Objective To establish a questionnaire to measure competence of head nurses and test its reliability and validity. Methods Based on the third-level items of the competency model built by Tanjie, the primary competency questionnaire was established combining literature review, team discussion and preliminary test. The reliability and validity of the questionnaire was tested in 236 head nurses. Results The questionnaire consisted of 4 dimensions and 33 items, and 4 common factors were extracted by principal components analysis, which contributed to 75.691%of the variance. The Cronbachα was 0.945 for the total questionnaire, and the content validity index was 0.960. Conclusions The questionnaire shows acceptable reliability and validity, and can be applied to the competence investigation of head nurses.

OBJECTIVE:To observe clinical efficacy and safety of tanshinone combined with limbal stem cells transplantation in the treatment of pterygium. METHODS:Totally 97 cases (118 eyes) of primary pterygium admitted into our hospital during Feb. 2010-Sept. 2014 were analyzed retrospectively,and divided into observation group (48 cases,57 eyes) and control group (49 cases,61 eyes). Both groups received autologous limbal stem cell transplantation. The control began to give Tobramycin and dexamethasone eye drops 1-2 drop 1 week before surgery,every 4-6 h one times. Observation group was given Tanshinone cap-sules 0.5 g,po,tid,one week before surgery,for 3 months. Repair time of corneal epithelium and local symptom regression time were compared between 2 groups. Corneal astigmatism and corrected visual acuity were observed in 2 groups before and 1,3 months after surgery. The occurrence of recurrence and ADR was analyzed statistically in 2 groups. RESULTS:The repairing time of corneal pithelial and local symptom regression time in observation group were significantly shorter than control group,with statis-tical significance (P<0.05). There was no statistical significance in corneal astigmatism and corrected visual acuity between 2 groups before and one month after surgery (P>0.05). 1,3 months after surgery,corneal astigmatism of 2 groups was decreased significantly and corrected visual acuity was increased significantly than before surgery,and 3 months after surgery the observation group was significantly better than the control group,with statistical significance (P<0.05). The recurrence rate of observation group was 3.51%,which was significantly lower than 14.75% of control group,with statistical significance(P<0.05). There was no statistical significance in the incidence of ADR between 2 groups(P>0.05). CONCLUSIONS:Tanshinone combined with autol-ogous limbal stem cell transplantation in the treatment of pterygium can shorten the time of corneal epithelial repair and local symp-toms,restore the visual function of patients and reduce recurrence rate with good safety.

Objective To explore the effect of health education combined with three-dimensional-imaging technology on hope level and quality of life in hospitalized lung cancer patients who underwent chemotherapy.Methods Totals of 120 hospitalized lung cancer patients who admitted to our department for chemotherapy during January 2013 to January 2014 were divided into two groups according to randomized controlled principle on average:experimental group and control group.The control group received routine care, while the experimental group received health education combined with three-dimensional imaging technology on the basis of the routine.The hope level and quality of life of them had been observed during hospitalized chemotherapy, and the differences of the data were compared and analyzed between them.Results Before education, there were no statistical differences in hope level (28.7 ±8.5) vs (29.4 ±9.1)(t=0.435 4,P>0.05) and quality of life (t=0.056 1-1.300 2, respectively;P>0.05) between two groups.After education, the hope level of control group and experimental group increased to ( 36.2 ±6.0 ) and ( 39.8 ±5.3 ) respectively (t=3.483 2, P<0.05).Both the HHI scores and six dimensions of quality of life scores (BP, MH,VT,SF,RE and GH) for both groups climbed dramatically (t=0.008 0-0.046 2,P<0.05), but the experimental group improved more than the control group (t=0.008 0-0.046 2,P<0.05).The HHI score of post-education experimental group reached (39.8 ±5.3).Conclusions Health education combined with three-dimensional imaging technology can significantly improve the hope level and quality of life in hospitalized lung cancer patients who undergo chemotherapy, and are worthy to promote.

Objective To explore the influence PICC catheter factors of anxiety in patients with tumor, and analyze the effect of anxiety on patients survival quality.Methods Between December 2011 and January 2013, 280 patients with PICC catheter tumors received long-term intravenous chemotherapy, according to the anxiety self rating scale ( SAS) to assess the degree of anxiety patients, were divided into anxiety patients and non-anxiety patients, then collected the patient ’ s general information, conducted cancer patients life scale ( EORTC QLQ C30 ) survey, analyzed the results.Results Among 280 patients, according to SAS scores, 73 cases of normal (26.07%), 207 cases with anxiety (73.93%), in which 41 cases of mild anxiety (14.64%), 106 cases of moderate anxiety (37.86%),60 cases of severe anxiety (21.43%).The onset of patients age, hospitalization payment method, culture degree, occupation, income and treatment time had significantly relationship with the incidence of anxiety (χ2 =3.673,128.354,28.566,35.363,38.455,3.257, respectively;P<0.05).In EORTC QLQ C30-scale survey, anxiety and non-anxiety patients in PF [(58.6 ± 21.3) vs (59.3 ±15.6)], RF[(61.4 ±26.1) vs (64.1 ±22.7)], DY scores [(41.6 ±28.9) vs (40.2 ± 27.5)] had no significant difference (t=-0.835,-1.256,0.248, respectively;P>0.05).And significant difference of 12 dimensions scores was found ( P<0.05) .Conclusions Anxiety can affect 12 dimensions( EF, CF, SF, FA, NV, PN, QL, SL, AP, CO, DI, FI ) of EORTC QLQ C30 scale, improving the patient’ s anxiety can help improve the quality of survival in patients with PICC catheter tumor.

Objective To investigate training effects of Shandong oncology specialist nurses. Methods A self-designed questionnaire about training effects was used to investigate 149 oncology specialist nurses in 48 hospitals in Shandong province. Results The total score of training effects was 202.075 ± 17.918. Differences were significant in human relations of training effects of oncology specialist nurses (F=3.439,P<0.05 ). 94.74％(126/133)of the oncology specialist nurses had no changeable in their work after training, 62.41％(83/133)served as skeleton staffs, only 22.56％(30/133)published in journals, 58.65％(78/133)of the specialist nurses had no chance to attend meeting and only 3.01％(4/133)had experiences to study for a month or more. Conclusions The training effects of Shandong oncology specialist nurses some abilities still need to be increased, the training contents need to be enriched, the use and management of the specialist nurses need to be further regulated, and the development of the oncology specialist nurses need to be further improved.

Objective? To explore the quality of life in patients with cognitive disorder and to discuss its influencing factors so as to provide a reference for improving the quality of life in patients with cognitive disorder. Methods? Totally 1 398 neurological patients from a neuropsychiatric hospital in Nanjing were screened using cluster sampling and 125 patients with cognitive disorder were selected as subjects between January and December 2017. The subjects received a cross-sectional study with Quality of Life in Alzheimer＇s Disease (QOL-AD), Montreal Cognitive Assessment Scale (MoCA), Activities of Daily Living Scale (ADL), Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS) and the general information questionnaire. Variance analysis, Pearson correlation analysis and multivariate linear regression analysis were used for statistical analysis. Results? The morbidity of cognitive disorder in neurological patients from our hospital was 9.3%. Their QOL-AD score was (31.88±6.54). Sex, educational background, nature of work, household income, sleep and bad social relations are factors affecting the quality of life of the subjects (P＜0.05). According to multivariate linear regression analysis, MoCA, SAS and SDS were main factors affecting the quality of life of the subjects (P＜0.05). Conclusions? Male patients with lower education, physical work and bad social relations are high-risk patients with lower quality of life. Cognitive disorder, anxiety and depression are main risk factors affecting the quality of life in patients with cognitive disorder. Nursing workers should improve and maintain the patients＇cognitive ability, enrich their cultural life and social activities, and enhance their mental health, thereby improving their quality of life.

Objective:To explore the risk factors for depression in patients with cognitive impairment and construct a prediction model to preliminarily validate the predictive performance of the model, aiming to provide medical and nursing staff with a screening tool for high-risk groups.Methods:From January 2020 to December 2021, convenience sampling was used to select 1 130 patients with cognitive impairment admitted to the Affiliated Brain Hospital of Nanjing Medical University as the research subject. The research subjects were divided into a modeling group ( n=791) and a validation group ( n=339) at a ratio of 7∶3. The influencing factors of depression in patients with cognitive impairment were determined using binomial Logistic regression and a risk prediction model was established. The predictive performance of the prediction model was tested using the receiver operating characteristic (ROC) curve. Results:The incidence of depression in 1 130 patients with cognitive impairment was 51.3% (580/1 130). Binomial Logistic regression analysis showed that the influencing factors for depression in patients included age, Activities of Daily Living Scale score, Hamilton Anxiety Scale score, Pittsburgh Sleep Quality Index score, and Lewy Body Composite Risk score ( P<0.05). In the modeling group, the area under the ROC curve was 0.921, the Youden index was 0.716, the sensitivity was 0.834, the specificity was 0.882, and the prediction accuracy was 0.858. In the validation group, the area under the ROC curve was 0.896, the Youden index was 0.651, the sensitivity was 0.824, the specificity was 0.827, and the prediction accuracy was 0.825. Conclusions:The depression risk prediction model can effectively predict the risk of depression in patients with cognitive impairment, and can provide a screening tool for high-risk groups for medical and nursing staff.

Lung cancer continues to be the leading cause of cancer-related death in the world, which is classically subgrouped into two major histological types: Non-small cell lung cancer (NSCLC) (85% of patients) and small-cell lung cancer (SCLC) (15%). Tumor location has been reported to be associated with the prognosis of various solid tumors. Several types of cancer often occur in a specific region and are more prone to spread to predilection locations, including colorectal cancer, prostate cancer, gastric cancer, ovarian cancer, cervical cancer, bladder cancer, lung tumor, and so on. Besides, tumor location is also considered as a risk factor for lung neoplasm with chronic obstructive pulmonary disease/emphysema. Additionally, the primary lung cancer location is associated with specific lymph node metastasis. And the recent analysis has shown that the primary location may affect metastasis pattern in metastatic NSCLC based on a large population. Numerous studies have enrolled the "location" factor in the risk model. Anatomy location and lobe-specific location are both important in prognosis. Therefore, it is important for us to clarify the characteristics about tumor location according to various definitions. However, the inconsistent definitions about tumor location among different articles are controversial. It is also a significant guidance in multimode therapy in the present time. In this review, we mainly aim to provide a new insight about tumor location, including anatomy, clinicopathology, and prognosis in patients with lung neoplasm.
Carcinoma, Non-Small-Cell Lung/pathology* ; Humans ; Lung Neoplasms/pathology* ; Lymphatic Metastasis ; Male ; Neoplasm Staging ; Prognosis ; Retrospective Studies