Objective To explore the management of nursing adverse events based on JCI evaluation criteria, and to establish a voluntary, non-punitive nursing adverse event reporting system.Methods From January 2014 to December 2015, 680 hospital nurses implemented JCI standards, revision of nursing adverse events management system, created online of nursing adverse events reporting system, to all nursing staff of adverse event management knowledge training and improvement before the analysis of the implementation of the JCI standard, adverse event reporting process and treatment measures of awareness, took the initiative to report rate, nursing adverse events incidence, patient satisfaction rate.Results Before and after nursing staff of adverse event reporting procedure and disposal method of awareness to improve the rate of 39.43% implementation, nursing staff to take the initiative to report to enhance the rate of 7.54%,the incidence of nursing adverse events to reduce the rate of 0.07%,the patients' satisfaction rate increased by 6.15%,there were statistically significant differences(x2=13.50,10.15,12.09,231.51,all P<0.05).Conclusion Nursing adverse events management constructed based on JCI accreditation standards is helpful to avoid the occurrence of nursing adverse events, to improve the rate of patients' satisfaction to nursing, to create a secure hospital atmosphere.

Objective To investigate the effect of psychological intervention on the patients with apnea syndrome sleep (SAS), and to investigate the effects of psychological intervention on the patients with poor mood, treatment compliance and quality of life. Methods Selected clinical data of 80 cases with sleep apnea syndrome patients treated in our hospi-tal from 1st May 2013 to 31st Jan 2014 and they were randomly divided into intervention group and control group, each group with 40 cases. Patients in each group received the traditional nursing mode, while the intervention group received the traditional nursing and received psychological intervention. Two groups of patients after intervened before and 9 months after the depression self rating scale self-rating depression scale(SDS), anxiety self-rating scale self rating anxi-ety scale (SAS) and concise Health Questionnaire(SF-36) were evaluated. Results There were no significant differences in SF-36, SAS and SDS in the two groups before intervention (P>0.05). The results of SF-36, SAS and SDS and treat-ment compliance in the intervention group were significantly different compared with control group, which was statisti-cally significant(P<0.01). Conclusion Psychological intervention can effectively relieve the anxiety of patients, improve the sleep quality of patients, improve the treatment compliance, so as to improve the quality of life of patients with SAS, it is worthy of clinical promotion.

Objective To explore the effects of self-management intervention on the self-management ability and health service utilization of patients with chronic obstructive pulmonary disease (COPD). Methods A total of 84 COPD patients in stable condition with permission of being discharged in respiratory department of a tertiary comprehensive hospital in Wenzhou city,were selected as research objects from May to November 2014 by convenience sampling method,and were randomly divided into the intervention group (n=42) and the control group (n=42). Patients in the control group received routine care,while patients in the intervention group received self-management intervention and all patients were followed up. The self-management scale of chronic obstructive pulmonary disease was used investigate the self-management status of patients three months,six months and 12 months after intervention. The times of emergency services and the times of re-hospitalization were also recorded.Results The self-management ability of patients at the third month,sixth month and 12th month after intervention in the intervention group was significantly improved compared with the control group (P<0.05). There was no significant difference in the aspect of health service utilization at the third month after intervention between two groups (P>0.05);the times of health service utilization in the intervention group at the sixth month and 12th month after intervention were less than the control group (P<0.05).Conclusions Self-management intervention can improve the self-management ability of patients with COPD in stable period,and reduce the times of emergency visits and re-hospitalizations. It is an effective method for the management of chronic diseases.