Objective: To construct an evaluation index system of cervical cancer prevention and control literacy, so as to provide an assessment tool for cervical cancer prevention and control literacy. Methods: The preliminary framework for cervical cancer prevention and control literacy was designed based on literature review. Twenty-one experts with both theoretical and practical experience in cervical cancer prevention and control were invited to participate in two rounds of Delphi consultation. The weights of indicators were determined by the percentage weighting method and product method, and the response rate, authority level, opinion concentration degree, and coordination degree of experts were evaluated. Results: Twenty-one experts participated in the consultation, including 3 males and 18 females. There were 11 experts with a doctor's degree, 7 with a master's degree and 3 with a bachelor's degree. All of them had senior professional titles and had more than 10 years of working experience. The recovery rates of the two rounds of consultations were 100.00% and 95.24%, the authority coefficients were 0.963 and 0.948, and Kendall's coefficients of concordance were 0.175 and 0.148 (both P<0.05), respectively. The final cervical cancer prevention and control literacy evaluation index system included 3 primary indicators (basic knowledge and concepts: 0.334; healthy lifestyle and behaviors: 0.338; basic skills: 0.328), 12 secondary indicators, with "capability to accurately acquire, comprehend, evaluate and apply health information" having the highest weight (0.166), and 51 tertiary indicators, with "HPV vaccination" (0.086), "consulting on relevant issues" (0.082), and "expressing personal perspectives" (0.080) having relatively higher weights. Conclusion The evaluation index system of cervical cancer prevention and control literacy serves as a valid assessment tool for women of appropriate age, providing the reference for developing targeted health education to enhance cervical cancer prevention and control literacy.

Objective:To systematically review the real experience of type 1 diabetes in adolescents.Methods:The qualitative research on the experience of type 1 diabetes in adolescents was electronically searched in PubMed, Web of Science, Embase, EBSCO, Cochrane Library, China Biology Medicine disc, WanFang Database, China National Knowledge Infrastructure, and VIP. The search period was from database establishment to July 2023. Two evidence-based trained researchers independently conducted literature screening and data extraction, and the results were integrated using the Meta-synthesis.Results:A total of 13 articles were included, 42 results were extracted and classified into 11 categories, which were integrated into four results, namely disease perception, complex psychological experiences, disease management, and post-traumatic growth.Conclusions:The awareness and psychological experience of type 1 diabetes in adolescents should be paid attention to. Medical institutions, families and schools should provide all-round support for adolescents with type 1 diabetes to help them enhance their disease self-management, improve their health outcomes and promote their post-traumatic growth.

Objective:To evaluate psychometric properties of infertility related stress assessment instruments and the methodological quality of research.Methods:Research on the psychometric property evaluation of infertility related stress assessment instruments was electronically searched on China National Knowledge Infrastructure, China Biology medicine disc, WanFang Data, VIP, PubMed, Web of Science, Embase, Scopus, and CINHAL. The search period was from database establishment to November 1, 2023. Two researchers independently screened literature and extracted data, evaluated the included assessment tools using the Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) guideline, and formed recommendations.Results:A total of 20 studies were included, including 8 assessment instruments of the Fertility Problem Stress Inventory, Infertility Distress Scale, Fertility Problem Inventory, Fertility Problem Inventory-Short Form, Copenhagen Multi-Centre Psychosocial Infertility-Fertility Problem Stress Scales, Copenhagen Multi-Centre Psychosocial Infertility-Fertility Problem Stress Scales-Short Form, Infertility-Related Stress Scale, and the Symptom and Stress Inventory for Infertility. The content validity of assessment instrument was not reported or uncertain, and the quality of evidence for the assessment tools was moderate, all of which were B-level recommendations.Conclusions:The Fertility Problem Inventory, Copenhagen Multi-Centre Psychosocial Infertility-Fertility Problem Stress Scales, Copenhagen Multi-Centre Psychosocial Infertility-Fertility Problem Stress Scales-Short Form and the Infertility-Related Stress Scale can be temporarily recommended for use, but the psychometric property of each tool still needs to be fully verified. Clinical medical and nursing staff need to choose appropriate assessment instruments based on actual situation.

Objective:To compare the differences in lung function between sanitation workers and the general population undergoing routine physical examinations, and to analyze the risk factors for restricted airflow and severity of the condition in sanitation workers.Methods:This study is a large cross-sectional study called "Shanxin Respiratory Health Screening for Ten Thousand People". A total of 1 036 sanitation workers (sanitation group) and 6 701 individuals from the general population undergoing routine physical examinations (control group) were selected as the original study subjects from June 2021 to April 2022 (before matching). Both groups underwent pre-bronchodilator lung function tests, and the differences in lung function characteristics between the two groups were compared. The sanitation group also completed a questionnaire survey. Multivariate and ordinal multinomial logistic regression analysis were used to analyze the risk factors for airflow limitation and its severity.Results:A total of 1 027 individuals from the sanitation group and 999 individuals from the control group were included in the study. There were no significant differences in age, gender, height, weight, and body mass index (BMI) between the two groups (all P>0.05). The rate of airflow restriction was significantly higher in the sanitation group compared to the control group (22.88% vs 8.81%, P<0.001). In the sanitation group, there was no statistically significant difference in a self-assessment test for chronic obstructive pulmonary disease (CAT) scores between individuals with airflow restriction (235 cases) and those without airflow restriction (792 cases) [(1.50±2.50) vs (1.15±2.03) points, P=0.084]. There were no statistically significant differences in forced vital capacity (FVC) as a percentage of predicted value (FVC%pred) between the two groups. However, the sanitation group had significantly lower %pred for forced expiratory volume in one second (FEV 1%pred), FVC/FEV 1 ratio (FEV 1/FVC%pred), forced expiratory flow at 50% of FVC (FEF 50%%pred), forced expiratory flow at 75% of FVC (FEF 75%%pred), and maximal mid-expiratory flow (MMEF%pred) compared to the control group (all P<0.05). The rates of abnormal FEF 50%%pred, FEF 75%%pred, and MMEF%pred were significantly higher in the sanitation group compared to the control group (17.62% vs 10.31%, 17.04% vs 10.01%, 27.26% vs 18.41%, all P<0.001). Small airway parameters and the rate of airflow restriction were significantly higher in past and current smokers of the sanitation group compared to never smokers (all P<0.05). Multifactorial analysis showed that high BMI ( OR=0.929, 95% CI: 0.885-0.974) was a protective factor for airflow restriction, while high smoking index was a risk factor ( OR=1.020, 95% CI: 1.011-1.030). Ordered multinomial logistic regression analysis showed that high BMI ( OR=0.925, 95% CI: 0.882-0.971) was a protective factor for the severity of airflow restriction, while high smoking index ( OR=1.020, 95% CI: 1.011-1.029) was a risk factor for the severity of airflow restriction. Conclusions:The incidences of airflow limitation and small airway abnormalities in sanitation workers are higher than that in general physical examination population. High smoking index and low BMI are independent risk factors for airflow limitation and its severity.

Objective:To systematically evaluate the illness experience of upper limb lymphedema in breast cancer patients.Methods:The studies were searched in CNKI, VIP, WanFang Database, CBM, CINAHL, PubMed, Web of Science, Cochrane Library and Embase. The retrieval period was from the database construction to January 7, 2022. The quality evaluation criteria for qualitative research of the Joanna Briggs Institute Evidence-Based Health Care Center in Australia was used to evaluate the quality of the literature. Meta integration method was used to synthesize the results.Results:A total of 10 articles were included, and 40 results were extracted, which were classified into 8 new categories and integrated into 3 integrated results, namely, the impact of lymphedema on patients and family members, perception and coping of patients with lymphedema and patients craved support from all sides.Conclusions:Medical staff should strive to improve professional service level, help patients improve the attention level of lymphedema and self-management ability. The family and society should provide more care and support to patients so as to improve their quality of life.

Objective:To explore the level and influencing factors of kinesiophobia in patients with coronary heart disease using meta-analysis, so as to provide references for formulating intervention strategies to reduce the level of kinesiophobia.Methods:The literatures on the level of kinesiophobia and its influencing factors in patients with coronary heart disease were searched from CNKI, VIP, Wanfang, PubMed and other databases from estabishment of the databases to May 19, 2023. The included studies were analyzed by Stata 15.1.Results:A total of 20 articles were included. The Meta-analysis results showed that patients with coronary heart disease had a high level of kinesiophobia, with a total score of 42.76 [95% CI (40.72, 44.80) ] . Gender [ MD=-2.39, 95% CI (-3.35, -1.44) , P<0.001] , method of payment for hospital care [ MD=2.38, 95% CI (1.09, 3.67) , P<0.001] , cardiac function [ MD=-9.72, 95% CI (-14.45, -4.99) , P<0.001] , with or without experience of cardiac surgery [ MD=3.42, 95% CI (1.58~5.26) , P<0.001] , number of stent [ MD=-4.82, 95% CI (-9.09, -0.55) , P=0.027] , drinking status [ MD=-3.54, 95% CI (-5.03, -2.04) , P<0.001] , self-perceived burden [ Summary r=0.36, 95% CI (0.31, 0.41) , P<0.001] and self-efficacy [ Summary r=-0.60, 95% CI (-0.75, -0.38) , P<0.001] were the factors influencing the level of kinesiophobia. Conclusions:The level of kinesiophobia in patients with coronary heart disease is high. Medical staff need to provide targeted interventions based on the characteristics of the population to reduce the kinesiophobia level of patients.

Objective:To explore the willingness and main influencing factors of using mobile health management APP in patients after percutaneous coronary intervention (PCI) based on integrated information technology acceptance and use model.Methods:From July to November 2021, a total of 308 patients after PCI in Department of Cardiovascular Medicine of two ClassⅢ Grade A hospitals in Anhui Province were selected as the research objects by the convenient sampling method. The general information questionnaire and the questionnaire on patients' willingness to use mobile health management APP were used to investigate the patients after PCI. Structural equation model was used to analyze the influencing factors and path relationship of patients' willingness to use after PCI.Results:Contributing factors, effort expectation and social influence had positive effects on patients' willingness to use PCI ( P< 0.05) , and the effect values were 0.554, 0.247 and 0.138, respectively. Perceived risk and effort expectation had effects on performance expectation of patients after PCI ( P<0.05) . Conclusions:Enhancing technical support in various ways, giving play to the publicity role of medical staff, important relatives and friends and new media and improving the ease of use of products can help improve the willingness of patients to use mHealth APP after PCI.

Objective:To explore the willingness and main influencing factors of using mobile health management APP in patients after percutaneous coronary intervention (PCI) based on integrated information technology acceptance and use model.Methods:From July to November 2021, a total of 308 patients after PCI in Department of Cardiovascular Medicine of two ClassⅢ Grade A hospitals in Anhui Province were selected as the research objects by the convenient sampling method. The general information questionnaire and the questionnaire on patients' willingness to use mobile health management APP were used to investigate the patients after PCI. Structural equation model was used to analyze the influencing factors and path relationship of patients' willingness to use after PCI.Results:Contributing factors, effort expectation and social influence had positive effects on patients' willingness to use PCI ( P< 0.05) , and the effect values were 0.554, 0.247 and 0.138, respectively. Perceived risk and effort expectation had effects on performance expectation of patients after PCI ( P<0.05) . Conclusions:Enhancing technical support in various ways, giving play to the publicity role of medical staff, important relatives and friends and new media and improving the ease of use of products can help improve the willingness of patients to use mHealth APP after PCI.

Objective? To investigate the readability evaluation of the printed health education materials by working nurses, to understand the perception of readability of health education materials and to lay the basis for future research on readability evaluation. Methods? In July 2017, 310 students from 147 hospitals (secondary and above) from all over Anhui Province were trained at Anhui Medical University. This study utilized the first stage of this training opportunity (July 3-14, 2017) to conduct an investigation of all participants. Surveys were conducted using a general survey, a printed health education material quality questionnaire, and a readability perception questionnaire. A total of 310 questionnaires were distributed in this study, and 283 valid questionnaires were returned. The effective response rate was 91.3%. Results? The results of the readability evaluation of the printed health education materials showed that 36 participants reported that there were no health education resources for the patients in their departments. 247 participants reported that they provided printed health education materials in their departments, 56.7% of them believed that the health education materials of their departments had too many medical terminologies, 53.8% thought that the key information was not summarized or emphasized, and 61.9% thought that the content was too old. Compared with the tertiary hospitals, the nurses working in the secondary hospitals thought that the health education materials in their hospitals had "too many medical terms" and "old content", and the difference was statistically significant (P＜0.05). The results of the evaluation of the application of health education materials showed that 247 clinical nurses reported that the existing health education materials were mainly obtained from the following channels, of which 64.8% were self-designed, 79.4% were from external institutions, and 68.4% were from online resources. Compared with the nurses in the tertiary hospitals, the nurses in the secondary hospitals reported more of the fact that their departments provided the same health education materials to patients with different stages, and the difference was statistically significant (P＜ 0.05); Regarding the perception of readability, 48.8% of the participants had heard of the concept of readability; 94.7% considered it necessary to assess the readability of health education materials; but only 20.5% understand the readability assessment method and have readability evaluation ability. Conclusions? At present, the health education materials used in clinical practice have to be improved in terms of readability and application methods, but the ability to evaluate readability is low. Developers of clinical education materials should pay attention to the readability evaluation of materials, learn from the methods and experience of foreign readability research, actively explore the evaluation methods suitable for the readability of health education materials in China, and improve the material based on the readability evaluation results. Hospital administrators should also strengthen the training of first-line health education nurses, improve their ability to assess the readability of health education materials and optimize the health education outcomes.

Objective To explore the application effects of PDCA circulation on behavior management in discharged patients with first cerebral infarction. Methods Patients with first attack of cerebral infarction were enrolled from the department of neurology of the First Hospital of Anhui Medical University from April 2013 to March 2015. According to their admission numbers, patients were divided into the observation group (94 cases) and the control group (80 cases). Besides of the regular personalized secondary prevention, the observation group was also applied for the PDCA cycle for nine months. Stroke Behavior Change Inventory was used to evaluate the changes of their lifestyle and medication compliance one year after discharge for two groups. Results After the observed patients were discharged one year, the changed extent of these five behaviors including quitting smoking, regular monitoring blood pressure and sugar, appropriate exercise, pressure control in the observation group were 0.00 (0.00, 3.00), 1.68 (1.00, 3.00), 1.00 (0.00, 2.00), 1.20 (0.75, 2.00), 1.00 (0.00, 1.00) points, and these in the control group were 0.00 (0.00, 1.0)0, 1.00 (0.00, 2.00), 0.00 (0.00, 1.00), 1.00 (1.00, 2.00), 0.00(0.00, 1.00) points. The observation group in these parameters had significantly higher than the control group (Z=-3.166--2.419, P < 0.05). The changed extent of these behaviors in the medication compliance such as reducing blood glucose, blood pressure, atrial fibrillation, cardiovascular disease, and stroke prevention in the observed group were 0.00 (0.00, 0.00), 0.00 (0.00, 2.00), 0.00 (0.00, 0.00), 0.00 (0.00, 0.00), 3.00 (3.00, 3.00) points, and these in the control group were 0.00 (0.00, 0.00), 0.00 (0.00, 0.79), 0.00 (0.00, 0.00), 0.00 (0.00, 0.80), 0.00 (0.00, 1.50) points. The observation group in these parameters had significantly higher the above parameters than the control group (Z=-8.081--2.595, P<0.05). Conclusions Application of the PDCA circulation in the patients with first attack of cerebral infarction after their discharge can help them correct lifestyle and increase their medical treatment compliance, which is beneficial for secondary prevention of cerebral infarction.