Objective To explore the effect of contract learning on rehabilitation training to patients with stroke . Methods According to the random number table, 120 stroke patients were randomly divided in equal number into control group and observation group. The patients in the control group were treated with conventional nursing during hospitalization and health guidance during follow-up. The patients in the observation group were given rehabilitation training according to contracted learning during the period of hospitalization and follow-up. The time was 6 months. The quality of life was compared between the two groups of patients before and after the intervention, 1 months after discharge, 6 months after discharge. Results After six months of intervention, the 7 dimensions of quality of life, including daily life ability, hand function, mobility, strength, emotion, communication and participation in the intervention group were significantly better than those of the control group (P<0.001). The 6 dimensions of quality of life, including daily life ability, hand function, mobility, strength, emotion, and communication of the control group were significantly better than before the intervention (P<0.001). Conclusion For stroke patients, the rehabilitation training under the learning contract can improve the effect of rehabilitation training so as to improve the quality of life and the prognosis.

Objective:To explore the path relationship among caring perception, resilience and career status of clinical nurses, and provide a reference for promoting the development of clinical nurses' career.Methods:From September to October 2019, 489 clinical nurses from 3 Class Ⅲ Grade A hospitals in Qinghai Province were selected as research subjects by convenience sampling. The investigation was carried out with the General Information Questionnaire, Caring Factor Survey-Caring of Manager (CFS-CM) , Resilience of Medical Staff Scale and Career Status Assessment Scale. Pearson correlation analysis was used to analyze the correlation among caring perception, resilience and career status of clinical nurses, and establish a path relationship model.Results:In this study, 500 questionnaires were distributed and 489 valid questionnaires were returned. Among 489 clinical nurses, the total scores of CFS-CM, Resilience of Medical Staff Scale and Career Status Assessment Scale were (58.62±11.34) , (58.84±9.14) and (80.39±9.82) respectively. Pearson correlation analysis showed that the total scores of clinical nurse caring perception and resilience of medical staff were all positively correlated with the scores of various dimensions and the total score of career status with statistical differences ( P<0.05) . According to the model fitting results, caring perception and resilience of clinical nurses had direct predictive effects on career status, and the path coefficients were 0.37 and 0.43, respectively. Conclusions:Resilience plays a mediating role between caring perception and career. Nurses' caring perception not only has a positive influence on career status, but also positively affects nurses' career status by enhancing resilience. Nursing managers should give a lot of care to clinical nurses and improve nurses' resilience to improve their career status.