Objective To summarize the experience of nursing the patients with B lymphocyte malignancies undergoing CAR-T cell immunotherapy. Method The nursing measures included nursing treatment and prognosis of 13 patients with B lymphocyte malignancies undergoing CAR-T cell immunotherapy at CAR-T cell transfusion, before and after transfusion. Results By careful treatment and care,11 of them were improved and discharged.2 cases complicated with severe CRS due to multiple organ failure,and died after rescue.There were no nursing related complications in 13 cases. Conclusion The nursing measures including full preparation,active nursing cooperation and effective treatment of complications are critical for the recovery of patients with B lymphocyte malignant tumor treated by CAR-T cell immunotherapy.

Objective To explore the effect of quality control circle ( QCC) on improving the patients ’ satisfaction and accuracy of patients in hospital who own self-prepared oral medicine .Methods Established QCC and developed the checklist to check the administration accuracy of oral medicine , used the measuring index of accuracy and patients ’ satisfaction, and then analyzed the reasons why the error occurred and made improvement plan accordingly .Results Before the QCC developed , the accuracy rate of oral medicine of patients with self -prepared was 90.65%, and satisfaction of patients was 92.33%.While after the QCC developed, the accuracy rate was 98.75%, and the satisfaction of patients was 98.39%.The accuracy and the satisfaction of patients was significantly improved than that before , and the differences was statistically significant (χ2 =281.63,33.53,respectively;P <0.01).Conclusions The implementation of QCC can improve the accuracy and satisfaction of the patients who own oral medicine .