Purpose: This study is a descriptive correlation research to test the mediating effect of spiritual well-being in the relationship between posttraumatic growth and health promotion behaviors of cancer patients. Methods: The data were collected from 145 cancer patients of three hospitals. The instruments were Posttraumatic Growth Inventory, Health-Promoting Lifestyle Profile, and Spiritual Well-Being Scale. Data were analyzed using descriptive statistics, correlation, and multiple regression using Baron and Kenny’s steps for mediation. Results: The mean score for posttraumatic growth was 3.57. The mean score was 2.98 for health promotion behaviors. The mean score for spiritual well-being was 2.96. There were significant correlations among the variables, posttraumatic growth, health promotion behaviors, and spiritual well-being. Spiritual well-being was directly affected by posttraumatic growth (Adj R2 =25). Health promotion behaviors were directly affected by posttraumatic growth (Adj R2=26). Posttraumatic growth and spiritual well-being affected health promotion behaviors (Adj R2 =31). Spiritual well-being had a partial mediating effect (β=.25, p<.001) on the relationship between posttraumatic growth and health promotion behaviors (Sobel test: Z=2.84, p<.001). Conclusion Based on the findings of this study, nursing intervention programs focusing on managing posttraumatic growth and increasing spiritual wellbeing are highly recommended to improve health promotion behaviors in cancer patients.

Purpose: This study is a descriptive correlation research to test the mediating effect of spiritual well-being in the relationship between posttraumatic growth and health promotion behaviors of cancer patients. Methods: The data were collected from 145 cancer patients of three hospitals. The instruments were Posttraumatic Growth Inventory, Health-Promoting Lifestyle Profile, and Spiritual Well-Being Scale. Data were analyzed using descriptive statistics, correlation, and multiple regression using Baron and Kenny’s steps for mediation. Results: The mean score for posttraumatic growth was 3.57. The mean score was 2.98 for health promotion behaviors. The mean score for spiritual well-being was 2.96. There were significant correlations among the variables, posttraumatic growth, health promotion behaviors, and spiritual well-being. Spiritual well-being was directly affected by posttraumatic growth (Adj R2 =25). Health promotion behaviors were directly affected by posttraumatic growth (Adj R2=26). Posttraumatic growth and spiritual well-being affected health promotion behaviors (Adj R2 =31). Spiritual well-being had a partial mediating effect (β=.25, p<.001) on the relationship between posttraumatic growth and health promotion behaviors (Sobel test: Z=2.84, p<.001). Conclusion Based on the findings of this study, nursing intervention programs focusing on managing posttraumatic growth and increasing spiritual wellbeing are highly recommended to improve health promotion behaviors in cancer patients.

Objective: To understand the current situation of adolescents interactive health literacy in Yanbian poverty-stricken area and associated social-ecological factors, so as to provide scientific basis for targeted health education and policy adolescents in this area in the future. Methods: Using cluster sampling method, a questionnaire survey was conducted on 818 junior high school students in grades 7 and 8 of all 4 junior high schools in Antu County in November 2019. Results: The scores of interaction health literacy was in moderate level (101.38±20.12) in Yanbian poverty-stricken area. The average scores of all dimensions was (3.62±0.96), stress management (3.35±1.08), interpersonal relationship (3.29±0.82), nutrition (3.21±1.02), health awareness (2.99±0.82), physical activity (2.68±0.85). The results of multiple linear regression analysis showed that grade, gender, BMI, perceived health care, perceived academic performance, participation in extracurricular activities, types of guardians, parenting style; perceived school health policy; average screen time were associated with the level of adolescent interactive health literacy (P<0.05), explaining 54.5% of the total variation(F=35.97，P<0.01). Conclusion The health literacy level of adolescents in poverty-stricken areas is affected by personal, family environment, interpersonal relationship, school, media and other factors. It is recommended that future health literacy interventions for adolescents should consider the students themselves, as well as their socio-ecological environment.

Objective To investigate the molecular epidemiology of Staphylococcus aureus in Yanbian area .Methods From March 2011 to June 2012 ,a total of 101 consecutive and non-duplicate strains of Staphylococcus aureus were collected from Yanbian Hospital .Genotypes of SCCmec ,spa,and multilocus sequence typing (MLST) were determined by PCR combined with DNA sequencing analysis .The pvl gene was detected by PCR .Results The most prevalent SCCmec type was type II (65 .0% ,39/60) ,followed by SCCmec type III (26 .7% ,16/60) .A total of 11 Spa types were identified for the MRSA strains ,including t2460 (55 .0% ,33/60) ,t030 (18 .3% ,11/60) ,t002 ,t324 ,and t632 (5 .0% ,3/60 each) .A total of 29 Spa types were identified for MSSA strains ,including t796 (14 .6% ,6/41) ,t309 (9 .8% ,4/41) ,and t126 (7 .3% ,3/41) . The pvl gene was identified in 5 stains .MRSA strains were classified into three types based on multilocus sequence typing (MLST) ,namely ST5 ,ST239 and ST72 .MLST-based MSSA types were more diverse ,including ST5 ,ST 25 ,ST 15 ,ST 59 ,ST 1 ,ST 7 ,ST 45 ,ST 22 ,and ST 188 .Conclusions ST5-MRSA-SCCmecII-t2460 and ST239-MRSA-SCCmecIII-t030 are the most prevalent MRSA clones in Yanbian area .Multiple prevalent MSSA clones are identified.