Objective To promote chronic care in Mainland China by the inspiration from Hong Kong chronic disease care integrated management model. Methods The research was mainly based on comparative study as well as literature research to understand Hong Kong chronic disease care integrated management model. Results The Hong Kong chronic care integrated management model can improve quality of life of patients and help their families step into a more harmonious society. Conclusions Hong Kong chronic care integrated management model is helpful for promoting Mainland China chronic care.

Objective To discuss the application of cybernetics in hemodialysis nursing. Methods Cybernetics was applied to the standardized nursing quality management in 35 hemodialysis patients, namely to establish hemodialysis standard, weight the executive condition, correct deviation.The feed-forward control was emphasized in combination with the feedback control forming the feed forward-feedback control sys-tern in order to tighten the effect of the control. The dialysis indices before and after the intervention was compared. Results The average hematocfit and urea reduction rate greatly increased after cybernetics was applied to the standardized nursing quality management in 35 hemodialysis patients, but no change was seen in urea elimination index after the intervention. Conclusions Nursing quality can be enhanced by the application of cybernetics in hemodialysis.

Objective To evaluate the efficacy of adjustable oral appliance (OA) on ventilation of patients with obstructive sleep apnea hypopnea syndrome (OSAHS).Methods Databases were searched from Junuary 1990 to July 2014 for randomized controlled trials on the use of adjustable OA for the promotion of ventilation in OSAHS.Meta analysis was performed with RevMan5.2 software,and descriptive analysis of the data that could not be converted and merged was performed.Results Totally 6 RCTs involved,including 1 109 patients,which involved 4 random parallel controlled trials and 2 random crossover controlled trials.Meta-analysis showed that adjustable OA were associated with a decreased apnea-hypopnea index(AHI) [fixed effect model,WMD=-2.38,95％CI (-3.59--1.17),P＜0.01] and an improvement in minimum arterial oxygen saturation (SaO2)[randomized effect model,WMD=3.09,95％CI(1.16-5.02),P＜0.01] of OSAHS patients.The descriptive analysis showed that the difference in the sleep score was not statistically significant because the data could not be converted.Conclusions Compared to fixed oral appliance,adjustable oral appliance produced greater effect in reduction of AHI and the improvement in minimum SaO2,but the sleep score is not improved significantly,the large sample and multi-center randomized controlled test needs to be designed for the verification of comprehensive effect of adjustable oral appliance.

Objective To discuss Si tactic of breathing exercises on the rehabilitation of lung function, dyspnea, distance of 6-minute walk distance (6MWD), respiratory muscle endurance and quality of life in stable patients with chronic obstructive pulmonary disease (COPD). Methods 63 patients with COPD were divided into experimental group with 31 cases and control group with 32 cases according to random digital table method. The experimental group were given routine treatment and nursing care, take Si tactic of breathing exercises. The control group were given routine treatment and nursing care only. Both groups were given treatment for 4 months. The indexes of lung function (FEV1, FEV1%, FEV1/FVC), scores of the Modified Medical Research Council Scale (MMRC), 6MWD, scores of Saint-George′s Respiratory Questionnaire (SGRQ), maximal voluntary ventilation (MVV) changes before and after the therapy were measured. Results After intervention, the lung function as measured by FEV1, MVV, 6MWD showed a significant improvement in the experimental group, and was higher than that in the control group[(1.42±0.43) L vs.(1.22±0.32) L and(1.21±0.45) L,(52.39±14.21) L vs.(47.20±14.59) L and (43.65±11.89) L, (288.36±71.70) m vs.(244.42±71.50) m and (250.56 ±79.25) m, P<0.05]; MMRC scores, SGRQ scores, activities and daily life part score were lower after intervention and was lower than that in the control group [(2.63 ±1.00) points vs. (3.21 ±0.92) points and (3.14±1.12) points, (44.38±5.23) points vs. (54.74±5.73) points and (52.87±5.49) points, (41.25± 6.03) pints vs.(66.48±6.38) points and (64.13±5.34) points, (28.00±7.34) points vs. (44.87±4.86) points and (42.31 ±9.12) points, P<0.05]. Conclusions For COPD patients in stable stage, Si tactic of breathing exercises can improve the pulmonary function and alleviate dyspnea, enhance exercise endurance and respiratory endurance, thereby improve the quality of life of patients, so this is one of the method for comprehensive pulmonary rehabilitation in the future.

ObjectiveTo explore the effects of moxibustion in improving the ventilatory function of patients with lung distension caused by deficiency of lung-spleen qi.Methods Totally 60 patients with lung distension caused by deficiency of lung-spleen qi were selected and divided into the observation group and the control group,with 30 cases in each group. Patients in the control group were given combined traditional Chinese medicine and western medicine treatment plus routine care,while patients in the observation group were treated with moxibustion with moxa sticks on the basis of treatment in the control group. The therapeutic effect between two groups were compared.Results After two continuous courses of treatment,in the pulmonary function test, the ratio of the forced expiratory volume in one second and forced vital capacity(FEV1/FVC)in the observation group was(73.13±1.23)%,and in the control group,it was(67.83±1.04)%(t=18.03,P<0.05). The total effective rate in the observation group was 93.3%,and it was 83.3% in the control group(χ2=10.92,P<0.05). Conclusions Moxibustion with moxa sticks could effectively improve the ventilation function of patients with lung distension caused by deficiency of lung-spleen qi.

Objective To explore the moderating effects of ocean sound on nocturnal sleep quality and negative emotion among ICU awake patients. Methods A total of 60 cases hospitalized in ICU were averagely divided into observation group and control group by random number table. The patients of observation group were given ocean sound intervention based on control group, while the patients of control group were given conventional emotional nursing method and routine sleep nursing method. Before and after interventions, Richards Campbell sleep scale ( RCSQ) , self rating depression scale ( SDS) , self rating anxiety scale ( SAS) were used to assess the effects. Results After one week interventions in the observation group, the scores of SDS, SAS, and the nocturnal sleep quality of RCSQ were lower than those of the control group (P<0. 05). Conclusions Ocean sound intervention can improve the ICU awake patients′ nocturnal sleep quality, and slow down the negative emotional process.