Objective To investigate the application of colostomy care products in managing the leakage around PTCD drainage tube, and to discuss its clinical effect. Methods A total of 56 patients with malignant obstructive jaundice, who had received PTCD and suffered from postoperative leakage around PTCD drainage tube, were randomly and equally divided into the study group (n=28) and the control group (n=28). The colostomy care powder, the skin protective film and the colostomy bag were used for the patients of the study group, while iodophors, sterile gauze and mupirocin ointment were employed for the patients of the control group. The incidence of irritant dermatitis around PTCD drainage tube, the degree of comfort to the indwelling tube judged by the patient, and the nursing workload for PTCD drainage tube were determined, and the results were compared between the two groups. Results The incidence of irritant dermatitis around PTCD drainage tube in the study group was obviously lower than that in the control group. And the degree of comfort to the indwelling tube judged by the patient in the study group was much higher than that in the control group. The differences between the two groups were statistically significant (P<0.05). Conclusion Combination use of colostomy care powder, skin protective film and colostomy bag can effectively reduce the incidence of irritant dermatitis around PTCD drainage tube and improve the patient’s condition. Therefore, this method is worthy of popularization in clinical practice.

Objective To investigate the value of self-management intervention based on the law of Ebbinghaus forgetting curve in hospitalized patients with gynecologic malignancies .Methods From October 2012 to March 2014 , 128 cases of gynecologic cancer patients admitted to our hospital were randomly divided into the observation group and the control group , with 64 cases in each group .The control group was treated with conventional self-management education .The observation group was taught by the self-management intervention according to the Ebbinghaus forgetting curve .The postoperative abdominal distention , nausea and vomiting and other symptoms were observed between the two groups seven days later after the operation .The time eating solid food, hospital stays, quality of life and patients satisfaction were compared .Results In the observation group , 10 patients (15.63%) had postoperative abdominal distention , 12 patients (18.75%) had postoperative nausea and vomiting, and the incidence and analgesic drug usage was 17.19%, which were significantly lower than those in the control group (χ2 =11.094, 10.152, 13.227, respectively;P<0.05).In the observation group, patients’ first time out of bed were (33.58 ±7.07) hours, the first flatus time was (39.79 ±1.22) hours, the first time eating solid food was (49.51 ±8.48) hours, and the length of hospital stay was (10.55 ±3.62) days, which were significantly lower than those in the control group (t=2.261, 7.411, 9.584, 2.019, respectively;P<0.05).The score of QOL-BREF one month after surgery in the observation group was (66.88 ±5.61), which was significantly higher than (49.64 ±5.54) in the control group (t =8.146,P <0.05).The patients satisfaction in the observation group was (91.08 ±3.63), which was significantly higher than (63.52 ±4.05) in the control group (t=11.521,P<0.05).Conclusions Based on the Ebbinghaus forgetting curve regular self-management interventions for patients with gynecological malignancies can significantly reduce the incidence of postoperative chemotherapy and adverse events , and promote functional recovery of patients and improve their quality of life .And the self-management education with scientific guidance can help consolidate the effect of self -management education .

Objective To explore the relationship between recurrence fear and coping styles of cancer patients. Methods This study was a cross-sectional study, using the convenience sampling to select 126 inpatient cancer patients as the research object. The Fear of Progression Questionnaire-Short Form (FoP-Q-SF) and Medical Coping Modes Questionnaire (MCMQ) were used. Results The Fear of Progression score was (29.97 ± 9.24) points,the mean score of items was (2.50 ± 0.77) points, and the face dimensions of coping styles was (2.55±0.35) points, the avoidance dimension was (2.54±0.35) points, and the yield dimension was (2.38±0.54) points. Different gender (F=4.36,P<0.05) and marital status (F=3.22, P<0.05) of cancer patients in social family dimension of recurrence fear was statistically significant, different gender of cancer patients in avoid disease dimension was statistically significant (F=6.59,P<0.05). The yield dimension in coping style was positively correlated with the recurrence of cancer (r=0.481, P<0.05). Conclusions The recurrent fear of cancer patients with women, divorce and surrender coping strategy is prominent, women tend to take avoid coping strategy in response to disease. Therefore, it′s important to focus on women and divorced people in the psychological intervention of tumor patients, and guide patients to adopt the positive coping style to reduce the recurrence fear.