Health coaching is a patient-centered intervention process, which had conducted many years in patients with chronic obstructive pulmonary disease (COPD) and made many positive outcomes. This article reviews the concept of health coaching, specific implementation measures, application effects, existing deficiencies and inspiration in patients with COPD, with a view to providing reference for the further development of health coach technology in patients with COPD.

Ego-depletion is a phenomenon in which an individual's cognitive, emotional and behavioral control ability or willingness declines after long-term self-control. Patients with chronic diseases need to change their lifestyles for a long time, understand and master the knowledge of the disease, and they are prone to self-depletion after diagnosis. This paper summarized the research progress of ego-depletion in patients with chronic diseases through the concept of ego-depletion, subjective measurement tools, and the current research status of ego-depletion in patients with chronic diseases, and provided inspiration for future research directions, with a view to providing ideas for further research on ego-depletion in patients with chronic diseases.

Objective? To investigate the nutritional risk status and nutritional support status of stroke patients during hospitalization so as to provide appropriate post-disease nutritional support for stroke patients and to avoid the risk of malnutrition. Methods? A total of 93 stroke patients admitted in a Class III Grade A hospital in Harbin from December 1st 2017 to September 1st 2017 were selected as the research objects in this study. Traditional evaluation method and comprehensive evaluation method were adopted to investigate and analyze the stroke patients' nutritional risk status, incidence of malnutrition and nutritional support status, and to understand the stroke patients' risk factors for malnutrition and status of getting nutritional support. Results? In 93 stroke patients,14.0% (13/93) patients had varying degrees of malnutrition; the proportion of malnutrition risk was 36.56%(34/93). Upon discharge, the handgrip strength, calf circumference and upper arm circumference were lower than those at admission and the differences were statistically significant (P＜0.05);the stroke inpatients receiving nutritional support accounted for 11.83%. Conclusions? The risk of malnutrition in patients post-stroke is high and the proportion of them who receive nutritional support is low, their nutritional status should be paid more attention to.

Objective:To construct the demand-oriented hierarchical information nursing training model and to explore its effects.Methods:Training specific demands of nurses were defined by survey and hierarchy was divided based on the space distance or professional correlation. The training process was carried out from the top down and with the assessment method drawing support from mobile information technology.Results:We constructed the complete demand-oriented hierarchical information nursing training model. After training, the qualified rates of theoretical test and skill operation of nurses were 99.7% and 100% respectively. Compared with the same period last year, the incidence of adverse event had declined by 4.8%, the score of nursing quality control increased by 2.7%, and patient satisfaction improved by 3.2%.Conclusions:The demand-oriented hierarchical information nursing training model is practical which has the promotion effect on improving nurses' whole professional knowledge and skill practical ability. It is easy to be implemented and operated which can be popularized widely.