Objective To observe the clinical effects of traditional Chinese medicine and foam dressing in the treatment of stageⅢ pressure sores. Methods A total of 94 patients with stageⅢ pressure sores in neurology department of Hangzhou Red Cross Hospital from January 2015 to December 2016 were recruited and randomly divided into control group (n=44) and observation group (n=50) by random number table method. Besides routine treatment and care of pressure sores, control group was given traditional Chinese medicine, while patients of observation group received traditional Chinese medicine combined with foam dressing treatment. The treatment effects of the two groups were observed and compared. Results The total effective rate of pressure sore in was 90.00% in the observation group and 86.36% in the control group, and there was no statistical difference (P>0.05). The average healing time of the observation group was (13.56±4.35) days, which was significantly shorter than that of the control group (21.45±3.47) days, and the difference was statistically significant (P< 0.01). Conclusions The effects of traditional Chinese medicine combined with foam dressing in the treatment of stageⅢ pressure ulcer is better than that of traditional Chinese medicine, which can improve the cure rate of pressure ulcer, shorten the healing time of pressure ulcer, and is worthy of clinical promotion.

Objective To evaluate the effect of music therapy in vitrectomy patients under local anesthesia. Methods A total of 200 patients undergoing vitrectomy from September to December 2016 in Union Hospital of Tongji Medical College were recruited by cluster sampling method, and randomly divided into observation group and control group, with 100 cases in each. Routine preoperative visit and intraoperative care were given to the control group. Besides routine care,the observation group was given preoperative personalized music intervention from 10 minutes before the surgery to the end. Vital signs, patients' compliance and pain scores were compared between the two groups. Results The heart rate and systolic blood pressure of the observation group patients were significantly lower than the control group (P< 0.05). While surgery compliance was higher than the control group (P<0.05), and the pain score was lower than the control group (P<0.05). All of the differences were statistically significant. Conclusions Music intervention in perioperative period can effectively improve vitrectomy patients cooperate compliance, and reduce the patients pain score.

Objective To discuss the effects of comprehensive nursing measures on ICU septic shock patients' resuscitation related index at different time points, in order to summarize the most optimum nursing measures. Methods A total of 86 septic shock patients who were treated in ICU of Beijing Tongren Hospital Affiliated to Capital Medical University were selected as research objects, and divided them into observation group which was adopted comprehensive nursing model and control group which was adopted normal nursing model according to coin toss random method, with 43 cases in each group. Patients' heart rate (HR), mean arterial pressure (MAP), cardiac output index (CI) and oxygen saturation of mixed venose blood (SvO2) at 0 h (T0), 3 h (T1) and 6 h (T2) were compared between the two groups. Serum C reactive protein (CRP) was detected before and after intervention, and the curative effect was evaluated. The data in this study were collated and analyzed by statistical software SPSS 23.0. Results Compared with control group, effective rate of the observation group was 86.05%, and the difference had statistical significance (P< 0.05). In group comparison, compared with T0, there was no significant difference in HR and MAP between T1 and T2 in observation group (P>0.05), but SvO2and CI increased significantly in T1 and T2, and the differences were statistically significant (P<0.05). The decrease of HR in the control group was obvious in T2, while MAP, CI and SvO2increased obviously in T2, and the differences were statistically significant (P<0.05). There was no significant difference between the two groups in the time of T0 (P> 0.05). The SvO2and CI in the observation group were higher than those of the control group in time of T1 and T2, and the differences were statistically significant (P< 0.05). Before intervention, there was no significant difference in the CRP between the two groups (P> 0.05). After intervention, the CRP in the observation group (5.14±1.23) mg/L was lower than that in the control group (7.56±1.35) mg/L (P< 0.05).Conclusions Comprehensive nursing measures can relatively improve the prognosis of patients with septic shock in ICU ward, improve the level of CRP, and have less influence on the hemodynamics.

Objective To explore the effects of applied course reform of emergency critical care nursing on self-directed learning ability of nursing students. Methods From September 2016 to January 2017, a total of 180 nursing undergraduates from Xi'an Peihua University of grade 2014 were selected as the research subjects. 86 students from 3 classes were randomly recruited into control group, and 94 students from other 3 classes to observation group. Control group was treated with traditional teaching methods, while experimental group adopted the applied course reform of emergency critical nursing. Nursing students' self-directed learning ability was compared between the two groups before and after the course. Results After the whole course, the total score of students' self-directed learning, learning motivation,planning and implementation,self management and interpersonal communication dimensions were(78.31±8.15), (23.94±3.06),(23.09±2.77), (15.51±2.13) and (15.78±2.04) , which were all higher than (73.37±9.91), (22.79±3.61), (21.72±3.38), (14.28±2.38), (14.58±2.59) in the control group respectively. The differences were statistically significant(t=-3.611, -2.301, -2.970, -3.661, -3.458; P< 0.05). The final exam score of the experimental group was (84.57±8.21), which was higher than that in the control group (81.40±8.07), with a statistically significant difference (t=2.616, P=0.007).Conclusions Applied course reform of emergency critical nursing care can enhance nursing undergraduates' self-directed learning ability.

Objective Taking the prediction of the number of nurses per thousand cases as an example, to discuss the application of grey model GM(1, 1)-linear regression Coupling Model in the prediction of regional nursing human resource, so as to provide methodology reference for health human resource prediction.Methods The grey model GM (1, 1) was built up by EXCEL formula to predict the influencing factors of the number of nurses per thousand people. The predictive value of the influencing factors were substituted into the regression equation for the annual prediction of regional nursing human resource. Results The fitting error between predicted value and actual value was small when using the grey model GM (1, 1)-linear regression coupling model in the prediction of regional nursing human resource. The accuracy level of this coupling model prediction is excellent, and the prediction result can be used as a reference for target year. Conclusions The coupling model not only makes up for the lack of 1inear factors in the grey system model, but also improves the defect that exponential growth cannot be expressed in the linear regression prediction model, so the construction of the coupling model is reasonable and feasible.

Objective To evaluate the effects of standardized management of clinical nursing teachers' on improving satisfaction of nursing students. Methods Nursing students who were practicing in a hospital from July 2013 to May 2015 were recruited in the study by convenience sampling method. Nursing students in 2013 and 2014 academic year were distributed in control group (n=300) and experimental group (n=343) respectively. The clinical nursing teachers in the control group were managed according to the hospital routine, while the clinical nursing teachers in the experimental group received the standardized management intervention. Nursing students' satisfaction questionnaire was used to evaluate the effect of intervention between the two groups. Results The total score of satisfaction questionnaire of nursing students in the experimental group was (99.16±4.42), which improved significantly than the control group (98.60±5.08), and the difference was statistically significant (t=3.094, P=0.002). Conclusions Standardized management of clinical nursing teachers' can effectively improve the quality of clinical teaching and the satisfaction degree of nursing students.

Objective To understand the various causes of nursing postgraduates to engage in clinical nursing work, so as to provide the reference basis for hospital managers to the cultivation of the postgraduate nurses. Methods Using the convenience sampling method, semi-structured interviews were conducted among 12 postgraduate nurses from August to October in 2016. The interview data were collected and analyzed using phenomenological research method. Results Three themes were extracted, including salary and stability factors, self-development factors and career development factors. Conclusions Clinical managers should pay attention to the basic requirements, self-development and career development of postgraduate nurses, and provide more career development opportunities and platforms for them.

Objective To explore the effect of core competence based training mode in neurosurgical specialized nurses. Methods From December 2014 to February 2017, a total of 66 nurses who were trained in Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School were selected as the research subjects by purposive sampling method. The nurses were trained according to the core competence based neurosurgical specialized nurse training mode. The written examination, nursing practice assessment and core competencies of the nurses were compared before and after training. Results The results of written examination and nursing practice assessment were both statistically significantly higher than before training (P<0.001). The scores of all dimensions of core competence were improved after training, and the differences were statistically significant (P<0.001). Conclusions Core competence based training mode in neurosurgical specialized nurses is clear targeted with remarkable effects, which promotes the professional development of neurosurgical nursing.

Breastfeeding provides many health benefits for infants and mothers, and is the most ideal way of feeding infants. At present, domestic and foreign studies have shown that maternal and family members of the breastfeeding awareness and behavior has improved, but the overall feeding rate is still low. There are many factors influencing maternal breastfeeding, in which gestational breastfeeding willingness is one of the important predictors of postnatal breastfeeding. The first step to achieve successful breastfeeding is to establish a prenatal breastfeeding willingness, so determining the factors influencing breastfeeding willingness during pregnancy can provide a theoretical basis for further improvement of breastfeeding rate. This article reviewed the willingness and influencing factors of breastfeeding among pregnant women in China and abroad, in order to provide the basis for formulating prenatal care strategies and health education, so as to improve the breastfeeding rate.

Delirium is one of the most common postoperative clinical syndromesin geriatrics, which can induce series of adverse clinical outcomes. This article systematically reviews the general situation, epidemiological condition, clinical manifestations of delirium, risk factors and assessment tools of geriatric perioperative delirium. Meanwhile, it introduces multidisciplinary comprehensive intervention measures and effects, especially focusing on nursing intervention, so as to provide references for nursing of perioperative geriatrics delirium.