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    01 June 2026, Volume 42 Issue 11
    Treatise
    Analysis of the mediating effect of professional identity of nurses in infectious disease hospitals on psychological resilience and occupational burnout
    ZHANG Ying, YE Yun, DING Jiaqi, WANG Fang, SHI Pengfei
    2026, 42(11):  1441-1445. 
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    Objective To understand the current status of professional identity,psychological resilience,and occupational burnout among nurses in infectious disease hospitals,and explore the mediating mechanism of professional identity between the two,in order to provide theoretical basis for improving nurses' occupational mental health. Methods From February to March 2025,a convenience sampling was used to survey 246 nurses from 9 infectious disease hospitals in Jiangsu Province using general information questionnaires,the Connor Davidson resilience scale(CD-RISC),the occupational identity scale,and the occupational burnout scale,and the data were analyzed. Results The psychological resilience score of nurses in infectious disease hospitals was (39.41±6.71)points,the occupational identity score was (113.66±21.53)points,and the occupational burnout score was (59.60±21.42)points. The comparison of occupational burnout scores among nurses in infectious disease hospitals with different marital statuses and whether they had participated in the handling of public health emergencies showed statistically significant differences(all P<0.05). The total score of psychological resilience was positively correlated with the total score of occupational identity(r=0.735, P<0.05),and negatively correlated with the total score of occupational burnout(r=-0.422,P<0.05). The total score of occupational identity was negatively correlated with the total score of occupational burnout(r=-0.515,P<0.05). The mediating effect of occupational identity on psychological resilience and occupational burnout accounted for 77.22% of the total,with an indirect effect value of -0.474. The Bootstrap test showed that the mediating pathway of occupational identity was significant(P<0.01). Conclusion The professional identity of nurses in infectious disease hospitals in Jiangsu Province is the core mediating pathway for psychological resilience to alleviate occupational burnout. Nurses with high psychological resilience significantly reduce occupational burnout by enhancing their professional identity. It is recommended that nursing managers enhance nurses' professional identity through systematic interventions to block the potential pathway of psychological resilience transforming into burnout,and provide empirical evidence for occupational mental health interventions in the field of infectious disease nursing.

    Intervention study of self-management model based on empowerment theory on respiratory function and self-management efficacy in patients with coal workers' pneumoconiosis
    ZHANG Yixiang, LING Dongqing, ZHU Ruolan, WEI Huini, WEI Shunyu, HUAN Huaying
    2026, 42(11):  1446-1450. 
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    Objective To explore a self-management model based on empowerment theory and through a quasi-experimental study,systematically verify its intervention effects on improving self-management efficacy,respiratory function,and health-related quality of life in patients with coal workers' pneumoconiosis. Methods A total of 120 patients with coal workers’ pneumoconiosis admitted to the Guangxi Zhuang Autonomous Region Workers' Hospital from August 2023 to August 2024 were divided into two groups according to the order of admission. The control group(n=60) received conventional care,while the intervention group(n=60) received an 8-week structured self-management intervention based on empowerment theory in addition to conventional care. The effects were assessed in both groups before and after 8 weeks of intervention using the St. George's respiratory questionnaire(SGRQ) and a self-management behaviour questionnaire for pneumoconiosis patients. Categorical data between groups were compared using the χ2 test or Fisher's exact test depending on theoretical frequency. SGRQ scores were described using MP25P75) and compared between groups using the Mann-Whitney U test. Self-management behavior scores were analyzed using ANCOVA with pre-intervention scores as covariates to control baseline imbalances. Results After controlling for baseline,the intervention group scored significantly higher than the control group in the dimensions of "symptom management" and "disease knowledge management" of self-management behavior(F=15.412,21.434,both P<0.01). SGRQ assessment showed that there were no statistically significant differences between the two groups in terms of "respiratory symptoms" "impact on daily life" "activity capacity" or "total score"(Z=-1.160,-1.423,-0.242,0.646,all P>0.05). Conclusion Empowerment-based self-management can effectively enhance symptom management and disease knowledge in patients with coal workers’ pneumoconiosis,but does not significantly improve short-term quality of life. This model provides evidence-based support for targeted reinforcement of core self-management skills in patients.

    Impact of the chain mediating effect of professional identity and work stress on optometrists' job burnout and job satisfaction
    CHU Zhenhai, LI Lihua, DENG Zhenyuan, LUO Nina
    2026, 42(11):  1451-1456. 
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    Objective To explore the intrinsic mechanisms of professional identity and work stress in the relationship between job burnout and job satisfaction among optometrists,analyze the direct impact path of job burnout on job satisfaction,as well as the indirect mechanism of professional identity and work stress,so as to provide a theoretical basis and intervention strategies for improving optometrists' occupational mental health and enhancing their job satisfaction. Methods From February to April 2025,a questionnaire survey was conducted among 300 optometrists in Tianjin,and general information questionnaires,professional identity scale,job stress scale,job satisfaction scale,and job burnout scale were used to collect data for descriptive statistics,correlation analysis,and mediation effect testing. Results There were statistically significant differences in the scores of job burnout among optometrists with different age,professional titles,and monthly incomes(F=11.216,5.180,4.034,all P<0.05). Among them,the job burnout level was relatively higher in the 40-<50 years age group[(3.26±0.37)points],the intermediate professional title group[(3.10±0.38)points],and the monthly income group of 0-<5 000 yuan[(3.13±0.39)points]. Job burnout was negatively correlated with job satisfaction and professional identity(r=-0.691,-0.728,both P<0.05),while positively correlated with work stress(r=0.482,P<0.05). Work stress showed negative correlations with both professional identity and job satisfaction(r=-0.451,-0.440, both P<0.05),and professional identity was positively correlated with job satisfaction(r=0.719,P<0.05). The direct effect of job burnout on job satisfaction was -0.482,accounting for 45.80% of the total effect;the total mediating effect was -0.526,accounting for 52.20% of the total effect. Conclusion There is a significant correlation among job burnout,work stress,and professional identity,and all these factors exert a significant impact on job satisfaction. Professional identity plays an important mediating role in the negative relationship between job burnout and job satisfaction. Therefore,enhancing optometrists' professional identity and job satisfaction,as well as strengthening psychological support and counseling,can effectively prevent and alleviate job burnout,thereby improving optometrists' occupational health and job satisfaction.

    Investigation and integrated risk assessment of occupational hazards in domestic waste incineration power generation enterprises in Gansu Province
    YANG Chao, LUO Bin, LI Xuanzhu
    2026, 42(11):  1457-1462. 
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    Objective To investigate the current status of occupational hazards in some waste incineration power generation enterprises in Gansu Province,analyze the comprehensive risk level,and provide a basis for occupational disease prevention and control in related enterprises. Methods Data on occupational hazard factor detection and evaluation from 2022 to 2024,occupational health examinations and the configuration of occupational disease protection facilities from 2021 to 2025 were collected from five domestic waste incineration power generation enterprises in Gansu Province. Occupational hazard job classifications were conducted according to current national standards,followed by a comprehensive risk classification assessment. Results The primary occupational hazards identified in these enterprises included silica dust,hydrogen sulfide,ammonia,carbon monoxide,sulfur dioxide,hydrogen chloride,nitrogen oxides,high temperature,and noise. The qualified rates for the concentration or intensity of each hazard factor were 100%. Among the main positions,the operational grading results for hazard factors showed that 1 positions(2.7%) were classified as Level I or above,while 36 positions(97.3%) were classified as Level 0 or do not meet the grading criteria,and the comprehensive risk category for all enterprises was Class B. Conclusion The overall occupational hazards in domestic waste incineration power generation enterprises in Gansu Province are currently under control. However,due to the relative complexity of the hazards,certain positions still pose relatively high risks. It is recommended to implement integrated management measures focused on key control points,strengthen regulatory oversight and technical support,and continuously improve the level of occupational disease prevention and control.

    Analysis on level and influencing factors of serum tumor markers in occupational pneumoconiosis
    KUANG Jingru, HUANG Ming, ZHANG Ying, LIANG Weihui
    2026, 42(11):  1463-1469. 
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    Objective To clarify the changes in the expression levels of tumor markers in the serum of patients with occupational pneumoconiosis and deeply analyze the various influencing factors that cause these changes. Methods judgment sampling method was used to select 255 patients with occupational pneumoconiosis who visited the Occupational Disease Department of Guangdong Provincial Institute for Occupational Disease Prevention and Control from January 2021 to December 2023 as the research subjects. They were divided into stage Ⅰ,stageⅡ and stage Ⅲgroups according to the stage of pneumoconiosis,into silicosis and non-silicosis groups according to whether they had silicosis,and into 0-<6,6-<11,11-<21 and ≥21 years groups according to the duration of the disease. The peripheral blood was collected from the patients to detect the levels of neuron-specific enolase(NSE),cytokeratin-19-fragment(CYFRA21-1),pro-gastrin-releasing peptide(ProGRP),and alpha-fetoprotein(AFP). A multiple linear regression model was used to analyze the influencing factors of serum tumor marker indicators. Results There were statistically significant differences in gender distribution,age,dust exposure time,duration of diagnosis,and mask wearing rate among patients of different stages(all P<0.05). There were statistically significant differences in dust exposure time,age at first dust exposure,and noise exposure rate between silicosis and non-silicosis patients(all P<0.05). There were statistically significant differences in duration of diagnosis,age at diagnosis,age at first dust exposure,mask wearing rate,and noise exposure rate among patients with different disease durations(all P<0.05). The abnormal rate and level of serum NSE in patients with occupational pneumoconiosis increased with the increase of pneumoconiosis stage,and there were significant differences among different stages(all P<0.05). The abnormal rate and level of serum CYFRA21-1 in patients of stageⅡand stageⅢ pneumoconiosis were higher than those in stageⅠ(all P<0.05). Compared with the 0-<6 years group,the level of serum CYFRA21-1 in the 11-<21 years group was significantly increased(P<0.05). The level of serum AFP in non-silicosis patients was higher than that in silicosis patients(P<0.05). The results of multiple linear regression analysis showed that the stage of pneumoconiosis was an influencing factor for the levels of serum NSE and CYFRA21-1(all P<0.05),the age at first dust exposure,whether it was silicosis,smoking and stage of pneumoconiosis were influencing factors for the level of serum ProGRP(all P<0.05),and the age at first dust exposure, gender,and whether it was silicosis were influencing factors for the level of serum AFP(all P<0.05). Conclusion The levels of serum tumor markers in occupational pneumoconiosis patients are regulated by disease stage,type,age and smoking,and their dynamic changes can provide an important reference for disease monitoring.

    Correlation analysis of non-compliant tasks,work-family conflict and job burnout among nurses in department of gastroenterology
    YAO Qiaoying, ZENG Weimin, GUO Min, WANG Hongli
    2026, 42(11):  1470-1474. 
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    Objective To understand the status of non-compliant tasks,work-family conflict and job burnout among nurses in department of gastroenterology,explore their correlation,and provide an objective basis for constructing intervention programs to reduce job burnout. Methods A total of 175 nurses in the department of gastroenterology in nine grade-A tertiary hospitals in Shanghai City were selected as the subjects by the convenience sampling method from February to March 2025. The non-compliance task scale,work family conflict scale and job burnout scale were used for investigation,and the correlation among the three was analyzed. Results The score of noncompliance task of nurses in digestive department was (28.86±5.24)points,the score of work-family conflict was (61.74±13.46)points,and the score of job burnout was (60.82±12.37)points. There were statistically significant differences in the score of job burnout among digestive department nurses of different age,professional technical grade,years of gastroenterology nursing,monthly salary,marital status,and number of monthly night shifts(all P<0.05). The occupational burnout of digestive nurses was positively correlated with non-compliant tasks and work-family conflict(r=0.622,0.604,both P<0.01),and non-compliant tasks were positively correlated with work family conflict(r=0.587,P<0.01). The work-family conflict partially mediated the relationship between non-compliant tasks and occupational burnout among digestive nurses,the effect value was 0.325,accounting for 46.90% of the total effect. Conclusion The nurses in the department of gastroenterology have high levels of non-compliance tasks and job burnout,work-family conflict plays a partial mediating role between non-compliance tasks and job burnout,and reducing the level of non-compliance tasks and work-family conflict of nurses in the department of gastroenterology is conducive to reducing the level of job burnout.

    Study on role of miR345-5p in metallic cadmium-induced acute liver injury
    LIU Xiaoling, YANG Jingjing, LIN Linghong
    2026, 42(11):  1475-1479. 
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    Objective To investigate the regulatory mechanism of miRNA in metallic cadmium-induced acute liver injury,screen key molecules of miRNAs associated with cadmium induced liver injury. Methods Male C57BL/6 mice were randomly divided into a control group and a cadmium-exposed group. The exposed group received intraperitoneal injections of 2 mg/kg cadmium chloride solution,while the control group was administered normal saline. The serum and liver tissues were collected post-exposure to evaluate liver injury severity and measure the expression levels of miR345-5p and its target gene GSTM2. L02 cells were treated with metallic cadmium to assess changes in cell viability and the expression of miR345-5p and GSTM2. The dual-luciferase reporter system was employed to validate miR345-5p's regulatory effect on GSTM2. Results The metallic cadmium exposure induced acute inflammatory responses in mouse livers,with miR345-5p expression increasing by 6.85-fold and GSTM2 expression decreasing by 0.64-fold. In L02 cells,miR345-5p and GSTM2 exhibited a dose-response relationship to cadmium exposure. Transfection with miR345-5p mimic reduced the mRNA expression of GSTM2 and decreased cell viability by 72.38% in cadmium-treated cells. The dual-luciferase assay confirmed that miR345-5p mimic significantly reduced fluorescence intensity in the wild-type group but not in the mutant group. Conclusion The miR345-5p exacerbates metallic cadmium-induced acute liver injury by downregulating GSTM2 expression.

    Determination and correlation analysis of characteristic components in different medicinal parts of Abrus cantoniensis Hance
    LIANG Ren, CHEN Libo, CHEN Feng, FAN Wenyan, LI Jinyang
    2026, 42(11):  1480-1485. 
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    Objective To establish a high performance liquid chromatography(HPLC) method for the simultaneous determination of abrine,Erythrine and Shaftoside in Abrus cantoniensis Hance,and to conduct correlation analysis on the content determination results of leaves,stems and roots of Abrus cantoniensis Hance,exploring the content characteristics and regularity of different medicinal parts of Abrus cantoniensis Hance. Methods ZORBAX SB-C8 chromatographic column(4.6 mm×250 mm,5 μm) was used,with 0.2% ammonium acetate-triethylamine buffer solution(pH=8.0)-methanol as mobile phase,gradient elution,flow rate of 1.0 mL/min,and detection wavelength of 220,277 nm. Correlation analysis were carried out by using IBM SPSS Statistics 27 statistical software. Results Abrine,Erythrine and Shaftoside had a good linear relationship in the range of 9.15-274.60 μg/mL(r=0.999 7),9.02-270.50 μg/mL(r=0.999 8),18.87-377.40 μg/mL(r=0.999 8),respectively. The recovery rate of each component was in the range of 92.2%-108.0%. Abrine in Abrus cantoniensis Hance stem was positively correlated with Erythrine(P<0.01),while there was no significant correlation between different components in other parts. There were statistically significant differences in the contents of Abrine,Erythrine and Shaftoside and the total amount of the three components in leaves,stems and roots(all P<0.01). Conclusion The method established in this study for simultaneous determination of the contents of abrine,Erythrine and Shaftoside in Abrus cantoniensis Hance has strong operability and high accuracy,and a reasonable correlation analysis method,providing a scientific basis for quality control and use of Abrus cantoniensis Hance.

    Analysis of the first laboratory test results of newly elderly HIV patients in Nanchang City from 2018 to 2022
    ZHENG Yangyun, FENG Changhua, QI Xiaotong, LU Liang, TU Zhibin, LUO Shenggen
    2026, 42(11):  1486-1490. 
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    Objective To understand the immune function status and the level of virus replication in newly elderly human immunodeficiency virus(HIV) patients in Nanchang City from 2018 to 2022,in order to predict disease progression. Methods Western blot(WB),flow cytometry and real-time polymerase(real-time PCR) were used to test the antibody bands patterns,the value of cluster of differentiation 4 receptors(CD4+T) lymphocytes counts and the viral load in 606 newly found elderly HIV infected patients in Nanchang City from 2018 to 2022. Results Out of the 606 cases of newly elderly HIV infected patients in Nanchang City from 2018 to 2022,the detection rates of WB specific bands gp160 and gp120 were 100.00%,the positive rate of bands of gp41,p24,p66,p31,p51,p17,p39,p55 were 98.35%,96.53%,94.72%,91.25%,89.77%,52.48%,47.03% and 24.42%,respectively. There were many types of WB bands,but the main band types were total bands,missing p55 band,missing p55+p39 bands,missing p55+p39+p17bands,accounting for 19.47%,15.68%,13.36% and 24.92%,respectively. The value of CD4+T lymphocytes counts from newly elderly HIV infected patients was (209.03±161.14)cells/μL,and the range of CD4+T lymphocytes counts 50-200,201-350 and >350 cells/μL were 245(40.43%),182(30.03%),91(15.02%),respectively. The value of viral load from newly elderly HIV infected patients was (4.95± 0.81)log/mL,and the range of viral load <3,3-4,>4-5 and >5 log/mL were 16(2.64%),49(8.09%),253(41.75%),288(47.52%),respectively. Through correlation analysis,it was confirmed that the number of WB bands was positive correlation with the count of CD4+T lymphocyte and negative correlation with the viral load,and the count of CD4+T lymphocyte was negatively correlated with the viral load. Conclusion From 2018 to 2022,the newly elderly HIV infected patients in Nanchang City were associated with lower immunity,but highly viral replication. The WB bands patterns,CD4+T Lymphocyte counts and viral load can help to judge immune status,determine disease stages and monitor disease progression of elderly patients.

    Determination of 16 polycyclic aromatic hydrocarbons in edible oil using modified solid-phase extraction coupled with gas chromatography mass spectrometry
    DONG Xinfeng, FENG Pei, WU Mingjun, YANG Lixue
    2026, 42(11):  1491-1496. 
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    Objective To establish a method for simultaneous detection of 16 polycyclic aromatic hydrocarbons(PAHs) in edible oil by modified solid-phase extraction/gas chromatography mass spectrometry(SPE-GC/MS). Methods The samples were saponified by potassium hydroxide ethanol solution,extracted with n-hexane,purified with Eu-PAH solid phase extraction column and concentrated with nitrogen blowing,then detected by GC-MS. Results Under the selected conditions,the separation degree of 16 PAHs was good. The method showed satisfactory linearity over the range assayed(10-500 ng/mL)(all r>0.994),and the limits of detection(LOD) ranged from 0.15-1.0 μg/kg,the limits of quantitation(LOQ) ranged from 0.5-3.3 μg/kg. The recoveries varied from 60.48% to 107.30% with relative standard deviation(RSD) of 1.87% to 12.30% at spiked levels 3. Conclusion The established method has reliable data and high sensitivity,and is suitable for the determination of PAHs in edible oils.

    Pullution characteristics and risk assessment of pentachlorophenol in bamboo and wood products for food contact in Hainan Province
    LU Yanni, YI Changwen, NIE Hongqian, HUANG Han, XING Kun
    2026, 42(11):  1497-1501. 
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    Objective To investigate the pollution characteristics of pentachlorophenol in bamboo and wood products for food contact in Hainan Province and assess the risk dietary exposure. Methods Totally 100 bamboo and wood products for food contact were randomly collected from 18 cities and counties in Hainan Province during 2020 and 2023. The contents of pentachlorophenol were determined by gas chromatography-mass spectrometry. Results The qualified rate of pentachlorophenol was 74.0%,the average was 0.506 mg/kg,26 samples exceeded the standard,and the over-standard rate was 26.0%. The over-standard rate and average value of bamboo and wood chopsticks were 14.0% and 0.080 mg/kg,respectively. The over-standard rate and average value of pentachlorophenol in bamboo and wood cutting boards were higher than those in bamboo and wood chopsticks,at 38.0% and 0.931 mg/kg,respectively. Among the 10 materials,2 materials of bamboo and wood products had a 50% over-standard rate of pentachlorophenol,which were Okan wood and rubber wood,respectively. The over-standard rate of pentachlorophenol in bamboo and wood products produced in Hainan and Fujian was higher than that in Zhejiang and Guangdong. The result of dietary exposure assessment showed that the estimated daily dietary intake(EDI) of pentachlorophenol through bamboo chopsticks and bamboo cutting boards were 0.001 3 and 0.015 5 mg/(kg·BW),respectively,and the hazard quotients(HQ) were 2 and 26,respectively,indicating potential health risks. Conclusion The dietary intake of pentachlorophenol from bamboo and wooden products for food contact presents a potential health risk,so further dietary exposure risk assessment should be carried out based on more accurate food consumption data. At the same time,risk management measures should be taken to control the use and migration of pentachlorophenol,and the exposure risk of pentachlorophenol should be controlled by means of science popularization and technological innovation.

    Correlation analysis between dietary patterns and cognitive impairment in the elderly in Tianjin City
    XIE Meiqiu, LI Dandan, LI Wei, ZHENG Wenlong, XUE Xiaodan
    2026, 42(11):  1502-1505. 
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    Objective To explore the prevalence of cognitive dysfunction in the elderly in Tianjin City and its association with dietary patterns,and to provide dietary suggestions for the prevention of cognitive dysfunction. Methods Study subjects were 1 473 elderly individuals aged ≥60 years who were re-surveyed in 2024,originating from the Tianjin subpopulation of the 2015 Surveillance of Chronic Diseases and Nutrition in Chinese Adults. Factor analysis was used to extract dietary patterns,factor scores were calculated for each dietary pattern of the survey subjects,the scores were divided into four levels(Q1,Q2,Q3,Q4) from low to high quartiles,and multivariate Logistic regression was used to analyze the association between cognitive dysfunction and dietary patterns. Results A total of 1 473 subjects were included in this study,including 154(10.45%) with cognitive dysfunction,and the result of the factor analysis KMO test was 0.756,and four dietary patterns were obtained:meat-aquatic product mode,potato and bean algae mode,vegetable fruit and egg mode,and cereal and potato mode. Multivariate Logistic regression analysis revealed that compared with the Q1 group,the Q3 and Q4 subgroups of the cereal and potato mode were negatively correlated with cognitive dysfunction,with OR of 0.578(95%CI:0.354-0.944) and 0.506(95%CI:0.305-0.837). The vegetable fruit and egg mode was also negatively correlated with cognitive dysfunction(Q2:Q1,OR=0.579,95%CI:0.345-0.970). Conclusion It is recommended that the elderly increase their intake of whole grains,potatoes,various soy products,mushrooms,kelp and seaweed.

    Correlation analysis on work stress,negative psychology and professional identity among supply room nurses
    CHEN Li, CHEN Xin, REN Wencui, ZHANG Chi
    2026, 42(11):  1506-1510. 
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    Objective To investigate the levels of work stress,negative psychology,and professional identity among supply room nurses and explore their correlations. Methods Supply room nurses from three hospitals in Jiangsu Province from January to December 2024 were selected as the survey subjects. A general information survey,Chinese nurse stressor scale(CNSS),depression anxiety stress scales 21(DASS-21) and professional identity scale were used for the questionnaire survey. Univariate and multivariate Logistic regression analysis were used to identify influencing factors of work stress levels among supply room nurses,and Spearman correlation analysis was conducted to examine the relationships between work stress,negative psychology,and professional identity among supply room nurses. Results The CNSS score of 132 supply room nurses was (80.14±4.58)points,the nurse professional identity scale score was (100.05±9.38)points,and the DASS-21 score was (18.51±4.42)points. There were statistically significant differences in CNSS scores of supply room nurses with different educational backgrounds,working years,professional titles,marital statuses,and training experiences(all P<0.05). The work stress level of supply room nurses was negatively correlated with the professional identity level(r=-0.418--0.534,all P<0.01),positively correlated with negative psychology(r=0.397-0.568,all P<0.01),and the professional identity was negatively correlated with negative psychology(r=-0.315--0.474,all P<0.01). Educational background,working years,professional title,training,professional identity,and negative psychology were influencing factors of work stress level among supply room nurses(all P<0.05). Conclusion Education level,work experience,professional title,and training significantly influence work stress level of supply room nurses,and the work stress,negative psychology,and professional identity level of supply room nurses are all at a relatively high level.

    Mediating role of change fatigue between personal-organizational fit and proactive professional behaviors among oral and maxillofacial surgical nurses in Sichuan Province
    LI Xiaohua, PU Jingjing, YANG Xiaoxiao, ZHAO Jing
    2026, 42(11):  1511-1516. 
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    Objective To investigate the current status and influencing factors of proactive professional behaviors,and analyze the mediating role of change fatigue between personal-organizational fit and proactive professional behaviors. Methods From December 2024 to January 2025,331 oral and maxillofacial surgical nurses from 16 general hospitals in Sichuan Province were selected by convenience sampling as the study subjects. The general information questionnaire,change fatigue scale,individual-organizational fit scale,and proactive occupational behavior scale were adopted for questionnaire survey,and the data were analyzed. Results The personal-organizational fit score of 331 oral and maxillofacial surgical nurses in Sichuan Province was(139.44±20.50)points,the change fatigue score was (26.26±7.60)points,and the proactive occupational behavior score was (41.95±9.42)points. The personal-organizational fit score was negatively correlated with the change fatigue score(r<0,P<0.05) and positively correlated with the proactive occupational behavior score(r>0,P<0.05). The change fatigue score was positively correlated with proactive occupational behavior score(r>0,P<0.05). The professional title,marital status and age were the main influencing factors of proactive occupational behavior(all P<0.05). The mediator of change fatigue between the sense of personal-organizational fit and proactive occupational behavior was 0.106 3,which accounted for 18.1% of total effect. Conclusions The change fatigue,sense of personal-organizational fit and proactive professional behavior of 331 oral and maxillofacial surgical nurses in Sichuan Province are at a moderately high level. The younger the age,the higher the title,and the stronger the proactive professional behavior of unmarried nurses are. The change fatigue partially mediates the relationship between sense of personal-organizational fit and proactive professional behavior. The managers can take targeted measures to enhance the sense of fit between nurses and their organizations,thereby reducing their change fatigue and consequently enhancing their proactive work behaviors.

    Potential profile analysis of psychosocial safety climate in new nurses and its relationship with transition shock
    LIU Baoyu, WEI Xinglin, LI Qingqing, SUN Yumei, DOU Xinman, PANG Xiaoli
    2026, 42(11):  1517-1523. 
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    Objective To explore the potential categories of new nurses' psychosocial safety climate and analyze its relationship with transition shock. Methods A total of 404 new nurses from different regions such as Tianjin,Gansu et al were selected by the convenience sampling method from January to February 2025. The general data questionnaire,psychosocial safety climate scale and new nurse transition shock scale were used to conduct questionnaire survey,and the data were analyzed. Results Totally 404 new nurses could be divided into three potential categories:low psychological safety group(18.1%),medium psychological safety group(43.8%) and high psychological safety group(38.1%). Taking the "low psychological safety group" as a reference,the attitude towards nursing work was average(OR=5.030,P<0.05),having participated in induction training(OR=2.423,P<0.05),and the income satisfaction was relatively satisfied(OR=3.835,P<0.05) or average(OR=5.087,P<0.05) were a predictive factor for the middle psychological safety group. The attitude towards nursing work being very fond(OR=47.819,P<0.01) or relatively fond(OR=26.749,P<0.01),having participated in induction training(OR=5.066,P<0.01),and the number of night shifts per month being 0-<5(OR=3.030,P<0.05) were predictive factors for the high psychological safety group. There were statistically significant differences in transition shock scores and scores of each dimension among the three groups(all P<0.05). Conclusions There is potential heterogeneity in the psychosocial safety climate of 404 new nurses,and it affects the transition shock. It is suggested to intervene new nurses with different types of psychosocial safety climate according to the influencing factors to reduce the shock of their transition shock.

    Analysis of epidemiological characteristics of pertussis in Binzhou City from 2017 to 2023
    ZHENG Yanfang, DONG Huijuan, DU Zhibo, YAO Yutao
    2026, 42(11):  1524-1528. 
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    Objective To understand the epidemiological characteristics of pertussis in Binzhou City,and provide support for formulating prevention and control strategies of pertussis in Binzhou City. Methods The reported cases of pertussis in Binzhou City from 2017 to 2023 were collected through the National Health Security Disease Control and Prevention Information System,and descriptive epidemiological analysis methods were used to study the spatial,temporal,and demographic distribution characteristics of the reported pertussis cases in Binzhou City from 2017 to 2023. Results From 2017 to 2023,1 918 cases of pertussis were reported in Binzhou City,with no deaths,and the average annual pertussis incidence was 6.92/100,000. There was a statistically significant difference in the reported incidence rate of pertussis between different years(P<0.01). The highest incidence rate was reported in Huimin County(15.31/100 000),while the lowest incidence rate was reported in Boxing County(2.64/100,000). There was a statistically significant difference in the incidence rate of pertussis among people in different counties(cities,districts)(P<0.01). The onset of the disease was mainly concentrated from July to November,with a slightly higher incidence in male patients than in females,but there was no significant difference in the incidence rate between the two(P>0.05). The age of onset was mainly concentrated in children aged 0-<10 years old,with a total of 1 831 cases,accounting for 95.5% of the total number of cases. Among all reported cases,1 913 cases were reported among scattered children,children in nursery,and students,accounting for 99.74% of the total number of reported cases. Among the reported cases,1 232 cases had received 4 doses of the pertussis vaccine,accounting for 64.24%. Conclusion The incidence of pertussis in Binzhou City is showing an upward trend,with an increasing number of cases in older children. Children and students remain the key populations for pertussis prevention and control. It is recommended to strengthen the surveillance of pertussis,do a good job in routine immunization and catch-up vaccination of pertussis vaccine,explore and improve pertussis immunization strategies,and optimize immunization program,strengthen training,improve the diagnostic and reporting capabilities of medical institutions for pertussis,and continuously promote health education and publicity work to achieve effective control of the epidemic.

    Study on relationship between compassion fatigue and resilience,work engagement in obstetric nurses in Jiangsu Province
    YU Pingping, HOU Yiping, SUN Dandan
    2026, 42(11):  1529-1533. 
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    Objective To explore the status quo of compassion fatigue,resilience and work engagement of obstetric nurses in grade-A tertiary hospitals of Jiangsu Province,analyze the influencing factors of work engagement. Methods From February to December 2024,213 obstetric nurses who were collected from five grade-A tertiary hospitals of Jiangsu Province by the convenience sampling method were investigated by the general information questionnaire scale,compassion fatigue scale,resilience scale and work engagement scale,and the data were analyzed. Results The empathy fatigue score of 213 obstetric nurses was (75.41±0.48)points,the resilience score was (58.53±0.51)points,and the work engagement score was (32.65±0.36)points. The empathy fatigue of obstetric nurses was negatively correlated with resilience and work engagement(r=-0.864,-0.710,both P<0.01),and resilience was positively correlated with work engagement(r=0.687,P<0.01). The age,whether having children,empathy fatigue and resilience were the influencing factors of work engagement of obstetric nurses(all P<0.05),which explained 74.4% of the total variance. Conclusions The work engagement of 213 obstetric nurses from five grade-A tertiary hospitals of Jiangsu Province is at a medium level. The compassion fatigue and resilience of nurses have a direct impact on their work engagement. The nursing managers can focus on young and childless obstetric nurses,organize positive psychological workshops regularly,alleviate compassion fatigue of obstetric nurses in time,improve their resilience level,and further improve their work engagement.

    Time poverty status of medical and nursing staff in Suzhou City and its negative impact on their sense of work meaning
    ZHU Lijuan, XIONG Meijuan
    2026, 42(11):  1534-1538. 
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    Objective To investigate the status of time poverty among medical and nursing staff in Suzhou City and its impact on their sense of work meaning,as well as to analyze the mediating mechanism of time poverty weakening their sense of work meaning by reducing intrinsic goals and increasing extrinsic goals. Methods A convenience sampling method was employed to conduct a questionnaire survey among 328 medical and nursing staff in Suzhou City from September 2024 to January 2025. The questionnaire included a time poverty scale,an intrinsic goals scale,an extrinsic goals scale,and a work meaning scale,and the data were analyzed. Results The average score for time poverty among 328 medical and nursing staff was (3.94±1.68)points,the average score for intrinsic goals was (5.45±0.81)points,the average score for extrinsic goals was (4.41±1.06)points,and the average score for work meaning was (5.35±0.89)points. There were statistically significant differences in the scores of time poverty among medical and nursing staff with different age,positions,professional titles,marital statuses,work locations,and subjective socioeconomic statuses(all P<0.05). Time poverty was significantly negatively correlated with work meaning and intrinsic goals(r=-0.642,-0.668, both P<0.05),and positively correlated with extrinsic goals(r=0.273,P<0.05). The direct effect of time poverty on work meaning was -0.390(P<0.05),and intrinsic goals partially mediated between time poverty and work meaning,with a mediation effect value of -0.166(P<0.05),accounting for 29.49% of the total effect. Conclusion Time poverty among medical and nursing staff not only directly diminishes their sense of work meaning but also indirectly weakens it by reducing intrinsic goals. Therefore,enhancing time management and fostering the establishment of intrinsic goals among medical and nursing staff may help mitigate the adverse impact of time poverty on work meaning.

    Pollution characteristics,source analysis,and health risk assessment of metal elements in ambient PM2.5 in Chengdu City
    HU Yan, ZHAO Kui
    2026, 42(11):  1539-1543. 
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    Objective In order to achieve precise environmental prevention and control and protect human health,the pollution characteristics,source analysis and health risks of heavy metals in particulate matter(PM2.5) in Chengdu City were evaluated. Methods The 54 and 50 effective atmospheric PM2.5 samples were collected in December 2023 and April 2024 in Chenghua District of Chengdu City. The concentrations of 14 heavy metal elements(Al,As,Cd,Fe,Pb,etc) in PM2.5 were determined by Wavelength dispersive X-ray fluorescence(WDXRF). The sources of heavy metals were analyzed by enrichment factor method and positive matrix factorization(PMF),and the health risk of heavy metal was evaluated by risk assessment model. Results The total concentration of heavy metals in spring(10 843.8 ng/m3) was 1.5 times that of winter(6 896.6 ng/m3). Out of the measured heavy metal elements in PM2.5,Al,Mg,Fe,K and Zn exhibited the highest concentrations,collectively accounting for 67% in winter and 84% in spring. The enrichment factor(EF) of Cd was 1 113.4,which was heavily enriched. PMF source analysis showed that heavy metal elements in PM2.5 in winter and spring were mainly derived from traffic source,crustal sources,combustion source and industrial source. Health risk assessment analysis showed that the risk of carcinogenicity was significant,and the risk of non-carcinogenicity was low. The total carcinogenic risk and total non-carcinogenic risk of adults were 2.1 times that of children. The carcinogenic risk of As to adults was >10-4,indicating a carcinogenic risk,while the non-carcinogenic risk of As was also relatively high. Conclusion The Cd has the highest enrichment factor,and the carcinogenic risk and non-carcinogenic risk of As are higher,and certain measures should be taken to supervise the emission reduction of these two elements,such as metal smelting,alloy anti-corrosion industry,and coal combustion.

    Health risk assessment of chemical pollutants in the air of four types of public places in Karamay City
    LIU Hongying, SONG Shaolong, SHI Haiyun, YIN Siyu, GU Yanqi
    2026, 42(11):  1544-1548. 
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    Objective To understand the exposure status of chemical pollutants in the air of four types of public places in Karamay City,and assess the non-carcinogenic risk and carcinogenic risk(CR) for workers. Methods The exposure levels of formaldehyde,benzene,toluene,and xylene in the air of key public places,such as hotels,barber shops,beauty salons,and gyms,in Karamay City from 2022 to 2024 were analyzed. The risk assessment model was established using the U.S. Environmental Protection Agency(US EPA) four-step method to evaluate the non-carcinogenic risk and CR of workers due to respiratory exposure. Results A total of 403 samples were tested over three years. The compliance rate for formaldehyde was 92.80%,for benzene was 97.77%,for toluene was 100.00%,and for xylene was 99.75%. Risk assessment demonstrated that the hazard quotient(HQ) for formaldehyde was greater than 1 in the median values of hotels,barber shops,and beauty salons,and the 75th percentile(P75) in gyms was greater than 1. The median HQ for benzene was less than 1,but the maximum value was greater than 1. The HQ for toluene and xylene was less than 1. In the four types of public places,the CR for formaldehyde had a minimum value greater than 10-6. The P75 values for hotels,barber shops and beauty salons were greater than 10-4,and the maximum value for gyms was greater than 10-4. The CR for benzene was 10-6-10-4 for both P75 and maximum values. Conclusion Formaldehyde poses a high non-carcinogenic risk and CR to workers in four types of public places in Karamay City and should be prioritized for pollution control. Although benzene has a lower non-carcinogenic risk,it presents a potential CR and should be monitored. It is recommended to carry out continuous monitoring and evaluation in the future.

    Exploration and effect evaluation of school-based health education models on air pollution for primary school students
    WEI Li, ZHANG Yi, GUO Qihang, SUN Fengxia, GONG Xing, XIONG Lilin
    2026, 42(11):  1549-1553. 
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    Objective To understand the awareness of health knowledge about air pollution among primary school students in Jiangbei New Area of Nanjing City,carry out health promotion intervention,and evaluate the effect of the intervention,so as to provide reference for improving the health level of primary school students. Methods From December 2023 to February 2024,the multistage cluster sampling method was used to select two primary schools that had not conducted air pollution health promotion. A baseline survey on the air pollution health knowledge for primary school students in grades 3-5 was conducted,while the health promotion interventions were carried out,and the effectiveness was evaluated. Results This study surveyed a total of 654 students,including 275 in grade 3,218 in grade 4,161 in grade 5. Before the intervention,the overall awareness rate,and the awareness rates of basic knowledge,basic attitudes,and basic behaviors and skills among primary school students in grades 3-5 were 56.42%(369/654),42.05%(275/654),64.53%(422/654) and 47.55%(311/654),respectively. After the intervention,these rates were 93.43%(611/654),62.84%(411/654),92.35%(604/654) and 90.37%(591/654),respectively. Among students of grade 4,the difference in the awareness rate of basic attitudes was not statistically significant between before and after the intervention(P>0.05). Among students of other grades,there were statistically significant differences in the awareness rates between before and after the intervention(all P<0.05),with post-intervention scores being higher than pre-intervention scores. There were positive correlations between the awareness rates of basic knowledge,basic attitudes,and basic behaviors and skills(all P<0.05). The grade level,father's education level,mother's education level,average annual family income,and the frequency of participation in health education on air pollution were positively correlated with the awareness rate of air pollution health knowledge among primary school students(all P<0.05). The mediating effect of basic attitudes contributed 2.18% to the total effect. Conclusions The awareness rate of air pollution health knowledge among primary school students in Jiangbei New Area of Nanjing City is relatively high,with higher rates after the intervention compared to before. The influencing factors include grade level,parents' education levels,average annual family income,and the frequency of participating in health education on air pollution.

    Research on development trends of health association standards in China from a scientometric perspective
    SONG Wang, BAI Qian, ZHOU Yi, YANG Ming, YU Fangqing, CHANG Cheng
    2026, 42(11):  1554-1558. 
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    Objective To analyze the developmental status and research hotspots in the literature concerning health association standards in China,provide references for the high quality development of health association standards. Methods A systematic search and screening of research literature related to health association standards indexed in the CNKI academic journal database were conducted,with the retrieval period limited from the database's inception to May 2025. The bibliometric analysis was performed using Bicomb 2.0 software. The author collaboration networks were generated using VOSviewer 1.6.20 software,and cluster dendrograms of high-frequency keywords were generated using SPSS 27.0 software. Results A total of 232 articles were included. The publication volume showed a progressive annual increase,demonstrating an overall upward trend. The articles were distributed across 105 journals,with 12 journals publishing five or more articles. A total of 333 institutions and 1 018 authors contributed to research on health association standards. Four collaboration networks led by XIE Yanming,WANG Yanping,ZHEN Jiancun,and LIU Yuehui,respectively,were the most prominent. The research hotspots converged on five main areas:interpretation of health association standards,construction of standardization systems,nursing association standards,implementation of association standards,and research methodology for developing association standards. Conclusions China's research literature on health association standards continues to grow,with the fields of Traditional Chinese Medicine and nursing being particularly active. Current research hotspots focus on the development,interpretation,and system construction of these standards. Future efforts should prioritize strengthening implementation and evaluation studies,aiming to establish a sound,full-process operational mechanism encompassing "development-publicity-application-assessment-improvement".

    Meta-analysis of prevalence and risk factors of adolescent scoliosis in China from 2015 to 2025
    WANG Weihong, HAN Rui, SUN Xinyao, WANG Dandan, QI Jinfang
    2026, 42(11):  1559-1563. 
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    Objective To systematically evaluate the prevalence of adolescent scoliosis in China,explore its potential risk factors,so as to provide evidence-based support for early screening,prevention,and intervention. Methods The important databases such as CNKI,Wanfang,VIP,CBM,Embase,PubMed,and WOS were searched,and retrieval time was from February 2015 to February 2025. The adolescents aged 10-20 years old who met the inclusion criteria were selected as the research subjects,and the selected studies included cohort studies,case-control studies,and cross-sectional studies. RevMan 5.3 software was used for data analysis in this study,and the prevalence of adolescent scoliosis was summarized to explore the related influencing factors. To ensure the quality of the research,the Newcastle-Ottawa scale(NOS) was used for evaluation. Results The prevalence of adolescent scoliosis was 3.7%. Among the factors related to adolescent scoliosis,genetic history(OR=1.688,95%CI:1.382-2.075),female(OR=1.488, 95%CI:1.263-1.766),thinness(OR=1.331,95%CI:1.083-1.648),abnormal activity posture(OR=1.489,95%CI:1.272-1.758),electronic game addiction(OR=1.633,95%CI:1.332-2.003) and prolonged sitting posture of learning(OR=1.266,95%CI:1.172-1.379) all increased the risk of adolescent scoliosis,while overweight or obesity(OR=0.538,95%CI:0.437-0.663) and appropriate exercise(OR= 0.562,95%CI:0.468-0.684) reduced the risk of adolescent scoliosis. Conclusions The prevalence of adolescent scoliosis in China is at a relatively high level,with genetic history and electronic game addiction being the most significant risk factors,which is influenced by multiple factors together. Society should pay more attention to the spinal health of adolescents,carry out early screening for high-risk adolescents,and implement prevention through exercise intervention,behavior correction,and balanced diet.

    Health Management and Research
    Analysis of the current status and fairness of health human resources allocation in Guangzhou disease control and prevention system from 2019 to 2023
    CHENG Lin, WANG Dan, CHEN Chun, HUANG Lin, LIN Huating, MA Yu
    2026, 42(11):  1564-1568. 
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    Objective To analyze the current status and fairness of human resource allocation in Guangzhou disease control and prevention system from 2019 to 2023,and to provide a reference for optimizing human resource allocation in megacities. Methods The statistical indicators such as age and education level of personnel in disease control and prevention institutions in Guangzhou from 2019 to 2023 were collected through the China Disease Prevention and Control Information System. Descriptive analysis,health resource density index(HRDI),Lorenz curve,and Gini coefficient were used to evaluate the current status and fairness of human resources in disease prevention and control institutions in Guangzhou. Results Compared with 2019,the total human resources and the number of disease prevention and control personnel per 10 000 population in Guangzhou disease control and prevention system increased by 10.93% and 10.03%,respectively in 2023,reaching 1 957 people and 1.04/10 000 population,but still failed to meet the national ratio requirements,with a shortage of 1 337 people. The age distribution of the personnel was mainly 26-<35 years old(40.27%),and the category was mainly health technicians(81.35%). The proportion of postgraduate education had an average annual growth rate of 21.93%,and the professional title structure about 1 ∶ 1 ∶ 1. In terms of fairness,the concentration P value showed that human resources were unevenly distributed,mostly concentrated in central urban areas such as Yuexiu,Haizhu,Liwan,and Tianhe,and weak in suburban areas such as Zengcheng and Conghua. The Gini coefficient showed that health human resources based on population dimensions were better than geographical area configuration. Conclusion The total amount of human resources in the Guangzhou disease control and prevention system continues to grow,and the quality structure of personnel such as age and education is further optimized,but there are problems such as large personnel gaps and uneven regional distribution. It is recommended to leverage policy support and take into account the dynamic balance of population size and geographical space to create a compound talent team with echelon connection.

    Overview
    Research progress on the application of core training in military personnel with low back pain
    XIAO Ruoshi, WANG Wei, HUANG Xiaorun, LI Xinyi, XU Qing, LI Xia
    2026, 42(11):  1569-1573. 
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    Low back pain(LBP),a prevalent training injury in the military,presents a considerable burden on military budget and impairs military combat effectiveness. It is frequently accompanied by core muscle weakness,which can cause lumbar instability,muscle atrophy,and altered lumbar biomechanics,thereby worsening LBP symptoms. Core training has proven effective in reducing pain,enhancing back muscle endurance,improving lumbar function,and preventing military training injuries,ultimately boosting training performance. This paper summarizes the efficacy of core training in the soldiers with LBP and recent advancements in core training exercise prescriptions,and analyzes their military application strategies in order to provide reference for the prevention and treatment of LBP in the military.

    Overview of the study on the multiple mediating mechanisms of psychological resilience in the transmission of occupational stress among nurses
    HE Yifan, LIU Lingling
    2026, 42(11):  1574-1579. 
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    With the rapid development of the medical industry,nurses are under increasing occupational pressure,and the problem of occupational burnout has become prominent. As a psychological trait that can play a positive regulatory role under pressure,psychological resilience has attracted the attention of scholars in terms of the transmission mechanism of nurses' occupational stress and the buffering effect on nurses' occupational burnout. This paper comprehensively analyzes relevant domestic and foreign literature to explore the mechanism of psychological resilience in the transmission process of nurses' occupational stress and its buffering effect on occupational burnout. The study found that psychological resilience affects the occurrence and development of occupational burnout through multiple mediating pathways,and plays a regulatory and protective function. The main mediating pathways include:psychological capital mediating pathway,self-efficacy plays a key role in alleviating occupational burnout;empathy mediating pathway,moderate empathy can alleviate burnout,and excessive empathy causes fatigue;social support mediating pathway,team cohesion and leadership support enhance psychological resilience and indirectly alleviate occupational burnout. In view of the current problem of generally high psychological stress among nurses,it is proposed to carry out systematic intervention from the individual,organizational and social levels to improve the level of psychological resilience of nurses. Future related research should focus on the Chinese localization of psychological resilience measurement tools,conduct pilot studies on multi-center nurse psychological resilience assessment and clinical psychological intervention programs,and establish a scientific and effective psychological intervention model.

    Progress in the application of digital health technology in the management of burnout among medical staff
    CHANG Mengjing, HE Chunqiu, ZHENG Xuemei, TIAN Wenling, CUI Lin
    2026, 42(11):  1580-1584. 
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    In our country,there is a common phenomenon of occupational burnout among medical professionals,which has become a key issue to promote the sustainable development of medical and health undertakings. With the rapid progress of information technology,digital health care,as a core component of the digital China strategy,is getting more and more attention. The application of digital health technology not only shows great potential in improving the efficiency of patient health management,but also has a significant effect on alleviating the burnout of medical staff. This article aims to provide a comprehensive overview of digital health interventions of burnout for medical staff,in order to provide references for future research and practice in this field.