Objective To understand the prevalence condition of occupational musculoskeletal disorders in nurses,so as to supply scientific evidence for reducing and preventing nurses′occupational injuries.Methods 582 nurses from three level three class -A hospital in Wenzhou were investigated,which were selected by convenience sampling method.Results The prevalence of musculoskeletal disorders was 76.3%.The prevalence of low back pain was highest,which was 58.9%.Among the nurses who had lower back pain,in the past 1 year,43.4%of them had a total duration of illness more than 30 days,18.7% of them reduced daily activities time for more than 30 days,and 22.6% of them had received examination and treatment.The main factors which related to low back pain among nurses were age (OR =2.18,95% CI:1.36 -3.67 ),stoop time (OR =2.24,95% CI:1.08 ~4.36 ), occupational stress(OR =1.82,95%CI:1.14 ~2.89),work fatigue(OR =2.45,95%CI:1.27 ~3.15)and physical exercise(OR =0.63,95%CI:0.44 ~0.89).Conclusion The condition of occupational musculoskeletal disorders is serious,especially low back pain.Interventions related to influencing factors can be taken to reduce the incidence of low back pain.

Objective To report the clinical,myopathological and genetic features of a patient with distal myopathy caused by caveolin-3 (CAV3) deficiency.Methods The patient was a 27-year-old female.She had an onset symptom of asymmetric lower extremities weakness.The proximal limb-girdle muscles were involved subsequently.Clinical data of this patient were collected.The leg muscle magnetic resonance imaging (MRI) and an open biopsy of left tibialis anterior muscle were performed.In addition to histological,enzyme histochemical staining and ultrastructural examination,immunohistochemical staining with antibody against CAV3 was done.CAV3 gene was analyzed in the patient and her parents.Results Tl-weighted enhanced skeletal muscle MRI of the lower limbs showed the abnormal signal in distal and proximal muscles.Muscle biopsy showed moderate dystrophic changes and immunostaining for CAV3 showed reduced plasmalemma in the muscle fibers.Gene analysis disclosed a heterozygous c.136G ＞ A (p.Ala46Thr)mutation in the CAV3 gene,and the patient's parents did not have this mutation.Conclusions We report a distal myopathy case caused by c.136G ＞ A (p.Ala46Thr) mutation in the CAV3 gene,who had an onset symptom of asymmetric lower extremities weakness.The proximal limb-girdal muscles were also involved.This would help clinical doctors to know more about this rare myopathy.

Objective To explore the application of perioperative nursing of trinity management mode with preoperative room-operating room-post-anesthesia room in operation department.Methods Preoperative room and post-anesthesia room were made up perianesthesia unit, together with the operation unit, set up the operation suite.Each unit has nursing policies, operation standards, nursing routine, working process and job description and evaluation separately.Results After the application of perioperative nursing of trinity management mode, 28 operation rooms with surgical operation quantity 25 553 million per year, with surgical operation quantity 103 per day, averaged surgery waiting time was 31 minutes, and operation room occupancy in day was 10.01 hours.The average awakening time of patients was ( 10 ±3 ) minutes, average time of intravenous drug delivery was (5.0 ±0.4) minutes, and 10 minutes per surgery was saved.Conclusions The application of trinity of perioperative nursing management mode in operation department is meet to the standards of international hospital, and ensure medical and nursing safety.

Objective To investigate the current situation of shame and coping styles among postmenopausal pelvic floor dysfunction (PFD) patients and to explore the effect of shame on their coping styles. Methods From December 2016 to August 2017, we selected 250 postmenopausal PFD patients at the 2nd Affiliated Hospital of Wenzhou Medical University as subjects by convenience sampling. All of the patients were investigated with the Chinese Version of Medical Coping Modes Questionnaire (MCMQ) and the Shame Scale (SS). A total of 250 questionnaires were sent out and 235 valid questionnaires were collected. Results The total score of SS of 235 postmenopausal PFD patients was (85.14±10.24) higher than domestic norm with a statistical difference (P＜ 0.05). The total score of MCMQ of postmenopausal PFD patients was (53.62±1.76). Pearson correlation analysis showed that shame of postmenopausal PFD patients had a negative correlation with the score of confrontation (P＜ 0.05), and had positive correlations with the scores of avoidance and yield (P＜ 0.05). Behavioral shame, physical shame and family shame were factors influencing the scores of coping styles in postmenopausal PFD patients. Conclusions Postmenopausal PFD patients are with the high level of shame and with the negative coping styles. The shame is the influencing factor of the positive coping style. Nurses should pay attention to pelvic floor rehabilitation education, encourage patients to copy with disease positively.

Objective:To explore the current situation of stigma and posttraumatic growth in female infertility patients, and to analyze the correlation between them.Methods:From January to May 2019, this study selected 110 female infertility patients of reproductive medicine center in a ClassⅢ Grade A hospital of Zhejiang Province as subjects by convenience sampling. Those infertility patients were investigated with the general information questionnaire, Infertility Stigma Scale (ISS) and the Post-traumatic Growth Inventory-Chinese version (PTGI-C) . A total of 110 questionnaire were sent out and 104 valid of them were collected.Results:Among 104 female infertility patients, the score of ISS was (67.14±14.33) with the intermediate level; the score of PTGI-C was (63.92±11.76) also with the intermediate level. There were statistical differences in the scores of post-traumatic growth among female infertility patients with different education levels, characteristics and whether being the only child ( P<0.05) . The scores of ISS of female infertility patients had statistically negative correlations with the total score and dimension scores of PTGI-C ( P<0.01) . Hierarchical regression analysis showed that the main influencing factors of posttraumatic growth in female infertility patients were the education levels, years of infertility, total score of stigma and scores of emotion and behavior with statistical differences ( P<0.05) . Conclusions:Stigma of female infertility patients is negatively correlated with the posttraumatic growth, which points that nurses could positively reduce the stigma of those patients so as to improve their posttraumatic growth.