Objective To explore the role of state-level continuing education courses of oper-ation-room nursing in improving the nursing safety cognition in nursing staff. Methods The state-level continuing education programs about the operating room safety and quality management were held for five sessions from Jan 2007 to Dec 2012, in which a total of 641 people participated. All participants were examined before and after each training session. The scores of the examination were utilized to evaluate the cognitive level of the operation-room nusring safety. Results Compared with before training, the students' scores after training were significantly elevated(P<0.05); compared with that after one training session, the students' scores after four and five training sessions were markedly increased(P<0.05). After hospitals sending representatives to participate in the training, their operat-ing room adverse events were decreasing. Conclusion Holding the state-level continuing education programs about operating room safety and quality management helps the nurse staff improve the cogni-tive level of operation-room nursing safety, and their cognitive level can be reinforced after receiving repeated training sessions. Moreover, holding the continuing education programs can decrease the in-cidence of adverse events and the complications in the operation-room.

Objective To investigate the effects of soft silicone foam dressing on the prevention of intraoperative pressure ulcer in patients undergoing spine surgery. Methods A total of 232 patients were divided into control group and experimental group (116 cases each group) by coin slot method. The control group was treated with conventional pressure ulcer prevention and treatment. The experimental group was treated with conventional intervention measures. Soft silicone foam dressing paste use, the end of surgery to observe the two groups of patients under the chin skin condition. Results In the control group, there were 10 cases at stage I in the lower part of the skin, and 5 cases (4 cases of skin blisters and 1 case of partial cortical absence) at stageⅡ. 2 cases in the experimental group were at stage I; no cases were at stageⅡ, the two groups were no stage Ⅲ and above pressure ulcer occurred in the experimental group under the chin pressure ulcer was significantly lower than the control group, The difference was statistically significant (χ2=10.727, P<0.05). Conclusion Conventional pressure ulcer prevention and control interventions combined with shaped soft silicone foam dressing for skin protection of special parts of chin under prone position surgery is beneficial to prevention of intraoperative pressure ulcers.

Objective To explore the effect of two different core temperature monitoring methods on cardiopulmonary bypass and coagulation function in open heart surgery to provide a reference for monitoring the core body temperature in open heart surgery. Methods One hundred and forty patients undergoing open heart surgery in this hospital from June to December 2016 were divided into the control group(n= 70) and observation group (n= 70). The control group monitored the temperature of nasopharynx and bladder. The observation group monitored the temperature of rectum and nasopharynx. The temperature falling time of cardiopul monary bypass, time of blocking ascending aorta,time of rewarming, total time of cardiopulmonary bypass were recorded during operation. The coagulation function was monitored on 1 d before surgery and at the end of surgery,including thrombolytic time (TT), prothrombin time (PT) and activated partial thromboplastin time (APTT). Results The temperature falling time,rewarming time, total time of cardiopulmonary bypass in the control group were more than those in the observation group, the difference was statistically significant(P<0.01);there was no statistically significant difference in coagulation function indicators(TT,PT,APTT) before operation between the two groups (P> 0.05). At the end of the operation, the coagulation function indicators (TT, PT, APTT) had statistically significant difference between the two groups (P<0.01). The coagulation function indicators in the observation group were better than those in the control group. Conclusion Using the rectal temperature for monitoring the core tempera ture in the patients undergoing open heart surgery under cardiopulmonary bypass is better than using bladder temperature, which can shorten the time of cardiopulmonary bypass and improves coagulation function.

Objective:To construct a dual-track clinical nursing path based on fast and slow channels in Post Anesthesia Care Unit (PACU) to provide references for the implementation of standardized nursing for patients in the anesthesia recovery period.Methods:On the basis of literature review, evidence-based methods were used to construct the classification management of patients in anesthesia recovery period based on the theoretical framework of fast and slow channels. The research team initially drafted the clinical nursing path table in the PACU from May 2019 to June 2019 and conducted two rounds of Delphi expert letter inquiries from July to October 2019 to further revise and improve the path table.Results:The recovery rates of the two rounds of expert consultation were 90.91% and 100.00%. The expert authority coefficient was 0.89, the variation coefficient of the path table was 0.06, and the Kendall harmony coefficient was 0.25. Finally, the flow chart and three levels of anesthesia recovery based on fast and slow channels were formed.Conclusions:The established clinical nursing path in the PACU has reliable results. Based on the fast and slow channels to assess the risk degree of patients in the anesthesia recovery period, the classified management of patients can be implemented in the PACU, providing a reference for clinical nursing practice.

Long non-coding RNAs (lncRNAs) are a group of non-coding RNAs with a length of over 200 nucleotides. Recently, studies have shown that lncRNAs can regulate gene expression at the epigenetic, transcriptional, and post-transcriptional levels, affect the proliferation, migration, and infiltration of tumor cells, and participate in the occurrence and development of benign and malignant proliferative skin diseases, such as keloids, hemangioma, squamous cell carcinoma and melanoma. This review summarizes roles of lncRNAs in the pathogenesis of benign and malignant proliferative skin diseases.

The surgical drape system is a sterile barrier to prevent skin bacteria from entering the incision. The surgical drape system is used to maintain the sterile state of the surgical area, which can reduce the risk of SSI. Therefore, it is the basic measure to prevent SSI. This review summarizes the importance, development, current situation and prospect of surgical drape system, in order to provide reference for clinicians.

Objectives:To investigate the effect of polyester filament fiber surgical drape in neurosurgery.Methods:A total of 181 neurosurgical surgeries were selected from April to July 2019 in a first-class general hospital. They were randomly divided into 2 groups, cotton group (92 cases) were covered with cotton drape, polyester filament fiber group (89 cases) were covered with polyester filament fiber. The anti-permeation performance, incidence of intraoperative hypothermia, and incidence of postoperative surgical site infection (SSI) between the two groups were compared.Results:At the end of the operation, the wetting rate of the cotton draped was 58.7% (54/92) and that in polyester filament fiber was 15.7% (14/89), with statistically significant differences ( χ2 value was 35.605, P<0.05);The incidence of intraoperative hypothermia was 22.8% (21/92) in the cotton group and 11.2% (10/89) in the polyester filament fiber group, with statistically significant differences ( χ2 value was 4.281, P<0.05). The incidence of SSI in the cotton group was 16.3% (15/92) , while that in the polyester filament fiber group was 6.7% (6/89) , with statistically significant differences ( χ2 value was 4.034, P<0.05). Conclusions:In neurosurgical operations with a long operation time and a large amount of irrigation fluid during the operation, using the polyester filament fiber drape can prevent the irrigation fluid from wetting the surgical drape, protect the surgical incision better, reduce the incidence of SSI and intraoperative hypothermia to some extent.

Objective To construct a hospital glucose monitoring standardized management model and to evaluate its effectiveness.Methods Established standardized hospital glucose monitoring management team to develop responsibility and work plan, to assess training and quality control of hospital glucose monitoring standardized management mode regularly.From June 2012 to June 2013, the standardized management was implemented, the questionnaires were conducted before and after the standardized management, on-site inspection and operational assessment were given.Results After the implementation of hospital standardized management mode, 442 nurses gained the knowledge mastery of POCT glucose monitoring from (35.54 ±7.96) points to (87.24 ±4.27) points.The achievement of 37 liaisons in hospital blood glucose monitoring standardized group has risen from(59.65 ±5.22)points to(91.69 ±4.38)points in one year.The quality control results from 38 departments who possess POCT have risen from(52.34 ±6.85) points to(95.47 ±4.62) points in one year. And the differences were statistically significance ( t =120.33, 28.60, 32.18, respectively;P <0.01 ). Conclusions Hospital glucose monitoring standardizes management mode standardizes the management of blood glucose monitoring, improves liaisons’ and hospital nurses’ mastery of blood glucose monitoring.