Objective: To translate the women′s attitudes towards birth questionnaire (WATBQ) into Chinese, and evaluate its reliability and validity in order to provide our country with a more convenient and effective tool for measuring female childbirth attitudes. Methods: Based on the Brislin translation model, the original questionnaire was forward-translated and back-translated. After expert committee review and pre-test, the Chinese version of WATBQ was formed. The Chinese version of the WATBQ instrument was tested for reliability and validity using a convenience sample of 472 pregnant women during the third trimester of pregnancy in Hangzhou. Results: The Chinese version of WATBQ was consisted of 5 dimensions and 22 entries. Five common factors were extracted from exploratory factor analysis, and the cumulative variance contribution rate was 64.274%. The item-level content validity index of the questionnaire ranged from 0.83 to 1.00, and the content validity index at the questionnaire level was 0.96. The Cronbach′s alpha coefficient for the total scale was 0.890, and the Cronbach′s alpha coefficients for the dimensions ranged from 0.804 to 0.923. The re-test reliability of the total scale was 0.824, and its split-half reliability was 0.798. Conclusion: The Chinese version of WATBQ has good reliability and validity. It can be used as an assessment tool for pregnant women′s childbirth attitudes in our country.

Objective: To explore the status and needs of readiness for hospital discharge of caregivers for children undergoing living donor liver transplantations, and to provide a basis for adopting scientific and effective discharge guidance programs. Methods: Using purposive sampling method in qualitative research, 14 caregivers for children undergoing living donor liver transplantation were included, and semi-structured interviews were used in the descriptive research. The data of semi-structured interviews were analyzed by Colaizzi′s seven-step method. Results: Five themes and twelve sub-themes were extracted involvingpost-discharge nursing knowledge and skills needs (including the need of postoperative care and emergency treatment of liver transplantation, information acquisition and screening needs), medication guidance needs (including immunosuppressant drug guidance needs and abnormal medication treatment guidance needs ), rehabilitation guidance needs (including rehabilitation exercise guidance needs and vaccination guidance needs), psychological needs (including the needs of alleviating negative emotions, children′s social function adaptation needs), needs of material, informational, and emotional support (including medical technology support needs, needs of knowing social resources and accessing methods, professional platform support needs, and peer support needs). Conclusion: Caregivers have a high demand for the transition period after the discharge of children undergoing living donor liver transplantation, so it is recommended that medical staff should provide professional health guidance and psychological support, and establish multi-party support channels to improve the readiness for hospital discharge of caregivers for children undergoing living donor liver transplantation and ensure the safety of discharge.

Objective: To explore potential categories of characteristics of family caregivers′ perceived benefit for young and middle-aged stroke patients, and to analyze differences in caregiver characteristics across categories and the factors that influence them. Methods: A convenience sampling method was used to select family caregivers of young and middle-aged stroke patients hospitalized at a grade Ⅲ and first-class neurological hospital in Tianjin from October 2023 to April 2024. The Stroke Caregiver Benefit Scale(CBS) was used for data collection. The potential categories of family caregivers were analyzed, and unordered multinomial logistic regression was used to analyze the relevant influencing factors. Results: The perceived benefit characteristics of family caregivers were categorized into 3 categories, including the "Low benefit-Lack of personal and family growth" (39.4%), "Moderate benefit-High self-transcendence" (32.9%), and "High benefit-Moderate self-transcendence" (27.7%). The results of unordered multinomial logistic regression analyses showed that coping style, social support levels, presence of a co-caregiver, caregiver burden levels, frequency of stroke events, and employment status were the factors influencing the perception of benefit for family caregivers of young and middle aged stroke patients. Conclusion: There are obvious categorical characteristics of family caregivers in young and middle aged stroke patients. It is recommended that medical staff take targeted interventions according to different types of perceived benefit characteristics to enhance the caregivers′ sense of benefit.

Objective: To analyze the status and hotspots of continuing education research for paramedics based on CiteSpace software in China from 2011 to 2020, in order to provide reference for the implementation of continuing education for paramedics and related research in the future. Methods: Journal literature related to continuing education for paramedics was retrieved from CNKI database, and the data in refworks format were exported. CiteSpace 5.8.R1 visual analysis software was used for bibliometric and visual analysis of the included studies. Results: A total of 634 articles were included, with the highest number of published articles reaching 86 in 2017. The largest network was the cooperative relationship network formed by 9 people, such as NI Chunping and MA Jinfeng, among whom the authors with the largest number of articles were NI Chunping and MA Jinfeng, both with 5 articles. No interagency cooperation networks were formed. The emerging keywords showed that continuing education was the participation by all paramedics, but there were many studies on low-senior nurses, the content of continuing education in various majors, influencing factors, and learning motivation. Conclusion: Continuing education of paramedics is an indispensable way for the construction of nursing team and the cultivation of professional nursing talents. At present, there is a lack of cooperation and communication among the publishing institutions. In the future, high-quality related research should be carried out according to research hotspots on the basis of seeking multi-author and multi-center cooperation.

Objective：To explore the relationship between areas of worklife and job burnout in nurses. Methods： A total of 310 nurses from a tertiary Class A hospital in Tianjin were included by convenience sampling method. Data were collected by Six Areas of Worklife Scale(AWS) and Maslach Burnout Inventory(MBI). Results：The score of each dimension of areas of worklife was workload (2.82±0.59), autonomy (3.30±0.85), work recognition (3.14±0.50), team atmosphere (3.54±0.58), fairness (3.16±0.62) and value (3.50±0.62)，respectively. The overall score of job burnout was 2.37±0.88. Areas of worklife was negatively correlated with job burnout( r=-0.082~-0.381, P<0.05). Multiple linear regression analysis showed that workload, autonomy and job approval were influencing factors of job burnout( F=9.937， P<0.001)， and could explain 24.0% of the variance rate of job burnout. Conclusion：The areas of worklife and job burnout are negatively correlated. Nursing managers should pay attention to the level of areas of worklife in nurses, and adopt effective measures to improve the degree of areas of worklife , so as to reduce job burnout of nurses.

Objective: To explore the effect of cosmetic interventions on patients with gynecologic tumors undergoing chemotherapy. Methods: A total of 114 patients with gynecologic tumors undergoing chemotherapy were included by convenient sampling and were divided into the control group and the observation group according to the order of hospitalization time. The control group received routine nursing and knowledge education, and the observation group was given cosmetic intervention on the basis of routine nursing. Repeated measures analysis of variance was used to compare the scores of anxiety, self-esteem levels and body image between the two groups at multiple time points. Results:There was no significant difference in the anxiety scores between the two groups during the first chemotherapy( P>0.05); after the third chemotherapy and all chemotherapy, the anxiety scores in the observation group were lower than those in the control group, and the difference was statistically significant( P<0.05). The anxiety score of the patients changed with the intervention time( P<0.05). There was no significant difference in the scores of self-esteem between the two groups after the first chemotherapy and the third chemotherapy( P>0.05); after all chemotherapy, the self-esteem score of the observation group was lower than that of the control group, and the difference was statistically significant( P<0.05).The self-esteem level scores of the two groups changed with the intervention time( P<0.05), and there was an interaction effect between the intervention method and the intervention time( P<0.05). There was no significant difference in the body image score between the two groups during the first chemotherapy( P>0.05); after the third chemotherapy and all chemotherapy, the body image score of the observation group was lower than that of the control group, and the difference was statistically significant( P<0.05), and there was an interaction effect between the intervention method and the intervention time of the body image score in the two groups( P<0.05). Conclusion: Through the implementation of cosmetic interventions, it can effectively relieve the patients’ anxiety, and improve the patients’ self-esteem and body image level.

Objective: To analyze the effects of hyperbaric oxygen combined with early comprehensive rehabilitation measures on promoting behavior and intelligence development in preterm infants with hypoxic-ischemic encephalopathy and the effects on sequela. Methods: A total of 100 cases of HIE premature infants admitted in the hospital from April 2018 to April 2020 were included and were randomly divided into control group( n=33), intervention group A ( n=33) and intervention group B ( n=34). Children in the control group received routine symptomatic supportive treatment. Intervention group A received hyperbaric oxygen therapy based on control group, and intervention group B received hyperbaric oxygen therapy combined with early comprehensive rehabilitation based on control group. Behavior and intelligence development and the occurrence of neurological sequelae were evaluated and compared between different groups. Results: The NBNA scores of the 14-day and 28-day after birth in intervention group A and B were significantly higher than those of the control group, and the PDI index and MDI index were significantly higher than those of the control group at 6 and 12 months after birth. The DQ scores of language, motor and fine motor areas were significantly higher than those of the control group and the incidence of sequela was significantly lower than those of the control group at 12 months after birth ( P<0.05).The NBNA scores of the 14-day and 28-day after birth in intervention group B were higher than those in intervention group A, and the PDI index and MDI index were higher than those in intervention group A at 3 months and 6 months after birth. The DQ scores of language, motor and fine motor areas in intervention group B were significantly higher than those of the intervention group A( P<0.05). Conclusion: Hyperbaric oxygen combined with early comprehensive rehabilitation measures can improve neurological function and promote neurobehavioral development and intelligent development, meanwhile, reduce the incidence of sequela in preterm infants with ischemic encephalopathy.

Objective: To investigate the psychological status of nursing students during internship, and provide basis for clinical teaching in the operation room. Methods: Using qualitative research method, 16 nursing students’ psychological states were interviewed in-depth with on-site recording. Then Colaizzi analysis method was used for data collection and analysis.  Results: 4 themes were concluded, which were nursing students’ sense of non-adaptation to the environment, tension and fear, different experience between sense of satisfaction and achievement, and obvious sense of being neglected. Conclusion: The inner feelings and psychological needs of nursing students during internship in the operation room should be understood, which could help to instruct teaching and change the existing teaching mode to enhance the effect of practice.