Abstract Aims and Objectives :The purpose of this paper is to investigate the current state of internet+ nursing for homebound older adults with Chronic illness Background: The prevalence of chronic disease is high, but the usage rate of internet + nursing for homebound older patients is suboptimal in China. Internet+ nursing aims to maximize olders’ quality of life. However, the service quality does not match this. Design: This is a cross-sectional observational study. Methods:A general information questionnaire and an Internet + nursing questionnaire were developed, and 738 older with chronic illness from six general hospitals in Zhejiang were randomly sampled and statistically analyzed. This study was conducted according to the STROBE guideline. Rresults : Overall, 287 people (38.92 %) were aware of Internet + nursing, with 132 (17.89 percent) having used Internet + nursing; 286 people (63.42 %) did not use internet + nursing. 63.42% were unaware of it, and 43.9 % had no idea how to use a smartphone. There is a high demand for “Internet+” nursing .Some factors, such as degree of education, Number of hospitalizations, Course of disease, Income level, contracted family doctor service, training received, and smartphone use, which have a statistically significant effect on the use of Internet + nursing. Conclusions: there is a high demand as well as low usage rate of Internet + nursing for older patients, and a mismatch between supply and demand. Relevance to Clinical Practice: Regulation and policy reforms are needed to optimize the discharge planning ,and develop high-quality “Internet+” continuous care for older adults with chronic illness. Patient or Public Contribution: Older patients with chronic diseases and registered nurses participated in the surveys of this study. Registered nurses facilitated community-based family doctor contracting by identifying and introducing the study to patients who were eligible for study participation.

This study aimed to investigate the relationship between personality characteristics and psychological health of hospitals’ frontline medical staff and provide a basis and reference for targeted psychological health education for frontline medical staff and for the staff of related departments to formulate relevant policies. The self-evaluation scale of symptoms (SCL-90) was used to investigate the mental health status of 150 first-line medical staff in Zhejiang Province in response to the new severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pneumonia.The average scores of SCL-90 and somatization, obsessive-compulsive, depression, anxiety, hostility, terror, and psychotic factors were significantly higher than those of the normal sample in the first-aid medical staff of Aihu Hubei. The degree of influence on the mental health status of the frontline medical staff in service in Hubei is as follows, from high to low: the degree of suspicion that they may have been infected when new coronavirus pneumonia-related symptoms occur, the degree of fear of being infected and thus bring the infection to their families, and whether they have received a medical check-up recently, as well as a high level of education (both P<0.05).The psychological health level of the frontline medical staff is lower than the national norm. In the context of the increasing number of confirmed cases and the new type of coronavirus pneumonia in the absence of any specific curative treatments, the frontline medical staff is under great psychological pressure. It is necessary to institute targeted mental health promotion to relieve the psychological pressure endured by the frontline medical staff, promote their physical and mental health, and better respond to the pandemic in China.