Objective: To investigate the screen exposure status and influencing factors among 6-12 year-old children in Hainan Province, so as to provide insights into screen exposure intervention for children. Methods: Children aged 6-12 years from 18 counties (cities) in Hainan Province were selected using multi-stage stratified cluster sampling method from December 2020 to July 2021. Demographic information, parents' educational level, family type and screen time was collected using questionnaire surveys. The screen exposure rate of children was analyzed, and factors affecting screen exposure were identified using a multivariable logistic regression model. Results: A total of 27 501 children were surveyed, including 13 901 boys (50.55%) and 13 600 girls (49.45%). The mean age was (9.22±1.86) years. Among them, 3 925 children had screen exposure, with a screen exposure rate of 14.27%. Multivariable logistic regression analysis showed that gender (female, OR=0.859, 95%CI: 0.796-0.926), age (OR=1.078, 95%CI: 1.049-1.108), ethnicity (ethnic minorities, OR=1.147, 95%CI: 1.041-1.254), place of residence (rural area, OR=0.869, 95%CI: 0.801-0.944), father's educational level (high school or technical secondary school, OR=0.879, 95%CI: 0.788-0.981; college degree or above, OR=0.686, 95%CI: 0.589-0.818), mother's educational level (college degree or above, OR=0.706, 95%CI: 0.588-0.846), family type (others, OR=1.250, 95%CI: 1.105-1.414), and annual family income (>100 000 Yuan, OR=0.741, 95%CI: 0.619-0.885) were the influencing factors for screen exposure among children aged 6-12 years. Conclusion The screen exposure among children aged 6-12 years in Hainan Province was affected by gender, age, ethnicity, place of residence, parental education level, family type and annual family income.

OBJECTIVES: This study aimed to identify factors associated with initiation and adherence of osteoporosis medication from a patient perspective. METHODS: A web-based survey was developed based on health behavior theories. Descriptive analyses were conducted for all survey items. Analyses in a structural equation modeling framework were conducted to identify factors associated with treatment initiation and adherence. RESULTS: Five hundred forty-five women completed the questionnaire. A majority were currently receiving medications for osteoporosis (n = 376, 69.0%) and 25.0% of these patients (n = 94) were considered adherent to their treatment. Knowledge was strongly associated with osteoporosis treatment initiation (standard error [SE], 0.58). Greater knowledge of disease was associated with increased likelihood of initiating medication. Medication complexity (SE, 0.49) and perceived susceptibility to fracture and loss of independence (SE, −0.37) were also associated with initiation. Perceived barriers (SE, −0.85) such as inconvenience, lack of efficacy and financial burden were observed to be the greatest obstacle to adherence. The greater the perceived barriers, the less likely patients were to adhere to medication. Patients' perception of self-efficacy (SE, 0.37) also affected adherence. The greater the patient perception of ability to independently manage their medication, the more likely they were to adhere to the medication. CONCLUSIONS: Different factors were found to be associated with initiation and adherence of osteoporosis medication. Patient knowledge of their disease and the perception of barriers were found to be the most influential. Empowering patients with the knowledge to better understand their disease and decreasing the perception of barriers through education initiatives may be effective in improving patient outcomes.
Education ; Female ; Health Behavior ; Humans ; Japan* ; Osteoporosis* ; Patient-Centered Care

Objective: To explore the impact of online sexuality education courses on the sexual knowledge, attitudes and related behaviors of rural girls, so as to provide the practical guidance for promoting sexual health and development. Methods: From February to June 2023, by posting information online and through commonweal organization websites, rural primary schools in 12 provinces were recruited for a semester of online sexuality education courses from October to November 2023. A self compiled sexuality education questionnaire was used to survey the knowledge, attitudes, and behaviors of rural girls before and after the course intervention, with pre tests in September 2023 and post tests in December 2023. The eligible samples were 3 058 and 2 602 , respectively. Independent sample t tests and text frequency and sentiment analysis were used to process the data Results: In terms of sexual knowledge, the scores of rural girls before and after the test were (8.49±3.29) and (9.40±3.35), respectively, with the post test score being higher than the pre test ( t =-10.20, P <0.01). In terms of attitudes, the scores of rural girls before and after the test were (11.50±4.62) and (10.82±4.80), respectively, with a decrease in stigmatization towards physiological development in the post test ( t =5.40, P <0.01). Regarding sexual related behaviors, the frequency of sexualbased bullying among rural girls was (5.12±2.13) before and (4.89±2.18) after, with a statistically significant difference ( t =3.99, P <0.01). The frequency and willingness of rural girls to discuss sexual topics with significant others both increased on post test (pre test:8.45±2.62; post test: 8.73± 2.62) and (pre test:8.90±2.46, post test:9.16±2.46), with a statistically significant difference ( t =-3.91, -4.03, P < 0.01 ). Text analysis revealed that "boys" "girls" and "menstruation" were the most concerned topics among the participants, and compared to before receiving sex education (69.91%), the proportion of negative emotions among rural girls decreased ( 18.59 %). Conclusion Online sexuality education courses can improve the sexual knowledge of rural girls, reduce stigma and negative emotions towards sex, decrease the incidence of sexual based bullying and increase the frequency and willingness to discuss sexual topics with parents, teachers, and peers.

Objective:To analyze the research in nursing informatization in Operating Room in China, summarize the current research characteristics and hotspots, and provide reference for further research in nursing informatization in Operating Room.Methods:Studies on nursing informatization in Operating Room were systematically retrieved from CNKI, Wanfang, SinoMed, and VIP databases. The search time limit was up to March 20, 2021, and the type of studies was set as experimental research or quasi-experimental research in quantitative studies. EndNote 22.0 was used for literature deduplication, and Excel 2016 was employed to draw tables and research trend graphs. The publication year, literature source, number of citations, published journals, funding source, research institutions, and research content of the articles were extracted to explore research hotspots.Results:A total of 140 articles were included, and the number of articles was on the rise. The articles were mainly distributed in Central, East, and North China; the funding rate was 15.71% (22/140) ; the research institution with the most articles was Union Hospital, Tongji Medical College, Huazhong University of Science and Technology (9 articles) ; the journal with the most articles was the Journal of Nursing Science (15 articles) ; the total number of citations was the highest in the articles published in the Chinese Journal of Nursing in 2015 (64 times) ; the research content mainly concerned "the construction and application of Operating Room information system", of which "information technology applied to nursing quality management in Operating Room" was most studied (95 articles) . Conclusions:The development of nursing informatization in Operating Room has received general attention, and more and more hospitals have realized the use of information technology to optimize the nursing process and improve the management model. It is expected that the maintenance of information network security, the training of information-based nursing talents, the standardized management and application of medical big data, and the interconnection at all levels will become the hotspots and difficulties in the development of nursing informatization in Operating Room.

Objective:To understand the context, frontiers and hotspots of researches on informatics nurses, in order to provide a basis for the training of informatics nurses in China.Methods:Relevant literature on informatics nurses included in Web of Science Core Collection Database was searched from the establishment of the database to November 1, 2021. HistCite Pro 2.1 software was used to analyze the publication time, countries, institutions, journals, authors, keywords and highly cited papers.Results:A total of 1 246 papers were included, and research institutions in the United States, Brazil, and Canada were in the leading position in the field of information nurses. The exploration of the information ability of nursing managers and the management of patient diagnosis and treatment data were the research frontiers in the past 5 years. Participating in designing software based on clinical needs and improving nursing quality based on information and data were research hotspots in this field.Conclusions:The foreign researches on informatics nurses started early and developed more maturely. China should learn from the training experience of foreign informatics nurses, pay attention to the teaching quality of information nursing courses in schools and encourage clinical nursing information skills training. In addition, it should be based on the fact that information nurses can skillfully apply clinical information systems, support nurses to participate in the development of nursing information systems, improve the data analysis capabilities of information nurses and give full play to the clinical value of information nurses, so as to accelerate the realization of clinical nursing informatization.

Objective:To understand the status quo of first aid ability and critical thinking of Operating Room nurses and to explore the correlation of critical thinking and first aid ability of Operating Room nurses.Methods:Using the convenient sampling method, a total of 158 nurses in Operating Room of First Maternity and Infant Hospital Affiliated to Tongji University were selected as the research objects from September 1 to 5, 2021. Nursing staff were surveyed using general information questionnaire, Operating Room Nurses ' First Aid Ability Assessment Questionnaire and Critical Thinking Ability Questionnaire. Pearson correlation was used to analyze the correlation between first aid ability and critical thinking of Operating Room nurses. A total of 158 questionnaires were distributed in this study and 152 valid questionnaires were recovered, with an effective recovery rate of 96.20%. Results:The total score of first aid ability of 152 Operating Room nurses was (109.25±6.39) , and the total score of critical thinking ability was (312.36±12.94) . Pearson correlation analysis showed that the total score of first aid ability of Operating Room nurses was positively correlated with the total score of critical thinking ability ( P<0.01) . Conclusions:First aid ability is related to critical thinking ability. For Operating Room nurses, the higher the critical thinking ability, the higher the first aid level.

Objective:Taking medical microbiology in the pathogen biology as an example, to explore the effects of process evaluation in basic medicine teaching.Methods:Multiple methods, including classroom performance, stage test, case analysis, final examination, questionnaire survey and so on, were used in the study to systematically evaluate the teaching process. According to the students' suggestions, feedback problems and solutions were publically given to students in the form of PPT, forming a process evaluation with "evaluation-feedback-correction" loop as the core. Collected data were analyzed statistically with SPSS 16.0.Results:The students were impressed by the contents with various teaching methods and satisfied with the evaluation system. Most of them thought that their abilities had been improved in many ways during the learning process. 96.8% of the students supported the reform, and 88.6% of the students hoped to apply this system to other disciplines. The scores of case analysis, final examination and overall evaluation in the experimental group were significantly higher than those of the control group ( P<0.01). Conclusion:Both teachers and students got profit from the process evaluation based on feedback loop. The teaching quality of medical microbiology would be further improved by a constantly enhanced evaluation system.