Objective:To construct a nursing intervention program based on dyadic coping theory for patients with spinal cord injury (SCI) and their spouses, and to explore the effects of the program on improving their coping abilities and quality of life.Methods:The nursing intervention program was developed through literature review, expert panel discussions, and the Delphi method, guided by dyadic coping theory. Using convenience sampling, 90 pairs of patients with SCI and their spouses who underwent surgery in the Department of Orthopedics at the Second Affiliated Hospital of Anhui Medical University from January to August 2023 were selected. Participants were randomly divided into control group ( n=46) and observation group ( n=44). The control group received standard nursing care, while the observation group received the dyadic coping-based nursing intervention program in addition to standard care for three months. Both groups were assessed at admission and three months post-intervention using the Dyadic Coping Inventory (DCI), WHO Quality of Life-BREF (WHOQOL-BREF), and Family Adaptability and Cohesion Evaluation Scale (FACESⅡ) . Results:After three months, the DCI scores for patients and spouses in the observation group were (117.80±0.88) and (121.50±3.29), respectively. The WHOQOL-BREF scores for the patients and spouses were (80.50±1.77) and (81.09±1.58), respectively. The FACESⅡ scores for the patients were (65.70±0.95) and (48.68±1.03), respectively, and for their spouses were (67.02±0.88) and (49.55±1.27), respectively. All scores were significantly higher in the observation group compared to the control group ( P<0.05) . Conclusions:The nursing intervention program based on dyadic coping theory effectively improves the dyadic coping abilities, quality of life, and family functioning of patients with SCI and their spouses.

Objective:To investigate the current status of social support, readiness for discharge, and loneliness in elderly patients with diabetes mellitus type 2 (T2DM) and the relationship among them.Methods:A total of 230 elderly T2DM patients treated in the Endocrinology Department of the First Affiliated Hospital of Anhui Medical University from April to October 2022 were selected as research objects by the convenient sampling method. Patients were surveyed using a general information questionnaire, Readiness for Discharge Scale, Perceived Social Support Scale and UCLA Loneliness Scale. The Spearman correlation analysis was used to investigate the correlation between social support, loneliness and discharge readiness in elderly T2DM patients. Model 4 in SPSS Process 4.0 software was used to examine the mediating effects of discharge readiness, social support and loneliness in elderly patients with T2DM. A total of 230 questionnaires were sent out and 222 were effectively received, with effective recovery of 96.5% (222/230) .Results:The total scores of Readiness for Discharge Scale, Perceived Social Support Scale and UCLA Loneliness Scale in 222 elderly T2DM patients were 104.00 (91.00, 113.00), 65.00 (57.50, 72.00) and 36.50 (26.00, 44.25), respectively. Spearman correlation analysis showed that social support was positively correlated with discharge readiness ( r=0.448, P<0.05), and loneliness was negatively correlated with social support and readiness for discharge ( r=-0.563, -0.512, P<0.05). The mediating effect analysis showed that loneliness played a partial mediating role between social support and hospital readiness, with an effect ratio of 42.8%. Conclusions:Clinical medical staff should pay attention to the psychological state of patients, alleviate the loneliness of elderly T2DM patients, improve the level of social support, so as to improve the readiness of patients for discharge and increase the self-management ability of elderly diabetes mellitus type 2 patients after discharge.

Under the background of the high-quality development of public hospitals and performance appraisal of public hospitals,the satisfaction management of the medical experience has become a hot and difficult issue.Anhui Children's Hospital has constructed the"two-three-three"management mode of patient medical experience,That is,external and internal satisfaction,three-level management,three-level index monitoring and assessment sys-tem.This management mode has achieved certain results,in improving the hospital's internal performance assess-ment,professional title promotion,annual evaluation and other management systems,to achieve scientific,re-fined and standardized management of medical experience,continuous improvement and enhancement of patients'satisfaction with medical experience,to provide experience and reference for medical experience management of medical institutions.

Objective:To explore the mediating effect and masking effect of creative self-efficacy on emotion regulation and procrastination behavior of nursing undergraduates, to provide a reference for the cultivation of creative self-efficacy of nursing undergraduates and improvement of their competence in innovative tasks.Methods:From May to June 2018, a total of 550 nursing undergraduates from a medical university in Hefei were surveyed by cluster sampling method, using general data questionnaire, Emotion Regulation Questionnaire, Creative Self-efficacy Scale for College Students and General Procrastination Scale. A total of 550 questionnaires were issued in this study and 509 valid questionnaires were finally recovered, with an effective recovery rate of 92.55%.Results:The procrastination behavior of nursing undergraduates was negatively correlated with emotion regulation and cognitive reappraisal ( P<0.01) , and positively correlated with expression suppression ( P<0.01) . Procrastination behavior was negatively correlated with creative efficacy and its dimensions ( P<0.01) . Emotion regulation and its dimensions were positively correlated with creative efficacy ( P<0.01) . The creative efficacy of nursing undergraduates played a part of the mediating role between cognitive reappraisal and procrastination behavior, and the indirect effect of creative self-efficacy between expression suppression and procrastination behavior was shown as a masking effect. Conclusions:Cognitive reappraisal or expression suppression can indirectly affect procrastination behavior through creative self-efficacy. Nursing educators can enhance students' innovation efficacy by increasing the self-recognition of nursing students and opening innovative training courses online or offline.

Objective:To explore the mediating effect of positive psychological capital on achievement motivation and procrastination behavior of nursing undergraduates and the moderating effect of positive perfectionism on mediation.Methods:Using the cluster sampling method, a total of 550 nursing undergraduates from the 1st to 4th grades of School of Nursing of a medical university were selected as research objects from May to June 2018. General information questionnaire, Achievement Motivation Scale (AMS) , Positive Psychological Capital Questionnaire (PPQ) , positive perfectionism dimension of Frost Multidimensional Perfectionism Scale and General Procrastination Scale (GPS) were used for investigation. PROCESS software was used for moderated mediation effect analysis.Results:A total of 550 questionnaires were issued and 509 valid questionnaires were finally recovered, with an effective recovery rate of 92.55%. The GPS score of 509 nursing undergraduates was (55.08±8.18) , AMS score was (-0.03±6.02) , PPQ score was (4.35±0.70) and score of positive perfectionism dimension was (17.26±4.69) . Achievement motivation, positive psychological capital and positive perfectionism were all negatively correlated with procrastination behavior ( r=-0.245, -0.415, -0.357; P<0.01) . Positive psychological capital played a partial mediating role between achievement motivation and procrastination behavior, and the mediating effect accounted for 42.31% of the total effect. Positive perfectionism had a moderating effect on the second half of the mediating pathway of positive psychological capital ( P< 0.05) . Conclusions:The procrastination behavior of nursing undergraduates is at the middle level. Achievement motivation can influence procrastination behavior through positive psychological capital and positive perfectionism regulates the relationship between positive psychological capital and procrastination behavior.

Objective:To systematically evaluate the effect of psychosocial intervention on the post-traumatic growth (PTG) and emotional state of trauma patients.Methods:Randomized controlled trials (RCTs) on the effect of psychosocial intervention on PTG of trauma patients were searched in Cochrane Library, Web of Science, PubMed, China National Knowledge Infrastructure (CNKI) , China Biology Medicine Literature Service System (CBM) , VIP Database and Wanfang Data by computer. The search time limit was from the establishment of the database to August 2020. The Cochrane randomized controlled trial bias risk assessment tool was used for quality evaluation, and the data that met the quality standards were extracted and included in the final Meta-analysis.Results:A total of 11 RCTs were included, with 919 research subjects. Meta-analysis results showed that the group psychosocial intervention [ WMD=8.49, 95% CI (2.74, 14.25) , P<0.01] and individual psychological intervention [ WMD=6.78, 95% CI (2.13, 11.44) , P<0.01] could improve the PTG level of trauma patients. Psychosocial intervention could improve the emotional state of trauma patients, increase the level of optimism [ WMD=1.87, 95% CI (1.18, 2.56) , P<0.01], and reduce the level of depression [ SMD=-0.76, 95% CI (-1.03, -0.49) , P<0.01]. Subgroup analysis of different follow-up time found that when the follow-up time was <3 months, 3-6 months, >6 months, the PTG of trauma patients all had a tendency to increase, but the difference was statistically significant when the follow-up time was only within 3 months [ WMD=7.16, 95% CI (2.70, 11.62) , P=0.002]. Conclusions:Psychosocial intervention can improve the PTG and the emotional control ability of trauma patients, which is conducive to the physical and psychological recovery of trauma patients.

Objective:To construct a systematic standardization system of combined medical care and elderly nursing service in general hospital-nursing home-community-family, so as to provide reference for the development of different forms of combined medical care and elderly nursing services.Methods:Delphi expert consultation method was used in the study. The expert consultation form of the standardized system of combined medical care and elderly nursing service in general hospital-nursing home-community-family was designed by discussing through the research group meeting on the basis of literature review from January to June 2020. A total of 15 experts who are engaged in geriatric nursing and management, geriatric nursing education, and geriatrics were selected to conduct two rounds of expert consultation.Results:The effective recovery rate of the questionnaires in the two rounds of expert consultation was 100.00%, and the expert authority coefficients were 0.875 and 0.848, and the expert opinions tended to be consistent. The standardized system of combined medical care and elderly nursing service was divided into 4 first-level indicators, 19 second-level indicators, 95 third-level indicators for general hospitals, 4 first-level indicators, 25 second-level indicators, and 96 third-level indicators for nursing homes, 4 first-level indicators, 16 second-level indicators and 88 third-level indicators for communities, 4 first-level indicators, 16 second-level indicators and 88 third-level indicators for families.Conclusions:The research method of the standardized system of combined medical care and elderly nursing service in general hospital-nursing home-community-family constructed in this study is scientific, reasonable and feasible, and the content is targeted, which can provide a reference for the development of different forms of combined medical care and elderly nursing services in the future.

This paper reviewed the assessment tools, influencing factors and interventions of intimacy between breast cancer patients and their spouses at home and abroad so as to provide a reference for establishing the close conjugal relationship between breast cancer patients and their spouses.

Objective To investigate postoperative psychological experiences of patients underwent kidney transplant donated by his/her parent,and to discover mental signs and psychological journey in individual growth.Methods Semi-structured in-depth interviews were conducted among 17 patients underwent kidney transplant donated by his/her parent,and Giorgi analysis method was used to analyze data.Results The postoperative psychological experiences of patients mainly contained 4 aspects:posttraumatic growth,rebuilding meaning of life,being grateful for experience,coexisting of hope and challenge.Conclusion The patients have complex psychological experiences,having positive aspects derived from rehabilitation and improved quality of life,as well as negative aspects derived from concerning health of the donor,fear for complication and rejection,and lack of sound supporting system.Medical staff should guide patients to adjust cognitive and behavioral patterns and face life events directly,integrate medical/social support resources and enhance patients' psychological capital to face future life.

Objective To explore the effect of clinical practice on clinical practice ability in master of nursing specialist and evaluation measures of the clinical practice ability.Methods A total of 17 masters of nursing specialist engaged in clinical practice were selected in the First Affiliated Hospital of Xinjiang Medical University from March 2014 to February 2016.They were cultivated with two-level management methods of instruction between tutors and clinical teachers along with following up the requirements of “Nursing Postgraduates Clinical Practice Handbook”.The clinical practice ability evaluation form of master of nursing specialist was used to evaluate the clinical practice ability of 17 postgraduates from 4 aspects including graduate teachers,clinical teachers,classmates,self evaluation from 360°feedback.Results After clinical practice, the score of 4 aspects and the total score of clinical practice ability were higher than those before clinical practice with significant differences (P <0.05 ).However,the results of 360°feedback showed that there were no statistically significant differences in the score of theoretical level,professional ethics,ability to research and the total score among different evaluation subjects (P >0.05 ).Besides,the results revealed that there were statistically significant differences in the evaluation of practice ability of nursing and teaching management ability (P <0.05).In addition,the score of practice ability of nursing care and management capacity of teaching evaluated by classmates were higher than those evaluated by other subjects (P <0.05).Conclusions Scientific clinical practice teaching mode of master of nursing specialist can effectively improve clinical practice ability of postgraduates.Besides,the 360°feedback can be seen as an effective tool to objectively and fairly evaluate clinical practice ability of high-quality and utility-type nursing talents.