Background: There were few studies exploring the associations between depressive symptoms, anxiety disorders and health-related quality of life (HRQoL) in the general population, especially in resource limited area. The aims of this study were to assess the associations between depressive symptoms, anxiety disorders, their comorbidity and HRQoL in rural area.Methods: A total of 23496 eligible participants from Henan rural cohort were included. The Patient Health Questionnaire-2 (PHQ-2) and Generalized Anxiety Disorder-2 (GAD-2) were employed to assess depressive symptoms and anxiety disorders, respectively. HRQoL was measured via European Quality of Life Five Dimension Five Level Scale (EQ-5D-5L). Tobit regression and generalized linear model were utilized to explore the associations between depressive symptoms, anxiety disorders, their comorbidity and HRQoL.Results: A total of 1320 individuals were identified as depressive symptoms with a prevalence of 5.62%, while 1198 participants were classified as anxiety disorders with a prevalence of 5.10%. After multiple adjustment, the regression coefficients and 95% confidence interval (CI) of utility index for depressive symptoms and anxiety disorders were -0.166 (-0.182, -0.149) and -0.132 (-0.149, -0.114), respectively. The regression coefficients and 95% CI of VAS score for depressive symptoms and anxiety disorders were -7.65 (-8.60, -6.70) and -5.79 (-6.78, -4.80), respectively. Additionally, the comorbidity was strongest associated with low utility index and VAS score. These findings were observed robustly in men and women.Conclusion: Depressive symptoms, anxiety disorders and their comorbidity were negatively associated with HRQoL in rural population, which needed further efforts on preventive and treatment interventions.Clinical Trial Registration: The Henan Rural Cohort Study has been registered at Chinese Clinical Trial Register (Registration number: ChiCTR-OOC-15006699). Date of registration: 06 July, 2015. http://www.chictr.org.cn/showproj.aspx?proj=11375

Background: Regular physical activity and exercise (PAE) after stroke is essential, but the adherence to PAE and its influential factors is rarely studied and unclear in developed countries. The aim of this study was to investigate the status of PAE adherence, and to identify its influential factors among Chinese community-dwelling stroke survivors.Methods: A cross-sectional study was conducted, 208 stroke survivors were randomly selected from three communities (60.10% men, mean age 70.25 ± 9.08 years). Physical Activity and Exercise Adherence Scale (PAEAS) was used as a measure of compliance, knowledge, attitude, self-efficacy and social support were measured using relevant scales. Influential factors of PAE adherence and associations between those variables were explored using multiple linear regression and path analysis.Results: The mean adherence rate was moderate (62.0%), stroke survivors tended to be more adherent to do PAE than monitoring and seeking advices (70.30% > 53.50% > 48.30%). Regression results revealed that seven factors significantly associated with PAE adherence, including knowledge, attitude, self-efficacy, social support, self-care ability, community rehabilitation experience, and times since stroke (R2 = 75.10%, F = 45.593, p < 0.05). Furthermore, path analysis showed that knowledge had a significant indirect positive influence with self-efficacy as a mediator on adherence (β= 0.16, p < 0.05); while attitude and social support impacted both directly and indirectly on adherence with self-efficacy as the mediator; what’s more, self-efficacy was an important predictor that performed the strongest direct effect on community-dwelling stroke survivors’ PAE adherence (β= 0.44, p < 0.01 ). These four variables accounted for a total of 67.00% of the variance of PAE adherence among community-dwelling stroke survivors.Conclusions: Physical activity and exercise adherence of community stroke survivors is needed to be improved. Attitude and social support presented both direct and indirect impacts on PAE adherence through self-efficacy, while knowledge only exhibited an indirect influencing effect on adherence. Health care professionals should administer a more comprehensive and systematic assessment to seek to improve self-efficacy through the development of effective interventions for promoting adherence to PAE in this population.

Background Stroke is a major health threat and the leading cause of mortality and disability in China. The aims of this study were to identify the possible influencing factors of health-related quality of life (HRQoL) and its domain-specific contents in stroke patients in rural areas in China. Methods A total of 1709 stroke patients aged from 36 to 79 years from the Henan Rural Cohort Study (n=39259) were included in this study. The Chinese version of the European Quality of Life Five Dimension Five Level Scale (EQ-5D-5L) and visual analogue scale (VAS) were used to evaluate HRQoL in stroke patients. Tobit regression models, generalized linear models and binary logistic regressions models were constructed to determine the potential influencing factors of the EQ-5D utility index, as well as influencing factors of each domains and VAS score.Results The mean utility index and VAS scores of stroke patients were 0.885 (SD, 0.204), and 68.39 (SD, 17.31), respectively. Pain/discomfort (PD, 35.2%) and mobility (MO, 30.4%) were the most frequently reported issues. Regression models revealed that stroke patients who were illiterate; had a low monthly income; reported low physical activity intensity; and had diabetes, anxiety, depression or poor sleep quality had lower utility index and VAS scores. For the different dimensions of the EQ-5D, the influencing factors varied. Conclusion Stroke patients in rural areas had a lower HRQoL than those in urban areas. Factors associated with the EQ-5D utility index as well as each domain and VAS score, need attention. Stroke patients in rural areas need to be managed systematically. Clinical trial registration: The Henan Rural Cohort Study has been registered in the Chinese Clinical Trial Register (Registration Number: ChiCTR-OOC-15006699). Date of registration: 2015-07-06.http://www.chictr.org.cn/showproj.aspx?proj=11375.

Background: One factor that influences nursing students' decision to pursue a nursing career is professional calling. It is important to comprehend nursing students' professional calling, which may have an impact on their career decisions and professional identities. Objectives: To investigate possible calling types and contributing variables among nursing students. Design: Cross-sectional descriptive study. Participants: A total of 10583 nursing students were enrolled in this survey. Methods: From November 16th, 2022, to January 17th, 2023, a cross-sectional study was carried out among nursing students using a convenient sampling. The subjects were given the Chinese Calling Scale and the General Demographic Information Questionnaire. Latent profile analysis (LPA) was used to separate nursing students' professional calling into a variety of subgroups. To find the variables connected to the prospective calling categories, we used ordinal and multinomial Logistic regression analysis. Results:We divided the respondents into three calling groups, low calling group (N=3204), moderate calling group (N=4492), and high calling group (N=2887), which accounted for 30.3%, 42.4%, and 27.3% of the total respondents, respectively, in accordance with the findings of the latent profile analysis. Across scale scores and dimensions for the three separate categories, three groups demonstrated statistically significant differences (both p<0.001). Profile membership was predicted by factors such as age, gender, location of origin, first volunteer experience, highest degree earned, marital status, student leadership experience, and political appearance. Conclusion: Three latent calling patterns were found, and there was calling variability across nursing students.Special care should be given to students with low calling. Nursing students must use professional education tools to help them develop their professional identities and stabilize the nursing team.

Background: Compassion is closely linked to psychological well-being, and several assessment tools have been developed and studied to assess the level of compassion in different populations and for more precise measurement. There is currently a scarcity of comprehensive knowledge about compassion-related assessment tools, and our research provides an overview of these tools. Aims: To collect exhaustively the tools used to assess compassion in order to serve as a resource for selecting tools for use in practice. Methods: Focusing on compassion assessment tools, the authors conducted a thorough search of 10 Chinese and English databases from their establishment until August 14, 2022. The extracted data comprised the author, the year, the nation, the target population, and the primary evaluation contents. Using the COSMIN checklist, the methodological quality and measurement properties of the included studies were appraised. This scoping review was registered with the Open Science Framework and followed the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews) checklist. Results:There were 15965 papers searched, and 36 compassion-related measurement tools were considered in this study. None of the 36 studies provided possessed all nine psychometric properties, as outlined by the COSMIN criteria. On the basis of a systematic evaluation of quality, measurement qualities were ranked. The results for internal consistency and content validity were relatively favorable, whereas the results for structural validity were variable and the results for the remaining attributes were either uncertain or negative. A Venn diagram was used to illustrate the overlapping groups of compassion measurement tools based on the three-way flow of compassion. An overview of the reference instrument and theoretical basis for the included studies was provided, and half of them did not contain any theoretical or scale-based evidence. Conclusion: In this study, 36 compassion-related measuring instruments were identified, and the methodological quality and measurement properties of the included studies were acceptable. The included measurements in this study were found to be consistent with three-way compassion flows. Compassion measurement tools and compassion-related theories should be the focus of future research.

Background The cornerstone of the nursing profession is moral identity, and the establishment of professional identity goes hand in hand with moral growth. The existing state of affairs and the elements affecting nursing students' moral identity are not well understood from a multifaceted perspective.Objectives To define moral identity subgroups and research the variables affecting profile membership.Methods A convenient sampling. was used to conduct a cross-sectional study among nursing students from November 16th, 2022, to January 17th, 2023. The Moral Identity Measure and the General Demographic Information Questionnaire were provided to the participants. Students studying nursing were divided into several moral identity subgroups using a latent profile analysis (LPA). To determine the variables connected to the putative moral identity categories, we also conducted ordinal and multinomial logistic regression analyses.Results A total of 10583 nursing students responded to legitimate surveys. The LPA results validated the presence of three unique moral identity profiles: low (4.2%), moderate (41.9%), and high (53.9%), and demonstrated that the three-profile model was the most appropriate. The three profiles stood out from one another greatly. Profiles were predicted by gender, grade, political stance, rural background, leadership experience, and junior college degree.Conclusion In this study, three profiles were found, and the majority of nursing students had a strong moral identity. Regarding variables determining profile membership and moral identity subgroups, nursing students should get specialized support.

Background: According to previous studies on professional English course teaching, the evaluation of course teaching was positive, but the vast majorities focus on medical English literature reading, professional English vocabulary, and professional English translation. As an alternative, the course design based on academic learning needs under the outcome-oriented education/model emphasizes the improvement of students’ comprehensive ability in oral expression, literature reading, writing, and academic communication. Objectives: The objective of this study was to analyze nursing postgraduates’ opinions on learning the outcome-oriented academic English course. Methods: This is a cross-sectional descriptive study. A total of 150 first-year nursing postgraduates enrolled in the “Academic Professional English for Nursing Postgraduates” course. After completing the course learning, students scanned QR codes generated by the online questionnaire and completed it anonymously within 48 h. Results: The students who participated in this course strongly believed that it “helped them strengthen their English speakability” (4.8 points), “made them more confident to participate in international academic conferences and exchanges in the future” (4.8 points), and “helped them apply English more in the nursing professional field in the future” (4.7 points). Conclusions: The implementation of outcome-oriented course teaching helps students to understand the research of foreign scholars and effectively express their own research content with English as a tool. It motivates them to continuously use English for professional and academic communication.

The authors have withdrawn this preprint due to erroneous posting.