Objective To investigate the current status of death coping ability, death attitude and stress state among emergency department nurses, and to analyze the relationship between the three. Methods Participants were selected using the convenience sampling method from emergency department nurses working at five tertiary hospitals in Chongqing between December 2024 and January 2025. Data were collected using a general information questionnaire, the Coping with Death Scale, the Chinese version of the Death Attitude Profile-Revised, and the Chinese version of the Perceived Stress Scale. Results A total of 246 valid questionnaires were retrieved. The average total score of death coping ability among emergency department nurses was (136.93±26.98), which fell into the moderate level based on the Coping with Death Scale classification criteria. Neutral acceptance was the predominant death attitude, with an average item score of (3.71±0.62), accompanied by the polarizing feature of coexisting death avoidance and death fear. The average total score of perceived stress was (26.19±5.61), indicating a state of stress overload. The results of hierarchical multiple linear regression analysis showed that age, neutral acceptance, approaching acceptance, educational background, and sense of loss of control had an impact on death coping ability (P＜0.05). Conclusion It is recommended to construct a three-level intervention system encompassing death education, stress management skills training, and individualized psychological support, so as to enhance emergency department nurses’ death coping ability and occupational mental health.
ObjectiveTo know the life attitude and its influence factors of nursing undergraduates in a school of nursing,so as to provide the theoretical evidence for the exploration of the way of life education. MethodsA cluster sample of 246 nursing undergraduates were asked to complete the survey,who were sampled from grade 2008 to grade 2011 in a University of Sichuan province between Nevember and December 2011.Then we used the way of questionnaire to analyze and research the life attitude and its influence factors of nursing students,and this study mainly used the Life Attitude Scale (LAS) questionnaire which was made by Taiwan scholar Manying Xie. ResultsThe total score of the investigated nursing students'attitude to life was 365.1±43.6,and the total and each level scores were higher than Taiwan college students and the differences were statistically significant (P<0.01).Female students'total score of attitude to life and the existence sense dimension were significantly higher than male students'(P<0.05).The third grade students'score of love and care level had a significant difference with the second grade and the first grade students (P<0.05).Through correlation analysis,nursing students'life attitude and self-rating interpersonal relationship (r=0.256,P=0.000),the situation of families talking about death (r=0.210,P=0.001),whether there was a Dutch act idea (r=0.172,P=0.007),family income (r=0.151,P=0.017),gender (r=0.130,P=0.042) and whether had siblings (r=-0.143,P=0.025) were positively correlated. ConclusionWe should carry out targeted life and death education for nursing students to promote them to establish positive life attitude and value.
Objective This study aimed to analyze the current status and influencing factors of physical activity in children with epilepsy, providing evidence for developing targeted intervention strategies. Methods A cross-sectional survey was conducted from July 2024 to March 2025, involving 97 children with epilepsy aged 6 ~ 19 years with undergoing 24-hour electroencephalogram monitoring and parents of pediatric patients from a tertiary hospital in Shandong Province, China. The General Information Questionnaire, the Physical Activity Intention Scale for Children and Adolescents with Cancer, the Godin Leisure Time Physical Activity Questionnaire, and Tampa Scale for Kinesiophobia-11 were used to investigate general information about children and adolescents with epilepsy and parents, attitudes, perceived behavioral control, and behavioral intentions, the physical activity, and kinesiophobia levels of children and adolescents with epilepsy. Multi-factor ordinal logistic regression analysis was employed to identify influencing factors of physical activity levels. Results The median physical activity score for children with epilepsy was 52.00 MET (IQR: 47.00 ~ 57.00). None of the children aged 6 ~ 17 years met the minimum weekly moderate-to-vigorous physical activity (MVPA) standards recommended by the Chinese Physical Activity Guidelines for Children and Adolescents or WHO (420 minutes/week, 60 minutes/day × 7 days). The daily average sedentary time was (6.79±3.24) hours, significantly exceeding the WHO-recommended threshold (<2 hours/day).Univariate analysis demonstrated statistically significant differences in the children's physical activity levels with epilepsy based on parental perceptions of activity importance and parental encouragement for physical activity (H=15.779; H=8.034, all P<0.05). Spearman correlation analysis revealed significant positive associations between physical activity levels and activity attitudes (r=0.275), perceived behavioral control (r=0.330), and behavioral intentions (r=0.281) (all P<0.01), while kinesiophobia exhibited a significant negative correlation (r=−0.237, P<0.05). Multi-factor ordinal logistic regression analysis identified perceived behavioral control [OR=0.751, 95%CI (−0.509, −0.065)], occasional parental companionship in physical activities [OR=0.157, 95%CI (−3.660, −0.043)], and frequent parental encouragement [OR=0.000, 95%CI (−16.577, −14.272)] as protective factors for adequate physical activity (all P<0.05). Conversely, kinesiophobia emerged as a significant risk factor [OR=1.113, 95%CI (0.007, 0.207), P<0.05]. Conclusion Insufficient physical activity levels and excessive sedentary behavior are prevalent among children with epilepsy. Enhancing perceived behavioral control, increasing parental companionship during and encouragement for children's engagement in physical activities and reducing kinesiophobia may serve as critical intervention targets to improve physical activity levels in this population.
ObjectiveTo investigate primary healthcare workers' knowledge, attitude and behaviour, and explore the way of guidelines' popularization, application and surveillance mechanism in primary healthcare institutions. MethodsHealthcare workers in seven township hospitals in Gaolan county, Gansu province were given a questionnaire to test their knowledge, attitudes and behaviour regarding Clinical practice guidelines. ResultsAmong the 143 distributed questionnaires, 143 valid were retrieved. The results showed that 80% of respondents knew the guidelines and 51% had used guidelines in treatment, 32% obtained guidelines mainly through distribution by affiliations. The most popular type of guidelines was self-developed by native departments. Respondents (37%) considered difficult availability of guidelines major barriers to popularization, 74% failed to receive training about guidelines, 88% looked forward to special organizations in charge of disseminating guidelines and conducting related training on how to apply guidelines. ConclusionPrimary healthcare workers report low awareness of, attention to and compliance with clinical practice guidelines. The greatest challenge for guidelines' popularization in township hospitals is difficult availability and it is of vital importance for primary institutions to enhance guidelines' implementation and strengthen learning and conduct training.
ObjectiveTo explore the knowledge and attitude of pain management in undergraduate nursing students, analyze the influencing factors, and improve the future education of the undergraduate nursing students. MethodsA total of 220 undergraduate nursing students were investigated with the Knowledge and Attitudes Survey Regarding Pain between November 2014 to June 2013. ResultsUndergraduate nursing students were lack of cognition on pain management and attitude, with an average wrong answer rate of 55.70%; the difference in reading related books or journals in pain, pain management training, and frequency of usage of pain assessment tools among the influential factors were significant (P < 0.05). The most common factor was the lack of pain management training. ConclusionsThe knowledge level of pain management in undergraduate nursing students who are lack of pain management training needs to be improved. Medical schools might optimize pain management courses, and hospitals should enhance the pain management training of clinical nurses so as to make them assess patients correctly by using pain assessment tools. In addition, it's necessary to enhance the nursing students' pain management practice during the clinical practice, so as to improve the pain management knowledge level in undergraduate nursing students.
ObjectiveTo develop Knowledge attitude behavior and practice (KABP) health education path table, and to explore its application in health education of physician-nurse collaboration for children with epilepsy, and provide practical reference for health education of children with epilepsy.MethodsA convenient sampling method was used to select 94 family units of children with epilepsy and their main caregivers from the Department of Neurology in Hunan Children’s Hospital from September 2018 to March 2019. Divided into observation group and control group, 47 cases in each group. In the control group, the health care education was carried out by the conventional method of medical personnel’s one-way input of knowledge. The observation group conducted health education through interactive participation in the path of the health education path of KABP on the basis of regular health education. Then compared the effect of the health education between the two groups.ResultsAfter the intervention, the quality of life scores of the observation group were significantly higher than the control group (P<0.01). The relevant knowledge scores of main caregivers at 1 and 3 months after discharge were significant higher than those in the control group (P=0.008, P=0.001). The medication compliance scores of children with epilepsy at 1 and 3 months after discharge were significant higher than those in the control group (P=0.010, P=0.006).ConclusionsThe KABP health education pathway can improve the knowledge level of caregivers, as well as the medication compliance and quality of life of children with epilepsy.
ObjectivesTo investigate the knowledge, attitude and practice (KAP) of hepatitis E among Anlu residents and to identify the influencing factors.MethodsA stratified random sampling method was used and 1 840 Anlu residents were recruited between March 2019 and September 2019. Chi-square test and multivariate logistic regression model were used to analyze the influencing factors by SPSS 22.0 software.ResultsThe overall awareness rate of residents was 36.32%. There were statistically significant differences in age, occupation category and education (P<0.05). Qualification rate of awareness increased with age until age 40, but not with age after 40. Individuals occupationally exposed to swines (swine breeders, sales staff, slaughterers) had the lowest rates. Education level was positively associated with the qualification rate of awareness. The overall positive attitude rate was 53.89%. The overall healthy behavior rate was 82.95%.ConclusionsThe overall knowledge and awareness of hepatitis E among Anlu residents is low, especially individuals who have been occupationally exposed to swines. Health education and promotion programs are necessary.
Objective To investigate the mastery of the management knowledge of patients with atrial fibrillation after coronary artery bypass grafting by cardiac surgeons in Beijing tertiary hospitals, and the practice status and obstacles of following the guidelines for postoperative atrial fibrillation. Methods A convenient sampling method was used to select cardiac surgeons from four tertiary hospitals in Beijing, and a self-designed questionnaire on the management of postoperative atrial fibrillation patients was used. Results A total of 227 valid questionnaires were collected. Only 47.9% of doctors and 12.8% of nurses passed in knowledge, and 31.3% of doctors and 28.5% of nurses passed in behavior. Among them, risk factor assessment, preventive medication, stroke and bleeding risk assessment were the weakest. "Lack of departmental requirements" was identified as a common barrier to healthcare workers' adherence to guidelines. Job title and participation in training were common influencing factors that affected the knowledge and behavior of healthcare workers, and knowledge level was an important factor affecting healthcare worker behavior. Conclusion In order to improve the effect of CABG surgery and improve the quality of postoperative patient management, hospitals should further strengthen the knowledge and skills training of medical staff on the management guidelines of postoperative atrial fibrillation with CABG, formulate relevant systems to ensure the clinical implementation of guidelines.
Objective To investigate the status of the knowledge, attitudes and intervention behaviors in medical professionals in the prevention and treatment of deep vein thrombosis (DVT), and explore the weak links in knowledge-attitude-practice of DVT. Methods From December 2017 to February 2018, a convenient sampling method was used to extract 158 medical professionals out of 204 medical professionals from Department of Orthopedics, West China Hospital of Sichuan University. The questionnaire included the general information and basic situation of DVT learning, the knowledge of DVT, intervention attitude and implementation of preventive measures. The survey involved orthopedic doctors, nurses, rehabilitation therapists and nutrition managers. Results A total of 158 questionnaires were distributed and 150 valid questionnaires were completed. The effective questionnaire recovery rate was 94.9%. The mean score of basic knowledge of DVT was 6.45±1.83, the mean score of risk factors was 13.29±3.38, the mean score of intervention attitudes was 9.57±0.78, and the mean score of prevention implementation was 23.33±5.85. Conclusions The knowledge-practice of DVT intervention in orthopedic medical staff is moderate, and the attitude of DVT intervention is better among medical staff. There are various characteristics and weaknesses in knowledge-practice. It is necessary to regularly carry out knowledge about DVT among medical staff to improve the professional level of medical staff to prevent and treat DVT.
Objectives To describe the attitude , subjective norm and behavioral intention of ICU nurses toward mechanically ventilated patients in Chengdu. Methods The modified version of Attitude, Subjective Norm and Behavioral Intention of Nurses Toward Mechanically Ventilated Patients (ASIMP) was used to investigate ICU nurses in three tertiary-level hospitals in Chengdu. Results The attitude, subjective norm and behavioral intention among ICT nurses respectively toward mechanically ventilated patients were 69.1%, 91.3%, and 95.9%. Conclusion The attitude, subjective norm and behavioral intention of most ICT nurses toward mechanically ventilated patients were positive.