Objective To observe the clinical effect of Chinese herbal medicine gargle on the prevention of aspiration pneumonia in elderly patients with long-term nasal feeding. Methods 93 elderly patients over 60 years old with indwelling nasogastric tube for 30 days were randomly divided into 48 cases of the experimental group and 45 cases of the control group. We compared incidence of aspiration pneumonia of the elderly patients with long-term nasal feeding in two groups of oral care solution by using the self-made traditional Chinese medicine gargle for oral nursing in the experimental group and treated with saline in the control group. Results The oral bacterial colony count and the incidence of aspiration pneumonia in the experimental group were lower than those in the control group, with two different kinds of nursing fluid. Conclusion Using the self-made traditional Chinese medicine gargle for oral care, could effectively reduce the number of oral bacteria, reduce the incidence of aspiration pneumonia, the application effect is good, and could be in clinical promotion and application.

Objective:To explore the status of rumination in elderly patients with glaucoma and visual field defect and analyze its influencing factors.Methods:From January 2018 to December 2020, convenience sampling was used to select 95 elderly patients with glaucoma and visual field defects in Zhejiang Rongjun Hospital as the research object. The patients were surveyed using the General Information Questionnaire, the simplified Chinese Version of Event Related Rumination Inventory (C-ERRI) , and the Glaucoma Self-Management Questionnaire (GSMQ) . Univariate analysis was used to explore the influencing factors of rumination in elderly patients with glaucoma and visual field defect.Results:A total of 95 questionnaires were distributed and 90 valid questionnaires were recovered with the valid recovery rate of 94.74%. Among 90 elderly patients with glaucoma and visual field defect, the scores of intrusive rumination and purposeful rumination were (12.29±4.71) and (16.20±3.95) respectively. Univariate analysis showed that there were statistically significant differences in scores of the invasive rumination dimension for elderly patients with different educational backgrounds, monthly per capita family income, and the number of accidents ( P<0.05) . Conclusions:Educational background, monthly per capita family income and the number of accidents are the influencing factors of rumination in elderly patients with glaucoma and visual field defect. Nurses should take targeted intervention measures according to the influencing factors to promote positive psychological adjustment in elderly patients with glaucoma and visual field defect.