Objective? To investigate the psychological resilience of patients with aneurysmal subarachnoid hemorrhage (aSAH) and analyze the influencing factors. Methods? From July to December of 2018,160 inpatients with aSAH from Neurosurgery Department of a ClassⅢ Grade A hospital in Shanxi Province were selected as the study subjects. Cornor-Davidson Resilience Scale(CD-RISC), General Self-efficacy Scale,Self-rating Anxiety(SAS) and Self-rating Depression Scale(SDS) and Self-designed General Information Questionnaire were used to investigate them and analyzed the influencing factors of the psychological resilience score in the inpatients with aSAH. Results? A total of 154 valid questionnaires were collected, with an effective recovery rate of 96.25%. The total score of resilience of aSAH patients was (56.50±16.637), which was lower than that of the domestic norm (65.4±13.9), with statistical significance (P＜ 0.05); the general self-efficacy score was (2.20±0.557), the anxiety score was (49.09±6.526), and the depression score was (49.69±6.660). Psychological resilience and each dimensions of aSAH patients were positively correlated with general self-efficacy (P＜0.05) and negatively correlated with anxiety (P＜0.05). Multivariate analysis showed that educational level, type of nursing care, general self-efficacy and anxiety were the influencing factors of psychological resilience of aSAH patients (P＜ 0.05), explaining 63.9% variation of their psychological resilience. Conclusions? The psychological resilience level of aSAH patients is generally low, and their educational level, type of nursing care, general self-efficacy and anxiety are important factors affecting their resilience level.

Objective To investigate the status quo of humanistic caring ability of undergraduate nursing students, and to analyze the influencing factors.Methods By convenient sampling method, 171 students majoring in Nursing, enrolled to School of Nursing, Shanxi University of Traditional Chinese Medicine in 2015, were selected and surveyed by Caring Ability Inventory (CAI) about their humanistic caring ability and influencing factors.Results In the scale CAI, total scores, scores of dimension courage, and scores of dimension patience of the nursing students were (185.29±23.32), (58.30±9.91), and (56.94±9.35), lower than the norm (208.58±23.32), (65.25±11.57) and (63.11±4.19) (t/Z=-12.907, -9.068, 2.229;P<0.001). Scores of students, who were the only child in their family, on the dimension courage and patience were (55.17±10.51) and [57(46,61)], lower than those who came from non-only-child family (59.16±9.59) and [59(55,63)], (t/Z=-2.166, -2.651;P<0.05).Conclusions Overall humanistic caring ability of nursing students in our country is relatively low. Educators should pay attention to related factors, formulate targeted training strategies, so as to strengthen education on humanistic caring of nursing students.

Objective:To evaluate the therapeutic effects of Yufu ointment for acute radiation-induced skin injury. Methods:We enrolled a total of 104 patients with malignant tumors who developed acute skin injury of grade 2-3 during or after the first course of radiotherapy from June 2019 to February 2023. The observation group ( n=53) and control group ( n=51) received external application of Yufu ointment and Shirun Shaoshang ointment, respectively. We recorded the changes in the grade of skin injury and associated symptoms (such as pain, itching, and burning sensation) and healing speed and time for the two groups. Results:A total of 102 patients completed the study, with 53 cases in the observation group and 49 cases in the control group. The incidence rate of moisture skin lesions in the observation group was significantly lower than that in the control group (62.26% vs. 83.67%, P<0.05). The healing speed of moisture skin ulcerations was significantly faster in the observation group than in the control group (1.67 cm 2/d vs. 0.55 cm 2/d, P<0.05). The observation group had a significantly shorter time to skin injury healing than the control group (10.40 d vs. 14.41 d, P<0.05), significantly different for skin injury of grade 2 (10.21 d vs. 17.57 d, P<0.05) but not for skin injury of grades 2.5 and 3 ( P>0.05). Regarding clinical symptoms, both groups experienced significant reductions in pain and burning sensation scores after treatment ( P<0.05); the grade of itching was significantly decreased for the observation group ( P<0.05), but had no significant change for the control group after treatment ( P>0.05). Conclusions:Yufu ointment can significantly alleviate secondary damage for patients with acute radiation-induced skin injury, by accelerating the healing process and relieving symptoms such as pain, itching, and burning sensation with good tolerability, which deserves further promotion.