Objective To explore the situation of differences in perception and the related factors in caring behaviors between nurses and patients.Methods 120 pairs of patients and the corresponding primary nurses were assessed by Caring Behaviour Inventory-24 item (CBI).Results (1) The difference existed in the total average score(P＜0.05),assurance (P＜0.01) and respectful (P＜0.05) dimensions,but knowledge and technology (P ＞0.05) and connectedness dimensions had no difference.(2) Logistic regression analysis showed that the degree of satisfaction in nursing work(P＜0.01,OR=0.201) and the working periods(P＜0.01,OR=5.261) were the negative correlation factors for the difference,but the degree of satisfaction of doctors (P＜0.01,OR=7.801) and nurse education (P＜0.01,OR=5.261) were the positive correlation factors for the difference.Conclusion There is difference existed in perception the caring behaviours between nurses and patients,and the working periods,nurse,the d.egree of satisfaction in nursing work and doctors are the related factors for the difference.

0.05). Conclusion Spasfon can effectively improve cervical dilatation during labor and it is well tolerated by both mother and newborn.

BACKGROUND:It has been known that there exists a close relationship between leptin and obesity.Then,how are serum leptin and insulin related to obesity-related hypertension(ORH)? OBJECTIVE:To study the changes of serum leptin and insulin in elderly men with ORH,and investigate the relationship between leptin resistance and ORH in elderly men. DESIGN: Retrospective controlled study based on diagnosis. SETTINGS:The Department of Neurology and the Department of Nuclear Medicine,Affiliated Union Hospital of Tongji Medical College, Huazhong University of Science and Technology. PARTICIPANTS: Altogether 62 elderly male inpatients or outpatients aged from 60 to 82 years in the Affiliated Union Hospital of Tongji Medical College from October 2001 to June 2002 were selected.The diagnosis of hypertension was based on the diagnostic criteria established by the WHO in 1999:systolic blood pressure(SBP) ≥ 140 mm Hg(1 mm Hg=0.133 kPa) and(or) diastolic blood pressure(DBP) ≥ 90 mm Hg. INTERVENTIONS:The content of serum leptin and insulin in 41 hypertensive and 21 normotensive elderly men was determined by the method of radioimmunoassay. MAIN OUTCOME MEASURES:Blood pressure,body mass index (BMI),serum leptin and insulin level. RESULTS:The content of serum leptin and insulin in the hypertensive obese men were increased significantly by 1.8 μ g/L and 2.7 mIU/L,respectively,as compared with that in the normotensives (t=2.212,2.395,P< 0.01). The level of serum leptin and insulin in the ORH patients was increased by 2.7 μ g/L and 4.7 mIU/L,respectively,as compared with that of the normotensives with significant differences (t=3.348,5.113,all P< 0.001). The level of serum leptin in the hypertensive patients older than 70 years was significantly increased by 1.7 μ g/L compared with that of those aged 60 to 70 years(t=2.767,P< 0.05). CONCLUSION:Resistance to leptin and insulin exists in obesity-related hypertension of elderly men and leptin is closely associated with obesity-related hypertension.