Objective To investigate the clinical effects of painless concept in nursing of patients underwent urology outpatient surgeries. Methods From June to December 2014, according to the outpatient number, 100 patients underwent urology outpatient operation in our hospital were randomly divided into the control group and the observation group, with 50 cases in each group. Patients in the control group received routine nursing, while patients in the observation group received standardized pain assessment on the basis of routine nursing. Intervention measures were carried out and preemptive analgesia was used. Adverse drug reactions were evaluated and dealt with. Degree of pain, and satisfaction with pain control pf patients were assessed. The difference of 10 clinical nurses in knowledge and attitude towards pain management before and after the intervention was evaluated.Results The number of patients in the observation group with postoperative pain score ≥5 points and needing pain medication was 3 cases, while the number in the control group was 22 (χ2=19.26,P<0.01). The number of patients whose satisfaction score >90 was 46, while it was 38 in the control group (χ2 =4. 762, P<0. 05 ) . After training, the scores of 10 clinical nurses in pain management knowledge and attitude were significantly increased from (17.58±4.0) to (34.00±5.3) (t=7.820,P<0.01). Conclusions By promoting painless conception in outpatient operating nursing, we provide the patients with a scientific, standardized, and feasible working style of pain control. The overall satisfaction is improved, and pain management knowledge attitude of nurses in outpatient department are enhanced.

Objective To investigate the status of anxiety, depression and family function in infertile patients in day-care wards , and to explore the effects of continuing nursing on their negative emotions and family adaptability. Methods A total of 50 infertile women patients who were treated in day-care ward from February to August 2017 were selected in this study using systematic sampling. The participants were randomly divided into the intervention group (n=24) and the control group (n=26). The control group was given routine education and general psychological care at discharge. In contrast, the intervention group received continuous nursing after discharge which including establishing follow-up files, conducting group psychotherapy, and health education through the internet. Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD), and Family Assessment Device (FAD) were used for the assessment before and two months after the discharging. The spontaneous ovulation rate and natural pregnancy rate were compared between two groups. Results There were no significant difference in HAMA scores between the two groups (P> 0.05). The HAMD score in the intervention group was significantly lower compared with the control group after two months of intervention (P< 0.01). After the intervention, the scores of communication skills, role positioning skills and behavior control dimensions regarding the family function in the intervention group were significantly lower than those in the control group (P<0.05). Moreover, the spontaneous ovulation and natural pregnancy rate in both groups increased but had no significant difference between two groups (P>0.05). Conclusions The continuing nursing has a good clinical effect on improving the depression and family function of infertile patients in the day-care ward. It is an extended service based on humanistic care and is worth developing in the day-care ward.

Objective To compare different nursing methods impacting on the wound healing effects of circumcision for patients with Chinese Shang ring circumcision. Methods A total of 144 male patients with Chinese Shang ring circumcision were randomly divided into A and B group by coin tossing. The patients of A group received circumcised dressing to wrap wound with dressing change 3 times/week;the patients of B group had no dressing for wound to exposure wound and keep wound dry. Followed interviewed 2 months after operation, we compared the incision edema, the infection, rate of incision rupture, postoperative pain, wound healing time, satisfaction of incision appearance and so other indexes between two groups. Results The patients in the group B suffered less pain when erected in 2 weeks after operation (P<0. 05). The length of healing time in B group was (25.9 ±4.7) d, shorter than (27.8 ±5.0) d in the group A (P<0.05). The postoperative incision edema, incision rupture, infection and satisfaction of incision appearance were no statistical significance between two groups (P>0. 05). Conclusions To exposure the incision and keep it dry after Chinese Shang ring circumcision can minimize the level of pain and length of wound healing, and is worthy to promote.