Objective To explore the psychological state after needle stick injury among nurses.Methods A questionnaire survey was conducted among 256 nurses to understand their psychological state after needle stick injury, and the results underwent analysis.Results 220 nurses suffered needle stick injury among 256 nurses.79% nurses recognized that the serious result after needle stick injury was various blood-borne diseases.91% nuuses felt feared after needle stick injury.70% nurses felt inevitable to suffer needle stick injury. 10% and 11% nurses showed avoidance and turnover idea. Conclusions The majority of nurses show negative and fearful mental status after needle stick injury, but they think it is inevitable and give no sufficient attention to it, besides, the minority of nurses show less recognition to needle stick injury.

Objective To evaluate the clinical effect of ultrasound-guided percutaneous transhepatic cholangial drainage (PTCD) combined with endoscopic retrograde cholangio-pancreatography (ERCP) in treating malignant obstructive jaundice, and to discuss its technical points. Methods A total of ten cases with malignant biliary obstruction were enrolled in this study. After the failure of ERCP treatment, the patients had to be treated with ultrasound-guided PTCD immediately. The guide-wire was inserted into the duodenum through intrahepatic bile duct and common bile duct to connect with ERCP, which was followed by the biliary stent implantation or the removal of physical factors causing obstruction. The clinical results were analyzed. Results Technical success was obtained in all 10 cases. In the patients who underwent a successful guide-wire docking with ERCP the postoperative serum bilirubin was significantly decreased. The main complications were fever, elevation of amylase and transient bloody bile. Conclusion With the help of docking technique the combination use of ultrasound-guided PTCD and ERCP is a new tentative treatment for malignant obstructive jaundice after the failure of initial ERCP treatment. This technique carries promising value in clinical practice as it can significantly increase the success rate of ERCP.

Objective To elevate the achievement rate of kidney biopsy puncture through the analysis of puncture angle choice of ultrasound guided automatic kidney biopsy in 518 patients. Methods Under the guidance of color Doppler ultrasound,using the 3.5MHz probe with probe holder,we performed kidney biopsy in the degrees of 40°(group X),45°(group Y),60°(group Z) and 70°(group P) with the horizontal plane. Resnlts The total achievement ratio is 100 %. The one time success rate in group Y and group Z is 100 % (group Y, 164/164 ; group Z, 186/186) ;group X is 4.8% (22/46) ;group P is 84.4% (103/122).Conclusion The automatic kidney biopsy an- gle under the guidance of ultrasound should be between 45° and 60° with the horizontal plane which is safe and has higher achievement ratio. In the meantime, complications can be avoided.

Objective To evaluate the effects of AIDET ( Acknowledge, Introduce, Duration, Explanation, Thanks ) communication mode in the modified electroconvulsive therapy. Methods Firstly, according to the procedure of the modified electroconvulsive therapy, we established the standard phrases of AIDET communication mode. Secondly, 100 cases of hospitalized psychiatric patients from August to October 2013 accepted the modified electroconvulsive therapy and were divided into the control group and the observation group, with 50 cases in each. The control group used the traditional lecture-style communication, while the observation group was given the AIDET communication processes and standard terms. The anxiety of two groups before and after the treatment was compared by the Hamilton Anxiety Scale ( HAMA ) , in addition with the treatment adherence and the satisfaction of nursing. Results Comparison of the HAMA scores in the two groups before the treatment was not significantly different (P >0. 05). After using the two different communication modes, the HAMA scores of somatic anxiety, mental anxiety and the total score of the observation group were significantly lower than those in the control group (t=5. 99, 6. 51, 10. 87, 10. 23, 6. 19, 7. 94, respectively;P<0. 05). The treatment adherence and the satisfaction with nursing of the observation group were significantly higher than those in the control group (Z =5. 77,χ2 =7. 16, respectively;P <0. 05). Conclusions The AIDET mode of communication can effectively reduce the patient′s anxiety, and improve the patients′adherence, treatment compliance and satisfaction.

Objective To explore the effects of bundle care on preventing deep vein thrombosis (DVT) in elderly patients with gastrointestinal carcinoma in the perioperative period. Methods The elderly patients who received surgery for gastrointestinal carcinoma in the Department of Oncological Surgery of the Affiliated Hospital of Jiangnan University were selected as subjects in this study according to quasi-experimentation. Totally 220 patients admitted between January and December 2016 were divided into an observation group, who received bundle care as planned, while another 216 patients admitted from January to December 2015 were divided into a control group, who received conventional nursing for patients with gastrointestinal carcinoma in the perioperative period. The incidence of DVT, duration of hospital stays and satisfaction were then compared between the patients in the two groups. Results Totally 13 patients in the control group, while only 4 in the observation group, showed DVT (χ2=5.132,P<0.05). The average duration of hospital stays of the patients in the observation group was (17.27±6.17) days, shorter than that of the patients in the control group (t=34.924, P<0.01). The patients in the observation group scored (9.75±0.24) in satisfaction with nursing, higher than that of the patients in the control group (t=11.155,P<0.01). Conclusions Bundle care can help to reduce the incidence of DVT in elderly patients with gastrointestinal carcinoma in the perioperative period, shorten their average duration of hospital stays, and improve their satisfaction.

Objective To develop and explore the clinical application effect of orthopedic protective trestle for post-operative patients with lower limb fracture.Methods Totally 60 patients with lower limb fracture that hospitalized in Osteopathic Department from March to June 2015 were randomly divided into the observation group(n=30) and the control group(n=30). Patients in the control group were given Thomas trestle for the fixation while patients in the observation group were given orthopedic protective trestle for the fixation. The pain score, average hospitalization days and patients′satisfaction degree in two groups were compared. Results The pain score of patients in the observation group after 48 h was (3.50±0.63) points, which was significantly lower than the score in the control group (5.53±0.82) points (t=10.78,P<0.05);the average hospitalization days in the observation group was (16.47±2.68) d, which was significantly lower than that in the control group (22.47± 7.32) d (t=4.22,P<0.05);the satisfaction score of patients in the observation group was (8.80±0.61) points, which was significantly higher than the score in the control group (6.93±1.36) points (t=-6.85,P<0.05). Conclusions Orthopedic protective trestle for patients with lower limb fracture can relieve the pain of patients, reduce the length of average hospitalization days and improve the satisfaction of patients.