Objective To discuss the effect of abdominal massage on the success rate of nasal-gastric catheter placement in elderly patients.Methods 100 patients with nasal-gastric catheter placement were divided into two groups by random digits table.50 patients of the experimental group received abdominal nassage after the placement of nasal-gastric catheter,while 50 patients of the control group received routine nursing care.The success rate of intubation and adverse effects were compared between the two groups at the 12th,24th,36th,48th,60th and 72th hour.Results Compared to the control group,the success rate of intubation at the 12th,24th,36th,48th,60th and 72th of the experimental group was higher [16％ (8/50) vs.4％ (2/50),56％ (28/50) vs.36％ (18/50),70％ (35/50) vs.48％ (24/50),74％ (37/50) vs.54％ (27/50),76％ (38/50) vs.56％ (28/50),80％(40/50) vs.60％ (30/50),x2=4.000,4.026,5.002,4.340,4.456,4.762,P＜ 0.05],and the abdominal distension was alleviated in the experimental group [10％ (5/50) vs.32％ (16/50),P＜0.01],while no significant differences were found in the incidence of adverse effects between the two groups (P＞0.05).Conclusions Abdominal massage can promote the gastrointestinal movement effectively and increase the success rate of nasal-gastric catheter placement in elderly patients.

Objective To evaluate the effects of two different kinds of airway humidification for tracheostomy patients, and to provide their relevant clinical effect and suggestions for their use. Methods Online databases, including PubMed, EMBASE, JBI evidence-based nursing center library, the Cochrane Library, and Chinese databases (CNKI, Wanfang database, VIP, CBM) were searched systematically up to March 2015. Randomized controlled trials (RCTs) were considered eligible for inclusion if the following criteria were met: no history of respiratory tract infection; satisfactory nutritional status; tracheotomy performed; 18 years older. Two different humidification methods were used. Continuous airway humidification was used in the experiment group, while intermittent airway humidification was used in the control group. Two qualified reviewers reviewed the original articles, evaluating the quality of articles, and data were extracted independently. The enrolled RCTs were analyzed by Meta-analysis. Results A total of nine RCTs were included, containing 631 cases, among them 316 cases in expertment group, and 315 cases in control group. Continuous airway humidification was shown to be able to reduce the incidence of irritable cough [odds ratio (OR) = 0.20, 95% confidence interval (95%CI) = 0.12-0.34, P < 0.000 01], bleeding form mucosa of respiratory tract (OR = 0.25, 95%CI = 0.14-0.45, P < 0.000 01), sputum conglomeration (OR = 0.19, 95%CI = 0.10-0.39, P < 0.000 01), and pneumonia (OR = 0.29, 95%CI = 0.19-0.45, P < 0.000 01). The funnel plots were largely symmetrical, suggesting there was no publication bias in the Meta-analysis of two methods for airway humidification for tracheostomy patients. Conclusion Because the number of including articles was relative small, and the quality of some articles was poor, it is impossible to draw a reliable conclusion that continuous airway humidification could lower the incidence of complications for patients undergone tracheostomy.

Objective To explore the role of the key factors in nursing quality control. Methods The content was constructed from four aspects, that is, the standard of care measures, well-functioning nursing quality control system, timely feedback and training mechanism, continuous quality improvement measures. Results The nursing quality standard system was established, the quality of care and patient satisfaction with nursing work were both improved. Conclusions The application of the key factors is the basic guarantee for effective management of nursing quality, which provides high quality nursing service for patients in hospital.

To explore the velocity difference between specifications and categories of liquid with the same pressure infusion bag in order to widen the specification range of the liquid for pressure infusion. Pressure infu-sion experiments were performed with three specifications of normal saline of 100, 250 and 500 ml to compare the veloci-ties of different specifications of liquid, and with 500 ml normal saline, (5%, 10% and 50%) glucose injection, 5% glu-cose and sodium chloride injection, 5% sodium bicarbonate injection, 10% fructose injection, 706 plasma substitute, 20%mannitol injection and etc to make clear the velocities of different categories of liquid. With the same pressure, there were no significant differences between the velocities of three specifications of liquid, and between those of cate-gories of liquid with the same specification and concentration; the difference was significant between the same category of liquid with different concentrations, and the velocity showed a negative correlation with the concentration. The pressure infusion bag is compatible with 100, 250 and 500 ml liquid, and the velocity may be constant in case some specification of liquid is replaced by another one. The velocity has to be regulated in case the concentration or category of the liquid changes, when the pressure infusion is performed.

Objective To investigate the cognition and care needs of the patients with acute stage fracture thus providing reference for the construction of intermediate care model. Methods The data of 504 patients with acute stage fracture from December 2014 to April 2015 were investigated through questionnaire, and analyzed. The issues included gender, age, marital status, cultural level, degree of understanding of intermediate care, care needs, etc. Results 63.29%(319/504) of the patients didn′t know intermediate care before they filled in the questionnaire,only 3.97%(20/504) of the patients understood the conception of intermediate care; different stage of age had different cognition towards intermediate care, the differences were statistically significant( χ2=148.771, P<0.01); different stage of age, sex, marital status, cultural level had different care needs, the differences were statistically significant (H/u=9.692-129.097, P<0.05). Conclusions At present, the majority of patients have no conception about intermediate care, so it is necessary to build the model of intermediate care. As nursing staff we should provide different help according to different type people, thus we can promote patients' physical and mental health, improve patient satisfaction to the greatest extent.

OBJECTIVE To norm the isolation and management of special infection patients and eliminate the incidence of hospital infections.METHODS The measures,the implementation of training and personal management,and details of control were determined.RESULTS The system management and isolation measures were implemented to effectively control the incidence of hospital infections.CONCLUSIONS The isolation and control of special infection patients are a systematic and rigorous work,it is very important to form a scientific,complete and easy to implement workflow and management system for the control of hospital infections.

Objective To acquire the physiological parameters such as pulse,blood oxygen saturation and ECG to realize personal health information monitoring and tailored medical service.Methods A personal health information acquisition terminal was developed,which was composed of an information acquisition module,personal computer and system software.The information acquisition module was developed with USB interface and unified circuit mode.Health information was transmitted to the personal computer at real time with USB interface,and then stored by system software and uploaded to the database.Results The terminal gained advantages in design,convenience and practicability,which realized realtime acquisition,data storage,remote auxiliary diagnosis,printing and etc of personal health information,so that personal information realtime monitoring was implemented.Concluslon The terminal can be used for health information recording,storage,acquisition and analysis,and extends medical service of hospital.

This article described the background,concept,characteristic and objective of the research-based nursing,systematically introducing the main measures including management mechanism, nursing service,nursing staff training,and nursing scientific development.Other areas covered include innovation management mechanism,updating service philosophy,improving nursing staff training,and constructing scientific research platform.

Objective To investigate the mastery status of elderly nursing knowledge in the elderly caregivers. Methods By convenient sampling method, a total of 450 caregivers who took care of disabled elderly patients were selected and investigated by questionnaire in 9 provinces ( Jiangsu, Anhui, Hubei, Hu′nan, Shandong, Hebei, He′nan, Tianjin, Heilongjiang ) . Results This study totally distributed 470 questionnaire and collected 450 with an effective rate of 95. 7%. Of total score 33 points, the average score of the knowledge was (17. 35 ± 6. 12) point. Compared the mastery level of elderly nursing knowledge, differences in caregivers with different gender and different age group had no statistical significance (P >0. 05). The differences existed in caregivers with different education background with statistical significance (P<0. 05). Conclusions Disabled elderly caregiver′s nursing knowledge level is different which needs to be improved.

Objective To achieve the information management in clinical nursing work.Methods Clinical nursing information system has been developed and applied based on data of nursing information system (HIS). Results The information record of nursing work included vital signs collection,nursing assessment,medical order implementing,documentations,tube management. Clinical nursing information system could optimize clinical workflow and improve the quality and efficiency of clinical nursing work,which reflected the scientificity and timeliness of clinical workload statistics.Conclusions The construction,application and development of clinical nursing information system bring the nursing work to a new level. As a result,clinical nursing work will gradually become standardized,scientific and informationalized.