ObjectiveTo understand the status of knowledge,attitude,behaviors about stroke prevention among the high risk population,so as to provide scientific basis for health education. MethodsA selfdesigned questionnaire about knowledge,attitude,behaviors of stroke prevention was used to investigate 106 cases from clinics and communities.The contents included general data,risk of cerebral stroke,score of related knowledge,attitude,behaviors about stroke prevention. ResultsThe mean scores of knowledge,attitude,and behaviors about stroke prevention were(46.96±10.07),(70.71±12.37) and (64.29±16.23),individually.Correlation analysis showed there was significant positive correlation among the scores of knowledge,attitude,and behaviors and their age,educational levels and residence,but was not significantly correlated with sex and risk score of cerebral stroke. ConclusionsPrimary prevention about stroke should focus on the high risk population with lower educational levels,ages under 60 years old,living in suburbs,lack of stroke prevention knowledge.

Objective To assess the reliability and validity of summary of diabetes self-care activities for type 2 diabetes patients in China.Methods We selected 80 patients with type 2 diabetes to carry out our investigation and chose 10 of them to retest 2 weeks later.Results The general Cronbach's α was 0.62 with a reliability coefficient of 0.83(P<0.01).We got 8 factors with an accumulation contribution of 0.92 by main-ingredient and variance analysis.The factor loading was more than 0.80. Conclusion The Chinese version of SDSCA had good reliability and validity to evaluate the self-care activities of type 2 diabetes patients.

Through forty years' sustained efforts in the prevention and treatment of malaria in Zhejiang Province, the malaria incidence dropped from 76. 65k in the Fifties to 0. 91 in the Eighties. Three malaria epidemics emerged in 1954 ,1962 and 1973, respectively, among them the epidemic in 1962 was the most serious one with 0. 88 million cases reported and an incidence of 330. The annual incidence of the overall counties/cities was below 1 after 1988. Only 172 malaria cases were found in 1992, the incidence being 0. 04. No indigenous malaria case was found in 38 counties in 1992, accounting to 43. 7% of the total malaria endemic counties. The number of imported malara cases was 3 829, amounting to 89. 2 % of the total number of cases. Through the spot-check of the Ministry of Public Health in 1993, it was confirmed that the criteria of basic elimination of malaria in the province was attained.

Objective To explore the problems and solving countermeasures in application of nursing vertical management,and provide references for nursing post management reform.Methods Through purposive sampling method,nursing administers,clinical nurses,heads of clinical departments and performance directors from five hospitals were interviewed by semi-structured interview method.Data were analyzed using 7-step Colaizzi's phenomenological analysis method.Results Four themes were formed about the problems in application of nursing vertical management,including:affecting department management and doctor-nurse collaboration,insufficient scientificity and fairness of performance evaluation,significant issues regarding post setting of senior nurses,competence and sense of belonging of temporarily deployed nurses.Four themes were formed about the solving countermeasures in application of nursing vertical management,including:improving participation of clinical departments in nursing management,making performance system to public and asking advices of nurses,providing career development for senior nurses,and conducting standardized training and establishing reserve nurses tank.Conclusion The main problems in application of nursing vertical management consisted of affecting department management and doctor-nurse collaboration,insufficient scientificity and fairness of performance evaluation,post setting of senior nurses,and competence and sense of belonging of temporarily deployed nurses.We suggested to better apply nursing vertical management by improving participation of clinical department in nursing management,making performance system to public and asking advices of nurses,providing career development for senior nurses,and conducting standardized training and establishing reserve nurses tank.

Objective To investigate and analyze the nursing continuing education among ophthalmic nurses and provide evidence for nursing continuing education in the future.Methods A total of 1 31 ophthalmic nurses from 1 0 hospitals (9 level three class A hospitals and 1 level three class B hospital)in Beijing were chosen by convenient sampling method between October and November 201 5.The general information, continuing education within 1 year,problems in continuing education credits,and demands for continuing education were investigated in ophthalmic nurses using self-designed questionnaire.Results The purposes of continuing education in ophthalmic nurses were completing the continuing education credits (80.9%),job requirement (79.4%),and improving knowledge and skills (74.8%).It revealed a problem of obtaining credits through inappropriate methods.Regarding to the contents of continuing education for the past 1 year, there were 40.5% ophthalmic nurses who thought 30% -50% contents had instructive significance in practical work,and only 3.8% ophthalmic nurses who thought above 70% contents had instructive significance in practical work.The main forms of continuing education were department training (90.1 %)and lectures in hospitals (74.8%).The preferred forms were department training (80.9%)and study class in hospitals (63.4%).The preferred basic knowledge was basic nursing knowledge (66.4%),basic operation skills (62.6%),and nursing research (49.6%).The preferred specialty knowledge was ophthalmic disease knowledge (80.9%),ophthalmic operation skills (72.5%),and ophthalmic emergency knowledge (64.1 %).Conclusions The ophthalmic nurse should recognize the importance of continuing education,increase specialization and practicability of the continuing education content,improve flexibility of the continuing education forms and obtaining credits,reduce the conflict of continuing education and clinical work,meet the demands of continuing education in ophthalmic nurses.

Objective To organize the relevant literature of foreign nursing leadership research, objectively and comprehensively understand the research path and progress of nursing leadership, and provide reference for better building and studying the leadership capacity of nursing staff in China. Methods Taking the core journal of Web of Science as the data source and incorporating the literature related to nursing leadership research published in 1953-2018, we used Excel and CiteSpace version 5.3.R4 software to conduct quantitative analysis on the year, country, author, key words, cited articles, etc. Results The analysis of visual knowledge map showed that: (1) the research of nursing leadership is booming; (2) the United States is in the leading position in the field of nursing leadership research; (3)a cooperative group with laschinger H.K.s, Cummings GG and Wong CA as the core has been formed; (4)the research focus is changed from focusing on nursing leadership style and physical and mental health of nurses to focusing on transformational leadership, and to nursing leaders' roles; (5)research in the future will focus on nursing leadership education and healthcare cooperation;(6)the knowledge base in this field mainly focused on the training and clinical practice of nursing leadership. Conclusions The research of nursing leadership in foreign countries has gradually matured from centralized development to diversified development, providing a reliable path for the development of leadership in China. In the future, we should strengthen the education and training of nursing leadership, attach importance to clinical practice, explore the leadership style with Chinese nursing characteristics, and establish a more perfect leadership model.

Objective:To explore the status quo of postoperative rehabilitation compliance in patients with rotator cuff injury and analyze its influencing factors.Methods:Totally 102 patients with rotator cuff injury who met the inclusion criteria were selected from 2 Class Ⅲ Grade A hospitals in Beijing by convenient sampling. They were investigated with questionnaires, which included general information, disease-related information, rehabilitation exercise compliance scale and influencing factors. Multiple linear regression analysis was used to analyze the influencing factors of rehabilitation exercise compliance in these patients.Results:The total score of the rehabilitation exercise compliance scale in the patients with rotator cuff injury was (2.28±0.37) , and the scores in the dimensions of physical exercise, postoperative precautions, ask for advice were (2.25±0.44) , (2.36±0.43) and (2.23±0.61) . Multiple linear regression analysis revealed that age, history of chronic disease, difficulty of rehabilitation exercise and rehabilitation specialists' help were the influencing factors to the patients' rehabilitation exercise compliance (the standardized regression coefficients were 0.238, 0.266, 0.239, 0.444; P<0.01) , which accounted for 40.9% of the variation. Conclusions:The overall postoperative rehabilitation exercise compliance stands at a medium level in the patients with rotator cuff injury. It is recommended that the difficulty of rehabilitation exercise be gradually raised, rehabilitation specialists' help enhanced and health education materials completed in clinical work to improve the patients' rehabilitation exercise compliance.

Aged surgical patients are often associated with frailty, and frailty is closely related to a series of adverse outcomes of aged patients (postoperative delirium, prolonged hospital stay, increased rehospitalization rate and mortality rate, etc.) . This article reviewed the influencing factors, assessment tools and intervention methods of frailty in aged surgical patients, aiming to provide a reference for early identification of frailty in aged surgical patients and effective intervention measures, thereby improving the quality of life in aged surgical patients and promoting early recovery.

Objective? To investigate the physical activity in the aged with dementia and explore its influencing factors to provide a basis for promoting those populations to participate in physical activity, protecting their cognitive function and improving their quality of life. Methods? From November 2018 to March 2019, this study selected the aged with dementia and their caregivers in Neurology Department, Cognition Outpatient and patient club of classⅢ grade A hospitals in Beijing and Zhejiang as subjects by purposive sampling. This study investigated patients' general information, disease condition, activity of daily life (ADL), physical activity, and caregivers' cognition as well as attitudes on patients' exercise, and concerns about fall of patients. Hierarchical regression was used to analyze the influencing factors of physical activity in the aged with dementia. A total of 232 questionnaires were sent out and 216 valid questionnaires were collected with 93.10% for the valid recovery rate. Results? The score of physical activity of the aged with dementia was [42.50 (11.43, 81.43)]mainly in walking outside the home and light household activities. The influencing factors of physical activity included education levels, ADL and caregivers' concerns about fall of patients with statistical differences (P＜ 0.01). Conclusions? Physical activity of the aged with dementia is lower than that of the healthy aged in community. On the one hand, the scientific, safe and suitable exercise plan should be formulated and implemented based on professional evaluation. On the other hand, health education on disease knowledge, symptom care and exercise guide for caregivers should be strengthened to rid off the worries of caregivers about fall of patients in exercises and improve physical activity of the aged with dementia.

Objective To investigate the general well-being of breast cancer peer educators and to analyze its influencing factors.Methods Convenience sampling method was used to select 210 breast cancer peer educators from 8 tertiary hospitals in China from January to February 2023.General information questionnaires,General Well-Being Scale,Cornor-Davidson Resilience Scale,and Social Support Rating Scale were used for investigation.Multiple linear regression analysis was used to explore the influencing factors of the general well-being in peer educators of breast cancer.Results A total of 206 breast cancer peer educators were investigated.The general well-being score was(86.70±14.08).The results of multiple linear regression analysis showed that psychological resilience,the utilization of social support and the current self-funded treatment of less than 1,000 yuan per month were the influencing factors of general well-being(P＜0.001).Conclusion The general well-being of breast cancer peer educators is at a high level.Improving the social support system for breast cancer patients,selecting peer educators with strong psychological resilience,high utilization of social support and low self-funded treatment,and paying attention to the psychologic status of peer educators,providing timely and positive psychological interventions will help to raise the general well-being of breast cancer peer educators and ensure the quality and continuity of peer education.