Objective To analyze the feeling of nursing undergraduates after one semester of earlyclinical placement.Methods School of Nursing at Soochow University initiated Early Clinical PlacementI for the undergraduates recruited from poverty-stricken areas in 2013.Results Each student hadgained a profound understanding of nursing.Conclusions Early clinical placement is helpful for under-graduate to cultivate interest towards nursing and broaden thinking.

Objective We aimed to explore the real experience of parents of children with acute leukemia during lumbar puncture,so as to provide the theoretical and practice evidence for development of individualized nursing measures.Methods Twenty parents of children with acute leukemia participated in semi-structured interviews regarding their experience of lumbar puncture.The data were colected and analyzed by the Colaizzi phenomenological methodology.Results Three themes were extracted including heavy psychological burden,lack of related knowledge of lumbar puncture and demand of multipolarity.Conclusions Attention should be paid closely to parents of children with acute leukemia during lumbar puncture.The individualized nursing measures should be taken by medical workers in order to truly meet their needs,make them stay in a good state and cooper-ate with medical workers to complete the treatment of children.

Objective To determine the value of five repetition sit-to-stand test (FTSST) to evaluate lower limb function in the patients with chronic obstructive pulmonary disease (COPD).Methods Sixty-one patients with COPD were tested for FTSST,isokinetic testing muscle strength for lower limb,6-minute walking test.The relationship between FTSST time and muscle strength,6-minute walking test distance (6MWD) were analyzed.Results FTSST time was (7.86±2.21) s,extensor peak torque was (67.58± 24.83) Nm,extensor relative peak torque was 0.95(0.46) Nm/kg,6MWD was (444.05±112.53) m.FTSST time related to extensor peak torque,extensor relative peak torque,6MWD and types of complication,correlation coefficient values were-0.303,-0.393,-0.428,F =2.813,P ＜ 0.05.Multivariate linear regression analysis showed that when the dependent variable was FTSST time,the variables of the equation were 6MWD and types of complication.Conclusions FTSST can be used for the rapid evaluation of lower extremity function in patients with COPD.The lower limb function gets worse,the FTSST time will be longer.Nursing staff should pay more attention to the lower limb function of patients with COPD,along with complications,using FTSST to evaluate lower extremity function.

Objective To investigate the dynamic changes and analyze the influencing factors of quality of life (QOL) among adult patients undergoing hematopoietic stem cell transplantation (HSCT). Methods Totally 143 HSCT patients were investigated by the common questionnaire, the Perceived Social Support Scale (PSSS) and the Functional Assessment in Cancer Therapy—Bone Marrow Transplant (FACT-BMT) before checked in the purification bin,1 month post transplantation and 3 months post transplantation. Results The QOL were different among different time points of HSCT patients (P<0.05). Multiple factors analysis showed that the factors before checked in the purification bin including social support (OR=4.480, P=0.019), residence (OR=3.167, P=0.036) and disease diagnosis (OR=0.036, P=0.042). The factors 1 month post transplantation included social support (OR=3.573, P=0.018), whether or not the platelets were reconstructed during storage (OR=2.735, P=0.018) and whether there were transplant related complications (OR=0.214, P=0.016). The factors 3 month post transplantation included social support (OR=9.639, P<0.01) and whether there were transplant related complications (OR=0.167, P=0.003). Conclusions The QOL was low among HSCT patients, and it dynamically changed at different points. Social support is the only sustainable influencing factor of quality of life. This prompts us that we should pay abundant attention on social support and use it to improve the QOL of HSCT patients.

Objective To construct the key-point guidelines of bowel preparation for elderly patients with colonoscopy. Methods The guidelines were made based on literature review,theoretical analysis,qualitative interview.Then they were determined by 14 clinical nurse specialists, nursing education experts and medical experts from 6 provinces or cities through two rounds of expert consultations. Results The response rate of two rounds'questionnaire was 100.00%. The authority of experts coefficient in the two rounds were 0.89. The coefficients of variation of the first and second rounds were respectively 0.07~0.27 and 0.05~0.13. The coordination coefficients for the 2 rounds were 0.377 and 0.404 respectively (Χ2=105.473 and 124.307,P<0.001).In the first round,the average of the importance rating was 3.50~4.95, with a standard deviation of 0.35~0.95.In the second round,the average of the importance rating was 4.71~4.93,with a standard deviation of 0.27~0.61.The key-point guidelines of bowel preparation included 3 key points for bowel preparation, 4 key moments,7 key guidance contents, 4 criteria for the process of bowel preparation and the corresponding remedial measures. Conclusion This study established the key-point guidelines of bowel preparation for elderly patientsand the degree of enthusiasm,authority,coordination and concentration of the experts was high so as to provide a reference for the clinical implementation of standardized bowel preparation guidance.

Objective To explore the factors affecting non-compliance in bowel preparation for patients undergoing colonoscopy and to provide evidence for improving patients' compliance. Methods Guided by the phenomenological research method, semi-structured interviews were performed among 16 patients who had poor bowel preparation for colonoscopy at the digestive endoscopy center in 3 Class Ⅲ Grade A hospitals in Suzhou from January to April 2017. The data were analyzed by Colaizzi analysis method. Results Through the interviews, the factors influencing bowel preparation compliance were summed up into 3 themes: the neglect of the importance of strict compliance with bowel preparation, the inability to tolerate bowel preparation, and lack of specialized knowledge of bowel preparation. Conclusions To improve the compliance of bowel preparation for patients undergoing colonoscopy, medical staff should correctly guide the patients to understand the importance of bowel preparation and ensure the full grasp of the specific requirements, on the other hand, should actively strive to improve the patient's tolerance of bowel preparation.

Objective To explore the symptom burden of inflammatory bowel disease (IBD) patients and to compare the differences of symptom burden of IBD patients among different general information, disease types, disease state. Methods From April to May 2017, IBD patients in IBD information supporting platform patients of the First Affiliated Hospital of Soochow University were selected as subjects by convenience sampling. The questionnaire survey was carried out with the self-designed general information questionnaire and the adapted Memorial symptom assessment scale (MSAS) sent out by WeChat. The rank test was used to analyze the status of disease burden among patients with different characteristics. Results A total of 265 valid questionnaires were collected totally. There were 32.0 (26.0,37.0) symptoms which showed one week self-reported by 264 patients. Anenergia was with one of the highest rates of symptom. Anxiety was with one of the highest rates of phychological symptom. The score of symptom burden was 60.0 (24.7, 102.4). Anenergia and intestinal problems were common in patients with ulcerative colitis. Fatigue, malnutrition and psychological problems were common in patients with Crohn's disease. There were significant differences in scores of total symptom burden among IBD patients with a different situation in disease activities, duration courses, absenteeism or asking for leave due to disease, suspension of schooling or resignation because of disease, whether living with family or not (P<0.05). Conclusions IBD brings serious physical and mental symptom burden to patients. Nurses should strengthen comprehensive assessment and management of symptoms especially in anenergia and phychological symptoms. And then, nurses should take effective nursing intervention according to symptom with different characteristics so as to ease the symptom burden for patients and improve life quality.

Physiological stress,psychological stress and economic pressure that patients undergoing hematopoietic stem cell transplantation (HSCT) suffered,seriously affects patients' quality of life (QOL). This paper reviewed the researches about QOL of HSCT patients,so as to provide references for improving the QOL of HSCT patients.

? As an important part of rehabilitation exercise for patients with chronic obstructive pulmonary disease (COPD), upper limb functional exercise can effectively enhance the capacity of patients with upper limb movement, upper limb function and muscle strength, thus improving the symptoms of upper limb activities and improving the quality of life of patients. This article reviews the methods, intensity, duration, cycle, frequency and outcome evaluation index of upper limb functional exercise for COPD patients, in order to provide basis for choosing appropriate and effective upper limb exercise methods for COPD patients.

Colonoscopy is a gold standard for diagnosis of intestinal pathology. Abundant bowel preparation is the key to colonoscopy. Bowel preparation adherence directly affects the quality of bowel preparation. This paper reviewed the status of bowel preparation adherence of patients with colonoscopy and intervention so as to provide a reference for improving patients' bowel preparation adherence in future.