Objective To observe the effect of medication compliance and self-efficacy of schizophrenia patients with diabetes by continuing self-management education. Methods A total of 60 patients with schizophrenia with diabetes diagnostic criteria were divided into experimental group (30 cases) and control group (30 cases) by the admission number, 2 groups received conventional drug treatment, the control group received general preaching health education pattern, were each issued a health education manual, with schizophrenia and diabetes health knowledge division, the test group on the basis of the continuation of the implementation of self-management education, followed up 12 months after discharge, compared 2 groups of patients with medication compliance and recurrence rate, with General Perceived Self-Efficacy Scale (GSES) assessment level of 2 groups of patients with self-efficacy, fasting blood glucose (FPG) was determined by automatic biochemical analyzer, 2 hours postprandial blood glucose (2 hPBG). Results Six months after discharge, 82.1%(23/28) cases were complete compliance, 14.3%(4/28) cases of partial compliance, 3.6%(1/28) cases of non-compliance, 55.2%(16/29)cases of the control group complete compliance, 27.6%(8/29) cases of partial compliance, 17.2%(5/29) cases of non-compliance, the differences between two groups were statistically significant (χ2=37.41, P<0.05). The 12 month test group of full compliance discharged 75.0%(21/28) cases, 14.3%(4/28) cases of partial compliance, 10.7%(3/28) cases of non-compliance, 31.0%(9/29) cases of the control group complete compliance, 31.0%(9/29) cases of partial compliance, 37.9%(11/29) cases of non-compliance, the test group compliance was higher than the control group (χ2=11.27, P<0.05). The score after 6 months and 12 months respectively for the test group general self-efficacy scored 35.32 ± 2.02, 34.18 ± 1.77, control group scored 24.03 ± 3.04, 22.48 ± 2.01, the differences between two groups were statistically significant (t=16.445, 23.304, P<0.01). After 6 months in test group FPG and 2 hPBG were (5.71 ± 1.05), (9.46 ± 1.37) mmol/L, control group were (7.79 ± 1.05),(12.28 ± 2.07) mmol/L, the differences between two groups were statistically significant (t=7.483, 6.023, P<0.01). 12 months after discharge in test group FPG and 2 hPBG respectively (5.89±1.13), (9.68±1.09) mmol/L, control group (9.14±1.19), (13.17±1.42) mmol/L, test group FPG and 2 hPBG were lower than the control group (t=10.550, 7.431, P<0.01). After 6 months and 12 months, the recurrence rate of experimental group were 7.1% (2/28) and 24.1% (7/29) respectively, and control group were 14.3%(4/28) and 44.8%(13/29), the recurrence rate of experimental group was lower than the control group, there was significant difference between 2 groups (χ2=4.326, 6.225, P< 0.05 or 0.01). Conclusions Self-management education can improve the medication compliance and self-efficacy, improve mental symptoms and sugar metabolism, and reduce the recurrence rate.

Objective To evaluate the effects of AIDET ( Acknowledge, Introduce, Duration, Explanation, Thanks ) communication mode in the modified electroconvulsive therapy. Methods Firstly, according to the procedure of the modified electroconvulsive therapy, we established the standard phrases of AIDET communication mode. Secondly, 100 cases of hospitalized psychiatric patients from August to October 2013 accepted the modified electroconvulsive therapy and were divided into the control group and the observation group, with 50 cases in each. The control group used the traditional lecture-style communication, while the observation group was given the AIDET communication processes and standard terms. The anxiety of two groups before and after the treatment was compared by the Hamilton Anxiety Scale ( HAMA ) , in addition with the treatment adherence and the satisfaction of nursing. Results Comparison of the HAMA scores in the two groups before the treatment was not significantly different (P >0. 05). After using the two different communication modes, the HAMA scores of somatic anxiety, mental anxiety and the total score of the observation group were significantly lower than those in the control group (t=5. 99, 6. 51, 10. 87, 10. 23, 6. 19, 7. 94, respectively;P<0. 05). The treatment adherence and the satisfaction with nursing of the observation group were significantly higher than those in the control group (Z =5. 77,χ2 =7. 16, respectively;P <0. 05). Conclusions The AIDET mode of communication can effectively reduce the patient′s anxiety, and improve the patients′adherence, treatment compliance and satisfaction.

Objective To investigate the implementing effect of team-based learning combined with situational simulation in clinical teaching of psychiatry.Methods A compendium was selected from "Psychiatric nursing",which was about the prevention and nursing of psychiatric crisis. We designed curriculums and wrote the scripts,and organized professional scenario walkthroughs. Eventually,we made them into videos and audio data. Firstly,60 nursing students were given team-based learning combined with situational simulation based on traditional teaching for 4 weeks. After teaching,the results of the theory and emergency skills examination and teaching satisfaction were compared.Results After 4 weeks,the professional theoretical examination of nursing students was (88.93±8.20) pints,and it was significantly higher than (83.27±5.31) points before teaching;meanwhile the emergency skills examination was (93.48±5.99) points,which was significantly higher than (85.87±7.34) points before training (t=-7.91,-9.12;P<0.01). The score of satisfaction of nursing students with teaching was (97.21±1.75),which was higher than (83.82±8.23) before training (t=10.78,P<0.01).Conclusions The team-based learning combined with situational simulation teaching not only cultivates nursing students' autonomous learning interest,which could improve independent study ability and effectiveness,but also improves their teamwork skills,which could improve clinical teaching quality and satisfaction.

Objective To discuss the implementation effects of the team-based learning combined with situational simulation in the standardized training in psychiatric.Methods A total of 70 psychiatric nurses in the standard training period from June to August 2015 were randomly divided into control group and experimental group, 35 respectively. Nurses in the control group received traditional teaching mode, while nurses in the experimental group used the teaching mode of the team-based learning combined with situational simulation. After the training, the theoretical knowledge, the comprehensive ability of emergency response, and the ability of team work of nurse in two groups were evaluated.Results After 6 months of standardized training, the scores of theoretical knowledge (87.13±7.50) and comprehensive ability of emergency response (95.57±4.19) of nurses in the experimental group were significantly higher than those in the control group (t=8.52, 7.81;P<0.01). The scores of different dimensions of team work ability were (6.58±2.11) of gregariousness, (5.16±2.65) of antorhythmicity, (4.73±2.18) of belongingness and (5.84±1.87) of valuable, which were significantly better than those in the control group (t=-3.36, -6.55, -5.89, -4.51;P<0.05).Conclusions The team-based learning combined with situational simulation model not only increases the knowledge level and comprehensive ability of emergency of nurses, but also improves the team work ability, which can enrich the forms and contents in psychiatric standardized training.

Objective To investigate the application effect of the reformative warning logo of nursing in psychiatry.Methods Patients with mental disorders admitted in the psychiatry department of Wuxi Mental Health Center in Jiangsu Province from January to December 2016 were selected in the study. A total of 507 patients (288 in-patients) from January to July 2016 were selected as the group before the use of reformative warning logo of nursing, with a frequency of usage of 301 case-times. A number of 535 patients (324 in-patients) from August to December 2016 were selected as the group after the use of reformative warning logo of nursing, with a frequency of usage of 372 case-times. Psychiatric in-patients were assessed for nursing risks. Risk prevention and management were carried out by nurses combined with the nursing warning logos which were made according to the risk categories and levels. The incidence of accidents of patients, accuracy and satisfaction rate of nurses were compared before and after the use of reformative warning logos.Results After the use of reformative warning logos, the accident rate of in-patients was significantly decreased from 16.38% to 6.50%; the accurate rate of using the logos was significantly increased from 88.70% to 97.31%; the accuracy of risks by nurses was significantly increased from 70.73% to 95.12%; and the satisfaction rate was significantly increased from 41.67% to 91.67% (x2=25.04, 20.17, 17.23, 20.25;P<0.01).Conclusions The reformative warning logo of nursing can be an information transfer system and help to quickly and accurately identify the nursing risks, promote the optimization of nursing work, ensure the safety of patients and nurses, and improve the nursing job satisfaction.

Objective:To analyze influencing factors of long-term hospitalization (hospitalization time≥1 year) in patients with schizophrenia, so as to provide clinical evidence for the transformation of mental health services in local hospitals.Methods:A total of 475 patients with schizophrenia who were hospitalized in Wuxi Mental Health Center Affiliated to Nanjing Medical University from 2018 to 2019 were included in the study by cluster sampling. Patients with hospitalization time greater than or equal to 1 year were included in the long-term hospitalization group and those with hospitalization time less than 1 year were included in the short-term hospitalization group. General patient information and hospitalization information were obtained from the electronic medical record system, and evaluative interviews were conducted to compare demographic and clinical characteristics of the two groups. Logistic regression model was used to analyze the influencing factors of long-term hospitalization.Results:There were 251 patients in long-term hospitalization group, occupying 17.92% of the total hospital beds. The main characteristics were male (64.1%, 161/251) , single (82.1%, 206/251) , urban registered residence (76.5%, 192/251) , medical insurance payment (95.2%, 239/251) , disease course over 5 years (96.8%, 243/251) and paranoid schizophrenia (57.0%, 143/251) . Multivariate regression analysis showed that the influencing factors of long-term hospitalization for schizophrenia included the course of disease ( OR=6.178, 95% CI: 2.216-17.227) , the score of Global Assessment of Function ( OR=5.484, 95% CI: 3.023-9.950) , family caregivers ( OR=5.044, 95% CI: 2.747-9.262) , medical payment ( OR=4.029, 95% CI: 1.662-9.770) , age ( OR=3.349, 95% CI: 1.962-5.714) , the score of Insight and Treatment Attitudes Questionnaire ( OR=2.939, 95% CI: 1.657-5.213) and marital status ( OR=2.544, 95% CI: 1.376-4.703) . Conclusions:The long-term hospitalization of patients with schizophrenia is affected by many factors, mainly related to the course of the disease, overall function, insight, family caregivers, medical insurance payment and demographic factors. It requires the collaboration of families, hospitals and society to improve hospital outcomes for patients with mental disorders.