Objective:To understand the experience and suggestions of medical and nursing staff on the quality evaluation of hospital-community linked transitional care for patients with heart failure and to provide a reference for establishing the quality evaluation index system of hospital-community linked transitional care for patients with heart failure.Methods:From October to November 2019, a total of 10 nursing managers, doctors working in chest pain centers of a ClassⅢ hospital and nursing managers in a community hospital that had carried out hospital-community linkage transitional care in Shanghai were selected as interviewees by the objective sampling method. Qualitative research method was adopted to collect data through face-to-face and semi-structured in-depth interviews, and Colaizzi 7-step analysis method was adopted for analysis.Results:A total of 5 themes were extracted, namely, outcome index of patients with heart failure was the focus of quality evaluation, process quality evaluation was the key point, structural quality should be paid enough attention, index characteristics determined the evaluation time, and quality evaluation was still faced with many difficulties.Conclusions:Topics related to hospital-community linked transitional care quality assessment extracted from the perspective of medical and nursing staff can provide a reference basis for building a scientific and widely applicable index system and promote the continuous improvement of hospital-community linked transitional care for patients with heart failure.

Heart failure is a serious threat to human health and a huge financial burden on their families.Continuous care plays an important role in the rehabilitation of heart failure. Many hospitals are actively exploring and implementing the continuous care for heart failure patients, and standardizing the quality indexes of heart failure care has become an urgent need. This article reviews the related researches on the evaluation indexes of continuous care quality for patients with heart failure from three aspects, structure, process and results and presents the research deficiencies and future research directions so as to provide a reference for the construction of targeted and standardized evaluation indexes of continuous care for patients with heart failure in the future.

Objective:To explore the current status and influencing factors of cancer related fatigue (CRF) in patients receiving chemotherapy for prostate cancer.Methods:Totally 165 patients with prostate cancer who received chemotherapy in the Department of Urinary Surgery at Tenth People's Hospital of Tongji University from March 2018 to November 2019 were selected by convenient sampling and investigated with the general information questionnaire, Brief Fatigue Inventory (BFI) , Social Support Revalued Scale (SSRS) and International Prostate Symptom Scores (IPSS) . The influencing factors of severe CRF in patients receiving chemotherapy for prostate cancer were analyzed.Results:Among the 165 patients, 139 had fatigue, including 77 mild fatigue and 62 moderate to severe fatigue cases. Univariate analysis showed that there were statistically significant differences in the degree of CRF among patients receiving chemotherapy for prostate cancer with different appetite, duration of disease, duration of chemotherapy, level of social support, and urinary system symptoms (χ 2=7.45, 14.37, 9.93, 6.87, 25.65; P< 0.05) . Multivariate regression analysis revealed that duration of the disease, duration of chemotherapy, level of social support and urinary system symptoms were the influencing factors of moderate to severe CRF in patients receiving chemotherapy for prostate cancer ( P< 0.05) . Conclusions:CRF is a common problem in patients undergoing chemotherapy for prostate cancer, which is affected by many factors. Clinical medical staff should formulate more targeted individualized treatment and nursing plans to alleviate the symptoms of CRF and further improve the quality of life of the patients based on their actual situation.

Objective:To explore the mediating role of social support between mindfulness and perceived pressure in young and middle-aged patients with inflammatory bowel disease (IBD) .Methods:From January to September 2021, the convenient sampling method was adopted to select 350 patients with inflammatory bowel disease who were treated in 5 ClassⅢ Grade A hospitals in Shanghai. The general information questionnaire, Mindful Attention Awareness Scale (MAAS) , Social Support Ratings Scale (SSRS) and Chinese Perceived Stress Scale (CPSS) were used for survey. Pearson correlation analysis was used to test the correlation between variables. AMOS 22.0 was used to establish the structural equation model, the maximum likelihood method was used to fit and modify the data and the Bootstrap method was used to test the mediation effect. A total of 350 questionnaires were distributed in this study and 324 valid questionnaires were recovered, with an effective recovery rate of 92.57%.Results:The total score of perceived stress in young and middle-aged IBD patients was (27.81±3.86) . Social support, mindfulness and perceived stress were negatively correlated ( r=-0.306, -0.220, P<0.01) . Social support played a partial mediating role between mindfulness and perceived stress, accounting for 55.13% of the total effect. Conclusions:The perceived stress level of young and middle-aged IBD patients is relatively high, which is not optimistic. Mindfulness affects perceived stress in young and middle-aged IBD patients through social support. Clinical workers need to pay attention to condition of mindfulness and social support of patients and take targeted psychological interventions to reduce their perceived stress.