Objective: To investigate the present situation about the best evidence communication and application of blood specimen collection. Methods: A total of 312 nurses from Zhongshan Hospital Affiliated to Fudan University were investigated with self-designed questionnaire. Results: The scores of the best evidence knowledge of blood specimen collection was 15.23±2.45, 1.9% (6/312) nurses obtained full score. The scores of the best evidence behavior of blood specimen collection was 38.11±2.93, 1.6% (5/312) nurses got full score. Conclusions The nursing staff had a poor knowledge in the best evidence of blood specimen collection. There was a gap between the best evidence of blood specimen collection and clinical practice. The state of communication and application of the best evidence of blood specimen collection is not good.

Objective: To investigate the current status of fear of cancer recurrence in bladder cancer patients, and to explore the correlation between fear of recurrence and quality of life. Methods: A total of 96 bladder cancer patients were recruited by convenience sampling method from April 2017 to July 2017. They were investigated through general information questionnaire, Chinese version of Fear of Progression Questionnaire Short Form and Functional Assessment of Cancer Therapy-Bladder cancer form respectively. Results: The total score of fears of recurrence was 28.76±10.33, the total score of quality of life was 123.66±20.63. A total of 28 patients had a dysfunctional level of fears of recurrence (total score ≥34), the incidence was 29.2% (28/96). There were significant differences in the total scores of fears of recurrence at different ages, fears of recurrence were not related to another sociodemographic factors (gender, educational attainment and income) or disease, treatment related factors. The total scores of fears of recurrence and the total score of quality of life showed a high degree of negative correlation (r=-0.726, P < 0.01), the quality of life in physical, social and family, emotional, functional well being were negatively correlated with fears of recurrence (r=-0.841--0.592, P < 0.01). Conclusions Bladder cancer patients have a higher incidence of fears of recurrence and had an impact on quality of life from the physical, psychological and social domains, nurses should perceive the fears of recurrence of patients as soon as possible and give corresponding intervention measures to improve the quality of life of bladder cancer patients.

Objective: To evaluate the reliability and validity of Chinese-version Good Death Inventory among oncology nurse specialists. Methods: A further revision has been made in the Chinese-version Good Death Inventory from Taiwan experts through expert review and preliminary experiment. The reliability and validity of the Chinese-version GDI was evaluated among 180 oncology nurse specialists. Results: The Chinese-version of GDI was easy to understand. Most respondents finished the whole scale in 25 minutes and the valid response rate of the scale was100%. The I-CVI value of each item was 0.67-1.00, S-CVI/Ave was 0.938. KMO was 0.832, and the revised Chinese-version GDI consisted of 54 items in 18 dimensions (Core 10 Domains and Optional 8 Domains). The total scale′ s Cronbach′ s alpha coefficient was 0.950, split-half reliability coefficient was 0.832. Cronbach′ s alpha of Core 10 Domains was 0.938 and that of Optional 8 Domains was 0.876. Conclusions The Chinese-version GDI is a valid scale to measure end-of-life care comprehensive outcomes from Chinese oncology nurse specialists′ perspective.

Objective: The purpose of this study is to investigate the effect of quantitative exercise on the patients with arteriosclerosis obliterans of the lower extremities over the age of 70 years. Methods: A total of 80 cases elderly patients over 70 years oldfrom the department of vascular surgery were randomly divided into 2 groups, 40 cases in each group, the control group was given conventional nursing, the experimental group was given quantitative exercise with nursing. The pain score, ankle brachial index, quality of life and satisfaction of patients between two groups were compared before and after intervention. Results: The pain score, ankle brachial index, physiological function, bodily pain, social function, mental health and patient satisfaction in the experimental group were 2.13 ± 0.75, 0.89 ± 0.07, 83.25± 8.66, 72.63 ± 13.24, 74.18 ± 10.19, 79.65±8.47, 100% (40/40), and 4.53 ± 1.13, 0.77 ± 0.08, 67.63 ± 5.42, 50.53 ± 8.40, 60.02 ± 10.01, 66.45 ± 7.85, 95%(38/40) in the control group respectively, there was significant difference between 2 groups (t=-9.665-7.664, P< 0.01 or 0.05). Conclusions In elderly patients over 70 years old, the application of quantitative exercise can reduce the pain of patients, improve their quality of life and increase their satisfaction with nursing work, which is worthy of clinical promotion.

Objective: To discuss the nursing on patients with persistent atrial fibrillation during the perioperative period of cryoballoon catheter ablation. Methods: A total of 38 patients with persistent atrial fibrillation and who were to conduct cryoballoon catheter ablation were selected. They were given thoroughpreoperative nursing assessment, vital sign monitoring during operation, nursing evaluation postoperation. Results: Two patients experienced period bradycardia and two patients had phrenic nerve paralysis during operation. One patient had bradycardia, three patients had femoral vein hematoma, five patients had nausea and vomit which all these patients recover after treatment. Conclusions Performing cryoballoon catheter ablation on persistent atrial fibrillation patients required comprehensive nursing evaluation and intervention.

Objective: To understand the experience of young breast cancer patients when disclosing the disease to children. Methods: The phenomenological method was adopted in the study. Semi-structured interviews were performed in 13 young breast cancer patients. The date were analyzed by Colaizzi analysis method. Results: Four themes were found: disclosing decision, professional information needs, feel guilty and worried about children, positive experiences with children. Conclusions The medical staff should reduce patients′ stress of disclosure and make intervention strategy to implement individual guidance.

Objective: To summarize the postoperative nursing experience of 1 patient with pancreatic cancer who underwent pancreaticoduodenectomy combined with superior mesenteric vein resection and artificial vascular reconstruction. Methods: The nursing measures included: paying attention to anticoagulation treatment and observing its effect, strengthening pain management, giving nutritional support, pertinent nursing care for gastroparesis, guiding quantitative respiratory treatment for patient, preventing the lack of trace elements during jejunitas. Results: Through active and effective nursing, the patients were discharged smoothly forty-seven days after operation. Conclusions Through nursing of 1 patient with pancreatic cancer underwent pancreatoduodenectomy combined with superior mesenteric vein resection and artificial vascular reconstruction after surgery, nurses can improve the nursing skills and nursing observation ability, as well as the theoretical basis and practical experience for the future clinical work.

Objective: To summarize the nursing cooperation of axillobifemoral bypass surgery treating stent graft infection after endovascular aortic repair of abdominal aortic aneurysm. Methods: To review a case of stent graft infection after endovascular aortic repair of abdominal aortic aneurysm and summarize the nursing cooperation of this patient retrospectively. Results: After the medical care tacit cooperation and the infection protection, the procedure was successfully completed. The artificial blood vessels of the patient were unobstructed after the operation, and the pulse of both dorsalis pedis arteries was strong. Conclusions Axillobifemoral bypass surgery poses the characteristicsof long duration and complex. Designation of appropriate nursing measures, such as multi-incision management, thrombosis preventing and prevention of ischemia based on potential complications, are essentials of successful operation.

Objective: To investigate the effect of knee-chest position on exhaust and defecation of gynecologic diseases patients after laparoscopic surgery. Methods: This quasi-experiment trail was conducted between July 2016 to May 2017, in a birth control ward at an obstetrics and gynecology hospital in Beijing, China. The study included a total of 258 patients who had gynecological benign diseases and received gynecological laparoscopic surgery. Participants were recruited in the trail by using a convenient sampling method with 130 patients who received gynecological laparoscopic surgery from July 2016 to December 2016 in the experimental group (on the basis of routine care, patients preformed a knee-chest position intervention after 6 hours of the surgery) and 128 patients who received gynecologic laparoscopic surgery between January 2017 and May 2017 in the control group (patients received a routine care). The primary end point was the postoperative anal exhaust. Results: The ambulation rate before post-operative ventilation of the experimental group was 21.5% (28/130) less than that of the control group (91.4%, 117/128). The difference was statistically significant (χ²=127.903, P<0.01). The incidence of abdominal distension after operation was 0, lower than that of the control group 7.0% (9/128), the difference was statistically significant (χ²=9.471, P<0.01). The postoperative exhaust time and defecation time of the experimental group was (8.17 ± 2.88) h,(27.86 ± 4.29) h, earlier than that of the control group, (21.24 ± 5.90) h,(38.69 ± 7.73) h, and the differences were statistically significant (t=22.580, 13.885, P<0.01). Conclusions Postoperative knee-chest position significantly improved the exhaust and defecation of patients with gynecological benign disease after laparoscopic surgery.

Objective: To design and make a mind map of enterostomy health education and provide a reference for health education of patients with enterostomy. Methods: The mental map group was set up, and the contents of health education for patients with enterostomy were initially established by referring to the literature and combining with the clinical practice. The first draft of mental health education mentality of enterostomy was made by drawing software. After consulting and verifying by experts finalized. Results: The formed intestinal orifice health education mind map consisted of 4 parts of admission education, preoperative education, postoperative education, discharge guidance and small modules contained in each part. Conclusions The mind map is comprehensive and can be used for health education of patients with enterostoma.