Objective To investigate the clinical nursing measures of diabetic retinopathy patients treated with traditional Chinese medicine combined with total retinal photocoagulation.Methods A total of 60 patients with diabetic retinopathy in department of endocrinology in our hospital were randomly divided into experimental group with 30 cases and control group with 30 cases,both groups applied traditional Chinese medicine combined with retinal photocoagulation,control group was additionally given routine nursing,and experimental group was given high quality nursing intervention,nursing effects were compared between the two groups.Results The quality of life scores in ability of daily life,reading and fine adjustment ability,action in the experimental group were higher than the control group,nursing service satisfaction in the experimental group was significantly higher than the control group,there was significant difference between two groups (P ＜ 0.05).Conclusion High quality nursing can improve quality of life of patients with diabetic retinopathy,and maintain a good relationship between nurses and patients,which is worthy of clinical reference and application.

Objective To investigate the clinical nursing measures of diabetic retinopathy patients treated with traditional Chinese medicine combined with total retinal photocoagulation.Methods A total of 60 patients with diabetic retinopathy in department of endocrinology in our hospital were randomly divided into experimental group with 30 cases and control group with 30 cases,both groups applied traditional Chinese medicine combined with retinal photocoagulation,control group was additionally given routine nursing,and experimental group was given high quality nursing intervention,nursing effects were compared between the two groups.Results The quality of life scores in ability of daily life,reading and fine adjustment ability,action in the experimental group were higher than the control group,nursing service satisfaction in the experimental group was significantly higher than the control group,there was significant difference between two groups (P ＜ 0.05).Conclusion High quality nursing can improve quality of life of patients with diabetic retinopathy,and maintain a good relationship between nurses and patients,which is worthy of clinical reference and application.

Delirium is an acute cognitive impairment syndrome. The incidence of delirium in intensive care unit (ICU) is higher than that in general wards which is an independent risk factor of clinical outcomes of ICU patients. At present, there is no unified standards in assessment instrument for ICU delirium in China which has influences on early diagnosis and assessment by medical staff and makes the incidence of ICU delirium high. This paper reviewed the research progress of assessment instrument for ICU delirium at home and abroad so as to provide a basis for assessment of ICU patients with delirium in China.

Patients with advanced cancer are often accompanied by a variety of symptoms due to disease or treatment,and it is necessary to choose a scientific assessment tool to assess and manage these symptoms. The Edmonton symptom assessment scale (ESAS)is a brief,easy to complete,and comprehensive assessment tool for the common symptoms of patients with advanced cancer. ESAS has been translated into many languages and it is widely used in many countries. In the course of using,the structure and contents of the original scale are adjusted,and the ESAS is more perfect,besides,its reliability and validity are validated,and it is used in the research of evaluation by others.

Objective? To evaluate the impacts of early enteral nutrition (EEN) support and delayed enteral nutrition(DEN) support in the nutritional status and infection complications in patients with severe traumatic brain injury. Methods? The articles of randomized controlled trials about EEN support and DEN support on the nutritional status and infection complications in patients with severe traumatic brain injury were searched in CBMdisc, CNKI, Wanfang Data, VIP, Cochrane Library, Web of Science, PubMed, EMbase from 1990 to 2017. The quality evaluation method in Cochrane-Handbook5.0 handbook was adopted to evaluate the quality of articles and test the heterogeneity of the included articles. Fixed-effect model or random-effect model were used to merge the effects. Results? A total of 10 randomized controlled trials were included. Meta-analysis results proved that, compared with DEN support, EEN support can increase the level of serum total protein, albumin and peripheral lymphocyte count (Z=10.20, 4.23, 5.24;P＜0.01) and reduce the incidence of pulmonary infection and craniocerebral infection in patients with craniocerebral injury (Z=4.12, 2.15; P＜0.05), but it has no effect on the incidence of upper gastrointestinal hemorrhage in patients with craniocerebral injury (Z=0.82, P=0.41). Conclusions? Compared with DEN support (within 48 hours of admission), EEN support (48 hours after admission) can effectively improve serum total protein and albumin, improve nutritional status, increase peripheral lymphocyte count, increase patient resistance and reduce the occurrence of cranial infection and pulmonary infection. Therefore, patients with severe craniocerebral injury should receive EEN support if there is no contraindication.