Objective To investigate the status quo of social-psychological adjustment and self-efficacy in patients after ostomy and to analyze the correlation between them as well as the influencing factors of social-psychological adjustment. Methods Totally 148 patients who received ostomy from 5 Class Ⅲ Grade A hospitals in Nanjing between March and July 2016 were selected by convenient sampling. The Chinese version of Ostomates' Adjustment Inventory, Self-Efficacy Questionnaire for Stoma and the Self-Designed General Information Questionnaire were used to investigate the patients. The Pearson correlation analysis was used to analyze the relationship between the level of social-psychological adjustment and self-efficacy, single factor analysis and the multivariate stepwise regression analysis were used to analyze the factors influencing the level of social-psychological adjustment. Results The level of social-psychological adjustment in patients with stoma was (44.86±9.69), with only 6.8% of the patients being highly adaptive. The self-efficacy was (66.36±17.29)and only 1.4% of the patients showed high efficacy. There was a positive correlation between them (r=0.797, P<0.01). The multivariate stepwise linear regression analysis showed that self-efficacy, stoma complications, sex and stoma types were the influencing factors of social-psychological adjustment (β'=0.740,-0.177,0.100,-0.128;P< 0.05). Conclusions The patients after ostomy need to improve their social-psychological adjustment. Women and patients with stoma complications should gain more attention. Their self-efficacy may be improved with targeted intervention and follow-up instruction which can help them get adapted to stoma and return to theiry home and community as soon as possible.

Objective:To explore the status quo of the independent work readiness of newly recruited pediatric nurses and analyze its influencing factors, so as to provide a reference for improving the independent work readiness of newly recruited pediatric nurses.Methods:This study was a cross-sectional study. From July to December 2021, 600 newly recruited pediatric nurses from 18 ClassⅢ children's hospitals in China were selected as the subject by convenience sampling. The nurses were investigated by using the General Information Questionnaire, Self-assessment New Nurses' Independent Competence Questionnaire, Chinese version of Utrecht Work Engagement Scale (UWES) , and Chinese version of Psychological Capital Questionnaire (PCQ) . Hierarchical regression analysis was used to explore the influencing factors of the independent work readiness of newly recruited pediatric nurses. A total of 600 questionnaires were distributed, and 587 valid questionnaires were recovered, with a valid recovery rate of 97.8%.Results:Among 587 newly recruited pediatric nurses, the total score of the Self-assessment New Nurses' Independent Competence Questionnaire was (141.61±13.28) , and the average score of the items was (2.83±0.39) . Pearson correlation showed that the total score and each dimension score of the self-assessment New Nurses' Independent Competence Questionnaire were positively correlated with the total score and each dimension score of the UWES and the PCQ, and the difference was statistically significant ( P<0.05) . Hierarchical regression analysis showed that work engagement and psychological capital were the influencing factors of the independent work readiness of newly recruited pediatric nurses with a statistical difference ( P<0.05) , among which work engagement and psychological capital could independently explain 29.9% of the variation of the independent work readiness of newly recruited pediatric nurses. Conclusions:The readiness for independent work of newly recruited pediatric nurses is at a medium low level. Work engagement and psychological capital are the influencing factors of independent work readiness of newly recruited pediatric nurses. The work engagement and psychological capital of newly recruited pediatric nurses can be improved to increase their independent work readiness.