Objective To develop a set of quality indicators for hip replacement transitional care, and to provide reference for objective evaluation and standardization of transitional care in hip replacement. Methods Based on the"structure-process-outcome"model and the current practice of transitional care in hip replacement and patients'need,we developed an item pool dor assessing quality of transitional care by using literature review. Then a 2-round Delphi study was conducted among 16 experts to collect their opinions about these indicators. Results Aftertwo rounds expert advisory,the effective response rates were 17/17, 16/17; Cr coefficients were 0.865,0.855;Wcoefficients were 0.206-0.284, 0.135-0.253, and P values were all less than 0.01. The index system consisted of 3 first-level indicators, 12 second-level indicators,and 64 third-level indicators. Conclusions The constructed nursing quality indicator system in transitional care for hip replacement can provide references for evaluating transitional care in hip replacement qualityof care in a scientific and rational way.

Insomnia is the most common sleep disorder, which is common in clinical patients. Effective evaluation is the premise of improving insomnia. This article reviews the common subjective and objective evaluation tools and methods of insomnia, in order to provide reference for medical staff to scientifically evaluate insomnia and formulate corresponding intervention strategies.

This paper tries to introduce the role of Otago Exercise Program in preventing falls in the elderly and summarize the forms and current application of Otago Exercise Program at home and abroad, aiming to provide theoretical basis and proposals for China's medical workers to take measures to prevent falls in the elderly.

Diabetes and sarcopenia interact with each other, forming a vicious circle, which brings a heavy burden to patients and society. This article reviews the epidemiology, pathogenesis and non-drug interventions of diabetes and sarcopenia, so as to provide reference for the prevention and intervention of diabetic and sarcopenia.

Objective To test the reliability and validity of the Chinese version of Insomnia Severity Index(ISI-C) in patients with insomnia. Methods One hundred and twenty patients with insomnia were selected from Zhongshan Hospital Affiliated to Dalian University. The subjects had completed the ISI-C scale and Pittsburgh Sleep quality Index(PSQI) scale, Epworth Sleepiness Scale(ESS) at the same time. The reliability and validity of the scale were tested by Cronbach α coefficient, item correlation analysis, exploratory factor analysis and ROC curve test. Results The Cronbach α coefficient of the ISI-C was 0.804,the test-retest reliability was 0.887 (P<0.01). The items of ISI-C scale were correlated with the corresponding items of PSQI (r=0.831, P<0.01), ESS(r =0.218, P<0.05). Two common factors were extracted by factor analysis including the severity of insomnia and the influence of insomnia, and the cumulative contribution rate was 63.117% (P<0.01).When the cutting point was 10.5 points, the sensitivity and specificity were 84.0% and 92.3%, respectively (P<0.01). Conclusions ISI-C scale is a reliable and valid instrument. It can be used to measure the insomnia of patients in hospitals.

Objective To establish a nursing outcome evaluation system for hip replacement patients. Methods The nursing records of 400 hip replacement patients of the orthopedic department of a Class Ⅲ Grade A hospital in Dalian City from January 2015 to January 2017 were reviewed. Based on Nursing Outcomes Classification (Third Edition), the evaluation system for hip replacement patients were constructed combined with literature review, semi-structured interviews and Delphi expert inquiry method was applied to determine the entry content of the system. Results A total of 20 experts were recruited in the consultation. The questionnaire recovery rate of the first round consultation was 85% (17/20), and the second round was 100% (17/17). The expert authority coefficients were 0.839 and 0.850, and the variation coefficient was 0.076 to 0.142. After two rounds of consultation, the experts' opinions reached a good level of consistency. The evaluation system of nursing outcome of hip replacement included 6 dimensions,18 second-level items, and 36 third-level items. Conclusions Based on the nursing outcome, the nursing outcome evaluation scale for hip replacement patients evaluated patients from the perspective of nursing. It is beneficial to enhance the specialized nursing quality in orthopedic department.

Stress urinary incontinence (SUI) is the most common type of urinary incontinence and has become one of the urinary system diseases that plague middle-aged and older women. This paper reviews the patient-reported outcome assessment tools for middle-aged and older female SUI patients at China and abroad in four aspects of urinary incontinence symptoms, urinary incontinence specific quality of life, psychological and social adaptation, and treatment effectiveness. The advantages and disadvantages of existing assessment tools are analyzed, aiming to provide reference for the development of specific patient-reported outcome assessment tools for SUI in middle-aged and older women in China, patient symptom management, clinical decision-making, and research.

This paper searches and summarizes related concepts of quality control circle and its application situation in the field of nursing in China,describes the existing problems and solution.This paper offers references for improving the quality management of nursing.

Objective? To evaluate the sleep quality of elderly patients at a ClassⅢ Grade A hospital in Beijing with the Chinese version of Richards-Campbell Sleep Questionnaire (RCSQ) and to assess the reliability and validity of the questionnaire in elderly inpatients. Methods? From October 2017 to July 2018, we selected 155 elderly inpatients at a Class Ⅲ Grade A hospital in Dalian of Liaoning Province by purposive sampling. All of the patients were investigated with the general information questionnaire and the Chinese version of RCSQ. We assessed the test-retest reliability in 30 patients with hospital stay more than one week. Reliability and validity of the questionnaire were tested by the internal consistency, test-retest reliability, split-half reliability and construct validity. Results? The Cronbach's α and split-half reliability of the total questionnaire were 0.898 and 0.837 respectively. The correlation coefficients between items and the total score ranged from 0.805 to 0.909 (P＜0.01). The item correlations of test-retest reliability ranged from 0.362 to 0.884 (P＜0.05) with 0.671 for the correlation in total scores (P＜0.05). Exploratory factor analysis extracted one common factor with 71.541% for the cumulative variance contribution, 0.875 for the KMO value and 460.834 for the Bartlett value (P＜0.01). Confirmatory factor analysis showed that the model fitted well. Conclusions? The Chinese version of RCSQ has good reliability and validity in assessing sleep quality for elderly inpatients which can be an instrument for sleep research or screening in this population.

In recent years, incentive spirometry has been gradually applied to prevent and reduce postoperative pulmonary complications due to its advantages of simple operation, low price and visual feedback for patients. In this paper, the use device and method of incentive spirometry, and the prevent and application status of incentive spirometry in pulmonary complications after chest, abdomen and heart surgery are reviewed, with a view to providing reference for the promotion and application of incentive spirometry in China.