Objective To investigate the clinical status of health quotient and parenting self-efficacy in rural primiparas, and to explore the influence of health quotient on their parenting self-efficacy.Methods A total of 132 rural primiparas were selected using convenience sampling from January 2016 to March 2017. The participants were investigated using Health Quotient Scale and Parenting Self-efficacy Scale. The univariate analysis, Pearson correlation test, and hierarchical regression were used to explore the relationship between health quotient and parenting self-efficacy. The data were analysed by SPSS 20.0 software.Results A total of 124 questionnaires were available. The health quotient score of the participants was (60.23±5.82) and the parenting self-efficacy score was (72.39±13.24). Pearson'sr test showed that there was a positive correlation between self-efficacy and health quotient (r=0.422,P<0.05). The univariate analysis showed that age, education, family income per month, and the gender of infants were predictors of parenting self-efficacy (P< 0.05). Multivariate regression analysis showed that education, family income per month, the gender of infants, and health quotient were independent predictors of parenting self-efficacy (P<0.05).Conclusions The parenting self-efficacy is insufficient in rural primiparas. The clinical nurses can carry out more targeted nursing care according to the health quotient level to promote patients' parenting ability.

Objective To investigate the diagnostic value of High-Sensitive Troponin T(hs-TnT)in acute myocardial infarction(AMI). Methods One hundred and sixty nine patients with serum hs-TnT concentration≥0.014 μg/L in early hospitalization were enrolled in this study.The ROC curve was used to compare the concentra-tion of hs-TnT with four heart enzyme(CK,CK-MB,LDH,AST)on the diagnostic efficacy to AMI. The differ-ence of hs-TnT in different clinical data groups were investigated using Mann-Whitney U rank test.Then the correla-tion between hs-TnT and Gensini score of Coronary angiography was investigated using the Spearman rank correla-tion test.Results The concentration of hs-TnT in patients with chest pain was significantly higher than that in non-AMI group(P<0.05).The AUC of each ROC curve was hs-TnT(0.806)>CK-MB(0.792)>CK(0.780)>AST (0.704)> LDH(0.684). The optimal diagnostic point of hs-TnT was 0.152 ug/L(sensitivity 0.659,specificity 0.894,Yuden index 0.553).There was a positive correlation between hs-TnT and Gensini scores in men,age>65 years old and the chest tightness group(P < 0.05). Conclusion The hs-TnT is better than four heart enzyme in early diagnosis of AMI and benefit early treatment of AMI.