Background While the ageing population is increasing, diseases such as senile dementia and hypertension have gradually become important health risks for the elderly. The existing research shows that long-term hypertension will affect the structure and function of cerebral vessels, leading to the decline of cerebrovascular compliance, vascular deformation, cerebral blood flow reduction and other problems. The occurrence of these conditions will lead to the decline of the brain’s self-regulation ability, which will lead to cognitive decline and dementia. The study will analyze the risk factors of mild cognitive impairment (MCI) in hypertensive patients, and determine the regulatory role between adaptation and cognitive function in the treatment of hypertensive patients. Subjects and Methods In this study, 180 hypertensive patients were investigated to analyze their cognitive factors and functional status. The investigation was completed by the Montreal Cognitive Assessment (MoCA). After the investigation, SPSS 25.0 software was used to analyze the data and screen the independent risk factors of mild cognitive impairment. The experimental results are shown in Table 1. Table 1. Each dimension score of MoCA scale for hypertensive patients Test items MCI(n=124) Normal cognitive function (n=58) z P Performing 3(1) 5(1) -8.29 <0.001 Naming 2(2) 3(0) -6.57 <0.001 Attention 6(2) 6(0) -5.73 <0.001 Speech 2(1) 3(0) -6.39 <0.001 Abstract 0(1) 1.5(1) -8.25 <0.001 Recall 2(2) 4(2) -9.02 <0.001 Directional 6(0) 6(0) -3.41 0.001 Total score 21(6) 28(2) -10.87 <0.001 Results As shown in Table 1, 124 of 180 hypertensive patients developed MCI, with a prevalence rate of 68.9%. It can be seen from the table that the total score and scores of each dimension in the MCI group were significantly lower than those in the normal cognitive function group (P < 0.05), with the largest difference being delayed recall and executive function. Conclusions In this study, the research center was placed at risk of mild cognitive impairment in hypertensive patients. Through the MoCA scale investigation experiment, it was found that 124 of 180 hypertensive patients had a lower cognitive function in all dimensions than normal. The experiment shows that the problems such as micro hemorrhage caused by hypertension and the increase of cerebrovascular events affect the cognitive function of the elderly, which is obviously reflected in memory and executive ability. Acknowledgements The research is supported by: The Study of the Effect of Health Education Based on Teach-back and PRECEDE Model on Elderly Hypertensive Patients in the Community, supported by Fundamental Research Funds for Universities of Inner Mongolia Autonomous Region; The Construction of Human Care Training Courses for Nursing Students Based on Health Care of Elderly Patients with Chronic Diseases, supported by Higher Education Teaching Reform Project of National Ethnic Affairs Commission, 2021 (No.21083); An Exploration of the Ideological and Political Construction in Human Care Training Courses of Higher Education for Nursing Students in the New Era, supported by a grant from the Education and Science Project of Inner Mongolia Autonomous Region during the 14th Five-Year Plan Period, 2021 (No.NGJGH2021145).

This paper analyzes the significance of the construction of the shared medical virtual simulation training center, and introduces the main contents of the construction of the virtual simulation training center, including the construction of teaching place, teaching resources and management mechanism of virtual simulation training center. Finally, the application of shared medical virtual simulation training center is discussed. The application results of the shared medical virtual simulation training center show that the center can not only meet the teaching needs of students, improve their practical and innovative abilities, but also meet the needs of teachers to carry out teaching reform, and improve teachers’ teaching level and innovative ability as well. At the same time, the center also has the social service function, which can realize the good demonstration and the radiation function.

目的 探讨新生儿临终关怀培训方案对新生儿重症监护病房(neonatal intensive care unit,NICU)护士临终关怀态度及死亡应对能力的应用效果,以期为 NICU护士培训提供参考.方法 采取便利抽样的方法,选取 2022 年 5-6 月泉州市某三级儿童专科医院的 NICU护士 90 人为研究对象,采用随机数字表法将护士分为对照组和观察组各 45 人.对照组开展NICU新生儿护理理论与实践培训,观察组在对照组的基础上实施新生儿临终关怀培训,干预前后采用新生儿临终关怀态度量表(neonatal palliative care attitude scale,NPCAS)和死亡应对能力量表(coping with death scale,CDS)分别比较两组护士临终关怀态度和死亡应对能力水平.结果 干预前,两组护士的 NPCAS得分及CDS得分的差异均无统计学意义(均P＞0.05);干预后,观察组 NICU护士 NPCAS得分及CDS得分均高于干预前,亦高于干预后对照组得分,差异均有统计学意义(均P＜0.05).结论 新生儿临终关怀培训方案可以帮助 NICU护士改善其临终关怀态度及死亡应对能力.

BACKGROUNDAcute cerebral infarction (ACI) is characterized by a high incidence of morbidity, disability, recurrence, death and heavy economic burden, and has become a disease of concern in global researchers. As ACI has serious effects on patients' physical status, life and economy, often causing anxiety, depression and other psychological problems, these problems can lead to the aggravation of physical symptoms; thus, it is very important to understand the factors affecting the mental health of these patients.AIMTo understand the elements that affect the mental health of patients who have suffered an ACI.METHODSA questionnaire survey was conducted among patients with ACI admitted to three tertiary hospitals (Quanzhou First Hospital, Fuqing City Hospital Affiliated to Fujian Medical University, and the 900 Hospital of the Joint Service Support Force of the People's Liberation Army of China) in Fujian Province from January 2022 to December 2022 using the convenience sampling method. ACI inpatients who met the inclusion criteria were selected. Informed consent was obtained from the patients before the investigation, and a face-to-face questionnaire survey was conducted using a unified scale. The questionnaire included a general situation questionnaire, Zung's self-rating depression scale and Zung's self-rating anxiety scale. All questionnaires were checked by two researchers and then the data were input and sorted using Excel software. The general situation of patients with ACI was analyzed by descriptive statistics, the influence of variables on mental health by the independent sample t test and variance analysis, and the influencing factors on psychological distress were analyzed by multiple stepwise regression.RESULTSThe average age of the 220 patients with ACI was 68.64 +/- 10.74 years, including 142 males and 78 females. Most of the patients were between 60 and 74 years old, the majority had high school or technical secondary school education, most lived with their spouse, and most lived in cities. The majority of patients had a personal income of 3001 to 5000 RMB yuan per month. The new rural cooperative medical insurance system had the largest number of participants. Most stroke patients were cared for by their spouses and of these patients, 52.3% had previously smoked. Univariate analysis showed that gender, age, residence, course of disease, number of previous chronic diseases and smoking history were the main factors affecting the anxiety scores of patients with ACI. Age, living conditions, monthly income, course of disease and knowledge of disease were the primary variables influencing the depression score in patients with ACI. The findings of multivariate analysis revealed that the course of disease and gender were the most important factors influencing patients' anxiety scores, and the course of disease was also the most important factor influencing patients' depression scores.CONCLUSIONLong disease course and female patients with ACI were more likely to have psychological problems such as a high incidence of emotional disorders. These groups require more attention and counseling.

目的 了解护理专业学生厌恶敏感性与关怀行为现状,探讨护理学生厌恶敏感性与关怀行为之间的关系.方法 通过方便抽样于2022年1-3月,使用自行设计的一般资料量表、厌恶敏感度量表修订表(disgust sensitivity scale-revised form,DS-R)和关怀行为量表关怀行为量表(caring behavior inventory,CBI)对泉州市某高职院校2 659名护理学生进行调查,并对数据进行分析.结果 2 659名护理学生中,61.6％的学生护理时出现过厌恶感,总厌恶度得分为(61.89±20.18)分,其中核心厌恶得分为(30.93±9.78)分,动物相关厌恶得分为(18.32±8.05)分,污染厌恶得分为(12.58±4.99)分.不同年级、性别、护理实践中存在厌恶感问题等的学生DS-R得分比较,差异均有统计学意义(均P＜0.05).CBI总得分为(121.89±14.18)分,不同年级、性别、是否自愿选择职业、因厌恶而避免护理等的学生的CBI得分比较,差异均有统计学意义(均P＜0.05).DS-R和CBI得分之间存在负相关关系(r=-0.301,P＜0.05).结论 护理专业学生的厌恶敏感性普遍较高,与年级、性别、护理实践中厌恶感问题相关,护理关怀行为也受到年级、性别、护理实践中厌恶感问题影响,护理学生的厌恶感得分与其关怀行为之间存在负相关.

目的 探讨视觉艺术训练在ICU新护士观察能力培训中的应用效果.方法 选取74名ICU新护士作为研究对象,将其随机分为试验组和对照组,各37名.试验组采用视觉艺术训练进行培训,对照组采用传统授课模式进行培训.比较培训后两组新护士的病情观察能力(通过临床照片考核)、对培训的满意度,以及其他医护人员对两组新护士工作的满意度.结果 经过培训后,试验组的临床照片得分及各维度得分均高于对照组,对培训方式满意度、增强自主学习能力、激发学习兴趣、提高观察能力、提高分析判断能力及提高人文关怀能力6个项目的评分均高于对照组(均P<0.05).其他医护人员对试验组新护士工作的满意度高于对照组(P<0.05).结论 视觉艺术训练可提高ICU新护士的病情观察能力、其他医护人员对新护士工作的满意度,且新护士对培训满意度高.

目的:深入了解在突发公共事件中使用在线远程教育的护理教师的独特体验.方法:以现象学方法为指导,采用质性描述设计,以目的性抽样,透过在线两次焦点小组讨论,探讨20位护理教师的经验.结果:运用Colaizzi的方法进行定性分析,揭示了3个主要主题:①护理教师面对强制进行线上教学的即时反应:履行教学责任,应对挑战.②护理教师面对在线远程教育的挑战.③远程线上教育中断个人时间管理,但提供了一种新的学习体验.结论:在突发公共事件期间,在线远程教育的经验是具有挑战性的,它整合了数字化护理教育,并激励教师改变教育方法,高校等教育机构应该做好护理远程教育的规划工作,从而提高教师面对未来类似危机的能力.

目的:探讨同伴互助学习法在护理礼仪实训课中的应用效果.方法:采取整群抽样法抽取泉州医学高等专科学校护理学院2021级2个自然班的学生作为研究对象,随机分为对照组和实验组.对照组采用教师示教护理礼仪动作、学生练习、教师巡回指导的传统教学方法.实验组在传统教学方法的基础上采用同伴互助学习法.课程结束后,对两组学生进行实训考核,并调查同伴互助学习法在护理礼仪实训课中的教学效果及学生对护理礼仪实训课的满意度.结果:实验组学生护理礼仪实训课的考核成绩、学生对护理礼仪实训课的教学效果评价分数和学生对护理礼仪实训课的满意度均高于对照组学生.结论:将同伴互助学习法应用到护理礼仪实训课中,能有效提高学生的自主学习能力、沟通合作能力等,能有效培养学生的职业认同感.

[目的]探讨关节置换术后患者恐动症的影响因素.[方法] 2018年1月—2020年12月,在泉州某三级甲等综合性医院接受关节置换术的220例患者纳入本研究,根据恐动症Tampa量表(Tapa scale for phobia,TSK)评分,≥38分判定为恐动症,＜38分的为非恐动症.对患者术后发生恐动症的原因进行单因素和多因素分析.[结果]220例患者中有74例术后发生恐动症,发生率为33.64％,单因素分析显示,与非恐动组相比,恐动症组失眠比率高、文化程度低、月收入低、职业状态差、术后3 d VAS评分高、术后下地时间晚、慢性疼痛自我效能感量表(chronic pain self-efficacy scale,CPSS)评分低,差异均有统计学意义(P＜0.05).逻辑回归分析显示,失眠、文化程度低、月收入低、职业状态差、术后3 d VAS分高、术后下地时间晚、CPSS评分低是术后发生恐动症的危险因素(P＜0.05).[结论]关节置换术后患者恐动症的发生率较高,与失眠、文化程度、月收入、工作状态、术后3 d VAS评分、术后下地时间、CPSS评分相关.

为了解高职医学院校学生对"互联网+生命教育"平台的需求和认知,完善高校生命教育模式,选取一、二、三年级共622名学生为研究对象,采用一般资料调查表、生命教育知识需求问卷及"互联网+生命教育"认知问卷进行调查,并对20名学生进行深入访谈,运用质性内容研究法分析资料、提炼主题.结果显示,学生生命教育知识需求较高,以"生与死"维度得分最高;提炼的主题包括构建生命教育资源库、引导学生感悟生命教育内涵、以志愿服务为载体.研究结果表明,高职医学院校应依托互联网丰富的资源,通过多种形式的生命教育活动,同时融入志愿服务,构建具有医学院校特色的"互联网+生命教育"模式.

生命教育是对人生命价值的关注、生命质量的保证、生命尊严的维护,对于高职医学院校的学生来说尤为重要.目前多数院校多以开设课堂讲授方式开展生命教育,存在教学方式单一、辐射范围小的缺点.本研究以全生命周期理念为指导,借助互联网技术构建生命教育网络平台.该平台操作简便,运行效果好,适用于医学院校学生及临床护理工作人员,能够为实现院校间共享创造条件.

我国已经是一个人口老龄化日益严峻的国家,如何高效率解决2.43亿人口的养老问题,智慧养老具有智能、高效、快捷、低成本等的特点得到国家大力的推广.当前,我国智慧养老尚处于初级阶段,老年人口情况复杂,老年人对智慧养老的认识不足,老年人群养老经济基础薄弱,养老服务难于满足日益增长的养老需求.通过调研泉州市老年人对智慧养老的认知、经济负担情况及智慧养老需求,提出加快智慧养老发展路径的建议.

目的 研究新型冠状病毒肺炎(COVID-19)疫情发生时,停课居家防疫期间的高等职业院校护理专业学生(以下简称高职护生)心理状况,以便针对性地进行心理辅导援助.方法 采用方便抽样方法,通过问卷星平台,利用症状自评量表(SCL)-90对泉州市某高职护生734名进行调查.利用Logistic回归模型进行多因素分析.结果 30.9％的护生出现不同程度的心理健康问题.心理健康影响因素的单因素分析结果显示,性别、学习成绩、人际关系、学习压力变大、居家锻炼、延长睡眠时间均与其中1个或几个因子阳性症状有关(P<0.05).多因素Logistic回归分析,结果显示,与女高职护生相比,男高职护生出现心理健康问题的风险较高[OR(95％CI)3.93(1.35,8.48)];人际关系良好、居家锻炼是护生心理健康的保护因素[分别为OR(95％CI)1.79(1.28,2.50)和OR(95％CI)0.58(0.41,0.80)].结论 COVID-19疫情间学校必要进行男高职护生的心理卫生指导,指导高职护生居家防疫期间维持良好的人际关系和适当居家锻炼有助于减少高职护生心理健康症状阳性率的发生.

目的 探讨基于JITT模式的"三导六学"线上教学设计在"社区护理"课程中的应用效果.方法 以JITT模式为框架,结合居家线上教学的特点,构建以"教师引导—学生主导—社区导师示导,融教师导学、督学、辅学,学生自学、互学、助学"六位一体的"三导六学"线上教学模式.结果 教学结束后,学生期末平均成绩达89分;91.5％的学生对课程整体实施情况表示满意,91.5％的学生表示能够提高学习兴趣,87.3％的学生认为能够提高自主学习能力等;学生课外成果丰富,积极参与社区实践、创新创意作品设计和志愿者服务等.结论 基于JITT模式的"三导六学"教学得到多数学生的认可,能够提高学生的学习兴趣和教学质量,该模式为线上教学、网络课程的发展提供了新的方向和思路.

Background: Depression is one of the most common mental diseases among the elderly, and it is also the main reason to reduce the quality of life of the elderly. Depression is one of the most common psychological diseases in modern mankind. Its main clinical manifestation is long-term and uninterrupted depression. There are five main clinical manifestations of depression. The first clinical manifestation is that patients are depressed and pessimistic about external things, problems and various phenomena. At this time, patients with mild depression obviously lack interest in the surrounding things, or work and study, and have persistent depression; Patients with severe depression will have despair, and even lead to suicidal thoughts, which seriously threatens the life safety and social security of patients. The second clinical manifestation is the patient ’ s slow thinking, such as slow response to external stimuli, blocked thinking when thinking about problems or working, which seriously affects the learning efficiency and work efficiency. In addition, the patient will have significant communication barriers and cannot communicate with others normally. The third clinical manifestation is the decline of patients ’ will activities, slow action, lonely life and world weariness. The fourth clinical manifestation is the impairment of patients ’ cognitive function, resulting in the decline of patients ’ memory, learning efficiency and language communication difficulties. The last clinical manifestation is insomnia, limb fatigue, lack of appetite, physical pain and so on. Mental health is an important index to evaluate the life of the elderly. Therefore, with the development of society, more and more people begin to pay attention to the mental health problems of the elderly. Some elderly people are suffering from hypertension, diabetes and other diseases. Therefore, physical and

目的:了解护士情绪劳动和工作压力源对护士工作满意度的影响.方法:采用护士情绪劳动量表、工作压力反应量表及工作满意度量表对吉林省某三级甲等综合医院287名护士进行问卷调查和分析.结果:护士情绪劳动总均分为(4.73±0.77)分,护士工作压力源总均分为(2.13±0.60)分,工作满意度总均分为(3.52±0.69)分.情绪劳动的表层扮演和工作压力源中护理专业与工作方面、管理及人际关系方面、工作量与时间分配方面的问题对护士工作满意度有负面影响,护士的情绪表达要求对工作满意度有正向预测作用.结论:护士情绪劳动和工作压力源均对其工作满意度有所影响,需引起护理管理者关注.

目的 探讨常见老年慢性病患者次均住院费用及其影响因素.方法 通过电子病历系统提取2018年3月至2019年2月泉州某三甲医院高血压、冠心病、脑血管疾病、2型糖尿病、恶性肿瘤和慢性阻塞性肺病的老年慢性病患者21 824例的信息,用多元线性回归模型,分析患者次均住院费用的影响因素.结果 老年慢性病患者次均住院费用较高(平均10036.4元),人院方式、慢性病类型、支付方式、住院天数、住院次数是影响老年慢性病患者次均住院费用的主要因素.结论 老年慢性病患病率高、卫生资源消耗多、住院费用高,次均住院费用的影响因素复杂.应积极开展早期预防,有效合理控制老年慢性病的住院费用;强化政府职能,保障老年慢性病住院治疗和费用,防止因病返贫.

目的 了解泉州社区老年人轻度认知功能障碍患病现状,为制定防治策略提供依据.方法 通过方便抽样法,选取泉州3个社区符合纳入标准的老年人为调查对象,用一般情况调查表和蒙特利尔认知量表进行调查和诊断.结果 共286例老年人纳入分析,其中诊断轻度认知功能障碍53人,患病率18.5％;单因素分析结果显示,泉州社区老年人轻度认知功能障碍患病率,不同年龄、文化、居住状况及社会活动参与度间,差异有统计学意义;多因素logistic回归分析结果显示,高龄是轻度认知功能障碍患病的危险因素;文化程度高、社会活动参与度高是保护因素.结论 泉州社区老年人轻度认知功能障碍患病率相对较高,应重点关注高龄、文化程度低的老年人,鼓励老年人多参与社会活动.

目的:探讨系统化康复护理干预在腰椎后路切开探查肿物切除内固定术患者的效果.方法:腰椎椎管内肿物患者随机分为观察组与对照组,每组28例.对照组患者进行常规护理干预,包含体位护理、生活护理,饮食指导等,观察组采用系统化护理干预,包含心理护理、术前护理、术后护理,疼痛护理、并发症的预防及系统化康复锻炼.结果:观察组患者住院期间的并发症发生率均显著低于对照组,差异有统计学意义(P<0.05);观察组患者的住院时间显著低于对照组,差异有统计学意义(P<0.05).观察组患者出院时的JOA评分显著高于对照组,差异有统计学意义(P<0.05).结论:系统化康复护理干预可有效降低后路切开探查肿物切除内固定术术后并发症的发生率,降低住院时间,提升腰椎功能评分,值得应用.

目的:探讨基础生命支持(BLS)培训模式对医护人员的心肺复苏术培训的效果.方法:选取泉州地区不同医院的医护人员312名,按照基础生命支持培训方式进行培训,比较培训前后医护人员对心肺复苏理论和操作通过率及医护人员对心肺复苏培训的满意度.结果:培训后的理论成绩(t=-34.376,P=0.000)及操作通过率(χ2=175.378,P=0.000)较培训前差异有统计学意义,培训后学员对该培训模式的总体满意度较高.结论:按照基础生命支持培训方式进行培训可以提高泉州地区医护人员心肺复苏术的理论和操作水平.