Objective To address the nutritional risks, rate of malnutrition and reasons analysis for gastrointestinal tumor patients, and provide reference to support nutrition on time for patients having malnutrition and risk of malnutrition. Methods A total of 296 elderly patients with gastrointestinal tumor in our hospital was enrolled from January 2012 to October 2013. Nutrition risk screening (NRS 2002) was performed. Enteral or parenteral nutrition was recorded and the relationship between nutritional risk and its factors was analyzed. Results There were 177 gastral tumor patients and 119 colorectal tumor patients respectively in whole. The overall prevalence of nutritional risk was 66. 55% ( 197/296 ), nutrition deficiency 14. 19% ( 42/296 ), malnutrition 17. 91% (53/296). 92. 89% patients with nutritional risk and 62. 63% patients without nutritional risk were provided nutritional support. The average parenternal nutrition compared with enteral nutrition was 3. 91 ∶ 1. Conclusions Elderly gastrointestinal tumor inpatients suffer from high nutrition risk and the prevalence of malnutrition is 14. 04% to 31,42%, so that nutritional support therapy needs individualization. Nutritional risk in elderly gastrointestinal tumor inpatients is different as well as the factors of malnutrition.

Objective To explore the effects of project-achieving quality control circle (QCC) in day surgery nursing optimization model so as to provide a theoretical support for hospital day surgery nursing management and process improvement. Methods A total of 119 patients with day surgery in April 2018 and 170 in November 2018 at Ningbo First Hospital of Zhejiang Province were selected as subjects. This study developed activities based on the QCC activity theme of "Construction of Day Surgery Nursing Management Model by Various Measures", plan-do-check-action (PDCA) cycle and 10 steps of project-achieving QCC. Before and after optimizing process, the field follow-up for patients was carried out by telephone follow-up and questionnaire investigation, and tangible results (satisfaction of pre-hospital service, completion rate of follow-up, score of patients' continuous nursing needs, satisfaction with day surgery) as well as intangible results (skill application, teamwork, communication and coordination, computer application, activity confidence and activity participation) were evaluated. Results Patient's satisfaction of pre-hospital service raised from 52.1% to 82.4% before and after optimizing process; the rate of follow-up increased from 35.3% to 97.0%; patient's satisfaction with day surgery raised from 40.3% to 82.9%; the score of continuous nursing needs decreased from (20.90±12.91) to (17.59±11.78); the differences were all statistically significant (P＜ 0.05). The intangible results also improved, such as skill application of members in QCC. Conclusions The project-achieving QCC based day surgery nursing optimization model improves the completion rate of follow-up in nurses and patient satisfaction, and lowers patients' needs for continuous nursing and increases nursing team cohesion.