Objective To explore the method of traing Nurse-patient communication skills of nursing students. Methods By strengthening the theoretical knowledge students learn and improve the quality of teachers in the humanities, and students in teaching and training activities to increase students awareness of the communication skills of students. Result The communication skills of students had been improved. Conclusions Nursing education should focus on training students in communication skills, encourage students to master nurse-patient communication skills.

[Objective] To observe the clinical curative effect of moxibustion treatment of insomnia patients with type 2 diabetes mellitus, and compare in the moxibustion time under different conditions.[Methods] 90 patients were divided into three groups randomizedly. Both 15min moxibustion group and 30 min moxibustion group receive moxibustion on Shenmen and Sanyinjiao, while compared with wectern medicine grouping receive estazolam. After two weeks, total effective rate, PSQI scale and ISI scale were analyzed. [Results] Total effective rate of 30min moxibustion group was 96.2%, which was significantly higher than 15min moxibustion group(P<0.05)and had no significant difference of the control group(P>0.05). 30min moxibustion group was better than 15min moxibustion group and the control group compared with PSQI total score( P<0.001). ISI score of 15min moxibustion group was significantly higher than control group (P<0.001), then compared with western medicine control group, the score of PSQI in moxibustion 30min group was not statistically significant(P>0.05).[Conclusion] Moxibustion therapy can improve the symptoms of insomnia in patients with type 2 diabetes, significantly improve the quality of sleep, there is a positive correlation between the therapeutic effect of moxibustion and moxibustion time and is helpful to improve the therapeutic effect of moxibustion.

Objective:To investigate the effect of intravenous anesthesia on the detection rate of lesions in diagnostic gastroscopy.Methods:A total of 9 071 subjects who underwent diagnostic gastroscopy at the Digestive Endoscopy Center of Yangzhou University Affiliated Hospital from March 2021 to February 2022 were selected. Data were collected from the gastroscopy quality control system, including age, gender, examination physician, Helicobacter pylori infection, examination method, withdrawal time, number of images left, number of biopsies, biopsy site, gastroscopy diagnosis, pathological diagnosis, etc. They were divided into anesthesia group and general group based on the examination method, and propensity score matching (PSM) was performed on the two groups of subjects. Excluding confounding factors, the detection of lesion location and lesion type in two groups of subjects was analyzed; Simultaneously, univariate and multivariate logistic regression analysis was used to analyze the influencing factors of the detection rate of precancerous lesions and malignant tumors in the upper gastrointestinal tract.Results:After PSM, 1 655 subjects were included in both groups. In terms of lesion location, the detection rate of gastric body lesions in the anesthesia group was higher than that in the general group ( P<0.05), and the detection rate of esophageal lesions in the anesthesia group was lower than that in the general group ( P<0.05); In terms of lesion types, the detection rate of precancerous lesions such as gastric polyps, mucosal protrusions, mucosal atrophy, and intestinal metaplasia in the anesthesia group was higher than that in the general group (all P<0.05). The results of logistic regression analysis showed that intravenous anesthesia was an independent influencing factor for the detection rate of precancerous lesions and malignant tumors in diagnostic gastroscopy ( OR=1.338, 95% CI: 1.070-1.674, P<0.05). Conclusions:Intravenous anesthesia is an independent influencing factor for the detection rate of precancerous lesions and malignant tumors in diagnostic gastroscopy, and can improve the detection rate of upper gastrointestinal lesions.