Objective To estimate the acceptability of nurses for division of labor pattern in China.Methods A total of 1 609 nurses in 3 provinces were investigated by self-made questionnaires.The contents of questionnaires included assignment distribution,the acceptability of current division pattern,and whether current division pattern can arouse working enthusiasm of nurses.Results The proportion of those engaged in not only life nursing but also technical nursing was more than 40％,and those only engaged in life nursing was lower than 5％ in nurses with junior college,college or bachelor education degree.The nurses' acceptability of current division pattern of nursing work was poor,most fairly reasonable and very general.The improvement of working enthusiasm for division of labor pattern at present was also poor.The higher educational background except master,the lower improvement of working enthusiasm.Conclusions The poor nurses' acceptability of division of labor pattern was low and impacted working enthusiasm.It suggested to establish a scientific and reasonable division of labor pattern for improvement of nurse working enthusiasm,and promote the overall development of clinical nursing,nursing management,nursing education and nursing scientific research.

Objective:To investigate the influence of social support to nursing students occupation maturity, provide a new perspective and reasonable suggestions for the cultivation of nursing students occupation planning. Methods:A total of 759 nursing students of different education levels were selected. The Social Support Rating Scale and the Career Maturity Inventory Attitude Scale were used to investigate the influence of social support to nursing students occupation maturity. Results:Different levels of nursing students in subjective support and utiliza-tion of support,the total score difference was statistically significant(P <0. 05),college students social support score lower than the college students. Overall maturity of undergraduate and college nursing students occupation de-gree higher than secondary school students,students occupation maturity in the condition assessment,personal ad-justment,value conception,occupation cognition,self-cognition of these dimensions also exist a significant differ-ence(P<0. 05). Social support and occupation maturity of each factor is correlated in most dimensions. Conclu-sion:The social support of nursing students′ occupation maturity degree has important influence,requirements of professional teachers should integrate education occupation maturity while imparting professional knowledge,lay a solid foundation for nursing students′occupation career planning.

Objective Compare the three kind of criteria in evaluating the incidences of postop-erative cognitive dysfunction in non-cardiac surgery.Methods Four hundred and sixty one non-cardiac surgery patients were randomly enrolled in this study group and two hundred forty four non-surgery patients as control group.Patients??cognitive state was measured on preoperative and postoperative 1 and 3 d by mini-mental state examination(MMSE).POCD was assessed by patients??education level, one standard deviation and Z-score scale,respectively.Results On the first and third day after sur-gery,Z-score scale assess POCD result showed the highest relevance ratio and 95%CI as well as the lowest education level.The education scale showed the lowest incidence of POCD.Education level criteria was positive on postoperative 1 and 3 day,while one case on postoperative 1 day and four cases on postoperative 3 day were negative by Z-score scale.Conclusion The incidence of POCD in same pa-tients by three kind of criteria are different.The Z-score scale is recommended to evaluate the POCD in order to avoid misdiagnosis.

Objective To compare the effects of different methods of general anesthesia on postoperative cognitive function in patients undergoing non-cardiac surgery.Methods One thousand ASA Ⅰ or Ⅱ patients,aged 18-60 years and undergoing non-cardiac surgery,were randomly divided into five groups (n=200 each):isoflurane + propofol + fentanyl group (group IPF),isoflurane + remifentanil group (group IR),sevoflurane + propofol + fentanyl group (group SPF),sevoflurane + remifentanil group (group SR),and propofol + remifentanil group (group PR).Two hundred patients receiving non-operative treatment served as control group (group C).In groups IPF and SPF,anesthesia was maintained with inhalation of 1.68％ isoflurane or 1.71％ sevoflurane,target controlled infusion (TCI) of propofol with the target plasma concentration of 2-5 μg/ml,and intermittent intravenous boluses of fentanyl.In groups IR,SR and PR,anesthesia was maintained with inhalation of 1.68％ isoflurane or 1.71 ％ sevoflurane,or TCI of propofol with the target plasma concentration of 2-5 μg/ml,and TCI of remifentanil with the target plasma concentration of 2-6 ng/ml.The patients' cognitive function was assessed with minimental state examination (MMSE) 1 day before operation,when leaving the post-anesthetic care unit (PACU),and 1 and 3 days after operation,respectively.Z score was used to identify the cognitive dysfunction as recommended by Moiler when leaving the PACU,and 1 and 3 days after operation.Results Compared with group C,the MMSE score was significantly decreased when leaving the PACU,and the incidence of cognitive dysfunction increased when leaving the PACU and 1 day after operation in the other groups (P ＜ 0.05).Compared with groups IPF,IR,SPF and PR,the incidence of cognitive dysfunction was significantly increased in group SR (P＜0.05).Conclusion General anesthesia with sevoflurane combined remifentanil exerts fewer effects on the postoperative cognitive function in patients undergoing non-cardiac surgery.

Objective To compare the effects of methods of general anesthesia on postoperative cognitive function in patients undergoing non-cardiac surgery. Methods One thousand ASA Ⅰ or Ⅱ patients, aged 18-60 yr, undergoing non-cardiac surgery were randomly divided into 5 groups ( n = 200 each) : isoflurane + propofol + fentanyl group (group IPF); isoflurane + remifentanil group (group IR) ; sevoflurane + propofol + fentanyl group (group SPF) ; sevoflurane + remifentanil group (group SR) ; propofol + remifentanil group (group PR) . Two hundred non-operative patients served as control group (group C) . In groups IPF and SPF, anesthesia was maintained with inhalation of 1.68% isoflurane or 1.71 % sevoflurane, TCI of propofol with the target plasma concentration of 2-5 μg/ml, and intermittent iv boluses of fentanyl. In groups IR, SR and PR, anesthesia was maintained with inhalation of 1.68% isoflurane or 1.71% sevoflurane, or TCI of propofol with the target plasma concentration of 2- 5 μg/ml, and TCI of remifentanil with the target plasma concentration of 2-6 ng/ml. The patients' cognitive function was assessed using mini-mental state examination (MMSE) at 1 d before operation, while leaving postanesthesia care unit (PACU) , and at 1 and 3 d after operation. The Z score was used to identify the cognitive dysfunction as recommended by Moller while leaving PACU, and at 1 and 3 d after operation. Results Compared with group C, the MMSE score was significantly decreased while leaving PACU , and the incidence of cognitive dysfunction increased while leaving PACU and at 1 d after operation in the other groups ( P ＜ 0.05). Compared with groups IPF,IR,SPF and PR, the incidence of cognitive dysfunction was significantly increased in group SR ( P ＜ 0.05) . Conclusion General anesthesia with sevoflurane combined remifentanil exerts less effect on the postoperative cognitive function in patients undergoing non-cardiac surgery.

Objective To explore the mediating effect of coping styles on the relationship between social support and self-management among young patients with newly-diagnosed type 2 diabetes(T2DM).Methods A total of 169 young patients with newly-diagnosed T2DM at China-Japan Friendship Hospital were investigated with the Medical Coping Mmodes Questionnaire,Social Support Rating Scale and the Summary of Diabetes Self-Care Activities.Results Among young patients with newly-diagnosed T2DM,there was a positive correlation between social support and confronce coping style(r =0.250,P＜0.01).The confronce coping style was positively correlated with self-management(r=0.367,P＜0.01).Confronce coping style could explain 15.3%variance of self-management(P＜0.01).Confronce coping style had a mediating effect on the relationship between social support and self-management.Conclusions Confronce coping style has a predictive role on self-management among young patients with newly-diagnosed T2DM,and confronce coping style has a mediating effect between social support and self-management.

Objective To investigate effect of specific psychological guidance in improving mental elasticity of intern undergraduates.Methods A total of 80 nursing interns were randomly divided into control group with regular courses and skills training,and experimental group with psychological guidance.Working pressure score,social support score,psychological symptoms score and mental elasticity score before and after intervention were compared.Results After nursing intervention,nursing and work,workload and time allocation,the working environment and resources,patient care,management and interpersonal skills,stress score,somatization,interpersonal sensitivity,depression,anxiety,hostility between terror,paranoia and psychosis scores in the experimental group were significantly lower than the control group,the objective and subjective support,support utilization,social support,firm,self-reliance,optimism and total scores of mental elasticity were significantly higher than the control group (P ＜ 0.01).Conclusion The effect of psychological counseling for nursing undergraduates is remarkable,and it is worthy of clinical application.

Objective To investigate effect of specific psychological guidance in improving mental elasticity of intern undergraduates.Methods A total of 80 nursing interns were randomly divided into control group with regular courses and skills training,and experimental group with psychological guidance.Working pressure score,social support score,psychological symptoms score and mental elasticity score before and after intervention were compared.Results After nursing intervention,nursing and work,workload and time allocation,the working environment and resources,patient care,management and interpersonal skills,stress score,somatization,interpersonal sensitivity,depression,anxiety,hostility between terror,paranoia and psychosis scores in the experimental group were significantly lower than the control group,the objective and subjective support,support utilization,social support,firm,self-reliance,optimism and total scores of mental elasticity were significantly higher than the control group (P ＜ 0.01).Conclusion The effect of psychological counseling for nursing undergraduates is remarkable,and it is worthy of clinical application.

Objective To analyze the monitoring results of plague in Qianxi'nan Prefecture in Guizhou Province from 2006 to 2015,and to provide a reference for prevention and control of plague.Methods Using a retrospective analysis method,plague epidemic reports,epidemic source investigations,and animal plague surveillance data from 3 monitoring sites in Xingyi City,Anlong County,and Yilong Experimental Area in Qianxi'nan Prefecture from 2006-2015 were collected and analyzed.Results In 2006-2015,no rat plague and human plague occurred in Qianxi'nan Prefecture.There was no Yersinia pestis,and a total of 1 plague antigen F1 positive rat was detected in Xingyi City in 2006.The density of indoor rat was 2.28％ (3 580/157 192),the density of indoor Rattus flavipectus was 1.31％ (2 052/157 192),ranging from 0.90％ to 1.82％,the differences were statistically significant between different years (x2 =91.110,P ＜ 0.05);and the density of outdoor rat was 1.52％ (2 358/154 732),the density of outdoor Rattus flavipectus was 0.58％ (905/154 732),ranging from 0.39％ to 0.90％,the differences were statistically significant between different years (x2 =63.428,P ＜ 0.05).In the composition of rodents,Rattus flavipectus was the dominant species,Rattus norvegicus and Mus musculus were common species.The musk deer index was 1.19.In the composition of flea species,the Xenopsylla cheopis was the dominant species with an index of 0.64,Leptopsylla segnis and Monopsyllus anisus were common species.Conclusions Rattus flavipectus and Xenopsylla cheopis was the dominant rodent and flea species in Qianxi'nan Prefecture.The density of indoor Rattus flavipectus and the index of flea are higher than those of the national standard of plague control (1.0％,0.5).In the future,densities of Rattus flavipectus should be closely monitored,and the rodent and flea killing activities should be carried out in time.

Nurses from all medical environments have close contacts with asthma patients, it can recognize the early indicators of poor asthma control, and provide self-management education and play important roles in the promotion of asthma control. In order to improve the quality of nursing practice in adult asthma control, Registered Nurses＇ Association of Ontario(RNAO) in Canada published the guidelines of Adult Asthma Care: Promoting Control of Asthma (Second Version) in 2017 after summarizing the latest evidence in order to provide systematic guidance. This articles analyzed the suggestions in the nursing practice guidelines and introduce the suggestions from all sections including nursing assessment, planning, implementation and evaluation in nursing practice.