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.

Objective To investigate the level of care burden in the primary caregivers of child patients with recurrent respiratory papillomatosis (RRP) and its influencing factors.Methods A total of 86 RRP child patients and their primary caregivers from a tertiary hospital in Beijing between October 2015 and October 2016 were selected by convenience sampling,and investigated with self-designed general situation questionnaires and Zarit Burden Interview (ZBI).Results The total score of ZBI in the 86 primary caregivers was (42.85±16.54), and the personal and responsibility burden scores were (22.94±9.98) and (10.91±4.79),respectively. And 55.8% of the primary caregivers showed heavy burden;31.4% of the primary caregivers showed moderate burden;and 12.8% of the primary caregivers had no or light burden. According to multiple regression analysis, monthly household income,recurrent frequency and child patients with tracheotomy or not were the major influencing factors of care burden in the primary caregivers of RRP child patients,which could account for 57.1% of the variances in the care burden.Conclusions The primary caregivers of RRP child patients have a heavy care burden. Relevant authorities and medical staff can take targeted measures to alleviate the burden of caregivers based on the major influencing factors.

Objective To explore the specific contents and ways of extended care in patients with laryngopharyngeal reflux disease, so as to improve the compliance behaviors and promote the prognosis of the patients.Methods In the Ear Nose Throat & Head and Neck Surgery Department of Beijing Tongren Hospital, by convenience sampling method, a total of 48 patients with laryngopharyngeal reflux disease, who were admitted from January to June 2016, were assigned into the experimental group, and 48 patients who were admitted from July to December 2015 were assigned into the control group. All the patients were given routine discharge education, and the experimental group was given extended care after discharge. A self-designed compliance behaviors questionnaire of patients with laryngopharyngeal reflux was used to investigate the patients at the 1st month, and the 3rd month after discharge. Reflux Finding Score (RFS) and Reflux Symptom Index (RSI) were used at admission and 3 months after discharge to evaluate patients' situation.Results The scores of the compliance behaviors questionnaire in the experimental group at the 1st month and the 3rd month after discharge were (25.04±1.52) and (22.92±2.03) respectively, which were higher than those in the control group (16.06±1.45) and (14.96±1.30). The differences were statistically significant (t=29.67, 22.85;P<0.001). The differences in the scores of RFS and RSI between the two groups were statistical (t=4.96, 3.97;P<0.001). Conclusions Extended care can meet recovery demands of patients with laryngopharyngeal reflux, strengthen the health conceptions of patients in the disease recovery after discharge, and improve compliance behaviors and prognosis of patients.

BackgroundThe incidence of delirium in critically ill psychiatric patients is high， and there are many factors affecting delirium occurrence. At present， epidemiological studies on delirium among critically ill patients in psychiatric hospitals are limited. ObjectiveTo explore the risk factors for delirium in critically ill patients in a psychiatric hospital， so as to guide the clinical management of delirium in psychiatric hospitals. MethodsThis retrospective study included 427 critically ill patients who were admitted to Shenzhen Kangning Hospital from January 1， 2019 to May 31， 2021. The delirium situation， gender， age， pre-admission course of illness （duration from the onset of acute mental state changes to in-patient registration at a psychiatric hospital）， history of mental illness， history of cognitive dysfunction， history of using psychoactive substances， history of using sedative and hypnotic drugs， number of combined chronic diseases， number of combined drugs and type of disease were examined as potential risk factors for delirium. Single Logistic regression was used to analyze the potential risk factors for delirium， and the potential risk factors were incorporated into the multi-factor Logistic regression analysis model so as to gradually screen out the risk factors for delirium in critically ill psychiatric patients. ResultsDelirium was present in 33.49% （143/427） of critically ill patients. Multi-factor Logistic regression analysis demonstrated that the presence of delirium was associated with mental and behavioral disorders caused by psychoactive substances （OR=8.949， P<0.01）， absent history of mental illness （OR=4.202， P<0.01）， number of combined chronic diseases （OR=1.249， P<0.01）， age （OR=1.031， P<0.01） and pre-admission course of illness （OR=0.942， P<0.01） . ConclusionDelirium was present in nearly 1/3 critically ill patients in the psychiatric hospital. The risk factors for delirium included short course of illness before admission， age， more combined chronic diseases， absent history of mental illness， mental and behavioral disorders caused by psychoactive substances. ［Funded by Shenzhen Fund for Guangdong Provincial High-level Clinical Key Specialties （number， SZGSP013）］

OBJECTIVETo analyze the clinical characteristics, prognostic factors in patients with primary gastrointestinal diffuse large B cell lymphoma (PGI-DLBCL).

METHODSLong term follow-up of 85 patients with PGI-DLBCL was carried out and the patients clinical data were retrospectively evaluated. The risk factors for survival rate were analyzed by univariate and multivariate Cox regression analysis.

RESULTSThe median age of 85 patients was 61 years old (18-87), and male: female ratio was 1.83:1 (55/30). The stomach origin accounted for 63.5% (54/85), intestine origin for 35.3% (30/85) and multiple GI involvements for 1.2% (1/85). Bone marrow involvement accounted for 16.4% (11/64), Helicobacter pylori (HP) infection for 51.4% (19/37). The 5-year overall survival (OS) rates of all patients were 63.9%. The 5-year OS of patients in stomach and intestinal groups were 75.3% and 44.1%, respectively (P=0.005). The 5-year OS of germinal center B cell-like (GCB) group and non-GCB groups were 64.7% and 62.4%, respectively (P = 0.610). Univariated analysis revealed that the factors affecting OS of patients included age, lesion site, tumor size, gastrointestinal clinical Lugano staging system, IPI score (all P values < 0.05). Multivariate Cox regression analysis revealed that IPI score was independent prognosis risk factor affecting OS (RR = 3.609, 95 CI 2.034-6.404, P < 0.01).

CONCLUSIONIPI score was independent prognosis risk factor affecting OS of PGI-DLBCL patients.

Adolescent ; Adult ; Aged ; Aged, 80 and over ; Female ; Follow-Up Studies ; Gastrointestinal Neoplasms ; diagnosis ; Helicobacter Infections ; Humans ; Lymphoma, Large B-Cell, Diffuse ; diagnosis ; Male ; Middle Aged ; Prognosis ; Retrospective Studies ; Risk Factors ; Survival Rate ; Young Adult