BackgroundCareer plateau is increasingly recognized as a threat to nursing workforce stability because it is associated with poorer work performance, lower organizational commitment, and higher turnover intention. Surgical nurses may be especially vulnerable given their highly structured and technically demanding work context. However, evidence remains limited on how career plateau is configured in this group and how relevant factors are interrelated.AimBased on Bandura's triadic reciprocal determinism, this study examined career plateau among surgical nurses and its relationships with self-efficacy as an individual factor, family functioning and perceived organizational support as environmental factors, and career planning as a behavioral factor.MethodsA cross-sectional study was conducted among 468 surgical nurses from three hospitals in Hubei Province, China, between September and November 2025. Data were collected through an online survey. Dominance analysis was used to compare the relative contribution of study variables to overall career plateau, and psychometric network analysis was used to examine subdimension-level relationships.ResultsCareer planning was negatively associated with career plateau and showed the largest relative contribution to overall career plateau. In the network, affection emerged as the most central node. Strong negative associations were observed between hierarchical plateau and goal setting and between content plateau and self-presentation, whereas emotional support and instrumental organizational support were strongly positively associated.ConclusionCareer planning appears to be the most important broad correlate of overall career plateau, whereas affection occupies a central position within the network structure. Reducing career plateau in surgical nurses may therefore require not only stronger career planning but also family and organizational conditions that make such planning realistic and sustainable.Implications for Nursing ManagementNurse managers should prioritize structured career planning for surgical nurses and foster family-sensitive organizational conditions that make career development more feasible and sustainable. Particular attention should be given to mentoring, realistic advancement opportunities, and work arrangements that reduce conflict between career goals and family demands.
The healing of extensive drug-resistant and skin area diabetic wounds poses significantly greater challenges compared to the recovery of typical wounds. Advanced approaches like tissue engineering and regenerative medicine hold promise, exemplified by hyaluronic acid/gelatin/poly(N-isopropyl acrylamide) (PNIPAm) hydrogel, a temperature-sensitive auto-shrinkage hydrogel with injectable biomimetic mechanical functions. Here, aldehyde-modified hyaluronic acid (HA-CHO) and hydrazide-grafted gelatin (Gel-ADH) are chosen, crosslinked to form a gel by the Schiff base reaction, introduced with PNIPAm to accelerate the wound contraction, and loaded with the pro-angiogenic peptide Ten-2 and the antimicrobial peptides IB-367. Both in vitro and in vivo studies illustrate their effectiveness in accelerating and facilitating the healing process of skin wounds. The hydrogel is able to consistently and successfully suppress the growth of bacteria in the wound, and upregulate the expression of pro-inflammatory factors TGF-β1, α-SMA, and p-Smad2, all of which could aid in the healing process of diabetic wounds. This injectable hydrogel containing antimicrobial peptides and accelerating wound healing mimics the contractile characteristics of myofibroblasts through its biomimetic mechanical mechanism. It can adapt to the dynamic changes of the skin and help repair diabetic wounds that are challenging to treat and may prove to be a good option for regenerative medicine.
Introduction Postoperative gastrointestinal dysfunction is a common complication following laparoscopic radical prostatectomy, significantly impairing patient recovery. Timely pharmacological and physical interventions can effectively promote gastrointestinal function recovery. This study aimed to evaluate the efficacy of early transcutaneous electrical acupoint stimulation (TEAS) combined with oral simethicone in alleviating postoperative abdominal distension in prostate cancer patients, providing evidence for optimizing the timing and methods of postoperative interventions. Materials and methods A retrospective analysis was conducted on 138 patients who underwent radical prostatectomy at a hospital in Wuhan from February 2025 to November 2025. All cases were from the same surgical team and were divided into three groups based on medical orders: (1) Control group (n=46, standard care), (2) TEAS + simethicone group (n=46, TEAS and simethicone initiated on postoperative day 1), and (3) Early TEAS + simethicone group (n=46, TEAS and simethicone initiated immediately after surgery). Outcome measures included abdominal distension severity on postoperative days 1–3, time to first flatus, defecation within 3 days, and incidence of postoperative nausea and vomiting (PONV). Results Regarding abdominal distension: On the first postoperative day, there was no significant difference in the severity of abdominal distension among the three groups ( P > 0.05); on the second postoperative day, the incidence of abdominal distension in the early electrical stimulation combined group (21.74%) was lower than that in the control group (45.65%), and the number of patients with severe abdominal distension (6.52%) was also lower than that in the control group (28.26%); on the third postoperative day, the incidence of abdominal distension in the electrical stimulation combined group (21.74%) and the early electrical stimulation combined group (23.91%) was significantly lower than that in the control group (42.48%), and the difference was statistically significant ( P < 0.01). Regarding the time of first defecation: There was a statistically significant difference among the three groups of patients. The early electrical stimulation combined group (22.07 ± 9.27 hours) was significantly shorter than the control group (28.33 ± 11.85 hours); in terms of the number of patients defecating on the third postoperative day: There was a difference among the three groups of patients. The early electrical stimulation combined group (30.43%) had more patients than the control group (10.87%); in terms of the incidence of nausea and vomiting: There was no statistically significant difference among the three groups of patients ( P > 0.05). Conclusions Early TEAS combined with oral simethicone effectively reduces postoperative abdominal distension, accelerates gastrointestinal recovery, and promotes earlier bowel movements in prostate cancer patients. These findings suggest that combined pharmacological and physical therapy should be initiated as early as possible to improve postoperative gastrointestinal dysfunction.
The recalcitrance of diabetic wounds is primarily driven by a hostile microenvironment characterized by oxidative stress and impaired tissue regeneration. To address these impediments, we engineered an integrated Carrier-Cargo therapeutic strategy. Initial comparative screening revealed that exosomes derived from human umbilical cord mesenchymal stem cells (UCMSCs), termed UCMSC-Exo, exhibited superior endothelial modulatory capabilities compared with those derived from adipose-derived mesenchymal stem cells (ADSCs) or dermal mesenchymal stem cells (DMSCs). To ensure sustained bioactivity, an antioxidant, thermosensitive poly(citrate-gallic acid) hydrogel (FPGEGa) was developed as the delivery vehicle. Quantitative proteomics further identified proline-rich tyrosine kinase 2 (Pyk2) as the critical functional cargo enriched in UCMSC-Exo. Mechanistically, the FPGEGa hydrogel scavenges pathological reactive oxygen species (ROS) to ameliorate the oxidative microenvironment. Concurrently, Pyk2-enriched UCMSC-Exo facilitate macrophage polarization toward the M2 phenotype and enhance angiogenesis. Crucially, the therapeutic benefits were significantly attenuated in wounds treated with Pyk2-depleted exosomes, resulting in persistent inflammation and reduced neovascularization. This finding confirms Pyk2 as an indispensable mediator of therapeutic efficacy. Collectively, this study establishes a synergistic strategy in which the hydrogel restores redox homeostasis, creating a favorable niche for exosome to exert its immunomodulatory and pro-angiogenic effects, thereby offering a potent cell-free therapy for accelerating diabetic wound repair.
OBJECTIVE:To investigate the effect of lipopolysaccharide (LPS) on the crawling ability of fibroblasts derived from the scrotal skin under hypoxic conditions, its impact on vascular regeneration during wound healing, and the potential mechanism underlying chronic non-healing scrotal wound caused by gram-negative bacterial infection. METHODS:We extracted peripheral blood buffy coats from healthy donors after venous blood centrifugation, divided them into four groups (normoxia, normoxia+LPS, hypoxia, and hypoxia+LPS) for pretreatment, and isolated the corresponding cultured supernatant. Then we measured the levels of VEGF-A, FGF and IL-8 secreted using enzyme-linked immunosorbent assay (ELISA), determined the cytotoxicity of different pretreated supernatants by lactate dehydrogenase (LDH) release assay, and detected the cell migration ability and vascular formation in human-umbical vein endothelial cells (HUVEC). RESULTS:Under hypoxic conditions, the expression of HIF-1α was significantly lower in the fibroblasts from the chronic scrotal wound than in the normal fibroblasts (0.09 ± 0.00 vs 0.48 ± 0.01, P < 0.05), the viability of the cells showed no statistically significant difference from that under normoxic conditions (P > 0.05), and the proliferation and migration abilities of the cells were markedly improved ([83.09 ± 2.56]% vs [17.84 ± 1.12]%, P < 0.05). The viability of the scrotal fibroblasts was significantly lower in the normoxia+LPS than in the hypoxia+LPS group ([20.15 ± 1.19]% vs [32.54 ± 1.57]%, P < 0.05). The cells treated with LPS, compared with those in the non-LPS groups, exhibited remarkably decreased endothelial cell tubes formed (5.20 ± 0.15 vs 55.30 ± 1.15, P < 0.05), down-regulated expression of VEGF (OD value: 0.59 ± 0.07 vs 1.25 ± 0.11, P < 0.05) and up-regulated expression of IL-8 (OD value: 2.42 ± 0.07 vs 0.87 ± 0.11, P < 0.05). CONCLUSION:The supernatant derived from the peripheral blood buffy coats treated with LPS has a stronger cytotoxicity and weaker angiogenesis than that untreated under hypoxic or normoxic conditions, which may be one of the critical factors for difficult healing of scrotal wound.
目的 了解护理本科生对护理专业课程思政知信行现状,并探讨其影响因素,为本科护理专业课程思政教学提供参考.方法 采用 自行编制的护理专业课程思政知信行问卷,对294名护理本科生进行调查.结果 护理本科生对护理专业课程思政知信行总分为(91.10±10.40)分,其中知识、态度、行为得分分别为(23.71±3.17)、(28.81±4.02)和(38.57±5.06)分.多元线性回归分析显示,对护理专业的喜爱程度、参与相关课程思政教学情况及高校组织思政相关活动情况是护理本科生课程思政知信行的影响因素(均P<0.05).结论 护理本科生对护理专业课程思政的知信行处于中等偏上水平,教学过程中应重点关注非 自主选择护理专业、对护理专业喜爱程度低的护理本科生,调动护理本科生参与课程思政积极性,加强并优化课程思政建设的力度和形式,从而进一步提高护理本科生对护理专业课程思政的知信行水平.
目的 探究心脏大血管外科手术患方决策者决策风格现状及影响因素,分析与不确定性忍受度的关联性,为心脏大血管外科手术决策方案的构建提供参考.方法 便利抽取192例心脏大血管外科手术的患方决策者,使用决策风格量表和无法忍受不确定性量表进行问卷调查.结果 心脏大血管外科手术患方决策者决策风格依次为理智型(41.15%)、直觉-冲动型(27.60%)、依赖型(21.35%)、逃避型(9.90%).多分类logistic回归分析显示,年龄<60岁、非急诊手术、无并存疾病、本科及以上学历、家庭人均月收入2 000~5 000元、预期性情绪及行为得分越低的患方决策者更易归为理智型;而患者年龄≥60岁的患方决策者更易归为直觉-冲动型;预期情绪得分高及行为得分高、学历在本科以下、急诊手术、有并存疾病患者的患方决策者更易归为依赖型;预期情绪得分高、家庭人均月收入>5 000元、学历在本科以下的患方决策者更易归为逃避型.结论 心脏大血管手术决策者决策风格多样且易受多种因素的影响,医务人员应在尊重决策者知情同意权的基础上了解其决策风格,根据影响因素做出正向引导作用,提高其决策能力.
Objective To explore the mediating effects of perceived stress and uncertainty tolerance on health literacy and decision satisfaction of decision makers in patient undergoing cardiac macrovascular surgery,and to provide references for improving the satisfaction of decision-making. Methods 260 surgical patient’s decisionmakers in the cardiac macrovascular surgery of a hospital in Wuhan were selected by convenience sampling. All Aspects of Health Literacy Scale,Perceived Stress Scale,Intolerance of Uncertainty Scale-12 and decision satisfaction scale were used to investigate. Results 251 valid questionnaires were recovered,with an effective recovery rate of96.54%. The health literacy score was(23.05±5.61);the perceived stress score was(20.31±6.08);the uncertainty tolerance score was(26.41±5.94);the decision satisfaction score was(43.86±10.54). The 4 variables were correlated(P<0.001). The mediating model found that health literacy had a significant direct effect on decision satisfaction.Meanwhile,health literacy also indirectly affected decision satisfaction through 3 paths,including the independent mediating effect of perceived stress(β=0.096,P<0.001),the independent mediating effect of uncertainty tolerance(β=0.093,P=0.001),the chain mediating effect of perceived stress and uncertainty tolerance(β=0.076,P<0.001),accounting for 49.17% of the total effect. Conclusion Perceived stress and uncertainty tolerance play a mediating role in the relationship between health literacy and decision satisfaction of decision makers in cardiac macrovascular surgery,which can improve decision makers’ health literacy,reduce perceived stress,and help them perceive surgical risks rationally,thus improving decision satisfaction.
Background: Complex surgical plans and consideration of risks and benefits often cause decisional conflicts for decision-makers in aortic dissection (AD) surgery, resulting in decision delay. Shared decision-making (SDM) improves decision readiness and reduces decisional conflicts. The purpose of this study was to investigate the impact of SDM on decision quality in AD. Methods: One hundred and sixty AD decision-makers were divided into two groups: control (n = 80) and intervention (n = 80). The surgical plan for the intervention group was determined using patient decision aids. The primary outcome was decisional conflict. Secondary outcomes included decision preparation, decision satisfaction, surgical method, postoperative complications, actual participation role, and duration of consultation. The data were analyzed with SPSS 26.0 (IBM Corp., Chicago, IL, USA). p < 0.05 was considered statistically significant. Results: The decisional conflict score was significantly lower in the intervention group than in the control group (p < 0.001). The decision preparation and decision satisfaction scores in the intervention group were significantly higher than those in the control group (p < 0.001). There were more SDM decision-makers in the intervention group (16 [20%] vs. 42 [52.50%]). There was no statistical significance in the choice of surgical, postoperative complications, duration of consultation, and hospital and post-operative intensive care unit stay time (p = 0.267, p = 0.130, p = 0.070, p = 0.397, p = 0.421, respectively). Income, education level, and residence were the influencing factors of decision-making conflict. Conclusions: SDM can reduce decisional conflict, improve decision preparation and satisfaction, and help decision-makers actively participate in the medical management of patients with AD without affecting the medical outcome.
目的 基于泰勒模式构建本科外科护理学课程思政教学指标体系,为本科外科护理思政教育建设提供参考.方法 通过文献分析初步构建本科外科护理学课程思政教学指标体系,于2021年11月—2022年1月选取12名专家进行2轮函询.对各级指标进行筛选、修改和完善,确立本科外科护理学课程思政教学指标体系.结果 2轮专家函询问卷有效回收率均为100%,专家权威系数均为0.87;2轮函询的肯德尔和谐系数分别为0.193、0.411(P<0.01).最终构建的本科外科护理学课程思政教学指标包括4项一级指标(教育目标、教育内容、教育方法、教育评价)、9项二级指标、40项三级指标.结论 本科外科护理学课程思政教学指标体系具有较好的科学性与可靠性,为本科外科护理思政教育建设提供参考.
Background Diabetes and impaired glucose regulation are very common in patients with coronary artery disease (CAD). In this study, we aim to investigate the prevalence of abnormal glucose regulation in men and women in Chinese CAD patients. Methods In this retrospective study, 4100 patients (male, n = 2873; female, n = 1227)with CAD were enrolled. The mean age of these patients was 63 years. The demographic data, medical history, echocardiography findings and blood investigations were collected and analyzed. Results In this population, 953 (24%) patients had definite diagnosis of type 2 diabetes mellitus, including 636 males (23%) and 317 females (27%). There was a higher prevalence of diabetes in females than men ( p < 0.05). For the remaining patients, 48% (n = 959) undergone an oral glucose tolerance test (OGTT), which revealed that 83 male patients (12%) and 41 female patients (16%) suffered from the type 2 diabetes ( p > 0.05). 283 men (40%) and 105 women (41%) had impaired glucose regulation (IGR) ( p > 0.05). Only 338 men (25%) and 109 women (19%) showed the normal glucose regulation, implying a higher prevalence of abnormal glucose regulation in females ( p < 0.01). The odd ratio (OR) showed that women were more prone to have diabetes mellitus or IGT than men and the OR was 1.44 and 1.43 respectively. Conclusion Abnormal glucose regulation is highly prevalent in CAD patients. The women are more prone to have diabetes mellitus or IGT than men.
BACKGROUND:The choice of treatment is an unavoidable challenge faced in the day to day medical decision making pertaining to patients with organic heart disease. As a professional discipline, cardiac surgery focuses on creating and using the most advanced evidence-based patient decision aids (PtDAs) to achieve high-quality decision-making. OBJECTIVES:To describe the basic situation, influencing factors, and the outcome of indicators of PtDAs among cardiac surgery patients. METHODS:Seven electronic databases were systematically searched for relevant reviews on the application of PtDAs among cardiac surgery patients. The methodological framework proposed by Arskey and O'Malley was used to guide the scoping review. The extracted data was analyzed qualitatively and quantitatively. RESULTS:After dual, blinded screening of titles and abstracts, 12 articles were included in the review. 10 were quantitative studies, 1 was a mixed study, 1 was a qualitative study. CONCLUSIONS:Compared with the burden of heart disease and the huge evidence base, the application of PtDAs in cardiac surgery is obviously insufficient. The published literature mainly provide information about the factors to be solved from the perspective of researchers, and also summarize obstacle factors. This is the basis for the application and construction of PtDAs in cardiac surgery patients.
目的 了解主动脉夹层患者术前决策现状并分析其影响因素,为决策辅助方案构建提供参考.方法 在患者知情同意的基础上,采用一般资料调查表、决策参与量表、决策冲突量表对110例主动脉夹层患者进行调查.结果 主动脉夹层患者术前决策过程中,59例(53.64%)倾向于与医生共享决策,但实际参与过程中60例(54.54%)为被动决策.患者决策冲突得分45.91±9.30.多元逐步回归结果显示,并存疾病数量、婚姻状况、家庭月收入、以往就医体验、实际参与角色是主动脉夹层患者决策冲突的主要影响因素(P<0.05,P<0.01).结论 主动脉夹层患者术前决策期望与实际参与存在差异,决策冲突处于高水平,且受多因素影响.医务人员应加强与患者的沟通,尊重患者决策偏好,以信息支持为基础构建决策辅助工具,为患者提供适当决策支持,降低决策冲突.
目的 观察应用仿生重睑成形技术减轻术后瘢痕的临床疗效.方法 对2018年3月至2019年5月在华中科技大学同济医学院附属武汉市中心医院整形外科完成的100例重睑成形术病例进行回顾性分析,按手术方法不同分为A、B两组,A组(n=50)采用仿生重睑成形术,B组(n=50)采用传统切开法重睑成形术.分析两组术后早期并发症发生率、术后瘢痕形成情况及手术效果满意度.结果 A组早期并发症发生率为8%(4/50),B组早期并发症发生率为14%(7/50),其差异具有统计学意义(P<0.05);两组术后瘢痕程度随时间延长逐渐减轻(P<0.05),但同一时间段A组术后瘢痕严重程度均轻于B组,差异有统计学意义(P<0.05).A组总满意率为90%(45/50),B组总满意率为86%(43/50),其差异具有统计学意义(P<0.05).结论 仿生重睑成形技术相较于传统切开法重睑成形术可以降低术后早期并发症发生率,减轻重睑成形术后切口部位的瘢痕形成,从而增加手术治疗的满意度.
目的 分析信号转导和转录激活因子3(STAT3)在宫颈癌(CC)组织中的表达水平及其与高危型人乳头瘤病毒(HPV)感染的关系.方法 以2019年1月-2020年2月华中科技大学同济医学院附属武汉中心医院妇科收治的CC患者127例和宫颈上皮内瘤变(CIN)患者105例分别作为CC组和CIN组,另选取同期来医院进行体检的健康人群44名为对照组.比较三组一般资料、不同宫颈病变组织中STAT3表达情况以及高危型HPV感染情况、STAT3表达情况与CC临床病例参数的关系.结果 在对照组、CIN组和CC组宫颈组织中,STAT3阳性率分别为15.91%、53.33%和80.31%,三组间比较,差异具有统计学意义(P<0.001);HPV感染阳性率分别为27.27%、77.14%、93.70%,三组间比较,差异具有统计学意义(P<0.001).CC患者中,病理高中分化程度患者STAT3蛋白表达高于低分化患者,淋巴结转移患者STAT3蛋白表达高于未发生转移的患者(P<0.05).结论 随着宫颈病变严重程度的增加,STAT3阳性表达率和高危型HPV感染率上升,同时STAT3表达与CC患者病理分化程度以及淋巴结转移有关,因此临床可通过检测STAT3对高危型HPV感染和宫颈组织病变进行预测.
目的 探讨多学科协作模式下肾积水患儿术前禁食禁饮链式管理临床可行性、安全性和有效性.方法 将146例肾积水患儿按时间段分组,2018年4~12月78例患儿作为对照组,2019年1~9月68例患儿作为观察组.对照组采用传统的术前禁食禁饮管理方式,观察组采用多学科协作模式下术前禁食禁饮链式管理方式,评估记录两组禁食禁饮情况及口渴、饥饿、哭闹、血糖等情况.结果 观察组术前口渴、饥饿(除≥3岁患儿)和哭闹情况以及术后口渴和饥饿情况(除≥3岁患儿)显著优于对照组(P<0.05,P<0.01).结论 对肾积水患儿术前在多学科协作模式行禁食禁饮链式管理可有效缩短患儿术前禁食禁饮时间,改善患儿术前术后口渴、饥饿不适感,减少哭闹的发生,同时不增加术中呕吐误吸风险.
目的 了解主动脉夹层术前家属代理决策现状并分析其影响因素,为后续构建决策辅助方案提供参考.方法 2021年2-7月,便利抽样法选取湖北省武汉市某三级甲等医院心脏大血管外科的参与主动脉夹层术前代理决策的家属110名为研究对象,采用一般资料调查表、决策参与量表、决策冲突量表对其进行问卷调查.结果 主动脉夹层患者家属决策冲突总分(40.44±8.90)分,98.19%的研究对象存在决策冲突;多元逐步回归分析显示,家庭月收入、与患者感情状况、文化程度是主动脉夹层术前家属决策困境的影响因素(均P<0.05).结论 主动脉夹层患者家属决策冲突明显且受多种因素影响,医护人员需在重视其内心体验的基础上,借助个性化的决策辅助方案降低决策冲突,提高决策质量.
目的 探讨质量反馈理论在新型冠状病毒肺炎病区护理合作管理模式中的应用效果.方法 构建质量反馈整体管理框架,成立质量反馈小组,制定评价指标,采用问卷星和微信小程序收集数据,统计患者治愈率、出院人数、护理人员发生晕厥和呕吐次数、穿脱防护服整体流程感观值和护理人员人均工作量,在实施护理合作管理模式中持续质量改进.结果 病区运行质量反馈护理合作模式以来,患者治愈率90%;出院人数81人;护理人员119人晕厥发生率为0,呕吐发生率1.68%;穿脱防护服整体流程感观值在七周的过程中有统计学意义(P<0.01),舒适度有明显提高;护理人员工作量七周过程中有统计学意义(P<0.01),人均工作量有明显减少;感染率0.结论 质量反馈理论应用于新型冠状病毒肺炎病区护理合作管理模式有利于新型冠状肺炎病区工作顺利地开展,保证了护理质量,保障了护理人员的身心健康,为战胜疫情提供了一定的帮助.
At the time of writing this article, the world population is suffering from more than 2 million registered COVID-19 disease epidemic-induced deaths since the outbreak of the corona virus, which is now officially known as SARS-CoV-2. However, tremendous efforts have been made worldwide to counter-steer and control the epidemic by now labelled as pandemic. In this contribution, we provide an overview on the potential for computer audition (CA), i.e., the usage of speech and sound analysis by artificial intelligence to help in this scenario. We first survey which types of related or contextually significant phenomena can be automatically assessed from speech or sound. These include the automatic recognition and monitoring of COVID-19 directly or its symptoms such as breathing, dry, and wet coughing or sneezing sounds, speech under cold, eating behaviour, sleepiness, or pain to name but a few. Then, we consider potential use-cases for exploitation. These include risk assessment and diagnosis based on symptom histograms and their development over time, as well as monitoring of spread, social distancing and its effects, treatment and recovery, and patient well-being. We quickly guide further through challenges that need to be faced for real-life usage and limitations also in comparison with non-audio solutions. We come to the conclusion that CA appears ready for implementation of (pre-)diagnosis and monitoring tools, and more generally provides rich and significant, yet so far untapped potential in the fight against COVID-19 spread.
目的 探讨新型冠状病毒肺炎患者在住院期间佩戴医用口罩的知信行现状,为科室制定新型冠状病毒肺炎患者特殊护理方案以及控制院内感染提供理论依据.方法 基于知信行理论设计的问卷调查表《住院期间新冠肺炎患者使用医用口罩的知信行调查问卷》,对2020年2月11日—2020年3月29日在本院住院治疗的162名新冠肺炎患者,进行问卷调查.结果 住院患者佩戴口罩知信行总均分为(79.88±17.67)分,处于中等水平,74.69%的患者在知识维度处于良/差水平,25.31%的患者在态度维度处于良/差水平,30.86%的患者行为处于良/差水平;随着患者年龄、病情与文化程度的不同,佩戴口罩的知信行情况不同.结论 建议医务人员在对患者进行健康宣教前,应评估患者的年龄、所处的疾病状态、文化水平情况,识别有利因素与阻碍因素,采取针对性的措施,提升健康宣教的效果.