Objective:To investigate the relationship between discharge readiness and nutritional status of patients undergoing gastric cancer surgery in the context of enhanced recovery after surgery (ERAS) , so as to provide individualized guidance for patients after discharge.Methods:Using the convenient sampling method, a total of 120 patients who underwent radical gastrectomy for gastric cancer from June 2020 to June 2021 in Ningbo First Hospital were selected as research objects, and they all received ERAS nursing care. One day before discharge, Nutritional Risk Screening Table and Discharge Readiness Scale were used for questionnaire analysis.Results:The total score of discharge readiness of 120 patients with gastric cancer after surgery was (81.42±6.87) . Among the three dimensions, personal status was (19.65±2.19) , adaptability was (29.67±3.10) and anticipatory support was (32.10±2.61) . 57.5% (69/120) of gastric cancer patients discharged from hospital had nutritional risk. The scores of hospital discharge readiness and the scores of each dimension in the nutritional risk group were lower than those in the non-nutritional risk group, and the differences were statistically significant ( P<0.05) . Multivariate analysis showed that nutritional status was an influencing factor for the total score of hospital discharge readiness in patients with gastric cancer surgery (standardized regression coefficient was 0.321, P<0.05) . Conclusions:Under the background of ERAS, the discharge readiness of patients after gastric cancer surgery is at a moderate level, postoperative patients are generally at nutritional risk and the discharge readiness of patients with nutritional risk is lower than that of patients without nutritional risk. Perioperative nutrition management by nursing staff can improve the discharge readiness of patients undergoing gastric cancer surgery, and continuous nutrition management should be carried out for discharged patients with nutritional risk, in order to promote home rehabilitation of patients with gastric cancer surgery.

Objective To explore the application effects of levator ani sitting method on alleviating perineal pain of puerperae in sitting position on the first day after vaginal delivery.Methods Method of self contrast was used.A total of 401 puerpera undergoing vaginal delivery were asked to sit according to traditional sitting posture method,and then levator ani sitting method.Their perineal pain index,and psychological fear of sitting were observed.Results By sitting according to levator ani sitting method,the pain index was lower than that of the traditional sitting method (P ＜ 0.05);by sitting according to levator ani sitting method,less puerperae felt fear by sitting position than that of the traditional sitting method (P ＜ 0.05).Conclusions Simple,convenient,easy to master and effective,levator ani sitting method can alleviate perineal pain and reduce fear of puerpera's in their sitting position,which is benefit for puerperium recovery.