Objective To explore the effect of self-care agency on the self-perceived burden of patients with permanent bladder fistula. Methods From January 2016 to January 2017,the general data questionnaire,the Self-Perceived Burden Scale(SPBS),the Exercise of Self-Care Agency Scale(ESCA)was used to investigate 388 cases of permanent bladder fistula in 2 hospitals in Lanzhou, Baiyin and Dingxi city, and the results were statistically analyzed. Results The total score of SPBS was (36.01 ± 1.34) points,which was in the middle level.The total score of ESCA was(51.05±10.23)points,which was in low level.The total score of SPBS was negatively correlated with the total score of ESCA and each dimension (r =-0.496--0.168, P<0.01 or 0.05). Stratified regression analysis showed that self-care skills, self-responsibility, self-concept and health knowledge level in self-care ability were important influencing factors (P<0.05). Conclusions Nursing staff can improve the self-care ability, reduce the self-perceived burden,and improve the quality of life of patients.

Objective To explore the effect of information-motivation-behavioral (IMB) skills model on self-management behavior and self perceived burden of elderly patients with permanent bladder fistula. Methods A total of 92 elderly patients with permanent urinary bladder fistula were randomly divided into experiment group and control group in our hospital from November 2015 to November 2016, 46 cases in each group. In the control group, taking classes, face-to-face education were done for a total of 6 months once a month, 60 minutes each time. In the experiment group, the IMB model was used for the nursing intervention for a total of 6 months once a month, 60 minutes each time. The two groups of patients were assessed by self management behavior scale and self perceived burden scale. Results After the intervention, the score on self-management ability of the experiment group was (76.32 ± 4.73), higher than (67.22 ± 3.14) of the control group (P<0.05). The score on the self perceived burden of the experiment group was significantly lower than that of the control group (10.32 ± 4.48 vs. 19.98± 6.63, P<0.05). Conclusion The implementation of IMB model can improve the self-management behavior of elderly male patients with bladder fistula, and reduce the burden of self perception.

OBJECTIVE: Anatomic variation of renal artery existed in donor kidney, and whether the variation would affect clinical effects is unconfirmed. This paper is aimed to study the outcomes of in vitro reconstruction of malformed renal blood vessels on outcome of kidney transplantation. METHODS: Patients treated with kidney transplantation at Department of Urology, Lanzhou General Hospital of Chinese PLA were selected; including 27 cases underwent kidney transplantation with malformed blood vessels. Seventeen of them had accessory renal artery, 10 of them with two or three renal arteries. Additional 22 patients transplanted with normal kidney during the same period were selected as the control group. Bench surgery with microsurgical techniques was employed for the repair of the vessels, which included 11 cases of end to end anastomosis of arteries, 6 cases of end to side anastomosis of arteries, 6 cases of side to side conjoined anastomosis of arteries, and 4 cases of renal artery lengthening with an interposition of donor or recipient iliac artery. The hemorrhage, hypertension, renal arterial stenosis, delayed graft function, incidence rate of acute rejection, and the serum creatinine level were followed up.RESULTS: Totally 49 cases were received a mean 2-year follow-up, and no death occurred in both groups. Two cases in the experimental group, and 3 cases in the control group were suffered hypertension or hypertension aggravated, the difference had no significant (P =0.673). No arterial stenosis occurred during the follow up. In the experimental and control groups, the incidence of delayed graft function was 20% and 14%, the incidence of acute rejection was 13% and 5%, and mean serum creatinine at 2 year was (119±11) and (127±8) μmol/L, respectively, the difference was not significant between two groups (P=0.179, 0.385, 0.658).CONCLUSION: Donor kidneys with malformed vascular can be used for transplantation after bench reconstruction, which do not influence the outcome of kidney transplantation.

Objective To investigate the the application effect of self-made homemade hematuria visual color card in postoperative hematuria of percutaneous. Methods A total of 137 postoperative percutaneous nephrolithotomy patients were randomly admitted to either intervention group ( n=66 ) or control group ( n=71). The patients of control group adopted routine nursing and the patients of intervention group received homemade hematuria visual color card to observation illness. Results The duration of hematuria in observation group was shorter than in observation group, and the number of bleeding cases was easy to be found than that of control group, and the treatment rate was higher than that of control group (P <0. 05). Conclusions The homemade hematuria visual color card can help medical staff estimate the degree of bleeding after percutaneous renal puncture and provide a reliable basis for the observation.

Objective To explore the application effect of the health education path in the patients with multi-channel minimally invasive percutaneous nephrolithotomy .Methods Two hundred and four patients with percutaneous nephrolithotomy were chosen and divided into the observation group and the control group according to the random table , each with 102 cases.The observation group received the health education path , and the control group received the routine health education .The awareness rate of related knowledge and satisfaction were compared between two groups .Results The patient satisfaction was 100 .00% in the observation group , and was 97.06%in the control group, the difference was statistically significant (χ2 =14.864,P<0.05).The compliance rate of health education was 100.00% in the observation group, and was 93.14% in the control group, the difference was statistically significant (χ2 =17.236,P<0.05).Conclusions The health education path in the patients with multi-channel minimally invasive percutaneous nephrolithotomy standardizes the behavior of health education in nurses , and reflects the patient-centered philosophy , and is beneficial to improve patient satisfaction and the nurses'self-quality and quality of medical care .

Objective To build the self-management system in bladder tumor patient .Methods The self-management system in bladder tumor patient was developed through the literature review , theoretical analysis, qualitative research method and Delphi expert consultation .Results The coefficient of authority was 0.82, the coefficient of judgment was 0.88, and the coefficient of familiar was 0.74 in the expert consultation . The self-management system in bladder tumor patient was ultimately built including 4 items with first indicator , 12 items with second indicator , and 50 items with third indicator .The coordination coefficients of first , second and third indicator were respectively 0.511, 0.406, 0.423, and the difference was statistically significant (P<0.01).Conclusions The evaluation index system which is built through the Delphi method can provide the scientific basis for carrying out the targeted health education and guidance , and evaluating the high -risk groups with bladder tumor by the clinical and community nurses .

Objective To establish the evaluation criterion of health education for patients with long-term indwelling bladder fistula. Methods Evaluation criterion of health education for patients with long-term indwelling bladder fistula was drawn up by document literature, theoretical analysis, qualitative research, Delphi experts consultation and according to the health belief model “Knowledge, Attitude, Practice”, a three-grade theoretical model. Results The authority coefficient, judgment coefficient and familiar coefficient of expert consultation were 0. 81, 0. 88, 0. 74. Finally, the evaluation criterion of health education for patients with long-term indwelling bladder fistula was confirmed including grade I index (3 items) and grade II index (30 items). The coordination coefficient of grade I index and grade II index was 0. 991 and 0. 476 with a significant difference (P<0. 01). Conclusions Evaluation criterion of health education based on Delphi method can provide references for the implementation of education education for patients with long-term indwelling bladder fistula by nurses and evaluation of implementation effects.

We reviewed the concept and content of information-motivation-behavior ( IMB ) skills model;conducted an investigation and intervention study of plateau soldiers and urinary calculi on the basis of that model;understood the plateau urinary calculi was susceptible and easy-to-relapse behavior factors, so that to provide scientific basis and suggestion for prevention and cure of urinary calculi, and provide theoretical basis and guidance for promoting a healthy behavior in troops.

This study introduces the related concepts of disaster nursing core competence, the forms of disaster nursing training for nurses at home and abroad, and summarizes the progress, advantages and disadvantages of disaster nursing core competence training in China, so as to provide a reference for exploring a systematic training system suitable for disaster nursing core competence in China.

Objective? To explore the effects of health education based on "information-motivation-behavioral skills" (IMB) model on health behavior among soldiers with urolithiasis in the plateau. Methods? From January 2016 to May 2017, we selected 160 soldiers with urolithiasis providing logistic services in the plateau with altitude of more than 3 000 m at the 940th Hospital of Logistic Services Troops of the Chinese People's Liberation Army as subjects by convenience sampling. All of the patients were divided into experimental group and control group with the random number table, 80 cases in each group. Control group carried out routine health education, while experimental group implemented health education based on IMB model. After intervention, we compared the health belief, health behavior and recurrence rate of calculi of soldiers between two groups. Results? Six months after intervention, the total scores of health belief and health behavior of experimental group were (140.22±12.90) and (149.44±14.18) higher than those of control group with statistical differences (P＜0.05). The recurrence rates of calculi of experimental group in 6 and 12 months were lower than those of control group with statistical differences (χ2=7.761,P＜0.05). Conclusions? Health education based on IMB model makes soldiers change healthy perception into actual behavior and maintain healthy behavior in daily life to reduce the recurrence rate of urinary calculus and improve the combat capability of troops.