Objecltive To intensify the coordination and nursing in the operation room in order to prevent surgical site infection after gastrointestinal operation. Methods 337 medical history of patients received gastrointestinal operation and third rate healing from 1999 to 2006 were collected. A series of intensified measures were applied to surgical site infection from 2003 gradually, including invocation of new surgical handwashing method, modified skin disinfection manner, adoption of degreasing with ethanol first before disinfection with iodophor, placement of incision protector and clean bag for incision protection after entering abdomen, changing to use new gastrointestinal anastomofic thimerosal,standardization of operation order and clean manage-ment in operation room. The incidence rate of surgical site infection after gastrointestinal operation of patients from 1999 to 2002 and from 2003 to 2006 underwent χ2 test. Results The incidence rate of surgical site in-fection after gastrointestinal operation greatly decreased after adoption of intensified nursing intervention, Signifi-cant difference existed in rate of patients with third rate healing between the year 1999 to 2002 and 2003 to 2006. Conclusions Modified nursing intervention for surgical incision after gastrointestinal operation can de-crease incision infection rate evidently.

Objective To investigate the social relational quality and social avoidance and distress in patients with permanent Cystostomy , and explore the effects of social relational quality on social avoidance and distress.Methods A total of 203 patients with permanent cystostomy were surveyed using the social relational quality scale and the social avoidance and distress scale .The scores of social avoidance and distress were compared among patients with different clinical characteristics , and the hierarchical regression analysis was applied for exploring the effects of social relational quality on social avoidance , distress.Results The total scores of social relational quality and social avoidance and distress in patients with permanent cystostomy were (44.18 ±6.60) and (15.38 ±6.32) respectively.Patients in different genders, ages, marital statuses, occupations, catheterization times and primary diseases had significantly different scores of social avoidance and distress ( P<0.05).The hierarchical regression analysis showed that gender , occupation, time of catheterization, primary disease, family cohesion, family commitment and friendship were independent factors in predicting the social avoidance and distress of patients with permanent cystostomy ( P<0.05 ) .Conclusions The social relational quality of patients with permanent cystostomy is at low level , while the social avoidance and distress is at relatively high level .The social relational quality determines the social avoidance and distress of patients with permanent cystostomy , so improving the social relational quality is promising to avoid the social avoidance and distress of patients with permanent cystostomy .