Occupational Health And Emergency Rescue
Co-Editors-in-Chief
2025
Volume: 43 Issue 3
28 Article(s)

Aug. 26, 2025
  • Vol. 43 Issue 3 1 (2025)
  • HU Bo, ZHANG Jiale, ZHOU Lina, and LI Zhimin

    Aug. 26, 2025
  • Vol. 43 Issue 3 279 (2025)
  • CHEN Shengxiong, HU Yu, CAI Weidong, YANG Haitao, and HU Bo

    ObjectiveTo study the application effect of a series of rehabilitation exercise prescriptions on chronic low back pain in sedentary occupational populations.MethodsFrom January 2021 to December 2023, 56 cases diagnosed as chronic low back pain in sedentary occupational populations were selected and divided into treatment and control groups, each with 28 cases, by using the method of randomized numerical table. The cases in both groups received identical medium-frequency electrical stimulation and manual therapy, administered by a group of rehabilitation physicians/therapists, with all undergoing a 4-week treatment cycle consisting of 3 times per week. Besides, the cases in the treatment group received rehabilitation exercise prescription intervention, including core strength training, stability training, and muscle stretching training, for 6 weeks consisting of 3 times per week. The pain visual analog score (VAS), Oswestry dysfunction index (ODI), and flexor and extensor muscle strength were measured before the intervention and 4 weeks and 8 weeks after the intervention, respectively, and the effect of the intervention was assessed using the independent samples t -test and paired t-test.ResultsAll cases had lower VAS scores, lower ODI values, and higher flexor and extensor muscle strengths than those of the pre -intervention period at 4 and 8 weeks after the intervention, and the differences were statistically significant (all P < 0.01). In the pre -intervention and 4 weeks post -intervention, the differences between the treatment group and the control group in terms of VAS scores, ODI values, flexor muscle strength, and extensor muscle strength were not statistically significant (all P > 0.05), but in the 8 weeks post -intervention, the VAS scores and ODI values were lower than those of the control group, and the flexor muscle strength and extensor muscle strength of cases in the treatment group were higher than those of the control group, and the differences were statistically significant (all P < 0.05).ConclusionsThe rehabilitation exercise prescription combining core area strength training, stability training, and muscle stretching training had definite efficacy in relieving the nociception, restoring lumbar spine function, and improving lumbar and abdominal muscle strength of chronic low back pain in sedentary occupational populations.

    Aug. 26, 2025
  • Vol. 43 Issue 3 284 (2025)
  • HU Yu, HU Bo, ZHANG Liuzhuo, LIU Mengli, YANG Haitao, ZHU Jixiu, LIU Wenrong, CHEN Shengxiong, and GAO Jie

    ObjectiveTo analyze the relationship between neck pain and the biomechanical characteristics of the upper trapezius muscle among video display terminal (VDT) workers and to provide a theoretical basis for scientific and effective prevention and intervention of neck pain in VDT workers.MethodsVDT workers who underwent occupational health examinations between July 1 and August 31, 2024, were included as study participants. Their neck pain status was assessed, and ultrasound shear wave elastography was used to measure the shear wave velocity and thickness of the upper trapezius muscle. The multivariate logistic regression model was employed to analyze the influencing factors of neck pain.ResultsA total of 39 participants were enrolled in the study, among whom 21 VDT workers experienced neck pain, yielding a prevalence of 53.84%. In the neck pain group, the thickness of the left and right upper trapezius muscles was(10.45±2.00) mm and (10.95±1.75) mm, respectively, and the elasticity was (2.48±0.44) m/s and (2.51±0.47) m/s, respectively. The differences in elasticity or thickness between the left and right sides were not statistically significant (both P > 0.05). In the non-neck -pain group, the thickness of the left and right upper trapezius muscles was (12.57±2.37) mm and (12.82±2.25) mm, respectively, and the elasticity was (2.63±0.50) m/s and (2.68±0.41) m/s, respectively. The differences in elasticity or thickness between the left and right sides were also not statistically significant (both P >0.05). The average muscle thickness and elasticity in the neck-pain group were (10.70±1.77) mm and (2.51 ± 0.44) m/s, respectively, while those in the non-neck-pain group were (12.7 ± 2.23) mm and (2.67 ± 0.42) m/s, respectively. The average thickness of the upper trapezius in the neck - pain group was significantly lower than that in the non -neck -pain group (P < 0.05). Multivariate logistic regression analysis showed that for every 1 mm increase in upper trapezius muscle thickness, the risk of neck pain decreased to 0.445 times (95% CI: 0.228 to 0.870). Compared to workers with VDT work duration of≤8 hours per day, the risk of neck pain in those with VDT work duration > 8 hours per day increased to 6.178 times (95%CI: 1.097 to 34.804).ConclusionsUpper trapezius muscle thickness and VDT work duration may be associated with neck pain among VDT workers. It is recommended that employers reasonably arrange work hours and organize neck muscle exercises to reduce the risk of neck pain and protect the occupational health of VDT workers.

    Aug. 26, 2025
  • Vol. 43 Issue 3 289 (2025)
  • ZHANG Liuzhuo, ZHU Dexiang, LIN Dafeng, WENG Shaofan, ZHANG Ming, HU Yu, HU Bo, and ZHANG Naixing

    ObjectiveTo investigate the prevalence of neck pain among video display terminal (VDT) workers in Shenzhen and to explore its association with cervical spine abnormalities shown by digital radiography (DR), prolonged sitting, and other potential influencing factors.MethodsFrom June to December 2022, a total of 626 VDT workers undergoing occupational health examinations at an occupational disease prevention and treatment institute in Shenzhen were studied by cluster sampling. Their neck pain status was surveyed, and cervical spine abnormalities were assessed via DR. Multivariate logistic regression model was employed to analyze potential risk factors for neck pain.ResultsThe prevalence of neck pain among these VDT workers was 48.88% (306), while the detection rate of cervical spine abnormalities on DR was 67.57% (423). There was no significant association between DR abnormalities and neck pain (P > 0.05). Multivariate logistic regression analysis indicated that, compared to male workers, those with≤5 years of work experience, and those with a junior high school education or lower, female workers, those with > 15 years of experience, and those with a technical secondary school or high school education or above had higher risks of neck pain (OR = 1.99 to 3.68). Compared to those working less than 40 hours per week, the risk of neck pain increased to 2.13 times and 3.03 times among those working 40 to 48 hours and≥56 hours per week, respectively. Compared to those with an average daily sitting duration of less than 5 hours, those sitting for more than 5 hours daily had a 1.95 to 3.45 times higher risk of neck pain. In contrast, VDT workers who exercised had a lower risk of neck pain than those who did not (OR = 0.63). All differences were statistically significant (all P < 0.05).ConclusionsThe prevalence of neck pain and the detection rate of cervical spine abnormalities on DR were both high among VDT workers. Shortening the work time and moderate exercise are beneficial to reducing the incidence of neck pain.

    Aug. 26, 2025
  • Vol. 43 Issue 3 294 (2025)
  • ZHOU Lina, ZHANG Jiale, YOU Lan, LIU Xiaoman, ZHOU Haoyang, LIAO Yuanpeng, and HU Bo

    Aug. 26, 2025
  • Vol. 43 Issue 3 299 (2025)
  • DU Yunfei, SHENG Wenjing, and WANG Xinlin

    Aug. 26, 2025
  • Vol. 43 Issue 3 306 (2025)
  • GONG Yajun, HU Peixia, ZHANG Wangjian, NONG Qiying, and HUANG Yongshun

    ObjectiveTo evaluate the effect of the interaction of occupational lead exposure with other occupational factors on arrhythmia in workers, identify potential risk factors, and protect the occupational health of lead -exposed workers.MethodsA cross-sectional study was conducted with 2 943 occupationally lead-exposed workers from the program of key occupational disease surveillance in Guangdong Province in 2021. Demographic characteristics and physical examination data were collected. A mixed -effects logistic regression model was used to evaluate the effect of lead exposure on arrhythmia. Further interaction analysis and subgroup analysis were conducted to explore potential susceptible populations.ResultsThe blood lead levels of these study subjects ranged from 14.14 to 582.23 g/L. There were 915 individuals(30.09%) with abnormal blood lead levels. A total of 392 individuals had arrhythmia, with a prevalence of 13.32%. Males, workers in small -sized enterprises, private enterprises, and manufacturing industries; those aged > 37 years, with working time > 36 months, exposed to dust, exposed to noise, and with a history of arrhythmia accounted for a higher proportion of workers in the group with abnormal blood lead levels, and the differences were all statistically significant (all P < 0.05). Mixed effects logistic regression analysis showed that the risk of arrhythmia increased by 40.6% in workers for every one interquartile range (IQR) increase in blood lead level (OR = 1.406, P < 0.001) after controlling for other confounding factors. Subgroup analysis revealed that for every one IQR increase in blood lead level, the risk of arrhythmia increased by 43.9% (OR = 1.439, P < 0.001) in workers without dust exposure; the risk of arrhythmia increased by 46.2% (OR =1.462, P < 0.001) in workers without sulfuric acid and sulfur trioxide exposure; and the risk of arrhythmia increased by 37.5% (OR = 1.375, P < 0.001) in workers without noise exposure. Among workers in private enterprises, the prevalence risk of arrhythmia increased by 41.3% (OR = 1.413, P < 0.001) for every one IQR increase in blood lead level. Among workers in foreign -invested enterprises, the prevalence risk of arrhythmia increased by 82.8% (OR = 1.828, P < 0.001) for every one IQR increase in blood lead level.ConclusionsThere was a significant positive association between blood lead level and the risk of arrhythmia among lead -exposed workers, and this association was influenced by economic type and other occupational hazard factors.

    Aug. 26, 2025
  • Vol. 43 Issue 3 310 (2025)
  • ZENG Kewei, MA Jingxuan, LAN Yajia, HUANG Lei, WANG Hongjian, and WANG Juan

    ObjectiveTo investigate the insomnia status among male workers in a petrochemical enterprise, identify influencing factors for insomnia, and promote the physical and mental health of workers in the petrochemical industry.MethodsA total of 866 male workers who participated in occupational health examinations from 2018 to 2021 in a petrochemical enterprise in Sichuan Province were surveyed with the questionnaires, including a basic information questionnaire, the Weinstein Noise Sensitivity Scale (WNS), the stress subscale of the Depression Anxiety Stress Scales-21 Items (DASS-21), and the Athens Insomnia Scale (AIS-8). Bayesian multilevel regression model and multiple mediation model were established to analyze the relevant influencing factors and mediation pathways of insomnia among these workers.ResultsThe insomnia rate in this petrochemical enterprise ranged from 39.33% to 49.04% during 2018 and 2021, showing an overall downward trend. The Bayesian linear regression model indicated that stronger noise sensitivity, higher monthly income and educational level, regular exercise, extra tasks, and more complex exposure situations were associated with lower insomnia scores. Higher levels of occupational stress, frontline positions, more night shifts, fewer naps, poor living conditions, working at the self -perceived loud noise workplace, longer daily noise exposure time, and alcohol consumption habits were associated with higher insomnia scores. The posterior probability distributions of each variable showed that daily noise exposure time (99.8%), self-reported workplace noise exposure (98.0%), and occupational stress(100%) were important predictors of increased insomnia scores. Noise sensitivity (100%), educational level (98.0%), regular physical activity (99.2%), and occupational exposure situation (94.3%) were generally strongly associated with lower insomnia scores. The multiple mediation model revealed that work at the self-perceived noisy workplace and occupational stress had multiple mediating effects between job position and insomnia, with the mediating effect accounting for 65.45% of the total effect. The three indirect paths were job position→self -perceived workplace noise→insomnia; job position→occupational stress→insomnia; and job position→self-perceived workplace noise→occupational stress→insomnia.ConclusionsThe insomnia rate among workers in this petrochemical enterprise was relatively high. Attention should be paid to the important mediating role of occupational stress between job position and insomnia. It is necessary to strengthen noise control management, alleviate work pressure, improve working and dormitory conditions, promote healthy lifestyles, and protect the physical and mental health of workers.

    Aug. 26, 2025
  • Vol. 43 Issue 3 316 (2025)
  • ZHOU Qing, and ZHAO Minhui

    ObjectiveTo investigate the prevalence of anxiety and insomnia among nursing staff in obstetrics and gynecology hospitals in Shanghai and explore effective measures to protect their mental health.MethodsA cluster sampling method was used to recruit nursing staff from three top tertiary obstetrics and gynecology hospitals in Shanghai. Data were collected via a questionnaire survey including a demographic information form, the 7 -Item Generalized Anxiety Disorder Scale (GAD-7), the 10-Item Connor-Davidson Resilience Scale (CD-RISC-10), and the Insomnia Severity Index(ISI). Descriptive and statistical analyses were performed using SPSS 26.0 software. The mediation analysis model was constructed using JASP 0.14.1 software, and the mediating role of psychological resilience between anxiety and insomnia among nursing staff in obstetrics and gynecology hospitals was examined using the bias-corrected bootstrap method.ResultsA total of 807 questionnaires were distributed, and 771 valid questionnaires were collected, with a valid response rate of 95.54%. Of the participants, 544 (70.56%) reported anxiety symptoms, and 545 (70.69%) reported insomnia symptoms. Nursing staff with a bachelor's degree or above had significantly higher anxiety scores than the other staff (P < 0.05). A positive correlation was found between anxiety and insomnia (r = 0.561, P < 0.001). Anxiety was negatively correlated with psychological resilience (r = -0.341, P < 0.001), and insomnia was negatively correlated with psychological resilience (r = -0.371, P < 0.001). Psychological resilience mediated the relationship between anxiety and insomnia, with an effect value of 0.083, accounting for 12.4% of the total effect.ConclusionsThe prevalence of anxiety and insomnia symptoms was considerably high among nursing staff in obstetrics and gynecology hospitals in Shanghai. Therefore, it is essential to implement various strategies to reduce nurses' anxiety levels, enhance their psychological resilience, and improve their sleep quality.

    Aug. 26, 2025
  • Vol. 43 Issue 3 324 (2025)
  • SHAO Pei, DU Juan, DONG Xiaoyu, SU Xiangni, and HU Shanbo

    ObjectiveTo investigate the status of anxiety and quality of life among nursing staff in military hospitals and to explore the mediating effect of social support on the relationship between anxiety and quality of life, with the aim of improving their working environment and mental health.MethodsA convenience sampling method was employed to select nursing staff members from four military hospitals. Data were collected using the Self-Rating Anxiety Scale (SAS), the Social Support Rating Scale (SSRS), and the Medical Outcomes Study 36 -Item Short -Form Health Survey (SF -36). Structural Equation Modeling was used to analyze the path relationships among anxiety, social support, and quality of life, and the bootstrap method was utilized to examine the mediating effect of social support between anxiety and quality of life.ResultsA total of 405 questionnaires were distributed, and 396 valid questionnaires were collected, with a valid response rate of 97.78%. Significantly higher anxiety scores were observed among nursing staff who were divorced, reported a monthly income of 6 001 to 9 000 RMB, or had 6 to 10 years of work experience. Social support scores were significantly higher among married individuals but lower among those with a monthly income of < 3 000 RMB or 1 to 5 years of work experience. Quality of life scores were significantly lower for divorced nursing staff and those with a monthly income of 6 001 to 9 000 RMB. Generally, it showed that increased frequency of weekly night shifts, longer weekly working hours, and shorter daily sleep duration were associated with higher anxiety scores and lower social support and quality of life scores; the above differences were statistically significant (all P < 0.05). Anxiety scores demonstrated a significant negative correlation with social support scores and quality of life scores (r = -0.497, -0.708, both P < 0.01); social support scores were significantly positively correlated with quality of life scores (r = 0.464, P < 0.01). Social support partially mediated the relationship between anxiety and quality of life, accounting for 18% of the total effect.ConclusionsNursing staff in military hospitals generally reported low social support, high anxiety levels, and quality of life levels that need to be improved. Creating a supportive work environment and enhancing social support are suggested as potential strategies to improve their quality of life.

    Aug. 26, 2025
  • Vol. 43 Issue 3 330 (2025)
  • LIU Zequan, SUN Mengyuan, WANG Haijiao, ZHANG Weijun, and CHEN Mingfeng

    Aug. 26, 2025
  • Vol. 43 Issue 3 336 (2025)
  • CHEN Biao, ZHAI Jianglong, and CHEN Xiaowen

    Aug. 26, 2025
  • Vol. 43 Issue 3 340 (2025)
  • ZHOU Guizhen, ZHU Jie, HU Xinghua, DUAN Hongbin, and FANG Xin

    ObjectiveTo conduct a comprehensive risk assessment of occupational hazards in employers within Jiading District, Shanghai, thereby providing a technical basis for the implementation of occupational health categorical supervision.MethodsFrom January to April 2024, a comprehensive self-inspection and assessment of occupational hazard risks were conducted across all 12 towns/subdistricts of Jiading District, in accordance with the “Methodfor Comprehensive Risk Assessment of Occupational Hazards in Employers” outlined in the national work plan.ResultsAmong the 1 848 enterprises surveyed in Jiading District, 91.94% were small and micro -sized enterprises (SMEs). The classification of comprehensive occupational hazard risk was predominantly “Category A” (lowest risk), accounting for 48.65% (899 enterprises), while “Category C” (highest risk) was the least prevalent, with 159 enterprises (8.60%). Statistically significant differences (P < 0.05) were observed in the risk classifications across different enterprise scales, SMEs had a higher proportion of “Category C” compared to large and medium-sized enterprises. Regarding occupational health status grading, the percentages of Grade A, Grade B, and Grade C were 39.72%, 35.88%, and 24.40%. The compliance rates of declaration of occupational hazards, periodic monitoring of occupational hazard factors, occupational health examinations during employment, and training of primary responsible persons and occupational health management personnel were 97.56%, 95.13%, 91.83%, and 91.56%, respectively. The differences in these compliance rates were statistically significant (all P < 0.05) across enterprise scales, consistently being highest in large enterprises (100%) and lowest in micro -sized enterprises. Among the 1 848 enterprises, 1 436 should have completed a current status evaluation of occupational hazards within the past three years; only 817 enterprises fulfilled the evaluation work as required, with the evaluation rate of 56.89%; this evaluation rate decreased with diminishing enterprise size with statistical significance(P < 0.05).ConclusionsThe overall occupational health status of employers in Jiading District, Shanghai, was relatively good. However, the concerning issues were notably concentrated in SMEs, particularly micro -sized enterprises, which demonstrate a comparatively higher comprehensive risk of occupational hazards. It is imperative to reinforce support and guidance for SMEs and to effectively advance differentiated occupational health supervision.

    Aug. 26, 2025
  • Vol. 43 Issue 3 344 (2025)
  • YUAN Ming

    ObjectiveTo understand the current status of job satisfaction and occupational burnout among pre -hospital emergency personnel in Shanghai, analyze their relationship and influencing factors, and provide a reference for formulating relevant talent policies and optimizing the pre -hospital emergency system.MethodsFrom July to August 2022, 1 534 pre -hospital emergency personnel in Shanghai, selected by a convenient sampling method, were surveyed using the Minnesota Satisfaction Questionnaire (MSQ) and the Maslach Burnout Inventory -Human Services Survey (MBI -HSS). Pearson correlation analysis was used to analyze the correlation between job satisfaction and occupational burnout, and multiple linear regression analysis was used to study the influencing factors of job satisfaction.ResultsA total of 1 502 valid questionnaires were collected, with a valid response rate of 97.9%. The average total score of job satisfaction among these personnel was (71.19 ± 17.38), and the average total score of occupational burnout was (40.56 ± 17.76). There was a negative correlation between job satisfaction scores and occupational burnout scores (r = -0.557, P < 0.001). Multiple linear regression analysis showed that front-line personnel had a 6.937 lower job satisfaction score than management, and personnel with primary and intermediate or higher professional titles had 2.838 and 5.088 lower job satisfaction scores than personnel without a professional title, respectively. Personnel with 11 to 20 years of pre -hospital emergency work experience had a 3.085 lower job satisfaction score than personnel with≤5 years of experience, and the contracted personnel had a 2.871 lower job satisfaction score than that of public institutions (both P < 0.05); for every 1 -point increase in occupational burnout score, job satisfaction score decreased by an average of 0.525 points (P < 0.001).ConclusionsThe job satisfaction of pre -hospital emergency personnel in Shanghai was at a medium to high level, and occupational burnout was at a medium level. It is recommended to increase relevant investment in pre -hospital emergency care, improve the incentive system, and provide psychological support and job transfer opportunities to alleviate occupational burnout and effectively improve job satisfaction.

    Aug. 26, 2025
  • Vol. 43 Issue 3 348 (2025)
  • LYU Xiaoyan, YE Kaiyou, HUANG Qiaowen, GU Chao, LI Lin, DAI Haihui, QIAN Zhixiu, MA Huanhuan, and WEI Kuijie

    ObjectiveTo investigate the current status of occupational stress and its influencing factors among dental healthcare workers in Qingpu District, Shanghai, providing a scientific basis for developing effective intervention strategies to promote occupational health in this population.MethodsA stratified cluster sampling method was used to recruit 495 dental healthcare workers from medical institutions in Qingpu District during October and November 2024. Participants' demographic characteristics, work and lifestyle information were collected, while the Athens Insomnia Scale (AIS) was used to assess insomnia status and the Effort-Reward Imbalance (ERI) Index was employed to evaluate occupational stress. A multivariate logistic regression model was applied to identify the factors associated with high occupational stress.ResultsA total of 449 questionnaires were collected, with a valid response rate of 90.71%. Insomnia was detected in 248 participants(55.23%), and 153 individuals (34.1%) exhibited high occupational stress. Logistic regression analysis revealed that working in private institutions was associated with a lower risk of high occupational stress compared to public institutions(OR = 0.197, 95%CI: 0.068 to 0.572). Participants who exercised at least once or three times a week had a lower risk of high occupational stress compared to those without regular exercise habits (OR = 0.538, 95% CI: 0.311 to 0.928; OR =0.265, 95% CI: 0.129 to 0.546, respectively). Those with insomnia had a higher risk of high occupational stress compared to those without insomnia (OR = 1.992, 95%CI: 1.178 to 3.370). Additionally, participants working more than 8 hours per day on average had a higher risk than those with average daily working hours≤8 h (OR = 1.967, 95% CI: 1.208 to 3.205).ConclusionsOccupational stress among dental healthcare workers in Qingpu District was a prominent problem. Effective measures, such as optimizing shift schedules, promoting healthy lifestyles, and encouraging regular physical activity, should be implemented to reduce occupational stress and safeguard the physical and mental health of this workforce.

    Aug. 26, 2025
  • Vol. 43 Issue 3 354 (2025)
  • WANG Yarong, MA Yu, ZHANG Runyu, REN Jie, YU Weidong, WANG Hongde, and DAI Shuyue

    Aug. 26, 2025
  • Vol. 43 Issue 3 359 (2025)
  • MA Yue'e, HUANG Wenling, XIONG Guodong, FANG Jinju, HUANG Ting, WEI Hongli, PANG Shuxian, and WANG Li

    ObjectiveTo examine the current status of workplace violence (WPV) coping resources among standardized training nurses and analyze associated influencing factors, providing evidence for the development of targeted intervention strategies.MethodsA convenience sampling method was used to select standardized training nurses from a tertiary A -level hospital in Nanning between June 2021 and October 2024. Participants completed a general information questionnaire, the Workplace Violence Coping Resources Scale, the Heartland Forgiveness Scale (HFS), and the Chinese version of Nurse Self-Concept Questionnaire (C-NSCQ). WPV exposure within one year was also recorded. Correlations between WPV coping resources, forgiveness tendency, and nurse self-concept were assessed. Multiple linear regression analysis was performed to identify factors influencing WPV coping resources among standardized training nurses.ResultsA total of 192 valid questionnaires were collected. The median WPV coping resources score among standardized training nurses was 83.00 (69.25, 97.75). Spearman correlation analysis indicated that total scores and subscale scores of the WPV coping resources scale were positively correlated with forgiveness tendency and professional self-concept scores (r = 0.233 to 0.705, all P < 0.01). Multiple linear regression analysis revealed the following: for every 1-point increase in forgiveness tendency, the WPV coping resources score increased by 0.346 points(95% CI: 0.271 to 0.422); for every 1-point increase in professional self-concept, the score increased by 0.125 points(95% CI: 0.095 to 0. 156). Compared to nurses with≤1 year of standardized training, those with > 1 year had a 4.809-point decrease in WPV coping resources (95 % CI: -7.947 to -1.671). Nurses without WPV - related training had scores 3.681 points lower than those with such training (95% CI: -7.273 to -0.088). Nurses exposed to WPV within the past year had scores 7.349 points lower than those without exposure (95% CI: -11.160 to -3.538).ConclusionsThe WPV coping resource levels among standardized training nurses require improvement. Special attention should be given to nurses with low forgiveness tendency, low professional self -concept, more than one year of training, or recent WPV exposure. Hospital administrators should implement targeted interventions to enhance WPV coping resources, ensuring the safety of standardized training nurses and the smooth operation of medical services.

    Aug. 26, 2025
  • Vol. 43 Issue 3 365 (2025)
  • CHEN Liping, ZHANG Min, and LIU Fei

    ObjectiveTo investigate the nursing work environment, affective competence, and work engagement of outpatient and emergency department nurses, and the relationships among these three variables, to enhance the work engagement level of outpatient and emergency department nurses.MethodsFrom May to June 2022, a convenience sampling method was used to select 306 outpatient and emergency department nurses from five top tertiary hospitals in Wuhan, Hubei Province. The Nursing Work Environment Scale, the Nurse Affective Competence Scale, and the Utrecht Work Engagement Scale(UWES) were used for a questionnaire survey. Descriptive statistics, correlation analysis, and multilevel regression analysis were performed on the survey data to explore the mediating role of affective competence between the nursing work environment and work engagement.ResultsA total of 291 questionnaires were collected, with a valid recovery rate of 95.1%. The total scores for nursing work environment, affective competence, and work engagement of outpatient and emergency department nurses were (87.35 ± 13.24), (129.21 ± 6.35), and (20.25 ± 7.68) points, respectively, indicating an overall good status. The scores for nursing work environment showed a strong positive correlation with both affective competence scores and work engagement scores (r = 0.656, r = 0.735, both P < 0.01). Affective competence scores also showed a strong positive correlation with work engagement scores (r = 0.706, P < 0.01). Multilevel regression analysis results indicated that affective competence played a partial mediating role between the nursing work environment and work engagement, with the mediating effect accounting for 34.97% of the total effect.ConclusionsNursing managers can promote the work engagement of outpatient and emergency department nurses by optimizing the nursing work environment and cultivating nurses' affective competence, thereby improving the quality of outpatient and emergency nursing services and promoting the high-quality development of hospital service levels.

    Aug. 26, 2025
  • Vol. 43 Issue 3 371 (2025)
  • XIA Tianjiao, JIANG Jinxia, YANG Xin, XU Jinling, WANG Yejin, DAI Cong, and ZOU Jingyi

    Aug. 26, 2025
  • Vol. 43 Issue 3 383 (2025)
  • CadnaA LIU Zhenzhen, WANG Yipeng, LUO Jianyu, FANG Sixin, and ZHANG Qingbo

    ObjectiveTo perform numerical simulation using CadnaA noise modeling software to analyze noise sources and sound pressure levels, assess the contribution of different noise sources and the distribution of the sound field, and provide scientific evidence for workplace noise control.MethodsA fan area in a factory was selected as the study site. Noise sources in this area were identified, measured, and investigated regarding occupational exposure. Based on simulations using CadnaA software, the spatial distribution of the sound field and the impact and contribution of major noise sources on the pedestrian walkway in the fan area were analyzed. The effectiveness of noise control measures was also evaluated.ResultsThe sound pressure levels of the fans and supporting motors in the area ranged from 87.8 to 99.7 dB (A). The noise levels at the cooling vents of large fan motors exceeded 90 dB (A). The sound pressure levels of the dust collector and filter box ranged from 93.8 to 99.2 dB(A). Noise levels along the northern walkway of the fan area were below 80 dB(A), while those along the southern walkway ranged from 80.7 to 86.6 dB (A). Simulation analysis indicated that seven devices near the southern side of the fan area contributed over 70% of the noise at various measurement points. Targeted noise reduction measures, including installing acoustic enclosures, silencers, and sound -insulating wraps, were implemented for major noise sources such as the M104A fan, M104 filter box, LG1 dust collector, M109A fan, and M105 fan. Both enclosures and silencers were constructed with high surface density panels and damping layers specifically designed for medium - and low -frequency noise, enhancing sound insulation and reducing vibration. After implementing these noise reduction measures, noise levels at southern walkway points decreased by 3.8 to 8.9 dB, with all levels falling below 78.6 dB(A). The discrepancy between simulation results and actual measurements at the same locations ranged from -0.2 to 1.4 dB, all within an acceptable error margin (< 3 dB).ConclusionsUsing CadnaA noise simulation software to model noise attenuation and analyze noise contribution in workshops is feasible and can provide useful insights and references for workplace noise control.

    Aug. 26, 2025
  • Vol. 43 Issue 3 389 (2025)
  • ZHANG Feng, LIU Li, DUO Xuewen, and XIONG Xiaofei

    Aug. 26, 2025
  • Vol. 43 Issue 3 395 (2025)
  • GE Wei, HU Shanbo, ZHANG Linyuan, and SHI Ruijie

    ObjectiveTo understand the current status and influencing factors of disaster preparedness among military civilian nursing personnel, providing a scientific basis for constructing a disaster response training system for military civilian personnel.MethodsIn June 2024, a convenience sampling method was employed to select 156 nursing personnel undergoing civilian professional training at a military academy as the subjects of the study. A general information questionnaire and the Disaster Preparedness Evaluation Tool (DPET) scale were used to investigate the subjects, and the multivariable linear regression analysis was conducted to identify the influencing factors of disaster preparedness.ResultsA total of 135 questionnaires were collected, with a valid response rate of 86.5%. The total score of disaster preparedness among military civilian nursing personnel was (174.34±40.28) points, with an average item score of (3.87±0.90)points. The average item scores for disaster knowledge, disaster skills, and disaster management dimensions were (4.12 ±0.89), (3.55 ± 1.07), and (3.89 ± 0.93) points, respectively. The multivariable linear regression analysis results showed that compared with civilian nursing personnel who had not participated in emergency rescue drills, those who had participated had higher scores in disaster knowledge, skills, management, and total preparedness by 5.043, 6.936, 8.464, and 26.889 points, respectively (all P < 0.05). Compared with civilian nursing personnel who had not participated in emergency rescue training, those who had participated had a higher score in disaster knowledge by 5.926 points (P <0.01). Compared with civilian nursing personnel with 1 to 5 years of work experience, those with≥16 years of work experience had a higher score in disaster skills by 5.581 points (P < 0.01). Compared with civilian nursing personnel who lacked confidence in completing emergency rescue tasks, those who were confident had a higher score in disaster management by 9.096 points (P < 0.05).ConclusionsThe disaster preparedness of military civilian nursing personnel was at a moderate level, with relatively weak disaster skills. It is recommended that relevant departments should focus on disaster education and training for military civilian nursing personnel, increase the frequency and participation in emergency rescue drills, and promote the comprehensive improvement of disaster preparedness among civilian nursing personnel.

    Aug. 26, 2025
  • Vol. 43 Issue 3 399 (2025)
  • FENG Zhexiang, LI Minghua, LYU Yipeng, XU Ping, and YE Ji

    Aug. 26, 2025
  • Vol. 43 Issue 3 405 (2025)
  • YUAN Jun, XU Shiming, CHEN Zhili, LI Qichen, DAO Ziyu, ZHANG Xueyan, ZHOU Ya, LI Jiahui, ZHANG Ling, SHEN Jie, ZHANG Yuxia, and MO Weichun

    Aug. 26, 2025
  • Vol. 43 Issue 3 409 (2025)
  • WANG Keping, ZHENG Ziquan, SHEN Hong, HUANG Hutao, LI Keyong, LIU Wuzhong, YANG Jieqing, and SHA Weitao

    Aug. 26, 2025
  • Vol. 43 Issue 3 412 (2025)
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