Objective:To investigate the mechanism of depression between social capital and cognitive function of the elderly in nursing institutions, and provide new ideas for improving the cognitive function of the elderly.Methods:This study was a cross-sectional survey. Using the convenient sampling method to collect the general information questionnaire, the Geriatric Depression Scale (GDS), Social Capital Scale and Montreal Cognitive Assessment Scale (MoCA) of 218 elderly people from three elderly nursing institutions including Shenyang Health Care Centre, Songpu Nursing Home and Colourful Sunshine City Pension Service Centre in Shenyang from July 2020 to January 2021.Results:A total of 218 questionnaires were distributed and 202 valid questionnaires were recovered. The effective recovery rate was 92.7%. The scores of the cognitive function, depression and social capital of the elderly were (23.60 ± 4.25), (6.38 ± 4.35) and (75.41 ± 8.61). Depression scores were negatively correlated with social capital scores and cognitive function scores ( r = - 0.401, - 0.481, both P<0.05); there was a positive correlation between social capital scores with cognitive function scores ( r = 0.338, P<0.05). There was a mediating effect of depression between social capital and cognitive function, accounting for 42.1%. Conclusions:While improving the cognitive function of the elderly in nursing institutions by improving the level of social capital, it is necessary to pay attention to the mediatingeffect of depression, strengthen the psychological counseling of the elderly, promote mental health, and further reduce the occurrence and development of cognitive decline in the elderly.

Hypertension has a high global prevalence rate,which is the main preventable risk factor for cardiovascular disease.Home blood pressure monitoring plays an important role in diagnosis,adjustment of treatment strategies and long-term follow-up of hypertension.However,there are still enormous challenges for the popularization and standardized application of home blood pressure monitoring.Therefore,this review article describes indication,standardized implementation protocol,current status and influencing factors of implementation and management forms of home blood pressure monitoring.It can provide a reference for promoting the implementation of practical guidelines for home blood pressure monitoring and optimizing the application of home blood pressure monitoring.

Objective:To explore the status of sense of research gain in nursing postgraduates, and to explore the correlation of sense of research gain, learning engagement, and mentors' guidance behavior.Methods:From April to May 2022, a total of 238 nursing postgraduates in China were selected as the research objects by convenience sampling method, and were investigated using Sense of Research Gain, Utrech Work Engagement Scale-Student and Mentors' Guidance Behavior Scale. Pearson correlation analysis was used to explore the correlation of learning engagement, mentors' guidance behavior and sense of research gain in nursing postgraduates. Hierarchical linear regression analysis was used to explore the influencing factors of sense of research gain. A total of 238 questionnaires were distributed in this study, and 231 valid questionnaires were received, with an effective recovery rate of 97.06%.Results:The score of Utrech Work Engagement Scale-Student in nursing postgraduates was (31.47±6.01) , the score of Sense of Research Gain was (63.47±17.07) , and the score of Mentors' Guidance Behavior Scale was (50.90±11.10) . Pearson correlation analysis results showed that the total score and each dimension score of Sense of Research Gain and Mentors' Guidance Behavior Scale were positively correlated with the total score and each dimension score of Utrech Work Engagement Scale-Student ( r value were 0.351-0.662, P all <0.01) . Hierarchical linear regression analysis results showed that mentor's title, learning engagement and mentor's guidance behavior were the influencing factors of sense of research gain in nursing postgraduates ( P<0.05) , which could explain 55.60% of the variation of the sense of research gain. Conclusions:The sense of research gain of nursing postgraduates still needs to be improved. Mentor's title as professor, learning engagement and mentor's guidance behavior were the influencing factors of sense of research gain in nursing postgraduates. School should strengthen the level of learning engagement of nursing postgraduates, standardize mentor's guidance behavior, so as to improve sense of research gain.

Objective:To screen risk factors of postoperative venous thromboembolism (VTE) in patients in department of spinal surgery and establish a risk prediction model and conduct external validation.Methods:This study was a case-control study. Using the convenient sampling method, a total of 93 patients with VTE who underwent spinal surgery from May 2019 to April 2021 in the Second Xiangya Hospital of Central South University were selected as as the thrombosis group, while 100 patients who underwent spinal surgery without VTE during the same period were selected as the control group. A self-designed questionnaire about the risk factors of VTE in patients undergoing spinal surgery was used to investigate the patients. Binomial Logistic regression was used to analyze the risk factors of postoperative VTE in patients with spinal surgery and R software was used to establish a nomogram prediction model. A total of 46 patients (23 patient with VTE and 23 patients without VTE) from Department of Spinal Surgery from May and June 2021 were selected to verify the prediction model.Results:Age ( OR=1.603, 95% CI: 1.036-2.483) , operation time ( OR=0.253, 95% CI: 0.123-0.518) , use of internal fixation ( OR=0.128, 95% CI: 0.043-0.384) , application of bone cement ( OR=0.176, 95% CI: 0.048-0.652) , D-dimer ( OR=0.360, 95% CI: 0.147-0.884) and plasma fibrinogen degradation product ( OR=0.024, 95% CI: 0.006-0.091) were risk factors for VTE in spinal surgery patients. The prediction model was established according to the risk factors. The prediction agreement rate of the model was 0.865 and the sensitivity was 0.742. The model was externally validated with a sensitivity of 0.761, a specificity of 0.565 and an area under the receiver operating characteristic curve of 0.810. Conclusions:Age, operation time, use of internal fixation, application of bone cement, D-dimer and plasma fibrinogen degradation products are risk factors for postoperative VTE in patients with spinal surgery. Predictive models based on risk factors can predict the risk of VTE in spinal surgery patients.

Ankyloglossia can affect breathing, sucking and swallowing functions, as well as breastfeeding quality and pronunciation. Advancing the timing of lingual frenum nursing intervention to the newborn period can improve breastfeeding dilemmas and reduce parents' anxiety. This article analyzes the problems of newborn lingual frenum care from four aspects, namely newborn lingual frenum assessment tools, screening methods and time, nurses' professional knowledge and skills, and mother's experience, and proposes to the support program, such as strengthening multidisciplinary cooperation and unify assessment paths, and strengthening professional training to enhance nurses' professional knowledge and skills, attaching importance to mother's knowledge education and evaluation to improve mother's breastfeeding efficiency, in order to provide a reference for newborn lingual frenum nursing management.

Purpose: Elder self-neglect is a global public health issue and should be taken seriously at large. Nurses,usually working directly with elderly patients, have a better understanding of what factors may causeelder self-neglect. In this qualitative study, we explored the influencing factors of elder self-neglect fromthe perception of nurses in the context of Chinese culture. Methods: Face-to-face, in-depth interviews were conducted from November 2018 to December 2018.Purposive sampling was used. Twenty one participants recruited from eight geriatric wards of a generalhospital located in Wuhan were interviewed. A content analysis of qualitative nature was performed toanalyze the data. Results: Our conceptual model illustrated the findings based on the three themes of the conflict betweenpersonal recognition and social judgment, the choice between current needs and individual beliefs, aswell as the compromise between insufficient abilities and limited resources. Conclusion Nurses together with family members and social workers can help older adults improvetheir awareness of self-neglect to bridge the gap with social judgment, learn to focus on their own needs,as well as seek as much support as possible. Nurses should also respect the autonomy and selfdeterminationof elder self-neglecters because self-neglect is related to older adults' values. Furthermore,larger studies are needed to quantitatively test and refine the model.

Objective: To explore the classification characteristics of medical students resilience, and psychological stress difference of each latent class. Methods: A total of 500 medical students from a medical university majoring in five-year clinical in Liaoning province were investigated by using the general questionnaire, the resilience scale and the Chinese college students stress scale. Results: Three latent classes model of resilience in medical students was supported, including "low tenacity group" (32.7%), "general resilience group" (32.1%) and "tenacity-strength group" (35.2%). In Logistic regression analysis, the proportion of students whose majors met their interests in the general resilience group (OR=3.796) and the tenacity-strength group (OR=7.556) was larger. There were significant differences in psychological stress scores between different latent classes (P<0.01). Conclusions Medical students′ resilience has obvious classification characteristics, and there were different distributions in different latent classes of whose majors meet their interests. Researchers and teachers should pay more attention to the students who have less resilience and whose majors are not in accordance with their own interests, develop their professional interest, and improve psychological stress through appropriate intervention methods.

Purpose: Elder self-neglect is a global public health issue and should be taken seriously at large. Nurses,usually working directly with elderly patients, have a better understanding of what factors may causeelder self-neglect. In this qualitative study, we explored the influencing factors of elder self-neglect fromthe perception of nurses in the context of Chinese culture. Methods: Face-to-face, in-depth interviews were conducted from November 2018 to December 2018.Purposive sampling was used. Twenty one participants recruited from eight geriatric wards of a generalhospital located in Wuhan were interviewed. A content analysis of qualitative nature was performed toanalyze the data. Results: Our conceptual model illustrated the findings based on the three themes of the conflict betweenpersonal recognition and social judgment, the choice between current needs and individual beliefs, aswell as the compromise between insufficient abilities and limited resources. Conclusion Nurses together with family members and social workers can help older adults improvetheir awareness of self-neglect to bridge the gap with social judgment, learn to focus on their own needs,as well as seek as much support as possible. Nurses should also respect the autonomy and selfdeterminationof elder self-neglecters because self-neglect is related to older adults' values. Furthermore,larger studies are needed to quantitatively test and refine the model.

This article aims to summarize the key links and recommended practices for personal protection of healthcare workers in high-risk departments during the treatment and care of patients with Coronavirus Disease 2019 (COVID-19) , in order to eliminate the risk factors for personal protection in each link, prevent nosocomial infections caused by improper personal protection, and reduce the infection rate of 2019 novel coronavirus (2019-nCoV) among healthcare workers.

Objective:To explore the clinical application effect of the self-designed collection room for 2019-nCOV nucleic acid test specimens during period of fighting against COVID-19 infections.Methods:The standard operating room and operating table of the collected 2019-nCOV nucleic acid test specimens were applied to the clinics, and the disinfection and sterilization system of the operating room and the requirements of the operators were formulated. The infection of medical staff during the anti-epidemic period was counted.Results:A total of 2 649 person-times of throat swabs were collected and none of the nurses were infected with COVID-19.Conclusions:The use of self-designed collection room for 2019-nCOV nucleic acid test specimens can effectively protect the first-line nurses from COVID-19, thereby ensuring the personal safety of medical staff.