Objective To explore how attachment and pain belief mediate the relationship among coping strategies and adjustment to chronic pain in elderly community residents.Methods The demographic questionnaire,the Chinese version of Brief Pain Inventory,Coping Strategies Questionnaire-Revised,Experiences in Close Relationship-Revised,Pain Beliefs and Perceptions Inventory were used to investigate 242 patients in chronic pain.Results Attachment avoidance mediate the relationship between brace face,between bad feeling,between ignorance of pain and adjustment to chronic pain,with the mediation effects being 0.047,0.031 and 0.017 respectively,accounting for 27.99％,6.28％ and 7.28％ of total effect.The belief of continuing pain mediates the relationship between bad feeling and adjustment to chronic pain,with the mediation effect being 0.043,accounting for 9.54％ of total effect.The belief that pain can not be relieved mediates the relationship between bad feeling and adjustment to chronic pain,with the mediation effect being 0.022,accounting for 4.89％ of total effect.Conclusions Attachment avoidance,belief of continuing pain and belief that pain can not be relived play mediation roles between coping strategies and adjustment to chronic pain,attachment avoidance accounts for a more important role in all.

Objective To investigate current knowledge levels of medical staff for hypoglycemia care process in endocrinology department and provide basis for related knowledge training and interventions. Methods A total of 119 medical workers were recruited and investigated using self-made hypoglycemia care process questionnaire via cross-sectional survey.Results The correct rates in knowledge of carbohydrate foods number, first retest time after eating, treatments for patients who were not recover after first eating and retest time of patients who were recover after eating were low (<70%). The correct rates of first retest time after eating in nurses (75.9%, 55.6%) were better than doctors (42.2%, 22.2%). The correct rates of first retest time after eating and treatments for patients who were not recover after first eating were significantly different among patients with individual degrees (P<0.05).Conclusions The knowledge levels of medical staff for hypoglycemia care process in endocrinology department are not high and different among individuals. The training of hypoglycemia care process is necessary.

To summarize the reform measures of nursing vertical management in our hospital under the background of diagnosis related groups,including refined performance management,cancellation of nursing main pharmacy classes,implementation of attending nursing working group,establishment of DRGs nursing quality control coder position,head nurse responsible for bed allocation,deepening nursing quality management and other measures,so as to provide references for other hospitals to carry out the reform of nursing vertical management under the background of DRGs.