Objective:To explore the mediating effect of work engagement on the relationship between innovative behavior and core competencies among clinical nursing teachers in the department of otolaryngology.Methods:This was a cross-sectional study. Clinical nursing teachers from the Department of Otolaryngology at the First Affiliated Hospital of Zhengzhou University were selected by convenience sampling between August and October 2023. Data were collected using a general information questionnaire, a Core Competency Evaluation Form for Undergraduate Nursing Clinical Instructors, a Nurse Innovation Behavior Scale, and a Work Engagement Scale.Results:A total of 336 questionnaires were distributed, with 306 valid responses received, resulting in an effective response rate of 91.07%. The total score for work engagement among the 306 clinical nursing teachers was (54.22±8.67), while the total score for innovative behavior was (43.25±6.94), and the total score for core competencies was (106.22±6.74). Pearson correlation analysis showed that the core competencies and innovative behaviors were positively correlated with work engagement ( r=0.289, 0.487, respectively; P<0.01), and the core competencies were positively correlated with innovative behaviors ( r=0.513, P<0.01). Structural equation modeling revealed that work engagement partially mediated the relationship between innovative behavior and core competencies, with a mediation effect value of 0.071, accounting for 12.72% of the total effect. Conclusions:Clinical nursing teachers in the department of otolaryngology demonstrate a moderate to high level of core competencies, and work engagement partially mediates the relationship between innovative behavior and core competencies.

Objective To construct mobile-health APP intervention program and investigate effects of mobile-health APP on the treatment compliance and quality of life in patients with chronic rhinosinusitis after endoscopic sinus surgery. Methods From March 2016 to May 2017,a total of 83 chronic rhinosinusitis patients hospitalized in the First Affiliated Hospital of Zhengzhou University were randomly divided into observation group and control group, with 42 cases in the observation group and 41 cases in the control group. Patients in the control group were treated with standard discharged nursing, while patients in the observation group received additional mobile-health APP. The Sinonasal Outcome Test-22 (SNOT-22), Treatment Compliance Questionnaire and Visual Analogue Scale (VAS) were used to evaluate patients in two groups before and after the intervention. Results At 3 months after discharge, SNOT-22 and VAS scores of patients in the observation group were lower than the control group; treatment compliance score of patients in the observation group was higher than the control group; there were statistically significant differences between two groups (P<0.01). Conclusions The mobile-health APP can improve treatment compliance, alleviate the nasal symptoms, and increase the quality of life of patients with chronic rhinosinusitis after endoscopic sinus surgery.

Objective:To investigate the effects of self-efficacy on evidence-based nursing practice (EBNP) behaviors and its underlying mechanisms.Methods:Between September and October 2023, nurses from the otolaryngology departments of 51 hospitals in Henan Province were selected for this study by convenience sampling. Data were collected using general demographic surveys, Self-Efficacy Scale, Information Iiteracy Questionnaire, EBNP Competency Scale, and EBNP Behavior Scale. Pearson correlation analysis was used to explore the relationships among self-efficacy, information literacy, EBNP competencies, and EBNP behaviors. The mediating effects of information literacy and EBNP competencies between self-efficacy and EBNP behaviors were analyzed using Process v4.2.Results:A total of 580 questionnaires were distributed, with 551 valid responses, yielding a response rate of 95%. Scores for self-efficacy, information literacy, EBNP competencies, and EBNP behaviors were (28.60±6.48), (78.56±11.88), (34.86±8.59), and (28.26±7.64), respectively. Pearson correlation analysis indicated that information literacy was positively correlated with self-efficacy, EBNP competencies, and EBNP behaviors ( r=0.640, 0.687, and 0.661, respectively; P<0.001). Mediation tests confirmed the direct effect of self-efficacy on EBNP behaviors and the individual and serial mediating effects of information literacy and EBNP competencies, with mediating effect sizes of 27.273%, 18.379%, and 44.862%, respectively. Conclusions:The serial mediating roles of information literacy and EBNP competencies between self-efficacy and EBNP behaviors among otolaryngology nurses are validated. Future strategies could involve enhancing otolaryngology nurses' information literacy and EBNP competencies to promote their EBNP behaviors.

Objective To compare the differences between a new type of pillow for nasal drops and traditional pillow in alleviating nasal congestion, nasal pus, sneezing and headache in patients suffering from acute sinusitis, and to select a better nasal dropping equipment for clinical nursing. Methods In total 86 acute sinusitis patients in hospital were randomly divided into the observation group and control group ( for each group, n= 43 ) . Patients in both groups were treated with intravenous cephalosporin, and arcelor thiazole and levofloxacin by nasal dropping. Our new type of pillow for nasal drops and the traditional pillow were applied in the observation group and control group respectively. We compared the differences of treatment effect in five days later between two groups by the SNOT-20 scale, pain assessment, and visual analogue scale. Results The scores of a stuffy nose, discharging, sneezing, headache, decreased smell, taste and unable to sleep, and night sleep of the patients in the observation group were significantly lower than those in the control group ( P <0. 05). The comfort score of the observation group was significantly higher than that of the control group (P<0. 05). Conclusions By using the new pillow for nasal drops, drugs are able to reach the nasal sinus cavity accurately, so the symptoms of patients with acute sinusitis are relieved better.

【Objective】 To detect alleles of rare blood group systems of red blood cells (RBC) of Duffy, Diego, Kidd, Dombrock, MNS, Lutheran, Kell, Colton, Scianna, YT, Knops, Indian and Vel of Li Ethnic Group in Hainan, so as to investigate the distribution characteristics of rare blood group alleles and provide references for safe blood transfusion. 【Methods】 The genotypes of 13 rare blood group systems in 300 Li people in Hainan were analyzed by PCR-SSP, and the gene frequency was analyzed . 【Results】 The allele frequencies of Duffy, Diego, Kidd, Dombrock, MNS, and Lutheran blood group systems of 300 Li people were as follows: Duffy: Fy^a=0.958 3, Fy^b=0.041 7; Diego: Di^a=0.066 7, Di^b=0.933 3; Kidd: Jk^a=0.450 0, Jk^b=0.550 0; Dombrock: Do^a=0.101 7, Do^b=0.898 3; MNS: M=0.818 3, N=0.181 7, S=0.028 3, s=0.971 7, Mur⁺ =0.576 7; Lutheran: Au^a=0.835 0, Au^b=0.165 0. The antigen genes of Kell, Colton, Scianna, Yt, Knops, Indian, Vel blood group systems were not polymorphic, and the genetypes were kk, Co^aCo^a, Sc1Sc1, Yt^aYt^a, Kn^aKn^a, In^bIn^b and Vel⁺, respectively. 【Conclusion】 The allele frequencies of Duffy, Diego, Kidd, Dombrock, MNS and Lutheran blood group systems of Li ethnic group in Hainan were polymorphic, while the allele frequencies of Kell, Scianna, Yt, Knops, Colton, Indian and Vel blood group systems were monomorphic.