Objective: To explore the effect of LEARNS health education on metabolic indicators, enthusiasm and related problems in patients with type 2 diabetes. Methods: A total of 118 patients with type 2 diabetes were randomly divided into the observation group (60 cases) and the control group(58 cases). The observation group adopted the LEARNS health education model intervention, while the control group adopted routine health education. The metabolic indicators(glycosylated hemoglobin, fasting blood glucose, triglyceride and total cholesterol), patients’ enthusiasm and diabetes related problems were compared between the two groups before and after intervention. Results: After the intervention, the metabolic indicators of the patients in the observation group were superior to those in the control group, the scores of enthusiasm were higher than those in the control group, and the scores of diabetes related problems were lower than those in the control group, with a statistically significant difference( P<0.05). Conclusion:LEARNS health education model can improve the metabolic indicators of patients with type 2 diabetes, improve the enthusiasm of patients, reduce diabetes related problems, and alleviate the pressure and bad mood of patients with type 2 diabetes. 

Objective: To investigate the current status of mental health and trait coping styles of the patients with novel coronavirus pneumonia in Tianjin, and to explore the relationship between them, so as to provide scientific basis for clinical first-line nurses to carry out psychological intervention. Methods: 72 patients with novel coronavirus pneumonia treated in the tertiary hospital in Tianjin were surveyed by general data questionnaire, generalized anxiety disorder(GAD-7), patient health questionnaire(PHQ-9), and trait coping style questionnaire(TCSQ). Results: The GAD-7 score of patients with novel coronavirus pneumonia was 7.23±2.17, the anxiety incidence rate was 72.22%(52/72). The PHQ-9 score was 8.20±2.01, and the depression incidence rate was 70.83%(51/72). The total scores of GAD-7 and PHQ-9 in patients with novel coronavirus pneumonia were negatively correlated with the positive coping(PC) score( P<0.05), and positively correlated with the negative coping(NC) score( P<0.05). Conclusion: Patients with novel coronavirus pneumonia generally have different levels of mental health problems, which are closely related to the way coping styles of the disease. Medical staff should take targeted measures to maintain their mental health and promote disease rehabilitation while giving treatment to patients.

Objective: To observe the effect of passive smoking during pregnancy on patients with gestational diabetes mellitus. Methods: The data of 177 patients who continued to participate in "one day outpatient service of gestational diabetes mellitus" was collected. According to whether passive smoking during pregnancy was divided into passive smoking group and non-passive smoking group, two groups of patients received the same " one day clinic for gestational diabetes " interventions. The fasting blood-glucose（FPG）,2 hours postprandial blood glucose（2hPG）, glycated hemoglobin (HbAlc), maternal outcomes and infant condition were analyzed. Results: The passive smoking rate during pregnancy among women with gestational diabetes mellitus was 45.20%. There was no significant difference in FPG、2hPG、HbAlc in the two groups before interventions ( P>0.05), but there was difference after 2 months of interventions（ P<0.05）. There was no significant difference in delivery weeks, polyhydramnios, oligohydramnios, postpartum hemorrhage and preeclampsia between two groups ( P>0.05), and there was statistical significance difference in delivery route and pregnancy-induced hypertension( P<0.05),There was no significant difference in rate of neonatal gender, length, 5-minute Apger score, hypoglycemia, malformation, hypocalcemia and asphyxia between two groups( P>0.05),and there was a statistically significant difference in neonatal body mass and rate of macrosomia ( P<0.05). Conclusion: Passive Smoking during pregnancy is one of the risk factors affecting blood glucose control in patients with gestational diabetes mellitus, smoke environmental exposure is not conducive to disease control, and it is easy to lead to adverse maternal and child outcomes.