Objective:To explore the status quo of perceived responses to capitalization attempts and work flow of clinical nurses, and analyze the correlation between them.Methods:Using the convenient sampling method, a total of in some Class Ⅲ Grade A hospitals of Hangzhou City 567 clinical nurses from three Class Ⅲ Grade A hospitals in Hangzhou were selected as research objects from June to December 2019. Nurse Work Flow Questionnaire (NWF) and Chinese version of Perceived Responses To Capitalization Attempts Scale (PRCA) were used to investigate and to analyze the relationship between perceived responses to capitalization attempts and work flow of clinical nurses. In this study, a total of 567 questionnaires were issued and 551 valid questionnaires were returned, with a recovery rate of 97.18%.Results:The total score of PRCA of 551 clinical nurses was (52.74±8.96) , the total score of NWF for clinical nurses was (112.26±23.42) . Pearson correlation analysis results showed that active construction score of clinical nurses was positively correlated with the score of all dimensions of Nurse Work Flow Questionnaire, while clinical passive construction, passive destruction and active destruction of nurses were negatively correlated with scores of each dimension of Nurse Work Flow Questionnaire ( P<0.05) . After controlling for general demographic data, results of the hierarchical regression of influencing factors for work flow of clinical nurses showed that the active construction of perceived responses to capitalization attempts positively affected the clinical nurses' work flow experience, while passive construction, passive destruction and active destruction all had negative effects on clinical nurses' work flow experience, which could explain 29.1% of the variance of "work flow" variable. Conclusions:Nursing managers should actively improve the active construction response methods in perceived responses to capitalization attempts of clinical nurses and avoid passive construction, active destruction, passive destruction and other response methods, so as to enhance sense of work flow of clinical nurses and improve quality of clinical nursing.

Objective: To investigate the incidence of post-bronchiolitis recurrent wheezing and its risk factors in children. Methods: This study was conducted on patients with bronchiolitis admitted to the Department of Respiratory Disease, Children′s Hospital of Soochow University between November 2016 and March 2017.Nasopharyngeal secretions were taken from all patients and assessed for respiratory pathogens.After discharge, the patients were followed up every 3 months by outpatient visit or telephone call for 1 year. Results: Eighty-nine patients with bronchiolitis were enrolled in this study.Among those 89 patients, respiratory syncytial virus(RSV) infection accounted for 46.1%(41/89 cases), Mycoplasma pneumonia(MP) for 5.6%(5/89 cases), rhinovirus(RV) for 4.5%(4/89 cases), and human bocavirus(hBoV) for 2.2%(2/89 cases). Eighty-three patients were successfully followed up.At the 3, 6, 9, and 12 months of follow-up, the occurrence of wheezing episodes for only once happened in 20 cases(24.1%), 27 cases(32.5%), 35 cases (42.2%), and 38 cases(45.8%), respectively.At 12 months after initial bronchiolitis, the occurrence of wheezing episodes for only once happened in 21 cases(25.3%), 2 episodes of wheezing in 10 cases(12.0%), and 7 cases (8.4%) had more than 3 episodes of wheezing, and 6 cases lost follow-up.The proportion of eczema and milk-protein allergy in post-bronchiolitis recurrent wheezing group was significantly higher than that of the group with not post-bronchiolitis recurrent wheezing patients (χ²=6.219, 4.855, all P<0.05). Logistic regression analysis showed eczema was the independent risk factor for post-bronchiolitis recurrent wheezing(OR=0.189, 95%CI: 0.047-0.765). There were no significant difference in gender, age, premature birth, birth weight, feeding pa-tterns, family history of asthma, pet contact history, severity of disease, course of disease, total immunoglobulin E of serum and the species of virus infected between 2 groups(all P>0.05). Conclusions The incidence of recurrent wheezing among post-bronchiolitis patients is higher during one-year follow-up period.Eczema is the independent risk factor for post-bronchiolitis recurrent wheezing.The specific pathogens and severity of disease have no correlation with post-bronchiolitis wheezing.