Objective:To explore the application effect of early nursing intervention based on NNN-link in social disorders of children with autism spectrum disorders (ASD) .Methods:A total of 126 hospitalized children with ASD in the Rehabilitation Center of Henan Children's Hospital from January to May 2023 were selected as research subjects by convenience sampling. They were randomly divided into an intervention group ( n=63) and a control group ( n=63) using a random number table. The control group received routine care, while the intervention group received early nursing intervention based on NNN-link in addition to routine care. The Social Disorder-related Nursing Diagnosis Outcome Scales and the Childhood Autism Rating Scale (CARS) scores were compared between the two groups before and after intervention. Results:After the early nursing intervention, the scores for family atmosphere, participation in leisure activities, participation in play, social skills, and social participation were higher in the intervention group compared to the control group, the differences were statistically significant ( P<0.05). The CARS scores of the intervention group were also lower than those of the control group, the differences were statistically significant ( P<0.05) . Conclusions:Early nursing intervention based on NNN-link can effectively improve the social disorder conditions of children with ASD, reduce their autism symptoms, and promote recovery.

Objective:To explore the correlation between system thinking ability and safety behavior of nurses in Emergency Department.Methods:From August 2021 to February 2022, convenience sampling was used to select nurses in Emergency Department from three ClassⅢ hospitals as the survey subject. Three rounds of questionnaire surveys were conducted using the Systems Thinking Scale and the Nurse Safety Behavior Questionnaire, with a 3-month interval among each round. The measurement time for each round was marked as T1, T2, and T3, respectively. AMOS 23.0 software was used for cross-lagged analysis to explore the correlation between Emergency Department nurses' system thinking ability and safety behavior. A total of 257 nurses in Emergency Department participated in the three rounds of questionnaire surveys.Results:The results of cross-lagged analysis showed that T1 system thinking ability could predict T2 safety behavior and T2 system thinking ability (β=0.26, 0.58, P<0.01). T1 safety behavior could predict T2 safety behavior and T2 system thinking ability (β=0.54, 0.17, P<0.01). T2 system thinking ability could predict T3 safety behavior and T3 system thinking ability (β=0.31, 0.59, P<0.01). T2 safety behavior could predict T3 safety behavior (β=0.48, P<0.01), but it could not predict T3 system thinking ability (β=0.04, P>0.05) . Conclusions:The system thinking ability and safety behavior of nurses in Emergency Department interact with each other, and the correlation develops dynamically. We should strengthen the cultivation of system thinking ability among nurses in Emergency Department to improve their safe behavior.

Objective:To explore the effects of the "Internet +" hospital-family standardized feeding management model in premature infants.Methods:From May 2019 to November 2020, 240 moderately-risk and low-risk premature infants hospitalized at the Department of Neonatal Medicine in Henan Children's Hospital were selected by convenience sampling and divided into a control group and an experimental group according to the random number table and order of admission, with 120 infants in each group. Infants in the control group received standardized nursing, while infants in the experimental group underwent "Internet +" hospital-family standardized feeding management on this basis. The weight, body length and head circumference of the two groups of premature infants were measured at the age of 40 weeks, 6 months, and 12 months after correction; the hemoglobin and serum ferritin levels were detected, and the incidence of anemia and iron deficiency were observed at the age of 6 months and 12 months after correction; the readmission rate, neurological function, and parental satisfaction with care were investigated at the age of 12 months after correction.Results:At the age of 40 weeks after correction, there was no significant difference in weight, body length, and head circumference between the experimental and control groups ( P>0.05) . At the age of 6 and 12 months after correction, the weight, body length, and head circumference were larger in the experimental group than in the control group, and the difference was statistically significant ( P<0.01) . At the age of 6 months after correction, there was no significant difference in the hemoglobin and serum ferritin levels between the two groups of premature infants ( P>0.05) . At the age of 12 months after correction, the hemoglobin and serum ferritin levels in the experimental group was improved compared with the control group; The incidences of anemia and iron deficiency in the experimental group were lower than those in the control group; the readmission rate in the experimental group was lower than that in the control group, and the neurological function score was higher than that in the control group, with statistically significant difference ( P<0.05) ; parents of premature infants in the experimental group had better nursing satisfaction than the control group, and the difference was statistically significant ( P<0.05) . Conclusions:The "Internet +" hospital-family standardized feeding management model can improve the nutritional status of premature infants, promote their catch-up growth, improve prognostic outcomes, and elevate the satisfaction of parents of premature infants with continuous care.

Objective:To explore the status quo of tolerance level of pediatric nurses, analyze the effect of self-efficacy, social support and coping style on tolerance and analyze its influence path.Methods:From February 2021 to April 2021, a total of 240 pediatric nurses from 3 ClassⅢ Grade A hospitals in Zhengzhou were selected as the research objects by the convenient sampling method. The Tolerance Scale, Self-Efficacy Scale, Social Support Rating Scale and Simple Coping Style Scale were used to investigate. The structural equation model was established using AMOS 22.0 software. A total of 240 questionnaires were distributed in this study, and 229 valid questionnaires were recovered, with an effective recovery rate of 95.42%.Results:The total score of Tolerance Scale of 229 pediatric nurses was (80.37±11.47) . The path analysis model showed that both positive and negative coping could directly affect tolerance, while self-efficacy and subjective support could not only directly affect tolerance, but also affected tolerance of pediatric nurses through mediating effect of positive and negative coping.Conclusions:Pediatric nurses have a high level of endurance. The higher the level of self-efficacy, the stronger the degree of subjective support, and the more positive coping styles, the higher the level of tolerance of pediatric nurses. Therefore, it is suggested that nursing managers should strengthen the training and education of self-efficacy, subjective support and positive coping styles of pediatric nurses, so as to further improve the tolerance level of pediatric nurses and improve the quality of nursing.

Objective:To explore the level of health-promoting lifestyle of parents of leukemia children and its main influencing factors, so as to provide a reference for improving health-promoting lifestyle of parents of leukemia children.Methods:From September 2019 to July 2020, convenience sampling was used to select 375 parents of children with leukemia who were treated in three hospitals in Henan as the research object. Parents of children with leukemia were investigated with the General Information Questionnaire and Health-Promoting Lifestyle ProfileⅡ (HPLP-Ⅱ) . Single factor and multiple linear regression were used to analyze the influencing factors of health-promoting lifestyle of parents of children with leukemia. A total of 375 questionnaires were distributed and 366 valid questionnaires were retrieved with the effective response rate of 97.6%.Results:Among 366 parents of leukemia children, the score of health-promoting lifestyle was (113.06±28.91) . Multiple linear regression analysis showed that the children's expectation for rehabilitation, monthly family income, and relationship with the child were the main influencing factors for health-promoting lifestyle of parents of leukemia children with a statistical difference ( P<0.05) . Conclusions:The health-promoting lifestyle level of parents of children with leukemia is at an intermediate level. The children's expectation for rehabilitation, monthly family income, and relationship with the child are the main factors that affect the health-promoting lifestyle of parents of children with leukemia. Medical and nursing staff should formulate targeted interventions based on the influencing factors of health-promoting lifestyles to improve the level of health-promoting lifestyles of parents of children with leukemia.

Objective:To explore the effects of attribution training on the level of compassion fatigue, physical and mental health of pediatric nurses.Methods:From September to December 2019, convenience sampling was adopted to select 324 pediatric nurses from the Children's Hospital Affiliated of Zhengzhou University as the research object. According to the random digital table method, nurses were divided into intervention group and control group, with 162 nurses in each group. The pediatric nurses of control group performed routine work and daily learning, while the pediatric nurses of intervention group received attribution training on the basis of control group. After three months of intervention, the Compassion Fatigue Scale for Nurses and Cornell Medical Index-Health Questionnaire were used to investigate the compassion fatigue, physical and mental health of the two groups of pediatric nurses.Results:After three months of intervention, the total score of the Compassion Fatigue Scale for Nurses of intervention group was (93.31±12.48) , which was lower than that (110.71±13.57) of control group, and the intervention group's loss of passion, mental stress, apathy, negative behavior, loss of fighting will, and doubt of ability scores were significantly lower than those of control group, the difference was statistically significant ( P<0.05) . The Cornell Medical Index-Health Questionnaire total score of intervention group was (15.78±3.46) , which was lower than that (20.63±4.58) of control group, and the difference was statistically significant ( P<0.05) . Conclusions:Attribution training can reduce the level of compassion fatigue of pediatric nurses, improve the physical and mental health of nursing staff, and enhance the quality of nursing care.

Objective:To investigate the current situation of medication near-miss reporting barriers for pediatric nurses for pediatric nurses and analyze its influencing factors.Methods:Using a multi-stage cluster sampling method, clinical pediatric nurses from 13 hospitals of Henan Province were selected as research objects from July to October 2020. General situation questionnaire, Hospital Safety Atmosphere Questionnaire, Medication Near-miss Reporting Barriers Scale, Multiple Leadership Style of Head Nurse Scale and Patient Safety Competency Nursing Staff Self-rating Scale were used for investigation, and related factors affecting medication near-miss reporting barriers for pediatric nurses were analyzed. A total of 1 104 questionnaires were distributed and 1 070 were effectively returned, with the effective recovery rate of 96.92%.Results:The reporting rate of 1 070 pediatric nurses who actively reported medication near-miss reporting barriers was 14.42%, and the score of Medication Near-miss Reporting Barriers Scale was (98.1±21.46) . The total scores of Hospital Safety Atmosphere Questionnaire was (77.36±12.97) , score of Multiple Leadership Style of Head Nurse Scale was (74.4±15.89) , and score of Patient Safety Competency Nursing Staff Self-rating Scale was (107.81±2.59) . The results of multiple linear regression analysis showed that educational background, entry length, job title, marital status, leadership style, patient safety competence, and hospital safety atmosphere were the main influencing factors of medication near-miss reporting barriers for pediatric nurses ( P<0.05) . Conclusions:The medication near-miss reporting barriers for pediatric nurses are common, which are influenced by educational background, years of employment, leadership style, hospital safety atmosphere and other factors. Nursing managers should strengthen pediatric nurses' awareness of medication near-miss reporting, implement transformational leadership style and improve patient safety competence and hospital safety atmosphere, so as to promote drug use safety of children.

Objective:To explore the application effect of adaptive training combined with micro-video education mode in children with congenital heart disease after hypothermic extracorporeal circulation.Methods:A total of 120 children with congenital heart disease aged 0-3 years who received hypothermic extracorporeal circulation in Zhengzhou Children's Hospital from January 2019 to January 2021 were selected as research objects by the convenient sampling method. According to the random number table method, they were divided into the observation group and the control group, with 60 cases in each group. The control group received a routine postoperative health education model, and the observation group received an adaptive training combined with micro-video education model. The postoperative recovery of infants and anxiety and nursing satisfaction of family members were compared between two groups.Results:After intervention, the postoperative hospitalization time and oxygen inhalation time in the observation group were shorter than those in the control group, and the differences were statistically significant ( P<0.05) . SAS scores of families of children in both groups were lower than before intervention, and scores of families of children in the observation group were lower than those of the control group, and the differences were statistically significant ( P<0.05) . The nursing satisfaction of family members in the observation group was higher than that in the control group, and the difference was statistically significant ( P<0.05) . Conclusions:The adaptive training combined with the micro-video education mode is beneficial to promote the recovery of children with congenital heart disease after hypothermic extracorporeal circulation, relieve anxiety of family members of children and improve nursing satisfaction of family members of children.

Objective:To analyze the relationship between healthy behavioral capability, psychological resilience and breastfeeding self-efficacy in primiparas.Methods:Totally 140 primiparas who delivered in Children's Hospital Affiliated of Zhengzhou University from September 2018 to March 2019 were selected by convenient sampling and investigated with the Demographic Information Questionnaire, Self-rated Abilities for Health Practices Scale (SRAHP) , The Connor-Davidson Resilience Scale (CD-RISC) and Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) . The relationship between healthy behavioral capability, psychological resilience and breastfeeding self-efficacy in primiparas was then analyzed based on the data. Totally 140 questionnaires were distributed in this study, and 137 valid questionnaires were collected, accounting for an effective recovery rate of 97.86%.Results:The total SRAHP score of the 137 primiparas was (68.25±13.85) , whose total average score of the different items of this scale was (2.43±0.92) . The total CD-RISC score of the 137 primiparas was (57.41±13.82) , whose total average score of the different items of this scale was (2.30±1.22) . The total BSES-SF score of the 137 primiparas was (48.83±10.87) , whose total average score of the different items of this scale was (3.87±1.26) . Pearson correlation analysis showed that there were positive correlations between the dimensions of healthy behavioral capability, the dimensions of psychological resilience and the scores of breastfeeding self-efficacy in primiparas ( P<0.01) . Healthy behavioral capability showed a mediating effect between psychological resilience and breastfeeding self-efficacy in primiparas, accounting for 37.19% of the total effect. Conclusions:There is a positive correlation between breastfeeding self-efficacy and the level of healthy behavioral capability and psychological resilience, and the level of healthy behavioral capability plays a mediating role between psychological resilience and breastfeeding self-efficacy. Therefore, enhancing psychological resilience and the level of healthy behavior can significantly improve the self-efficacy of breastfeeding, which has a significant effect on the breastfeeding rate of primiparas.

Objective:To explore the emotion regulation belief and work alienation of pediatric nurses in Zhengzhou and to analyze the correlations between them.Methods:From January to February 2019, this study selected pediatric nurses at Children's Hospital Affiliated to Zhengzhou University and Henan Province People's Hospital as subjects by convenience sampling. All of nurses were investigated with the general information questionnaire, the Chinese Version of Emotion and Regulation Beliefs Scale (ERBS) and Work Alienation Scale for Nurses. This study analyzed the current status of emotion regulation belief and work alienation of pediatric nurses, and analyzed the influences of general information and emotion regulation belief on work alienation. This study sent out 235 questionnaires and 233 valid of them were collected with 99.15% for the effective rate.Results:Among 233 pediatric nurses, the total score of ERBS was (50.65±8.92) . The total score of work alienation scale was (35.02±5.97) . There were statistical differences in the scores of work alienation among pediatric nurses with different genders, ages and titles ( P<0.01) . Multiple linear regression analysis showed that the main influencing factors of work alienation of pediatric nurses included the genders, titles and emotion regulation belief with statistical differences ( P<0.05) . Conclusions:Pediatric nurses have a low level of emotion regulation belief and a high level of work alienation. Emotion regulation belief has a negative correlation with the alienation of nursing work. Hospital managers should increase nurses' emotion regulation belief to lower the alienation of nursing work.