Objective To take text analysis of the mental health promotion policies for Chinese medical staff,and provide guidance for the optimization and improvement of subsequent policies.Methods Two-dimensional analysis framework composed of policy tools and two-factor theory were established,and external attribute analysis and content analysis of 19 mental health promotion policies issued by the central level were conducted.Among the policy text types,the most notifications,followed by opinions and the least work plan.A total of 368 policy codes were selected in the included policy texts.Among the 180 codes in the dimension of policy tool,authority,incentive,capacity building,guidance and organizational change accounted for 19.44％,15.56％,28.89％,31.11％and 5.00％respectively.Among the 188 codes in the two-factor theoretical dimension,health care factors and incentives accounted for 63.83％and 36.17％,respectively.There are rich types of policy tools for mental health promotion of Chinese staff workers,but they show an unbalanced state and pay less attention to the motivation of medical staff.

Objective To take text analysis of the mental health promotion policies for Chinese medical staff,and provide guidance for the optimization and improvement of subsequent policies.Methods Two-dimensional analysis framework composed of policy tools and two-factor theory were established,and external attribute analysis and content analysis of 19 mental health promotion policies issued by the central level were conducted.Among the policy text types,the most notifications,followed by opinions and the least work plan.A total of 368 policy codes were selected in the included policy texts.Among the 180 codes in the dimension of policy tool,authority,incentive,capacity building,guidance and organizational change accounted for 19.44％,15.56％,28.89％,31.11％and 5.00％respectively.Among the 188 codes in the two-factor theoretical dimension,health care factors and incentives accounted for 63.83％and 36.17％,respectively.There are rich types of policy tools for mental health promotion of Chinese staff workers,but they show an unbalanced state and pay less attention to the motivation of medical staff.

Objective:To deeply understand the views of nurses on nursing robots, so as to provide reference for standardizing the application of nursing robots and promoting innovation in smart nursing service models.Methods:From March to June 2023, purposive sampling was used to select 15 registered nurses from two ClassⅢ general hospitals in Shanghai as research subjects for semi-structured interviews. Colaizzi 7-step analysis method was used to analyze interview data.Results:Three themes were extracted, including the perceived multiple benefits of nursing robots (obtaining work assistants, facilitating nursing safety, and promoting professional value recognition), the perceived multiple risks of nursing robots affecting patients (concerns about affecting patient safety, concerns about triggering negative emotions in patients, and concerns about functional limitations), and the perceived multiple dilemmas in the application of nursing robots (concerns about academic burden, concerns about changes in work patterns, concerns about unclear responsibilities, and concerns about affecting nursing positions) .Conclusions:Although nurses hold a positive attitude towards nursing robots and expect them to reduce their workload, nurses are also concerned that they may not be able to fully adapt to the clinical environment, pose potential risks to the physical and mental health of patients, and pose new challenges to nursing staff and work models. In the face of intelligent nursing, efforts should be made to strengthen professional training for nurses in information technology, improve nursing work models and processes, and perfect the rules and regulations for the application of intelligent products. Multiple parties should cooperate to create a smart nursing application ecosystem.

Objective:To translate the Home Healthcare Robot Adoption Intention and Its Determinants Questionnaire into Chinese and test its reliability and validity.Methods:After translation, back translation, semantic analysis, expert consultation, and cultural adaptation, a preliminary Home Healthcare Robot Adoption Intention and Its Determinants Questionnaire was determined. From February 25 to November 30, 2022, convenience sampling was used to select middle-aged and elderly individuals from communities in Shanghai city, Zhejiang, Jiangsu and Shanxi provinces as research subjects for reliability and validity testing of the questionnaire.Results:A total of 280 questionnaires were distributed, and 231 valid questionnaires were collected. The content validity index of the questionnaire level was 0.97. The total Cronbach's α coefficient of the questionnaire was 0.912, and the split half reliability coefficient was 0.848. Using principal component analysis and maximum variance rotation method to extract common factors with eigenvalue > 1, five common factors were extracted, with a cumulative variance contribution rate of 74.921%. The final Chinese version of the Home Healthcare Robot Adoption Intention and Its Determinants Questionnaire consisted of 5 dimensions and 29 items, named as the usage intention, social influence, ethical and legal concern, privacy concern, and performance expectancy.Conclusions:The Chinese version of the Home Healthcare Robot Adoption Intention and Its Determinants Questionnaire includes 5 dimensions and 29 items. It is an effective and reliable tool for evaluating the intention to use home healthcare robots, and can be used to survey the public's intention to use home healthcare robots.

Objective:To understand the psychological load status of nurses in psychological nursing work and to explore its correlation with stress perception and mental health.Methods:Using the convenient sampling method, a total of 260 nurses who participated in vocational education and training in Naval Medical University were selected as the research objects from November to December 2021. A questionnaire survey was conducted using National Aeronautics and Space Administration-Task Load Index, Perceived Stress Scale and World Health Organization Five-Item Well-Being Index. Using the Process plugin to analyze the relationship between psychological load in nurses' psychological nursing work, stress perception, and mental health.Results:A total of 260 questionnaires were distributed in this study and 248 valid questionnaires were collected, with a questionnaire effective rate of 95.38%. The total score of psychological load and the score of load perception dimension in nurses' psychological nursing work were lower than those in their daily nursing work. The results of the mediating effect model showed that there was a mediating effect between the self-evaluation dimension of psychological load in nurses' psychological nursing work and mental health . The total effect of self-evaluation dimension on mental health was -0.150 7.Conclusions:The level of psychological load in nurses' psychological nursing work is lower than that in daily nursing work. The self-evaluation of psychological load in psychological nursing work can not only directly affect the mental health of nurses, but also indirectly affect their mental health through stress perception. Relevant departments should strengthen the cultivation of nurses' psychological nursing abilities and promote their professional mental health.

Group psychological counseling techniques commonly used in nurses' mental health promotion include mindfulness-based group counseling, Balint groups, psychodrama, and the Satir model. Group psychological counseling mainly promotes the mental health of nurses by decreasing nurses' stress, relieving negative emotions, reducing job burnout, enhancing the perceived professional benefit, improving interpersonal relationships and adaptability. This paper reviews the common techniques and application of group psychological counseling, and analyzes the advantages and challenges of group psychological counseling in the promotion of nurses' mental health, with a view to providing a reference for the research and practice of nurses' mental health promotion based on group psychological counseling for researchers.

Group psychological counseling techniques commonly used in nurses' mental health promotion include mindfulness-based group counseling, Balint groups, psychodrama, and the Satir model. Group psychological counseling mainly promotes the mental health of nurses by decreasing nurses' stress, relieving negative emotions, reducing job burnout, enhancing the perceived professional benefit, improving interpersonal relationships and adaptability. This paper reviews the common techniques and application of group psychological counseling, and analyzes the advantages and challenges of group psychological counseling in the promotion of nurses' mental health, with a view to providing a reference for the research and practice of nurses' mental health promotion based on group psychological counseling for researchers.

Objective:To construct a humanistic care intervention program for stroke patients after discharge and evaluate the implementation effect.Methods:Through preliminary research, literature review and expert consultation, the humanistic care program for stroke patients after discharge based on Watson's humanistic care theory was constructed and integrated into clinical practice intervention program and implemented. By convenience sampling method, stroke patients discharged from the Neurology Department of Shanghai Pudong New Area People's Hospital in June 2019 were selected as the control group, and patients discharged in July 2019 were selected as the intervention group. The control group received routine follow-up, and the intervention group received humanistic care intervention program after discharge. The scores of the WHO Quality of Life-BREF (WHOQOL-BREF) , limb function improvement, and the General Well-Being Schedule were compared between the two groups before and after the intervention.Results:After the intervention, the WHOQOL-BREF total score of the intervention group was (55.74±4.88) , and the total score of the General Well-Being Schedule was (72.06±8.02) , which was higher than (48.49±5.77) , (65.09±3.45) of the control group. The differences were statistically significant ( P<0.05) . After the intervention, the limb function improvement score of the intervention group was (3.52±0.71) , which was not significantly different from that in the control group (3.20±0.63) . Conclusions:Through the construction and application of humanistic care program for stroke patients after discharge, it can effectively improve the quality of life, and happiness of COPD patients.

Objective:To explore the effect of OH cards based group counseling on decompression for chief resident nurses.Methods:In November 2019, a total of 60 chief resident nurses were recruited from two districts of a ClassⅢ Grade A specialized hospital in Shanghai by the convenient sampling method. A total of 58 chief resident nurses participated and completed the questionnaires in the whole process, and they were given OH cards-based decompression group psychological counseling. Before the group psychological counseling, Chinese Version Perceived Stress Scale (CPSS) was used to measure the chief resident nurses' stress. Before and after the group counseling, the Self-made Stress Visual Simulation Score, Self-made Positive and Negative Emotion Visual Simulation Score, State Anxiety Inventory (S-AI) in Chinese version of State-trait Anxiety Inventory (STAI) and Nurses Coping Style Questionnaire were used to evaluate the changes of the chief resident nurses' stress, positive and negative emotion, state anxiety and coping style.Results:Before group psychological counseling, the total CPSS score of 58 chief resident nurses was (30.03±7.10) , which was at a relatively high level. After OH card-based decompression group psychological counseling, the Self-made Stress Visual Simulation Score and the score of negative emotion dimension in S-AI of 58 chief resident nurses were reduced. The Self-made Positive and Negative Emotion Visual Simulation Score and scores of problem solving, avoidance and self-blame, seeking social support and behavior disengagement of Nurses Coping Style Questionnaire were all increased, while the score of alleviating emotional distress dimension was decreased. Compared with those before group psychological counseling, the differences were all statistically significant ( P<0.05) . Conclusions:Group psychological counseling based on OH cards can effectively reduce the pressure of chief resident nurses, reduce negative emotions and state anxiety and improve their coping styles.

Objective:To explore the current situation of empathy for pain in medical students and analyze its influencing factors.Methods:This study was a cross-sectional study. From June 2018 to January 2019, convenience sampling was used to select 768 undergraduate students from 4 medical universities in Shanghai, Jiangsu Province and Zhejiang Province as the research subject. The General Information Questionnaire, the Chinese version of the Empathy for Pain Scale (EPS) , and the Chinese version of the Interpersonal Reactivity Index (IRI-C) were used for investigation. Multiple linear regression was used to analyze the influencing factors.Results:Among 768 medical students, the total score of EPS was (2.56±0.66) , of which the physical and mental discomfort reaction dimension score was (2.28±0.74) , and the empathy reaction dimension score was (3.39±0.79) . The results of multiple linear regression analysis showed that major, being the only child or not, often watching violent movies or not, and personal distress were the influencing factors of medical students' physical and mental discomfort reaction with a statistical difference ( P<0.05) , explaining 20.1% of the variation in total. Gender, grade, clinical learning experience, viewpoint selection, empathic attention and imagination were the influencing factors of the empathy reaction of medical students also with a statistical difference ( P<0.05) , explaining 19.7% of the variation in total. Conclusions:The empathy for pain of medical students is at a moderate level and is affected by many factors. Medical education should strengthen the cultivation of empathy behavior practice ability, and multi-dimensionally cultivate and evaluate students' empathy ability in combination with patients' evaluation.