Objective To establish an appraisal system of clinical comprehensive competence for nursing undergraduates.Methods The level construction tree model was established by questionnaire survey based on Delphi method,and the weights of each indicator in three grades were calculated.Results The appraisal system of clinical comprehensive competence for nursing undergraduates was ultimately established which contained 6 first-level indicators,21 second-level indicators and 69 third-level indicators.In third-level indicators,the indicators with the highest weight value was The students can use the communication skills when assessing,carrying out,evaluating and giving health education,the indicators with the lowest weight value was The research point had some value. and The research novelty met needs.Conclusions The appraisal system is scientific and reliable,and can provide basis for appraising the clinical comprehensive competence for nursing undergraduates.

Objective To evaluate the reliability and validity of Bowel Function Index applied to assess the constipation induced by strong opioid drugs for patients with cancer pain.Methods 126 patients with constipation induced by strong opioid drugs for pain caused by cancer were selected.BFI,Patient Assessment of Constipation Symptoms(PAC-SYM) and clinical observations were used to collect data which were conducted for reliability analysis,correlation analysis and tests for several independent samples to evaluate the reliability and validity.Results The internal consistency determined by Cronbach αt was 0.86 for the total BFI score.Significant correlations were found among BFI,PAC-SYM and clinical observations.The BFI total score and each item scores of three groups all showed significant differences.Conclusions The Chinese version of BFI is a simple,valid and reliable,clinically relevant tool to assess the constipation induced by strong opioid drugs for pain caused by cancer.

Objective To investigate the effects of artificial airway cuff pressure at different monitoring intervals on ventilator associated pneumonia (VAP) in critical patients. Methods About 56 patients treated with mechanical ventilation from January 2015 to December were grouped by ward numbers:32 patients in the south ward were in the experiment group and 24 in the north ward were in the control group. The two groups were given the same routine care, e.g., mechanical ventilation by endotracheal intubation. In the experiment group, the cuff pressure was controlled to 30cm H2O every six hours and the control group was every 4h. The two groups were compared in terms of the incidence of VAP during mechanical ventilation, occurrence time of VAP, duration of mechanical ventilation and mortality. Result The incidence of VAP during mechanical ventilation, occurrence time of VAP, duration of mechanical ventilation, and mortality showed no significant differences between the two groups (P>0.05). Conclusions For mechanically ventilated patients, the cuff pressure controlled to 30cm H2O every 6h can not increase the incidence of VAP, duration of mechanical ventilation and mortality. It can reduce the nursing workload.

Objective To explore the effect of auricular plaster therapy on associated symptoms and quality of life in patients with constipation induced by strong opioid drugs for pain.Methods A total of 60 patients selected were randomly divided into the intervention group and the control group with 30 cases in each group.The intervention group was treated with auriculotherapy based on the pattern/syndrome differentiation after detecting the auricular sensitive acupoints' distribution in patients with opioid-induced constipation after receiving opioid therapy.BFI,self-made scale on symptoms accompanied by constipation and PAC-QOL were used to collect data about constipation symptoms and the level of quality of life before or after the intervention,and still with a subset of the intervention group followed for more than two weeks.Results The BFI and PAC-QOL scores of the intervention and control group were lower after intervention,and the decline score of the two groups showed significant difference.But for the self-made scale,the score of each item was slightly lower compared with that before treatment,which showed no statistically significant difference between groups.A follow-up of 2 weeks showed that the long-term efficacy of auricular plaster therapy was significantly lower than before,but was less desirable than short-term.Conclusions Scientific and reasonable choice of acupoint prescription according to syndrome differentiation can effectively improve symptoms accompanied by constipation and patients' quality of life.

Objective To develop the Quality of Life Questionnaire with traditional Chinese medicine characteristics for patients with ulcerative colitis.Methods The pool of entries were initially formed by using literature review,theoretical analysis and interviews.Delphi technique was used to formulate.quality of life questionnaire for patients with ulcerative colitis through a two-round expert consultation among 22 experts in 9 provinces.Results In two-round surveys,the rates of questionnaire retrieve were 95.7％ and 100.0％,respectively.The authoritative coefficients was 0.85,the coordination coefficients were 0.288 and 0.290,respectively,P＜ 0.01.The preparation of the primary scale consisted of physical,psychological,independence and social function of 4 dimensions and 48 items.Conclusions A reliable and valid questionnaire with traditional Chinese medicine characteristics for evaluation of quality of life for patients with ulcerative colitis was developed.It can be used to provide reference for the evaluation of the quality of life for patients with ulcerative colitis in China.

Objective To probe into the exercise status of digestive tumor patients in cancer-related fatigue, analyze its obstacle factors, in order to provide evidence for clinical nursing care. Methods Self designed general information questionnaire and tumor patient′s cinesipathy questionnaire in 216 digestive tumor patients of Digestive Tumor Surgery Department in Jiangsu Chinese Medicine Hospital for investigation of different degree cancer-related fatigue. Results A total of 155 of 216 patients had excises, but 66 cases reached the excises intensity of American Cancer Society in 2012 published guidelines recommend movement standards;"do not know that exercise can reduce fatigue degree", "fear campaign negative impact on disease and treatment","tired", "lack of motor skills" and "no exercise habits" were the obstacle factors for cancer-related fatigue carrying out exercise therapy. Conclusions Medical personnel should be aware of the impact of cancer-related fatigue on the quality of life in the cancer patients, regulate assessment and manage fatigue, carry out sleep interventions and guide behavior, and assess the management effects scientifically.

Objective To probe into the current status quo and issues of intervention research about cancer-related fatigue in cancer patients.Methods The key words were “cancer-related fatigue”,“fatigue”,“tumor”that searched literatures from CKNI and statistically analyzed by excel and other software.Results A total of 1 53 intervention research literatures were found out which involved excise therapy,psychological nursing, health education,Chinese medicine nursing,self care,etc.The quality of literatures were low,including 5 literatures with Jadad assessment score-3 points,1 7 literatures having 2 points,and the others with 2 points below.Conclusions There are too many intervention studies on cancer-related fatigue of patients with cancer chemotherapy,but the quality of literatures are unsatisfied.Therefore,the methodology should be strengthened for intervention studies of cancer-related fatigue,so as to improve research quality and satisfy evidence-based demands.

Objective To explore the cardiopulmonary resuscitation ( CPR) training method of new nurses of Emergency Department, in order to rapidly improve the level of new nurses in emergency first aid skills. Methods From July 2010 to March 2013, a total of 136 people were randomly divided into control group and experimental group. The control group was given traditional clinical training. The application of the theory of motor skills was applied in experimental group. The training results were compared before training and 1, 2, 6 days and 1 month after training. Results There was no significant difference between the control group and the experimental group before training (P >0. 05). 1,2,6 days and 1 month after training the scores of the experimental group were (92. 57 ± 2. 17), (86. 14 ± 3. 09), (94. 85 ± 2. 00) and (95. 16 ± 2. 08), respectively, those scores of the control group were (83. 13 ± 2. 00), (80. 14 ± 3. 12), (87. 46 ± 2. 11) and (90.53 ±3.00). There were significant differences between two groups (t =2. 431,3. 106,3. 467,2. 431, respectively;P<0. 01). The CPR quality was significantly better of the experimental group than that of control group (P<0. 01). Conclusions Compared to traditional clinical teaching method, applying motor skill theory can improve CPR skills of the new nurses in the Emergency Department.

Objective To investigate the intervention effect of herbal plaster on appetite loss of patients with gastrointestinal cancer undergoing chemotherapy.Methods Sixty-six patients treated in Department of Oncology, Affiliated Hospital of Nanjing University of Chinese Medicine from August 2015 to August 2016 were selected by convenient sampling, and were divided randomly into two groups. Patients in the control group were given conventional nursing, while patients in the observation group were given extra application of herbal plaster. The effect of intervention was evaluated by change of the patients' appetite and BMI.Results After completion of the treatment, appetite scores of patients in the observation group were (4.55±1.32) points, with that in the control group (2.22±1.43) (t=5.48,P<0.05); difference of BMI between the two groups showed no statistic significance (t=0.89,P>0.05).Conclusions Herbal plaster, as a characteristic technique in external treatment of traditional medicine, can help the patients regain their appetite to a certain extent and thus improve clinical outcomes. Still, clinical quantity-effect researches need to be strengthened in the future, so as to make the results more stringent, to better popularize and promote traditional Chinese nursing technology, and to provide new ideas and complementary therapy for clinical application of appetite loss caused by chemotherapy.

Objective? To review the intervention effects of auricular-plaster therapy on adults with anxiety systematically. Methods? Data about random controlled trails of auricular-plaster therapy in treating anxiety were collected from Cochrane, PubMed, Embase, CBMdisc, CNKI and Wanfang databases. The quality of literatures were assessed and the data were collected by two persons independently. Multiple-time-point Meta-analysis was used for anxiety, while endpoint Meta-analysis was used for quality of sleep and life. RevMan 5.3 was used for statistical analysis. Results? Totally 15 literatures were included in this study, involving 890 subjects. Meta-analysis showed that auricular-plaster therapy could ameliorate anxiety continuously with high degrees within 2 months (P＜ 0.01), but there were no notable effects yet beyond 2 months (P＞ 0.05). Auricular-plaster therapy could improve the quality of sleep effectively (P＜0.001). There was no evidence that auricular-plaster therapy could improve the quality of life (P＞0.05). Conclusions? Auricular-plaster therapy can ameliorate patients' anxiety and improve their quality of sleep, but considering the limited quality and quantity of studies included, the findings of our study will need to be tested by multicenter and high-quality random controlled trails with large samples, especially its long-term intervention effects.