Table of Content

01 November 2023, Volume 39 Issue 21

Previous Issue    Next Issue

Treatise

Correlation analysis on psychological resilience and negative emotions of medical staff at high risk of radiation pollution

FU Lisang, ZHUANG Yaoning, CHEN Jiajia

2023, 39(21):  2881-2885. 

Asbtract ( 25 )   PDF (1004KB) ( 41 )  

References | Related Articles | Metrics

Objective To explore the correlation between the psychological resilience and negative emotions of medical staff at high risk of radiation pollution,provide a scientific basis for understanding the emotional state of the population. Methods From October 2020 to March 2021,the convenience sampling was used to select 4 tertiary comprehensive hospitals and 3 grassroots hospitals in the city. The self-designed general situation questionnaire,Connor-Davidson rresilience scale（CD-RISC）,self-rating anxiety scale（SAS） and self-rating depression scale（SDS） were used to conduct a questionnaire survey on the psychological resilience and negative emotions of 128 medical workers at high risk of radiation pollution,and the data were analyzed. Results The scores of resilience,anxiety and depression were （78.17±27.20）,（45.75±11.23） and （51.45±11.98）points,respectively. The incidence of anxiety and depression were generally high,as high as 33.59% and 52.34%,respectively. There were statistically significant differences in the scores of psychological resilience and negative emotion among medical staff at high risk of radiation pollution with different professional titles,grade of hospitals,and years of service（all P<0.05）. Pearson correlation analysis of anxiety symptoms,depression symptoms and psychological resilience showed that there was a significant negative correlation（r= -0.374,-0.647,both P<0.05）. ROC curve analysis was performed on the two indicators of anxiety and depression with the resilience score as the detection variable. The area under the ROC curve for anxiety was 0.701,P<0.05,the sensitivity was 0.706,the specificity was 0.209,the Youden index was 0.497,and the optimal cutoff value was 75.5. The area under the ROC curve for depression was 0.845,P<0.05,the sensitivity was 0.904,the specificity was 0.289,the Youden index was 0.615,and the optimal cutoff value was 75.50. The psychological resilience score has a good predictive value for predicting whether the medical staff at high risk of radiation pollution will have negative emotions,and patients are more likely to have negative emotions when the two resilience scores ≤75.5 points. Conclusions The psychological resilience of medical staff at high risk of radiation pollution is closely related to negative emotions. Therefore,it is necessary to improve the psychological resilience of medical staff at high risk of radiation pollution and relieve anxiety and depression,thereby improving the work efficiency and living standards of medical staff at high risk of radiation pollution.

Study on dietary structure and chronic diseases of the elderly in urban and rural areas in Fuzhou City

WANG Jing, SHI Huanhuan, LI Wenjing, ZHANG Xiaoyang, XU Youqiong

2023, 39(21):  2886-2891. 

Asbtract ( 29 )   PDF (974KB) ( 4 )  

References | Related Articles | Metrics

Objective To understand the difference in dietary structure between urban and rural elderly people in Fuzhou City and its impact on health,and analyze the related factors affecting dyslipidemia. Methods From 2019 to 2020,the proportional to population size（PPS） sampling method was adopted,a total of 54 administrative villages（neighborhood committees） in 18 towns（streets） from three survey sites were selected,and totally 2 844 permanent residents aged ≥60 years old were collected to perform a 3 d×24 h dietary review and weighing method survey. Results There were 980 people from Jin'an District in urban area,970 people from Fuqing City in small and medium-sized cities,and 894 people from Minqing County in rural areas. There were statistically significant differences in age,educational level,and annual per capita income between urban and rural elderly people in Fuzhou City（all P<0.01）. Compared with the recommended values,the intakes of the elderly at the three survey sites were higher than the recommended values in terms of salt,sugar,energy,fat,vitamin E,sodium,manganese,and iodine,while lower in the intakes of fruits,milk,vitamin A,B1,B2,calcium,potassium,and magnesium. There were statistically significant differences in the intake of different foods,three major nutrients,vitamins and minerals among the elderly at the three survey sites（all P<0.01）. Among them,the elderly in rural areas had lower intakes of fruits,animal foods,soybeans,nuts,milk,protein,vitamin C,zinc and selenium,while the elderly in urban areas had higher rates of dyslipidemia,overweight and obesity,and the differences were statistically significant（all P<0.05）. The multivariate regression analysis showed that males,college degree or above,central obesity,history of hypertension,fat >70 g/d,oil >25 g/d in urban area,and males,age of 60-<70 years old,body mass index ≥28 kg/m²,fat >70 g/d in small and medium-sized cities,and primary school and below education,central obesity,fat >70 g/d,animal food >200 g/d in the rural area were positively correlated with dyslipidemia,while the vegetable intake >500 g/d in urban elderly,the intake of fruits >350 g/d in medium and small cities,and the intake of fruits >350 g/d,soybeans and nuts >35 g/d,and milk >500 g/d in the rural elderly were negatively correlated with dyslipidemia. Conclusion The dietary structure of the elderly in Fuzhou City is unreasonable,the prevalence of dyslipidemia,overweight and obesity are high,and dyslipidemia is related to gender,obesity,history of hypertension and unreasonable food intake.

Analysis on current situation and influencing factors of male nurses' sense of professional respect

GAO Feng, AN Qiping, LUO Yu, LIU Dan, LI Na, ZHOU Yuchen

2023, 39(21):  2892-2896. 

Asbtract ( 41 )   PDF (879KB) ( 18 )  

References | Related Articles | Metrics

Objective To understand the current situation of sense of professional respect among male nurses in grade-A tertiary hospitals of Guizhou City,and analyze its influencing factors. Methods From August to November 2022,male nurses working in five grade-A tertiary hospitals of Guizhou City were collected by the convenience sampling as the survey subjects. They were investigated by the general data scale,occupational respect scale,social support evaluation scale and emotional intelligence scale. Results The male nursesingrade-A tertiary hospitals of Guizhou City had a low sense of professional respect. The total score of professional respect for 222 male nurses was （88.21±11.32）points,the score of professional self-awareness was （10.26±4.12）points,the score of professional ability was （39.47±2.49）points,the score of social trust and respect was （8.69±3.11）points,the score of organizational respect and recognition was （16.12±1.65）points,and the score of professional prestige and future value was （13.67±1.24）points. The multiple linear regression analysis showed that professional title,monthly income,social support,and emotional intelligence were the main factors affecting male nurses' sense of professional respect（all P<0.05）. The emotional intelligence was positively correlated with the professional respect of male nurses（P<0.05）,and social support was positively correlated with the professional respect of male nurses（P<0.05）. Conclusion The professional respect level of male nurses ingrade-A tertiary hospitals of Guizhou City is low. The low professional title,low monthly income,low social support level,and low emotional intelligence level of male nurses are the influencing factors of their low professional respect. The managers should formulate corresponding strategies according to the professional respect level of male nurses and their influencing factors to adapt them to the role of nurses,in order to reduce the loss of nursing personnel.

Analysis on new cases of occupational pneumoconiosis in Jiangsu Province from 2006-2020

LIU Yichen, ZHOU Lang, HAN Lei, XIE Lizhuang

2023, 39(21):  2897-2901. 

Asbtract ( 18 )   PDF (948KB) ( 16 )  

References | Related Articles | Metrics

Objective To analyze the new cases of occupational pneumoconiosis in Jiangsu Province from 2006 to 2020,understand the incidence and distribution characteristics of pneumoconiosis in Jiangsu Province in recent years,and provide reference basis for further developing prevention and control strategies for pneumoconiosis. Methods The data of occupational pneumoconiosis network reports in Jiangsu Province from 2006 to 2020 were collected,and the data were analyzed. Results There were 9 914 new cases of occupational pneumoconiosis in Jiangsu Province from 2006 to 2020,with a sex ratio of 15.80：1. The first stage of pneumoconiosis was most common（81.95%）,the average age[M（P₂₅,P₇₅）] of onset was 60（52,67） years old,the of dust exposure age[M（P₂₅,P₇₅）] was 12（5,23） years,the age of onset was mainly distributed between 60-<70 years old（26.06%）,and dust exposure age was mainly <6 years（28.27%）. The number of diagnosed cases in 2009 was the largest（10.13%）,and the cases were mainly distributed in Wuxi City（22.37%）,Yancheng City（22.34%）,Suzhou City（16.38%） and Xuzhou City（14.61%）. The top three types of pneumoconiosis were silicosis（71.56%）,coal workers' pneumoconiosis（13.18%）,and welder's pneumoconiosis（7.99%）. The rock drilling was the most common type of work（31.10%）. The main complications of pneumoconiosis were pulmonary tuberculosis（0.37%） and lung and bronchial infection（0.21%）. For the economic type,the state-owned enterprises were the most（56.10%）,followed by collective enterprises（21.07%）. For the enterprise size,the small enterprises were the most（62.19%）,followed by large enterprises（24.79%）. The top three sectors with the highest distribution were health and social work（14.56%）,social affairs administration（14.10%）,and coal mining and washing（11.82%）. There were statistically significant differences in distribution of pneumoconiosis stages among cases in different economic type,enterprise size,age of onset,years of exposure to dust,work type and industry distribution（all P<0.05）. Conclusions The multi-dimensional distribution characteristics of occupational pneumoconiosis patients in Jiangsu Province from 2006 to 2020 are closely related to local industrial structure and enterprise characteristics. For jobs in high-risk industries,it is necessary to strengthen supervision,so as to eliminate the occupational hazard factors that workers exposed to dust may be exposed to and reduce the possible occupational disease risk.

Status of dust hazard of 93 concrete mixing enterprises in Wuhan City

LIU Jingrong, LIANG Jiaojun, MAO Geshi, YE Weiping, ZHANG Cheng

2023, 39(21):  2902-2906. 

Asbtract ( 28 )   PDF (878KB) ( 7 )  

References | Related Articles | Metrics

Objective To understand the dust nature,harm degree and occupational health management status of concrete mixing enterprises in Wuhan City,provide technical basis for health administrative departments to carry out occupational disease prevention and control work. Methods From August to November 2021,93 concrete mixing enterprises in Wuhan City were randomly selected as subjects,and their occupational health status was investigated according to the questionnaire stipulated by the state. The contents of dust concentration and free silica at the post of material preparation were sampled and detected,and the characteristics of dust hazard and occupational health management of such enterprises were analyzed. Results The silica dust was the main dust in concrete mixing enterprises（92.1%）. 77 enterprises with silica dust were monitored,with an over standard rate of 7.02%,and 16 enterprises with cement dust were monitored,with an over standard rate of 3.13%. There were statistically significant differences in the setting of dust prevention facilities,the wearing of dust masks,and the setting of dust occupational hazard warning labels and warning instructions among enterprises of different scales（all P<0.05）. In terms of occupational health management,there were positive correlations between most of the items（r=0.276-0.646,all P<0.01）,and there was a negative correlation between on-site dust concentration and the wearing of dust masks（r=-0.210,P<0.05）. Conclusion The silica dust is the key control factor of concrete mixing enterprises,small and micro enterprises and enterprises without dust-proof facilities are the focus of attention.

Effect of dihydroartemisinin on lipopolysaccharide induced cardiac fibroblasts inflammatory factors secretion and NF-κB pathway activation

WANG Yan, SHAN Tieqiang, LI Zhiying, LI Junjiao, MA Jinghong, QI Xiufang

2023, 39(21):  2907-2910. 

Asbtract ( 18 )   PDF (1593KB) ( 22 )  

References | Related Articles | Metrics

Objective To observe the effects of dihydroartemisinin（DHA） on the proliferation,differentiation,collagen secretion,inflammatory factors and NF-κB pathway activation of lipopolysaccharide induced cardiac fibroblasts（CFs）,explore the molecular mechanism of DHA inhibiting cardiac fibrosis. Methods The myocardial tissue of SD suckling rats was digested with trypsin to obtain CFs. CFs were arranged into normal group（culture medium）,DHA group（culture medium of 100 ng/mL DHA）,lipopolysaccharide group（50 μg/mL lipopolysaccharide culture medium）,the treatment group（50 μg/mL lipopolysaccharide and 100 ng/mL DHA）.After 48 h incubation of cells in each group,the proliferation of CFS in each group was detected. The ELISA was used to quantify the level of collagen typeⅠ（ColⅠ）,collagen type Ⅲ（Col Ⅲ）,tumor necrosis factor α（TNF-α）,interleukin-6（IL-6） and interleukin-1β（IL-1β） in the culture medium. The immunoblotting was used to evaluate intracellular smooth muscle-a-actin（a-SMA）,nuclear factorκB p65（NF-κBp65）,and phosphorylated nuclear factorκB p65（p-NF-κBp65）. Results The cell proliferation,the content of colⅠ,col Ⅲ,TNF-α,IL-6 and IL-1β in suspension,protein content of a-SMA,NF-κBp65 and p-NF-κBp65 and NF-κBp65/p-NF-κBp65 ratio in intracytoplasmbetween DHA group and normal group had not obviously difference（all P>0.05）. Compared with the normal group,the number of cells in lipopolysaccharide group（0.122 9±0.001 4） increased,and the contents of colⅠ[（0.753 2±0.087 7）ng/L],col Ⅲ[（0.723 3±0.096 8）ng/L],TNF-α[（46.78±3.60）pg/L],IL-6[（30.08±3.93）pg/L] and IL-1β[（12.10±1.55）pg/L] in suspension increased,and the intracytoplasm contents of a-SMA（0.438±0.026）,NF-κBp65（1.221±0.049）,p-NF-κB p65（1.209±0.048） and NF-κBp65/p-NF-κBp65 ratio（0.967±0.046） increased（all P<0.05）. Compared with the lipopolysaccharide group,the number of cells（0.115 6±0.001 2） decreased in treatment group,and the levels of colⅠ[（0.542 4±0.063 6） ng/L],col Ⅲ[（0.502 7±0.057 9）ng/L],TNF-α[（25.32±3.05）pg/L],IL-6[（19.12±3.00）pg/L] and IL-1β[（7.34±0.96）pg/L] decreased in suspension,and the intracytoplasm contents of a-SMA（0.208±0.020）,NF-κBp65（0.528±0.035）,p-NF-κBp65（0.206±0.026） and NF-κBp65/p-NF-κBp65 ratio（0.412±0.025） decreased（all P<0.05）. Conclusion The dihydroartemisinin can inhibit the proliferation,differentiation,secretion of collagen and inflammatory factors of CFS stimulated by lipopolysaccharide,which isclosely related to the effective reduction the activity of of NF-κB pathway.

Relationship between off-hour onset and infarct size of young patients with acute myocardial infarction

MA Jing, CUI Yan, ZOU Zhonghe, XIAO Jianyong, LIU Yin, GAO Jing

2023, 39(21):  2911-2916. 

Asbtract ( 21 )   PDF (1079KB) ( 17 )  

References | Related Articles | Metrics

Objective To determine the impact of time of symptom onset during off-hour on infarct size in young patients（≤45 years old） with ST-segment elevation myocardial infarction（STEMI）. Methods A total of 217 young patients with STEMI who admitted in Tianjin Chest Hospital from January 2015 to December 2019 were continuously included. The on-hour group included patient with symptom onset time between 08：00-16：59 on weekdays,the rest were catalogued as off-hour group. The patients were further divided into four groups based on 6-hour intervals（00：00-05：59,06：00-11：59,12：00-17：59 and 18：00-23：59）. The non-linear regression model was used to assess the dependence of infarct size（peak creatine kinase,peak CK） on 24-hour time of symptom onset. The multivariate linear regression model was used to analyze the association between time of symptom onset and infarct size. Results The ejection fraction of the patients in off-hour group was lower than that in on-hour group,and the peak CK was higher than that in on-hour group（P<0.05）. The median peak CK of the 00：00-05：59 onset group tended to be higher than those of other groups. The periodic sinusoidal regression analysis showed circadian rhythm in infarct size with 24-hour onset time,and the maximum infarct size occurred at 2：00 am. The multivariate linear regression model showed that after adjusting for confounders,there was an average increase in peak CK of 708.07 U/L in patients with off-hour onset compared with patients with on-hour onset,while there was an average increase in peak CK of 864.08 U/L in patients with onset time between 00：00 and 05：59 compared with patients with onset time between 06：00 and 23：59. Conclusion This study reports that the myocardial infarct size after STEMI have a circadian dependence on time of symptom onset in Chinese young patients,and the young patientswith STEMI onset during off-hour and 00：00-05：59 may have a greater myocardial injury.

Correlation analysis on person-job matching,psychological security and professional identity of part-time medical staff in infection control

YANG Ying

2023, 39(21):  2917-2922. 

Asbtract ( 20 )   PDF (894KB) ( 6 )  

References | Related Articles | Metrics

Objective To investigate the status of personal-work matching,psychological safety and professional identity of infection control medical staff in grade-A tertiary hospitals in Sichuan Province and analyze their correlation. Methods By the random cluster sampling method,the current situation investigation was performed by the personal-job matching scale,the psychological security scale,and the professional identity scalefrom June to July 2022. The demographic data questionnaire was used to collect general information. The hierarchical regression analysis was used to explore the influence of personal-work matching and psychological security on professional identity. Results The personal-work matching,psychological safety and professional identity of infection control medical staff in grade-A tertiary hospitals in Sichuan Province was （100.17±17.95）points,the psychological safety score was （51.43±13.86）points,and the professional identity score was （99.12±24.51）points. The univariate analysis showed that there were statistically significant differences in the scores of personal-job matching and engagement among infection control part-time medical staff with different gender,education level,marital status,professional title,voluntary to part-time infection control work,and participation in the treatment of public health emergencies（all P<0.05）. There were statistically significant differences in the score of psychological safety among infection control part-time medical staff with different gender,education level,marital status,nature of work,professional title,working years of part-time medical infection control,voluntary to part-time infection control work,and participation in public health emergency treatment（all P<0.05）. There were statistically significant differences in the professional identity scoreamong infection control part-time medical staff with different gender,education level,marital status,nature of work,professional title,working years of part-time medical infection control,voluntary to part-time infection control work,and participation in public health emergency treatment（all P<0.05）. The results of correlation analysis showed that the scores ofpersonal-work matching of part-time medical staff in infection control ingrade-A tertiary hospitals were positively correlated with the scores of and psychological security on professional identity（P<0.05）,and the scores of psychological safety were positively correlated with the scores of professional identity（P<0.05）. The hierarchical regression analysis showed that person-job matching and psychological safety were independent factors of professional identity of part-time medical staff in hospital infection control,which could independently explain 47.5% of the total variation of professional identity. Conclusion The professional identity of infection control medical staff in grade-A tertiary hospitals is at a medium level,which is affected by many factors,among which personal-job matching and psychological security are important influencing factors,so the hospital managers should take targeted intervention strategies to improve the professional identity of infection control medical staff according to the influencing factors.

Correlation analysis on transformational leadership,organizational commitment and work immersion of surgical nurses in grade-A tertiary hospitals in Sichuan Province

DENG Xiaojiao, XU Xingying, LU Yi, SUN Juan, YANG Lihua, WANG Xiaowei

2023, 39(21):  2923-2927. 

Asbtract ( 21 )   PDF (936KB) ( 17 )  

References | Related Articles | Metrics

Objective To investigate the status quo of transformational leadership,organizational commitment and work immersion of surgical nurses in grade-A tertiary hospitals in Sichuan Province,analyze the mediating effect of organizational commitment. Methods A cross-sectional study was conducted to select 346 surgical nurses from eight grade-A tertiary hospitals in Sichuan Province from July to August 2022. The general information questionnaire,transformational leadership scale,organizational commitment scale and work immersion scale were used to collect survey data. AMOS 22.0 was used to analyze the mediating effect of organizational commitment in transformational leadership and work immersion. Results The scores of transformational leadership,organizational commitment and work immersion of surgical nurses ingrade-A tertiary hospitals were （85.61±19.18）,（80.19±19.18） and （40.92±10.91）points,respectively. The difference analysis showed that there were statistically significant differences in the scores of transformational leadership among surgical nurses with different gender,education level,working years,job category and whether they undertook clinical teaching tasks（all P<0.05）. There were statistically significant differences in the scores of organizational commitment among surgical nurses with different genders,education levels,working years,personnel relations,job categories,whether they were specialist nurses,and whether they undertook clinical teaching tasks（all P<0.05）. There were statistically significant differences in the scores of work immersion among surgical nurses with different gender,education level,working years,average monthly income,whether they were specialist nurses or not,and whether they undertook clinical teaching tasks（all P<0.05）. The correlation analysis showed that the dimensions scoresand total scores of transformational leadership and organizational commitment were positively correlated with the dimensions scoresand total scores of work immersion in surgical nurses ingrade-A tertiary hospitals（all P<0.05）. The mediating effect analysis showed that organizational commitment had a positive effect on the relationship between transformational leadership and work immersion of surgical nurses ingrade-A tertiary hospitals,and mediating effect was 0.104,accounting for 16.46% of the total effect. Conclusion The work immersion of surgical nurses in grade-A tertiary hospitals in Sichuan Province is at a medium level,and further targeted interventions are needed to improve nurses' work immersion status. Among them,organizational commitment and transformational leadership play an important role in improving nurses' work immersion.Improving nurses' transformational leadership and organizational commitment is conducive to improving nurses' work immersion.

Intermediary role of achievement motivation in individual-organizational fit and professional success among clinical nurses

LIU Ruishan, LYU Jin, ZHOU Shujun, SHAO Zhuyan, FAN Qingmei, QIAO Jianhong

2023, 39(21):  2928-2933. 

Asbtract ( 15 )   PDF (913KB) ( 6 )  

References | Related Articles | Metrics

Objective To explore the intermediary role of achievement motivation between the personal-organizational fit and professional success of nurses,provide a basis for improving the professional success of nurses. Methods Totally 366 nurses were collected from three grade-A tertiary general hospitals in Jinan City from June to August 2022. A questionnaire survey was conducted using the personal-organizational fit scale,achievement motivation scale and career success scale,and the data were analyzed. Results The total average scores of personal-organizational fits cale,achievement motivation scale and career success scale among nurses were （106.08±36.87）,（1.79±1.59） and （68.31±12.94）points,respectively. There were pairwise correlations between personal-organizational fit,achievement motivation and career success in nurses（all P<0.01）. The motivation for success partially mediated the personal-organizational fit and achievement motivation in nurses representing 41.54% of the total effect. The motivation to avoid failure had a mediating effect of 22.44%. Conclusion The managers can promote nurses' professional success by improving their personal-organizational fit,so as to enhance their motivation for success.

Correlation analysis on workplace psychological violence,organizational commitment and resignation intention of medical staff in emergency departments of six tertiary general hospitals in Nanchong City

LIU Xianqun

2023, 39(21):  2934-2938. 

Asbtract ( 27 )   PDF (932KB) ( 6 )  

References | Related Articles | Metrics

Objective To investigate the status of workplace psychological violence,organizational commitment and turnover intention of medical staff in emergency department of grade-A tertiary hospitals in Nanchong City,analyze the mediating role of organizational commitment in workplace psychological violence and turnover intention. Methods Using the convenience sampling method,336 emergency medical workers from six tertiary general hospitals in Nanchong City were investigated by general information questionnaire,workplace psychological violence scale,organizational commitment scale and turnover intention scale from April to May 2022.AMOS 24.0 was used for the structural equation validation. Results The scores of workplace psychological violence,organizational commitment and turnover intention of medical staff in emergency department of grade-A tertiary hospitals in Nanchong City were （27.23±7.58）,（81.71±12.47） and （10.73±3.82）points,respectively. The single factor analysis showed that there were statistically significant differences in the scores of workplace psychological violence,organizational commitment and turnover intention among emergency medical personnel with different gender,marital status,educational background,occupation category,contract type,length of service in the emergency department and health status（all P<0.05）. The correlation analysis showedthe total score of workplace psychological violence and the scores of each dimension were positively correlated with the total score of turnover intention and the scores of each dimension（all P<0.05）,and negatively correlated with the total score of organizational commitment and the scores of each dimension（all P<0.05）. The total score of organizational commitment and the scores of each dimension were negatively correlated with the total score of turnover intention and the scores of each dimension（all P<0.05）.The mediating effect analysis showed that organizational commitment played a partial mediating role in workplace psychological violence and turnover intention（β=0.095,P<0.01）,with the mediating effect of 18.38%. Conclusions The turnover intention of emergency medical staff in grade-A tertiary hospitals in Nanchong City is high,which is significantly correlated with workplace psychological violence and organizational commitment. The medical managers should create a magnetic medical environment and improve organizational commitment to enhance the loyalty of emergency medical staff and reduce turnover intention.

Mediating effect of psychological resilience on relationship between empathy fatigue and humanistic care ability of nurses in oncology department

LIAO Chenxia, DU Hua, HAN Jiangying, CHEN Chen, YUAN Fangzhen, HU Anni

2023, 39(21):  2939-2943. 

Asbtract ( 45 )   PDF (885KB) ( 40 )  

References | Related Articles | Metrics

Objective To explore the mediating effect of psychologicalresilience on the relationship between empathy fatigue and humanistic care ability of nurses in oncology department. Methods From December 2021 to January 2022,the convenience sampling method was used to select nurses in the oncology department of 20 tertiary hospitals in Anhui Province as the research objects. They were investigated by the general information questionnaire,empathy fatigue self-assessment scale,humanistic care ability scale,and psychological resilience scale. Results A total of 572 nurses were investigated,and the scores of nurses' humanistic care ability,empathy fatigue and psychological resilience were （196.33±21.11）,（84.05±14.65） and （70.28±16.47）points,respectively. The results of path analysis showed that empathy fatigueand psychological resilienceof nurses in the oncology department could directly and positively predict humanistic care ability（r=0.278,0.239,both P<0.01）. The empathy fatigue indirectly and positively predicted humanistic caring ability by using psychological resilience as a mediating variable（r=0.108,P<0.01）. Conclusion The hospitals and nursing managers should take a variety of intervention measures to enhance the psychological resilience of oncology nurses and reduce their empathy fatigue,so as to improve the humanistic care ability of oncology nurses.

Correlation analysis on cognitive frailty prevalence and its relationship with expectations regarding aging among the elderly in rural areas of Shanxi Province

CHEN Ling, GAO Huanling, WEI Fangfang, YANG Yulin

2023, 39(21):  2944-2948. 

Asbtract ( 31 )   PDF (897KB) ( 13 )  

References | Related Articles | Metrics

Objective To investigate the status of cognitive frailty and its relationship with expectations regarding aging among the elderly in rural areas in Fenyang City of Shanxi Province. Methods A total of 247 elderly people living in rural areas of Fenyang City in Shanxi Province were selected by the convenient samplingfrom November 2021 to February 2022,they were investigated with general date questionnaire,Fried phenotype of frailty,mini-mental status examination and the expectations regarding aging-12 scale,and the data were analyzed. Results The incidence of cognitive frailty among the elderly in rural areas of Fenyang City in Shanxi Province was 39.7%.The total score of expectations regarding aging[M（P₂₅,P₇₅）] was 26（20,29）points,and the score of expectations regarding physical health,mental health and cognitive function was 8（6,8）,10（8,11） and 8（6,10）points,respectively. There were statistically significant differences in the cognitive frailty condition among the elderly with different age,educational level,marriage status,smoking history,Charlson complication index,depressive status and activities of daily living（ADL）（all P<0.05）. The cognitive frailty and expectations regarding aging are negatively correlated（r=-0.555,P<0.01）. The advanced age,moderate and severe dependence onADL and depression were the risk factor of cognitive frailty（P<0.05）,while high level of expectations regarding aging was protective factor（P<0.01）. Conclusions The incidence of cognitive frailty among the elderly in rural areasof Fenyang City in Shanxi Province is high,and the expectations regarding aging is at high-to-moderate level. The cognitive frailty is associated with expectations regarding aging.The measures should be actively taken to improve the cognitive frailty and expectations regarding aging among the elderly in rural areas.

Current status and influencing factors of benefit finding of hospitalized elderly patients with chronic diseases in Luzhou City

ZHANG Hairu, LIU Yao, AI Maomei, YONG Jingjing, JU Mei

2023, 39(21):  2949-2952. 

Asbtract ( 23 )   PDF (908KB) ( 18 )  

References | Related Articles | Metrics

Objective To understand the current status and influencing factors of benefit finding of elderly patients with chronic diseases. Methods From January to October 2020,664 hospitalized elderly patients with chronic diseases in Luzhou City were investigated by the general information data questionnaire,elderly chronic disease benefit finding questionnaire,self-perceived burden scale（SPBS）,family care questionnaire（adaptation,partnership,growth,affection and resolve,APGAR）,and social support rating scale（SSRS）,and the data were analyzed. Results The score of benefit finding in patients was （67.2±15.4）points. The gender（B=3.273,P<0.01）,age（B=4.117,P<0.01）,education level（B=3.165,P<0.01）,monthly income（B=2.042,P<0.01）,self-assessment health status（B=-2.076,P<0.01）,medical convenience（B=-2.893,P<0.05）,physical examination（B=-5.003,P<0.01）,social support（B=12.084,P<0.01）,family function（B=5.776,P<0.05;B=13.624,P<0.01） and self-perceived burden（B=-5.030,P<0.05） were influencing factors in benefit finding. Conclusion The elderly patients with chronic diseases have made certain benefit finding in the illness process,and personal,family,social and other factors have different degrees of influence on their benefit finding.

Correlation analysis of nurses' patient safety attitudes and work engagement in six grade-A tertiary hospitals of Anhui Province

LIU Zhiyu, LIU Mengqi, XU Shujuan

2023, 39(21):  2953-2958. 

Asbtract ( 21 )   PDF (900KB) ( 12 )  

References | Related Articles | Metrics

Objective To understand the patient safety attitude and work input of clinical nurses in six grade-A tertiary hospitals of Anhui Province,explore the correlation of patient safety attitude and work input,and provide relevant basis for clinical patient safety management. Methods Using random sampling method,1 411 nurses from six grade-A tertiary hospitals of Anhui Province were selected as the survey objects in October 2019. The nurse general data questionnaire,safety attitude scale（SAQ） and work input scale（the Utrecht work engagement scale,UWES-9） were used,and the data were analyzed. Results The total score of SAQ and UWES-9 was （111.11±15.05） and （28.02±8.80）points respectively. There was a significant positive correlation between nurses' patient safety attitude and work engagement（r=0.547,P<0.01）. There were statistically significant differences in the score of patient safety attitude among nurses with different professional title,position,length of service,income,and have received patient safety training or not（all P<0.05）. There were statistically significant differences in the score of work engagement among nurses with different age,length of service,education,professional title,position,department,income,have received patient safety training or not,and whether adverse events have occurred in the past year（all P<0.05）. Conclusions The patient safety attitudes of nurses in six grade-A tertiary hospitals of Anhui Province is at a moderate level,and the work engagement is at a moderately low level. The nursing managers should take more effective measures to strengthen the safety training of nursing staff,show a positive attitude towards patient safety,and promote patient safety. At the same time,it is necessary to pay attention to the positive impact of nurses'enthusiasm on patientssafety attitude.

Impact of crisis vulnerability,social support and coping style on psychological crisis of medical staff in a hospital in Xinjiang

Atikaimu Niyazi, Dilireba Maimaitireyimu, LIU Jinbao

2023, 39(21):  2959-2964. 

Asbtract ( 18 )   PDF (903KB) ( 4 )  

References | Related Articles | Metrics

Objective To analyze the impact of crisis vulnerability,coping style and social support on psychological crisis of medical staff,explore the correlation between them,and put forward measures to promote the mental health of medical staff. Methods The medical staff of a second-level hospital in a county of Xinjiang Uygur Autonomous Region was selected as the research object from January to March 2022. The questionnaire investigation was conducted by the symptom checklist 90（SCL-90）,crisis vulnerability questionnaire,social support sating scale（SSRS） and trait coping style were used questionnaire（TCSQ）,and the data were analyzed. Results The score of SCL-90 of medical staff of a second-level hospital in a county of Xinjiang was （131.24±34.40）points,and the differences in score of SCL-90 were statistically significant among medical staff with different age,educational background,professional title and working age（all P<0.05）. The crisis vulnerability of medical staff was positively correlated with psychological crisis（r=0.565,P<0.01）,the social support was negatively correlated with psychological crisis（r=-0.374, P<0.01）,the positive coping was negatively correlated with psychological crisis（r=-0.356,P<0.01）,while negative coping was positively correlated with psychological crisis（r=0.535,P<0.01）. The positive coping had a significant moderating effect on crisis vulnerability and psychological crisis（P<0.01）,and the negative coping had a significant moderating effect on social support and psychological crisis（P<0.01）. Conclusions The medical staff of a second-level hospital in a county of Xinjiang have a high score of psychological risk,so more attention should be paid to their mental health status. Adequate social support can be provided to guide positive coping styles and reduce negative coping behaviors,thereby reducing the level of vulnerability to crisis and improving their mental health status as soon as possible.

Safety evaluation on poliomyelitis related vaccines in Pudong New Area of Shanghai from 2016-2021

ZHOU Cuiping, WANG Weiping, LIU Wenmin, DENG Pengfei, FEI Yi

2023, 39(21):  2965-2969. 

Asbtract ( 22 )   PDF (890KB) ( 9 )  

References | Related Articles | Metrics

Objective To analyze the characteristics of adverse events following immunization（AEFI） of poliomyelitis related vaccines in Pudong New Area of Shanghai from 2016 to 2021,evaluate the immunization safety related to polio vaccines. Methods The data on AEFI cases of bivalent oral poliovirus vaccine（bOPV）,sabin strain inactivated poliovirus vaccine[IPV（sabin）],salk strain inactivated poliovirus vaccine（IPV）,diphtheria,tetanus,acellular pertussis,inactivated poliovirus and Haemophilus influenza type b combined vaccine（DTaP-IPV-Hib） in Pudong New Area of Shanghai from 2016 to 2021 were collected through the Chinese AEFI information system,and analyzed by descriptive epidemiological methods. Results A total of 3 262 AEFI cases of poliomyelitis related vaccines were reported in Shanghai Pudong New Area from 2016 to 2021（286.93/100 000 doses）. The reported incidence of AEFI of bOPV,IPV（sabin）,IPV（salk） and DTap-IPV-Hib was 12.03,78.74,90.30 and 1 075.75（χ²=7 166.67, P<0.05）. Of all the AEFI reported,99.63% were common reactions and 0.31% rare ones（most of the reported cases were anaphylactic rashes）. Most of the reported AEFI cases were children <1 year old. 55.61% of the reported cases occurred after first or second dose/time,AEFI incidence rates for bOPV mainly occurred after third or fourth dose/time. 96.87% of the reported cases occurred within 48 h following vaccination. Conclusion The poliomyelitis related vaccines in Pudong New Area of Shanghai have a good safety.

Analysis on prevalence and trends of notifiable infectious diseases in Chaoyang District of Beijing from 2016-2021

HE Li, MENG Haiying, WANG Shan, JIANG Xiaohong, ZHAO Wei

2023, 39(21):  2970-2975. 

Asbtract ( 17 )   PDF (3424KB) ( 4 )  

References | Related Articles | Metrics

Objective To understand the epidemic and changing trends of notifiable infectious diseases in the Chaoyang District of Beijing,provide a basis for developing prevention and control strategies for infectious diseases. Methods The data on the surveillance of notifiable infectious diseases in Chaoyang District of Beijing from 2016 to 2021 were collected from the Chinese disease prevention and control information system,and the descriptive epidemiological methods were used to analyze the incidence characteristics and prevalence laws of notifiable infectious diseases in the area. Results A total of 204 807 cases of notifiable infectious diseases were reported in Chaoyang District from 2016 to 2021,with an annual average reported incidence of 923.23/100 000,a reported number of 239 deaths,and an annual reported mortality of 1.08/100 000. The incidence of notifiable diseases increased first but then decreased from 2016 to 2021,while the incidence of hepatitis C dominated the trend of notifiable diseases. By transmission route,respiratory infectious diseases were reported the most,showing an upward and a downward trend,followed by intestinal infectious diseases,showing a decreasing trend. Influenza,other infectious diarrheal diseases,and hand,foot,and mouth disease were the top 3 causes of illness. The reported incidence in males（958.20/100 000） was higher than that in females（887.39/100 000）. The reported incidence of type A and B infectious diseases was the highest in the 0-<6 years-old group at 165.36/100 000,and the reported incidence of type C infectious diseases was highest in the 0-<6 years-old group at 8 560.64/100 000. The high incidence occupations were diaspora children,preschool care children,and household and unemployed personnel. The year-round incidence of type A and B infectious diseases showed no obvious peak,and the year-round incidence of type C infectious diseases showed three peaks,including March to April,June to August,November to January of the following year. The monthly distribution curve trend of type A,B and C was similar to type C,and the monthly distribution of notifiable infectious diseases was mainly dominated by type C infectious diseases. The top 5 places for the reported incidence of type A,B and C infectious diseases were Jinsong Office（1 649.68/100 000）,Laiguangying Township（1 560.01/100 000）,Pingfang Township（1 324.03/100 000）,Gaobeidian Township（1 317.99/100 000）,and Nanmofang Township（1 305.79/100 000）. Conclusion The core of notifiable infectious disease prevention and control in Chaoyang District of Beijing from 2016 to 2021 is the high incidence rate of type C infectious diseases,and it is necessary to focus on the prevention and control of respiratory infectious diseases,pay attention to the high growth rate,high incidence rate and new infectious diseases,and implement comprehensive prevention and control strategies based on different manifestations of infectious diseases.

Research on psychological resilience and influencing factors of nursing staff in cardiac surgery intensive care unit in Guangzhou City

TANG Fang, CHEN Yinhua, LAI Dongmei

2023, 39(21):  2976-2979. 

Asbtract ( 23 )   PDF (907KB) ( 20 )  

References | Related Articles | Metrics

Objective To investigate the psychological resilience and related influencing factors of nurses in the intensive care unit（ICU） of hospital cardiac surgery. Methods Totally 40 nurses from the ICU of cardiac surgery in Sun Yat-sen Memorial Hospital of Sun Yat-sen University were selected as the research subjects from February to April 2022. The Connor-Davidson resilience scale（CD-RISC） was used to conduct a special survey,and t test Spearman correlation analysis and logistic regression were used to analyze its influencing factors. Results The total score of psychological resilience of ICU nursing staff in cardiac surgery was （56.82±9.33）points,which is lower than the total score of psychological resilience of in-service nurses in China[（87.28±13.28）points]. There was a statistically significant difference in the total score of psychological resilience between the two groups（P<0.05）. The results of correlation analysis showed that the scores of psychological resilience and the scores of three dimensions were positively correlated to the educational level,working hours and night shift status of ICU nurses（all P<0.05）. There were statistically significant differences in the psychological resilience scores among nurses with different educational level,working hours,professional title,night shift,employment nature and workplace tension（all P<0.05）. The multivariate logistic regression analysis showed that educational level,working hours,night shift and employment nature were independent-risk factors affecting the psychological resilience of nursing staff[OR（95%CI）=1.933（1.209-3.022）,1.633（1.101-2.659）,2.052（1.551-3.123）,2.177（1.583-3.296）]. Conclusion The psychological resilience level of ICU nurses in cardiac surgery is relatively low,and the influencing factors are complex,so the managers should intervene based on corresponding factors to improve the psychological status of ICU nurses in cardiac surgery.

Source analysis and health risk evaluation of polycyclic aromatic hydrocarbons in atmospheric PM_2.5 during heating period in two urban areas of Xining City

LUO Liang, JI Xiuliang

2023, 39(21):  2980-2984. 

Asbtract ( 23 )   PDF (887KB) ( 14 )  

References | Related Articles | Metrics

Objective To understand the main sources of polycyclic aromatic hydrocarbons（PAHs） in atmospheric fine particulate matter（PM_2.5） and the health risks to the population during the heating period in two urban areas of Xining City. Methods PM_2.5 samples were collected on the 10th-16th of each month from November 2020 to March 2021,and PAHs concentrations were detected by high performance liquid chromatography（HPLC）. The source analysis was performed using the characteristic ratio method and principal component analysis,and finally the population health risk was assessed by a lifetime excess cancer risk model. Results The median concentrations[M（P₂₅,P₇₅）] of PAHs during the heating period in Chengbei District and Chengdong District of Xining City were 74.92（35.31,171.09） and 45.13（26.54,68.92） ng/m³ respectively,and the difference was statistically significant（P<0.05）. The results of the characteristic ratio method as well as the principal component analysis method showed that the sources of PAHs pollution in the Chengbei District were mainly motor vehicle exhaust emissions（48.66%）,coal combustion（16.05%）,petroleum combustion（11.54%）,and gasoline combustion（9.53%）,while the sources of PAHs pollution in the Chengdong District were mainly a mixture of coal combustion and motor vehicle exhaust emissions（58.44%）,and petroleum combustion（17.07%）. The attainment rates of benzo[a]pyrene in the two urban areas were 26.19% and 40.48% respectively,and the difference was not statistically significant（P>0.05）. The total carcinogenic equivalent concentrations were 12.71 and 6.28 ng/m³ respectively. The carcinogenic risk range of PAHs was 4.28×10^-6-3.27×10^-5,and the expected life loss range was 26.60-203.33 min. Conclusion The PAHs pollution in atmospheric PM_2.5 during the heating period in Xining city has potential health risks for local residents.

Investigation on overweight and obesity among children and adolescents in central Jiangsu Province

BAI Lili, ZHU Weiwei

2023, 39(21):  2985-2989. 

Asbtract ( 22 )   PDF (970KB) ( 11 )  

References | Related Articles | Metrics

Objective To understand the status quo of overweight and obesity among children and adolescents in central Jiangsu Province,analyze its influencing factors,so as to provide scientific basis for formulating targeted prevention and control measures. Methods From October to December 2020,a total of 4 026 students from 13 schools in one urban area and one suburban county in the central region of Jiangsu Province were selected by stratified random cluster sampling method. The online questionnaire survey and physical measurement were conducted,and the data were analyzed. Results The detection rate of overweight in children and adolescents in central Jiangsu Province was 19.92%,the detection rate of overweight in boys（23.06%） was higher than that in girls（16.63%）,and the difference was statistically significant（χ²=26.036,P<0.05）. The detection rate of obesity was 21.56%,the detection rate of obesity in boys（26.02%） was higher than that in girls（16.89%）,and the difference was statistically significant（χ²=49.609,P<0.05）. There was statistically significant difference in overweight and obesity detection rates in different grades（χ²_overweight=13.175,χ²_obesity=73.347,both P<0.05）. The detection rate of overweight in residential students was higher than that in non-residential students,while the detection rate of obesity was lower than that in non-residential students,and the differences were statistically significant（χ²_overweight=4.237,χ²_obesity=27.694,both P<0.05）. The detection rates of overweight and obesity in students who did not eat sweets were higher than those who ate sweets,and the differences were statistically significant（χ²_overweight=8.277,χ²_obesity=11.087,both P<0.05）. The detection rate of obesity in students who did not eat fresh fruits was higher than that in students who ate fresh vegetables and fruits,and the differences were statistically significant（χ²_obesity=18.802,P<0.05）. The detection rate of obesity in students who did moderate or high intensity exercise was higher than that in students who did not exercise,and the differences were statistically significant（χ²_obesity=7.353,P<0.05）. The detection rate of obesity was higher among those who attend physical education classes than those who do not attend physical education classes（χ²_obesity=5.731,P<0.05）. The factors affecting overweight were school period and gender,and the factors affecting obesity were school period,gender and diet（all P<0.05）. Conclusion The status of overweight and obesity in children and adolescents in central Jiangsu Province,where urbanization process is fast,is serious,which should be paid more attention to,especially in boys of low grade,the influencing factors are mainly school period,gender and diet,and effective and targeted intervention measures are urgently needed.

Analysis on current status of influenza vaccination among students aged 3-12 years old in Nayong County of Guizhou Province and influencing factors of parental hesitancy to influenza vaccine

YU Na, WANG Chang, HU Qing, ZUO Jun, LUO Yun

2023, 39(21):  2990-2994. 

Asbtract ( 24 )   PDF (949KB) ( 24 )  

References | Related Articles | Metrics

Objective To understand the status of influenza vaccination among students aged 3-12 years old in Nayong County of Guizhou Province and influencing factors of parental hesitancy to influenza vaccine，as well as the parents' acceptance of influenza vaccines during the influenza season from 2021 to 2022. Methods The convenience sampling was used to collect 2 public kindergartens and 2 primary schools in Nayong County from September to October 2021. The online questionnaire surveys were conducted on parents of students in four schools to analyze the influencing factors of influenza vaccine coverage rate and vaccine acceptance level. Results Among 751 parents of students participating in the questionnaire survey，41.01%（308） of them took their children to receive the influenza vaccine in 2020. The fathers，those whose youngest children were 3-<6 years old，and parents who work as medical staff were more willing to vaccinate their children against influenza（OR=1.418，2.121，1.859，all P<0.05）. One child family's influenza vaccination ratewas lower than the the family with three children or more（OR=0.458，P<0.05）. Among the parents who did not take their children toreceive the influenza vaccineduring the influenza season of 2020-2021，58.99%（443/751） were willing to accept influenza vaccineduring the influenza season of 2021-2022，of which 58.69%（260/443） of parents completely accepted the influenza vaccine，39.28%（174/443） were hesitant about influenza vaccines，and 2.03%（9/443） refused influenza vaccine. The parents with personal average monthly income of 5 000-<7 500 yuan and the parents who question the importance and effectiveness of vaccines had higher vaccine hesitancyduring the influenza season of 2021-2022（OR=2.166，3.236，1.855，all P<0.05）. The parents who are worried about the adverse reactions of the vaccine，parents who don't have time to get vaccinated and don't know where to get vaccinated had the high degree of acceptance of the vaccineduring the influenza season of 2021-2022（OR=0.362，0.323，0.224，all P<0.05）. Conclusion Among the parents of students aged 3-12 years old in Nayong County of Guizhou Province，the main factors causing hesitation in influenza vaccines include insufficient trust in influenza vaccines，complacency caused by lack of emphasis on the severity of influenza hazards，and insufficient convenience for vaccination，it is recommended to increase the promotion of the protective effect and contraindications of influenza vaccines，enhance the trust of parents in the vaccine，reduce their complacency，and enhance the convenience of students receiving influenza vaccines to increase the vaccination rate and reduce the occurrence of campus epidemics.

Investigation on status of health literacy of medical students in higher vocational colleges in Yancheng City

HE Miao, HUO Jianghua, CHEN Ziyue, CHENG Xi, LI Kaixin, WANG Wenlei

2023, 39(21):  2995-2999. 

Asbtract ( 22 )   PDF (871KB) ( 10 )  

References | Related Articles | Metrics

Objective To understand the health literacy level of medical students of higher vocational colleges in Yancheng City,discuss the influencing factors of health literacy of medical students in higher vocational colleges,and provide the basis of making the key points and strategies about health education for them. Methods The questionnaire was designed in the basis of the Health Literacy Survey Questionnaire for Chinese Residentscompiled by the National Health Commission in 2020,including three dimensions and six categories of questions. A questionnaire survey was conducted among 1 171 students from a higher vocational medical college in Yancheng City. Results The total score of health literacy among medical students in a higher vocational college in Yancheng City was （53.17±12.85）points,with the possession rate of 41.25%. Among them,the possession rate of health literacy of preventive medicine and medical inspection technologywas 49.85% and 29.16% respectively,and the difference was statistically significant（P<0.05）. The possession rate of basic knowledge and ideas,healthy lifestyle and and behavior,and basic skills of health literacy were 43.98%,46.37% and 49.53%,respectively,and the differenceswere statistically significant（all P<0.05）. Conclusion The medical education in schools can improve health literacy,but there is imbalance between different majors,and the schools can strengthen health literacy general education and improve the health literacy level of all medical students.

Prevalence of non-alcoholic fatty liver disease in Chinese adults：A meta-analysis

ZHANG Jinjun, LYU Meng, CHEN Hao, YU Haixiao, ZHANG Shuxiang

2023, 39(21):  3000-3003. 

Asbtract ( 17 )   PDF (933KB) ( 9 )  

References | Related Articles | Metrics

Objective To systematically evaluate the prevalence of nonalcoholic fatty liver disease in Chinese adults. Methods The Chinese and English studies on the prevalence of nonalcoholic fatty liver disease in Chinese adults were searched in PubMed,The Cochrane Library,Web of Science,CNKI,VIP,Wanfang and CBM databases from January 2012 to March 2022. The Stata15.0 software was used for meta-analysis,and subgroup analysis was conducted by gender,region and year. Results The prevalence of nonalcoholic fatty liver disease in Chinese adults was 32%（95%CI：27%-36%）. The subgroup analysis showed that the prevalence in males（36%） was higher than that in females（23%）,the prevalence in southern region（34%） was higher than that in northern region（28%）,and the prevalence in 2017-2021（32%） was higher than that in 2012-2016（31%）. Conclusion The prevalence of nonalcoholic fatty liver disease in adults is high in China,so the prevention and treatment measures should be strengthened to reduce the prevalence of nonalcoholic fatty liver disease.

Status and risk factors of central venous catheter-related thrombosis in cancer patients：A meta-analysis

WANG Daoxin, LIU Nan, SHI Zeyuan, PENG Huizhen, GUAN Ningxiao, ZHAO Wenli

2023, 39(21):  3004-3010. 

Asbtract ( 34 )   PDF (960KB) ( 5 )  

References | Related Articles | Metrics

Objective To analyze the status and risk factors of central venous catheter-related thrombosis in cancer patients.Methods The related articles on independent risk factors for central venous catheter-related thrombosis in cancer patients were searched in PubMed,Web of Science,Cochrane Library,CNKI,Wanfang,CBM,EBSCO and other databases,which were retrieved from database establishment to May 2022. The outcome measures were combined and meta-analysis was performed using RevMan5.3 software. Results A total of 10 628 patients were included in 17 literatures,including 832 cases of catheter-related thrombosis,the infection rate was 7.82% and there were 10 risk factors. The OR value and 95%CI of independent risk factors were analyzed：age >60 years old（OR=2.73,95%CI：2.62-2.84）,secondary adjustment of catheter position（OR=2.93,95%CI：1.94-4.41）,catheter type（OR=2.08,95%CI：1.58-2.73）,ectopic catheter（OR=2.64,95%CI：2.00-3.48）,D-dimer level（OR=1.18,95%CI：1.10-1.27）,tumor mode metastasis（TNM） was late stage（OR=3.07,95%CI：2.25-4.18）,chemotherapy（OR=2.40,95%CI：1.59-3.62）,tumor site（OR=3.14,95%CI：2.09-4.74）,combined diabetes（OR=2.60,95%CI：1.65-4.09）,previous history of catheter-related thrombosis（OR=4.03,95%CI：1.69-9.61）,and the difference was statistically significant among all groups（P<0.05）. Conclusions Age>60 years old,secondary catheter position adjustment,catheter type,catheter ectopic,higher D-dimer level,advanced TNM stage,chemotherapy,tumor site,previous history of catheter-related thrombosis,and combined diabetes are independent risk factors forcentral venous catheter-related thrombosis in cancer patients. Clinically,attention should be paid to high-risk groups and related risk factors,and effective intervention measures should be taken to reduce the occurrence of central catheter-related thrombosis

Investigation and Research

Analysis of virulence genes and drug resistance of Vibrio parahaemolyticus in aquatic products and aquaculture water in Shenzhen City from 2015-2020

ZHANG Jinjin, CHEN Haochuan, CHEN Runli, WANG Jiahao, LI Lingling, LIU Song

2023, 39(21):  3011-3014. 

Asbtract ( 21 )   PDF (924KB) ( 11 )  

References | Related Articles | Metrics

Objective To understand the virulence genes and drug resistance spectrum of Vibrio parahaemolyticus in aquatic products and aquaculture water in Shenzhen City from 2015 to 2020. Methods The virulence genes of thermostable direct hemolysin（TDH）,TDH-related hemolysin（TRH） and thermolabile hemolysin（TLH） of 96 strains of Vibrio parahaemolyticus from the food risk and cholera surveillance in Shenzhen City were screened by multiplex fluorescence quantitative PCR technology. The resistance to 17 kinds of antibiotics was determined by the minimum inhibitory concentration（MIC）. Results None of the 96 strains of Vibrio parahaemolyticus contained tdh and trh genes,and the tlh gene carrier rate was 100%. The resistance rate of strains to ampicillin was the highest,which was 93.75%,and the intermediate rate was 5.21%. The intermediate rate to cefazolin was the highest,which was 42.71%,followed by cefepime and aztreonam,the intermediary rates were 16.67% and 10.42% respectively. All strains were sensitive to nine antibiotics including cefotetan,ceftazidime,ciprofloxacin,gentamicin,ceftriaxone,nitrofurantoin,imipenem,levofloxacin and tobramycin,and the sensitivity rate was 100%. Conclusion The virulence of Vibrio parahaemolyticus from aquatic products and aquaculture water in Shenzhen City from 2015 to 2020 is less,it is generally resistant to ampicillin,the strains also have a certain degree of resistance and intermediary to other antibiotics,and individual strains show multidrug resistance.

Overview

Research progress on decent work perception of nurses

BAO Bin, CHEN Jiantao, DUAN Haizhen, XIE Chunqi, HE Xin

2023, 39(21):  3015-3018. 

Asbtract ( 25 )   PDF (849KB) ( 23 )  

References | Related Articles | Metrics

The decent work perception refers to workers' individual perceptions of the extent to which their rights and interests are protected at work,and improving nurses' decent work perception can improve their sense of professional identity and reduce their turnover intention. The research on nurses' sense of decent work is still at an early stage in China,therefore,the paper reviews the progress of research on nurses' sense of decent work,introduces the assessment tools for measuring the sense of decent work,understands the factors influencing nurses' sense of decent work,and proposes strategies to effectively improve nurses' sense of decent work,so as to provide reference for nursing healthcare institutions and managers.

Research advance on pollution status and detection technology of neonicotinoids pesticides in water environmental systems

LUO Jia, ZHOU Xiaolong

2023, 39(21):  3019-3024. 

Asbtract ( 21 )   PDF (967KB) ( 6 )  

References | Related Articles | Metrics

The neonicotinoids are the fourth largest class of insecticides after organophosphates,carbamates,and pyrethroids. In recent years,due to widespread use of neonicotinoid insecticides,it has been continuously detected in water environment systems,which have potential risk to ecological environment and human health. This article has summarized the pollution status of neonicotinoids in surface water,groundwater,source water and drinking water,as well as the detection technology,so as to provide the basis for establishing ecological standards and assessing the exposure level.