2023,a convenience sampling method was used to select 342 surgical medical staff from 6 grade-A tertiary hospitals in Sichuan Province as the survey subjects. The survey was conducted using a general information questionnaire,perceived stress scale,occupational uncertainty scale,workplace resilience scale,and health productivity impairment scale. Construct and test the chain mediation model of perceived stress and occupational uncertainty. Results The scores of perceived stress,occupational uncertainty,workplace resilience and health productivity impairment of 342 surgical medical staff in 6 grade-A tertiary hospitals in Sichuan Province were （32.92±10.85）,（98.92±27.93）,（64.01±16.52） and （14.33±4.35）points,respectively. The impaired health productivity of surgical medical staff was negatively correlated with workplace resilience（r=-0.667,P<0.05）,and positively correlated with perceived stress and occupational uncertainty（r=0.687,0.692,both P<0.05）. The total indirect effect of workplace resilience on hidden absence was 0.317,accounting for 41.93% of the total effect. Among them,the specific mediating effects of perceived stress and occupational uncertainty on health productivity impairment accounted for 18.39% and 15.74%,respectively,and the chain mediating effect of the two accounted for 7.80%. Conclusion The impaired health productivity of surgical medical staff in grade-A tertiary hospitals in Sichuan Province is at a moderate to high level,and the multiple mediating effects of perceived stress and occupational uncertainty in the mechanism of workplace resilience on the impaired hidden health productivity of surgical medical staff are established. Medical managers should pay attention to medical staff with high levels of health productivity impairment,reduce their perceived stress and occupational uncertainty,so as to further improve their physical and mental health.

Mediating effect of job crafting in low seniority clinical nurses between occupational calling and occupational delayed satisfaction

DAI Heping, YAN Yan, SHI Jinfeng

2024, 40(18):  2491-2495. 

Asbtract ( 27 )   PDF (1067KB) ( 181 )  

References | Related Articles | Metrics

Objective To understand the current situation of job crafting,occupational calling,and occupational delayed satisfaction among low seniority clinical nurses,explore the mediating effect of job crafting between occupational calling and occupational delayed satisfaction,and provide reference ideas and empirical support for improving clinical nursing staff's work engagement and work performance. Methods Convenience sampling was used to select 349 junior clinical nurses from three grade-A tertiary hospitals in Nanjing as the research subjects from March to May 2023,and questionnaire surveys were conducted using the general information questionnaire,job crafting scale,occupational calling scale,and occupational delayed satisfaction scale,and the data were analyzed. Results Low seniority clinical nurses scored （72.62±16.89）points for job crafting,（41.70±9.69）points for occupational calling and （22.03±4.09）points for occupational delayed satisfaction. There were statistically significant differences in job crafting scores of low seniority clinical nurses with different genders,years of work experience,degree of passion for nursing work,and monthly night shifts（all P<0.05）. There were statistically significant differences in occupational calling scores of low seniority clinical nurses with different gender,marital status,educational level,professional title,employment form,degree of passion for nursing work,and monthly night shifts（all P<0.05）. There were statistically significant differences in occupational delayed satisfaction scores of low seniority clinical nurses with different ages,professional titles,degree of passion for nursing work,and monthly night shifts（all P<0.05）. Low seniority clinical nurses' job crafting scores was positively correlated with occupational calling scores and occupational delayed satisfaction scores（r=0.842,0.416,both P<0.01）,occupational calling scores was positively correlated with occupational delayed satisfaction scores（r=0.428,P<0.01）. Occupational calling had a direct positive predictive effect on occupational delayed satisfaction（β=0.428,P<0.01）,and job crafting could indirectly affect occupational delayed satisfaction as a mediating variable（β=0.218,P<0.01）,with a mediating effect accounting for 37.89%. Conclusion The job crafting,occupational calling and occupational delayed satisfaction of low seniority clinical nurses are at a moderate level. Nursing managers need to focus on the cultivation of job crafting ability and the stimulation of occupational calling of low seniority clinical nurses,which in turn improves their level of occupational delayed satisfaction.

Investigation on current situation of occupational well-being among staff in a governmental hospital in Beijing City

XIAO Yaowen, GONG Yingguang, BAO Ruibing, CHEN Si

2024, 40(18):  2496-2499. 

Asbtract ( 28 )   PDF (2218KB) ( 18 )  

References | Related Articles | Metrics

Objective To investigate the current status of occupational well-being among staff in a governmental hospital in Beijing,and provide data and strategic support for governmental hospitals to accurately focus on specific employee groups. Methods A convenience sampling questionnaire survey was conducted among staff members of a governmental hospital in Beijing in March 2023 using the medical workers' well-being scale,and the screened results were compared between groups and analyzed by linear regression. Results A total of 3 973 questionnaires were collected,with an average overall well-being score of （97.17±17.42）points for hospital staff and （94.66±17.30）points for non-medical staff in hospital. There were statistically significant differences in overall well-being score among different working years,work area,educational background,professional title,personnel type,marital status,and employment forms（all P<0.05）. There was a statistically significant difference in the overall well-being scores between medical and non-medical personnel（P<0.05）.The well-being score of medical staff who contacted patients directly and indirectly were （97.85±17.51） and （95.02±16.66）points,respectively,with a statistically significant difference（P<0.05）. Ten factors such as age,years of work experience,work area,education background,personnel type,marital status,employment form,income,and whether they are medical personnel had a statistically significant impact on occupational well-being（all P<0.05）. Conclusion In hospital management,we should pay attention to the well-being of staff who's older,with longer working years and higher professional titles,and pay attention to the staff with graduate degree or above,below college degree,working in non-main hospital area,divorce or other marital status,relatively low income,non-medical personnel,and non-direct-facing patient departments. Moderately adjust the management methods for corresponding personnel to enhance the overall occupational well-being of medical staff.

Construction and validation of predictive model for depression occurrence of navy serviceman during long voyage

QI Xiuzhong, YU Lei, WANG Jian, WU Huixin, ZHOU Fengbao

2024, 40(18):  2500-2505. 

Asbtract ( 28 )   PDF (1638KB) ( 22 )  

References | Related Articles | Metrics

Objective To construct and validate a risk predictive model for depression occurrence of navy serviceman during long voyage based on factors such as sleep,fatigue and constitution of traditional Chinese medicine（TCM）. Methods A total of 1 000 navy serviceman during long voyage from June 1 to September 30,2022 were selected as the subjects by random cluster sampling method. All of them were assessed by the self-rating depression scale（SDS）,Pittsburgh sleep quality index（PSQI）,fatigue scale-14（FS-14）,TCM constitution scale to investigate the depressive emotions and influencing factors. The logistic stepwise regression analysis was used to screen risk factors and construct prediction nomogram model. The area under the curve,correction curve and decision curve were used for internal validation and predictive efficacy assessment. Results Totally 949 valid scales were collected,with an effective rate of 94.9%. Before the voyage,15 days and 30 days after voyage,the incidence of depression in navy serviceman was 14.33%,26.34% and 19.18%,respectively. The scores of SDS increased at first and then decreased with the increasing of the voyage time,with statistically significant differences among groups（P<0.05）. There were statistically significant differences compared to the domestic norm（all P<0.01）. There were 11 independent risk factors correlated with depression occurrence of navy serviceman 11 days after voyage,including sex,age,length of work,time from the last long voyage,Qi-deficiency,Phlegm-dampness,Blood-stasis,Qi-stagnation,Special-constitution,sleep disorder and fatigue. A nomogram model was established according to the selected variables,whose area under the curve was 0.871（95%CI：0.840-0.901）. The correction curve showed good fit. The decision curve showed that the model had a positive net benefit when the threshold probability was 5%-87%. Conclusion The predictive model for depression occurrence of navy serviceman during long voyage has good predictive accuracy and efficiency,which provides an effective assessment tool for screening high-risk cases of depression and implementing preventive interventions in navy serviceman during long voyage.

Investigation on knowledge-attitude-practice of medical workers related to foodborne disease surveillance in medical institutions in Liuzhou City

TAN Yunhe, LI Yanfei

2024, 40(18):  2506-2509. 

Asbtract ( 25 )   PDF (1041KB) ( 5 )  

References | Related Articles | Metrics

Objective To understand the current status of foodborne disease surveillance knowledge-attitude-behavior among medical worker in Liuzhou and its influencing factors,and to provide scientific basis for formulating strategies to further improve surveillance capability. Methods Stratified random sample method was used to conduct the on-site questionnaire survey in each county and district of Liuzhou from March to May 2023.The chi square test was used to analyze the current status of knowledge,attitude and practice of medical staff on foodborne diseases,multivariate analysis was used to analyze the relevant factors that affect the total score of KAP.A total of 468 questionnaires were distributed,462 were recovered,and the effective recovery rate was 98.72%. Results The total awareness rate of knowledge related to foodborne diseases was 74.2%,and the differences in awareness rates among medical staff at different levels and titles of medical institutions were statistically significant（both P<0.05）.The KAP score of 462 medical personnel related to foodborne disease surveillance was （17.08±1.73）points,and there were statistically significant differences in KAP scores among medical personnel of different levels,job positions,educational backgrounds,and professional titles in medical institutions（all P<0.05）. Multiple linear regression analysis showed that the level of medical institutions and job positions were the influencing factors of KAP（both P<0.05）. Conclusion The knowledge and diagnostic ability of foodborne disease surveillance medical personnel in Liuzhou City need to be improved,and targeted training should be carried out for medical personnel in different hospitals,job positions,educational backgrounds,professional titles,etc.

Current situation of occupational coping self-efficacy among intensive care unit nurses and its impact on patient safety attitude

CHEN Li, LI Qinghe, CHEN Tingting

2024, 40(18):  2510-2514. 

Asbtract ( 38 )   PDF (1071KB) ( 10 )  

References | Related Articles | Metrics

Objective To investigate the current situation of occupational coping self-efficacy and patient safety attitude among intensive care unit nurses,and to analyze the influence of occupational coping self-efficacy on patient safety attitude. Methods Cluster sampling was used to select intensive care unit nurses from five grade-A tertiary comprehensive hospitals in Yancheng City from April to June 2023 as the survey subjects. General information questionnaire,occupational coping self-efficacy scale,and patient safety attitude scale were used to conduct the survey,and the data were analyzed. Results The total score of occupational coping self-efficacy of 196 intensive care unit nurses was （28.22±6.06）points,with an average score of （3.14±0.67） points.The total score of patient safety attitude was （113.89±15.84）points,with an average score of （3.67±0.51）points. Comparison of occupational coping self-efficacy and patient safety attitude scores among intensive care unit nurses with different household registration types,education backgrounds,labor relationship,professional titles,average monthly night shifts,and whether they had participated in safety education within six months showed statistically significant differences（all P<0.05）. The total occupational coping self-efficacy score and each dimension score of intensive care unit nurses were positively correlated with the total patient safety attitude score and each dimension score（r=0.481-0.850,all P<0.01）. After controlling for the effects of general demographic variables on patient safety attitude,occupational coping self-efficacy independently explained 29.3% of the variance in patient safety attitude. Conclusion The occupational coping self-efficacy of intensive care unit nurses is at a moderate to low level,and the patient safety attitude is at a moderate to high level. The occupational coping self-efficacy has a significant positive effect on the patient safety attitudes,which could be further strengthened by improving occupational coping self-efficacy.

Epidemiological characteristics and spatiotemporal clustering of measles in Jiamusi City from 2010 to 2022

LI Mingchun, WU Xiaomin, WANG Kaiyan, XIAO Hong, XU Hongxi

2024, 40(18):  2515-2519. 

Asbtract ( 31 )   PDF (1522KB) ( 8 )  

References | Related Articles | Metrics

Objective To analyze the epidemiological characteristics and spatiotemporal clustering of measles in Jiamusi City,and to explore the strategy for eliminating measles. Methods The data of measles reported cases in Jiamusi City from 2010 to 2022 were collected by the China Disease Prevention and Control Information System. Descriptive epidemiological methods were used to analyze the distribution characteristics of three. The ArcGIS 10.2 software was used for spatial autocorrelation analysis,and the SaTScan 9.7 software was used for spatiotemporal scanning analysis. Results From 2010 to 2022,a total of 637 measles cases were reported in Jiamusi City,with an average annual incidence of 2.06/100 000,showing a downward trend（χ²=3 613.27,P<0.05）. The cases were mainly concentrated in winter and spring（January to May）,with a total of 535 cases,accounting for 83.99%. The top four counties and districts with the highest number of reported cases were Huannan County,Fujin City,Suburban District and Xiangyang District,with a total of 403 reported cases of measles,accounting for 63.27%. Measles cases were concentrated in children less than 1.5 years old and people over 15 years old,with a total of 509 cases,accounting for 79.91%. 36.42% of the cases had no clear history of measles vaccine,and 32.65% of the cases had no history of measles vaccine. The global spatial autocorrelation analysis showed that there was a spatial autocorrelation in 2010,Moran's I=0.296,Z=1.71,P<0.05. Local spatial autocorrelation analysis showed a total of four high-high clustering areas were scanned,namely Suburban District,Xiangyang District,Qianjin District and Dongfeng District. There were two low-low clustering areas,namely Dongfeng District and Tongjiang City. The results of spatiotemporal scanning showed that Dongfeng District,Qianjin District,Suburban District,and Huanan County in Jiamusi City were the first level cluster area,with a gathering time of 2010 and 219 cases. Conclusion The overall incidence of measles remains at a low level,but there is still a long way to go before eliminating measles. It is necessary to continue to strengthen the vaccination of eligible children against measles. The incidence of measles is spatially and temporally clustered,and urban areas are the key areas for measles prevention and control.

Evaluation of the sense of acquisition to primary health services for chronic disease patients based on SERVQUAL model and IPA

CHENG Linghong, LI Xiaobin

2024, 40(18):  2520-2526. 

Asbtract ( 58 )   PDF (1417KB) ( 10 )  

References | Related Articles | Metrics

Objective To investigate the current status of the expectations and feelings of primary health services for patients with chronic diseases in Song County of Henan Province,and to explore the factors affecting the sense of acquisition of patients with chronic diseases through importance-performance analysis（IPA）,so as to provide reference for improving the sense of acquisition of primary health services for patients with chronic diseases and perfecting the construction of the primary health care system. Methods From May to September 2023,a service quality（SERVQUAL） model was used to design a questionnaire on the expectations and feelings of primary health services for chronic disease patients. Using the IPA method,an IPA quadrant matrix and IPA index analysis model were constructed,and an actual survey was conducted on 671 chronic disease patients in Song County of Henan Province to evaluate their sense of acquisition in primary health services. Results The statistical mean of 24 factors was placed in 4 quadrants,and no one item index could reach a very high level of sense of acquisition. There were two indicators in the higher level of the sense of acquisition,which were located in the "over-performance" area. There were 13 indicators in the general level of the sense of acquisition,2 indicators were located in the "slow improvement" area,3 indicators were located in the "excessive performance" area,and 8 indicators were located in the "maintain advantage" area. There were 6 indicators in the lower level of the sense of acquisition,2 indicators were located in the "key focus" area,and 4 indicators were located in the "slow improvement" area. There were three indicators in the very low level of the sense of acquisition,two indicators were located in the "slow improvement" area,and one indicator was located in the "key focus" area.The total average score of service perception（1-5 points for "very low to very high"） for 671 chronic disease patients in Song County of Henan Province was （3.74±0.63）points,and the overall service perception was at the upper-middle level.The scores of each dimension from high to low were empathy[（3.86±0.73）points],responsiveness[（3.8±0.7）points],reliability[（3.77±0.66）points],assurance[（3.66±0.71）points],and tangibility[（3.6±0.67）points]. The total average score of service expectation was （4.11±0.54）points,which was higher than the score of service perception.The total average score of service acquisition was （-0.36±0.6）points,but the perception did not reach the expected level.The smallest difference was in empathy[（-0.32±0.71）points],and the largest difference was in assurance[（-0.43±0.67）points]. Conclusion The internal environment of primary health service institutions is poor,the technical level of medical staff is relatively low,and the opinions and suggestions of patients are not taken seriously. There is a big gap with the expectations of patients,and the patients sense of acquisition is very low. The shortage of professional and technical personnel in primary health service institutions,the overall quality of medical staff is not high,the workload is large,which reduces the satisfaction and sense of acquisition of patients. Patients' expectations and satisfaction with medical examination equipment and basic drugs are low,which reduces patients' sense of acquisition.

Impact of sub-health,depression,anxiety,and stress symptoms on sleep quality of ICU medical staff in grade-A tertiary hospitals

LI Yuyan

2024, 40(18):  2527-2532. 

Asbtract ( 28 )   PDF (1093KB) ( 24 )  

References | Related Articles | Metrics

Objective To understand the current status and correlation of sub-health,depression,anxiety and stress symptoms with sleep quality of ICU medical staff in grade-A tertiary hospitals,and to explore the impact of sub-health,depression,anxiety and stress symptoms on sleep quality. Methods From April to May 2023,the convenience sampling method was used to select ICU medical staff from four grade-A tertiary hospitals in Mianyang City as the survey objects. The sub-health assessment scale,the depression and anxiety stress symptom scale,and Pittsburgh sleep quality index（PSQI） scale were used to investigate 284 ICU medical staff,and the data were analyzed. Results The PSQI score of 284 ICU medical staff was （8.36±4.73）points,of which 61.97% had a PSQI score of ≥ 5 points,sub-health symptoms score of （82.89±26.28）points,and depression,anxiety,and stress score of （26.67±11.19）points.Univariate analysis showed that there were statistically significant differences in sleep quality scores among ICU medical staff with different marital status,education level,job category,ICU length of service,night shift frequency,weekly overtime hours,exercise frequency,smoking,drinking and coffee drinking（all P<0.05）.Correlation analysis showed that the total score of PSQI and the scores of each dimension were positively correlated with the total score of sub-health symptoms and the scores of each dimension（r=0.227-0.685,all P<0.05）,and positively correlated with the total score of depression,anxiety and stress and the scores of each dimension（r=0.256-0.793,all P<0.05）.Multivariate analysis showed that marital status,ICU length of service,night shift frequency,exercise frequency,whether to drink coffee,sub-health symptoms,and depression,anxiety and stress were the main influencing factors of sleep quality of ICU medical staff（all P<0.05）,explaining 66.9% of the total variables. Conclusion The sleep quality of ICU medical staff in grade-A tertiary hospitals is poor,and sub-health and depression,anxiety and stress are the main influencing factors. Hospital managers should pay attention to the health status of medical staff in special departments and reduce negative psychological emotions,so as to improve the sleep quality of medical staff and promote their physical and mental health.

Analysis on influencing factors of hygiene status of centralized air conditioning ventilation systems in public places in Ma'anshan City

CHEN Fang, LIU Yang, WANG Jianqing

2024, 40(18):  2533-2538. 

Asbtract ( 30 )   PDF (1105KB) ( 8 )  

References | Related Articles | Metrics

Objective To analyze the influencing factors of the hygiene status of centralized air conditioning ventilation systems in public places,and provide reference for effectively improving the hygiene status of centralized air conditioning and ventilation systems in public places. Methods From January to December 2022,17 public places using centralized air conditioning ventilation systems were selected in the main urban area of Ma'anshan City. Samples were collected,tested,and evaluated according to GB/T 18204.5-2013 "Public Health Inspection Methods Part 5-Centralized Air Conditioning Ventilation Systems",and a generalized estimation model was used for data analysis. Results A total of 246 samples of centralized air conditioning ventilation systems were collected from 17 public places,of which 203 were qualified,with a qualification rate of 82.52%. A total of 159 samples were taken from the internal surfaces of centralized air conditioning ventilation ducts,with an overall compliance rate of 79.87%. Among them,the qualified rate of total bacterial count was 54.72%,and the qualified rate of total fungal count was 70.44%. A total of 53 samples were obtained from the air outlets of air conditioning units,showing a high compliance rate of 96.23%. Among them,the qualified rate of total bacterial count was 24.53%,the qualified rate of total fungal count was 47.17%,and the qualified rate of β-hemolytic streptococcus was 94.34%. The results of the generalized estimation model showed that the qualified rate of total bacterial count in air conditioning in shopping malls（supermarkets） was significantly higher than that in hotels（OR=5.287,95%CI：1.108-25.232）. The qualified rate of total bacterial count for air conditioners with a service life of >5 years was significantly lower than that for those with 0-≤5 years（OR=0.160,95%CI：0.036-0.716）. The qualified rate of total bacterial count for air duct cleaning >2 times/year was significantly lower than that for 0-≤1 time/year（OR=0.265,95%CI：0.117-0.605）. The qualified rate of total bacterial count in small（<300RT） cooling towers was significantly lower than that in large（>500RT） cooling towers（OR=0.16,95%CI：0.036-0.717）. The qualified rate of total fungal count in places with 2 sets of air conditioning was significantly higher than that in places with 1 set of air conditioning（OR=2.288,95%CI：1.069-4.896）. The qualification rate for total fungal count in buildings housing or adjacent to（within 300 meters） cooling towers in areas with moderately high foot traffic was significantly higher than in buildings similarly situated but in areas with very high foot traffic（OR=1.914,95%CI：1.132-3.234）. Conclusion This study has unveiled the primary influencing factors on the hygiene status of centralized air conditioning ventilation systems in public places,which holds significant implications for guiding improvements in their sanitary conditions.

Characteristics and health risk assessment of groundwater pollution in rural area of a city in Northern Henan Province

TIAN Yu, YANG Zhixuan, LIU Hongyan, WANG Ping, REN Jiahao, LIU Zhiguang

2024, 40(18):  2539-2543. 

Asbtract ( 37 )   PDF (1582KB) ( 3 )  

References | Related Articles | Metrics

Objective To analyze the status and health risk of groundwater pollution in rural area of a city in Northern Henan Province,provide scientific basis for improving rural ecological environment and promoting agricultural and rural modernization. Methods From January to December 2021,294 samples of private wells and domestic tap water in the study area were collected,and 39 indicators were tested. The correlation and sources among rural groundwater quality characteristics,pollution status and main pollution factors were analyzed by SPSS 24.0 software,and the health risk assessment was carried out based on the evaluation model of U.S. Enviromental Protection Agency（USEPA）. Results 10 indexes of total hardness,soluble total solids,sulfate,chloride,manganese,oxygen consumption,sodium,fluoride,iodide and total number of colonies in the rural groundwater in the study area exceeded the Class Ⅲ standard limit of Groundwater Quality Standard（GB/T 14848-2017） to varying degrees. Eight indexes of total hardness,soluble total solids,sulfate,chloride,manganese,sodium,fluoride and total number of colonies exceeded the limit value specified in the Sanitary Standard for Drinking Water（GB 5749-2022）. The other 29 indexes were better than or in line with the Class Ⅲ standard limit of the Groundwater Quality Standard（GB/T 14848-2017）. The coefficients of variation of manganese,iodide and total colony were 2.00,1.25 and 2.16,respectively,which was mainly affected by human activities. The total hardness,soluble total solids,sulfate and chloride are homologous,which were mainly affected by regional stratigraphic factors,hydrogeological conditions and hydrogeochemical factors. The manganese was less harmful to the human health of adults and minors,and the amount of oral ingestion was within the acceptable range of human dose. The sample high value point of fluorine was more harmful to the human health of adults and minors,which exceeded the acceptable dose of oral ingestion,the chronic health risk of minors（HQ_max=1.613） was 1.4 times that of adults（HQ_max=1.145）,while the human health risk of minors（D_max=0.097） was 1.5 times that of adults（D_max=0.069）. Conclusion The fluorine should be taken as the key object of rural groundwater ecological environment control in this area,it is necessary to attract the attention of relevant departments,take relevant measures to strengthen the rural groundwater quality control,and improve the rural ecological environment.

Investigation of psychological health status and evaluation of psychological intervention effectiveness in adolescents

LU Xiaohui, LI Yan, LU Hongyan, LI Youdong

2024, 40(18):  2544-2548. 

Asbtract ( 40 )   PDF (1066KB) ( 6 )  

References | Related Articles | Metrics

Objective To investigate the psychological health status in adolescents,and to evaluate psychological intervention effect so as to provide evidence for promoting adolescent psychological health. Methods A stratified group random sampling method was used to conduct a questionnaire survey on 3 000 adolescent students from five middle schools in Shijiazhuang from January to December 2022. The symptom check list 90（SCL-90） was used for psychological health testing,and logistic regression analysis was used to screen the main influencing factors of adolescent students' psychological health. The adolescents with psychological disorders were given psychological intervention,and the differences in SCL-90 factor scores before and after intervention were compared. Results A total of 2 857 valid questionnaires were collected,including 2 045 individuals with healthy psychology,accounting for 71.57%,and 812 individuals with psychological disorders,accounting for 28.42%. Logisitic regression analysis showed that female,graduating class,incomplete family,only child and left-behind status were independent risk factors of adolescent psychological disorders,while high education levels of parents was a protective factor for adolescent students' psychological health（all P<0.05）. After psychological intervention,the scores of SCL-90（somatization,interpersonal sensitivity,obsessive-compulsive symptoms,depression,hostility,anxiety,paranoia,terror,psychoticismand other factors） of 812 adolescent students with psychological disorders decreased compared to before intervention（all P<0.05）. Conclusion The proportion of psychological disorders among adolescent students is still relatively high,and the implementation of psychological interventions can effectively improve the psychological health level of adolescent students.

Comprehensive evaluation system for healthy campus in university based on AHP model

LU Wanhua

2024, 40(18):  2549-2553. 

Asbtract ( 30 )   PDF (1061KB) ( 11 )  

References | Related Articles | Metrics

Objective To construct a set of scientific,reasonable and practical comprehensive evaluation index system for healthy campus in university. Methods From August 5,2022 to December 23,2022,six Chinese and English databases including CNKI,Wanfang,Weipu,PubMed,Springer and Web of Science were searched through computers to analyze and summarize the main index factors that affect campus health in university. The search period was from July 2012 to July 2022. From February 20 to April 15,2023,21 experts were invited to assign importance values to each index using the Likert 5 rating method. Indicators with an average importance of ≥3.50 and a coefficient of variation <25.00% would be included in the next round. After three rounds of Delphi method,the final evaluation index system was determined,and the hierarchical structure model of the index was established,through the analytic hierarchy process（AHP） to calculate the normalized weight of each index,the comprehensive evaluation index system for health campus in university was established. Results The recovery rates of the three rounds of expert consultation letters were 100.00%,90.48% and 95.24%,respectively,and the percentage of the opinions revised were 85.71%,68.42% and 35.00%,respectively,the familiar degree coefficient Cs and authority coefficient Cr of all experts were 0.82 and 0.84,respectively,which indicated that the experts had a high level of enthusiasm,familiarity,and authority. The coordination coefficients of expert opinions were 0.26,0.41 and 0.62（P<0.01）,which indicated that after three rounds of expert consultation,the opinions given by experts had better coordination. The comprehensive evaluation index system for health campus in university included 5 first-class indexes,16 second-class indexes and 49 third-class indexes. Conclusion The comprehensive evaluation system for health campus in university constructed is scientific and reasonable,and can effectively carry out comprehensive evaluation for campus health in university.

Chain mediating effect of social inclusion and stress perception on loneliness and college students' phubbing behavior

HUANG Duoqin, ZHENG Yanan, GONG Xi

2024, 40(18):  2554-2558. 

Asbtract ( 31 )   PDF (1072KB) ( 5 )  

References | Related Articles | Metrics

Objective To explore the relationship between loneliness,social inclusion,stress perception,and phubbing behavior in college students,to understand the current status and mechanisms influencing phubbing behavior among college students,and provide scientific evidence for early prevention and reduction of negative impacts. Methods From March to April 2023,a questionnaire survey was conducted among 593 college students from three universities in Jiangxi Province,using the third edition Univesity of California at Losangels（UCLA） loneliness scale,social inclusion scale,stress perception scale and phubbing scale,and the data were analyzed. Results The scores of phubbing behavior,loneliness,stress perception,and social inclusion among college students from three universities in Jiangxi Province were （27.66±5.37）,（44.96±7.85）,（26.74±5.36）,and （60.43±7.16）points,respectively. Phubbing behavior was positively correlated with loneliness and stress perception（r=0.362,0.559,both P<0.01）,and negatively correlated with social inclusion（r=-0.503,P<0.01）. Loneliness was positively correlated with stress perception（r=0.559,P<0.01）,and negatively correlated with social inclusion（r=-0.458,P<0.01）. Stress perception was negatively correlated with social inclusion（r=-0.418,P<0.01）. Social inclusion and stress perception partially mediated the relationship between loneliness and phubbing behavior,with a mediation effect of 0.100 and 0.051,respectively,accounting for 41.47% and 21.29% of the total effect. The chain mediation effect of social inclusion and stress perception between loneliness and phubbing behavior was 0.008,accounting for 3.31% of the total effect. Conclusion Loneliness not only directly and positively predict phubbing behavior among college students,but also influences phubbing behavior through the independent mediating effects of social inclusion and stress perception,as well as a chain mediating effect of social inclusion-stress perception.

Survey on current status of nutritional KAP among college students in a medical schools in Xinjiang

WANG Lu, JIANG Tao, LIU Yuchen, HAN Jia

2024, 40(18):  2559-2563. 

Asbtract ( 36 )   PDF (1056KB) ( 10 )  

References | Related Articles | Metrics

Objective To investigate the nutritional knowledge,attitude and behavior of college students in a medical college in Xinjiang and explore the influencing factors,so as to provide scientific basis for guiding students' dietary behavior reasonably,correcting unhealthy eating habits and improving the level of nutritional knowledge. Methods A total of 905 college students from a medical university in Xinjiang were selected by stratified cluster sampling method from September 15 to 30, 2023, and their nutrition knowledge, attitude, and behavior were investigated by a self-designed nutritional knowledge-attitude-practice（KAP） questionnaire, and the data were analyzed. Results A total of 905 questionnaires were distributed,including 552 female students and 353 male students. The average scores of nutrition knowledge,nutrition attitude and nutrition behavior were （8.715±1.532）,（19.461±3.450） and （25.045±2.638）points,respectively,and the total score of KAP questionnaire was （53.862±5.451）points. The results of univariate analysis showed that there were statistically significant differences in the total score of the nutrition KAP questionnaire among survey subjects of different genders and grades（both P<0.05）. The regression results showed that gender and grade were both influencing factors on the total score of the nutrition KAP questionnaire for the survey subjects（both P<0.05）. Conclusion Students have a good awareness of healthy diet,a generally positive attitude towards nutrition,and are willing to accept more nutrition knowledge and correct unhealthy eating habits. Various forms of multi-media and professional systematic nutrition courses and lectures should be adopted to educate college students on nutrition knowledge and guide their eating behaviors,so as to form a scientific dietary cognitive structure.

Meta analysis of the influencing factors of work-related musculoskeletal disorders among nurses in China

BIAN Jia, ZHAO Lingzhi, ZHU Xianqiong, TAO Yanling

2024, 40(18):  2564-2568. 

Asbtract ( 37 )   PDF (1090KB) ( 5 )  

References | Related Articles | Metrics

Objective To understand the influencing factors of work-related musculoskeletal disorders among nursing staff in China,and to provide reference basis for the prevention and intervention of work-related musculoskeletal disorders in clinical nurses. Methods Computer retrieval of Web of Science,Pubmed,Cochrane Library,Embase,China Knowledge Network Database（CNKI）, China Biomedical Literature Database（CBM）,Wanfang Full Text Database and Weipu Chinese Science and Technology Journal Database（VIP） were used to collect relevant studies on the influencing factors of occupational musculoskeletal disorders in clinical nurses in China published from the establishment of the database to September 2023. The screening of all literature,extraction of relevant information,and quality evaluation were independently completed by two researchers,and meta-analysis was conducted using RevMan 5.4 software. Results A total of 26 papers were included,with a total sample size of 21 069 cases,and 8 relevant influencing factors were extracted.Meta-analysis results showed that age（OR=1.49,95%CI：1.24-1.79,P<0.01）,length of service（OR=1.82,95%CI：1.57-2.11,P<0.01）,workplace breaks（OR=0.68,95%CI：0.56-0.83,P<0.01）,physical exercise（OR=0.71,95%CI：0.63-0.80,P<0.01）,bending at work（OR=1.42,95%CI：1.25-1.62,P<0.01）,and work fatigue（OR=1.88,95%CI：1.56-2.26,P<0.01） were the influencing factors in occupational musculoskeletal disorders in clinical nurses,and the difference were statistically significant（all P<0.05）. Conclusion Age,length of service,workplace breaks,physical exercise,bending at work,and work fatigue are the factors influencing the occurrence of occupational musculoskeletal disorders in nursing staff.Bending at work,age ≥35 years,length of service ≥11 years,and work fatigue are the risk factors for the occurrence of occupational musculoskeletal disorders in clinical nurses,and protective factors are adequate work breaks and regular physical exercise.Early prevention measures can be taken to reduce the occurrence of occupational musculoskeletal disorders in clinical nurses.

Meta-analysis of the detection rate of academic burnout among nursing students in China

CHEN Qingqing, XUE Bowen, HU Zhiguo, ZHAO Yihui, LUO Hong

2024, 40(18):  2569-2573. 

Asbtract ( 61 )   PDF (1088KB) ( 13 )  

References | Related Articles | Metrics

Objective To understand the detection rate of academic burnout among nursing students in Chinese universities through meta-analysis,and provide scientific basis for nursing education in China. Methods PubMed,Embase,Web of Science,Cochrane Library,Wanfang database,CNKI and VIP database were searched for the studies on the detection rate of academic burnout among nursing students in Mainland China. The retrieval period was from the establishment of the database to September 2021,and the meta-analysis was carried out with Stata 11.0 software. Results A total of 26 literatures were included,with a total sample size of 16 455 people. The meta-analysis results showed that the overall detection rate of academic burnout among nursing students in Chinese was 44.83%（95%CI：31.88%-57.78%）. Subgroup analysis showed that the detection rates of academic burnout in nursing students in literature published before 2014,2014-2018 and after 2018 were 23.11%,50.48% and 45.09%,respectively. The detection rates of academic burnout of nursing students in secondary vocational,vocational and undergraduate categories were 24.59%,59.30% and 39.98%,respectively. The detection rates of academic burnout of nursing students in eastern,central and western regions were 48.60%,39.63% and 43.41%,respectively. The detection rate of mild to moderate academic burnout was 31.92%,and that of severe academic burnout was 4.68%. The detection rates of academic burnout were 64.37%,33.29% and 44.79% for those with sample sizes <300,300-500 and >500. Conclusion The detection rate of academic burnout of nursing students in China is generally high,which should be paid great attention by relevant universities and education departments.

Visual analysis of research hotspots and development frontiers of health education for community residents in China

Zhaxizhuoma, REN Xuelin, FENG Boxi, ZHANG Ying, WANG Linghong, WU Jianjun

2024, 40(18):  2574-2580. 

Asbtract ( 36 )   PDF (3806KB) ( 7 )  

References | Related Articles | Metrics

Objective Based on the bibliometric approach,this study aims to visualize and analyze the research literature on health education for community residents in China to understand the relevant hot spots and research frontiers in this field in a more intuitive and scientific way. Methods Retrieve research literature on health education for community residents in China from the Chinese Academic Journal Database（Wanfang Data）,the Chinese Science and Technology Journal Database（VIP）,and the China National Knowledge Infrastructure（CNKI） from 1993 to 2022.NoteExpress 3.5 software was used to count the annual number of publications and major journals related to community health education research,and CiteSpace 5.7 software was used to construct the cooperative network map of authors and institutions,forming keyword co-occurrence map,cluster map,time map and outburst word map. Result A total of 1 314 valid papers were included in this study,with the highest number of papers related to health education for community residents in China in 2012（109 articles）,followed by a decreasing trend.There were few cooperative exchanges between authors in this field,and no large-scale collaboration had been formed. The research institutions were mainly regional disease control and prevention centers（CDCs） and community health service centers,and there was less inter-institutional cooperation.The study was widely published in the Chinese Journal of Health Education（89 articles）.Keyword co-occurrence showed that hypertension had the highest frequency（114 frequency）,and cluster analysis formed 10 tags,covering four aspects：the type of disease targeted,the population targeted,the intervention strategy,and the effect.The outburst of keywords showed that health literacy（6.599 2）,community health services（4.480 1）,knowledge and practice（4.106 9）,influencing factors（3.541 8） and effect（3.947 9） had a high outburst degree. Conclusion The research hotspots on health education for community residents in China focus on chronic non-communicable diseases,vulnerable populations,health education models,content,effectiveness,and health manpower. Health literacy,influencing factors and knowledge,attitude and practice have become the forefront of research in recent 3-5 years,and have been further developed under the guidance of relevant policies,providing further support and suggestions for the sustainable development of health education for community residents in China.

Investigation and Research

Detection and control measures of chlorine hazard in a chemical industry in Qarhan Salt Lake in Qinghai Province

ZHANG Fuhai

2024, 40(18):  2581-2584. 

Asbtract ( 29 )   PDF (1154KB) ( 7 )  

References | Related Articles | Metrics

Objective Through the investigation and detection of the hazards of chlorine in a chemical enterprise in Qarhan Salt Lake in Qinghai Province,to understand the level of chlorine gas exposure in the workplace of the enterprise,clarify the key control areas and key points,discuss the control and treatment measures of chlorine gas hazards,and provide reference for the management of chlorine gas hazards in similar chemical enterprises in the salt lake area. Methods From July 2022 to April 2023,a investigation and testing of chlorine gas occupational hazard factors in a chemical enterprise in Qarhan Salt Lake in Qinghai Province were carried out according to relevant occupational health standards,and the exposure concentration of workers was quantitatively analyzed according to the results.Improvement control measures were taken for the excessive items,and the improvement effect was verified and analyzed. Results A total of 5 workplaces were tested,with 1 point exceeding the concentration limit and the rest meeting the requirements. The chlorine treatment workshop exceeded the limit with a concentration of 1.34-1.81 mg/m³,and the occupational exposure limit was 1 mg/m³,with the highest exceedance rate of 81.00%. After taking improvement measures,the concentration of chlorine gas decreased from 1.81 mg/m³ to 0.19 mg/m³,with a decrease rate of 89.50%,which met the requirements of occupational exposure limits. Conclusion Chemical enterprises in Qarhan Salt Lake area should pay close attention to the leakage of chlorine gas from equipment corrosion,take special engineering protection measures to control chlorine gas hazards in combination with local environmental conditions,create safe production environmental conditions,and effectively protect the occupational health of workers.

Health Management and Research

Performance analysis of medical treatment and assistance funds for rural migrant workers with pneumoconiosis in Hunan Province

ZHAN Zhongchun, YANG Lehua, TANG Ying

2024, 40(18):  2585-2588. 

Asbtract ( 25 )   PDF (1028KB) ( 12 )  

References | Related Articles | Metrics

Objective To analyze the performance of basic medical treatment and assistance funds for migrant workers with pneumoconiosis in Hunan Province,thus to provide a basis for government departments to continue to invest special assistance funds for migrant workers with pneumoconiosis in a reasonable manner. Methods The trend of changes in indicators such as the coverage and total number of basic medical treatment and assistance policies for migrant workers with pneumoconiosis in Hunan Province from 2017 to 2022,the proportion of special assistance for migrant workers with pneumoconiosis in medical expenses,the proportion of medical insurance reimbursement,hospitalization medical expenses,and the proportion of self-payment expenses. were analyzed. The utilization efficiency of basic medical special treatment and assistance funds for migrant workers with pneumoconiosis in Hunan Province was summarized,and the countermeasures for existing problems were analyzed and explored. Results Since 2017,the government in Hunan Province had invested 50 million special funds annually to implement medical treatment and assistance for migrant workers suffering from pneumoconiosis. It had been continuously implemented for six years until 2022. Through the three major measures of "Promotion,Reduction,and Assistance",the coverage and total number of patients who enjoyed the basic medical treatment and assistance policies for migrant workers with pneumoconiosis in Hunan Province continued to increase,the proportion of specialized assistance in hospitalization medical expenses were relatively stable,the proportion of patient medical insurance reimbursement were increasing year by year,the average medical expenses were decreasing year by year,and the proportion of patient out of pocket expenses were decreasing year by year. However,there were also three problems. Firstly,the incidence of pneumoconiosis among migrant workers in Hunan Province was still at its peak,the number of people receiving assistance had increased slightly year by year,and a death reporting mechanism had not yet been established. Secondly,the fairness of the use of rescue funds needed to be strengthened,with some patients repeatedly receiving assistance while others did not receive assistance throughout the year. Thirdly,certain limitations in the current policy of limited payment for individual medical insurance types for migrant workers with pneumoconiosis,led to the problem of the more urgent assistance needs of critically ill patients with high medical expenses could not be solved. Conclusion With the strong support of the government,the treatment and rescue work for migrant workers with pneumoconiosis in Hunan Province has achieved significant results,with good treatment outcomes and significant social benefits,achieving the goal of promoting people's health and maintaining social order and stability. However,it is still necessary to analyze and improve the problems that arise during the policy implementation process to maximize the benefits of limited rescue funds for the people.

Overview

Research progress of chronic fatigue syndrome in ICU nurses

LI Yumei, DU Aiping, XU Yujun, XU Yu

2024, 40(18):  2589-2592. 

Asbtract ( 29 )   PDF (1041KB) ( 48 )  

References | Related Articles | Metrics

Chronic fatigue syndrome（CFS） is a state of sub-health,which endangers human physical and mental health.The incidence of CFS in intensive care unit（ICU） nurses has been increasing year by year. This paper reviews the measurement tools,research status, influencing factors，and coping strategies related to CFS，aiming to provide reference for interventions such as reducing the incidence of CFS among ICU nurses and improving the quality of care.