Objective Observation and nursing on the habitual constipation in the elderly treated by retention-enema with trigeminy viable organism via high-position colon dialyzer. Methods 60 elderly patients with habitual constipation were divided into two groups randomly, 30 cases respectively. The patients in the observation group were treated by retention-enema with trigeminy viable organism via high-position colon dialyzer, while others by conventional therapy. To compare the improvement on their simultaneous phenomenon of constipation (defecation interval, stool character, exertion effort and so on) and adverse effect. Results The therapeutic effect in the observation group is better than that in the control group and the difference was statistically significant (P < 0. 01 ). Conclusions Retention-enema with trigeminy viable organism via high position colon dialyzer has a good effect on the habitual constipation in the elderly.

Objective Discuss the preventions of complications and nursing characters after split liver transplantation in children. Methods Retrospectively analyze the clinical materials of the two cases of child split liver transplantations operated by our center. Results Acute rejection and simple appendicitis happened in one patient. Both patients had some complications including pleural effusion, neuro-system and psycho-system complications, electrolyte disturbances and etc. No bile leakage and bleeding occurred. They took a favorable turn with treatments. Conclusions There were some differences between children and adults in categories of primary liver diseases, pathophysiologic characters, operation methods and complications of operations. In children, the operations were difficult and the complications were more. The postoperative managements were complicated. Emphasizing observation after operation, finding complication as soon as possible and early treatment could help living through perioperative period.

Objective To analyze the clinical care issues of the elderly malignant blood cancer and figure out the strategies. Methods Review and summarize clinical care issues during the care of 19 elderly patients with malignant blood cancer. Results All the patients had various degrees of psychiatric symptoms (all had sleep disorders, 2 cases of diagnosed depression), 11 cases of infection, 5 cases of malnutrition, skin problems occurred in 9 cases (various degrees of petechia, ecchymosis), 0 patients had cancer pain, 8 patients had the changes of the form and frequency stool (diarrhea, diarrhea) , 1 patient with chest drainage tube, 1 patient with abdominal drainage tube, 1 patient with chest and abdominal drainage tube, 3 patients with large venous tube, IS patients with PICC tube, 1 case with enterostomy. Through targeted clinical care measurements, the life quality of the patients was greatly improved and the life year was extended. Conclusions During the clinical care of 19 elderly patients with malignant blood cancer, we provided the intervention measurements characterized by the combination of physiology and psychology. These measures had made the patients actively cooperate with the treatment and improved their quality of life.

Objective To analyze the causes of food choking and assess its risk so as to prevent its occurrence. Methods We made choking risk evaluation scale by analyzing the food choking events, which happened to inpatients. The scale was adopted to assess the choking risks of 1364 inpatients with mental disorders, the results shown that 166 cases had the risk; thus further targeted nursing was applied in them to get rid of the risk. Results The incidence rate of choking in intervention period (from October, 2009 to February, 2010) was significantly lower that in the control period (from March, 2009 to August, 2009) (P <0. 05). Conclusions it is effective to prevent incidence of food choking by dynamically assessing food choking risks, establishing corresponding management system and performing nursing interventions on inpatients with mental disorders.

Objective To investigate the effects of general intervention iatreusis to the treatment compliance of the patients suffered chronic heart failure. Methods 80 patients suffered chronic heart failure were randomly assigned to experiment and control group, each group is 40 cases. The experiment group received general intervention measurement including healthy education, psychological guidance, rehabilitative exercise etc; the control group received conventional nursing care, the Effect of treatment compliance was assessed after following up them for half a year. Treatment compliance behavior was divided into completely obey, partly obey, and un-obey. The completely obey and partly obey were calculated into treatment compliance. The statistical data was analyzed and compared in the two groups. Results The treatment compliance rate of experiment group is 95% , the control group is 65%. The differences was significant (P<0. 05). Conclusions The general intervention measurement can significantly improve the treatment compliance of the patients suffered chronic heart failure, and promote them rehabilitating.

Objective To analyze the application of objective structured clinical examination (OSCE) in graduation examination of nursing undergraduate students to promote exam reform. Methods Multistation OSCE was carried out among 110 nursing undergraduate students of Grade 2006 in our school at the end of graduation practice, and the results were analyzed. Results Fine reliability and validity was found of OSCE. Authentic performance of the students was reflected. Conclusions OSCE is a scientific and effective evaluation of clinical nursing ability among nursing undergraduate students.

Objective To give full play to the nurses in the supply department in teaching management, improve teaching model of the supply department. Methods To collect and analyze 43 patients' informations about training for equipment arrangement in our hospital from 2009. 6 to 2010. 5. Results All nurses met the standard of clinical quality evaluation in training period, new employees got the average score of (9.91 ±0. 12). Conclusions Instructing teacher plays a key role in equipment arrangement teaching, and effectively promote their professional level.

Objective To analyze the condition of Japan Dafen Medical University Nursing College' s fundamental nursing training and the current situation of domestic fundamental nursing training, collect domestic and foreign Nursing Colleges' fundamental nursing trainings' informations, continuously investigate nurse student training mode. Methods To compare the understandings and the ways of nurse student training in China and Japan, study the way of systematic fundamental nursing training in nursing college. Results Fundamental nursing was related to the benefits of the patients, the nurses must implement the fundamental nursing responsibility to the patients, work firmly on the fundamental nursing job, make efforts to raise the quality of fundamental nursing, gradually solve the problem that the patients' family members or external hiring person who have to undertake the nursing job of the patients, ease the patients' family' s burden. Conclusions Through the investigation and comparison, it is important at the same time keeping the characters of each side, learn the advantages and correct the mistakes, in order to let the nurse students gain strong consciousness of doing good fundamental nursing services during the school time, practice firmly on the basic technique, work well on foundational nursing, let the nurses come back to the patients, provide a safe, efficient, convenient and satisfied nursing service.

Objective To discuss the application of computerized management of pathological specimens in operating room to put emphasis on the improved solution and optimized management process. Methods Through analysis of the features and shortcomings of the basic management process, we reformed the workflow with the help of information technology. Results In the operating room, we applied the computerized management policy in the whole course management of pathological specimens, including application for examination, collecting, verifying and receiving specimens. Conclusions Computerized management system standardizes the management of pathological specimens, enhances the accuracy and efficiency of workflow and improves the instantaneity and convenience of the supervision.

Objective to Investigate the method of prevent leakage of radioactive medicine after intravenous injection. Methods To compare the situation of medicine leakage after intravenous injection after the nurses and patients press together (experimental group) with the patients press 5-10 min after the nurses press for a moment(contrast group 1 )or the nurses press 1 min (contrast group 2) respectively, to observe the relationship between the different oppression methods and drug leakage. Results When the operating time were the same, the experimental group reduced the vascular leakage of drug compared with the contrast group 1 (χ2 = 32.264, P < 0. 01). When operating time didn' t extend, the experimental group also could reduce the vascular leakage of drug compared with the contrast group 2 ( χ2 = 0. 260, P = 0. 610, P > 0. 05). Conclusions The method of nurses and patients press together don' t increase operating time and can reduce medicine leakage from vascular. It is acceptable by patient.