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Table of Content

    15 October 2024, Volume 40 Issue 20
    Treatise
    Mediating role of psychological capital between non-compliance tasks and occupational burnout among obstetric nurses
    FANG Min, GAN Yanling, HU Jinping, YANG Xiaomei
    2024, 40(20):  2737-2741. 
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    Objective To study the mediating role of psychological capital between non-compliance tasks and occupational burnout among obstetric nurses,and provide reference basis for effectively reducing occupational burnout. Methods From January to June 2023,a stratified random sampling method was used to select 182 nurses from obstetrics departments of 6 grade-A tertiary hospitals in Wuhan as research subjects. The general situation scale,non-compliance task scale,psychological capital scale and burnout scale were used to investigate and the data were analyzed. Results The scores of obstetric nurses for non-compliance tasks,psychological capital and occupational burnout were (31.84±4.76),(88.43±16.63) and (60.43±10.14)points,respectively. The comparison of non-compliant task scores for different ages,educational levels,professional titles,years of work experience,monthly income,and monthly night shift frequency showed statistically significant differences(all P<0.05). The psychological capital scores of different ages,professional titles,years of work experience,and monthly income were compared,and the differences were statistically significant(all P<0.05). The comparison of occupational burnout scores for different ages,technical titles,years of work experience,monthly income,and monthly night shift frequency showed statistically significant differences(all P<0.05). Occupational burnout of obstetric nurses was positively correlated with non-compliant tasks(rs=0.608,P<0.01),and negatively correlated with psychological capital(rs=-0.712,P<0.01). Non-compliant tasks were negatively correlated with psychological capital(rs=-0.639,P<0.01). Psychological capital has a partial mediating effect between obstetric nurses' non-compliant tasks and professional burnout,with a mediation effect of 0.288 and a total effect proportion of 52.46%. Conclusion Improving the psychological capital of obstetric nurses is conducive to reducing the level of occupational burnout and non-compliance with tasks,and the mediating role of psychological capital should be paid attention to.
    Mediating role of infectious disease health literacy between occupational stress and burnout among infection department nurses
    ZHANG Tingting, ZHANG Bojia, ZHANG Lyu
    2024, 40(20):  2742-2746. 
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    Objective To understand the status of infectious disease health literacy,occupational stress,and occupational burnout among infection department nurses in four grade-A tertiary hospitals in Shanghai,and to explore the mediating role of infectious disease health literacy. Methods Convenient sampling method was used to select 206 nurses from the infectious disease department of 4 grade-A tertiary hospitals in Shanghai City from June to September 2023 as the survey subjects. The survey was conducted using a general situation questionnaire,infectious disease health literacy scale,occupational stress scale,and occupational burnout scale,and the data were analyzed. Results The infectious disease health literacy score of nurses in the infection department was (24.42±3.16)points,occupational stress score was (88.67±11.32)points,and occupational burnout score was (60.62±12.81)points. Univariate analysis showed that infectious disease health literacy among infection department nurses was related to age,length of service,educational level,professional title,monthly income,and monthly night shifts(all P<0.05),occupational stress was related to age,length of service,professional title,monthly income,and monthly night shifts(all P<0.05),and occupational burnout was related to age,length of service,professional title,marital status,monthly income,and monthly night shifts(all P<0.05). The occupational burnout of infection department nurses was negatively correlated with infectious disease health literacy(r=-0.524,P<0.01),and positively correlated with occupational stress(r=0.628,P<0.01). The occupational stress of infection department nurses was negatively correlated with infectious disease health literacy(r=-0.576,P<0.01). The infectious disease health literacy of infectious disease nurses played a partial mediating effect between occupational stress and occupational burnout,with a mediating effect of 0.268,accounting for 48.90% of the total effect. Conclusion The infectious disease health literacy of infection department nurses plays a partial mediating role between occupational stress and occupational burnout. Nursing managers should pay attention to and improve the level of infectious disease health literacy of infection department nurses,in order to alleviate their occupational stress and reduce their occupational burnout level.
    Mediating role of spiritual health in surgical nurses between occupational stress and occupational burnout
    XU Wuying, WANG Dan, YU Hong
    2024, 40(20):  2747-2751. 
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    Objective To explore the mediating role of spiritual health in surgical nurses between occupational stress and occupational burnout,provide intervention strategies for reducing job burnout in nurses. Methods A sample of 182 surgical nurses from five grade-A tertiary hospitals in Urumqi City was randomly selected from March to May 2023 by the convenient sampling method.The survey was conducted using the general situation scale,the spiritual health scale,the occupational stress scale and the occupational burnout scale,and the data were analyzed. Results The spiritual health score of surgical nurses was (87.28±11.86) points,occupational stress score was (75.42±12.38)points,and occupational burnout score was (58.74±11.82)points. There were statistically significant differences in spiritual health scores among surgical nurses of different age,educational background,professional title,working years,and marital status(all P<0.05). There were statistically significant differences in occupational stress scores among surgical nurses of different professional title,working years,monthly night shift frequency,and marital status(all P<0.05). There were statistically significant differences in occupational burnout scores among surgical nurses of different age,professional title,working years,and monthly night shift frequency(all P<0.05). The spiritual health of surgical nurses was negatively correlated with occupational burnout and occupational stress(r=-0.625,-0.584,both P<0.01). The occupational stress was positively correlated with occupational burnout(r=0.667,P<0.01).The spiritual health of surgical nurses played a partial mediating role between occupational stress and burnout with the mesomeric effect of 0.302,accounting for 46.60% of the total effect. Conclusion Spiritual health partially mediates the relationship between occupational stree and occupational burnout. Improving the level of spiritual health is beneficial for reducing the level of occupational burnout in surgical nurses,and enhancing physical and mental health and nursing quality.
    Protective effect of matrine on skin damage induced by ultraviolet exposure in rats and its effect on CYR61-NF-κB-AP-1 pathway
    LI Guixuan, ZENG Linzhi, JIANG Liang, CHEN Jianli
    2024, 40(20):  2752-2758. 
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    Objective To investigate the protective effect of matrine on skin damage induced by ultraviolet exposure in rats and its effect on CYR61-NF-κB-AP-1 pathway. Methods Totally 50 Wistar rats were divided into normal control group,Ultraviolet B (UVB) exposure group,matrine low-dose,medium-dose,and high-dose groups. Except for the normal control group,the depilated areas on the back of each group were exposed to UVB. During the exposure period,matrine corresponding drug smear interventions were given at low,medium and high doses of matrine. The normal control group and UVB exposure group were given equal volumes of distilled water. The experimental period was 8 weeks. After the experiment,the skin hydroxyproline level,skin wrinkle score,skin damage score,skin matrix metalloproteinase(MMP-3,MMP-9) level,interleukin-β(IL-β),interleukin-6(IL-6),tumor necrosis factor-α(TNF-α),cyclooxygenase 2(COX-2),active oxygen(ROS) level,skin cysteine-rich angiogenesis-inducing factor 61(CYR61),nuclear factor-kappa B(NF-κB),activator protein-1(AP-1) mRNA protein levels,and changes in skin pathological structure and collagen levels in rats were measured. Results The levels of hydroxyproline in the UVB exposure group,matrine low,medium and high dose groups were lower than those in the normal control group(all P<0.01),skin fold scores,skin damage scores,MMP-3,MMP-9 levels,IL-β,IL-6,TNF-α,COX-2,ROS levels,CYR61,NF-κB,AP-1 mRNA protein levels were higher than those in the normal control group(all P<0.01). The proline level in the low,medium and high doses group of matrine were higher than those in the UVB exposure group(all P<0.01),while the skin fold score,skin damage score,MMP-3,MMP-9,IL-1β,IL-6,TNF-α,COX-2,ROS,CYR61,NF-κB,and AP-1 mRNA protein levels were lower than those in the UVB exposure group(all P<0.01),and as the dose of matrine increased,the proline level gradually increased(P<0.01),and skin fold score,skin damage score,MMP-3,MMP-9,IL-1β,IL-6,TNF-α,COX-2,ROS,CYR61,NF-κB,and AP-1 mRNA protein levels gradually decreased(all P<0.01),with obvious dose dependence(P<0.01). The skin structure of the normal control group rats was normal,the skin thickness of UVB exposure group rats increased significantly,collagen density decreased significantly,capillary density decreased,and inflammatory cell infiltration increased significantly. After intervention with matrine,the skin thickness of UVB exposure group rats decreased significantly,collagen density increased significantly,capillary density increased,and inflammatory cell infiltration decreased,with a clear dose-effect relationship. Conclusion Matrine has an obvious therapeutic effect on skin damage after UVB exposure,which can reduce the degradation of skin collagen,at the same time inhibit skin oxidative stress and inflammationreactions. The mechanism may be related to the inhibition of low expression of CYR61,NF-κB,and AP-1 mRNA proteins in the skin by matrine after UVB exposure,thereby inhibiting the activation of the CYR61/NF-κB/AP-1 pathway.
    Analysis of the use of food additives in the catering service in Xi'an and the cognitive level of practitioners
    MOU Xiao, ZHANG Chongmiao, LI Peizhe
    2024, 40(20):  2759-2763. 
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    Objective To understand the present situation of the usage of food additives in catering service and the cognitive level of catering practitioners,in order to provide a basis for targeted regulatory strategies. Methods From August to October 2022,146 different types of catering enterprises in Xi'an were selected as research objects to conduct on-site and questionnaire surveys on their use of food additives and the cognitive level of catering practitioners. By analyzing the research results,regulatory strategies for food additives in the catering industry were proposed. Results Among the 146 catering enterprises surveyed,it was found that 97.3% of them used food additives,with the use of preservatives,flavor enhancers,and leavening agents exceeding more than 70%,respectively. The percentage of preservatives claimed to be used by catering enterprises was significantly lower than the actual percentage of preservatives being utilized. The proportion of all kinds of restaurants(41.4%) to establish food additive use records was significantly lower than that of school canteens(78.1%).The proportion of employees in small restaurants with wrong cognition of food additives was as high as 60.3%. Conclusion The use of food additives in catering was very common,but the standard use and catering practitioners' cognition still need to be improved. Food safety supervision departments should pay attention to strengthen the standard use and training of food additives in small restaurants,and should focus on the introduction of food additives when using compound condiment in catering enterprises. Food safety supervision departments should fully recognize the characteristics of food in catering service,and strengthen the supervision of food additives in catering service by means of standardizing the use of food additives,raising the quality of catering practitioners,improving the dynamic supervision to catering enterprises,and strengthening the science popularization of food safety to the public.
    Mediating role of self-consistency and congruence between nursing practice environment and job crafting of nurses in Harbin
    FENG Lan, YOU Na, ZHANG Wei, JIAO Shuheng
    2024, 40(20):  2764-2768. 
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    Objective To understand the current situation of self-consistency and congruence between nursing practice environment and job crafting among nursing staff,and to explore the mediating role of self-consistency and congruence between nursing practice environment and job crafting. Methods From January to April 2023,a convenience sampling method was used to conduct a questionnaire survey of 508 nursing staff from three hospitals in Harbin using general information questionnaire,self-consistency and congruence scale,nursing practice environment scale and job crafting scale,and the data were analyzed. Results The self-consistency and congruence score,nursing practice environment score and job crafting score of 508 nurses in Harbin were (105.68±18.74),(92.74±13.28) and (80.71±11.46)points,respectively. The nursing practice environment of nurses in Harbin was negatively correlated with self-consistency and congruence(r=-0.541,P<0.01),while positively correlated with job crafting(r=0.477,P<0.01). The self-consistency and congruence was negatively correlated with job crafting(r=-0.406,P<0.01). The nursing practice environment had an positive predictive effect on nursing staff in Harbin,and self-consistency and congruence had an intermediary effect between nursing practice environment and job crafting,with the mediating effect of 0.194,accounting for 29.5% of total effect. Conclusion Improving the nursing practice environment and enhancing the ability of self-consistency and congruence can effectively enhance the job crafting of nurses.
    Treatment strategy of stepwise exercise therapy in patients with low back pain caused by military training injuries
    ZHU Cong, WANG Peiru, TIAN Yiqin, LI Bo, LEI Sifei, FENG Bin
    2024, 40(20):  2769-2773. 
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    Objective To explore the application and effectiveness of stepwise exercise therapy in the treatment of patients with lower back pain caused by military training injuries. Methods A total of 120 patients with low back pain caused by military training injuries diagnosed and treated from January 2021 to March 2023 were randomly divided into two groups,with 60 patients in each group. The control group was treated with conventional treatment methods,while the experimental group was treated with conventional treatment methods and stepwise exercise therapy. Step exercise therapy refers to the design of four sets of rehabilitation exercises for the acute and remission stages of lumbar injuries,and the treatment of lumbar injuries through exercise therapy.After threeweeks,the treatment effect of low back pain and lumbar range of motion in the two groups were compared. After three months,the recurrence of low back pain in the two groups was compared through follow-up. Results After treatment for three weeks,the effective rate of treatment in the experimental group(93.33%) was higher than that in the control group(80.00%),with a statistically significant difference(P<0.05). After treatment for three weeks,the VAS scores of both groups decreased compared to those before treatment,and the VAS score reduction in the experimental group was greater than that in the control group,with a statistically significant difference(P<0.01). After treatment for three weeks,the lumbar spine activity scores of both groups decreased compared to those before treatment,and the lumbar spine activity score reduction in the experimental group was greater than that in the control group,with a statistically significant difference(P<0.05). After three months,the recurrence rate of low back pain in the experimental group(18.33%) was lower than that in the control group(38.33%),with a statistically significant difference(P<0.05). Conclusion The joint application of stepwise exercise therapy and the basis of conventional treatment can effectively alleviate lower back pain caused by military training injuries,improve the patient's lumbar range of motion,and have a low recurrence rate than that of the basis of conventional treatment used alone,which is worth promoting and using in army.
    Relationship between workplace spirituality and organizational citizenship behavior of primary and secondary school teachers,and the moderating role of work-family conflict
    GUO Jiabao, CHANG Shiqing, SUN Panwen, LI Genqiang
    2024, 40(20):  2774-2778. 
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    Objective To understand the relationship between workplace spirituality and organizational citizenship behavior of primary and secondary school teachers,and to analyze possible moderating effects of work-family conflict,so as to provide reference for promoting physical and mental health of primary and secondary school teachers and improving the quality of education. Methods From June to September 2022,a total of 330 teachers from 17 primary and secondary schools in Henan Province were selected by convenient sampling principle and the snowball sampling method. Workplace spirituality scale(WSS),work-family conflict questionnaire and organizational citizenship behavior questionnaire for primary and secondary school teachers were used for questionnaire survey,and the data were analyzed. Results The overall average scores of workplace spirituality,work-family conflict,and organizational citizenship behavior among 330 teachers in 17 primary and secondary schools in Henan Province were (4.90±0.84),(2.98±1.00) and (4.43±0.48)points,respectively. Workplace spirituality was positively related to the organizational citizenship behavior of primary and secondary school teachers(r=0.61,P<0.01),while both workplace spirituality and organizational citizenship behavior of primary and secondary school teachers were negatively related to work-family conflict(r=-0.13,-0.26,both P<0.05). The interaction term of workplace spirituality and work-family conflict negatively predicted organizational citizenship behavior(β=-0.06,t=-2.56,P<0.05). Conclusion Among 330 teachers from 17 primary and secondary schools in Henan Province,workplace spirituality can significantly positively predict organizational citizenship behavior. Work-family conflict has a negative moderating effect on workplace spirituality and organizational citizenship behavior among primary and secondary school teachers,meaning that the positive correlation between workplace spirituality and organizational citizenship behavior of primary and secondary school teachers with low work-family conflict is stronger than that with high work-family conflict.
    Analysis on status quo and influencing factors of knowledge,attitude and practice of occupational protection among medical staff in Fuyang Mental Health Specialist Alliance Hospital
    WANG Hongwei, ZHANG Mengwei
    2024, 40(20):  2779-2783. 
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    Objective To understand the status quo of occupational protection knowledge,attitude and practice(KAP) of medical staff in Fuyang mental health specialist alliance,and to analyze its influencing factors. Methods In September 2022,a convenience sampling method was used to select medical staff from six psychiatric hospitals or comprehensive hospitals with psychiatric specialties in Fuyang Mental Health Specialty Alliance as the survey subjects. A self-designed questionnaire on occupational protection knowledge,attitude and practice in psychiatric hospitals was used for the questionnaire survey,and the data were analyzed. Results The scores of occupational protection KAP questionnaire,knowledge dimension,attitude dimension and practice dimension were (201.80±17.36),(10.04±1.60),(95.16±8.49) and (96.59±11.61)points,respectively. Multiple linear regression analysis showed that whether to receive occupational protection related training was the influencing factor of occupational protection knowledge dimension of medical personnel,and gender,age,education level and whether to receive occupational protection related training were the influencing factors of occupational protection attitude dimension of medical personnel,unit level and whether to receive occupational protection related training were in fluencing factors of occupational protection practice dimension of medical staff(all P<0.05). Conclusion The medical staff in Fuyang Mental Health Specialist Alliance have a positive attitude and strong practical behavior,but their knowledge level needs to be improved. The training system of occupational protection should be improved,and targeted training should be carried out for the deficiencies,so as to improve the safety of medical staff and reduce the risk of occupational exposure.
    Analysis on distribution and influencing factors of blood lipid abnormalities among health examination population in Xianyang
    ZHANG Chen, LI Meng, LUO Shancai, SHUI Mingming, YANG Qiong
    2024, 40(20):  2784-2789. 
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    Objective To understand the distribution and influencing factors of blood lipid abnormalities in the health examination population in Xianyang City,and provide a basis for the prevention,treatment,and nursing of disease. Methods The cluster sampling method was used to collect and analyze the examination data of 4 899 health check-up personnel at the Health Management Center of Xianyang Central Hospital from January to June 2023. Results According to the diagnostic criteria for dyslipidemia,2 252 patients with dyslipidemia were detected,with a total detection rate of 45.98%. Among them,there were 3 720 males and 1 849 individuals with dyslipidemia,with a detection rate of 49.70%.Among them,there were 1 179 females and 403 individuals with dyslipidemia,with a detection rate of 34.18%. Multivariate logistic regression analysis showed that the age groups of 40-<50 and 50-<60 years old,overweight or obesity,hyperuricemia were independent risk factors for the occurrence of dyslipidemia. Female and thinness were protective factors for dyslipidemia. Conclusion The overall detection rate of blood lipid abnormalities in the population undergoing health examinations in Xianyang City is at a relatively high level. It is recommended to actively promote precise prevention and nursing interventions for people with dyslipidemia,promote the concept of full life cycle health care,and prevent the occurrence of cardiovascular and cerebrovascular diseases mainly caused by arteriosclerosis.
    Investigation on current status and influencing factors of disaster nursing emergency ability of nursing personnel in Xinjiang Public Health Emergency Alliance
    MA Ping, WEI Juan, GAO Cuirong, CHEN Xia, TANG Juan, SHENG Jianrong
    2024, 40(20):  2790-2794. 
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    Objective To investigate the current status of disaster nursing emergency response ability of nursing staff in Xinjiang Public Health Emergency Alliance,analyze the influencing factors,and provide decision-making reference for improving the disaster nursing emergency response ability of nursing staff. Methods A total of 496 nurses from 7 tertiary hospitals and 3 secondary hospitals in Xinjiang public health emergency collaborative treatment system in 2022 were selected as the research objects. The general information questionnaire,disaster nursing emergency ability evaluation scale and psychological resilience scale were completed in the form of online anonymous self-evaluation,and the influencing factors of disaster emergency ability were analyzed. Result The total score of disaster nursing emergency response ability of nursing staff was (173.15±22.31)points,with an average of (3.13±0.52)points,which was at the medium level. Among the three dimensions,the average score of disaster preparedness and prevention dimension was the highest[(3.33±0.27)points],and the average score of post disaster recovery dimension was the lowest[(2.75±0.13)points]. There was a positive correlation between psychological resilience and disaster nursing emergency response ability(r=0.599-0.714,all P<0.01). Hospital level,disaster drilling experience,disaster rescue experience,and the nature of the disaster area were the main influencing factors of disaster nursing emergency response ability of nurses in Xinjiang Public Health Emergency Alliance. Conclusion The nursing staff of the Xinjiang Public Health Emergency Alliance have strong capabilities in preventing nuclear radiation and infectious disease.However,there may be issues such as inadequate communication mechanisms and ethical conflicts during the rescue process.
    Mediating effect of recovery experience between job resources and thriving at work in operating room nurses
    LIU Xin, ZHOU Lihua, WANG Jiahong
    2024, 40(20):  2795-2798. 
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    Objective To explore the mediating effect of recovery experience of operating room nurses between their job resources and thriving at work. Methods From January to March 2023,totally 221 operating room nurses who met the criteria were selected from a grade A tertiary hospital in Hefei of Anhui Province by convenience sampling method,and the data were analyzed. The questionnaire included the general information questionnaire,job resource scale,recovery experience scale and thriving at work scale. Results The total scores of job resources,recovery experience and thriving at work were (50.94±9.57),(54.65±10.47) and (48.03±7.70)points,respectively. Job resources were positively correlated with recovery experience and thriving at work(r=0.340,0.544,both P<0.01). Recovery experience was positively correlated with thriving at work(r=0.539,P<0.01). Recovery experience played a partial mediating role between job resources and thriving at work,and the mediating effect accounted for 28.55% of the total effect. Conclusion The thriving at work of operating room nurses is at a moderate level.Recovery experience is the mediating variable between job resources and thriving at work of operating room nurses. Increasing job resources and improving recovery experience of operating room nurses can effectively improve their thriving at work.
    Analysis on current status and influencing factors of mental health promotion of internal medicine medical personnel in 10 tertiary general hospitals in Sichuan Province
    XIE Juan, LI Shuanghong, WANG Dongmei
    2024, 40(20):  2799-2804. 
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    Objective To explore the status quo of mental health promotion behavior among internal medicine medical staff in tertiary general hospitals and its relationship with adversity quotient and work-family behavior role conflict. Methods From June to August 2023,a convenience sampling method was used to study 378 internal medicine medical staff from 10 tertiary general hospitals in 5 regions of Sichuan Province. The mental health promotion scale,adversity quotient scale and work-family behavior role conflict scale were used to conduct a questionnaire survey on the research subjects,and the data were analyzed. Results The mental health promotion score of 378 internal medicine medical staff was (147.18±25.91)points,the score of adversity quotient was (145.61±32.76)points,the score of work-family behavior role conflict was (79.68±11.69)points. Univariate analysis showed that there were statistically significant differences in the scores of mental health promotion among different marital and reproductive status,job types,department atmosphere,whether or not to work on duty,health status,exercise status,sleep quality,work pressure,participation in mental health promotion training,and workplace violence(all P<0.05). Pearson correlation analysis showed that the total score of mental health promotion of internal medicine medical staff in tertiary general hospitals was positively correlated with the total score of adversity quotient and the scores of each dimension(r=0.415-0.675,all P<0.05),and negatively correlated with the total score of work-family behavior role conflict and the scores of each dimension(r=-0.463--0.692,all P<0.05). Multivariate linear regression analysis showed that department atmosphere,sleep quality,work pressure,mental health promotion,adversity quotient and work-family behavior role conflict were the main influencing factors of mental health promotion among internal medicine medical staff(all P<0.05),which explained 65.8% of the total variables. Conclusion There is a high level of work-family behavior role conflict among internal medicine medical staff in tertiary general hospitals,and the level of adversity quotient and mental health promotion is not optimistic. Hospital managers can promote the mental health of medical staff by improving adversity quotient and reducing work-family behavior role conflict.
    Current status of empathy fatigue among 362 cardiology nurses in Urumqi and its impact on psychological capital
    WEI Hong, LIU Ting, ZHAO Juan, LIU Zhiqiang
    2024, 40(20):  2805-2809. 
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    Objective To investigate the status quo of empathic fatigue and psychological capital among nurses in the cardiology department of grade-A tertiary hospitals in Urumqi,and analyze the relationship between them. Methods From December 2022 to June 2023,362 cardiology nurses from 5 grade-A tertiary hospitals in Urumqi were selected for evaluation using general information questionnaire,empathy fatigue scale and psychological capital scale,and the data were analyzed. Results The total score of empathy fatigue among 362 nurses in the department of cardiology in Urumqi was (88.60±9.49)points,of which 44(13.50%) had no empathy fatigue. There were 83 cases of mild empathy fatigue,accounting for 25.46%. There were 121 cases with moderate empathy fatigue,accounting for 37.12%. There were 78 patients with moderate empathy fatigue,accounting for 23.92%. The total psychological capital score was(104.66±17.35)points. There were statistically significant differences in psychological capital scores among cardiology nurses of different gender,nursing experience,receiving psychological training or not,monthly night shift frequency(all P<0.05). There was a significant negative correlation between the total score of empathy fatigue and the total score of psychological capital and all dimensions of cardiology nurses in Urumqi(all P<0.05),there was a significant positive correlation between empathy satisfaction and all dimensions of psychological capital(all P<0.05),there was a significant negative correlation between empathy burnout and all dimensions of secondary trauma psychological capital(all P<0.05). The results of multiple stepwise regression showed that the empathic fatigue score of 362 cardiology nurses in Urumqi could cause 29.7% change in psychological capital score(P<0.05). Conclusion The level of empathy fatigue of nurses in the cardiology department of grade-A tertiary hospitals in Urumqi has a significant impact on their psychological capital,which indicates and validates the feasibility of alleviating the degree of empathy fatigue by improving nurses' psychological capital. It is suggested that hospital managers should pay attention to the influence of empathic fatigue and psychological capital on the occupational health of nurses in the department of cardiology,and construct a healthy working environment according to the different characteristics of nurses in the department of cardiology,so as to promote the acquisition of positive psychological resources and career development confidence of nurses in multiple dimensions.
    Study on the intervention effect of Mexilaifu aerobics combined with APP health education on psychological capital and inferiority mentality of Uyghur adolescents
    XIE Fei, LIANG Qiuli, YANG Chaofeng
    2024, 40(20):  2810-2813. 
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    Objective To understand the intervention effect of Mexilaifu aerobics combined with APP health education on the psychological capital and inferiority complex of Uyghur adolescents,and to provide support for the physical and mental development of Uyghur adolescents. Methods From March to June 2023,Uyghur students in the first and second grades of senior high school in Urumqi were randomly selected and divided into a control group(151 people) and an intervention group (155 people). They underwent a 12 week Maixilaifu aerobics combined with APP health education intervention. Psychological scales were used to evaluate before and after the intervention,and the data were analyzed. Results The total score of psychological inferiority complex in the intervention group was (18.49±4.07)points before intervention and (14.73±3.81)points after intervention,with a statistically significant difference(t=8.397,P<0.01).The physical self-esteem score in the intervention group was (71.06±10.79) points before intervention and (80.15±10.93)points after intervention,with a statistically significant difference(t=7.368,P<0.01).The psychological capital score in the intervention group was (93.98±12.11)points before intervention,and (100.48±9.52)points after intervention,with a statistically significant(t=5.253,P<0.01).After intervention,the total scores of self-esteem,social confidence,physical fitness,learning ability,appearance and inferiority complex in the intervention group in Uyghur adolescents were significantly reduced compared with before intervention,and the differences were statistically significant(t=7.761,9.267,8.846,38.330,11.471,8.397,all P<0.01). The intervention group showed significantly higher scores in self-worth,physical fitness,physical condition,motor skills,physical attractiveness,and self-esteem compared to before the intervention(t=-6.004,-8.288,-7.810,-5.872,-8.724,-7.368,all P<0.01). After intervention,the intervention group had significantly higher scores in self-efficacy,optimism,resilience,and total psychological capital than before intervention,and the differences were statistically significant(t=-7.950,-5.703,-5.863,-5.253,all P<0.01). There was no statistically significant difference between the control group before and after intervention(all P>0.05). Conclusion The combination of Maixilaifu aerobics and APP health education can effectively improve the inferiority complex of Uyghur adolescents and promote the improvement of self-esteem and psychological capital levels.
    Analysis on current situation and influencing factors of role stress among newly recruited nurses in grade-A tertiary hospitals in Guangzhou
    ZHAO Yan, WANG Panyang, LIU Chunxiang, QIU Ling, SUN Hongling
    2024, 40(20):  2814-2817. 
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    Objective To understand the current situation of role stress among newly recruited nurses in grade-A tertiary hospitals in Guangzhou,and analyze the influencing factors. Methods A convenient sampling method was used to conduct a questionnaire survey among 106 newly recruited nurses in grade-A tertiary hospitals in Guangzhou from December 2020 to March 2022. The role stress level of nurses was evaluated using a role stress scale. Results The role stress score of newly recruited nurses was(46.84±11.08)points,and the two dimensions of role conflict and role ambiguity score were (30.40±8.96) and (16.43±5.54)points,respectively.The satisfaction with the department and the satisfaction with the department leaders were included in the multiple linear regression analysis.The results showed that satisfaction with department leaders was a factor affecting the role stress of newly recruited nurses(P<0.05). Conclusion New recruited nurses in grade-A tertiary hospitals in Guangzhou have moderate role conflict and mild role ambiguity.Nursing managers have an important impact on the role stress level of newly recruited nurses.Managers should pay attention to the workload and psychological state of newly recruited nurses,and create a good working atmosphere for them as much as possible.
    Analysis on fatigue status and influencing factors of crew with long distance voyages
    SUN Zhanying, TANG Nan, GAN Xueyang, GAO Yuan
    2024, 40(20):  2818-2821. 
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    Objective To explore the fatigue status and influencing factors of crew during long distance voyages,and provide clues for reducing their psychological stress level and fatigue level. Methods A total of 502 crew who were on a long voyage mission from July to September 2023 were selected as the research subjects. A general information survey questionnaire,the Connor Davidson resilience scale(CD-RISC),the simplified coping style questionnaire(SCSQ),the psychological stress self evaluation test(PSET),and the Chinese version of the multidimensional fatigue inventory(MFI-20) were used for the questionnaire survey,and SPSS 26.0 software was used for data analysis. Results The total fatigue score of crew during long distance voyages was (52.68±26.06)points,of which 39.4% had obvious fatigue symptoms. There was a statistically significant difference in the fatigue scores of crew with different levels of education(P<0.01),among which the fatigue scores of crew during long distance voyages with a bachelor's degree or above were higher than those with a junior college,high school or below. Negative coping styles and psychological stress were positively correlated with fatigue,while psychological resilience was negatively correlated with fatigue(all P<0.01). Psychological resilience,positive coping styles,and psychological stress could explain 57.0% of the variation in fatigue[F(4,497)=167.315,P<0.01]. Conclusion The fatigue level of crew during long distance voyages is at a relatively high level. Negative coping styles and psychological stress can positively predict the fatigue level of crew during long distance voyages,while psychological resilience can negatively predict the fatigue level of crew during long distance voyages. Psychological resilience training can be used to change negative coping cognition,thereby reducing the psychological stress level and fatigue level of crew during long distance voyages and improving overall task efficiency.
    Pollution characteristics and health risk assessment of metals and metalloids in atmospheric PM2.5 in a suburb of Shanghai City
    ZHANG Jingwei, LEI Xiaoyi, XU Mingjia, LI Wei, XU Yandan
    2024, 40(20):  2822-2827. 
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    Objective To understand the pollution characteristics,sources and health effects of 10 elements in fine particulate matter(PM2.5) in a suburb of Shanghai City. Methods The concentration data of 10 elements in PM2.5 in a suburb of Shanghai City from 2017 to 2021 were collected. The enrichment factor method and principal component analysis was used to evaluate the pollution degree and source of the elements. According to China's WS/T 666-2019 "Technical Specification for Health Risk Assessment of Air Pollution Population",its harm to population health was analyzed. Results From 2017 to 2021,the annual average mass concentration of PM2.5 in a suburb of Shanghai City did not exceed the secondary standard limit value in the GB 3095-2012 "Ambient Air Quality Standard ". The mass concentrations of metals and metalloid elements in PM2.5 were in the order of aluminum > manganese > lead > nickel > chromium > arsenic > selenium > antimony > cadmium > thallium. Except for Cr,Ni and Tl,the enrichment factor values of all metals were >10. The non-carcinogenic risk of each metal exposed through the respiratory pathway was <1. Among the five carcinogenic elements,the in vivo carcinogenic risks of Pb,Cd and Ni entering different populations through the respiratory route were <10-6,and the carcinogenic risks of Cr and As were between 10-6 and 10-4. Conclusion The seasonal characteristics of heavy metal pollution in atmospheric PM2.5 in this area are obvious,which is higher in winter and lower in summer. The metal and metalloid pollution in PM2.5 is mainly affected by human activities. The metal and metalloid elements in PM2.5 mainly come from industrial,coal(oil),traffic and natural. The carcinogenic risk of Cr and As to the population deserves further attention.
    Investigation on the correlation between overweight and obesity and KAP among primary school students in Pudong New Area of Shanghai City
    LU Wenying, BAI Pinqing, SHEN Huiping, REN Yaping, HU Hui, QIN Cun
    2024, 40(20):  2828-2834. 
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    Objective To investigate the correlation between overweight and obesity among primary school students in Pudong New Area of Shanghai City and their health knowledge,attitude,practice(KAP),in order to provide reference for preventing the occurrence and progression of overweight and obesity among primary school students and carrying out healthy education. Methods A urban and rural stratified cluster sampling method was used to select 1 236 students from grades 1 to 5 of two primary school in urban and rural areas of Pudong New Area of Shanghai in March 2022 for height and weight measurement. According to WS/T586-2018 "Screening Standards for Overweight and Obesity in School Age Children and Adolescents",473 overweight and obese students were screened. With informed consent,419 overweight and obese students underwent body composition analysis,waist and hip circumference,blood pressure,vital capacity,and other body shape and physical fitness testing indicators,as well as a questionnaire survey. Spearman rank correlation analysis was used to investigate the correlation between KAP and body mass index(BMI). Results The detection rates of overweight and obesity in the two primary schools were 17.9% and 20.4%,respectively. Among them,the detection rates of overweight and obesity in boys were 20.5% and 25.8%,respectively,and the detection rates of overweight and obesity in girls were 14.8% and 14.1%,respectively. BMI,waist circumference,and waist height ratio showed statistically significant differences among different grades and genders(all P<0.05),while body fat percentage showed statistically significant differences among different grades(P<0.05),and there was no statistically significant difference among different genders(P>0.05). There was a positive correlation between BMI and body fat percentage in overweight and obese children(r=0.702,P<0.05).The total score of nutritional KAP for overweight and obese children was 36 points,with an average score of 24.75 points. There were statistically significant differences in health knowledge and total KAP scores among different grades(both P<0.05),while there were no statistically significant differences in health attitudes and behaviors among different grades and genders(all P>0.05). There was a negative correlation between KAP and BMI(r=-0.098,P<0.05). Conclusion There is a certain correlation between KAP and overweight and obesity in primary school students. Improving dietary nutritional health education,as well as intervening in exercise behaviors,are an important measure to prevent overweight and obesity in primary school students.
    Meditating effect of perceived social support on the relationship between character strengths and professional identity among nursing interns
    LI Chen, LI Yanfei, WANG Lei
    2024, 40(20):  2835-2840. 
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    Objective To explore the mediating effect of perceived social support on the relationship between character strengths and professional identity among nursing interns based on person-environment fit theory and trait activation theory. Methods A total of 511 nursing interns from 4 grade-A tertiary hospitals in Jiangsu Province were recruited into this study by convenient sampling method and were surveyed by using general information questionnaire,three-dimensional inventory of character strengths,perceived social support scale,and professional identity scalefor nurse students. SPSS 24.0 was used for descriptive statistics and pearson correlation analysis,PROCESS 3.5 was used to test the mediating effect of the data. Results The total scores of character strengths,social support and professional identity of nursing interns were (3.75±0.57),(5.35±0.93) and (3.76±0.69)points,respectively. Correlation analysis showed that character strengths was positively correlated with the total score of professional identity and all dimensions(r=0.133-0.293,all P<0.01),there was a significant positive correlation between character strengths and perceived social support scores(r=0.197-0.321,all P<0.01),and there was a significant positive correlation between social support and professional identity(r=0.259-0.658,all P<0.01).The mediating effect test showed that after controlling the influence of highest education level,major decisionand future employment intention,the nursing interns' character strengths had a significant direct prediction effect on professional identity(β=0.120,P<0.01). Perceived social support played a partial mediating role in the relationship between character strengths and professional identity(effect value=0.147,95%CI:0.101-0.198),and the mediating effect accounted for 55.06% of the total effect. Conclusion The professional identity score of nursing interns was above the average level.The character strengths of nursing interns can not only directly affect the professional identity,but also indirectly affect the professional identity by the mediating role of perceived social support. To help nursing interns recognize and utilize character strengths,apply various designs to improve the perception of social support for nursing interns,and improve the professional identity through internal and external motivation,so as to stabilize the nursing team.
    Mediating role of career self-concept in the real self and career adaptability of college students
    MO Yingying, LU Jiayi, SHAN Xiaohui, TANG Hui
    2024, 40(20):  2841-2845. 
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    Objective To investigate the relationship between real self and career adaptability,and the role of career self-concept in it. Methods From March to April 2023,a total of 454 students from a vocational and technical normal university in Tianjin were surveyed by convenient sampling method,and real self-questionnaire,professional self-concept questionnaire and career adaptability questionnaire were used for research,and the data were analyzed. Results Real self,career self-concept and career adaptability scores were (41.74±14.20),(111.15±23.00) and (82.33±13.80)points,respectively. There were significant positive correlation between real self,career self-concept and career adaptability(all P<0.01). Real self could significantly positively predict the career self-concept and career adaptability(β=0.46,0.17,t=11.01,4.99,both P<0.01). There was a partial mediating effect of career self-concept on the impact of real self on college students' career adaptability,with an indirect effect value of 0.31 and an effect size of 64.58%. Conclusion The career self-concept plays an mediating role between real self and career adaptability of college students. College students should improve their real self,promote individuals to clarify their career self-concept,and further improve their career adaptability.
    Analysis on status and influencing factors of academic resilience among undergraduate nursing students in medical college of Tianjin
    WANG Jiayu, WANG Shanshan, CHEN Hong, YU Wanchen, WU Xianming, MIAO Hui
    2024, 40(20):  2846-2849. 
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    Objective To investigate the current situation of academic resilience among undergraduate nursing students and analyze its influencing factors. Methods From October to November 2023,317 undergraduate nursing students from a medical college of Tianjin were selected using the convenience sampling method. They were surveyed using a general information questionnaire,Chinese version of the academic resilience scale,Chinese version of the psychological resilience scale,and Chinese version of the Clance impostor phenomenon scale,and the data were analyzed. Results The academic resilience score of 317 undergraduate nursing students was (14.09±3.07)points. The results of regression analysis showed that psychological resilience scores and impostor phenomenon scores were the influencing factors for academic resilience scores of undergraduate nursing students(all P<0.05),which could explain 50.09% of the total variance. Conclusion The academic resilience of undergraduate nursing students is at a moderate level,which is influenced by academic performance,psychological resilience and impostor phenomenon,and the nursing educators should take appropriate intervention measures based on the influencing factors to enhance the academic resilience level of undergraduate nursing students.
    Correlation analysis of professional self-concept,self-directed learning ability,and nursing clinical decision-making ability among nursing interns
    GE Liuna, LIU Zhining, GU Yimei
    2024, 40(20):  2850-2854. 
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    Objective To explore the correlation between professional self-concept,self-directed learning ability and nursing clinical decision-making ability of nursing interns as well as the influencing factors of nursing clinical decision-making ability. Methods A convenience sampling method was used to select 450 nursing interns from a grade-A tertiary hospitals in Anhui Province in November 2022.A questionnaire survey was conducted using the general information questionnaire,professional self-concept of nurses instrument(PSCNI),self-directed learning scale(SDLS),and clinical decision making in nursing scale(CDMNS),and the data were analyzed. Results The professional self-concept score of 450 intern nursing students was (89.54 ± 11.59) points,the self-directed learning ability score was (102.76±21.24)points,and the nursing clinical decision-making score was (132.29±14.53)points. The professional self-concept,self-directed learning ability,and clinical decision-making ability of intern nursing students were positively correlated(r=0.634,0.475,both P<0.01). The status of only child(β=0.517),education level(β=0.218),professional self-concept(β=0.091),and self-directed learning ability level(β=0.080) among intern nursing students were the influencing factors of nursing clinical decision-making ability(all P<0.05),which can explain 45.20% of its score variation. Conclusion The professional self-concept,self-directed learning ability,and nursing clinical decision-making ability of nursing interns in a grade-A tertiary hospitals in Anhui Province are at a moderate level and need further improvement. Education level,only child status,professional self-concept,and self-directed learning ability are the main influencing factors on the nursing clinical decision-making ability of nursing interns. Nursing education and nursing managers should develop intervention measures to improve the self-concept and self-directed learning ability of nursing interns,thereby enhancing their nursing clinical decision-making ability. In addition,targeted intervention plans should also be developed based on the influencing factors of nursing clinical decision-making among nursing interns,in order to improve their nursing clinical decision-making ability.
    Analysis on current situation and influencing factors of innovative behavior among freshman nursing students in three vocational colleges in Anhui Province
    YAN Jingwen, LI Yuhong, CHEN Caifeng, DING Xia, GUO Yuyong, HUANG Li'e
    2024, 40(20):  2855-2859. 
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    Objective To understand the current situation of innovative behavior among vocational nursing students and analyze its influencing factors. Methods From May to June 2023,a convenient sampling method was used to investigate 446 freshmen nursing students from three vocational colleges in Anhui Province that offer nursing majors,using a general information survey questionnaire,a nursing student professional identity scale,a vocational mission scale(student version),and a college student innovation behavior scale to investigate and analyze the current situation and influencing factors of innovation behavior among vocational nursing students. Results The total score of innovative behavior among vocational nursing students was (61.12±12.47)points,and the average score of each dimension item from low to high was:academic exploration[(3.36±0.90)points],life practice[(3.57±0.78)points],thinking mode[(3.64±0.74)points],and learning and academic performance[(3.80±0.72)points]. Pearson correlation analysis showed that the innovative behavior of freshman nursing students in vocational colleges is positively correlated with their sense of professional mission and identity(r=0.662,0.746,both P<0.01). Multiple linear regression showed that academic performance,frequency of participating in class club collective activities,whether to participate in innovative course training,sense of professional mission,and sense of professional identity are the influencing factors of innovative behavior among vocational nursing students,accounting for 58.2% of the total variance. Conclusions The innovative behavior of vocational nursing students needs further improvement,especially in the academic exploration dimension. Educators should attach importance to cultivating a sense of professional mission and identity among vocational nursing students,stimulate their internal drive for innovative behavior,actively organize innovative training,encourage academic participation in collective activities,create an innovative atmosphere.
    Bibliometric analysis of Chinese journal papers on ionizing radiation-induced chromosome aberration
    LU Qiang, ZHANG Qiuling, LIU Yongmei
    2024, 40(20):  2860-2863. 
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    Objective To analyze the research status and trend of ionizing radiation-induced chromosomal aberrations in China from 2011 to 2021,thus providing reference for the further research. Methods Searched CNKI,VIP Chinese periodicals and Wanfang Data Knowledge Service Platform as per conditions,checked and sorted out journal papers,which were summarized via bibliometric methods as well. Results The above three domestic literature search websites collected a total of 130 non-repetitive relevant papers,of which 20 papers for 2011,18 papers for 2012,and no more than 10 papers for each year in 2018-2021.The 130 papers were separately published in 26 academic journals,of which 101 papers(representing 77.69%) were published in 14 core or dual core journals.116 papers(representing 89.23%) were co-authored by two or more authors,with the remaining 14 papers (representing 10.77%) written by a single author.All the papers originated from 71 institutions,of which the occupational disease prevention and control institutions were the most,with a total of 83 papers(representing 63.85%).Hebei Province published the most papers(representing 50.00% in total).36 papers(representing 27.69%) were supported by funds,which came from 26 institutions(representing 36.62%).The content of papers was mainly focused on the dose-effect analysis of chromosome aberration of peripheral blood lymphocytes induced by ionization. Conclusions The number of relevant research papers published is generally declining,the geographical distribution of papers was uneven,and the research content of papers is relatively limited.Therefore,we should strengthen regional academic exchange and cooperation to broaden the depth and breadth of research.
    Meta-analysis on the influencing factors of the willingness in using the pre-exposure prophylaxis among men who have sex with men in China
    ZHENG Yu, WANG Xin, DENG Yuan, WANG Jia
    2024, 40(20):  2864-2871. 
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    Objective To explore the influencing factors of the willingness to use pre-exposure prophylaxis(PrEP) for men who have sex with men(MSM) in China by means of meta-analysis. Methods A systematic search was conducted on the literature related to the factors influencing the willingness to use PrEP among Chinese MSM,published in databases such as China National Knowledge Infrastructure(CNKI),Wanfang,China Biomedical Literature Database,VIP,the Cochrane Library,Web of Science,PubMed,and Embaseup to June 6,2023. The cross-sectional evaluation criteria recommended by the agency for healthcare research and quality(AHRQ) in the United States were used to evaluate the quality of the literature,and the Stata 15.0 software was used for meta-analysis. Results A total of 26 articles were included,involving a sample size of 22 711 cases. Meta analysis was conducted on 3 or more articles with the same influencing factors. The results showed that remarriage or cohabitation with women(OR=2.145,95%CI:3.270-1.521),registered residence registration in other provinces(OR=1.706,95%CI:1.393-2.089),occupation as a student(OR=1.407,95%CI:1.061-1.864),awareness of PrEP(OR=2.790,95%CI:1.973-3.944),high level of personal risk perception of human immunodeficiency virus(HIV)(OR=3.245,95%CI:1.535-6.869),aving received diagnosis of HIV/AIDS in the past year(OR=1.909,95%CI:1.54-2.365),having a fixed sexual partner(OR=1.825,95%CI:1.405-2.370),and persisting in using condoms in the past six months(OR=0.409,95%CI:0.199-0.839) were the influencing factors of the willingness to use PrEP among Chinese MSM. Conclusion The MSM who remarried or cohabited with a female,had a registered residence in a non survey city,had a student occupation,knew PrEP,had a high level of personal HIV risk perception,had a fixed sexual partner,and had been tested for HIV in the past one year were more likely to take preventive drugs before exposure,while the MSM who insisted on using condoms in the past six months were less likely to take preventive drugs before exposure. Corresponding intervention strategies should be implemented for the target population to improve the practical use of PrEP.
    Overview
    Research status of health literacy assessment tools for caregivers at home and abroad
    GU Sainan, ZHAO Fang, SUN Shanshan, SHEN Lingling, ZHU Aiyong
    2024, 40(20):  2872-2876. 
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    Health literacy plays an important role in the care of disease caregivers. Given that caregivers are frequently involved in health decision-making,assisting in understanding information and promoting information exchange during the clinical period,it is essential to assess the health literacy of caregivers. This paper focuses on the connotation of caregivers' health literacy and the assessment tools of caregivers' health literacy at home and abroad,aiming to accurately measure caregivers' health literacy and make targeted health education for clinical workers in our country,thereby improving the health literacy level of caregivers themselves and caregivers.
    Research progress on social jetlag among shift nursing staff
    ZHU Hongxu, HOU Junyi, LIU Yuting, XU Yi
    2024, 40(20):  2877-2880. 
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    Due to the particularity of nursing work,shift work is inevitable in nursing work,and it has been proven to be closely related to circadian rhythm disorders. Social jetlag is the difference between endogenous circadian rhythms and social rhythms,and is a novel indicator reflecting chronic circadian rhythm disorders. Research has shown that social jetlag is widely present among shift workers,and there is a correlation between social jetlag and various adverse health outcomes. However,there is currently a lack of research on the social jetlag of shift nursing staff,and the attention of nursing managers is not good. This paper briefly describes the concept,measurement tools,and epidemic situation of social jetlag among shift nursing staff,and expounds the impact and possible mechanisms of social jetlag on the health of shift nursing staff,providing a theoretical basis for solving the problem of social jetlag among shift nursing staff and promoting their health and well-being.