Objective:To explore the effect of cascade training appraisal effect in improving the young nurses ethics humanities cultivated manners.Methods:Since 2013 within three years of the new nursing staff in hospital, through simple after complex first, after the first standardized routine training characteristic simulation and case op-eration step training appraisal method, comparing before paramedics humanistic literacy assessment, evaluation of excellence and patient satisfaction.Results:New training evaluation method for young nurses in the clinical opera-tion assessment obviously improving the patient-centered nursing service consciousness, appraisal excellence rate of 31.25%, higher than a year before the inspection the excellence rate of 19.82%, with significant difference (P<0.05);In patients to nursing staff satisfaction survey comparison, has significant advantage (P<0.05).Con-clusions:New training appraisal method significantly improves the young nurses′own quality and medical ethics ac-complishment, can better pay attention to the humanistic care in the clinical practice, communicate with the nurse, improve the judgment in the work of the nurses in the clinical ability, emergency ability, communication ability, flexible ability and emergency ability of emergency response.For young nurses in practice to deal with the doctor-patient relationship, medical international relations, improving clinical practice ability and the patient′s comprehen-sive satisfaction has important value.

Objective:To analyze the effect of implementing information-motivation-behavior skill model (IMB) home care in elderly patients with chronic obstructive pulmonary disease (COPD).Methods:From October 2017 to October 2018, patients with COPD who were discharged after treatment in Wuxi Fifth People′s Hospital were included and divided into control group and observation group by block randomization method. The control group was given routine health education, discharge guidance and follow-up guidance after discharge. The observation group received the information-motivation-behavior home care based on IMB. The general information before intervention, the level of disease cognition, quality of life before and after the intervention and the health behavior after the intervention were compared between the two groups.Results:The Bristol COPD Knowledge Questionnaire (BCKQ) score in the observation group was higher than that in the control group [(58.36±6.68) vs. (52.14±5.80) points] ( P<0.05). The scores of physical activity, health responsibility, stress management, nutrition, and spiritual growth in the Health Promoting Lifestyle Profile-Ⅱ (HPLR-Ⅱ) after the intervention in the observation group were higher than those in the control group [(26.01±3.95) vs. (23.25±3.48) points, (38.65±4.33) vs. (34.64±4.05) points, (16.98±2.51) vs. (14.20±1.80) points, (19.87±2.20) vs. (15.65±3.51) points, (20.32±2.85) vs. (17.35±2.89) points] ( P<0.05). The symptoms, mobility, and disease impact scores of the St George′s Respiratory Questionnaire (SGRQ) in the observation group were lower than those in the control group [(40.32±4.30) vs. (45.36±4.50) points, (43.21±4.87) vs.(45.33±4.25) points, (38.41±4.37) vs. (42.35±4.01) points] (all P<0.05). Conclusion:Implementing the home care model based on IMB in elderly patients with COPD can improve patients′ disease awareness and improve their health behaviors and quality of life.