Hidden absenteeism refers to the behavior of employees who insist on going to work even when they are in poor health,but its work efficiency is low and affects the productivity.This paper reviews and sorts out the related researches on hidden absenteeism of nurses in China,expounds the definition of the con-cept of hidden absenteeism,evaluation tools,current situation and influencing factors of hidden absenteeism of nurses in China,and puts forward the suggestions on the countermeasures of hidden absenteeism,in order to provide reference for nursing managers in China on the management of hidden absenteeism.

Objective:To understand the current status of functional independence of patients with chronic traumatic spinal cord injury during the chronic disease management period, and analyze its influencing factors.Methods:This study was a cross-sectional study. Using a multi-stage stratified sampling method, a total of 161 patients with traumatic spinal cord injury who were treated in the orthopedics and rehabilitation departments of 9 hospitals in Sichuan Province from January to October 2018 were selected as the research objects. The general information questionnaire and Chinese version of Spinal Cord Independence MeasureⅢ (SCIM-Ⅲ) were used to investigate them. Multiple linear regression analysis was used to analyze the influencing factors.Results:The total score of the SCIM-Ⅲ for 161 patients with traumatic spinal cord injury in chronic disease management stage was (60.93±18.87) . Of which, the scores of self-care, breathing and sphincter management, and movement dimensions were respectively (14.65±4.81) , (29.71±7.70) and (16.57±9.24) . The result of multiple linear regression analysis showed that the degree of spinal cord injury, occupational status after illness and family structure were the factors affecting the functional independence of patients with chronic spinal cord injury during the management period ( P<0.05) . Conclusions:The current status of functional independence of patients with spinal cord injury in chronic disease management stage need to be improved. Nursing staff can actively encourage patients to perform vocational rehabilitation according to its influencing factors, so that they can return to work as soon as possible and to improve functional independence and quality of life in.

Objective:To explore the mediating effect of perceived patient safety culture on job burnout and safety behavior among nurses in Emergency Departments of ClassⅢ hospitals.Methods:This study was a cross-sectional study. From February 26 to March 14, 2021, 455 Emergency Department nurses from 39 hospitals in 9 provinces/municipalities were selected as the participants by a combination of purposeful sampling and convenience sampling. 455 Emergency Department nurses was conducted through WeChat using the General Information Questionnaire, Maslach Burnout Inventory (MBI) , Hospital Survey on Patient Safety Culture (HSOPSC) , and the Nurse Safety Behavior Questionnaire (NSBQ) . A total of 428 valid questionnaires were collected, with a valid recovery rate of 94.07%.Results:Among 428 Emergency Department nurses, the scores of job burnout, perceived patient safety culture and nurse safety behavior were 52 (38, 64) , 150 (139, 166) and 54 (49, 58) , respectively. The job burnout score of Emergency Department nurses was negatively correlated with the perceived patient safety culture score ( r=-0.661, P<0.01) and the safety behavior score ( r=-0.513, P<0.01) . There was a positive correlation between the perceived patient safety culture score and the safety behavior score of Emergency Department nurses ( r=0.482, P<0.01) . The perceived patient safety culture of Emergency Department nurses has a mediating effect between their job burnout and safety behavior, accounting for 34.90% of the total effect. Conclusions:Nurses in Emergency Department of Class Ⅲ hospitals have moderate job burnout, and there is room for improvement in their safety behaviors and perceived patient safety culture. In the relationship among the three, perceived patient safety culture has a certain mediating effect between job burnout and safety behavior of nurses. In Emergency Department nursing management, a series of measures can be taken to prevent or reduce the job burnout of nurses, strengthen the construction of patient safety culture and other measures to improve the safety of nursing behavior.

Objective:To understand the willingness of breast cancer patients to participate in lymphatic reflux training and management after surgery, and analyze its influencing factors.Methods:A total of 157 postoperative patients with breast cancer were selected by convenience sampling method. The investigation tools included general information questionnaire and lymphedema health belief questionnaire.Results:64.3% (101/157) of the patients were willing to participate in lymphatic reflux training and management. Logistic regression analysis showed that ethnic group ( OR=0.06, 95% CI 0.01-0.68), divorce ( OR=0.08, 95% CI 0.01-0.89), benefit cognition ( OR=12.41, 95% CI 4.26-36.19), obstacle cognition ( OR=3.83, 95% CI 1.48-9.91), behavioral clues ( OR=3.72, 95% CI 1.51-9.20) were significant influencing factors of parents' willness of participating in lymphatic reflux training and management( P<0.05). Conclusion:The willingness of patients to participate in lymphatic reflux training and management is at a medium level, which was influenced by ethnic group, marital status, health belief of benefits cognition, obstacle cognition and behavioral clues. Attention should be paid to the implementation during health education for the prevention of lymphedema, and patient′s willness of participating in lymphatic reflux training and management should be improved.

Objective:To explore emergency nurses' experiences and feelings about nursing interruption events and measures to avoid or reduce work interruption events, so as to provide references for emergency nursing managers to strengthen the management of nursing interruption events.Methods:Using methods of descriptive qualitative research and purposive sampling, a total of 12 nurses from 3 nursing units in Emergency Department of a ClassⅢ Grade A hospital in Chengdu were selected for semi-structured interviews from August to September 2019. The obtained interview data were analyzed by thematic analysis.Results:Through thematic analysis, the extracted themes included the source of the interruption events, the nurses' current affairs at the time of occurrence, effects and coping strategies.Conclusions:The occurrence of emergency nursing interruption events has more adverse effects on emergency nurses. Nursing managers should take various measures from multiple perspectives to reduce the occurrence of nursing interruption events and avoid adverse nursing events to ensure patient safety.

Objective: To explore the prediction of weight loss to the function 1 month after surgery in head and neck cancer (HNC) patients with surgical treatment. Methods: During August to November 2017, 122 HNC patients from a tertiary hospital in Chengdu were included and investigated by the General Information Questionnaire and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-Core 30. Results: 1 month after surgery, the function scores of HNC patients ranged from 86.67(73.33, 93.33) to 100.00(100.00, 100.00), and the physical function score was the lowest. Patients with weight loss during hospitalization had lower score in physical, role and social function (P<0.05). According to the results of Logistic regression analysis, age (OR=6.262, P<0.05) and Weight loss during hospitalization (OR=4.363, P<0.05) were risk factors for the physical function of HNC patients 1 month after surgery. For social function 1 month after surgery, weight loss during hospitalization (OR=3.306, P<0.05) was the risk factor. Conclusions Weight loss during hospitalization in HNC patients with surgical treatment can predict the impairment of function 1 month after surgery. Healthcare providers should pay more attention to perioperative nutritional problems of HNC patients, especially the elder patients, and take effective interventions to control the weight during hospitalization to improve patients′ function and quality of life.

? This paper systematically reviewed and reflected on the documents about emergency nursing interruptions from the concept of nursing interruptions, and also deeply analyzed the core factors and interventions in emergency nursing interruptions and defined the consequences caused by nursing interruptions. This paper aimed at deepening nurses' understanding of emergency nursing interruptions, popularizing solutions to nursing interruptions so as to avoid nursing risk and guarantee patients' safety.

Objective To Summarize perioperative nursing for 20 patients with the hyperreflexia of neurogenic detrusor by injection of botulinum toxin A.Methods Mental states of patients were assessed by Huaxi Emotional Distress Index questionnaire and psychological support was given to these patients,patients were assisted and instructed to record the urine diary correctly,cautions for the use of botulinum toxin A was interpreted,drinking water and activities were guided,and adverse reactions,follow-up results at 6,12 weeks were observed.Life quality by Incontinence Quality of Life Questionnaire was observed,the times of urinary incontinence,maximum pressure volume of bladder,maximum pressure of detrusor and the effect of urinary incontinence were compared.Results The absolute value of evasion and restrictive behavior,psychological effects,social fear disorders were (38.5 ± 19.6),(38.8 ±22.5),(28.1 ±20.3),respectively,on admission,and (41.2 ±27.1),(43.7 ± 26.5),(33.5 ± 28.8),respectively,at 6 weeks after nursing,and were (40.9 ± 27.7),(39.6 ± 24.3),(36.3 ± 28.7),respectively,at 12 weeks after nursing.The evasion and restrictive behavior,social fear disorderswere improved at 6,12 weeks after nursing as compared to nursing before.Conclusion Perioperative care for patients with the hyperreflexia of neurogenic detrusor by injection ofbotulinum toxin A can not only improve therapeuticeffect,improve social status,but also improve patients'self-management ability and quality of life.

Objective To understand the rehabilitation of postoperative patients with breast diseases, and to find out the common problems and caring key points,in order to provide a reference for the continuous nursing for breast disease patients after the discharge.MethodsA total of 1583 patients who underwent surgical treatment in thyroid and breast surgical department in West China Hospital of Sichuan University from June 2015 to July 2016 were selected by purposive sampling method. The all patients were followed up on telephone at the time point of 1 month, 3 months, 6 months and 12 months after discharge. The follow-up was about patients' rehabilitation (wound, functional exercise, self-care ability and drainage), mental state, satisfaction with follow-up and so on.Results Female accounted for 1574 of the follow-up cases (99.4％). The average age of the patients was (47.20±11.97) years old. The proportion of malignant tumors was 74.6％. The average body mass index (BMI) was (22.66±2.5)kg/m2. The average surgery waiting days and the average hospitalization days were (4.12±2.40) and (8.54±3.40) respectively. The follow-up loss rate at 1 month, 3 months, 6 months and 12 months after discharge was 2.27％ (36/1583), 1.90％ (22/1158), 2.93％ (26/888) and 4.89％ (9/184) respectively. The differences of benign and malignant diseases between patients with different BMI and age were statistically significant (P<0.05).ConclusionsTelephone follow-up is a simple and effective way to understand the rehabilitation of patients, and is worthy of clinical use. Follow-up results suggests that caregivers should concern about postoperative wound healing, affected upper limb functional rehabilitation, and mental health in patients with breast diseases, so as to take effective measures to improve patients life quality according to actual problems.

Objective To Summarize perioperative nursing for 20 patients with the hyperreflexia of neurogenic detrusor by injection of botulinum toxin A.Methods Mental states of patients were assessed by Huaxi Emotional Distress Index questionnaire and psychological support was given to these patients,patients were assisted and instructed to record the urine diary correctly,cautions for the use of botulinum toxin A was interpreted,drinking water and activities were guided,and adverse reactions,follow-up results at 6,12 weeks were observed.Life quality by Incontinence Quality of Life Questionnaire was observed,the times of urinary incontinence,maximum pressure volume of bladder,maximum pressure of detrusor and the effect of urinary incontinence were compared.Results The absolute value of evasion and restrictive behavior,psychological effects,social fear disorders were (38.5 ± 19.6),(38.8 ±22.5),(28.1 ±20.3),respectively,on admission,and (41.2 ±27.1),(43.7 ± 26.5),(33.5 ± 28.8),respectively,at 6 weeks after nursing,and were (40.9 ± 27.7),(39.6 ± 24.3),(36.3 ± 28.7),respectively,at 12 weeks after nursing.The evasion and restrictive behavior,social fear disorderswere improved at 6,12 weeks after nursing as compared to nursing before.Conclusion Perioperative care for patients with the hyperreflexia of neurogenic detrusor by injection ofbotulinum toxin A can not only improve therapeuticeffect,improve social status,but also improve patients'self-management ability and quality of life.