Objective To investigate the application of systematic rehabilitation nursing procedure on improving the life quality of patients with long-term conscious disturbance. Methods A total of 7 patients with long-term conscious disturbance had been chosen as sampling and applied warm bath to stimulate, back slight vibration, sports training and other rehabilitation nursing program. The mild disturbance of consciousness re-scoring( NASVA ) was used to evaluate the quality of life improving in patients. Results The 7 patients received four stages rehabilitation nursing care ( average 6 months) as its procedure, in which two patients got rid of decerebrate rigidity completely while five patients minimized the upper and lower extremity contractures of joint. Compared with the implementation of rehabilitation care before, the 7 cases of patients with long-term conscious disturbance improved their exercise, feeding, excretion, cognition, language expression, verbal commands and other aspects of NASVA score after rehabilitation care with statistically differences (P<0. 01). Quality of life of 7 patients were significantly improved, of which one patients return to school to continue study, and four patients′contractures of lower and upper extremity joint improved and they could go back home,and live with their family and eat by mouth. Conclusions Implementation of systematic rehabilitation nursing procedure can improve the rehabilitation effects for patients with long-term conscious disturbance and contributes to those patients′quality of life.

Objective To explore the application effects of Objective Structured Clinical Examination ( OSCE) . Methods A total of 32 nursing students took part in the skill competition by OSCE mode, and surveyed and analyzed the application effects by questionnaire. Results Over 80% of candidates believed the pre-training help them be familiar with OSCE mode and process and 5 examination station designed reasonable, and over 50% candidates considered that OSCE competition mode benefited clinical skill mastery, formation of clinical ideation and changed the method of learning. 96. 88% of candidates recognized the OSCE should be promoted to the other teaching. However, over 30% candidates viewed that the length of each examination station was not reasonable, and the standardized patients acted by nursing students were common and did not act as real clinical patients. Conclusions The skill competition of OSCE mode can promotes the change of clinical teaching mind and students′ clinical comprehensive ability, and further spread its implementation in nursing practice teaching.