Abstract Vaccine literacy is related to residents' access to and use of vaccine-related information and services, and improving vaccine literacy can enhance vaccine confidence, reduce vaccine hesitancy, and improve vaccination compliance. Carrying out vaccine literacy evaluation is helpful to understand the awareness of and attitudes towards vaccines among residents, and provides the reference for clarifying influencing factors for vaccine literacy and finding a path for vaccine literacy improvement. This paper retrieved the literature related to vaccine literacy evaluation and extracted eight vaccine literacy evaluation tools, including The Human Papillomavirus Vaccine Literacy Questionnaire, Questions on Vaccine Literacy, Vaccine Literacy Scale for Italian adults, COVID-19 Vaccines Literacy Scale, The English HLS19 instrument for measuring Vaccination Health Literacy in the general population, Digital Vaccine Literacy Scale, The Chinese Version of the COVID-19 Vaccine Literacy Scale and Community Residents Vaccine Literacy Scale, and reviewed the evaluation objects, content, reliability, validity and application, providing countermeasures and suggestions for the promotion of vaccine literacy evaluation in China.

This article summarizedthe influencing factors of the outcomeof postoperative pain management from structure and process aspects,based on the structure - process - outcome model, so as to provide reference for hospitals to improve the quality of postoperative pain management.

Objective To learn the present pain management quality at tertiary hospitals in China and the application of the quality evaluation system for acute pain management quality recommended by American Pain Society.Methods Analyzing the present pain management at five tertiary hospitals in China by using the evaluation system recommended by American Pain Society,questionnaires and medical records reading.Results The hospitals were found with setbacks in describing pains,recording pains with tools,using the right pain controls,using non-drug pain control measures and pain management outcomes; differences were found between the acute pain service group and non-acute pain service group in pain management quality,as the pain impacts of both groups on activities,emotion and sleep were 3.12±2.82 and 5.16±2.07 (P＜0.05) respectively.Conclusion Setbacks exist in both the process and outcomes of post-surgery pain management at these hospitals; those with acute pain service management are better than those without in terms of post-surgery pain management quality.The evaluation system recommended by American Pain Society is scientific,sensitive,practical and operable,extensively applicable to evaluation of acute pain management quality at hospitals in China.

Objective To explore the effect of pain management by pain resource nurse (PRN) attending pain nursing group, and to know the patient′s satisfaction. Methods Advanced practice nurse as the lead of the group. The selection of PRN members in the group was made on merit which all have definite responsibility and like pain nursing, established pain management quality control system in group and training,standardized pain management processes and the regulations, educated knowledge and skills of pain management for PRN. Results Patient satisfaction with pain management increased significantly from 82.0%(496/605) to 97.1%(572/589)(P<0.05). Moderate and serious pain rate of patients decreased significantly from 60.0%to 20.0%(P<0.01). The qualified rate of pain assessment increased from 84.9%(514/605) to 95.1%(560/589)(P<0.05). Conclusions The establishment of pain nursing group can not only improve pain management quality and patients satisfaction, but also improve of PRN′s professional behaviors and development of clinical pain nursing .

Abstract Enhancing the health literacy of the entire population is a prerequisite for improving the health of the entire population, and since the health attitudes and behaviors formed during childhood and adolescence have a profound impact on the health patterns of adulthood, the enhancement of health literacy of children and adolescents is of particular importance. As the main place for children and adolescents to receive education, schools should better fulfil the function of education and promotion of health literacy. China has been carrying out the pilot and promotion of health promoting schools (HPS) since 1995, and is currently in the stage of comprehensive improvement of HPS construction. This paper introduces the background and characteristics of Health-Literate Schools (HeLit-Schools) in foreign countries and compares them with HPS in China, drawing on the advantages of HeLit-Schools to provide a new idea and a new way of thinking for the construction of HPS in China and for the practice of the "Healthy China Initiative".

Objective: To conduct a scoping review on the types, construction methods and predictive performance of health literacy prediction models based on machine learning methods, so as to provide the reference for the improvement and application of such models. Methods: Publications on health literacy prediction models conducted using machine learning methods were retrieved from CNKI, Wanfang Data, VIP, PubMed and Web of Science from inception to May 1, 2024. The quality of literature was assessed using the Prediction Model Risk of Bias ASsessment Tool. Basic characteristics, modeling methods, data sources, missing value handling, predictors and predictive performance were reviewed. Results: A total of 524 publications were retrieved, and 22 publications between 2007 and 2024 were finally enrolled. Totally 48 health literacy prediction models were involved, and 25 had a high risk of bias (52.08%), with major issues focusing on missing value handling, predictor selection and model evaluation methods. Modeling methods included regression models, tree-based machine learning methods, support vector machines and neural network models. Predictors primarily encompassed factors at four aspects: individual, interpersonal, organizational and society/policy aspects, with age, educational level, economic status, health status and internet use appearing frequently. Internal validation was conducted in 14 publications, and external validation was conducted in 4 publications. Forty-two models reported the areas under the receiver operating characteristic curve, which ranged from 0.52 to 0.983, indicating good discrimination. Conclusion Health literacy prediction models based on machine learning methods perform well, but have deficiencies in risk of bias, data processing and validation.

Objective? To evaluate the effects of auricular acupressure therapy (AAT) on mild or moderate chronic non-cancer pain and the implementation measures so as to provide a basis for implementing and spreading AAT standardly. Methods? Randomized controlled trials (RCTs) on AAT for mild or moderate chronic non-cancer pain were retrieved in Chinese National Knowledge Infrastructure (CNKI), Wanfang database, VIP database, PubMed, Web of Science and Embase. Two researchers independently screened literatures based on the inclusion and exclusion criteria, extracted data, evaluated literature quality and carried out descriptive analysis on effects and implementation measures of AAT for pain. Results? A total of 12 RCTs were included which showed that AAT could ease pain. Most researches selected nervous system and pain area auricular points in the meantime, took vaccaria segetalis seeds as AAT material, carried out acupressure by adult patients with the appropriate strength when feeling sour, numbness,swelling and hot. There were no unified results in the times of auricular acupressure per day, pressing time each time, bean-pressing in both or single ears, but the three aspects presented a certain trend. Conclusions? In most cases, the application of AAT for mild or moderate chronic non-cancer pain can ease pain. Nurses should pay attention to auricular point selection, AAT material, AAT duration, times of auricular acupressure per day, pressing time each time, bean-pressing in both or single ears, pressure strength and patient education so as to achieve the best treatment effects.

Health literacy serves as the foundation of health for all. Hence the authors introduced the connotation and extension of health literate health care organization(HLHO) and related concepts. On such basis, the paper presented the construction method of HLHO from the perspective of health policy, healthcare organizations and inter-institutional cooperation, in order to improve the health literacy of the Chinese people and implement the Healthy China initiative(2019—2030).

Objective: To evaluate the degree of trust of patients in community traditional Chinese medicine(TCM)physicians, based on the TCM service capability promotion program, and to analyze the impacts by TCM prevention and health care service. Methods: 1 391 patients at 22 primary health service centers in 3 cities from Zhejiang province were investigated using the Chinese version of Wake Forest Physician Trust Scale(WFPTS)in September, 2017. Quantitative and qualitative variables were described by mean±SD, and ratio respectively. Differences were compared by t test, ANOVA and Kruskal-Wallis test. Results: Chinese version of WFPTS had good reliability and validity in measuring community TCM physicians. The average scoring of patients′ trust in community TCM physicians was 38.00±6.42, while their benevolence and competence were 19.14±3.41, 18.82±3.50 respectively.For patients with different demographic characteristics, their quantity and the way to acquire and utilize TCM prevention and health care service had different degrees of trust in community TCM physicians. Patients′ gender, age, awareness and utilization of TCM prevention and health care service, etc. affect the degree of trust in community TCM physicians. Conclusions Patients have higher degree of trust in community TCM physicians, and improving the rate of awareness and utilization of TCM prevention has positive impacts on the degree of trust in these physicians. It is proposed that health knowledge education be strengthened and skills of community TCM physicians′ capacity be enhanced through various ways.

0bjective To translate and revise《knowledge and attitudes survey regarding pain》(KASRP)(2014), and to test the reliability and validity of the Chinese version of KASRP (2014) and to conduct application testing. Methods Compared with the original English versions of KASRP 2014 and 2008 , the adjusted or newly added items were translated into Chinese through repeated review process, and 140 nurses were conveniently sampled for questionnaire survey. At the same time, 35 subjects were repeatedly measured at intervals of 3 weeks.The internal consistency coefficient and the test-retest were used to assess the reliability , and the content validity and construct validity were used to assess the validity. Results The total Cronbach α coefficient of the questionnaire was 0.717; the test-retest reliability was 0.765; accumulating contribution rate of 14 factors was 67.815% ; the expert evaluation result was: the average score of 4 items among 6 different items was 5 points, which was"extremely applicable"; the average score of 2 items was≥4 points, which was "applicable". The number of correct answers for the respondents was 12-27, and the average answer was 19.28 ± 3.11. The answer rate was between 29% and 66% , with an average of (47 ± 8)% . Conclusion The Chinese version of KASRP (2014) has good reliability and validity and application results.