Objective To investigate the self perceived health status of the eMerly in nursing home of Hengyang and analyze the related factors. Methods 200 elderly were investigated on their perceived health status by self- rated health measurement scale. Data were analyzed by statistical package for the social science (SPSS)13.0 version. Results Mean score of self- perceived health condition of the elderly was (231.79± 59.71 ),just 40.5% of them believed that their health status was at high level. There were significant differences in self-perceived health status between the elderly with different age, reason for admission, check-in time, self-care abihty, interests and the number of visits. There were no significant differences in self- perceived health status between the elderly with different genders, education, marriage status, occupation. Conclusions The health level of the elderly is low in Hengyang. Nurses should make full use of all the society strength to provide substance, psychological and social supports to impreve health level of the elderly.

Objective To know about the state of the elderly' health and their family function and their relationship in the pension institutions so as to provide the basis of promoting the eldedy' health status for the nurses in the pension institutions.Methods Two hundred and sixty elderly were investigated according to their perceived health status and family function with self-rated health measurement scale and APGER in the pension institutions in Hengyang city,and data were analyzed.Results The average selfrated health score of the elderly in pension institutions was (243.95±64.13),accounted for 55.44% of the total.The score of family function was (5.64±2.57),accounted for 56.40% of the total.The score of dimensions of family function was positively correlated with the total score of self-rated health score,mental health and social health.Conclusions The total score of self-rated health score of the elderly in pension institutions is a little lower.A majority of the elderly has different levels of family function disorder,the effect of family function on the elderly' s mental health and social health is bigger than that of the elderly' s physical health.

Multicultural nursing starts late in our country. At present, the domestic scholars′research is focusing on the influencing factors of multi-cultural nursing ability and cultivating mode. There are few studies pay attention to the cultural competency assessment tool which is limited to nursing students in school. I believe that establishing evaluation tools that suit our national condition, efficient and comprehensive will help reflecting the multicultural nursing ability and the training effect objectively and also promoting the development of multi-cultural care in China.

Objective To investigate the level of self-perceived burden(SPB) and analyze the influencing factors in continuous ambulatory peritoneal dialysis(CAPD) patients.Methods One hundred and ten CAPD patients were investigated by a self-designed demographic questionnaire and Self-Perceived Burden Scale (SPBS).Results The total score of SPBS was (30.27±7.88) points,being in a middle level,and 85.45％ of the patients showed different levels of burden.Single factor analysis showed the influencing factors of self-perceived burden were marital status,family per capita income,the main caregivers and selfcare ability.Conclusions Most CAPD patients have obvious self-perceived burden,nursing staff should use the relevant nursing measures to reduce the SPB with CAPD patients and improve their quality of life.

graduate from self-study examination of nursing,the quality evaluation scale for graduation thesis of undergraduate from serf-study examination of nursing was developed.Methods The quality evaluation scales,which involving the scale using for faculty advisers,the scale using for reviewing teachers and the scale using for thesis defense teachers,for graduation thesis of undergraduate from self-study examination of nursing were constructed by adopting literature method,and so on.The scales were evaluated by reliability analysis,validity analysis,correlation analysis and factor analysis.Results The scale using for faculty advisers included 5 first-level indicators and 16 second-level indicators.The scale using for reviewingteachers included 4 first-level indicators and 14 second-level indicators.The scale using for thesis defense teachers included 5 first-level indicators and 14 second-level indicators.Their content validity indexes were respectively 0.909,0.952 and 0.864.Their construct validity cumulative contribution rates of the dimensions factors were respectively 72.77％,66.19％ and 63.79％.Their internal consistency reliability coefficients Cronbach α were respectively 0.953,0.810 and 0.926.The correlations between each factor and total score were significant.Conclusions three evaluation scales have good reliability and validity,which could be used to evaluate graduation thesis quality of undergraduate from self-study examination of nursing.

Objective To know about the influences of KTH integrated intervention on the blood pressure and quality of life of elderly patients with essential hypertension so as to explore the effective model of health education suitable for them. Methods 120 elderly hypertensive patients recruited from the community in Hengyang city were randomly divided into the experimental group and the control group, each group had 60 patients. The experimental group accepted KTH integrated intervention weekly, and control group was accepted routine hypertension education monthly. The blood pressure was taken before, during and after intervention. Meantime the quality of life was surveyed with WHOQOL- 100 questionnaires before and after the intervention. Results The systolic pressure and diastolic pressure in the experimental group were more lower than those before intervention and those of the control group after intervention. The hypertension of the experimental group was more stable as the time passed. There were distinguished differences between two groups in the quality of life, physical, psychological, social relationships, environmental and spirituality domain. However, there was no distinguished differences between two groups in the domain of independence. Conclusions KTH integrated intervention can make elderly hypertensive patients to keep blood pressure stable and improve their quality of life.

Objective To develop Community Home Mutual Pension Demand Scale and test its validity and reliability.Methods Firstly,the theoretical dimension of Community Home Mutual Pension Demand Scale was constructed by means of literature analysis and resident interview.Secondly,the scale with five dimensions containing 29 items was formed after small range of questionnaire survey.Finally,the data from 384 elderly people in 4 communities of Hengyang city were analyzed by using SPSS17.0 and AMOS17.0 to test its validity and reliability.Results The model consisted of 4 dimensions and 21 items,which explained 69.911％ of the total variance.x2/df=2.097,Tac ker Lewis index (TLI)=0.959,non normed fit index (NNFI)=0.959,relative fit index (RFI)=0.924,goodness-of-fit index(GFI)=0.921,comparative fit index (CFI)=0.966,normed fit index (NFI)=0.938,incremental fit index (IFI)=0.967,root-mean square error of approximation(RMSEA)=0.054;Cronbach α of the total scale was 0.932,Cronbach α of each dimension was 0.801-0.954.The correlation coefficient between dimensions was 0.241-0.592,P＜0.01.Conclusions The scale has good reliability and validity in the measurement of the mutual pension demand of elderly.

Objective To discuss applicability of Emotional and Social Dysfunction Scale in Chinese stroke patients. Methods The Chinese version of Emotional and Social Dysfunction Scale was translated and revised, design the questionnaire to conduct two rounds of consultation on 16 experts, and the positive coefficient, the degree of coordination and the degree of authoritativeness of expert opinions were statistically analyzed. Results The positive degree of two rounds consultation were higher. The expert authority coefficient was 0.89. The expert coordination coefficient were 0.375 and 0.571 (P<0.01 for both). Preliminary revised scale contained 6 dimensions and 27 items. Conclusions Emotional and Social Dysfunction Scale is highly reliable and represent, and it can be used as a tool for Chinese stroke patients to assess emotional and social dysfunction,which can provide references for medical staff and patients′ family members to conduct targeted psychological intervention.

ObjectiveTo study the effects of using bilingual education among different nursing undergraduates in the Nursing Fundamentals, and then make out some proper education pattern. Methods Bilingual education has been implemented for one year in the course of Nursing Fundamentals among 82 nursing undergraduates who have graduated from high school and 81 nursing undergraduates who have graduated from hygiene school in 2003 degree. Results There were significant difference between two kinds of nursing undergraduates in the passed rate of CET 4, P0.05. Conclusion The bilingual education can be implemented in the different nursing undergraduates.

Objective:To explore the effects of online and offline peer support on the quality of life in middle-aged and elderly patients with type 2 diabetes mellitus (T2DM) in the community.Methods:Two sub-communities were selected from a community health service center in Hengyang, Hunan province, and randomly divided into the control community and the intervention community by coin tossing. From November 2018 to March 2019, totally 40 middle-aged and elderly T2DM patients who met inclusion criteria were enrolled from the control and intervention communities and included into the control group and the intervention group, respectively. Patients in the control group received routine community care, while patients in the intervention group received online and offline peer support for 6 months on the basis of routine care. The quality of life, body mass index (BMI) and fasting blood glucose (FBG) were compared between the two groups before intervention, 3 months and 6 months after intervention.Results:After 3 months of intervention, the psychological function, social relationship, quality of life scores of the intervention group were lower than those of the control group, and the differences were statistically significant ( P< 0.05) ; after 6 months of intervention, the psychological function, social relationship, quality of life, BMI and FBG of the intervention group were lower than those of the control group, and the differences were statistically significant ( P< 0.01) . Conclusions:Online and offline peer support can decrease the FBG, improve psychological function and social relationship of middle-aged and elderly T2DM patients in the community, and improve their quality of life.