Objective To develop a Nursing Knowledge-Attitude-Practice Assessment Questionnaire for the Investigation of Enteral Nutrition Refeeding Syndrome and to test its reliability and validity.Methods Based on the theory of knowledge-attitude-practice,an initial questionnaire was developed through literature review,Delphi and pre-survey.350 ICU nurses from 2 tertiary A hospitals in Chongqing were investigated for item analysis,reliability analysis and exploratory factor analysis in August 2023;another 546 ICU nurses were selected for confirmatory factor analysis from 5 tertiary A hospitals.Results The final questionnaire included 3 dimensions and 45 items.The total Cronbach's α coefficient,split-half reliability,test-retest reliability and the questionnaire level content validity index were 0.970,0.878,0.873,and 0.940,respectively.Exploratory factor analysis extracted 3 common factors;the factor load of each item ranged from 0.535 to 0.878;the cumulative variance contribution rate was 68.683％.Confirmatory factor analysis showed that the model fit well and the questionnaire's factor structure was stable.Conclusion The Nursing Knowledge-Attitude-Practice Assessment Questionnaire for the Investigation of Enteral Nutrition Refeeding Syndrome has good reliability and validity,which can be used as a survey tool to evaluate enteral nutrition refeeding syndrome cognitive level of ICU nurses.

The American Endocrine Society released"Management of Hyperglycemia in Hospitalized Adult Patients in Non-Critical Care Settings:an EAndocrine Society Clinical Practice Guideline"in June 2022,which provides 15 evidence-based recommendations for ten clinical points of hospitalization management for patients with diabetes and/or hyperglycemia.The purpose of this paper is to interpret it,to provide a feasible and safe blood glucose control programs for the management of hyperglycemia in non-severe inpatient adults,and provide guidance for standardizing clinical operation of medical staff,so as to improve patients'poor prog-nosis and improve the quality of life.

Objective:To investigate the current situation and influencing factors of knowledge, attitude and practice in terms of refeeding syndrome (RFS) in enteral nutrition among nurses in intensive care unit (ICU), and to inform the development of relevant training framework.Methods:A total of 1 332 ICU nurses were surveyed using a self-developed questionnaire on knowledge, attitude and practice towards refeeding syndrome in enteral nutrition. The questionnaire consists of 45 items covering three dimensions, namely knowledge, attitude and practice.Results:The subtotal scores of knowledge, attitude and practice were 60.00 (48.00, 66.75), 53.00 (48.00, 60.00) and 46.00 (39.00, 52.00), respectively. The total score was 156.78±23.03. Multiple linear regression analysis showed that the influencing factors for the total score included age, years of working in ICU, professional title, position, specialist nurses or not, experiences of relevant training ( P<0.05). Conclusions:ICU nurses had better attitude towards RFS, but the level of knowledge and practice still need to be improved. Nursing managers should develop and optimize the training system to enhance the knowledge and behavior concerning RFS in ICU nurses, so as to further improve the nursing quality in terms of RFS management.

OBJECTIVETo investigate the relationship between occupational stress and mental health in offshore oil platform workers and to provide a scientific basis for protection of their mental health.

METHODSA total of 768 workers on offshore oil platform were surveyed with the Occupational Stress Inventory Revised Edition and Symptom Check List-90 (SCL-90).

RESULTSThe total score of Occupational Role Questionnaire (ORQ) for the workers (160.27±24.63) was significantly lower than the national norm (166.52±27.01) (P < 0.01); the total score of Personal Strain Questionnaire (PSQ) (101.96±19.8) was significantly higher than the national norm (92.45±17.33) (P < 0.01). The total score of Personal Resource Questionnaire (PRQ) for the workers was not significantly different from the national norm (P > 0.05), but the items of recreation, social support, and rational/cognitive found significant difference (P < 0.05). The total score of SCL-90 was positively correlated with all items of ORQ and PSQ (P < 0.01) and negatively correlated with all items of PRQ (P < 0.01). The multiple stepwise regression analysis showed that current work seniority, education background, drinking, role overload, role insufficiency, role ambiguity, responsibility, physical environment, and rational/cognitive conduct impacted the score of SCL-90 (P < 0.05).

CONCLUSIONThe mental health of workers on offshore oil platform is related to occupational stress, and role overload, role ambiguity, physical environment, and rational/cognitive conduct, etc, are closely associated with the workers' mental health.

Adult ; Burnout, Professional ; psychology ; Humans ; Male ; Mental Health ; Middle Aged ; Multivariate Analysis ; Occupational Diseases ; psychology ; Sampling Studies ; Stress, Psychological ; Surveys and Questionnaires ; Workload ; psychology ; Young Adult