Objective To establish nursing quality standard for parenchyma high explosive injury cured by VSD and discuss its rationality and maneuver ability.This study aimed to provide evidence and testing tools to evaluate nursing quality of VSD cured parenchyma high explosive injury.Methods We utilized theoretical research and clinical investigation,which applied Delphy of expert consultation method (21 experts and 2-rounds questionnaire and consultation) to quantitatively analyze the weight of all index and to establish standard of nursing quality care.Totals of 120 patients with parenchyma high explosive injury cured by VSD were divided into two groups randomly: experimental group ( sixty five cases ) and control group ( fifty five cases ) .The experimental group guided professional nursing and nursing quality assessment by the standard of nursing quality care, while the control group received routine. The difference had been compared on the length of hospitalization, the days of antibiotic utilization and the satisfaction of patients and families.Results The standard of nursing quality included 5 first level indexes and 40 second level indexes.In the experimental group, the length of hospitalization ( 14.90 ±0.60 ) d and the days of antibiotic utilization ( 8.32 ±1.44 ) d, respectively were lower than the control group[(18.90 ±1.30) d and (9.94 ±1.68) d respectively)], the differences were statistically significant (t=18.965,4.538, respectively;P<0.05).The satisfaction of patients and families were 96.9%and 98.5%in the experimental group while that of the control group were 83.6%and 89.1%respectively, the differences were statistically significant (χ2 =18.965,4.538, respectively;P<0.05). Conclusions The index system and clauses for different level of nursing quality standard acquired centralized comments from expert, so they have high reliability and provide an objective and quantifiable evidence for VSD cured parenchyma high explosive injury.

Objective To explore the prepare and implement the report of Clinical nursing path and its nursing application effects of micro-surgical wound infection, and regulate nursing management of VSD treatment. Methods A total of 50 patients received VSD treatment with clinical nursing path as experimental group during January to November 2013, and regression analysis 50 patients underwent VSD treatment and routine nursing during January to December 2012 as control group. All clinical data collected and analyzed. During VSD treatment, the index of health knowledge, sense of self-responsibility, and health duty in patients had been assessed effects in order to perfect and prove Clinical nursing path. Results The health knowledge, sense of self-responsibility, health duty, stress management, and patients satisfaction were (55. 47 ± 4. 41), (25. 53 ± 1. 60), (26. 12 ± 2. 21), (23. 96 ± 2. 14) and (3. 80 ± 0. 39) higher than these of the control group (P<0. 01). Conclusions Clinical nursing path is an effective method to treat wound infection of micro-surgery by VSD treatment, and can provide a quality nursing service, and enhance patients′satisfaction. It can acquire an excellence economic benefits and has a certain application value for nursing process management.

Objective:To analyze the clinical characteristics of asymptomatic infection of brucellosis, in order to provide reference for prevention and treatment of brucellosis.Methods:Retrospective analysis was used to collect the clinical data of patients with brucellosis asymptomatic infection and confirmed cases admitted to the 940th Hospital of Joint Logistics Support Force of Chinese PLA from 2017 to 2021, and the demography characteristics, clinical manifestations and laboratory test results were analyzed.Results:The results showed that a total of 18 cases of asymptomatic infection and 85 confirmed cases of brucellosis were included, and there was no statistically significant difference in age, gender, occupation and ethnicity distribution between the two groups ( F = 7.09, χ 2 = 0.74, 4.02, 0.55, P = 0.295, 0.785, 0.327, 1.000). The 18 cases of asymptomatic infection of brucellosis were found through screening in key populations, and no clinical symptoms or abnormal imaging signs were observed. The clinical symptoms of 85 confirmed cases were mainly muscle and joint pain, fever, sweating, fatigue, and low back pain; and the imaging manifestations were mainly arthritis, splenomegaly, and spondylitis. The median percentage of eosinophils (0.70%, 1.40%), percentage of basophils (3.05%, 0.40%), C-reactive protein (1.62, 4.62 mg/L), erythrocyte sedimentation rate (1.00, 11.00 mm/h), and antibody titer of serum agglutination test (1 ∶ 100, 1 ∶ 200) showed statistically significant differences between asymptomatic infection and confirmed cases of brucellosis ( Z = - 2.97, - 5.11, - 3.49, - 3.21, - 3.50, P = 0.003, 0.001, 0.001, 0.001, 0.007). Conclusions:There is a difference in the composition of granulocytes between asymptomatic infection and confirmed cases of brucellosis, and the level of inflammatory response indicators is lower than that of confirmed cases. Regular seroepidemiological surveys among key populations can help screen for asymptomatic infection of brucellosis.

Vacuum sealing drainage ( VSD) is widely used in the treatment of soft tissue blast injury wounds , how to care for the wound healing plays an extremely important role .By analyzing the past blast injury data, we found that the current lacking of scientific , standardized and systematic criteria to evaluate the quality of care and clinical pathways mass system management mode , nursing research on the body skin or soft tissue wounds lacking of systematic and comprehensive exposition in soft tissue blast injury and it is still a systemic blank for wounds nursing .So, formulating a more scientific evaluation system of quality of care standards , and designing a scientific and effective quality management of clinical pathway model is important to provide scientific basis and normative guidance for comprehensive blast injuries care in future wars .