Objective:To explore the effect of Chin-down-plus-larynx-tightening maneuver on improving choking cough and swallowing function in patients after esophageal cancer surgery.Methods:A total of 121 patients with esophageal cancer surgery had been randomly divided into control group and observation group from November 2018 to September 2019. Starting from feeding after surgery, the head and neck were in normal habits when swallowing in the control group, and the observation group used Chin-down-plus-larynx-tightening maneuver to perform swallowing training. The feeding process of two groups was observed and recorded for one week. One week after eating, the water swallowing test and M. D. Anderson Symptom Inventory for Gastrointestinal cancer (MDASI-GI) were used to evaluate the difference of swallowing function and gastrointestinal symptoms between the two groups.Results:During one week period of feeding, the incidence of choking cough in observation group was 3.39%, (2/59), which was significantly lower than that in the control group (14.52%, 9/62)( χ2 value was 4.53, P=0.033). After one week of feeding, the swallowing function showed significant difference ( Z value was 6.07, P=0.014), the gastrointestinal symptoms and the degree of life interference caused by gastrointestinal symptoms of observation group scored 2.57 ± 0.81, 1.76 ± 0.84, lower than those of the control group (4.25 ± 1.54, 2.18 ± 1.24), and the difference was statistically significant( t values were -7.56, -2.17, P<0.05). Conclusions:The Chin-down-plus-larynx-tightening maneuver can promote recovery of postoperative swallowing function in patients with esophageal cancer, reduce the incidence of choking cough, and help reduce the symptoms of digestive tract, and then raise the level of patient′s clinical prognosis.

Objective To evaluate the influence of expert patient program on early quality of life and adaptation in patients after Miles surgery. Methods A total of 103 patients after Miles surgery from February 2013 to July 2014 were selected and divided into intervention group (52 cases) and control group (51 cases) randomly by using random number table. The patients of intervention group participated in a two-month course of expert patient program, and the patients of control group received routine outpatient follow-up. Two groups of patients′ quality of life and adaptation were compared after intervention using QLQ-C30 and Ostomy Adjustment Scale (OAS) after two months intervention. Results Before intervention, each dimensions of quality of life and stoma adaptation had no statistical difference ( P > 0. 05). Each dimensions of quality of life and stoma adaptation in the intervention group were better than those in the control group after two months course of expert patient program except the dimensions of fatigue, difficulty breathing and loss of appetite (t = - 6. 79 - 9. 21;P < 0. 05);scores of total stoma adaptation and its each dimensions of the intervention group were higher than those of the control group (t = 2. 60 - 8. 93;P < 0. 05). Conclusions The implementation of expert patient program can significantly improve quality of life and adaptation level in patients after Miles surgery.

Objective To explore the status and influencing factors on tumor patients′evaluation on nursing service quality.Methods The scale of “inpatients′perceived nursing service quality” based on modified Servperf model was used to conduct questionnaire survey on a total of 345 inpatients with cancer.The status of their evaluation on nursing service quality was analyzed,and the influencing factors were analyzed by Pearson correlation analysis and multiple stepwise regression analysis.Results Total scores of perceived nursing service quality of inpatients with cancer were (1 1 1 .87 ±1 7.60)and score index was 81 .3%;scores of each dimension from high to low were as follows:score of responsiveness was (36.24 ±6.85)and score index was 80.5%;score of caring was (31 .25 ±5.26)and score index was 78.1 %;score of reliability was (1 1 .23 ± 1 .75)and score index was 74.9%;score of assurance was (33.1 5 ±3.1 2)and score index was 73.7%. According to Pearson correlation analysis,ages,education degree,form of paymeng of charges,and family income had negative correlation with patients′percieved nursing service quality (P <0.05);while perceived health condition,frequency in hospital and length in hospital had positive correlation with patients′percieved nursing service quality (P <0.05).It was revealed in multiple stepwise regression analysis that ages,education degree,family income,perceived health condition,frequency in hospital and length in hospital were predictive factors of total score of patients′perceived nursing service quality.Conclusions On the basis of guaranteeing responsiveness and empathy caring,nursing managers in cancer hospitals should give priorities to assurance and reliability in terms of nursing service quality.Moreover,targeted nursing interventions should be given according to influencing factors of nursing service quality.

Objective:To explore the influencing factors of discharge readiness of patients after radical resection of esophageal cancer under enhanced recovery after surgery (ERAS) model and to explore the prediction model.Methods:Using the convenient sampling method, a total of 195 patients with esophageal cancer who were admitted to the department of thoracic surgery in a hospital in Henan Province from January 2019 to April 2020 were selected as the research objects. At discharge, the general and disease-related data collection form, Readiness for Hospital Discharge Scale, M.D.Anderson Symptom Inventory Gastrointestinal (MDAS-GI) , Frail Scale, Time Up and Go Test (TUGT) and Water Swallow Test were used to investigate. Multivariate unconditional Logistic regression analysis was used to analyze influencing factors.A total of 195 questionnaires were distributed in this study, and 189 valid questionnaires were collected.Results:Plasma albumin level, 24-hour food intake, MDASI-GI and TUGT were independent predictors of the readiness for discharge of patients after radical resection of esophageal cancer ( P<0.05) . Finally, the prediction model of postoperative discharge readiness for patients was Y=-3× X1+1× X2+5× X3-4× X4-1× X5 ( Y=discharge readiness; X1=pain score, X2=plasma albumin, X3=24 h food intake, X4=MDASI, X5=TUGT) . Conclusions:The readiness for discharge of patients with esophageal cancer under the ERAS mode is affected by many factors, and the prediction model of discharge assessment is effective, which can provide reference for clinical discharge decision-making.

Objective:To construct a perioperative nursing planning for patients with esophageal cancer based on the concept of enhanced recovery after surgery (ERAS) , so as to provide a basis for the development of ERAS nursing for patients with esophageal cancer during perioperative period.Methods:From November 2019 to September 2020, a perioperative ERAS nursing planning for patients with esophageal cancer was constructed through literature retrieval, field observation, Delphi expert consultation, and analytic hierarchy process.Results:A total of two rounds of expert consultations were conducted. The valid recovery rates of the questionnaire were 95.24% (20/21) and 100.00% (20/20) , and the expert authority coefficients were 0.89 and 0.93. The Kendall harmony coefficients were 0.25 and 0.34 ( P<0.01) . The perioperative enhanced recovery nursing planning for patients with esophageal cancer included 5 first-level indicators, 17 second-level indicators and 49 third-level indicators. Conclusions:The perioperative enhanced recovery nursing planning for patients with esophageal cancer is scientific and reliable, and can effectively standardize and guide the development of clinical nursing work.

Objective:To explore the effect of five-step literature reading mode based on action research method on scientific research ability and innovative efficiency of young nurses.Methods:A total of 50 young clinical nurses from Henan Cancer Hospital were selected as the research objects, and the five-step literature reading salon scientific research training of 20 phases was carried out from May 2020 to June 2021 using the action research method. Through qualitative interviews, Scientific Research Ability Self-assessment Scale for Nursing Staff, Creative Self-efficacy Scale and scientific research output, the training program improvement and effect evaluation were carried out before training, after the first stage of training, and after the second stage of training.Results:After two stages of training, 50 young nurses wrote 43 papers and published 22 papers. The number of nurses who wrote and published papers was 36 (72%, 36/50) and 17 (34%, 17/50) , respectively. A total of 8 patents were approved. After training, the total score of scientific research ability of young nurses and the scores of each dimension, the total score of creative self-efficacy and the scores of each dimension were higher than before training, and the differences between before and after training were statistically significant ( P<0.05) . Conclusions:The five-step literature reading based on the action research method can improve the overall scientific research level and innovative efficiency of young clinical nurses and increase the scientific research output.

As an integral part of worldwide healthcare,nursing still has a big task to make in conducting implementation research.Addressing the pressing challenges of closing the gap between evidence and nursing practice,and effectively disseminating and applying evidence within the nursing discipline,remains a top priority.This paper presents a compilation of the status of evidence implementation in clinical nursing from an implementation science perspective,including the theoretical framework of barriers to evidence implementation,common research methodologies,and research progress of related factors in the field of nursing.The goal of this work is to bring more insights to further advance the implementation of evidence in nursing.

Objective:To study the compliance of endoscopic screening for high-risk population of upper gastrointestinal cancer and relevant factors in urban areas of Henan Province, 2013-2017.Methods:The study participants were from the Cancer Screening Program in Urban Henan Province, China. From October 2013 to October 2017, 43 423 residents, who were evaluated as high-risk population for upper gastrointestinal cancer, were recruited from Zhengzhou, Zhumadian and Anyang. The cancer risk assessment questionnaire was used to collect basic demographic characteristics, dietary habits, living environment and habits, psychology and emotions, disease history and family history of cancer, and women's physiological and reproductive history. The data of endoscopic screening was obtained from hospitals participating in the Cancer Screening Program. Multivariate logistic regression model was applied to explore potential factors related to the compliance of endoscopic screening.Results:The age of study participants was(55.49±8.15) years old, and 44.00% (19 105) were male. About 18.41% of study subjects (7 996) took the endoscopic screening. The multivariate logistic regression analysis showed that females, individuals aged 45-64 years old, with junior high school education or above, unmarried/divorced/widowed, previous smoking, alcohol drinking, infrequent physical exercise, history of reflux esophagitis, history of superficial gastritis, history of gastric ulcer, history of duodenal ulcer, history of gastric polyps and family history of upper gastrointestinal cancer were more likely to accept endoscopic screening.Conclusion:The overall participation rate of endoscopic screening among high-risk population of upper gastrointestinal cancer was still low in urban areas of Henan Province. Gender, age, education, marital status, smoking, alcohol consumption, physical activity, history of upper gastrointestinal disease and family history of upper gastroin testinal cancer were associated with the compliance of endoscopic screening.

Objective:To study the compliance of endoscopic screening for high-risk population of upper gastrointestinal cancer and relevant factors in urban areas of Henan Province, 2013-2017.Methods:The study participants were from the Cancer Screening Program in Urban Henan Province, China. From October 2013 to October 2017, 43 423 residents, who were evaluated as high-risk population for upper gastrointestinal cancer, were recruited from Zhengzhou, Zhumadian and Anyang. The cancer risk assessment questionnaire was used to collect basic demographic characteristics, dietary habits, living environment and habits, psychology and emotions, disease history and family history of cancer, and women's physiological and reproductive history. The data of endoscopic screening was obtained from hospitals participating in the Cancer Screening Program. Multivariate logistic regression model was applied to explore potential factors related to the compliance of endoscopic screening.Results:The age of study participants was(55.49±8.15) years old, and 44.00% (19 105) were male. About 18.41% of study subjects (7 996) took the endoscopic screening. The multivariate logistic regression analysis showed that females, individuals aged 45-64 years old, with junior high school education or above, unmarried/divorced/widowed, previous smoking, alcohol drinking, infrequent physical exercise, history of reflux esophagitis, history of superficial gastritis, history of gastric ulcer, history of duodenal ulcer, history of gastric polyps and family history of upper gastrointestinal cancer were more likely to accept endoscopic screening.Conclusion:The overall participation rate of endoscopic screening among high-risk population of upper gastrointestinal cancer was still low in urban areas of Henan Province. Gender, age, education, marital status, smoking, alcohol consumption, physical activity, history of upper gastrointestinal disease and family history of upper gastroin testinal cancer were associated with the compliance of endoscopic screening.

Objective:To evaluate the compliance of low-dose computed tomography (LDCT) screening for high-risk groups of lung cancer and influencing factors in urban area of Henan province during 2013-2017.Methods:Cluster sampling method was used to select the residents of 40-74 years old in Henan for cancer risk factor investigation and lung cancer risk assessment. Subjects with high risk of lung cancer received LDCT screening. The differences of LDCT receiving rates between groups were compared with χ2 tests, and the time trend of rates were tested with the Cochran- Armitage trend test. The potential factors correlating to the compliance of LDCT screening were identified with multivariate logistic regression models. Results:Overall, 35 672 participants who met the inclusion criteria were included in this analysis, and 13 383 of them received LDCT screening, the receiving rate was 37.52%. The receiving rate varied greatly across cities, ranging from 38.47% to 26.73% ( P<0.05). Moreover, the receiving rate varied greatly across periods, ranging from 29.22% during 2013-2014 to 43.30% during 2014-2015, and the receiving rate increases gradually as the screening year increases ( P<0.001). The multivariate logistic regression analyses showed that: being female, age 45-69 years, with education level of junior high school/high school, previous smoking, drinking or previous drinking, infrequent physical exercise, history of tuberculosis, history of chronic bronchitis, history of emphysema, history of asthma bronchiectasis and family history of lung cancer were positive factors for receiving LDCT screening (All P<0.05). Conclusions:The overall compliance of LDCT screening in high-risk population of lung cancer was still not high in urban area of Henan. Implementation of effective interventions targeting the specific high-risk populations might improve the overall compliance of LDCT screening in the future.