Objective To investigate the status of dyadic coping in young and middle-aged type 2 diabetes patients,and to explore the influencing factors. Methods A total of 411 young and middle-aged type 2 diabetes patients were recruited from 2 tertiary hospitals in Zhengzhou from February to December 2020,and they were investigated with a general information questionnaire,Dyadic Coping Inventory（DCI） and Diabetes Self-efficacy Scale（DSES）. Results The total DCI score was 130.60±11.26 and the total DSES score was 93.11±18.93,showing significantly positive correlation（r=0.323,P<0.05）. Gender,duration of disease,family monthly income and self-efficacy were main factors affecting dyadic coping of patients（P<0.05 for all）. Conclusion The level of dyadic coping in type 2 diabetes patients are average and needs to be further improved. Self-efficacy can be used as the starting point to develop feasible and effective interventions to enhance dyadic coping of patients with type 2 diabetes in clinical nursing.

Objective The position competence level and influencing factors of sterilization personnel in Central Sterile Supply Department（CSSD） were investigated and analyzed to provide references for the standardized construction of sterilization personnel team in CSSD. Methods In June 2021,the convenience sampling was adopted to investigate 487 sterilization personnel in 238 hospitals in Henan province by a self-designed questionnaires on the competency of sterilization personnel in the sterilization supply center platform of Henan Hospital Central Sterile Supply Quality Control Center. Results The total score of the post competence of sterilization personnel in CSSD was（60.58±19.74）; regression analysis showed that the hospital level,sterilization working years,to the history of receiving training,the type of training received and the frequency of training were the main influencing factors for the post competency of sterilization personnel in CSSD. Conclusion The post competence of sterilization personnel in CSSD of Henan hospital is at a medium level,and those hospitals with lower level and no pressure steam sterilizer training have lower post competencies. The manager of CSSD should formulate targeted professional personnel training plans according to the weak competency factors of sterilization personnel,so as to improve the competency of sterilization personnel in CSSD,to ensure the quality of sterilization and the safety of patients.