ObjectiveTo study the effect of the rehabilitation nursing and movement training on patients after cardiac valve surgery.Methods26 cases who accepted cardiac valve surgery were assessed with psycho-physiological and cardiac function, then make single rehabilitation nursing measures. Movement training was being done for 20 days as well as mental convalescence and health education of rehabilitation.ResultsCardiac function of all cases was promoted 1-2 grade after rehabilitation. Exercise stress was raised and movement time was prolonged than that of before rehabilitation (P<0.01). The heart rate, systolic pressure, diastolic pressure, binomial product (HR×SBP) ane the lowered S-T segment were also improved significantly after rehabilitation whether in the state at rest or motion with equal time and stress (P<0.01-0.05).ConclusionsRehabilitation nursing and movement training can reduce complications after cardiac valve surgery, raise cardiac reserve, and lower myocardial oxygen consumption. Meanwhile, it can improve myocardial ischemia and raise cardio-pulmonary function. It also can improve quantity of patients' life.

Objective To explore the application effect of project management in preventing the lost of hospitalized senile dementia patients. Methods The project management team to prevent the lost of senile dementia hospitalized patients was founded;the plan of project management to prevent senile dementia patients get lost was made;the goal were set and was link to medical comprehensive office, comprehensive administrative office and integrated logistics office in the treating area of hospitals to carry out the implementation. Analysis and feedback were regular given. We compared the lost rate of senile dementia patients before and after the implementation of the project management and the effects of the lost on patients. Results After the implementation of project management, the lost rate of senile dementia patients decreased from 18. 49% to 2.44% (χ2=15.16, P<0.005);the effluence rate of loss on patients decreased from 40.91% to 33.33% (χ2=8.643, P<0.005).Conclusions The project management can effectively prevent the lost of hospitalized senile patients with dementia and ensure the safety of the patients; it also can enhance departmental cooperation and coordination ability and team cohesion, and stimulate the innovation ability of the team. It is worthy to be popularized in the hospital for the geriatric wards, and retirement organizations.

Objective:To develop the questionnaire of nurses′ neurogenic bladder knowledge, attitude and behavior and test its reliability and validity.Methods:Based on the knowledge-attitude-behavior model,literature reviewing and expert consultation, the item pool was developed.A total of 286 clinical nurses from 4 hospitals in Zhejiang Province were surveyed. The different statistical analysis methods were used to select items and its reliability and validity was tested.Results:The final questionnaire consisted of 42 items: knowledge dimension with 18 items, attitude dimension with 11 items, and practice dimension with 13 items. The Cronbach α coefficient and test-retest reliability were 0.952 and 0.818 respectively. The item level content validity index ranged from 0.857 to 1.000, and the scale level content validity index was 0.993. Seven factors were identified by exploratory factor analysis, accounting for 69.839% of the total variance.Conclusions:The questionnaires reliable and valid,which could be applied to related clinical investigation.