Objective To explore the application value of the situation-background-assessment-recommendation(SBAR) communication mode in the patients with acute myocardial infarction (AMI).Methods Ninety-four cases of AMI patients who were hospitalized in the department of cardiology in Wuxi No.2 People's Hospital of Nanjing Medical University were included and were randomly divided into the conventional group and the SBAR group. There were 47 cases in each group. The patients in the conventional group were given the routine care; the patient in the SBAR group was given the SBAR communication mode. The nursing satisfaction and the incidence of adverse events in the 2 groups were compared.Results The nursing satisfaction in the SBAR group was 95.74%, which was significantly higher compared to the conventional group (70.21%,P<0.05). The total incidence of adverse events in the SBAR group was 4.25%; in the conventional group the incidence was 25.53%. The difference between the 2 group was significant (χ2=6.42,P<0.05).Conclusions The SBAR communication model can effectively improve the quality of the nurses' disease observation and the nursing satisfaction and reduce the incidence of clinical adverse events, which was worth clinical promotion.

Objective To explore the application of evidence-based nursing in patients with coronary atherosclerosis heart disease (CHD)who received percutaneous coronary intervention (PCI)in selected days.Methods A total of 85 CHD patients undergoing PCI in selected days were randomly divided into observation group (43 cases)and control group (42 cases).Control group was treated with routine nursing while observation group with evidence-based nursing.Re-sults The compliance rates of observation group was 95.35%,evidently higher than the 78.57%in control group (P <0.05).Self-rating anxiety scale (SAS)and self-rating depression scale (SDS)scores decreased markedly in both groups after interventions than intervention before, which were apparently lower in observation group than in control group,and there was significant difference (P <0.05).One month after operation,observation group was obviously higher in seat-tle angina questionnaire (SAQ)than control group (P <0.01).Conclusion Evidence-based nursing can increase the therapeutic compliance,promote the negative emotions and improve the postoperative quality of life of CHD patients with PCI.

Objective To explore innovative forms of health education in nursing management of ambulatory surgery under the health care reform situation.Methods Single disease health education guidelines were established according to standard clinical nursing path.Health education manager model was formed by combination of health education information platform and personal responsible nurses.By applying four-grade quality control management,individualized and overall health education was conducted to the patients.Therapeutic effect of patients in the ambulatory surgery ward was evaluated.1 300 discharged patients were surveyed by phone about their satisfaction to the nursing.Results Hospitalized days and expenses of patients undergone ambolatory surgery were fewer than patients with the same disease yet in general wards;0.08％ of the patients were transferred to general wards,and another 0.08％ were readmitted because of accident.Patients' satisfaction to the nurses' technique,service,communication and education was 100.0％,98.2％,100.0％ and 100.0％.Conclusions Health education manager model in ambulatory surgery ward can guarantee therapeutic effect of the surgery and meet the patients' need of health education.

Objective To design an index card based on SBAR communication model for the shift changes of intensive care unit ( ICU) nurses and increase the effective communication between nurses and the quality of shift changes, and ensure the safety of patients. Methods According to the standard SBAR communication mode, we designed the index cards for ICU nursing shift handover and applied it to the process of nursing shift from May 2015. Nurses′mastery of the patient′s condition, the quality of shift, and the proportion of adverse events caused by poor communication were compared before( May 2014 to April 2015) and after( May 2015 to April 2016) the use of index cards. Results A total of 383 cases of patients used index cards, the nurses′mastery degree of the patient′s illness condition increased from (86.62±5.23) to (91.68±4.71), and the quality of shift improved from (90.89±3.35) to (94.44±2.66) (t=5.57,5.58;P<0.05). Nursing adverse events due to poor communication was significantly decreased, and the incidence rate of pressure scores decreased from 3.17% to 1.04% (χ2=4.17,P<0.05) . Conclusions The index cards for the duty shift of ICU nurses based on the SBAR communication model helps to promote the effective communication among ICU nurses. It improves the quality of shift and guarantees the patient safety.

Objective To investigate the effects of companion support on oral medication compliance and anxiety in tumor patients.Methods A total of 78 cases of tumor patients with pain were randomly divided into intervention group (n=39) and control group (n=39) and investigated using randomized controlled study. Patients in control group received routine analgesic care, while patients in intervention group received additional 3-month companion support intervention. Treatment compliance and anxiety of patients were compared between two groups.Results After the intervention, patients′ treatment and medication compliance including number of oral medication, medication time, dosage, adherence to continuous medication in intervention group were better than patients in control group. The differences were statistically significant (t=6.366, 2.646, 3.552, 2.588, 3.551;P<0.05). The scores of anxiety of the patients in intervention group were significantly lower than that in control group (t=-2.542,P<0.05).Conclusions Companion support intervention can increase oral medication compliance and improve the anxiety of tumor patients.

Objective:To understand changes in psychological resilience of nurses rushing to ICU in Wuhan under COVID-19 epidemics, and provide a theoretical basis for the psychological adjustment and psychological intervention of nurses in public health emergencies.Methods:Using phenomenological research method, the first batch of nurses from Nursing Department of Taizhou People's Hospital to assist Wuhan medical team in February 2020 were selected as the research objects based on Richardson psychological resilience model by the purposive sampling method. The diaries of 9 nurses who assisted Wuhan ICU were used as the original data, and the data collection time was based on the principle of data saturation. The data reached saturation after 18 days of rushing to Wuhan. A total of 9 nurses all completed the diary writing, with a total of approximately 28 452 words. The Colaizzi method was used to analyze the data and extract the topic.Results:A total of 3 first-level themes and 8 second-level themes were extracted, namely the stress period (intrusive thoughts, physical challenges, psychological distress) , buffer zone (psychological capital mobilization, team resilience stimulation, comprehension of social support) and restructuring period (balance restoration, self-transcendence) .Conclusions:Psychological resilience is not a constant psychological feature, but a constantly changing process in the game of destruction and reorganization. The psychological resilience of nurses rushing to ICU in Wuhan is in a dynamic process of stress-buffer zone-reorganization period, while enhancing team resilience and external support is conducive to the healthy development of the balance of psychological resilience of nurses who rushed to wuhan.

Objective To analyze the effects of Orem support-education system on negative emotions and self-management capabilities of lung cancer patients with chemotherapy.Methods A total of 85 cases of lung cancer patients treated with chemotherapy were selected and divided into,according to random number table method,observation group with 44 cases intervened by Orem support-education system,and control group with 41 cases treated by conventional health education.Changes of anxiety,depression and self-management capabilities before and after the intervention in the two groups were compared.Results After the intervention, anxiety and depression scores in the observation group were (41 .55 ±4.81 )points and (43.36 ±5.58)points, significantly lower than (46.73 ±3.91 )points and (48.22 ±6.1 0)points in the control group;capabilities of stress reduction,positive attitude,decision-making and self-management in the observation group were all higher than that in the control group (P <0.05).Conclusions Orem support-education system is significant for lung cancer patients with chemotherapy in alleviating their emotions of anxiety and depression,and enhancing their self-management capabilities.

Objective To establish and implement an appointment interview policy between head nurse and nurses in ICU,in order to reduce their job burnout and to improve the job satisfaction and nursing quality. Methods A total of 68 appointment interviews were performed between head nurse and 28 nurses in ICU from February 2014 to September 2015.The job burnout level,job satisfaction,and the nursing quality were compared before and after the intervention.Results After the intervention,the score of emotional exhaustion reduced from (29.17 ±7.90)to (23.08 ±6.58);the personal achievement increased from (31.63 ±5.20)to (36.13 ±5.90);the job satisfaction significantly improved from (58.96 ±7.17)to (64.38 ±4.92);the nursing quality also improved from (80.13 ±1.65)to (88.88 ±1.89).The differences of the above scores had statistical significance (P <0.05 ).Conclusions The establishment of the appointment interview policy can effectively improve the relationship between the head nurse and nurses and provide supports to reduce their job burnout and improve the job satisfaction and nursing quality.

bjective? To explore the proportion between peripherally inserted central catheter (PICC) vein and catheter on hemorrhage and plugging among hematologic tumor patients. Methods? From February 2016 to February 2018, we selected 105 patients of department of hematology in Wuxi Second People's Hospital of Nanjing Medical University as subjects. Before PICC, vein diameter was measured with the portable color doppler ultrasound system to obtain the proportion between catheterization vein and catheter diameter. Among 105 PICC catheterization cases of hematologic tumor patients, proportions between catheterization vein and catheter diameter were divided into three groups including ＜2,2 to 3,＞3,35 cases in each group. We observed the incidences of hemorrhage and plugging at different proportions of catheterization. Results? There was no statistical difference in the amount of bleeding of hematologic tumor patients among three groups after catheter (P＞0.05). There was a statistical difference in the incidence of plugging (P＜0.05). Conclusions? The incidence of hemorrhage and plugging of hematologic tumor patients after PICC cannot be ignored. The proportion between catheterization vein and catheter diameter has no obvious effect on hemorrhage after catheter, but it can affect the incidence of catheter plugging. Therefore, we should apply visual assessment instrument to exactly measure the internal diameter of vein and select appropriate catheter to reduce the complications after catheterization.

Objective To explore the application of evidence-based nursing in patients with coronary atherosclerosis heart disease (CHD)who received percutaneous coronary intervention (PCI)in selected days.Methods A total of 85 CHD patients undergoing PCI in selected days were randomly divided into observation group (43 cases)and control group (42 cases).Control group was treated with routine nursing while observation group with evidence-based nursing.Re-sults The compliance rates of observation group was 95.35%,evidently higher than the 78.57%in control group (P <0.05).Self-rating anxiety scale (SAS)and self-rating depression scale (SDS)scores decreased markedly in both groups after interventions than intervention before, which were apparently lower in observation group than in control group,and there was significant difference (P <0.05).One month after operation,observation group was obviously higher in seat-tle angina questionnaire (SAQ)than control group (P <0.01).Conclusion Evidence-based nursing can increase the therapeutic compliance,promote the negative emotions and improve the postoperative quality of life of CHD patients with PCI.