Objective To explore the effects of health information literacy(HIL),perceived benefits and perceived risk on the willingness to use nursing skills of traditional Chinese medicine(TCM)in elderly residents.Methods From August to December 2022,180 elderly residents were randomly selected from the Physical Examination Center of a grade A hospital in Yangzhou of Jiangsu Province by convenient sampling method.The questionnaire of general situation,Scale of HIL of TCM Health Care,and Questionnaire on the Acceptance of TCM Nursing Technology in Middle-aged and Elderly Residents in Community.The influence factors were analyzed by Chi-square test and multiple linear stepwise regression analysis,and the path relationship was constructed by structural equation model.Results A total of 151 valid questionnaires were collected.Education level,self-evaluation of health,the acceptance scores of participants receiving the TCM nursing skills or not,the health infor-mation literacy in TCM,perceived usefulness,perceived ease of use,and use concerns were the influ-encing factors of the willingness of elderly residents,which could explain 54.30％of the total varia-tion.Perceived benefit and perceived risk both had mediated effects between health information literacy and willingness to use,accounting for 67.48％and 32.52％of the total effect,respectively.Conclu-sion In the process of the guidance and promotion of TCM nursing skills,medical institution should pay attention to the influence mechanism of health information literacy,perceived benefits and perceived risk on the use willingness of elderly residents,and improve the service model.

Objective To explore the effects of health information literacy(HIL),perceived benefits and perceived risk on the willingness to use nursing skills of traditional Chinese medicine(TCM)in elderly residents.Methods From August to December 2022,180 elderly residents were randomly selected from the Physical Examination Center of a grade A hospital in Yangzhou of Jiangsu Province by convenient sampling method.The questionnaire of general situation,Scale of HIL of TCM Health Care,and Questionnaire on the Acceptance of TCM Nursing Technology in Middle-aged and Elderly Residents in Community.The influence factors were analyzed by Chi-square test and multiple linear stepwise regression analysis,and the path relationship was constructed by structural equation model.Results A total of 151 valid questionnaires were collected.Education level,self-evaluation of health,the acceptance scores of participants receiving the TCM nursing skills or not,the health infor-mation literacy in TCM,perceived usefulness,perceived ease of use,and use concerns were the influ-encing factors of the willingness of elderly residents,which could explain 54.30％of the total varia-tion.Perceived benefit and perceived risk both had mediated effects between health information literacy and willingness to use,accounting for 67.48％and 32.52％of the total effect,respectively.Conclu-sion In the process of the guidance and promotion of TCM nursing skills,medical institution should pay attention to the influence mechanism of health information literacy,perceived benefits and perceived risk on the use willingness of elderly residents,and improve the service model.

Objective:To assess the effectiveness of a 6-month Ba Duan Jin exercise program in improving the balance of community-dwelling older adults.Methods:A two arms, parallel-group, cluster randomized controlled trial was conducted in 1 028 community residents aged 60-80 years in 40 communities in 5 provinces of China. Participants in the intervention group (20 communities, 523 people) received Ba Duan Jin exercise 5 days/week, 1 hour/day for 6 months, and three times of falls prevention health education, and the control group (20 communities, 505 people) received falls prevention health education same as the intervention group. The Berg balance scale (BBS) score was the leading outcome indicator, and the secondary outcome indicators included the length of time of standing on one foot (with eyes open and closed), standing in a tandem stance (with eyes open and closed), the closed circle test, and the timed up to test.Results:A total of 1 028 participants were included in the final analysis, including 731 women (71.11%) and 297 men (28.89%), and the age was (69.87±5.67) years. After the 3-month intervention, compared with the baseline data, the BBS score of the intervention group was significantly higher than the control group by 3.05 (95% CI: 2.23-3.88) points ( P<0.001). After the 6-month intervention, compared with the baseline data, the BBS score of the intervention group was significantly higher than the control group by 4.70 (95% CI: 4.03-5.37) points ( P<0.001). Ba Duan Jin showed significant improvement ( P<0.05) in all secondary outcomes after 6 months of exercise in the intervention group compared with the control group. Conclusions:This study showed that Ba Duan Jin exercise can improve balance in community-dwelling older adults aged 60-80. The longer the exercise time, the better the improvement.