Objective: To explore the mediating role of social support on self-regulated fatigue and quality of working life. Methods: Participants were selected from young and middle-aged postoperative lung cancer patients which returned to work for ≥1 month in a cancer hospital with Grade A，Level 3 in Tianjin. This study was conducted using convenience sampling. Questionnaire survey was conducted using the general information questionnaire，Self-regulated Fatigue Scale，Perceived Social Support Scale，and Quality of Working Life Questionnaire for Cancer Survivors. The data analysis were performed by SPSS 22.0 and Process plug-in. Results: The mean score of Quality of Working Life Questionnaire for Cancer Survivors for all participants was 51.93±24.31. Pearson correlation analysis showed that the working life quality was negatively correlated with self-regulated fatigue( r=-0.133， P<0.05) and positively correlated with social support( r= 0.319， P<0.01) in young and middle-aged lung cancer patients. Bootstrap analysis indicated that social support played a complete mediating role on self-regulated fatigue and working life quality，with a mediating effect size of -0.251(95% CI -0.529~-0.011； P<0.05). The intermediate effect accounted for 34.813% of the total effect. Conclusion: The quality of working life of young and middle-aged adults with postoperative lung cancer patients needed to be improved and social support can play a completely mediating role in self-regulated fatigue and working life quality. It′s indicated that family，society and medical staff should actively take measures as soon as possible，and carry out personalized continuing nursing interventions to improve the quality of working life.

Objective: To analyze the current situation of professional identity and learning motivation of secondary vocational nursing students, and to explore the correlation between them, so as to enhance the learning motivation and professional identity of secondary vocational nursing students. Methods: A total of 420 secondary vocational nursing students were surveyed by general data questionnaire, nursing students’ occupational identity and learning motivation questionnaire. Results: A total of 405 valid questionnaires were recovered. The total score of professional identity was 61.13±11.02, the score of learning motivation was 86.42±9.49. Among the factors of professional identity, the score of social persuasion was 3.79±0.80, which was highest; the score of retention benefit and resignation risk was the lowest(3.35±0.80). In learning motivation, the score of enthusiasm dimension was the highest(3.06±0.42); the score of relying on others’ evaluation was the lowest(2.68±0.37). The scores of endogenous learning motivation subscale were higher than that of exogenous learning motivation. There were statistically significant differences in the professional identity scores of secondary vocational nursing students in terms of whether students participated in clubs, reasons for choosing nursing majors, and whether COVID-19 pandemic had influence on the selection of nursing specialty( P<0.05). There was a positive correlation between professional identity and learning motivation( r=0.508, P<0.01). Conclusion: In order to enhance secondary vocational nursing students’ professional identity, and thus increase their employment rate, we need to encourage them to participate in activities of school club and encourage their parents to play an educational role, increase interest in nursing, help them to understand the COVID-19 pandemic correctly and improve learning motivation.

Objective: To explore the impact of Kolb experiential education measures on the effect of blood sugar control, self-management ability and patient activation in type 2 diabetes patients. Methods: A total of 160 patients with type 2 diabetes admitted to a Grade A hospital in Tianjin from October 2018 to August 2019 were included in the study. Among them 78 cases were included in the control group from October 2018 to March 2019, and 82 cases were included in the observation group from April to August 2019. The control group took conventional nursing measures, and the observation group took Kolb experiential education measures. The fasting blood glucose, blood glucose 2 h after breakfast, glycosylated hemoglobin(HbA1c), monitoring frequency of blood glucose, self-management ability, and patient enthusiasm were compared between the two groups before intervention, 1 month, 3 months, and 6 months after discharge. Results: The fasting blood glucose, 2 h blood glucose after breakfast, HbA1c and monitoring frequency of blood glucose in the observation group were all better than those in the control group 3 months and 6 months after discharge（ P<0.05）. 1 month, 3 months and 6 months after discharge, the scores of total and various dimensions for self-management ability and positive degree in observation group were higher than those in control group（ P<0.05）. Conclusion: Kolb experiential education measures can help diabetic patients to stabilize blood sugar, enhance self-management ability, and improve treatment activation.