通讯机构:
[Wei, N ] W;Wuhan Polytech Univ, Coll Med & Hlth Sci, Dept Rehabil Sci, Wuhan, Hubei, Peoples R China.
关键词:
Dynapenia;anthropometric measurements;cut-off values;receiver operating characteristic curve analysis;the five times sit-to-stand test
摘要:
PURPOSE: This study evaluated whether anthropometric measurements and the five times sit-to-stand test could be used to identify dynapenia. The cut-off values of accurate screening tools for identifying dynapenia were also established. MATERIALS AND METHODS: This was a cross-sectional study conducted on individuals ≥ 60 years old (N = 529). All participants underwent handgrip strength measurement, anthropometric measurements and the five times sit-to-stand test. The participants whose handgrip strength was < 28 kg for men and < 18 kg for women were considered to have dynapenia. The association between the recorded variables and dynapenia was determined using logistic regression, and cut-off values were established by performing the Receiver Operating Characteristic curve analysis. RESULTS: The prevalence of dynapenia was 35.42% in men and 25.61% in women. For males, both calf circumference (≤ 35.2 cm) and the five times sit-to-stand test (≥ 14.6 s) could be used as accurate tools for dynapenia. For females, only the five times sit-to-stand test (≥ 11.8 s) had sufficient accuracy to be used as a screening tool for dynapenia. CONCLUSIONS: The five times sit-to-stand test was an accurate screening tool for identifying dynapenia. The calf circumference could be only used as a screening tool in males.
摘要:
To summarize the nursing experience of treating pediatric fulminant myocarditis with extracorporeal membrane oxygenation (ECMO). The intensive care unit of our hospital treated 6 children with fulminant myocarditis with ECMO from 2019 to 2022. The main nursing measures included establishing an ECMO rescue team, preparing before initiation of ECMO, management of arterial and venous catheters, enteral nutrition support, reducing the risk of infection aggravation, anticoagulation management, prevention of bleeding and thrombosis, management of ECMO pump failure, and post-ECMO care. One child's family abandoned treatment and left the hospital, while the other 5 children were transferred to the cardiovascular department after stable weaning from ECMO and continued treatment, with good condition, and eventually discharged. Pediatric fulminant myocarditis has a high mortality rate, but detailed evaluation and nursing care can improve the outcome of these patients.
摘要:
Phthalides are a class of unique compounds such as ligustilide, butylphthalide and butyldenephthalide, which have shown to possess multiple bioactivities in new drug research and development. Phthalides are naturally distributed in different plants that have been utilized as herbal treatments for various ailments with a long history in Asia, Europe and North America. Their extensive biological activity has led to a dramatic increase in the study of phthalide compounds in recent years. This review summarizes the latest research progress of plant-derived phthalides, and a total of 133 phthalide compounds are described based on the characteristics of chemical structures. Pharmacological properties of plant-derived phthalides are associated with hemorheological improvement, vascular function modulation and central nervous system protection. Potential treatments for a variety of diseases mainly including cardio-cerebrovascular disorders and neurological complications such as Alzheimer's disease are also concluded. In addition, key metabolic pathways have been clearly elucidated. Further investigations on the molecular mechanisms involved in biological activity are recommended for offering new insights into profound comprehension of phthalide applications.
摘要:
Objectives: This study aimed to investigate the associations between social isolation, loneliness, and motoric cognitive risk syndrome (MCR) among older adults in China.Methods: Data were obtained from the China Health and Retirement Longitudinal Study in the 2011 and 2015 waves. Social isolation and loneliness were measured by an index and an item, and MCR was defined as subjective cognitive complaints and slow gait. Multivariable logistic regression analyses were performed to examine the associations between social isolation, loneliness, and MCR by gender.Results: Of 3251 eligible participants, the incidence of MCR was 10.03%. Social isolation and loneliness were not significantly associated with incident MCR in men. Loneliness was positively associated with incident MCR in women (OR: 1.45, 95% CI: 1.05, 2.01), while social isolation was not.Conclusions: Loneliness is associated with incident MCR among female older adults in China. More attention is advised to be paid to loneliness among female older adults, to hold promise for the prevention and reduction of MCR.
摘要:
Background: Migraine is a common neurovascular disorder with typical throbbing and unilateral headaches, causing a considerable healthcare burden on the global economy. This research aims to prepare chitosan-alginate (CS-AL) nanoparticles (NPs) containing Foshousan oil (FSSO) and investigate its potential therapeutic effects on the treatment of migraine.Methods: FSSO-loaded CS-AL NPs were prepared by using the single emulsion solvent evaporation method. Lipopolysaccharide (LPS)-stimulated BV-2 cells and nitroglycerin (NTG)-induced migraine mice were further used to explore anti-migraine activities and potential mechanisms of this botanical drug.Results: FSSO-loaded CS-AL NPs (212.1 & PLUSMN; 5.2 nm, 45.1 & PLUSMN; 6.2 mV) had a well-defined spherical shape with prolonged drug release and good storage within 4 weeks. FSSO and FSSO-loaded CS-AL NPs (5, 10, and 15 & mu;g/mL) showed anti-inflammatory activities in LPS-treated BV-2 cells via reducing the levels of pro-inflammatory cytokines such as tumor necrosis factor-& alpha; (TNF-& alpha;), interleukin-1 & beta; (IL-1 & beta;), interleukin-6 (IL-6), and nitric oxide (NO), but elevating interleukin-10 (IL-10) expressions. Moreover, FSSO-loaded CS-AL NPs (52 and 104 mg/kg) raised pain thresholds against the hot stimulus and decreased acetic acid-induced writhing frequency and foot-licking duration in NTG-induced migraine mice. Compared with the model group, calcitonin gene-related peptide (CGRP) and NO levels were downregulated, but 5-hydroxytryptamine (5-HT) and endothelin (ET) levels were upregulated along with rebalanced ET/NO ratio, and vasomotor dysfunction was alleviated by promoting cerebral blood flow (CBF) in the FSSO-loaded CS-AL NPs (104 mg/kg) group.Conclusion: FSSO-loaded CS-AL NPs could attenuate migraine via inhibiting neuroinflammation in LPS-stimulated BV-2 cells and regulating vasoactive substances in NTG-induced migraine mice. These findings suggest that the FSS formula may be exploited as new phytotherapy for treating migraine.
作者机构:
[Zhou, Jinbo; Li, Hao; Kang, Zhen; Zeng, Shan; Sheng, Zhongyin] Wuhan Polytech Univ, Sch Math & Comp Sci, Wuhan 430023, Peoples R China.;[Chen, Yulong] Wuhan Polytech Univ, Coll Med & Hlth Sci, Wuhan 430023, Peoples R China.
通讯机构:
[Shan Zeng] S;School of Mathematics and Computer Science, Wuhan Polytechnic University, Wuhan 430023, China
关键词:
polished rice;RoI;YOLACT;YOLOv5
摘要:
Abstract: The problem of small and multi-object polished rice image segmentation has always been one of importance and difficulty in the field of image segmentation. In the appearance quality detection of polished rice, image segmentation is a crucial part, directly affecting the results of follow-up physicochemical indicators. To avoid leak detection and inaccuracy in image segmentation qualifying polished rice, this paper proposes a new image segmentation method (YO-LACTS), combining YOLOv5 with YOLACT. We tested the YOLOv5-based object detection network, to extract Regions of Interest (RoI) from the whole image of the polished rice, in order to reduce the image complexity and maximize the target feature difference. We refined the segmentation of the RoI image by establishing the instance segmentation network YOLACT, and we eventually procured the outcome by merging the RoI. Compared to other algorithms based on polished rice datasets, this constructed method was shown to present the image segmentation, enabling researchers to evaluate polished rice satisfactorily. Keywords: polished rice; RoI; YOLOv5; YOLACT
摘要:
Background: Evidence has suggested that sensation and socio-psychological factors may be associated with cognitive impairment separately in older adults. However, the association between those risk factors and cognitive impairment is still unknown.Objective: To investigate the association between sensation, perception, negative sociopsychological factors, and cognitive impairment in institutionalized older adults.Methods: From two public aged care facilities, 215 participants were investigated. The Minimental State Examination was applied to assess cognitive function. The sensory function was bifurcated into auditory and somatosensory realms which were evaluated using pure tone audiometry and Nottingham Sensory Assessment, respectively. Albert's test, left and right resolution, and visuospatial distribution were used to evaluate perception. Depression and social isolation were selected as negative socio-psychological factors and were evaluated by the Geriatric Depression Scale and the Lubben Social Network Scale. The multivariate analysis was performed utilizing binary logistic regression.Results: Participants with moderately severe or severe hearing loss exhibited significant cognitive impairment compared to those with mild hearing loss. It was observed that perceptual dysfunction and depression were independently related to cognitive impairment. However, there was no significant association between somatosensory function, social isolation, and cognitive impairment in the institutionalized older adults.Conclusion: More profound hearing loss, abnormal perception, and depression are associated with cognitive impairment in older adults. Subsequent research endeavors should delve into the causal mechanisms underpinning these associations and explore whether combined interventions have the potential to postpone the onset of cognitive impairment.
作者机构:
[Ming, Yu] Wuhan Polytech Univ, Coll Med & Hlth Sci, Wuhan 430023, Hubei, Peoples R China.;[Wu, Zhouyang; Chu, Shujuan; Yang, Kai; Zhang, Zhao; Wu, ZY; Zhang, Z] Huazhong Univ Sci & Technol, Union Hosp, Tongji Med Coll, Dept Anesthesiol, Wuhan 430022, Peoples R China.
通讯机构:
[Wu, ZY ; Zhang, Z] H;Huazhong Univ Sci & Technol, Union Hosp, Tongji Med Coll, Dept Anesthesiol, Wuhan 430022, Peoples R China.
摘要:
To evaluate the comparative efficacy and safety of different intubation devices on intubation outcomes in pediatric intubation. We identified relevant studies from previous meta-analyses and literature retrieval in PubMed, EMBASE, and Cochrane Library. The primary outcome was the first-pass success (FPS), and the secondary outcome included the time to intubation (TTI) and the risk of local complications (LC). Network meta-analysis was performed using STATA 14.0. Twenty-three randomized comparative trials (RCTs) including 12 devices were included. Compared with Macintosh, Airtraq (odds ratio [OR] = 13.05, 95% confidence interval [CI] = 4.68 to 36.38), Miller (OR = 4.77, 95%CI = 1.32 to 17.22), Glidescope (OR = 2.76, 95%CrI = 1.60 to 4.75) and McGrath (OR = 4.61, 95%CI = 1.18 to 17.99) obtained higher PFS. Meanwhile, Airtraq was superior to Glidescope (OR = 0.21, 95%CI = 0.07 to 0.65) for PFS. For TTI, Canada was superior to other intubation devices, as well as CMAC was superior to TruViewEVO2, Glidescope, and StorzDCI. Airtraq lowered the risk of LC compared with Macintosh and Pentax but there was no statistical difference between Airtraq and KingVision. Airtraq may be the optimal option for FPS, Canada for TTI, and KingVision for LC in pediatric intubation.
摘要:
As the research on deep learning methods gradually progresses, more and more classification models are applied in the classification of hyperspectral image. High-dimensional and low-resolution characteristics of hyperspectral image (HSI), however, make it difficult for conventional models to process its data effectively. In this paper, a novel HSI classification model, namely Spatial Spectral Pyramid Network (SSPN), is designed by combining 3D Convolutional Neural Network (3D CNN) with feature pyramid structure. SSPN taking advantage of 3D convolution coupled with multi-scale convolutional extraction is used to obtain a large set of diverse spatial-spectral features. Multi-scale interfusion is also applied in SSPN to enrich the features contained in a single feature map and to improve the sensitivity on HSI spatial-spectral information, allowing it to better learn spatial-spectral features. Moreover, the losses of each combination based on multi-scale interfusion are calculated via weighted average, which enables SSPN to avoid the excessive influence of single combination in the updating of model parameters. Four HSI public datasets and several comparison models are employed to validate the classification effect of SSPN. Experimental results show that SSPN achieves the highest overall accuracy (OA) in all datasets compared with other classification models, with 100%, 98.8%, 99.8% and 98.7% on the datasets of Chikusei, Pavia University, Botswana and Houston 2013, respectively. SSPN is demonstrated to possess higher classification accuracy and better generalization performance on HSI.
期刊:
Disaster Medicine and Public Health Preparedness,2023年16(6):2458-2463 ISSN:1935-7893
通讯作者:
Wang, ZM
作者机构:
[Gao, Xudong] Wuhan Polytechn Univ, Coll Med & Hlth Sci, Wuhan, Peoples R China.;[Wang, Zhimin; Wang, ZM; Tan, Lingling] Univ South China, Dept Nursing, Affiliated Hosp 2, Hengyang, Peoples R China.;[Kong, Chan] Huazhong Univ Sci & Technol, Tongji Hosp, Gen Med Dept, Tongji Med Coll, Wuhan, Peoples R China.;[Fan, Hongru] Huazhong Univ Sci & Technol, Hosp Wuhan 1, Dept Cardiovasc Dis, Wuhan, Peoples R China.;[Zhang, Juan] Huazhong Univ Sci & Technol, Hosp Wuhan 2, Dept Nursing, Wuhan, Peoples R China.
通讯机构:
[Wang, ZM ] U;Univ South China, Dept Nursing, Affiliated Hosp 2, Hengyang, Peoples R China.
关键词:
bereavement;grief counseling;COVID-19;health care workers
摘要:
Objectives: This research aimed to examine health care workers' grief counseling for bereaved families of Coronavirus disease 2019 (COVID-19) victims in China. Our research may provide a new opportunity to stimulate development of grief counseling in China.Methods: A cross-sectional survey was conducted with 724 health care workers selected by convenience sampling from seven hospitals in Wuhan. Data collection tools included a sociodemographic questionnaire, the skills of grief counseling scale (SGCS), and the attitudes of grief counseling scale (AGCS).Results: The average SGCS score was 18.96±4.66, whose influencing factors consisted of sense of responsibility, frequency of contact with bereaved families, and relevant training (P<0.05). The average AGCS score was 33.36±8.70, whose influencing factors consisted of other grief counseling skills, communication skills, education background, and relevant training (P<0.05).Conclusions: The skills and attitudes toward grief counseling among health care workers combating COVID-19 were at a lower level in Wuhan, China, indicating the need to build a comprehensive grief counseling system, establish a standardized training course, and strengthen the popularization of grief counseling services to the public.
通讯机构:
[Yuanyuan Li] K;[Hongling Zhang] C;Key Laboratory of Environment and Health (Huazhong University of Science and Technology), Ministry of Education & Ministry of Environmental Protection, State Key Laboratory of Environmental Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, Hubei, China<&wdkj&>College of Health Science and Nursing, Wuhan Polytechnic University, Wuhan 430023, Hubei, China
摘要:
Background: Selenium concentration of one spot urine sample cannot reflect selenium status during whole pregnancy. Studies on variations of urinary selenium concentration at different stages of pregnancy are limited. Aim: To assess variations of urinary selenium concentrations during three trimesters of pregnancy and to explore the influencing factors. Methods: This study included 2613 pregnant women from a birth cohort study (Wuhan, China) enrolled between October 2014 and October 2016. Selenium concentrations of urine samples collected at three trimesters were measured. We used a generalized linear mixed effects model to observe the changes in urinary selenium concentration during pregnancy and its influencing factors. Results: The median value (range) of gestational weeks at urine sample collection was 11 (9 14), 24 (15 27), and 34 (28 41) respectively. Urine selenium concentration varied across trimesters (geometric mean: 16.34, 17.65 and 18.83 mu g/g creatinine, respectively), with an upward trend (beta = -0.145, 95%CI: -0.164, 0.126) (beta = 0.066, 95%CI: 0.083, 0.048). The concentrations of urinary selenium increased with the increasing of educational level [beta (95%CI): <= 9 years = -0.105 (-0.163, -0.047); 10-12 years = -0.086(-0.126, -0.047); > 12 years = reference]. Pregnant women who rarely or only took multivitamins in the first trimester [beta (95% CI): rarely = -0.076 (-0.144, -0.007); only in the first three months of pregnancy = -0.104 (-0.170, -0.038); always = reference], or were not exposed to passive smoking during pregnancy(beta = -0.093, 95% CI: -0.173, -0.014), or exercised three to four days per week for the first three months before delivery(beta = -0.074, 95% CI: -0.140, -0.008) had lower urinary selenium concentrations. Pregnant women who took calcium supplements after the third month of pregnancy had higher urinary selenium levels(beta = 0.114, 95% CI: 0.059, 0.169). Conclusions: Urine selenium concentrations of pregnant women showed an upward trend across trimesters. Educational level, calcium or multivitamin supplementation, passive smoking, and physical exercise might impact urine selenium levels.
期刊:
International Journal of Environmental Research and Public Health,2022年19(15) ISSN:1661-7827
通讯作者:
Feng Ding
作者机构:
[Gao, Xudong] Wuhan Polytech Univ, Coll Med & Hlth Sci, Dept Nursing, Wuhan 430023, Peoples R China.;[Ding, Feng] Wuhan Univ, Sch Informat Management, Lib & Informat Sci, Wuhan 430072, Peoples R China.;[Ai, Ting] Wuhan Polytech Univ, Coll Med & Hlth Sci, Psychol Counseling Ctr, Wuhan 430023, Peoples R China.
通讯机构:
[Feng Ding] L;Library and Information Science, School of Information Management, Wuhan University, Wuhan 430072, China
关键词:
COVID-19;elderly people;information avoidance;information overload;health information
摘要:
Abstract: Background: A worrying phenomenon has emerged in recent years: a growing number of people have stopped seeking coronavirus disease 2019 (COVID-19) information and have started deliberately avoiding it. Even though the virulence of COVID-19 has now weakened, the proportion of severe illnesses and deaths in elderly people is still much higher than in other age groups. However, no study has focused on this topic. This is the first study to explore the level of COVID-19 information avoidance among elderly people, and to identify the barriers and potential factors associated therewith. Methods: Convenience sampling was used to recruit 907 elderly people in Wuhan, China. Data collection measures included a sociodemographic questionnaire, health information avoidance scale, information overload scale, general self-efficacy scale, and health anxiety inventory. Results: A total of 72.3% of elderly participants reported COVID-19 information avoidance. Regarding COVID-19-related information reading habits, 44.5% of the elderly only read the title, 16.0% merely skimmed through the content, and 22.9% skipped all relevant information. The most common reasons for this result were information overload (67.5%), underestimation of the infection risk (58.1%), and uselessness of information (56.4%). The main factors associated with COVID-19 information avoidance were recorded as information overload, age, health anxiety, and children (p < 0.05). Conclusions: China should strengthen its health communication regarding COVID-19 in accordance with the characteristics of elderly people, adopt more attractive publicity methods on traditional media, improve censorship about health information, and pay more attention to the childless elderly and the elderly aged 80 and above. Keywords: COVID-19; elderly people; information avoidance; information overload; health information
期刊:
International Journal of Clinical Practice,2022年2022 ISSN:1368-5031
通讯作者:
Zhang, H.
作者机构:
[Zhang, Hongping; Zhao, Yinshaung] Wuhan Polytech Univ, Coll Med & Hlth Sci, Wuhan 430023, Peoples R China.;[Han, Mo; Wei, Feng] Ctr Dis Prevent & Control Huangpi Dist Wuhan, Wuhan 430300, Peoples R China.;[Chen, Jianquan] Dept Dis Control Hlth & Family Planning Commiss H, Wuhan 430300, Peoples R China.;[Peng, Songxu] Cent South Univ, Xiangya Sch Publ Hlth, Xiangya Sch Med, Dept Maternal & Child Hlth, Changsha 410008, Peoples R China.;[Du, Yukai] Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, Dept Social Med & Hlth Management, Wuhan 430030, Peoples R China.
通讯机构:
College of Medicine and Health Science, Wuhan Polytechnic University, Wuhan, China
摘要:
<i>Aim</i>. The aim of the study was to provide evidence for the prevention and reduction of falls in the elderly living in rural areas by analyzing epidemiological data of falls among the rural older people (>65 years old) and identifying the risk and protective factors. <i>Methods</i>. This study analyzed the sociodemographic characteristics, living environment, lifestyle, chronic disease condition, mental health, activities of daily living (ADL), and detailed information of falls of 3752 rural elderly. Rank tests, chi-square tests, and binary logistic regression were used for data analysis. <i>Results</i>. The prevalence of falls was 30.0%, and the 75–84-years age group had the highest fall rate (18.8%). According to the binary logistic regression analysis, six variables, including roughage intake frequency, age, gender, cane use, floor tiles, and IADL, were involved in the fall patterns. Low roughage intake (OR = 2.48, 95% CI 1.24–4.97), female gender (OR = 2.12, 95% CI 1.48–3.05), the use of a cane (OR = 2.11, 95% CI 1.08–4.10), and medium IADL (OR = 2.02, 95% CI 1.89–2.32) were the top four risk factors. <i>Conclusion</i>. The fall in the rural elderly was mainly due to the poor living and working conditions. Routine fall assessment could address several preventable risk factors to reduce the prevalence and mitigate the harm of falls.
摘要:
To explore the relationship between Mycoplasma hyorhinis infection and tyrosine kinase inhibitor (TKI) resistance in lung adenocarcinoma patients. Mycoplasma hyorhinis infection can be verified with the monoclonal antibody PD4, which specifically recognizes a distinct protein of M. hyorhinis. Immunohistochemistry (IHC), using PD4 to detect M. hyorhinis, was performed on paraffin-embedded lung adenocarcinoma tissues of patients who had epidermal growth factor (EGFR) mutations and had received oral TKI. The number of patients enrolled in our study was 101. Assessments following TKI treatment were performed until objective disease progression or stable disease at the cutoff date was reached. In all of the patients, the primary endpoint was investigator-assessed progression-free survival (PFS). Immunohistochemistry revealed that 61 of 101 cases (60.4%) of lung adenocarcinoma were positive for M. hyorhinis, which comprised of 31 low-positive cases and 30 high-positive cases; the remaining 40 cases (39.6%) were negative. The median PFS was significantly longer in the negative group [18months (95% CI 14.15–21.85)] than in the low-positive group [10months (95% CI 7.70–12.30); hazard ratio (HR) 4.095, 95% CI 2.254–7.438; p < 0.001] and in the high-positive group [4months (95% CI 2.85–5.15); HR 31.703, 95% CI 14.425–69.678; p < 0.001]. The results of the subgroup analysis were satisfactory. The PFS benefit with negative M. hyorhinis infection was consistent across subgroups. In this retrospective, exploratory analysis, M. hyorhinis infection significantly reduced PFS. With increased levels of M. hyorhinis infection, the progression of the disease was more advanced, likely due to the hydrolysis of TKI by M. hyorhinis. A strong correlation was found between M. hyorhinis infection and TKI resistance in lung adenocarcinoma. This study provides potent evidence that M. hyorhinis hydrolyses TKI and will assist in the research of related mechanisms in the future. It provides an option to improve the efficacy of TKI, including strategies to decrease M. hyorhinis infection, thereby reducing long-term distress in TKI resistance patients with EGFR mutations.
期刊:
Journal of Psychosocial Nursing and Mental Health Services,2021年59(11):18-+ ISSN:0279-3695
通讯作者:
Tan, Lingling
作者机构:
[Kong, Chan] Huazhong Univ Sci & Technol, Tongji Hosp, Dept Nursing, Tongji Med Coll, Wuhan, Peoples R China.;[Zhang, Juan; Wang, Zhimin; Tan, Lingling] Univ South China, Dept Nursing, Hosp 2, 35 Jiefang Ave, Hengyang 421000, Hunan, Peoples R China.;[Gao, Xudong] Wuhan Polytech Univ, Coll Hlth Sci & Nursing, Wuhan, Peoples R China.;[Fan, Hongru] First Hosp Wuhan, Dept Cardiovasc Dis, Wuhan, Peoples R China.;[Wang, Jing] Fourth Hosp Wuhan, Dept Neurosurg, Wuhan, Peoples R China.
通讯机构:
[Tan, Lingling] U;Univ South China, Dept Nursing, Hosp 2, 35 Jiefang Ave, Hengyang 421000, Hunan, Peoples R China.
摘要:
This is the first study to assess nurses' attitudes and skills regarding grief counseling for bereaved family members of patients who died from coronavirus disease 2019 (COVID-19) in Wuhan, China. Using a cross-sectional design, 412 nurses selected through convenience sampling completed a demographic characteristics survey, Attitudes of Grief Counseling Scale, (AGCS) and Skills of Grief Counseling Scale (SGCS). Average AGCS score was 32.89 (SD = 9.46), with an overall percentage rate score of 65.6%. Factors influencing attitudes toward grief counseling included other grief counseling skills, educational level, communication skills, and training related to grief counseling (p < 0.05). Average SGCS score was 18.81 (SD = 4.25), with an overall percentage rate score of 58.7%. Factors influencing skills of grief counseling included responsibilities and roles, frequency of contact with the bereaved, and positive view of grief counseling (p < 0.05). Nurses' attitudes and skills regarding grief counseling were low, indicating an urgent need to improve grief counseling.