Objective To investigate the effect of group psychological counseling and peer education on depressive and anxiety symptoms of pregnant females with selective multiple pregnancy reduction in second trimester. Methods Sixty-two pregnant females with selective multiple pregnancy reduction in second trimester were randomly divided into intervention group(n=30)and control group (n=32), two groups of pregnant women all received routine nursing. The pregnant women of intervention group received group psychological counseling and peer education for one month before multiple pregnancy reduction. Results Before the intervention, the anxiety levels of the two groups of pregnant women were not significantly different. After the intervention, the intervention group had less anxiety symptoms than before the intervention[ before(54.2 ± 3.2)points,after(43.4 ± 3.1)points,t=13.250,P=0.000].After the intervention, the intervention group had less anxiety symptoms than the control group[the intervention group(43.4±3.1)points, the control group(50.0±4.4)points,t=6.712,P=0.000].Before the intervention, the depression levels of the two groups of pregnant women were not significantly different. After the intervention, the depression levels of the control group was not significantly different than those before the intervention. After the intervention, there was significantly lower depression score of the intervention group than that of the control group(P < 0.05) [before(56.9 ± 3.5)points, after(45.3 ± 2.5)points, t=14.773,P=0.000].After the intervention, the intervention group had lower depression score than the control group[the intervention group (45.3 ± 2.5) points, the control group (54.6 ± 3.0) points, t=12.802,P=0.000]. Conclusions Group psychological counseling and peer education can effectively improve depressive and anxiety symptoms of pregnant females with selective multiple pregnancy reduction in second trimester.

Objective To apply the sharing mode of nursing observation on typical cases to promote nurses' capability and observation skills of clinical nursing and deepen the connotation of high-quality nursing service.Methods The sharing mode of n ursing observation on typical cases was established in 2010 and run through the process of record-report-evaluate-share-reward.The registration form of nursing observation on typical cases was designed by the nursing department,on which the observers recorded typical cases and reported it via network to the nursing department.And the latter assigned nursing experts at regular intervals to evaluate and shared cases through a variety of forms (publishing briefings,organizing exchange meetings,etc.),in which the excellent examples were rewarded.Results Since 2010,298 cases had been submitted,with more than 100 cases shared and 57 rewarded.Conclusions The sharing mode of nursing observation on typical cases has elevated nurses' observation capability and comprehensive quality,deepened the connotation of high-quality nursing service and ensured the safety of the patients.

Objective To explore the application of evidence based nursing practice in reducing the urinary catheter extraction related complications in coronary artery bypass surgery patients and its application effects. Methods A total of 160 patients who underwent coronary artery bypass surgery from September 2015 to June 2016 in Cardiosurgery Department of a Class Ⅲ Grade A hospital in Shandong Province were selected as research objects by convenience sampling method, and divided into control group (n=84) and observation group (n=76). The control group received conventional extubation method, and the observation group adopted evidence-based nursing practice to remove catheter. Pain scores after extubation, the first micturition time after extubation and complications after extubation (including hematuria, dysuria, urinary retention and urinary incontinence) were observed between two groups. Results The extubation pain score of the observation group was (1.61±1.19), which was lower than that of the control group (4.52±1.04), with statistical significance (t=58.264,P<0.05). The first micturition time after extubation was (3.39±1.49) hours, which was shorter than that of the control group (4.79±6.72) hours, with statistical significance (t=2.620,P<0.05). In the observation group, the incidences of dysuria and urine retention were 0, and those in the control group were 7.14% and 8.33% respectively, and the differences were statistically significant (χ2=0.029,0.014;P< 0.05). There was no significant difference in the incidence of hematuria (observation group 1.32% vs. control group 3.57%) and urinary incontinence (observation group 0 vs. control group 0) after extubation between the two groups (P>0.05). Conclusions Evidence based nursing is helpful to explore the methods and strategies of reducing complications related to catheter removal in patients undergoing coronary artery bypass graft surgery, which is of great significance to improve the level of clinical nursing.

Objective To develop an indicator system to evaluate nursing safety management in Neonatal Intensive Care Unit ( NICU ) . Methods To review relevant literature and relevant documents combined with nursing safety issues and expert interviews, we used to study out the preliminary nursing safety management evaluation indicators in NICU. Delphi method was used to screen indicators. After two rounds of surveys, the indicators were identified by Hierarchy analysis. Results A total of 17 experts completed two rounds of consultation. In two rounds of surveys, the rates of questionnaire retrieve were 91. 3% and 94. 4%, respectively. The authoritative coefficients were 0. 913 and 0. 919, and the coordination coefficients were 0. 995 and 0. 998 (P <0. 01). The indicator system was established, which included 4 first level-dimensions, 13 second level-dimensions and 57 third level-dimensions. Conclusions Nursing safety management evaluation indicator system in NICU is constructed. It can be used to standardize the nursing behavior, and to improve the nursing quality, to protect the safety of children and to provide reference for strategy of safety.