Objective To explore the application effects of PDCA circulation on behavior management in discharged patients with first cerebral infarction. Methods Patients with first attack of cerebral infarction were enrolled from the department of neurology of the First Hospital of Anhui Medical University from April 2013 to March 2015. According to their admission numbers, patients were divided into the observation group (94 cases) and the control group (80 cases). Besides of the regular personalized secondary prevention, the observation group was also applied for the PDCA cycle for nine months. Stroke Behavior Change Inventory was used to evaluate the changes of their lifestyle and medication compliance one year after discharge for two groups. Results After the observed patients were discharged one year, the changed extent of these five behaviors including quitting smoking, regular monitoring blood pressure and sugar, appropriate exercise, pressure control in the observation group were 0.00 (0.00, 3.00), 1.68 (1.00, 3.00), 1.00 (0.00, 2.00), 1.20 (0.75, 2.00), 1.00 (0.00, 1.00) points, and these in the control group were 0.00 (0.00, 1.0)0, 1.00 (0.00, 2.00), 0.00 (0.00, 1.00), 1.00 (1.00, 2.00), 0.00(0.00, 1.00) points. The observation group in these parameters had significantly higher than the control group (Z=-3.166--2.419, P < 0.05). The changed extent of these behaviors in the medication compliance such as reducing blood glucose, blood pressure, atrial fibrillation, cardiovascular disease, and stroke prevention in the observed group were 0.00 (0.00, 0.00), 0.00 (0.00, 2.00), 0.00 (0.00, 0.00), 0.00 (0.00, 0.00), 3.00 (3.00, 3.00) points, and these in the control group were 0.00 (0.00, 0.00), 0.00 (0.00, 0.79), 0.00 (0.00, 0.00), 0.00 (0.00, 0.80), 0.00 (0.00, 1.50) points. The observation group in these parameters had significantly higher the above parameters than the control group (Z=-8.081--2.595, P<0.05). Conclusions Application of the PDCA circulation in the patients with first attack of cerebral infarction after their discharge can help them correct lifestyle and increase their medical treatment compliance, which is beneficial for secondary prevention of cerebral infarction.

Objective To explore the relationship between job burnout and sense of security among nurses in operating room in order to provide a basis for managers to improve nurses′ sense of security and reduce their job burnout. Methods 127 nurses working in operating room were investigated by Maslach Job Burnout Scale in Chinese version and Security Questionnaire. Results The scores of emotional exhaustion, personification and personal satisfaction in Maslach Job Burnout Scale were respectively (28.92±6.44) points,(13.20±4.97) points and (20.72±5.73) points. The positive detection rate of each domain was 57.5% (73/127),89.8% (114/127) and 79.5% (101/127).The scores of interpersonal security and perceived control in Security questionnaire were respectively (27.13±4.79) points and (25.69± 5.64) points. The personification was negatively correlated to the interpersonal security (r =-0.243, P <0.01) and perceived control (r=-0.436, P < 0.01). Personal accomplishment was positively correlated to interpersonal security (r=0.195, P<0.05). Conclusions The nurses in operating room have serious job burnout and moderate and high level of psychological security. Nursing managers should take some measures to reduce the positive detection rate of job burnout and improve the level of psychological security.

Objective To investigate the joint action mechanism of structural empowerment, psychological empowerment and job satisfaction of nursing staff in China,and probe into a joint action mechanism of such structure and empowerment on their satisfaction.Methods Totally 300 nurse specialists from secondary and tertiary hospitals in Anhui province were selected in a convenience sampling for investigation,by means of a general information questionnaire,Minnesota Satisfaction Questionnaire,Conditions of Work Effectiveness Questionnaires-Ⅱ and Psychological Empowerment Scale.Results The nurses′job satisfaction were positively associated with both their total scoring and individual dimensions of the structural empowerment and psychological empowerment.As shown in the structural equation modeling,the model (the pathway from structural empowerment to nurses′ job satisfaction and the mediating effect of psychological empowerment are significant)fitted the data well. Conclusions Nursing managers can use the empowerment theory to fully leverage their management advantages,creating a desirable environment for the nursing staff at large.

Objective To investigate the teaching modes of the course of guide to learn in undergraduate nursing students in order to improve their quality of leaning.Methods Questionnaire survey and interview were conducted to collect the students'general appraisal on learning Science and teaching content and teaching modes as well as ingathering and suggestions of the course.Results Totally 79.5%among 117 students thought it necessary to open the course of Learning Science.96.6%students considered ten subjects of the course reasonable.83.8%students were satisfied with the alternate five-teachers'teaching modes.The most digestible teaching approach Was illustration,and the most valuable experience wag how to regulate the psyehology of learning.Conclusions The course of guide to learn in nursing undergraduate education has positive significance.Nursing educators should always explore and improve the teaching mode of this course so as to help students develop SOundly.

Objective We aimed to compare the critical thinking ability between clinical nurses and college nursing students at different grades so as to provide scientific references for reform in nursing education and nursing practice. Methods A total of 287 clinical nurses and 656 nurses in grade one and grade three underwent the investigation by adopting Chinese version of critical thinking disposition inventory (CTDI-CV). Results The total scores of CTDI-CV of nursing students in grade one, nursing students in grade three and clinical nurses were (292.82±26.41), (284.71±26.20) and (290.58±24.87). Statistical difference existed between these groups. The scores of open-mindedness, inquisitiveness and maturity of judgement of nursing students in grade one and grade three were higher than that of the clinical nurses, while the scores of systematicity and self-confidence of critical thinking were less than that of the clinical nurses. Conclusions The current nursing education system needs further reform. At the same time we should also promote the transform of modern clinical nursing model.

Objective:To systematically evaluate the illness experience of upper limb lymphedema in breast cancer patients.Methods:The studies were searched in CNKI, VIP, WanFang Database, CBM, CINAHL, PubMed, Web of Science, Cochrane Library and Embase. The retrieval period was from the database construction to January 7, 2022. The quality evaluation criteria for qualitative research of the Joanna Briggs Institute Evidence-Based Health Care Center in Australia was used to evaluate the quality of the literature. Meta integration method was used to synthesize the results.Results:A total of 10 articles were included, and 40 results were extracted, which were classified into 8 new categories and integrated into 3 integrated results, namely, the impact of lymphedema on patients and family members, perception and coping of patients with lymphedema and patients craved support from all sides.Conclusions:Medical staff should strive to improve professional service level, help patients improve the attention level of lymphedema and self-management ability. The family and society should provide more care and support to patients so as to improve their quality of life.

Objective:To explore the level and influencing factors of kinesiophobia in patients with coronary heart disease using meta-analysis, so as to provide references for formulating intervention strategies to reduce the level of kinesiophobia.Methods:The literatures on the level of kinesiophobia and its influencing factors in patients with coronary heart disease were searched from CNKI, VIP, Wanfang, PubMed and other databases from estabishment of the databases to May 19, 2023. The included studies were analyzed by Stata 15.1.Results:A total of 20 articles were included. The Meta-analysis results showed that patients with coronary heart disease had a high level of kinesiophobia, with a total score of 42.76 [95% CI (40.72, 44.80) ] . Gender [ MD=-2.39, 95% CI (-3.35, -1.44) , P<0.001] , method of payment for hospital care [ MD=2.38, 95% CI (1.09, 3.67) , P<0.001] , cardiac function [ MD=-9.72, 95% CI (-14.45, -4.99) , P<0.001] , with or without experience of cardiac surgery [ MD=3.42, 95% CI (1.58~5.26) , P<0.001] , number of stent [ MD=-4.82, 95% CI (-9.09, -0.55) , P=0.027] , drinking status [ MD=-3.54, 95% CI (-5.03, -2.04) , P<0.001] , self-perceived burden [ Summary r=0.36, 95% CI (0.31, 0.41) , P<0.001] and self-efficacy [ Summary r=-0.60, 95% CI (-0.75, -0.38) , P<0.001] were the factors influencing the level of kinesiophobia. Conclusions:The level of kinesiophobia in patients with coronary heart disease is high. Medical staff need to provide targeted interventions based on the characteristics of the population to reduce the kinesiophobia level of patients.

Objective:To systematically review the real experience of type 1 diabetes in adolescents.Methods:The qualitative research on the experience of type 1 diabetes in adolescents was electronically searched in PubMed, Web of Science, Embase, EBSCO, Cochrane Library, China Biology Medicine disc, WanFang Database, China National Knowledge Infrastructure, and VIP. The search period was from database establishment to July 2023. Two evidence-based trained researchers independently conducted literature screening and data extraction, and the results were integrated using the Meta-synthesis.Results:A total of 13 articles were included, 42 results were extracted and classified into 11 categories, which were integrated into four results, namely disease perception, complex psychological experiences, disease management, and post-traumatic growth.Conclusions:The awareness and psychological experience of type 1 diabetes in adolescents should be paid attention to. Medical institutions, families and schools should provide all-round support for adolescents with type 1 diabetes to help them enhance their disease self-management, improve their health outcomes and promote their post-traumatic growth.

Objective:To evaluate psychometric properties of infertility related stress assessment instruments and the methodological quality of research.Methods:Research on the psychometric property evaluation of infertility related stress assessment instruments was electronically searched on China National Knowledge Infrastructure, China Biology medicine disc, WanFang Data, VIP, PubMed, Web of Science, Embase, Scopus, and CINHAL. The search period was from database establishment to November 1, 2023. Two researchers independently screened literature and extracted data, evaluated the included assessment tools using the Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) guideline, and formed recommendations.Results:A total of 20 studies were included, including 8 assessment instruments of the Fertility Problem Stress Inventory, Infertility Distress Scale, Fertility Problem Inventory, Fertility Problem Inventory-Short Form, Copenhagen Multi-Centre Psychosocial Infertility-Fertility Problem Stress Scales, Copenhagen Multi-Centre Psychosocial Infertility-Fertility Problem Stress Scales-Short Form, Infertility-Related Stress Scale, and the Symptom and Stress Inventory for Infertility. The content validity of assessment instrument was not reported or uncertain, and the quality of evidence for the assessment tools was moderate, all of which were B-level recommendations.Conclusions:The Fertility Problem Inventory, Copenhagen Multi-Centre Psychosocial Infertility-Fertility Problem Stress Scales, Copenhagen Multi-Centre Psychosocial Infertility-Fertility Problem Stress Scales-Short Form and the Infertility-Related Stress Scale can be temporarily recommended for use, but the psychometric property of each tool still needs to be fully verified. Clinical medical and nursing staff need to choose appropriate assessment instruments based on actual situation.

Objective To understand the psychological experiences of patients in pregnancy with systemic lupus erythematosus,in order to provide references for effective nursing interventions in clinical practice.Methods The study investigated and semi-structured interviewed 12 patients in pregnancy with systemic lupus erythematosus using purposive sampling.Results Three main aspects were concluded after sorting out,analyzing and refining the interview data:(i) child was regarded as a continuation of life;(ii) pregnancy was a mixed story with happiness and anxiety;(iii) more convenient professional support and family support were expected.Conclusions Negative attitudes and inappropriate responses are existed among patients in pregnancy with systemic lupus erythematosus.Thus,medical staffs should provide psychological and information supports timely and ensure the standardization of the treatment,to guarantee the safety of both mother and child.