Objective:To investigate the current status of alexithymia and silence behavior in clinical nurses, and analyze the influence of clinical nurses' alexithymia on silence behavior.Methods:Using the cross sectional survey method, convenience sampling was used to select 589 clinical nurses from the First Affiliated Hospital of Wenzhou Medical University as the research object from September to October 2019. The investigation was carried out with the general information questionnaire, Toronto Alexithymia Scale (TAS) and the Employee Silence Scale to analyze the influence of alexithymia on silence behavior of clinical nurses. A total of 600 questionnaires were distributed and 589 valid questionnaires were returned, with the effective response rate of 98.2%.Results:Among 589 clinical nurses, the total scores of TAS and silence behavior were (54.07±8.86) and (36.24±6.32) respectively. The results of single factor analysis showed that in terms of job title, working years, education, department, form of employment, and marital status, there were statistically significant differences in the scores of the Employee Silence Scale in 589 clinical nurses ( P<0.05) . Pearson correlation analysis results indicated that clinical nurses' TAS scores were positively correlated with the Employee Silence Scale scores. The hierarchical regression analysis showed that describing affective disorder and extroverted thinking had a positive predictive effect on silence behavior, explaining 24.1% of the total variation. Conclusions:The alexithymia and silence behavior of clinical nurses need to be improved, and the alexithymia positively affects the silent behavior. Nursing managers should encourage clinical nurses to actively express their inner suggestions and ideas, and reduce the silence behavior of clinical nurses.

Objective:To explore the effect of personalized nutritional support based on nutritional risk screening on nutritional status and prognosis of patients with inflammatory bowel disease.Methods:A total of 100 patients with inflammatory bowel disease admitted to the Department of Gastroenterology, The First Affiliated Hospital of Wenzhou Medical University from January 2021 to September 2022 were selected as the study objects, and were divided into control group and observation group according to the random number method. NRS 2002 nutritional risk screening was performed on all patients. The control group was given routine nursing and nutritional support. On this basis, the observation group received patient-centered personalized nutrition support program shared by doctors and patients. The nutritional status, inflammatory indicators and prognosis of the two groups were compared and observed at admission, discharge, 1 month after discharge, and 3 months after discharge.Results:From admission to 3 months after discharge, albumin, prealbumin, nitrogen balance, triceps skinfold thickness in the two groups were significantly increased ( F = 8.43, 14.32, 10.27, 23.41, 7.66, 8.91, 6.84, 8.90, P < 0.05), while the malnutrition inflammation score was significantly decreased ( F = 4.84, 7.42, P < 0.05). Albumin, prealbumin, nitrogen balance, triceps skinfold thickness in the observation group were significantly higher than those in the control group at 3 months after discharge ( t = 7.95, 17.43, 6.55, 6.72, P < 0.001), and the malnutrition inflammation score was significantly lower than that of the control group ( t = 6.95, P < 0.001). As treatment progressed, the levels of C-reactive protein and fecal calprotectin gradually decreased and the erythrocyte sedimentation rate slowed down in both groups compared with the admission, with statistical significance ( F = 9.03, 11.28, 18.37, 19.20, 32.42, 28.88, P < 0.001). The levels of C-reactive protein and fecal calprotectin and erythrocyte sedimentation rate in the observation group were significantly lower than those in the control group 3 months after discharge ( t = 8.29, 7.99, 10.34, P < 0.001). Patients in the observation group had good compliance with the formulated diet plan, and no related rejection events occurred. The readmission rate of patients in the observation group was significantly lower than that of the control group ( χ2 = 10.18, P < 0.05). Conclusion:Individualized nutrition support programs based on nutritional risk screening can help improve the nutritional status and disease status of patients with inflammatory bowel disease.