Background Nursing interns are particularly vulnerable to workplace negative behaviors during their clinical practicum, which can critically shape their professional development and the quality of patient care. However, the psychological mechanisms underlying this relationship remain inadequately explained within comprehensive theoretical frameworks. Methods In this cross-sectional study, 234 undergraduate nursing interns were recruited from two tertiary hospitals in Southwest China. Participants completed validated measures including the Negative Acts Questionnaire-Revised, Self-Rating Anxiety Scale, Self-Rating Depression Scale, and Simplified Coping Style Questionnaire. Data analysis employed Spearman's correlation and multiple linear regression. Results The mean scores indicated moderate exposure to workplace negative behavior (28.71 ± 6.10), with anxiety (44.02 ± 9.99) and depression (47.01 ± 10.69) levels approaching clinical significance. Regression analysis revealed that depression (β = 0.442, p < 0.001), anxiety (β = 0.229, p = 0.001), and positive coping strategies (β = 0.218, p = 0.002) were significant predictors, collectively explaining 34.3% of the variance. Professional attitude demonstrated the strongest correlation with exposure to workplace negative behavior (r = 0.399, p < 0.001). Conclusion The impact of workplace negative behaviors on nursing interns is substantially mediated through psychological distress, while coping strategies and professional attitude serve as important moderating factors. These findings suggest that healthcare institutions should implement integrated support systems incorporating mental health screening, resilience training, and professional identity development to mitigate adverse effects and promote successful transition to professional practice. Clinical trial number : not applicable.

PurposePsychosocial stress, depression, and anxiety are prevalent during pregnancy and can be associated with adverse birth outcomes. This study aimed to evaluate the effectiveness of an online Mindfulness Group Therapy (MGT) program in improving perinatal maternal psychological distress and perinatal outcomes among women with twin pregnancies.MethodsIn this randomized controlled trial, 120 women carrying twins were assigned to MGT groups (6-week, 120 minutes of mindfulness intervention weekly) or control groups (usual perinatal care and health education). The primary outcomes were maternal psychological distress, including depression, anxiety, stress, and mindfulness measured by the Edinburgh Postnatal Depression Scale, State Anxiety Inventory, Perceived Stress Scale, and Five Facet Mindfulness Questionnaire at three points: baseline, post-intervention and time one month postpartum. Secondary outcomes included maternal pregnancy outcomes and neonatal outcomes.ResultsA total of 109 women with twin pregnancies completed the intervention. The intervention significantly and effectively prevented the worsening of postpartum depression symptoms in women with twin pregnancies, improved mindfulness, and reduced perceived stress (P < 0.05). Significant differences were observed at both post-intervention, and 1-month post-delivery (P < 0.05). However, no significant differences were found in anxiety scores (P > 0.05). Intention-to-treat analysis further revealed that the intervention had a significant effect on reducing postpartum depressive symptoms (P < 0.05), even when considering participants who did not complete the entire study process. In terms of pregnancy outcomes, a significant difference was found between the intervention and control groups in the incidence of low birth weight (P<0.05).ConclusionMGT proves potentially effective in reducing perinatal stress, preventing prenatal depression, and decreasing the incidence of low-birth-weight infants in twin pregnancies. These findings support the integration of group mindfulness interventions into prenatal mental health care to mitigate prenatal depression among women expecting twins.Clinical Trial Registrationhttps://www.chictr.org.cn/showproj.html?proj=131787, identifier ChiCTR2100050091.

ObjectiveThis study aimed to evaluate students’ satisfaction and learning outcomes associated with a blended online and offline teaching method based on problem-based learning (PBL).DesignA total of 238 third-year undergraduate nursing students from two classes participated. Each class was divided into eight groups, with 14 to 15 students per group. Eight teachers were involved. A cross-sectional survey was conducted among students after class.MethodsHypertensive disorders of pregnancy were chosen as the teaching cases. Teachers uploaded teaching resources to Superstar Learning App for 1 week of online self-regulated learning (SRL). During the offline class, each group addressed two clinical questions through presentations, simulated scenarios and role-playing exercises. After course, students were invited to complete an anonymous satisfaction questionnaire. A descriptive cross-sectional design was employed, a descriptive analysis of participants was conducted, and factors influencing teaching effectiveness were analyzed.ResultsOverall, 79.82% of students expressed greater satisfaction with this blended method compared to traditional teaching approaches, 95.07% of students gave positive feedback on the course, and 92.82% reported that their learning outcomes either met or exceeded expectations. Students who engaged intensively in collecting, analyzing, and organizing information during the online phase, or who devoted ≥5 h to online learning, were significantly more likely to achieve or surpass their learning expectations (p < 0.05). Although participation in activities did not significantly affect learning outcomes (p > 0.05), it did influence students’ evaluation of teaching (p < 0.05). A significant difference was also observed between the two classes in their session evaluations (p < 0.05).ConclusionThe blended PBL approach was associated with higher student satisfaction in the Obstetrics and Gynecology Nursing course. Class participation correlated positively with evaluations and outcomes. While active participants achieved expected results, less participative students also attained comparable outcomes through alternative methods. Although pre-class preparation time predicted learning effectiveness, efficiency was equally significant. Adopting a student-centered, PBL-oriented approach with diversified resources is recommended to address individual needs, enhance satisfaction, and develop SRL skills. This model promotes SRL by encouraging students to assess and adjust their learning strategies, thereby meeting diverse needs and supporting personalized development.

The aim of this study was to evaluate the effect of nurse-physician collaboration on the incidence of complications, anxiety and depression, quality of life, and satisfaction with nursing care among cervical cancer patients undergoing three-dimensional intracavitary brachytherapy. In this randomized, single-blinded, placebo-controlled trial, 92 eligible cervical cancer patients were equally divided into two groups upon admission. The control group was given routine nursing, and the intervention group received a nurse-physician collaboration in addition to routine care. Anxiety, depression, and health-related quality of life in both groups were assessed and compared at baseline and discharge. The intervention group had significantly fewer complications and showed marked improvements in mental health and quality of life compared to the control group. Satisfaction with nursing care was substantially greater in the intervention group. These results support the clinical adoption of a nurse-physician collaborative care model in the management of cervical cancer with three-dimensional intracavitary brachytherapy.

BackgroundTreatment of metastatic cervical cancer is a tricky issue. Currently, the National Comprehensive Cancer Network (NCCN) guideline recommends chemotherapy combined with bevacizumab for recurrent or metastatic cervical cancer. Still, the recurrence rate is high and the survival rate is low after standard treatment. We urgently need to achieve a multimodal therapy approach for recurrent or metastatic cervical cancer.Case descriptionWe report the case of a patient with stage IB2 cervical squamous carcinoma who developed multiple metastases within a short term after receiving first-line standard treatment, and she underwent interstitial brachytherapy after systemic therapy with an encouraging outcome. The patient developed suspected inguinal lymph node metastases after 9 months at the end of first-line therapy and multiple metastases in the inguinal lymph nodes, anterior abdominal wall, and right lung after 17 months. As the patient had residual inguinal lymph nodes after systemic therapy, she received 3D-printed template-guided interstitial brachytherapy to the inguinal lymph nodes and maintenance therapy. By Sep 2023, she had achieved a good treatment outcome with a progression-free survival (PFS) of 36 months.ConclusionBased on our patient response, when multiple metastases develop in the short term in early-stage cervical squamous carcinoma after first-line therapy, we may consider implementing local therapy combined with systemic therapy.

本文以重庆医科大学妇产科BOPPPS[导入(bridge in)、学习目标(objective)、前测(pre-assessment)、参与式学习(participatory learning)、后测(post-assessment)、总结(summary)]模型与超星网络教学平台相结合实验教学为例,详细介绍了该混合型教学模式遵循的导入、学习目标、前测、参与式学习、后测、总结6大教学模块,结合"过程性评价+奖励性评价+终结性评价"三合一考核方式,全面综合评价学生学习效果.实践证明,该模式可以提高学生的学习自主性,锻炼沟通能力,培养团队精神,促进临床思维建设,提高教学效果和课堂教学质量.

The effect of gestational weight gain (GWG) as a controllable factor during pregnancy pelvic floor function has rarely been investigated, and studies on twin primiparas are even less frequent. The objective of the present study was to explore the effect of GWG on postpartum pelvic floor function in twin primiparas. We retrospectively analyzed the clinical data of 184 twin primiparas in the pelvic floor rehabilitation system of the First Affiliated Hospital of Chongqing Medical University from January 2020 to October 2021. Based on the GWG criteria recommended by the Institute of Medicine, the study subjects were classified into two groups: adequate GWG and excessive GWG. Univariate and multivariate logistic regression models were applied to explore the relationship between GWG and pelvic floor function. Among the 184 twin primiparas, 20 (10.87

AimTo explore the experience of nursing undergraduates with a blended course, that was redesigned using the Community of Inquiry framework. DesignThe Obstetrics and Gynaecology Nursing Course was redesigned using blended learning pedagogy, which starts from the creation of teaching presence, plays the intermediary role of social presence and aims at realizing cognitive presence. MethodsAfter the course completion, we conducted a qualitative descriptive study and collected data using focus group interviews and field notes. ResultsThe findings comprised three main themes including role promotion, passive and selective learning and recommendations. Teachers and peers reportedly played the supervisors, facilitators and coordinators in learning promotion. Some students experienced difficulties in adapting to the blended learning environment due to passive learning habits, character flaws and academic pressure. However, a majority of them supported the application of the model.

目的:系统评价国内孕妇分娩恐惧(FOC)的发生率,为孕妇FOC的预防及干预提供参考.方法:计算机检索PubMed、Web of Science、Embase、Cochrane Library、CNKI、万方、VIP、SinoMed 数据库自建库至 2023 年 3 月,中国孕妇FOC发生率相关的横断面研究,采用Stata17.0软件进行meta分析.结果:共纳入21个横断面研究,包括8815例孕妇.meta分析结果显示,我国孕妇FOC发生率为72.1％(95％CI 0.687～0.754).亚组分析结果显示,2020年及以前研究报道FOC发生率为73.6％(95％CI 0.690～0.783),2020年以后为70.7％(95％CI 0.658～0.755);南方孕妇FOC 发生率为 70.9％(95％CI 0.669～0.750),北方为 74.9％(95％CI 0.686～0.812);初产妇 FOC 发生率为 76.7％(95％CI 0.709～0.825)、初产和经产妇为 69.8％(95％CI 0.658～0.738);≤29 岁组发生率为 69.7％(95％CI 0.663～0.732),＞29岁为79.6％(95％CI 0.695～0.897).结论:国内孕妇FOC发生率较高,孕期保健人员应重视早期筛查工作,并及时采取干预措施.

Background Pregnant women expecting twins are more likely to experience stress, which can lead to anxiety and depression. Our aim was to investigate the prevalence of prenatal anxiety and depressive symptoms in women with twin pregnancies and the associated factors. Methods In a cross-sectional survey, 210 women with twin pregnancies who satisfied the inclusion and exclusion criteria in two tertiary centers in Southwestern China were asked to complete a basic information form, the Self-Rating Anxiety Scale (SAS) and the Self-Rating Depression Scale (SDS). To compare statistics with normal distribution in distinct characteristic groups, a paired t-test, and one-way ANOVA were utilized. Binary logistic step regression was used to analyze the associated factors of antenatal anxiety and depressive symptoms. Results The 210 women with twin pregnancies (age = 30.8 ± 4.2 years) were between 7 and 37 gestational weeks (29.2 ± 1.2 weeks), were typically well-educated (72.4% had a post-high-school degree), and reasonably affluent (88.1% were above the low-income cutoff). Among them, 34.8% had symptoms associated with clinical levels of anxiety, and 37.1% had symptoms indicating possible depression. The prevalence of co-morbid anxiety and depressive symptoms was 24.3%. Binary stepwise logistic regression analysis showed that previous health status and sleep disturbance during pregnancy were the associated factors of anxiety symptoms in women with twin pregnancies ( P < 0.05), whereas age, previous health status, negative life events, and physical activity during pregnancy were the associated factors of depressive symptoms in women with twin pregnancies ( P < 0.05). Conclusion About one-third of women with twin pregnancies had symptoms of anxiety or depression; these were most strongly predicted by some modifiable factors, suggesting that early preventive mind-body interventions may be a promising strategy to protect against mental health issues for women with twin pregnancies.

Accumulating evidence suggests that pregnancy-related anxiety (PRA) has adverse impacts on maternity health and infant development. A substantial body of literature has documented the important influence of family function, perceived social support and resilience on PRA. However, research identifying the mediating mechanisms underlying this relationship in China are still lacking. Therefore, the current study aimed to investigate the prevalence of PRA under the three-child policy in China, and also explore the interrelationships among perceived social support, family function, resilience, and PRA. In this cross-sectional study, a convenient sampling method was used to select 579 pregnant women who underwent prenatal examination at the maternity outpatient departments of the First Affiliated Hospital of Chongqing Medical University in China from December 2021 to April 2022. Participants were required to complete the following questionnaires: the demographic form, the Chinese Pregnancy-related Anxiety scale, the 10-item Connor-Davidson Resilience Scale, the APGAR Family Care Index Scale, and Multidimensional Scale of Perceived Social Support. Pearson correlation analysis was utilized to examine the rudimentary relationship among the study variables. Bootstrapping analyses in the structural equation modeling were applied to identify the significance of indirect effects. There were 41.4

Objective:To explore the application of mixed teaching mode based on small private online course (SPOC) and interactive tool in course of obstetric and gynecological nursing bilingual education.Methods:Nursing undergraduates from Batch 2018 of Chongqing Medical University were recruited in the study, with 336 students in the intervention group and 332 students in the control group. Mixed teaching method based on the SPOC and interactive tool was used for teaching in the intervention group, and traditional teaching methods were used in the control group. At the end of the course, formative evaluation indicators, such as students' academic performance, online study and students' classroom performance were compared between the two groups. SPSS 26.0 was used to perform t test and chi-square test of the data. Results:The final scores of the intervention group were (67.84±8.65) points, compared with the control group [(66.50±7.29) points]; the bilingual section scores of the intervention group were (5.32±1.90) points, compared with the control group [(4.95±1.92) points], with statistically significant differences between the two groups ( P<0.05). The online study and students' classroom performances of the intervention group were better than those of the control group ( P<0.05). Most students of the intervention group believed the mixed teaching method based on the SPOC and interactive tool could develop the ability of autonomous learning, improve the professional achievement and enhance the level of English. Conclusion:The mixed teaching method based on the SPOC and interactive tool can develop the students' ability of autonomous learning and enhance the teaching effect.

Objective:To explore the effect of the course ideology and politics teaching model based on the Context-Content-Course (3C) model in the nursing experimental class of endocrine diseases for nursing undergraduates.Methods:From March 2021 to June 2021,168 undergraduates from Class 1 of Chongqing Medical University in Grade 2018 were selected as the experimental group and 163 undergraduates from Class 3 of Nursing as the control group .Taking the humanistic care ability as the entry point of the course ideology and politics education, the experimental group carried out teaching and implement humanistic care education using course ideology and politics teaching mode based on the 3C model; the control group used traditional methods to carry out humanistic care education. After the course, the humanistic care ability, professional self-efficacy, and emotional intelligence of the two groups were compared.Results:After the implementation of the new teaching model, the total scores of humanistic care ability, occupational self-efficacy, and emotional intelligence of the students in the experimental group were 147.55 ± 15.95, 110.13 ± 9.26, and 76.24 ± 8.78, respectively, while those in the control group were 121.16 ± 18.44, 90.45 ± 9.49, and 61.67 ± 12.33, respectively; and the differences of the scores between two groups were statistically significant ( t=13.73, 18.80, 12.24, all P<0.01). Conclusions:The application of the course ideology and politics teaching model based on the 3C model in the nursing experimental class of endocrine diseases is helpful to improve the humanistic care ability, professional self-efficacy, and emotional intelligence of nursing students′ and is conducive to cultivating the comprehensive humanistic qualities of nursing students. It is ansignificant manifestation of accurate course ideology and politics education.

OBJECTIVE:To verify the effect of obstetric nursing-sensitive quality indicators for continuously improving nursing quality.METHODS:We retrospectively analyzed the obstetric nurse quality in the First Affiliated Hospital of Chongqing Medical University and University-Town Hospital of Chongqing Medical University from October 2019 to September 2020. Nurses and patients in the Obstetrics Department of the First Affiliated Hospital of Chongqing Medical University and University-Town Hospital of Chongqing Medical University were respectively assigned into an experimental group and a control group. High-quality nursing services were provided to patients in both groups. In addition to the high-quality nursing services, the obstetric nurses in the experimental group received training on obstetric nursing-sensitive quality indicators based on the knowledge-attitude-practice model. An obstetric nursing quality evaluation was conducted between the two groups. Continuous quality improvement was achieved using the plan-do-check-act (PDCA) cycle. The nursing quality was reflected by 14 obstetric nursing-sensitive quality indicators and the nurses' job satisfaction was compared between the experimental group and the control group before and after intervention.RESULTS:The information regarding the nurses and parturients, and the nurses' job satisfaction were not significantly different between the two groups before intervention (P>0.05). Except for information regarding the lateral perineotomy at vaginal delivery, there was no significant difference in other obstetric nursing-sensitive quality indicators between the two groups before the intervention. In the experimental group, the rates of early skin-to-skin contact between mothers and infants, early sucking with exclusive breastfeeding during hospitalization, parturient satisfaction with the nurses' work, and nurses' job satisfaction after intervention were better than before (P<0.05). In the experimental group, the rates of neonatal asphyxia/severe neonatal asphyxia and postpartum hemorrhage following vaginal delivery after intervention was significantly lower than before (P<0.05). The experimental group had better outcomes than the control group in the rates of early skin-to-skin contact between mothers and infants, early sucking with exclusive breastfeeding during hospitalization, parturient satisfaction with the nurses' work, and nurses' job satisfaction (P<0.05).CONCLUSION:Obstetric nursing-sensitive quality indicators can be used to improve the nursing quality in continuous quality improvement, which is worthy of promotion in clinics.

目的 探讨领悟社会支持和分娩自我效能在孕妇心理弹性与分娩恐惧(FOC)间的中介作用.方法 采用一般资料调查表、领悟社会支持量表(PSSS)、分娩自我效能量表(CBSEI-C32)、心理弹性量表(CD-RISC-10)及分娩态度问卷(CAQ)对该院677例孕妇进行问卷调查,收回有效问卷646份.结果 646例孕妇CAQ得分为(32.49±8.64)分,CD-RISC-10得分为(26.42±5.92),CBSEI-C32得分为(201.44±58.69)分,PSSS得分为(64.95±9.05)分.646例孕妇FOC轻、中、重度发生率分别为45.36％(293/646),19.50％(126/646),2.17％(14/646),FOC总发生率为67.03％(433/646).Pearson相关分析结果显示,CAQ与CD-RISC-10、PSSS、CBSEI-C32均呈负相关(r=-0.507、-0.543、-0.738,P<0.01);CD-RISC-10与CBSEI-C32、PSSS呈正相关(r=0.538、0.555,P<0.01);CBSEI-C32与PSSS呈正相关(r=0.594,P<0.01).心理弹性分别通过领悟社会支持、分娩自我效能负向预测FOC,中介作用效应值分别为-0.105、-0.143;心理弹性通过领悟社会支持、分娩自我效能的链式中介作用负向预测FOC,中介作用效应值为-0.179.结论 孕妇心理弹性通过领悟社会支持和分娩自我效能的链式中介作用对FOC产生影响.

Objective:To explore women's needs for men's participation in maternal and child health care during pregnancy, so as to provide a basis for promoting men's participation in maternal and child health care during pregnancy.Methods:This research adopted the phenomenological research method in qualitative research. From January to February 2020, purpose sampling method was used to select 11 perinatal women who underwent the obstetric examination and delivery in the First Hospital of Chongqing Medical University as the research subjects. The semi-structured interview was conducted on those women, and the Colaizzi analysis method was used to analyze the interview data and refine the theme.Results:A total of 4 themes were refined, namely the need for men to provide support during pregnancy, the need for men to participate in prenatal examinations, the need for men to participate in decision-making, and the need for men to participate in self-management during pregnancy.Conclusions:During pregnancy, women have a high need for men to participate in maternal and infant health care, and it is manifested in many aspects. Both society and hospitals should strengthen publicity and education for men, promote men's participation during pregnancy, and protect the maternal and child health.

2010年,世界卫生组织(WHO )开展的孕期和卫生保健全球调查报告显示[1 ] ,中国的平均剖宫产率为46 .5％,其中非医学指征的剖宫产率占全部剖宫产的11 .7％,剖宫产率远远高于 WHO提出的15％ 以下的标准.孕妇要求剖宫产占剖宫产的主要部分,孕妇对"痛"的恐惧心理促使其在分娩时选择了剖宫产,而剖宫产又会对产妇及新生儿带来不利影响.国内对孕产妇分娩恐惧(FOC)的研究尚在探索阶段,但在应对FOC的相关研究上有所进展,本文重点阐述FOC的危害、国内外缓解FOC常见的干预策略,为围生期保健人员开发针对性干预方案提供参考.

Objective: Our aim was to explore the influence of humanistic care based on Carolina care model on postoperative recovery and quality of life in patients with ovarian cancer (OC). Methods: In this prospective study, we selected 85 OC patients and randomly divided them into the Carolina group (n = 43) given humanistic care based on Carolina care model and the control group (n = 42) given routine nursing intervention. The postoperative recovery and Functional Assessment of Cancer Therapy-Ovary Cancer (FACT-O) scores were compared between the two groups. Results: After intervention, the time of first flatus and defecation after surgery, the time of first ambulation and the length of average postoperative hospital stay were much shorter, and the pain score, total complication rate, self-rating anxiety scale and self-rating depression scale scores as well as Cortisol, C-reactive protein and fasting blood glucose levels at 48 hours postoperatively were significantly lower in the Carolina group than in the control group. The nursing satisfaction in the Carolina group was markedly higher than that in the control group (97.67% vs. 78.57%, P<0.01). After 3 months of follow-up, the Carolina group showed higher dimension scores of FACT-O than the control group (all P<0.001). Conclusion: Humanistic nursing care based on Carolina care model can significantly ameliorate the recovery of OC patients, reduce the physical and psychologic stress response, and effectively enhance the nursing satisfaction and quality of life.

PURPOSETo study the application of the Carolina Care Model to improve nurses' humanistic care abilities in the Department of Obstetrics and Gynecology.METHODSFrom December 2019 to April 2020, 40 nursing staff and 80 patients in the Department of Obstetrics and Gynecology in our hospital were recruited as the study cohort and randomly placed in an intervention group or a control group. The intervention group underwent the Carolina Care Model to complete the clinical nursing work. The control group underwent hospital routines to complete clinical nursing work.RESULTSAfter the training, the humanistic care ability scores and the scores of various dimensions in the intervention group were significantly higher than the scores in the control group (P<0.05). The patient care perception scores in the intervention group were higher than they were in the control group (P<0.05). The patients' nursing satisfaction scores in the intervention group were significantly higher than they were in the control group (P<0.05).CONCLUSIONCarrying out a humanistic care nursing practice based on the Carolina Care Model can improve the humanistic care abilities of the nurses in the Department of Obstetrics and Gynecology, patient care perception and satisfaction, and the quality of the nursing service.

母婴保健关系着孕产妇和胎婴儿的健康,是家庭和社区关注的重点.男性参与母婴保健能给夫妻双方及孩子都带来积极的影响,因此受到了研究者们广泛地关注.本文通过对男性参与母婴保健的起源、对家庭成员的影响及相关因素进行综述,旨在为促进我国男性参与母婴保健提供参考.