Objective To explore the differences of bacterial culture results and time consumption between the two methods of holding the syringes to draw physic liquors,so as to find the objective and scientific evidences to raise the efficiency of the clinical nursing work and to ensure the medication safety at the same time. Methods Making bacterial cultures for the physic liquors respectively drawn by grasping the piston of syringes (30 cases in the experimental group) and grasping the piston holder of syringes(30cases in the control group).Recorded the time consumption by grasping the piston of syringes to draw the physic liquors (the experimental group) and grasping the piston holder of syringes to draw the physic liquors (the control group).The testing results were compared between the two groups. Results Bacterial cultures:There was no bacteria growth in both groups.Timing:The time spent by grasping the piston of syringes to draw physic liquors was obviously shorter than that by grasping the piston holder of syninges to draw physic liquors. Conclusions Grasping the piston of syringes to draw physic liquors can ensure the medication safety and raise the work efficiency.

ObjectiveTo analyze the risk factors of pulmonary infection for critically ill ICU patients with tracheotomy,and investigate the methods to prevent nosocomial lung infection. Methods94 patients in ICU with pulmonary infection after tracheotomy from March 2008 to March 2010 were analyzed retrospectively,they were set as the observation group.100 patients in synchronization without pulmonary infection after tracheotomy were set as the control group.The general condition,diagnosis and treatment methods and care,the environment,etc.were studied,the risk factors for nosocomial pulmonary infections after tracheotomy were analyzed.The care methods and points to prevent lung infections for critically ill ICU patients after tracheotomy were summarized. ResultsThe study showed that the respiratory system diseases in critically ill patients,smoking history,low seniority of nursing staff,long-term use of large dose of antibiotics,application of H2 blockers and antacids,and many patients in the same ward were risk factors for critically ill patients with pulmonary infection. ConclusionsLung infection after tracheotomy in critically ill ICU patients was affected by many factors.In the actual operation,we should targeted to avoid infection led by treatment and care factors,environmental factors,control and prevention measures should especially be strengthened for patients with respiratory diseases to prevent lung infection.

Objective To explore the influencing factors of pharmacotherapy effect of ectopic pregnancy and nursing measures. Methods 569 patients with ectopic pregnancy using pharmacotherapy were retrospectively analyzed in our department. Results Among 569 patients,423 patients gained successful treatment,while 146 patients failed the treatment.Blood β-HCG level,diameter of ectopic mass showed by B ultrasound were influencing factors of pharmacotherapy effect.The higher β-HCG level,the longer diameter of ectopic mass showed by B ultrasound,the lower success rate of pharmacotherapy.The patients with β-HCG＜1000 mIu/ml,diameter of ectopic mass showed by B ultrasound less than 1 cm at admission acquired higher success rate of pharmacotherapy. Conclusions Patients with ectopic pregnancy who select conservative medication should be given pertinent psychological nursing,rigorous monitoring of disease condition and adverse reaction of drugs and timely and effective nursing measures,so that patients can get better nursing effect.

Objective To investigate the influence of psychological intervention on the physical and psychomotor development of children born of assisted reproductive technology. Methods 329 cases of ART born children in our hospital were set as the experimental group,the parturients were given pertinent psychological intervention.254 cases of children of spontaneous pregnancy were selected as the control group.The two groups were given follow-up for 24 months.Their physical condition at birth and psychomotor development during follow - up period were compared. Results Compared with the control group,length of infants at birth,body mass of the experimental group were significantly lower,and the incidence rate of premature birth,low birth weight,NICU stay during neonatal stage were higher.But there were no differences in psychomotor development between two groups. Conclusions ART born children of 24-month old show normal psychomotor development,but there are still more unfavorable physical factors,therefore,pertinent nursing intervention should be given based upon psychological intervention in clinic.

Objective To investigate the influence of nursing intervention on insulin resistance and pancreatic β-cell function of patients with diabetes mellitus. Methods 90 patients with type 2 diabetes treated in our hospital from March to December 2010 were chosen as the research object.All patients were randomly divided into the control group (40 cases)and the intervention group (50 cases).The hospitalized patients in the control group were taken conventional treatment methods for treatment.The patients in the intervention group were given nursing intervention on the basis of conventional therapy.The situation of the change of FBG,2hBG,HbAlc,INS,HOMA-IR,HOMA-β before treatment,before discharge and 6 months after follow-up were compared.The influence of nursing intervention on insulin resistance and pancreatic β-cell function were evaluated comprehensively. Results After treatment for the patients of the two groups,the indicators all improved before discharge.FBG,2hBG,HbAlc and HOMA-IR all decreased significantly,while INS,HOMA- β increased significantly.The improved level of the observation group was more significant.The improved values of the two groups showed significant difference. Conclusions Taking appropriate nursing interventions based on routine treatment for diabetic patients aiming at problems arising in their course of treatment can effectively reduce the patients' insulin resistance and improve β-cell secretory function,and enhance the overall effect.

Objective To explore the effect of perioperative nursing on blood sugar and complication of patients with gastric cancer complicated with diabetes mellitus. Methods 59 patients of gastric cancer complicated with diabetes mellitus were divided into the observation group (30 cases) and the control group(29 cases).The control group was given routine nursing,and the observation group was given perioperative nursing in addition.The level of blood sugar and the rate of complication were observed and compared after operation. Results The levels of blood sugar after operation and 24 hours after operation in the observation group were lower than those of the control group.The rate of complication in the observation group was significantly lower than that of the control group. Conclusions Enhancing perioperative nursing in patients of gastric cancer complicated with diabetes mellitus could reduce the blood sugar fluctuation and the rate of complication,which is worthy of clinic application.

Objective To explore the effect of applying phase changing theory mode on reducing depression occurrence of pregnant women after delivery. Methods 89 cases of pregnant women suffered from pre-delivery depression were separately divided into the intervention group (45 cases) and the control group (44 cases) at random.The intervention group accepted the intervention measure of the phase changing theory mode but the control group accepted the routine instruction of the nursing.The EPDS and self-designed ordinary situation questionnaire were used to investigate the two groups.The depression pre and post-delivery and general situation post-delivery were separately compared between the two groups. Results The depression degree of the pregnant women of the intervention group was evidently reduced compared with before intervention and the contemporaneous results of the control group.Postpartum recovery,ability of attending babies and developmental condition of the babies were better in the intervention group than those of the control group. Conclusions The application of the phase changing mode in nursing of parturients can reduce the occurrence of postpartum depression,so as to help them set up a healthy living manner,supply appropriate feeding and attendance for babies and improve the living quality of them.

ObjectiveTo investigate the influence of foot bath with traditional Chinese medicine on physical recovery of patients after cesarean section,in order to prevent postoperative complications. Methods180 cases of parturients after cesarean section were divided into the control group and the experimental group with 90 cases in each group according to ward number and bed number.The experimental group began foot bath 6 hours postoperation,and in the next 3 to 5 days,took foot bath at 7:00 to 8:00 and 21:00 to 22:00 every day,20 minutes per time.The control group only received routine nursing.The anus exhaust time and independent ambulation time were observed. ResultsThe anal exhaust time for the first time,independent ambulation time of the experimental group was earlier than the control group. ConclusionsFoot bath with traditional Chinese medicine can promote gastrointestinal function recovery and early ambulation,improve appetite and sleep quality,reduce postoperative complication and promote physical recovery after surgery.

ObjectiveTo investigate the impact of different infusion methods on the incidence of Cinobufagin-induced phlebitis. Methods80 patients required Cinobufagin infusion were enrolled and were randomized into the observation group and the control group with 40 patients in each group.In the observation group,low dose of phentolamine was added into the Cinobufagin solution.Normal saline was infused into patients before,during and after the course of the Cinobufagin infusion.For the control group,low dose of phentolamine was added into the Cinobufagin solution without normal saline infusion.The incidence of phlebitis was compared between two groups. ResultsThe incidence of phlebitis in the observation group was 27.5％,and the control group was 60.0％.The difference was statistically significant. ConclusionsPhlebitis induced by Cinobufagin-infusion can be prevented by addition of low dose of phentolamine and infusion of normal saline solution before,during and after the course of Cinobnfagin infusion.

ObjectiveTo investigate the early screening; treatment and care methods of the retinopathy (ROP) of preterm children. Methods210 premature children born in our hospital were selected to conduct eye screening,treatment and care from January to December 2009.The nursing key points were summarized. ResultsAmong 210 preterm children,15 cases occurred ROP,the rate was 7.1％.Lesions appeared to be the threshold for laser treatment in 8 patients(16 eyes),accounting for 3.8％.The ROP morbidity rate was higher in birth weight ≤ 1000 g group than that in birth weight ＞ 1000 g group,higher in gestational age ≤32-week group than that in gestational age＞ 32 weeks,higher in the inhalation oxygen concentration ≤ 96％ group than in inhalation oxygen concentration ＞ 96％ group.Significant difference existed in ROP and non-ROP preterm children. ConclusionsThe incidence of retinopathy of premature children was closely related with low gestational age,low birth weight and prolonged and high-concentration oxygen inhalation,timely screening and early intervention care should be given to them.