Objective To study the relationship between quality of life and social support and ex-plore effective ways to improve quality of life in patients with cardiomyopathy. Methods In-hospital pa- tients (50 cases) with eardiomyopathy were randomly selected and inquired by applying general quality life inventory(GQOLI-74) and social support rating seale(SSRS),compared with 45 normal people as the con- trol group. Results Compared with the control group, quality of llfe (P < 0.05) and social support (P <0.01 ) in patients with eardiomyopathy decreased significantly.Social support was positively related with quality of life (r =0.614, P < 0.01 ). Conclusions Quality of life is closly related with social support in patients with cardiomyopathy. Improving quality of life by social support in patients with cardiomyopathy should be emphasized and make effective use of in the courses of nursing.

Objective To study the clinical characteristics of epidemic Japanese encephalitis in 4 adult patients and to improve the level of diagnosis.Methods The clinical characteristics, laboratory results and MRI features of 4 adult patients with epidemic Japanese encephalitis hospitalized in our hospital between 2007 and 2008 was retrospectively reviewed and analyzed.Results All patients were sporadic.Two were female and others were male with the age from 34 to 68 years old and onset in summer and autumn.One patient had diarrhea at onset while others had fever and headache at onset.All patients had high fever and psychiatric symptoms.Two patients had respiratory failure.Obvious elevation of white cells in cerebrospinal fluid was seen in all patients and Japanese viral antibody of IgM was all positive whereas the image of MRI was abnormal only in one patient.Two patients had neurological sequelae.Conclusions The clinical manifestations of epidemic Japanese encephalitis in adults are severe and untypical and the respiratory failure is likely to occur.

Objective:To explore the improvement degree of quality of life of elderly patients after elective cardiac surgery, and analyze its influencing factors three months after surgery.Methods:From February to September 2019, 260 elderly patients with elective cardiac surgery in the Cardiac Surgery of Qilu Hospital of Shandong University were selected by convenient sampling. A questionnaire survey was conducted one day before the operation. The survey tools included the General Information Questionnaire, Hospital Anxiety and Depression Scale (HADS) , Brief Illness Perception Questionnaire (BIPQ) , Perceived Social Support Scale (PSSS) , and the MOS 36-Item Short Form Health Survey (SF-36) . Three months after operation, the patient completed the SF-36 through telephone follow-up. The quality of life of patients before and three months after operation was compared, and the influencing factors of the quality of life of patients three months after operation were analyzed by multiple linear regression.Results:A total of 260 elderly patients undergoing elective cardiac surgery were enrolled before operation. Before operation, the total score, scores of physical health dimension and mental health dimension of quality of life were (43.30±9.10) , (43.76±9.39) and (42.85±12.04) respectively. A total of 215 patients were followed up three months after operation, and the total score, physical health dimension and mental health dimension scores of quality of life were (67.64±15.85) , (68.53±11.87) and (66.75±21.39) respectively, with statistical differences ( P<0.01) . Multiple regression analysis showed that the influencing factors of the quality of life of elderly patients with elective cardiac surgery three months after surgery were age, Intensive Care Unit residence time, hospital stay, preoperative depression, positive disease perception, and social support ( P<0.05) . These variables accounted for 68.9% of the variance of quality of life 3 months after surgery. Conclusions:The physical and mental health dimensions of the quality of life of elderly patients with elective cardiac surgery are improved three months after surgery. Medical and nursing staff can provide sufficient disease information and social support for elderly patients undergoing elective cardiac surgery, carry out preoperative screening, implement targeted intervention, reduce patients' preoperative negative psychology, shorten hospital stay, and further improve their postoperative quality of life.