ObjectiveTo evaluate the effects of lumber and back muscle exercise training program based on the theory of protective motivation on nurses＇ chronic low back pain and improving effect on the fear-avoid belief. MethodsBy convenience sampling, a total of 40 nurses in Intensive Care Unit(ICU) in a Class Ⅲgeneral hospital were selected from April to June of 2017, based on the theory of protective motivation, the back muscle exercise training program was designed and the intervention was carried out. Before intervention and 8 weeks after intervention, Visual Assimilation Scale(VAS), Roland Morris Dysfunction Questionnaire (RMDQ), the Chinese Version of the Fear-Avoidance Beliefs Questionnaire(FABQ-CHI) were used to evaluate the implementation effects of the training program. Results8 weeks after intervention, the nurses＇ score of chronic low back pain in VAS dropped from (4.60±1.17) to (2.58±0.96), RMDQ score dropped from (10.05±4.03) to (4.40±1.46), and FABQ score dropped from (65.63±10.49)to (49.28±7.54),all with statistical differences (P＜0.05). ConclusionsThe training program based on the theory of protective motivation can alleviate the symptoms of chronic low back pain and reduce the fear-avoidance belief level of nurses when facing operation or behavior that may potentially cause chronic low back pain.

Objective To explore the current status of the stress and coping styles of emergency room nurses in Class Ⅲ Grade A hospitals, to discuss the correlation between stress and coping styles, and to provide a basis for formulating targeted training plans. Methods Totally 178 emergency room nurses from 9 Class ⅢGrade A hospitals in Hebei Province were randomly selected as the study subject from April to May 2016 and investigated with the General Information Questionnaire, Nurse's Working Stress Source Scale and Coping Style Questionnaire. Results The total average stress score of the nurses was (1.88±0.56); and the scores for each dimension of coping styles were: (0.84±0.12) for problem-solving, (0.71±0.20) for fantasy, (0.68±0.22) for rationalization, (0.67±0.24) for avoidance, (0.67±0.14) for asking for help, and (0.60±0.29) for self-accusation. Nursing and working stress was positively correlated with the coping styles such as fantasy and rationalization (P<0.05), and negatively correlated with self-accusation (P<0.05). Conclusions Emergency room nurses' stress generally remains at a medium and high level. Therefore, nursing managers should formulate proper nursing management measures and take necessary measures to alleviate nurses' stress.

Occupational low back pain not only poses a serious threat to the physical and mental health of clinical nurses,but also affects the quality of nursing care and patient safety. Based on the epidemiological status of nurses＇ occupational low back pain,this paper reviews the research trends of symptom assessment tools and preventive interventions for nurses＇ occupational low back pain,aiming to promote subjective and objective assessment tools for nurses＇ occupational low back pain and propose psychosomatic intervention measures.

ObjectiveTo investigate the health status of clinical nurses and nurses with occupational low back pain(OLBP) and its influencing factors. MethodsUsing convenience sampling method, 1 279 clinical nurses from 7 ClassⅢ Grade A hospitals in 6 cities of China were investigated by using Chinese Version of Roland-Morris Disability Questionnaire(CRMDQ), the MOS Item Short Form Health Survey(SF-36) and Visual Assimilation Scale(VAS) from April to October 2016 to understand the health status of nurses with OLBP and the related influencing factors. By comparing with the domestic norms, the health status of nurses with OLBP and the influence of different demographic characteristics on the health status of nurses with OLBP were analyzed, and the correlation between the functional disorders and health status of nurses with OLBP was analyzed. ResultsThe incidence of low back pain in clinical nurses was 91.0% (1 164/1 279), and the scores of each dimensions of health status were lower than the national norm (n=8 448). Nine factors, such as sex, age, marital status, fertility status, working life, department, night shift frequency, pain degree and pain frequency, can affect the health status of nurses with low back pain in varying degrees. The nurses with low back pain got the total score of (41.60±5.72)from the CRMDQ and the scores of the 8 dimensions in SF-36 were all lower than the national norm, with statistical differences (P＜ 0.01). The results of correlation analysis showed that nurses＇ lumbar vertebral dysfunction was negatively correlated with all dimensions of health status (P ＜ 0.01). ConclusionsThe factors influencing the health status of nurses with low back pain include many aspects. It is suggested to improve the occupational environment, strengthen occupational protection, prevent and alleviate the OLBP of nurses, so as to improve the health status of clinical nurses.

ObjectiveTo explore the nurses＇ real feelings in Class Ⅲ hospital with occupational low back pain(OLBP) so as to provide reference in the improvement of nurses＇ occupational protection. MethodsIn August 2018, 12 nurses with OLBP in a Class Ⅲ hospital were interviewed in depth by using phenomenological method of qualitative research, and data were analyzed by content analysis method. ResultsTwo themes were concluded which were: nurses＇ perception on the risk factors of OLBP and nurses＇ psychological feeling on the severity of OLBP. ConclusionsNurses＇ perception on the risk factors of OLBP is mainly related to their occupational characteristics. The psychological experience of its severity has negative impact on their body and mind; the nurses themselves and the nursing managers should pay enough attention to it and take a number of occupational protective measures to actively prevent the occurrence of OLBP in nurses.

Objective To understand the present situation of occupational low back pain of clinical nurses, and analyze its influence factors.Methods A questionnaire survey was conducted among 1300 clinical nurses from 7 Class Ⅲ Grade A general hospitals in 5 provincial capital cities, in the region of north China, central China, southern China, southwest and northwest, from April to December 2016. The survey tools included general demographic characteristics questionnaire, Visual Analogue Scale (VAS) and Chinese version of Fear-Avoidance Belief Questionnaire (FABQ-CHI). A total of 1300 questionnaires were distributed, and 1279 valid were collected. SPSS 21.0 was applied for statistical analysis.Results In the 1279 nurses, 115 (8.99％) had no low back pain, and 1164 (91.01％) was positive. The majority of nurses suffered with mild pain, account for 64.69％. The average score of FABQ-CHI in negative nurses was (50.11±17.5), and that in positive nurses was (55.24±8.2), the difference was statistically significant (t=14.56,P< 0.001). Univariate analysis showed that there were significant differences in VAS scores among nurses of different ages, marital status, fertility status, professional titles, working years, and whether or not they participated in training (P<0.01). Multivariate analysis showed that age (OR=1.40) and professional title (OR=1.84) were the influencing factors of low back pain.Conclusions The incidence of occupational low back pain in nurses is high, and it is related to individual factors, work related factors and psychological factors. It is suggested that great attention should be paid to the popularization of knowledge on prevention and treatment of low back pain and the training of occupational protection skills for clinical nurses. Especially, we should pay attention to the correlation between psychological factors and nurses' occupational low back pain, gradually improve the working environment and bad living habits of nurses, reduce the occurrence of low back pain, and improve the job satisfaction of clinical nurses.

Objective? To expLore the effects of mind mapping teaching based on case anaLysis on nursing students practicing in the Department of GeneraL Surgery. Methods? TotaLLy 42 nursing students from the same cLass who practiced in the Department of GeneraL Surgery from JuLy 2017 to June 2018 were seLected using convenient sampLing and divided into the controL group (n=22) and the observation group (n=20) according to the random number tabLe. The nursing students were dispatched to No.1 Ward and No.2 Ward respectiveLy. Nursing students in the controL group received traditionaL teaching, whiLe nursing students in the observation group received mind mapping teaching based on case anaLysis on the basis of traditionaL teaching. The seLf-Learning abiLity, satisfaction with nursing teaching and examination performance were compared between the two groups. ResuLts? The observation group scored (36.50±4.69), (19.55±3.72), (31.65±5.75) and (13.05±1.64) respectiveLy in seLf-motivation, task anaLysis, seLf-monitoring and adjustment and seLf-evaLuation in terms of seLf-Learning abiLity, higher than those of the controL group (P＜0.05), which were (31.73±9.15), (16.68±3.40), (26.41±8.93) and (11.32±2.89). The observation group scored (36.70±6.17), (59.95±7.43), (50.95±9.66) and (12.55±1.90) respectiveLy in teaching attitude, teaching LeveL, teaching pLan and teaching management, higher than those of the controL group (P＜ 0.05), which were (32.05±7.57), (53.95±10.97), (45.82±5.91) and (10.91±2.09). Comparing the performance of case anaLysis in theoreticaL examination between the two groups, the observation group scored (79.80±6.97), higher than that of the controL group (P＜0.05), which was (73.73±6.50). ConcLusions? Mind mapping teaching based on case anaLysis shows good effects on fostering nursing students' abiLity to acquire, process and appLy knowLedge and enhances their seLf-Learning abiLity and satisfaction with nursing teaching.

Objective To evaluate the effects of the training program based on the competency of new nurses in neurology department.Methods Competency concept was used to analyze the needs,insure the objective,establish the training plan,and organize training for new nurses in neurology department from August 2015 to March 2016. Training program with the combination of group psychological counselling,scenario simulation training and assessment were performed. Observation indexes were analyzed using the Six-Dimension Scale of Nursing Performance (6-D Scale).Results Group psychological counselling played a crucial role in the elimination of new nurses′ strangeness so as to help them to adapt to clinical competence. Statistically significant differences in new nurses′ ability of planning and evaluation,ability of interpersonal relationship and communication,ability of education and training were observed before and after training based on 6-D scale (P<0.05).Conclusions The training program based on the competency can improve the planning and evaluation ability,interpersonal relationship and communication ability,education and training ability in new nurses,and play a positive role in the growth of new nurses to qualified nurses.

ObjectiveTo explore the effects of extended care on compliance of anticoagulant therapy in patients with lower limb deep venous thrombosis.Methods A total of 91 patients with lower limb deep veous thrombosis discharged from a tertiary hospital of Hebei Province from March to May 2015 were selected and divided into two groups according to odd and even numbers of discharging date. The control group (n=48) was conducted by conventional mode of care. Patients in the intervention group (n=43) were not only received conventional care,but also received extended care intervention,which included founding an extended care team,established anticoagulation files,providing brochure and follow up by phone. Level of anticoagulant knowledge,compliance of anticoagulation therapy and target rate of anticoagulation were evaluated and compared between two groups after three months' intervention.ResultsAfter three months' intervention,the score median of anticoagulation knowledge in the patients of observation group was 10,while that of the control group was 6 (Z=-8.397,P<0.01). Patients with good compliance of anticoagulation therapy in the observation group accounted for 77.1%,while patients with good compliance in the control group accounted for 39.5% (x2=13.254,P<0.05). The target rate of anticoagulation after discharge in the observation group was 85.4%, while that of the control group was 67.4% (x2=4.131,P<0.05).Conclusions Extended care for patients with deep venous thrombosis can improve the level of anticoagulation knowledge,the compliance of anticoagulation therapy and the target rate of anticoagulation,so as to provide individualized anticoagulation management for patients and improve their prognosis.

Objective To discuss the effects of combined exercise training on the glucolipid metabolism of type 2 diabetic adolescent patients. Methods A total of 41 cases of type 2 diabetic adolescent patients hospitalized in the Department of Endocrinology in the Second Hospital of Hebei Medical University from August 2015 to July 2016 were randomly divided into the intervention group (n=20) and the control group (n=21). The control group adopted the aerobic exercise, and the intervention group adopted the aerobic combined with resistance exercises. The blood glucose and lipid levels of two groups were compared before and after the intervention. Results After intervention for 12 weeks, levels of fasting blood glucose, 2-hour plasma glucose and glycosylated hemoglobin significantly decreased compared with those before intervention in both intervention and control groups (P<0.05). After intervention, levels of fasting blood glucose, 2-hour plasma glucose and glycosylated hemoglobin of the intervention group were statistically lower than those of the control group (P< 0.05); the total cholesterol (TC), triglyceride (TG), and high-density lipoprotein (HDL) in the two groups were significantly better than those before intervention (P< 0.05); levels of TC, TG and low-density lipoprotein (LDL) in the intervention group were lower than those in the control group, and the differences were statistically significant (P<0.05). Conclusions Combined exercise training can improve the metabolic capability of glucose and lipid to enhance the health conditions of type 2 diabetic adolescent patients.