Objective The outbreak of COVID-19 has major impacts on the psychological health of the public. This study aimed to investigate the anxiety and depression levels of the general population during the rapid progressing stage of COVID-19 pandemic in China and to explore the associated factors. Design and setting A cross-sectional online survey. Participants 2651 Chinese people. Measures The Hospital Anxiety and Depression Scale was used to measure their psychological health. A structured questionnaire collected possible associated factors, including sociodemographic characteristics, health information, contact history-related information, experience and perceptions, knowledge and education and adopted precautions. Multiple linear regression was conducted to explore the factors associated with anxiety and depression. Results The mean score of anxiety and depression was 4.35 and 4.38, respectively. The rates of people with anxiety and depressive symptoms (with >7 score in the subscale) were 14.15% and 17.35%, respectively. Participants without political party membership, with contact history of COVID-19, going out or gathering, taking Chinese medicine herbs, being unsatisfied with current precautions, perceiving higher risks of infection, lower knowledge and poorer health presented higher anxiety and depression levels. Moreover, those who were females, married, lived alone and wore mask were more anxious; whereas people who were younger, experienced public health crisis, did not take precautions (regular work-rest, exercise) had higher depression level. Conclusions During the rapid progressing stage of COVID-19 pandemic in China, one-seventh and one-sixth respondents presented anxiety and depression symptoms, respectively. The risk factors for anxiety and depression included the following: without political party membership, with contact history of COVID-19, going out or gathering, wearing masks, taking Chinese medicine herbs, being unsatisfied with current precautions, perceiving higher susceptibility, lower knowledge and poorer health status. Extensive information and psychological support should be provided to improve the mental health of the general population.

Background: Stress‐induced hyperglycaemia (SHG) can be observed in as high as 75% of critically ill patients, which can induce severe complications or adverse events. However, conventional intensive insulin therapy (CIIT) tends to induce hypoglycaemia and glucose variability.Aims: This study investigated the clinical effects of a blood glycaemic control optimization programme (BGCOP) in patients with stress hyperglycaemia post hepatobiliary or pancreatic surgery.Design: This study is a randomized, controlled, prospective clinical observation.Methods: Eighty‐six patients with postoperative SHG were randomly divided into a control and experimental groups. Participants in the control group underwentCIIT, while participants in the experimental group underwent blood glycaemic control optimization programme (BGCOP). A range of 7·8–10·0 mmol/L was designated as the target range for effective control of blood sugar. The validity index, adverse events and complications were compared between two groups.Results: Compared to participants treated withCIIT, participants treated with BGCOP reached the target range of blood sugar levels more quickly (p= 0·000). The high glycaemic index (p= 0·000), incidence of hypoglycaemia (p= 0·011), and other adverse events as well as the incidence of abdominal infection (p= 0·026), incision infection (p= 0·044), and lung infection (p= 0·047) were significantly lower in participants who underwent the BGCOP than in patients treated withCIIT.Conclusion: BGCOP can more effectively control blood sugar levels compared withCIITin patients with SHG after hepatobiliary or pancreatic surgery.Relevance to clinical practice: This study provides a direction for blood glycaemic control in patients with stress hyperglycaemia post hepatobiliary or pancreatic surgery.

Background: Individuals with both type 2 diabetes mellitus (T2DM) and hypertension have an increased risk of cognitive impairment (CI) compared to those with either T2DM or hypertension. Therefore, this study aims to identify the prevalence of CI and its associated factors in T2DM patients with hypertension in Hunan, China.Methods: This cross-sectional study included T2DM patients with hypertension admitted to the Department of Endocrinology of Yuanjiang People’s Hospital in Hunan Province from July 2022 to February 2023. Data on sociodemographic, lifestyle, disease-related characteristics, and cognitive function were collected through face-to-face interviews. Cognitive function was assessed using the Mini-Mental State Examination. Backward stepwise multivariable logistic regression analysis was used to identify factors associated with CI. The predictive power was examined using the receiver operating characteristic (ROC) curve.Results: A total of 475 participants were included. The prevalence of CI was 38.9% (95% confidence interval [95% CI]: 34.5%–43.3%). Multivariable logistic regression analysis showed that advanced age (odds ratio [OR]=3.21, 95% CI: 1.74–5.93), elementary school or below (OR=3.51, 95% CI: 1.19–10.31), per capita monthly household income ≤2000 RMB (OR=5.29, 95% CI: 2.66–10.51), not current reading books or newspapers (OR=4.48, 95% CI: 1.26–15.99), not current playing cards or mahjong (OR=3.52, 95% CI: 1.91–6.47), current average time of physical activity ≤30 minutes per day (OR=8.66, 95% CI: 4.65–16.12), diabetic nephropathy (OR=1.95, 95% CI: 1.05–3.61) and stroke (OR=7.41, 95% CI: 3.41–16.11) were associated with a higher risk of CI in T2DM patients with hypertension. The area under the ROC curve of this model was 0.925 (95% CI: 0.902–0.949).Conclusions: The prevalence of CI was high in T2DM patients with hypertension in Hunan, China. Age, educational level, household income, current reading books or newspapers status, current playing cards or mahjong status, current average time of physical activity per day, diabetic nephropathy, and stroke were associated with CI in T2DM patients with hypertension.

Introduction Health education, as a crucial strategic measure of disease prevention and control in the 21st century, has become an important part of healthcare. As the main deliverers of patient health education, nursing personnel’s patient health education competence (PHEC) has received much attention. Instruments for assessing the PHEC of nursing personnel have been developed internationally, but there is a lack of systematic reviews and evaluations of the psychometric properties of these instruments. To effectively select appropriate PHEC assessment instruments in specific contexts, a systematic and comprehensive review and evaluation of these measurement instruments are needed. The goal of this systematic review is to systematically evaluate the psychometric properties of existing PHEC instruments. Methods and analysis In this study, eight databases will be searched between 1 March 2023 and 31 2023 to retrieve studies that include instrument(s) measuring the PHEC of nursing personnel. Two researchers will independently perform literature screening, data extraction and literature evaluation. In case of disagreement, a third researcher will be involved in the resolution. The measurement properties of PHEC assessment instruments will be systematically reviewed based on the consensus-based standards for the selection of health measurement instruments (COMSIN) methodology and guideline. Ethics and dissemination Ethical approval is not applicable for this study. We will share the findings from the study at national and/or international conferences and in a peer-reviewed journal in the fields of health education and/or patient education. PROSPERO registration number CRD42023393293.

This systematic review and meta-analysis aimed to identify the main factors influencing the public’s willingness to participate in out-of-hospital emergency care. Studies were searched in online databases, including PubMed, Embase, Web of Science, and the Cochrane Library. The articles included in this review were published from inception to July 31, 2024. The Iain Crombie assessment tool was used to assess study quality. Meta-analysis was performed using RevMan (version 5.4) software. The review protocol has been registered with PROSPERO (CRD42024570491). A total of 1,434 research articles were initially identified, among which 18 were incorporated into this study, and all of the included studies were cross-sectional. Meta-analysis results demonstrated that gender (male; OR = 1.37, 95%CI: 1.28–1.47), profession (healthcare provider; OR = 0.17, 95%CI: 0.06–0.47), knowledge and skill level (OR = 1.63, 95%CI: 1.25–2.11), willingness to undergo training (OR = 2.68, 95%CI: 1.89–3.79), interest in first aid (OR = 2.08, 95%CI: 1.60–2.69), previous training (OR = 2.14, 95%CI: 1.49–3.08), and previous first-aid experience (OR = 1.70, 95%CI: 1.37–2.11) were the principal influencing factors of the public’s willingness to engage in out-of-hospital cardiopulmonary resuscitation. Demographic factors, knowledge, belief, and behavior are crucial in influencing public emergency decision-making. Medical personnel could create specialized training programs based on relevant factors to enhance the public's willingness to engage in out-of-hospital CPR.