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 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 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.

Exercise therapy is the predominant treatment for type 2 diabetes mellitus, which can effectively restrict blood sugar level and decrease or delay the complication. Rational exercise prescriptions would enable the role of the exercise therapy fully realized. This review will summarize the development of exercise prescription.

Objective To observe the influences of nursing intervention in diabetics,guided by protection motivation theory (PMT),of their protection motivation of blood sugar monitoring,frequency of monitoring blood sugar and glycosylated hemoglobin,and level of their blood sugar and glycosylated hemoglobin.Methods A total of 100 diabetics eligible for this research were randomly divided into intervention group and control group,each with 50 cases.The patients in the control group were given routine nursing and the patients in the intervention group were given a further 6-month protection motivation theory-based nursing intervention.Changes in protection motivation of blood sugar monitoring,in frequency of monitoring blood sugar and glycosylated hemoglobin,and in index of blood sugar and glycosylated hemoglobin were compared.Results Before the intervention,comparison between scores in each dimension of protection motivation in blood sugar monitoring,frequency of monitoring blood sugar and glycosylated hemoglobin,and values of blood sugar and glycosylated hemoglobin between the two groups were not statistically significant (P ＞ 0.05).After the 6-month intervention in the intervention group,the susceptibility score was (6.530 ±0.952);the self-efficacy score was (9.462 ±0.617);blood glucose monitoring frequency was (24.126 ±2.712) times;glycosylated hemoglobin monitoring frequency was (2.080 ±0.868) times;fast blood sugar was (7.080 ± 0.824) mmol/L;glycosylated hemoglobin was (6.823 ± 0.158) ％;the scores and values in the control group were (3.820 ± 0.723),(6.729 ± 1.341),(18.528 ± 2.831) times,(1.812 ± 0.778) times,(8.488 ± 1.592) mmol/L,and (9.853 ± 0.899) ％,with significant differences (t =16.742,8.435,14.626,12.489,-15.537,3.395;P ＜ 0.05).Conclusions Nursing interventions guided by protection motivation theory can improve diabetics' protection motivation and promote behavior of blood sugar monitoring and their metabolic index up to standard.

Subclinical hypothyroidism is a common endocrine disease, and the clinical incidence rate has increased gradually in recent years. This disease has impacted on cardiovascular function, lipid metabolism, etc, which can leads diseases such as atherosclerosis, coronary heart disease. The screening and treatment for patients with subclinical hypothyroidism and the follow-up study have become a research hotspot in the field of endocrine at home and abroad in recent years. The consensus has not been reached about the outcome and prognosis of subclinical hypothyroidism. This article will conduct a literature review on the effects of subclinical hypothyroidism on the body, the intervention mode, the research progress and clinical follow-up to cause attention from endocrine professional medical staffs in patients with subclinical hypothyroidism, strengthening the management and follow-up of this group and improving the level of patients with subclinical hypothyroidism health and life quality, prolonging their life expectancy.

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.

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.