Objective To investigate the effect of construction-process-result three-dimensional quality assessment mode in continuing nursing to patients with liver cirrhosis after endoscopic variceal ligation (EVL). Methods Toally 100 patients with liver cirrhosis after EVL hospitalized in the hospital between January 2014 to December 2015, 50 patients among them during January to December 2014 were set as the control group, the other 50 ones during January to December 2015 as the experiment group. The control group only received routine instruction at discharge and those in the experiment group were treated with continuing nursing based on construction-process-result three-dimensional quality assessment mode. Both groups were followed up for six months after discharge and then compared in terms of medication and diet compliance and re-bleeding rate. Result The patients in the experiment group were significantly better than those in the control group (P<0.05) in the medication and diet compliance. Conclusions The construction-process-result three-dimensional quality assessment mode can improve the quality of continuing nursing for the patients with liver cirrhosis after EVL. It can enhance the medication.

Objective To evaluate the difference between stroke volume measured by electrical cardiometry-Icon (Osypka Medical, Berlin, Germany) and pressure recording analytical method-MostCare (Vygon, Vytech, Padova, Italy), and to assess their nursing demand, safety and sutibility.Methods From March to September in 2016, twenty-six infants undergoing open heart surgery using CPB were enrolled. After helping anesthesiologist to complete general anesthesia, invasive arterial pressure monitoring was established to use MostCare. After positioning, four electrodes were placed on patients skin. Stoke volume index along with cardiac index (CI), heart rate, systolic and diastolic pressure were recorded before surgical incision (t0), after pericardiotomy (t1), weaning from CPB and aortic catheter withdrawed (t2), after skin closure (t3). Pearson correlations were calculated and agreement were compared by Bland-Altman analysis between the two devices. Meanwhile, by observing and analyzing factors that affect correct readings of the two devices, to eliminate factors related with nursing. Adverse events related to the using of the two devices were recorded.Results No adverse events showed up in surgery, the process of surgery were not affected. Specialized intraoperative nursing ensure the two devices providing reliable and continuous readings. A good linear correlation was found between Icon-and MostCare-SVI at each time point (r=0.84,0.66,0.87,0.81;P<0.001 for all). At Bland-Altman analysis the mean difference (ml/m2), 95% limits of agreement (ml/m2), and percentage error between the two devices at four time points were (-0.4,-8.4-7.6,27.2%), (-7.2,-17.4-3.4,42.6%), (-1.8,-7.9-4.6,29.7%), (-1.2,-6.1-4.0,25.6%), respectively.Conclusions In children undergoing open heart surgery, except the period from thoractomy to pre-cardiopulmonary bypass, Icon-and MostCare-SVI readings were interchangeable. Sufficient preoperative preparation, specialized intraoperative nursing can ensure the two devices function safely and correctively.

Objective? To use near-infrared spectroscopy (NIRS) to monitor the effects of peripheral artery catheterization on limb muscle oxygen saturation (SmO2) in infants and children. Methods? Totally 60 children aged under 36 months receiving selective operation in Children's Hospital, Capital Institute of Pediatrics between March and September 2017 were selected. NIRS was used to monitor and record the SmO2 of muscle of thenar or gastrocnemius muscle on the limbs of both sides before and after trachea cannula and artery cannulation under general anesthesia. The original SmO2 values of the limbs with or without cannulation were taken as controls to observe the changes of SmO2 of the limbs with cannulation after cannulation. Results? There was no statistically significant difference in original SmO2 values of the limbs with or without cannulation before cannulation (P＞0.05). The SmO2 values of the limbs with cannulation dropped after cannulation, which were lower than the values of the limbs without cannulation (P＜0.001). The decreasing range of SmO2 values of the children aged under 6 months were larger than those of the children aged between 6 and 12 months and between 12 and 36 months; and the decreasing range of SmO2 values of the children weighing under 10 kg were larger than those of the children weighing between 10 and 20 kg (P＜ 0.001). Conclusions? NIRS can accurately reflect the changes of SmO2 after artery cannulation in real time. NIRS used in monitoring helps to assess limb perfusion more precisely. Monitoring should be enhanced for limb perfusion in children aged under 6 months and weighing under 10 kg.