Objective:To explore the effect of comprehensive intervention program based on the concept of fast track surgery in early enteral nutrition tolerance and rehabilitation in patients with esopha geal cancer.Methods:93 selected patients were divided into the intervention group and the conventional control group according to the admission time.Patients in intervention group were treated with comprehensive intervention,and control group were given routine nursing care.Enteral nutrition intolerance incidence,the first time of bowel sounds,the first time exhaust and defecation and complications were compared between the two groups.Results:36 patients from 47 patients (76.60％) in the intervention group could tolerate the early feeding,while 24 patients from 46 patients (52.17％) in the control group could tolerate.There was significant difference between two groups (P ＜ 0.05).The first time of exhaust,bowel sounds and defecation,and the hospitalization time of patients in the intervention group were better than that in the conventional control group (P ＜ 0.01).Incidence rate of incision infection,pulmonary infection and intestinal obstruction in patients of the comprehensive intervention group was lower than that in the control group (P ＜ 0.05).Conclusion:Compared with the traditional treatment,the comprehensive intervention can effectively reduce the enteral nutrition intolerance incidence,promote the recovery,reduce hospitalization time and the incidence of postoperative complications,and improve the life quality of patients after surgery.

Objective To comprehend the status of nurses′security culture attitudes in the cancer hospital, and provide a theoretical basis on developing security interventions .Methods The Chinese version of the revised security attitudes questionnaire was used to investigate the security culture attitudes of 331 nurses in a third-grade class-A cancer hospital .Results The cancer hospital nurses had a positive perception on patients′safety with a total mean score of (125.52 ±17.96).The security culture attitudes of nurses were different in different gender, technical title, education and marital status (P<0.05).The each dimensions′score of secure culture and attitude in nursing staffs had postive relationship with the total score (r=0.811,0.865,0.850,0.864, 0.863,0.341, respectivedy;P <0.05).By multiple linear regression analysis , the gender, marital status, education, and technical title were influencing factors impacting on nurses′security culture attitudes(P<0.05). Conclusions Nurse managers should concern about the job satisfaction of medium grade occupational title nurses.They should strengthen communication and guidance to nurses with bachelor degree .Married nurses should also be helped to deal with multi-role conflict .These measures are effective to improve nurses′positivity on security culture, and promote a habit establishment of nursing security and to ensure patients′safety.

Objective To explore and understand the influence of perceived professional benefits on oncology nurses′innovative behaviors. Methods Totally 943oncology nurses were selected to join thestudy, Using the general information questionnaire, nurses′ perceived professional benefits scale and innovative behaviors scale for investigation. Results The average score of oncology nurses′ perceived Professional Benefits Scale was (114.08 ± 16.45) points, the average score of oncology nurses′ innovative behaviors was (31.00 ± 7.00) points. The score of perceived professional benefits of oncology nurses was positively correlated with score of innovative behavior of nurses (r=0.472, P<0.01). Nurses position, level and relatives and friends identity,their own growth and team belonging in perceived professional benefits were the influencing factors of innovative behavior of oncology nurses (t=2.022-4.486, P<0.05 or 0.01). Conclusion The perceived professional benefits of oncology nurses can play a positive role in promoting their innovative behaviors. Nursing managers should pay attention to improving perceived professional benefits of clinical nurses, promote their innovative behaviors and improve the quality of nursing services.