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.

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 explore effects of breathing meditation training on fatigue and anxiety state of nurses.Methods:Using the convenient sampling method, 32 neurological nurses from a Class Ⅲ Grade A hospital were selected as the research objects from June 1 to September 1, 2019. A breathing meditation training program was developed and breathing meditation training was performed 5 times a week, 25 minutes each time, for 6 consecutive weeks. Before and after the intervention, Multidimensional Fatigue Scale (MFI-20) and Self-rating Anxiety Scale (SAS) were used to evaluate patients in the two groups.Results:After the intervention, the total score of MFI-20 and the scores of all dimensions were reduced. Except for the reduction of activities, the differences were statistically significant ( P<0.05) . After intervention, SAS scores of 32 nurses were (33.90±2.54) , which was lower than that (38.78±2.23) before intervention, and the difference was statistically significant ( t=7.956, P<0.05) . Conclusions:Breathing meditation training can effectively improve the anxiety level of nurses and relieve their fatigue state.

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.

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 investigate the perceived professional benefits and job embeddedness so as to analyze the correlations among them and intent to stay in nurses. Methods? By convenience sampling, from 1st January to 30th March 2019,we selected 250 nurses at a Class Ⅲ hospital in Shijiazhuang as subjects. The survey with questionnaires were carried out with the general information questionnaire, the Nurses′ Perceived Professional Benefits Scale, Job Embeddedness Questionnaire and Chinese version Nurses′ Intention to Stay Questionnaire. Results? Among 236 nurses, the total scores of the nurses′ perceived professional benefits, intention to stay and job embeddedness were (136.79±19.14), (18.28±1.63) and (62.05±7.6), in the intermediate level . Nurses′ intention to stay had positive correlations with the perceived professional benefits (P＜0.001) as well as job embeddedness (P＜0.01). The results of multiple linear regression analysis showed that, age, education, professional title, position, nursing age, night shift, number of attendance, monthly income, perceived professional benefits, and job embeddedness level were the main influencing factors of nurses' intention to stay (P＜0.05). Conclusions? Nurses′ intention to stay is in the intermediate level which has a large room for improvement. Nursing managers could adjust management policies, improve nurses perceived professional benefits and job embeddedness based on the influencing factors to improve their intent to stay so as to ensure the healthy and stable development of nursing work.

Objective:To explore experiential teaching to physical restraint training for intensive care nurses and its effects in reducing restraint actions.Methods:903 inpatients in ICU from January 2017 to October 2018 in a ClassⅢ Grade A hospital in Shijiazhuang were selected as the subjects by convenient sampling. 491 patients from January to October 2017 were set as the control group, and 412 patients who implemented the experiential teaching method from January to October 2018 were set as the test group. The control group was given routine restraint nursing, and the test group was given reduced restraint nursing. The physical restraint rates, qualified rates of physical restraint, writing quality of physical restraint nursing documents and patient satisfaction scores were compared between the two groups.Results:The restraint rate of patients in the test group was 62.14% (256/412) , which was lower than that 71.69% (352/491) in the control group, the qualified rate of restraint in the test group was 89.06% (228/256) , which was higher than that 80.68% (284/352) in the control group, the differences between the two groups were statistically significant ( P<0.05) . Quality score of writting quality of physical restraint nursing documents in the test group was (98.32±2.22) , and the patients satisfaction score was (98.11±2.53) , which were higher than those in the control group, there were statistically significant differences between the two groups ( P<0.05) . Conclusions:Reduced restraint nursing based on experiential teaching reduces the physical restraint rate of ICU patients, improves the quality of physical restraint and patient's satisfaction of nursing, and it is worthy of clinical promotion.

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.