Objective To investigate the effect of the secondary transurethral resection in the treatment of non-muscle invasive bladder cancer(NMIBC).Methods 186 cases with NMIBC were randomly divided into control and experimental groups,both groups were treated by transurethral resection of bladder tumor(TURBT),and experimental group received the secondary TURBT after 4 weeks of the first TURBT.The recurrences of two groups were compared.Results The recurrence rate was significantly lower in experimental group than in the control group(13.8％ vs.37.0％,x2 =13.17,P＜0.05).The recurrence number of the original site was significantly less in experimental group than in the control group(x2 =8.35,P＜0.05).Conclusions The secondary TURBT plays a positive role in NMIBC recurrence.

Objective:To explore the status quo of diabetes specialist nurses' practice of cultural care and the cultural care dilemma they encountered.Methods:Using descriptive research method, from March to August 2022, 12 diabetes specialist nurses from Class Ⅲ Grade A hospitals in Guangzhou were selected by objective sampling to conduct a one-on-one structured in-depth interview. Colaizzi 7-step analysis method was used to analyze and extract interview data.Results:A total of 3 themes and 10 sub-themes were extracted, including perception of cultural care (lack of understanding of the concept of cultural care), the main contents of cultural care practice (respecting the religious beliefs and customs of diabetes patients, providing language consistency communication for diabetes patients, offering personalized health guidance for diabetes patients, changing diabetes patients' bad health concepts to maintain patients' health, and seeking support systems for diabetes patients), obstacles to practicing cultural care (self-factors, patient factors, environmental factors, organizational management factors) .Conclusions:The diabetes specialist nurses lack the understanding of the concept and content of cultural care, and their cultural care ability is insufficient, but they have implemented some cultural care for diabetes patients in their nursing practice. In view of the cultural care dilemma encountered by this group in clinical work, efforts should be made to solve it through diabetes specialist nurses, relevant experts, hospitals, departments and so on.