Objective To induce and analysis the death relative factors of peritoneal dialysis patients over the past five years in fourth ward of qiandongnan from guizhou province guiyang medical college affiliated people's hospital in endocrinology and to improve the effect of nursing intervention.Methods 492 peritoneal dialysis patients were retrospective analyzed from Mar 2009 to Mar 2014,in order to conclude the causes of the patients that ending with death (n =89) and to formulate targeted nursing measures.Results The primary disease for death of maintained peritoneal patients was cardiovascular events [41.6％(37/89)],and the second factor was infection [32.6％(29/89)].The risk factors for mortality were age (≥70 years old),diabetes,endogenous creinine clearance rate declined [＜50 L·week-1 ·m-2],change of hemodialysis to peritoneal dialysis and higher peritoneal transport status.Conclusions It's important to strengthen the nursing intervention for the peritoneal dialysis patients with coronary heart disease,and to formulate targeted nursing measures for risk factors,so as to avoid the death.

Objective To study the current situation of reproductive tract infection among bearing age mar-fled women in countryside and influence factors. Methods We had examined 4916 women. Questionnaire investiga-tion,gynecologic examination,the inspection of pathogen and the B-ultrasound were collected by face to face in the clinic. Results The general prevalence rate of RTI was 53.93%. The prevalence rates of pelvic infection and cervici-tis were 3.97% and 51.12%. The prevalence rates of germs, trichomonal and candiclal vaginitis were 12.51%, 3.60% and 7.71% respectively. The infection rate for only one,two or three kind of RTI were 33.08% ,19.73% and 1.08% respectively. The influence factors were : age, education, family economy, sanitary habits, graviclity, frequent in-tercourse,induced abortion and knowledge towards RTI. Conclusion Among bearing age married women in country-side province the prevalence rate of RTI was higher and also showed evidence of some influence factors.

Objective To evaluate three different peritoneal dialysis fluid collection methods for pathogenic bacteria culture in peritonitis dialysis-associated peritonitis (PDAP), and provide clinical basis for the use of simple and effective peritoneal dialysis fluid collection method in primary hospital. Methods A total of 32 cases of PDAP patients treated in Shulan (Hangzhou) Hospital from June 2016 to July 2017 were included in the study using convenient sampling method. A number of 43 peritoneal dialysis fluid specimens were collected respectively using the traditional method, modified method and centrifugal method, and then were cultured for bacterial identification. Positive rate of bacteria, distribution of bacterial pathogens and reported time were compared among three groups. Results The positive rate of pathogenic bacteria showed that traditional method was 53.5%, modified method was 76.7% and centrifugal method was 83.7%. Compared with the traditional method, the positive rate of modified method and centrifugal method increased significantly (P<0.05). However, there was no statistical difference between the modified method and centrifugal method (P> 0.05). Three main species were epidermis staphylococcus, escherichia coli and staphylococcus aureus in three collection methods. In the modified method and centrifugal method, the positive rate of gram negative bacteria were higher than the traditional method (P<0.05); but there was no obvious difference on the positive rate of gram positive bacteria culture (P>0.05). The average reporting time of traditional culture was longer than the modified method and centrifugal method (P< 0.05). Conclusions Compared with traditional collection method, both modified method and centrifugal method could increase positive rate of bacteria culture in PDAP patients, especially gram negative bacteria, and had the advantage of rapid detection, which could provide clinical guidance for early treatment of peritonitis. Compared with centrifugal method, the modified method is simple, and worthy of promoting in primary hospital.

Objective To understand the hospital discharge readiness and discharge instruction quality in chronic disease patients and to analyze the correlation between them. Methods Totals of 602 chronic disease patients of related departments from 7 ClassⅢGrade A hospitals in Shanghai were selected by convenience sampling. All of them were investigated with the general information questionnaire, Readiness for Hospital Discharge Scale (RHDS) and Quality of Discharge Teaching Scale (QDTS), and their data were analyzed. Results Among those patients, the scores of hospital discharge readiness and discharge instruction quality were (8.01±1.41) and (8.65±1.29) out of 10 respectively. The score of hospital discharge readiness had a positive correlation with the score of discharge instruction quality with a statistical difference (r=0.507, P＜ 0.01). Conclusions Hospital discharge readiness and discharge instruction quality of chronic disease patients are all in high levels and with a positive correlation. Nurses should enrich the content of discharge instruction to improve the quality of discharge instruction by appropriate instruction skills and to improve the hospital discharge readiness.