Objective To investigate the effects of digestive tract nursing intervention on the Ventilator associated pneumonia of patients with cerebral trauma .Methods All the patients of cerebral trauma in ICU were divided into control and experiment groups , control group was adopted routine nursing , experiment group was adopted ventilator bundle and digestive tract nursing intervention on the basis of routine nursing .Then, compared the time of ventilation , the incidence of ventilator associated pneumonia ( VAP ) and the mortality between two groups .Results After the intervention , the time of ventilation [ ( 212 ±38 ) vs ( 146 ±25 ) , t=5.731, P<0.05)], the incidence of VAP (26.76% vs 12.50%,χ2 =3.910,P<0.05) and the mortality (39.44%vs 21.43%,χ2 =4.705, P<0.05) in experiment group were significantly lower than that in control group (P<0.05).Conclusions Based on the common strategy , digestive tract nursing intervention could decrease the time of ventilation , the incidence of VAP and the mortality ,which deserved to be promotion .

Objective To analyze the office blood pressure ( OBP ) and ambulatory blood pressure monitoring (ABPM) among clinical nurses in large hospitals .Methods Totals of 71 clinical nurses from large hospitals of Liaoning provincial were recruited as analysis objects .And 76 female staffs from other institutions took part in the Physical Check-up during the same time were recruited as control group .All the recruited objects received the office blood pressure ( OBP ) and ambulatory blood pressure monitoring ( ABPM ) . Results The prevalence of masked hypertension ( MH) in clinical nurses was higherthan that in control group (14.08%vs 2.63%,χ2 =6.423,P<0.05).The prevalence of white coat hypertension (WCH) in clinical nurses was lower than that in control group (1.41% vs 11.84%,χ2 =4.761,P<0.05).The mean value of OSBP,ODSP of clinical nurses was significantly lower than that of control group [OSBP :(125.35 ±15.14) vs (131.71 ±16.62),t=2.418,P<0.05;ODSP:(76.15 ±9.67) vs (82.94 ±11.25),t=3.907,P<0.05)]. The measured value of 24h-mSBP(127.34 ±13.46) vs (121.09 ±13.73),24h-mDBP(79.47 ±10.36) vs (75.82 ±9.18),dSBP,dDBP,nSBP,nDBP and loading value of dSBP ,dDBP,nSBP,nDBP of clinical nurses were significantly higher than those of control group (t =2.781,2.261,2.918,3.284,2.547,3.544,2.864, 2.561,2.623,2.837,respectively;P <0.05).Conclusions Among clinical nurses from large hospitals, measured value and loading value of ABPM were higher , OBP was lower and MH prevalence was increasing .

Objective To analysis the re-hearing expectations and the need for auditory training and the time of adaptation exchanges after cochlear implantation .Methods Sixteen cases of adult postlingual deafness, which were selected, from 2002 to 2011, were treated by cochlear implantation .9 cases participated in speech training right after cochlear implantation , and 7 cases didn ’ t participate in speech training .In the initial stage, the patients were given the tone and input hearing test with voice frequency in the natural environment.The auditory training was for 2 hours a day, which included single and combined training .The training method was comprehensive , including auditory speech perception , writing and verbal expression .The training focused on the coherence and clarity of oral Reading .One training course was 3 -10 weeks .The efficacy of the training with the combination of sound and the ability to adapt to society was analyzed . Results In 10 cases joining the training , 4 cases instantly began to auditory training after cochlear implantation and lasted for more than 5 weeks.1 case discontinuously trained for 4 weeks, and other 5 cases trained transiently ( less than 3 ~4 days ) .6 cases refused to participate in the training process after cochlear implantation .Assessed by the “the lowest auditory function test vocabulary”, the distinguish rate of 5 patients was 90.3%after training for more than 4 weeks, who gradually adapted to working and learning environment after 5-7 months, and gained normal communication after 1.5-2.0 years.The distinguish rate of 5 patients was 36.0%after training for several days , and 2 patients cannot accomplish the test .Besides, the 6 patients without participation the training program cannot finish the assessment for over 2 years after cochlear implantation.Conclusions Cochlear implantation provides patients with the possibility of re-hearing, and the postoperative training can help patients in communicating in social life .A variety of factors can affect the efficacy of re-hearing adult patients with post-lingual hearing after cochlear implantation .

Objective To observe the status of nutrition knowledge mastery and dietary education way among patients with type 2 diabetes,so as to provide reference for their self-management.Methods A total of 100 patients with type 2 diabetes between August 2011 and August 2012 were investigated with the Court homemade nutrition knowledge questionnaire , then were randomly divided into observation group and control group with each group 50 cases.Control group received conventional dietary intervention ,while observation group were given joint simulation food model food to exchange copies law education .Related indicators of the two groups were compared after 3 months,and its influencing factor were analyzed by KPR .Results Most patients with diabetes nutrition knowledge awareness were low , which understand the food exchange copies of the concept was only 3 patients (3.00%), 53 cases (53.00%) patients understand the higher fat content of food .After the intervention, fasting blood glucose [(6.09 ±1.35 vs 6.81 ±1.37)mmol/L)],2 h postprandial blood glucose [(9.03 ±3.22 vs 11.65 ±3.12)mmol/L],glycosylated hemoglobin [(6.22 ±0.76 vs 7.41 ±0.82)%] and blood cholesterol levels [(5.01 ±1.03 vs 5.41 ±0.92) mmol/L] in observation group were significantly decreased than that in control group ( t =-2.647, -4.132, -7.526, -2.048, respectively;P <0.05 );Univariate analysis results showed that educational experience and education level were the important influencing factors of nutritional knowledge of patients .Conclusions Food simulation model combined with food exchange parts by law can effectively improve the intervention effect of type 2 diabetes, health care workers and staff should strengthen the guidance for diet and nutritional knowledge .

Objective To study the psychosocial impact and the level of anxiety of the HPV infected women so as to provide reference evidence for designing psychosocial interventions program .Methods Self-made questionnaire and self-rating anxiety scale ( SAS) were used to investigate the psychosocial impact and the level of anxiety of 287 HPV infected women .Results The common psychosocial impact was stigma , fear and self-blame.The SAS scores of one type HPV infected group and multi type HPV infected group were (53.17 ± 13.73) and (55.42 ±10.64) scores,respectively, there was no significant difference between the two groups (t=0.653,P>0.05).The SAS scores of high-risk subtype HPV infected group and low-risk subtype HPV infected group were (68.14 ±16.73) and (40.25 ±9.07) scores, respectively,and the SAS scores of high-risk subtype HPV infected group was higher than that of low-risk subtype HPV infected group ( t =2.625, P <0.01).Conclusions Common psychosocial impact of HPV infected women was stigma , fear and self-blame. The SAS score of high-risk subtype HPV infected group was higher than that of low-risk subtype .

Objective To explore the effects of family-centered care on quality of life in parents of children with cerebral palsy .Methods One hundred and four parents of children with cerebral palsy from February to May, 2011, were distributed into intervention group , and 52 parents of children with cerebral palsy from October to January , 2011 , were distributed into control group .The family-centered care was used among intervention group , while the control group was treated with traditional nursing care . The World Health Organization Quality of Life Scale Measure Abbreviated version ( WHOQOL-BREF ) and Newcastle Satisfaction with Nursing Scale ( NSNS ) were used to assess the two groups before and after the intervention . Results Before intervention, the scores of WHOQOL-BREF had no statistical differences . After the intervention, the scores of each domain of WHOQOL-BREF in intervention group were (62.64 ±13.63) in Physiological areas, (59.46 ±14.15) in psychological areas, (63.41 ±13.40) in social relations, (48.52 ± 15.20) in environmental field; and the score of NSNS was (57.15 ±6.38).The scores of each domain of WHOQOL-BREF in control group were ( 54.40 ±13.22 ) in physiological areas , ( 47.12 ±16.16 ) in psychological areas, (53.98 ±13.52) in social relations, (42.43 ±13.35) in environmental field; and the score of NSNS was ( 51 .42 ±7 .90 ) .The scores of WHOQOL-BREF and NSNS were significantly higher in intervention group than that in control group (Z=-3.139, -4.136, -3.792, -2.232, -4.725; P<0.05).The scores in each domain of WHOQOL-BREF in intervention group, after applying the family-centered care, were significantly higher than before ( Z =-4.213, -4.068, -3.299, -4.160; P <0.05 ). Conclusions The family-centered care can improve the quality of life and nursing satisfaction of parents of the children with cerebral palsy .

Objective To investigate the psychological and behavioral change of student nurses after contacting with syphilis patients and to seek the measures to improve the awareness of related knowledge , in order to help them overcome the psychological fear and to strengthen their protection awareness .Methods A self-designed questionnaire on syphilis-related knowledge was used to randomly survey 100 student nurses who were in clinical practice at our hospital .Results In the 100 questionnaires , most of student nurses had poor-mastering knowledge on syphilis .84% student nurses were afraid of being infected with syphilis , and 92%student nurses would wash hands and disinfection after caring of syphilis patients .Conclusions The student nurses have relatively poor knowledge on syphilis , so the education on syphilis should be paid much more attention, as well as the education of professional ethics .Thus, the student nurses can improve the awareness of self-protection , and provide syphilis patients with better meticulous nursing care .

Objective To investigate the effect of promoting natural delivery by implementing the systemic exercise and diet intervention for obstetric VIP primiparas during the middle and late pregnancy period . Methods From January 2011 to March 2012 , 97 primiparas were chosen as the intervention group in obstetric VIP clinic;at the same time, 274 cases of pregnant women were chosen as the control group from the general antenatal clinic of the hospital .Neither of the two groups of pregnant women had movement contraindication , and they all voluntarily made the decision for vaginal delivery .Pregnant women in the control group only accepted the general out-patient routine prenatal check-up and health guidance;while the pregnant women in the intervention group received the VIP systemic exercise and diet guidance in addition to the outpatient routine prenatal check-up and health guidance .The fetal presentation height before delivery , the degree of cervical dilation, the time of birth process, the amount of postpartum bleeding and the mode of delivery were compared within the two groups.Results The natural birth rate in the intervention group was 70.1%significantly higher than that of 35.8%in control group (χ2 =32.788, P<0.01).The descending level of fetal presentation in the intervention group was ( -0.65 ±1.15) cm, which was significantly lower than ( -1.12 ±1.10) cm in the control group (t=2.65, P<0.01).The total labor time and the first stage of labor time were (369.10 ± 166.82)min and (334.72 ±165.69) min, respectively, which were significantly shorter than (439.48 ± 177.93)min and (403.06 ±174.67)min in the control group (t=-2.57, -2.53;P<0.05).The weight of pregnant women before delivery and that of the neonates were (74.70 ±4.80) kg and (3 489.00 ±66.89) g, respectively, in the intervention group, and were (77.80 ±4.70)kg and (3 680.00 ±54.62)g, respectively, in the control group.The differences were significant (t=1.83, 1.12; P<0.05).Conclusions The VIP clinic provides the pregnant women with systemic exercise intervention and nutritional diet guidance , which result in decreasing the cesarean section rate , increasing the natural delivery rate , effectively shortening the time of labor process and reducing the amount of intrapartum bleeding .

Objective To explore the effect of reducing anxiety of patients with functional gastrointestinal disorders by acupoint massage therapy in combination with footbath therapy .Methods Eighty-six cases were randomly divided into control group and observation group , 43 cases in each group .The control group was treated with traditional psychological care method .Based on the control group , the observation group was adopted the acupoint massage therapy in combination with footbath therapy .The clinical improvements in each group was compared , and assess the anxiety of patients before and after the therapy using the self -rating anxiety scale ( SAS).Results The effective percentage of observation group was 95.35%, and it was significantly better than that of 74.42%in control group (χ2 =4.42, P<0.05).When patients first admitted to hospital, the scores of SAS were (53.42 ±5.81) in observation group and (53.33 ±5.73) in control group, respectively (t=0.07, P>0.05).Before discharge, the scores of SAS were (40.37 ±4.32) in observation group and (50.23 ±5.62) in control group, which showed a significant reducing sign of anxiety in observation group (t=9.12, P<0.01).Conclusions The acupoint massage therapy in combination with footbath therapy helps to eliminate patients ’ anxiety.The method is simple and less painful , which is helpful to obtaining patients’ enthusiasm of cooperation in treatment , and improving early recovery .

Objective To evaluate the method of classification of nursing techniques , and to implement the multi-level training of nursing staff and nursing management; and to provide the preliminary data and theoretical basis .Methods One hundred nursing experts were invited . By applying the method of brainstorming, clinical nursing techniques in common use were then listed .To assess the difficulty of each nursing technique , we invited 35 nursing experts , who classified each nursing technique according to the nature of nursing technology and varying degrees of difficulty .Results Ninty-two clinical nursing techniques was listed and divided into 2 categories .Then according to the difficulty of each technique , they were classified to 3 degree.Conclusions The score of the difficulty of each nursing techniques can interpret the clinical situations , and it can be used as a nurse hierarchical standard .It is also can be used for the skill training of nursing staff and job qualification standard .