The psychological condition of community-dwelling older adults is a global concern under coronavirus disease 2019. Loneliness is the key risk factor for depression among community-dwelling older adults. This study aims to explore the role of social support as a mediating factor in the relationship between depression and loneliness among community-dwelling older adults. We conducted a cross-sectional study in Chenzhou, Hunan Province, China, from June to December 2021. The sample consisted of 570 community-dwelling adults aged over 60 years. Data were collected through a general information questionnaire, the Social Support Rating Scale, the University of California at Los Angeles Loneliness Scale, and the Center for Epidemiological Survey, Depression Scale. Statistical Package for the Social Sciences PROCESS macro was used to examine the mediating effect of social support between loneliness and depression. This study found that depression was negatively associated with social support (r = −0.381, P < .001), but it was positively correlated with loneliness (r = 0.403, P < .001); loneliness was a predictor of depression (B = 0.333, P < .001). In addition, social support significantly mediated the relationship between loneliness and depression, with an indirect effect of 0.239 (95% Bootstrap CI −0.264 to −0.510), the overall effect value for depression was 0.572, accounting for 56.3% of the total variance in depression within this model. In conclusion, the findings suggest that social support plays a mediating role between depression and loneliness in older adults. This implies that interventions aimed at reducing loneliness and enhancing social support have the potential to alleviate depressive symptoms among this population. By addressing these factors, healthcare professionals and caregivers can promote the mental well-being of older adults and contribute to improved overall quality of life.

Purpose: This study aimed to assess the psychological impact of the COVID-19 pandemic among the general public in Hunan Province, China, which could help develop psychological interventions and mental health programs. Participants and Methods: This online cross-sectional study recruited 571 participants through snowball sampling between February 2 and February 5, 2020. Data were collected through a general information questionnaire, the Public Emergency Psychological State Questionnaire, the Simple Coping Style Questionnaire, and the Public Disease Awareness on COVID-19 Scale. Results: The total mean score of the public emergency psychological state of the sample was 0.27 (0.31) points, with only 5.78% of participants (n = 33) developing psychological distress. Avoidant coping style and disease awareness were weakly positively correlated (r_s = 0.257, p < 0.01) and weakly negatively correlated (r_s = − 0.124, p < 0.01) with psychological responses, respectively. There were significant psychological differences among the following variables: occupation, symptoms of fever or fatigue, discernment of the authenticity of COVID-19 information, and level of concern regarding COVID-19 (p < 0.05). Conclusion: The COVID-19 pandemic appears to have had a minor psychological impact on the general population in Hunan Province. However, psychological health promotion in the general public is still required, especially for employees (such as company employees, migrant workers, and businessmen), individuals with COVID-19-like symptoms, limited discernment competence and unconcerned attitudes. Implications: The initiatives for improving psychological health among the general public could focus on delivering COVID-19 knowledge and alleviating avoidant coping styles. Our findings could provide important insight for the development of psychological support strategies in China, as well as in other places affected by the epidemic.

Purpose: COVID-19 posed a threat to the public’s physical and mental health, and under outbreak control, the opportunities to go outside of the elderly have been reduced and making it more difficult to access health information and detrimental to their health management. This study aims to assess the current status of health information literacy (HIL) among older adults in the community in the context of COVID-19 and to identify its associated factors. Methods: A cross-sectional survey was conducted from April to July, 2021, for which 617 community elderly members were recruited in Chenzhou, China. Data were collected through a general information questionnaire, The Chinese residents’ HIL self-rated scale and a reliability evaluation form. Results: The average score of HIL was 75.87 ± 9.85, and after processed by the 100-point system, we found 84.12% (519/617) of the participants scored less than 60 points, which indicates that the overall level of HIL among the community elderly is low. Multiple linear regression showed that age, gender, education, annual family Income, living arrangement, and chronic disease status (β = – 0.341, – 0.296, 0.384, 0.327, 0.296, 0.356, respectively; all P < 0.001) were significantly associated with the level of HIL found among the community elderly, out of which education was the most important associated factor. Conclusion: The overall HIL level among the community elderly was low in Central China during the COVID-19 pandemic. Our results further prove the need for tailor-made health education programs for this group, with particular attention paid to the low-educated and low-income among them. Those measures must highlight on three aspects of health information search, evaluation, and application skills to offer useful experiences that improve the HIL level of the elderly and strengthen their ability to cope with emerging public health events.

Social capital is one key determinant of older adults' mental health, yet its link with various demographic variables and anxiety among older adults in China remains underreported. This study investigated whether there is an interactive effect of social capital and demographic factors on anxiety among Chinese older adults. A sample of 5115 Chinese older adults (≥60 years old) was extracted from cross-sectional survey data in the 2018 Chinese Longitudinal Health and Longevity Study (CLHLS). Data on demographic characteristics, social capital, and anxiety were collected. Binary logistic regression models and a classification and regression tree model (CART) were performed to assess the association between social capital and anxiety. The finding of this study showed that the prevalence of anxiety among Chinese older adults was 13.04% (667/5115), subjects who were female (OR = 1.649; 95% CI: 1.336-2.036), with medium-level of annual family income (OR = 0.598; 95% CI: 0.476-0.751), with reporting 1-2 diseases (OR = 1.743; 95% CI: 1.322-2.298), with medium-level of interpersonal trust (OR = 0.668; 95% CI: 0.533-0.837), social participation (OR = 0.521; 95% CI: 0.390-0.696), social support (OR = 0.431; 95% CI: 0.264-0.703) were at a lesser risk of developing anxiety. We also noted the interactive relationship of social capital associated with anxiety, which indicated that special attention and efforts should be paid to older adults who were females, with lower interpersonal trust, annual family income, and lower social participation to maintain sound mental status. Our findings indicate that social capital is associated with anxiety in Chinese older adults. This implies that social capital, especially in terms of gender, annual family income, interpersonal trust, and social participation may be significant for alleviating anxiety in later life.

Purpose: The cases of workplace violence (WPV) experienced by nurses and nursing students in recent years has become alarming high. However, managing and developing WPV competence among nursing students remain underreported. Therefore, this study investigated the current status of management of workplace violence competence (MWVC) and identify associated factors affecting their MWVC among nursing interns. Participants and Methods: A total of 817 nursing interns from six tertiary hospitals in Hunan Province, China, participated in this study in July 2023. Data were collected via online survey questionnaires using the Management of Workplace Violence Competence Scale (MWVCS), the Patient Risk Identification Ability Assessment Questionnaire, and the Professional Identity Questionnaire for Nursing Students (PIQNS). Results: Among participants, 91.1% were female (n=744), 68.1% (n=556) were between 21 to 23 years old, and 54.1% (n=442) obtained a bachelor’s degree. The score of management of workplace violence competence was 123.25 (SD=11.06). The multiple linear regression analysis showed that the diploma degree (B=3.152, p< 0.001, 95% CI: 2.087– 4.217), witnessed a workplace violence incident in a hospital (B=4.274, p< 0.001, 95% CI: 3.164– 5.384), trained in WPV prevention skills (B=7.196, p< 0.001, 95% CI: 6.007– 8.386), patient risk identification ability (B=1.006, p< 0.001, 95% CI: 1.163– 0.893), and professional identity (B=0.693, p< 0.001, 95% CI: 0.571– 0.815) were the associated factors of MWVC among nursing interns. Conclusion: The MWVC among nursing interns was at an intermediate level. To enhance MWVC, it is recommended to strengthen WPV prevention and management training, particularly for interns with diploma degrees, no experience witnessing WPV incidents, no prior training in WPV prevention skill, and lower levels of patient risk identification ability and professional identity. Our findings may guide the establishment of focused training programs and support measures to improve interns’ capacity to manage WPV, increasing their professional growth and mental health while giving significant insights and intervention techniques for nursing educators and managers.

In order to explore the observation and nursing of adverse reactions in severe patients with enhanced magnetic resonance imaging, a family nursing service model was proposed in patients with enhanced magnetic resonance imaging. 150 patients who underwent enhanced magnetic resonance imaging in a hospital were selected as the research objects. The patients were divided into two groups by random number table method. 75 patients in the control group received routine nursing intervention and 75 patients in the observation group received family nursing service intervention. The anxiety score, depression score, examination time, one-time success rate, comfort score, incidence of adverse reactions, excellent image quality rate and nursing satisfaction were compared between the two groups. The results showed that the anxiety score and depression score of the observation group were lower than those of the control group (P<0.05), the examination time of the observation group was significantly shorter than that of the control group (P<0.05), and the comfort score and one-time success rate of the observation group were significantly higher than those of the control group (P<0.05). The incidence of adverse reactions was significantly lower than that in the control group (P<0.05), the excellent and good image quality rate (95.00) and nursing satisfaction (97.22) were significantly higher than those in the control group (83.00, 86.56). This shows that the application effect of family nursing service mode in magnetic resonance enhanced scanning is remarkable. Therefore, the use of family care mode in MRI patient examination can effectively reduce patients' anxiety and depression scores, shorten examination time, reduce adverse reactions, improve the success rate of one-time examination, improve patients' comfort during examination and patients' evaluation of nursing services. The effect is ideal and worthy of clinical research and promotion.