Objective:To analyze the application effect of objective structured clinical examination (OSCE) assessment mode in the training of neurosurgery specialist nurses.Methods:Using convenience sampling method, 21 trainees who were trained in neurosurgery specialist nurse training base of Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School in 2018 were selected as the control group, and the conventional training methods of theory and clinical practice were adopted; the 22 trainees in 2019 were selected as the experimental group, and the OSCE training and assessment mode was adopted. After the training, the core competence, satisfaction, learning and growth of the trainees were compared.Results:There was no significant difference in the score of the core competence before the training between the two groups( P>0.05). After the training, the scores of professional skills, critical and difficult medical record management and professional quality were (4.55 ± 0.51), (4.14 ± 0.77), (4.36 ± 0.66) points in the experimental group and (3.90 ± 0.62), (3.62 ± 0.80), (3.76 ± 0.83) points in the control group, the differences were statistically significant ( t=3.69, 2.15, 2.64, all P<0.05). The total score of satisfaction was (66.82 ± 2.26) points in the experimental group and (62.05 ± 2.29) points in the control group, the difference was statistically significant ( t=6. 87, P<0.05). There was no significant difference in the learning and growth of the trainees before and after the training between the two groups ( P>0.05). Conclusions:Using OSCE assessment mode to carry out neurosurgery specialist nurse training is helpful to improve students′ professional skills, critical and difficult medical record management, professional quality, and improve students′ satisfaction with the training.

Objective:To explore the effects of multimodal relaxation training on cancer-related fatigue and sleep disorder in patients with glioma.Methods:Convenience sampling was used to select 70 patients with glioma who were admitted to the Department of Neurosurgery in ClassⅢ Grade A hospital in Nanjing, Jiangsu from August 2018 to December 2019. All patients were divided into control group and observation group with the method of random number table, 35 cases in each group. Control group carried out routine nursing intervention, and observation group implemented multimodal relaxation training on the basis of routine nursing. We compared the scores of the Cancer Fatigue Scale (CFS) and the Pittsburgh Sleep Quality Index (PSQI) .Results:Before intervention, there were no statistically significant differences in dimension scores and total score of CFS among patients between two groups ( P>0.05) . After intervention, the total CFS score of control group was (29.06±9.05) , which was higher than that (24.26±8.65) of observation group with a statistical difference ( P<0.05) . Besides, the scores of physical fatigue, emotional fatigue and cognitive fatigue of control group after intervention were higher than those of observation group also with statistical differences ( P<0.05) . Before intervention, there were no statistically significant differences in dimension scores and total score of PSQI among patients between two groups ( P>0.05) . After intervention, the total PSQI score of control group was (10.60±4.69) , which was higher than that (7.83±4.01) of observation group with a statistical difference ( P<0.05) . The scores of sleep quality, falling asleep time, sleep time, sleep efficiency, sleep disorder and daytime function of control group were higher than those of observation group with statistical differences ( P<0.05) . After intervention group, there no significant difference in the score of the hypnotic drug between two groups ( P>0.05) . Conclusions:Multimodal relaxation training can reduce physical fatigue, emotional fatigue, cognitive fatigue, and improve sleep quality in patients with glioma which is worthy of clinical application to promote the recovery of patients' social function.

Objective:To systematically integrate the experience and feelings of informal caregivers of patients with intracranial tumors.Methods:Qualitative researches on the real experience and inner needs of informal family caregivers of patients with intracranial tumors were retrieved in the PubMed, Web of Science, China National Knowledge Infrastructure (CNKI) , WanFang Data, China Biomedical Database and VIP Chinese Journal Database by computer. The search time was from the establishment of the database to May 31, 2021. After screening and analysis, the critical appraisal tool for qualitative research (2017) of the Joanna Briggs Institute (JBI) Evidence-based Health Center in Australia were used to evaluate the articles and the results were Meta-integrated.Results:A total of 14 articles meeting the criteria were included. A total of 48 complete research themes were refined, and they were summarized and combined to form 3 comprehensive Meta-integration results and 4 new categories. The 3 Meta-integration results were that the caregiver experienced the shock, sadness, disbelief and hope in the early stage of diagnosis, and began to assume responsibility and learn to become a caregiver's psychological and emotional changes; the caregiver's family role and living environment changed, affecting the quality of life of caregivers; caregivers lacked information, care experience and social support.Conclusions:The quality of life of informal caregivers of patients with intracranial tumors and the changes in family functions have attracted attention. Social and medical workers should combine our country's cultural background to formulate effective intervention strategies and related health policies for the difficulties and challenges faced by this special population.