Objective To explore the pain education program on the pain intensity and beliefs of patients with cancer pain.Methods 119 patients with cancer pain were divided into the control group (61 cases) and the experimental group (58 cases) according to the patients’ room number.The control group was given general health education by the ward nurses,while the experimental group was given pain education program by research nurses.The pain intensity and beliefs of two groups were compared.Results After the implementation of pain education program,pain scores were significantly reduced in both groups,and the pain beliefs scores were significantly promoted compared with the control group.Conclusions Pain education program for cancer pain patients can improve effect of cancer pain management.

Objective To explore influences of improved intramuscular injection on quality of benzathine benzylpenicillin medication.Methods The cluster random sampling was adopted to select 178 patients who needed injection of 240U benzathine benzylpenicillin.A self-control study design was used,and benzathine benzylpenicillin was injected in both sides with each of 1 200 000 units.The left side was injected via routine method,while the right side was injected by an improved intramuscular injection.One-time success rate,degree and duration of pain during and after injection were recorded.Results The differences of one-time success rate,pain during injection,pain after injection,duration of pain after injection and incidence of induration after injection between two groups were statistically significant(P＜0.01).Conclusion The improved intramuscular injection can improve one-time success rate of benzathine benzylpenicillin,reduce pain during injection and local pain after injection,shorten duration of pain and decrease incidence of induration after injection.

Objective: To explore the clinical value of plasma copeptin level on major adverse cardiovascular event (MACE) occurrence in patients with acute ST-segment elevation myocardial infarction (STEMI) during hospitalization.
Methods: Our research included 2 groups:STEMI group, n=80 and Control group, n=80 patients with stable coronary artery disease (CAD). All patients were treated in our hospital from 2012-06 to 2014-06. Plasma level of copeptin was detected by ELISA, other relevant examinations were conducted to study the MACE occurrence in STEMI patients.
Results: Plasma copeptin level in STEMI group (523.26 ± 142.69) pg/ml was higher than that in Control group (345.25 ± 89.36) pg/ml, P<0.05. In STEMI group, there were 28/80 (35%) patients suffered from MACE, compared with non-MACE patients, they had increased plasma copeptin, cardiac muscle protein I (cTnI), kinase isoenzyme (CK-MB) and left ventricular ejection fraction (LVEF), P<0.05. Multivariate regression analysis indicated that plasma copeptin, cTnI and LVEF were the independent risk factors for MACE occurrence. According to occurred area under the curve, compared with cTnI and CK-MB, plasma copeptin level had the higher predictive value to judge the ROC, positive/negative possibility, sensitivity and speciifcity for MACE occurrence in STEAMI patients, P<0.05.
Conclusion: Plasma copeptin level could effectively predict MACE occurrence in patients with acute STEMI during
hospitalization, it may predict their prognosis at certain point.

Objective To investigate the current situation of nurses' practice environment in tertiary general hospitals in Anhui Province,and to provide references for improving it.Methods The Nursing Work Index-Revised was used to investigate nurses from 35 tertiary general hospitals in Anhui Province.Results The mean score of Nursing Work Index-Revised was 64.79±26.07.The entry of hospital has a training program for newly recruited nurses,nurses in the work team are qualified for care received the highest score;the entry of the level of remuneration of nurses is appropriate in all sectors of society,nurses have the opportunity to participate in hospital internal management and nurses have the opportunity to participate in hospital management decisions got the lowest score.Whether a teaching hospital,the number of years of work,gender,education,department,title,age and whether recruited with authorized strength played important roles in nurses' practice environment.Conclusion The score for nurses practice environmental in Anhui Province was not high,and there were differences between regions.Hospital management mode and nurse salary distribution system need to be improved.Nursing managers should take appropriate measures to address existing problems and improve the nurses' practice environment according to different characteristics.

Objective To explore the incidence of chronic postsurgical pain (CPSP) of video assisted thoracic surgery(VATS) and its influencing factors.Methods Totally 216 patients who received elective VATS in a class Ⅲ grade A hospital between January and June 2016 were selected by convenience sampling. Their pain level was assessed with Visual Analogue Scale (VAS) in 1 to 3 days after surgery. The patients were then investigated with Simplified McGill Pain Questionnaire (SF-MPQ) in 1 to 3 months after surgery,with the features of CPSP analyzed and 11 related risk factors statistically analyzed.Results The incidence of CPSP in 3 months after surgery in the 199 patients who received follow-up visits was 49.20%,of which 18.37% suffered moderate pain,and 32.65% felt constant pain. Age (OR=2.16) and pain level in 1-3 days after surgery (OR=2.25) were independent risk factors to CPSP (P<0.05).Conclusions CPSP occurred in a certain proportion of patients who received VATS. Actively and effectively controlling acute post surgical pain in especially young patients may help to reduce the incidenc of CPSP.

Objective:To explorethe effect of acceptance and commitment therapy on self-disclosure, coping style and post-traumatic growth in patients with ovarian cancer undergoing chemotherapy after surgery.Methods:A total of 84 patients with ovarian cancer undergoing chemotherapy after surgery were recruited from the gynecology ward of the First Affiliated Hospital of University of Science and Technology of China for randomized controlled trial, from February 2022 to October 2022. All participants were divided into the intervention group and the control group with 42 patients in each group by random number table method. The patients in control group received routine care. The intervention group was given acceptance and commitment therapy (ACT) on the basis of the control group and intervened for three cycles of chemotherapy. The scores of Distress Disclosure Index (DDI), Cancer Coping Modes Questionnaire (CCMQ), and Post-Traumatic Growth Inventory (PTGI) were compared between the two groups before and after intervention.Results:There was no significant difference in the scores of DDI, CCMQ and PTGI between the two groups before intervention ( P>0.05). After intervention, DDI scorein intervention group was (38.81 ± 5.96) points, significantly higher than that in control group (34.43 ± 4.79) points, the difference was statistically significant ( t = 3.71, P<0.01). In terms of coping styles, after intervention, the scores of five dimensions of fantasy, resignation, avoidance, catharsis and confrontation were 6.00(6.00, 8.00), 9.00(8.00, 12.00), 9.00(8.75, 11.00), 7.00(6.00, 8.00) and 20.00(16.00, 21.00) points in the invention group, compared with the control group of 8.00(7.75, 9.00), 11.00(9.75, 13.00), 11.00(9.00, 13.00), 9.00(8.00, 12.00) and 16.00(13.00, 18.50) points, the differences were statistically significant ( Z = 2.86 to 5.11, all P<0.01). The total PTGI score in intervention group was (71.43 ± 8.68) points, significantly higher than that in control group(63.98 ± 6.92) points, the difference was statistically significant ( t = 4.35, P<0.01). Conclusions:ACT can increase self-disclosure, enhance positive coping, and promote post-traumatic growth in ovarian cancer patientsundergoing chemotherapy after surgery.

Objective To evaluate the curative effects of esophageal voice training on life quality of laryngectomees .Methods Between June 2011 and June 2013 , 46 patients in clinical department who underwent total laryngectomies were trained by esophageal voice rehabilitation successfully .The questionnaires of performance status scale for head and neck cancer patients ( PPS-HN ) and quality of life instruments for cancer patients-head and neck cancer ( PLICP-HN) were answered by them before esophageal voice training and 3 months after successful vocal rehabilitation .Results Total laryngectomy deteriorated the performance status and life quality in laryngectomees , the mean score of PPS-HN scale was (160.76 ±78.05) evidently lower than the standard score of 300,and the difference was statistically significant (t=12.10,P<0.05).After successful esophageal speech training , the mean scores of the laryngectomees were significantly improved both in PPS-HN (217.28 ±57.66) and PLICO-HN(143.09 ±22.16) than before , and the differences were statistically significant(t=6.64,7.62,respectively;P<0.05).Conclusions The performance status and life quality of laryngectomees decline obviously , which can be improved by esophageal voice training .

Objective:To explore the willingness and main influencing factors of using mobile health management APP in patients after percutaneous coronary intervention (PCI) based on integrated information technology acceptance and use model.Methods:From July to November 2021, a total of 308 patients after PCI in Department of Cardiovascular Medicine of two ClassⅢ Grade A hospitals in Anhui Province were selected as the research objects by the convenient sampling method. The general information questionnaire and the questionnaire on patients' willingness to use mobile health management APP were used to investigate the patients after PCI. Structural equation model was used to analyze the influencing factors and path relationship of patients' willingness to use after PCI.Results:Contributing factors, effort expectation and social influence had positive effects on patients' willingness to use PCI ( P< 0.05) , and the effect values were 0.554, 0.247 and 0.138, respectively. Perceived risk and effort expectation had effects on performance expectation of patients after PCI ( P<0.05) . Conclusions:Enhancing technical support in various ways, giving play to the publicity role of medical staff, important relatives and friends and new media and improving the ease of use of products can help improve the willingness of patients to use mHealth APP after PCI.

Objective:To explore the willingness and main influencing factors of using mobile health management APP in patients after percutaneous coronary intervention (PCI) based on integrated information technology acceptance and use model.Methods:From July to November 2021, a total of 308 patients after PCI in Department of Cardiovascular Medicine of two ClassⅢ Grade A hospitals in Anhui Province were selected as the research objects by the convenient sampling method. The general information questionnaire and the questionnaire on patients' willingness to use mobile health management APP were used to investigate the patients after PCI. Structural equation model was used to analyze the influencing factors and path relationship of patients' willingness to use after PCI.Results:Contributing factors, effort expectation and social influence had positive effects on patients' willingness to use PCI ( P< 0.05) , and the effect values were 0.554, 0.247 and 0.138, respectively. Perceived risk and effort expectation had effects on performance expectation of patients after PCI ( P<0.05) . Conclusions:Enhancing technical support in various ways, giving play to the publicity role of medical staff, important relatives and friends and new media and improving the ease of use of products can help improve the willingness of patients to use mHealth APP after PCI.

Objective:To explore the classification characteristics of sense of work gain of diabetes specialist nurses in Anhui Province, and analyze the influencing factors among different latent profiles.Methods:From January to March 2023, 305 diabetes specialist nurses in Anhui Province were selected by convenience sampling. The nurses were surveyed using the General Information Questionnaire, Employees' Sense of Work Gain Scale, Role Stressors Scale, and Behavioral Trust Inventory. Latent profile analysis was used to explore the latent classes of sense of work gain of diabetes specialist nurses. Multi classification unordered Logistic regression was used to analyze influencing factors.Results:The sense of work gain of diabetes specialist nurses in Anhui Province could be divided into three latent profiles, including low gain-low salary satisfaction type, medium gain-medium to high dignity type, and high gain-high capacity perception type. Multi classification unordered Logistic regression analysis showed that age, participation in or hosting the project, role overload, perceived trust form superiors were the influencing factors of different latent classes of sense of work gain of diabetes specialist nurses, and the difference was statistically significant ( P<0.05) . Conclusions:There is heterogeneity in the sense of work gain of diabetes specialist nurses in Anhui Province. Nursing managers should intervene with different types of diabetes specialist nurses according to the influencing factors to improve their sense of work gain.