Objective To explore the effect of pain management model of the nurse-centered multidisciplinary cooperation on quick recovery in lung cancer patients with video-assisted thoracoscopic surgery vats (VATS).Methods A total of 96 lung cancer patients with selective VATS in Department of Cardio-Thoracic Surgery of Taizhou Hospital of Zhejiang Province were selected as control group from July 2014 to December 2014. A total of 91 lung cancer patients with selective VATS were chosen as experimental group between January 2016 to June 2016. Patients received postoperative acute pain management with the pain management mode of nurse-centered multidisciplinary cooperation in experimental group and traditional management model in control group. The differences were observed and compared among patients between two groups in the occurrence of moderate-severe pain,time of first ambulation,occurrence of postoperative complications,average hospital stay and so on. Results The score of NRS,incidence of moderate-severe pain in experimental group (3.25,6.59%) were lower than those (4.65,16.67%) in control group within 24 hours with significant differences (t/χ2=-2.247,4.567;P<0.05). There were statistically significant differences in the time of first ambulation and average hospital stay between experimental group [(19.11±7.49) h,(9.34±3.66) d] and control group [(27.40±11.91) h, (10.98±5.01) d] (t=-4.766,-2.024;P<0.05). There was no statistically significant difference in the occurrence of postoperative complications between two groups (P>0.05).Conclusions The importance of nurses in pain management of multidisciplinary cooperation becomes increasingly. The model can effectively promote quick recovery in postoperative patients and speed up the process of nursing professional development.

Objective To assess long-term outcomes of coronary artery (CA) Z scores in children with Kawasaki disease (KD) with echocardiography.Methods Echocardiographic data of 100 KD children during 7-14 years interval follow-up were analyzed retrospectively.The children were divided into dilatation group (n =54,CA dilated) and non-dilatation group (n=46,CA not dilated) at the acute phase.Fifty one children were selected simultaneously as the controls (control group).Diameters and Z scores of left main coronary artery (LMCA),left anterior descending (LAD) and proximal right coronary artery (pRCA) were compared,and factors affecting CA diameter during the recovery phase were analyzed.Results CA diameters in dilatation group were larger than those in non-dilatation group and control group (all P＜0.05),whereas no statistical difference of CA diameter was found between non-dilatation group and control group (all P＞0.05).In dilatation group,Z score of LMCA,LAD and pRCA was 0.569 5 ± 1.061 6,0.420 (-0.029,1.078) and 0.640(0.283,1.250),while in non dilatation group,Z score of LMCA,LAD and pRCA was-0.0313±0.8467,-0.0662±0.6612 and 0.1887±0.5935,respectively.In control group,Z score of LMCA,LAD and pRCA was-0.1246±1.0167,-0.2558±1.0848 and 0.1943±0.6101,respectively.Z scores in dilatation group were larger than those in non-dilatation group and control group (all P＜0.05),while no statistical differences of Z scores was found between nondilatation group and control group (all P＞0.05).Dilation degree of CA at the acute phase was the factor affecting longterm CA dilation (odds ratio=39.146,P＜0.001).Conclusion During 7-14 years of follow-up,CA diameters and Z scores kept to increase in KD children with CA dilatation at the acute phase.The dilation degree of CA at the acute phase in KD children affects the long-term CA dilation.