This study aimed to identify factors influencing long-term care hospital nurses’ moral distress and job satisfaction on turnover intention. Methods: Participants were 158 nurses working in one of 13 long-term care hospitals. Data were collected from July 22 to September 10, 2024, and analysed using two-stage multiple regression analysis with SPSS. Results: Turnover intention was a statistically significant positive correlation with moral distress. In the sub factors, there was correlation with futile care, nursing practice, institutional and situational factors, and physician practice. Turnover intention was a statistically significant negative correlation with job satisfaction and all sub factors. Factors influencing the turnover intention of long-term care hospital nurses were under the age of 40, male nurses, moral distress, futile care sub factors of moral distress, job satisfaction, and administration and professionalism sub factors of job satisfaction, showing 30.0% explanatory power. Conclusion: The significance of moral distress and job satisfaction was confirmed as a factor influencing the turnover intention of long-term care hospital nurses. Therefore, the organization must make active efforts to find and solve factors and problems that reduce job satisfaction and intensify moral distress of long-term care hospital nurses. In addition, at the organizational level, a management strategy will be needed to lower nurses’ intention to turnover by preparing and applying ethical standards and guidelines to systematically solve the moral distress of nurses in the organization.

Objective:To explore the application effects of modified laparoscopic total extraperitoneal hernia repair (TEP) and laparoscopic transabdominal preperitoneal hernia repair (TAPP) in inguinal hernia.Methods:One hundred and twenty-five patients with inguinal hernia in Yiwu Central Hospital from February 2017 to December 2019 were selected for retrospective study. They were divided into modified TEP group (63 cases) and TAPP group (62 cases). The modified TEP group was treated with modified TEP, and the TAPP group was treated with TAPP. The perioperative operation related indexes, serum oxidative stress indexes, 1-year recurrence rate and semen quality indexes were compared between the two groups.Results:The scores of visual analogue scale after operation for 24 h in the modified TEP group was lower than that in the TAPP group: (1.68 ± 0.39) scores vs. (1.97 ± 0.46) scores, P<0.05. After operation for 3 d, the levels of serum superoxide dismutase (SOD), glutathione peroxidase (GSH-Px) in the modified TEP group were higher than those in the TAPP group: (92.79 ± 8.82) μmol/L vs. (84.40 ± 7.36) μmol/L, (81.52 ± 9.37) U/L vs. (75.75 ± 8.50) U/L; and the level of malondialdehyde (MDA) in the modified TEP group was lower than that in the TAPP group: (23.42 ± 3.3) μmol/L vs. (26.71 ± 3.92) μmol/L; the differences were statistically significant ( P<0.05). There was no significant difference in 1-year recurrence rate between the two groups ( P>0.05). One year after operation, the levels of acid phosphatase (ACP), fructose (FRU) and α- glucosidase (α- Glu) in the modified TEP group were higher than those in the TAPP group: (180.87 ± 20.15) kU/L vs. (159.85 ± 14.50) kU/L, (3.37 ± 0.84) g/L vs.(2.53 ± 0.67) g/L, (62.94 ± 6.25) kU/L vs. (43.96 ± 5.31) kU/L, the differences were statistically significant ( P<0.05). Conclusions:Both modified TEP and TAPP are effective methods for the treatment of inguinal hernia, but the former can reduce surgical trauma, recover quickly, and protect normal reproductive function.