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 understand the situation of psychological distress, self-disclosure and intimate relationship in spouses of patients with breast cancer and analysis their interrelationship. Methods Totally 240 spouses of breast cancer patients from 3 class Ⅲ grade A hospitals in Jiangsu Province were investigated with distress thermometer (DT), distress disclosure index(DDI), short marital adjustment and prediction test as well as general information questionnaire from July 2015 to July 2016. Single factor analysis was performed using rank test, and correlations analysis was performed by Spearman analysis. Results The average score of psychological distress was(5.2±4.7) points, self-disclosure (36.5±32.7) points, intimate relationship (118.2±36.5) points and marital disorder detection rate was 25.9%. The prevalence of psychological distress was 67.4% and there was a significant difference in DT score among the spouses of patients with different education level (Z= 7.519,P<0.05). Spouse psychological distress was negatively correlated with self-disclosure degree and the degree of intimacy(r=-0.673,-0.721;P<0.01). Intimate relationship took a partial effects as mediator between the psychological distress and the degree of self-disclosure. Conclusions The incidence of psychological distress is high in spouses of patients with breast cancer, and the severity is influenced by self-disclosure and intimate relationship. Intimacy takes a partial effects as mediator between the psychological distress and the degree of self-disclosure.

Objective To explore the application effect of motivational interview combined with transtheoretical model in self-care of patients with coronary heart disease. Methods From August 2016 to April 2017, a total of 77 patients with coronary heart disease diagnosed in Wuxi Second Hospital Affiliated to Nanjing Medical University were selected by convenience sampling method, and randomly divided into control group (n=38) and observation group (n=39) by random number table. The two groups were given traditional health education and motivational interview combined with transtheoretical model health education. The self-efficacy, self-management ability, ejection fraction and regional wall motion abnormality (RWMA) were compared between the two groups before and after intervention. Results The scores of self-efficacy and self-management ability of patients with coronary heart disease in the observation group were (39.12±5.98) and (88.88±5.01) respectively, which were significantly higher than those in the control group (31.04±6.59) and (81.00±4.25). The differences were statistically significant (P＜0.01). The ejection fraction of the observation group was higher than that of the control group, and the number of RWMA cases in the control group was higher than that in the observation group. The difference was statistically significant (P＜0.05). Conclusions Using motivated interviews combined with cross-theoretical models in self-care of patients with coronary heart disease can effectively improve patients' self-efficacy and self-management ability,it is worthy of clinical promotion.

Objective? To explore the relationship between compliance of analgesic drugs and self-management efficacy in patients with lung cancer, and to provide reference for formulating targeted interventions. Methods? A total of 287 cases of lung cancer patients in the Second Hospital of Wuxi Affiliated to Nanjing Medical University from January 2015 to December 2017 were recruited by convenience sampling method. General information questionnaire, Morisky Medication Adherece Scale and the Chinese version of Strategies Used by People to Promote Health (C-SUPPH) were applied to investigate the level of self-management efficacy and medication compliance status, so as to analyze the relationship between self-management efficacy and medication compliance. Results? The score of self-management efficacy of the 287 lung cancer patients was (91.58±28.06), and the score of medication compliance was (6.04±1.23). The correlation analysis showed that the positive attitude dimension, the stress reduction dimension and the making decisions dimension in C-SUPPH were all positively correlation with medication compliance (r=0.607, 0.497, 0.374; P＜ 0.01). Multivariate linear regression analysis showed that age, comorbidity and self-management efficacy were the influencing factors of medication compliance of analgesic drugs in patients with lung cancer (P＜0.01). Conclusions? The compliance of lung cancer patients with analgesics needs to be improved. Patient's medication compliance increases with the self-management efficacy. Therefore, health education can strengthen patient's self-management efficacy, so as to improve patient's medication compliance.

Objective:To explore the effect of nursing intervention based on the theory of resourcefulness in young and middle-aged patients with myocardial infarction.Methods:From January to July 2021, convenience sampling was used to select 90 young and middle-aged patients with myocardial infarction in the Department of Cardiology, Wuxi Second People's Hospital as the research object. According to the random number table, the patients were divided into the intervention group and the control group, each with 45 cases. The control group conducted conventional nursing, and the intervention group carried out intervention based on the theory of resourcefulness on the basis of conventional nursing. The Chinese version of the Post-Traumatic Growth Inventory (C-PTGI) , the Chinese version of the Event-Related Rumination Inventory (C-ERRI) , and the Connor-Davidson Resilience Scale (CD-RISC) were used to evaluate the effect of the intervention.Results:After the intervention, the total scores of C-PTGI, CD-RISC and C-ERRI in the intervention group were higher than those in the control group, and the differences were statistically significant ( t=-7.799, -4.593, -4.433; P<0.01) . Conclusions:Nursing intervention based on the theory of resourcefulness can promote the post-traumatic growth of young and middle-aged patients with myocardial infarction, adjust the level of rumination, and improve the psychological resilience of patients, which can be popularized and applied in clinical practice.

Objective:To explore the effect of continuous nursing model based on family unit in long-term warfarin anticoagulation in elderly patients with mechanical heart valve replacement (MHVR) .Methods:From July 2018 to March 2021, 87 elderly patients who underwent MHVR in Wuxi Second People's Hospital and received long-term warfarin anticoagulation after surgery were selected by convenience sampling as the research subject. The patients were divided into the observation group ( n=46) and the control group ( n=41) by random number table method. The control group adopted the routine nursing model, and the observation group adopted the family unit-based continuous nursing model on this basis. The two groups of patients were compared in terms of 3 indicators, namely treatment compliance, treatment effectiveness, and treatment safety. Results:In terms of treatment compliance, the compliance rates of smoking and drinking cessation, diet control, compliance with medicines and regular review of patients in the observation group were better than those in the control group, and the differences were statistically significant ( P<0.05) . In terms of treatment effectiveness, the international normalized ratio (INR) compliance rate and the quality of life score of the observation group were higher than that of the control group with statistical differences ( P<0.05) . In terms of treatment safety, there was no significant difference in the incidence of bleeding events and thrombosis events between the two groups ( P>0.05) . Conclusions:The continuous nursing model based on family unit is effective and safe, and can improve the compliance of elderly patients with MHVR taking warfarin after surgery, and improve the INR compliance rate and quality of life of elderly patients.

Objective To explore the influences of the path clinical health education on the self-management ability, health-promoting lifestyle, compliance, level of blood lipid in patients with PCI of one-day ward.Methods A total of 93 patients with PCI of one-day ward were selected as subjects and were randomly divided into observation group(n=47, the path of clinical health education) and control group(n=46, routine health education) by means of random number table. And then, we compared the self-care ability, health-promoting lifestyle, medication compliance, and level of blood lipid between two groups before and three months after intervention.Results After intervention, the proportion of low level, medium level, high level of self-care ability was 2.1%, 21.3%, 76.6% in observation group which was better than those(10.9%, 41.3%, 47.8%) in control group. The total score of health-promoting lifestyle in observation group [(157.40±17.86) points] was higher than that [(127.04±11.64) points] in control group. Moreover, the score of medication compliance in observation group [(27.98±3.89) points] was higher than that [(21.00±4.52) points] in control group. Besides, the level of total cholesterol, low density lipoprotein cholesterol, triglyceride in observation group was all lower than those in control. There were statistically significant differences in them between two groups( P<0. 05).Conclusions The path of clinical health education has an important role in improving health-promoting awareness and ability, self-management ability, compliance, level of blood lipid in patients with PCI.

Objective To investigate implementing approach and clinical effect of 4-dimensional innovative model basing on JCI standards on health education to elderly patients with CHD.Methods Following JCI standards, a 4-dimensional model was innovated, regarding 4 aspects of health education for elderly patients with CHD:concept, platform, transmission system and technological application. Totals of 120 elderly patients with CHD were divided randomly into observation group and control group. For the patients in the observation group, health education was conducted according to the 4-dimentional innovative model, while in the control group, routine health education approach for CHD was used, which was to hand out health pamphlets explaining knowledge concerning diet, drug, exercise, follow-up visit, etc. After 5 days of intervention, CHD organism functional status and quality of life of the CHD patients in the two groups were evaluated and compared. Indexes, such as self-management skills, were compared 6 months after discharge. Results In SAQ scoring, there were significant differences between observation group and control group regarding limitation degree of motion, attacking condition of angina or stable condition of angina, scores of satisfaction on treatment and awareness of the disease ( P<0. 05 ) . Conclusions Conducting health education to elderly patients with CHD with the 4-dimensional innovative model basing on JCI standards plays a significant role in promoting guarantee of medical safety, prevention of harmful cardiac incidents, and enhancement of treatment compliance, patients′ self-management abilities and patients′satisfaction.

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 the application effect of concept map teaching of group-discussing mode in standardized nursing training. Methods A total of 80 standardized training nurses in Wuxi No.2 People's Hospital from January 2016 to December 2016 were selected by purposive sampling and randomly divided into the intervention group and the control group, with 40 students in each. The control group was taught according to the conventional teaching method, and the intervention group was taught with the concept map teaching of group-discussing mode. The scores of the independent learning ability assessment scale and the scores of theoretical examination were compared before and after the intervention. The scores of the feedback evaluation scale of concept map teaching of group-discussing mode in the intervention group were observed. Results The score of each dimension and the total score of the independent learning ability assessment scale of the intervention group after intervention were higher than those in the control group, and the difference was statistically significant (P<0.05). The score of theoretical examination in the intervention group was higher than that in the control group with statistical difference (P<0.001). The nurses in the intervention group had a better feedback on the concept map teaching of group-discussing mode. Conclusions The concept map teaching of group-discussing mode obtains good application results in clinical nursing teaching and training, and it can improve the nurses' independent learning ability.