Objective:To understand the current situation of nurses′ implementation of oral care for elderly patients, so as to improve oral care practice standard and quality of oral care constantly.Methods:Using convenient sampling method, 190 nurses in the general ward of the General Hospital of Ningxia Medical University were selected as the research object from September to November 2020. The self-designed questionnaire was used to investigate and analyze the implementation of oral care among elderly patients.Results:A total of 190 questionnaires were collected in this survey, 84.74%(161/190) of the nurses reported that the hospital or department had oral care practice standard; The proportion of nurses who evaluated the oral status of elderly patients by the oral care assessment tool was 17.89%(34/190).Only 14.74%(28/190) and 16.84%(32/190) of the nurses could always set the expected rehabilitation goals and formulate the corresponding nursing plans for the oral problems of elderly patients, respectively. When the elderly patients had special oral problems, 26.32% (50/190) of the nurses would proactively communicate with doctors or search literature; the oral knowledge and oral hygiene habits of the elderly patients would be known to nurses accounting for 5.26% (10/190).Conclusions:Nurses′ cognition of oral care for elderly patients is at a low level on the structure, process and outcome.Relevant nursing managers still need to further improve the oral care operation norms and the training of nurses′ knowledge and skills, so as to continuously promote the oral health of elderly patients.

Objective:To explore the current situation of discharge preparation services for elderly patients in ClassⅢ hospitals in Ningxia Hui Autonomous Region, so as to provide a reference for optimizing implementation plans and service processes.Methods:This study was a cross-sectional study. From November 10 to 30, 2020, convenience sampling method was used to select 175 head nurses of clinical departments from 10 Class Ⅲ hospitals in Ningxia Hui Autonomous Region as the research subject. The General Information Questionnaire and Discharge Preparation Service Implementation Questionnaire were used for investigation. A total of 175 questionnaires were distributed, and 175 valid questionnaires were returned with the valid response rate of 100.00%.Results:Among 10 ClassⅢ hospitals, a total of 86.29% (151/175) departments carried out discharge preparation services for elderly patients, of which 61.59% (93/151) departments completed the screening of discharge preparation service targets within 24 to 48 hours after the patients were admitted; 25.81% (24/93) departments used standardized assessment tools; 76.16% (115/151) departments fully considered the social resources available near the home of elderly patients when formulating individualized discharge preparation services; 58.28% (88/151) departments carried out nurses collaborating with multidisciplinary teams during the implementation of discharge preparation services, and 95.36% (144/151) departments followed up discharged elderly patients.Conclusions:The overall development rate of discharge preparation services for elderly patients in ClassⅢ hospitals in Ningxia Hui Autonomous Region is at a medium to high level. There are still deficiencies in the timeliness of discharge preparation services, the use of mature assessment tools, the coordination and use of available social resources, and the communication and cooperation of multidisciplinary teams. Relevant departments and department personnel need to further perfect the implementation process and continuously improve the quality of services for elderly patients to prepare for discharge.

Objective:To construct a quality evaluation index system of discharge planning for elderly patients, so as to provide a reference basis for the evaluation of the quality of discharge planning for elderly patients.Methods:The overall research time was from August 2020 to August 2021. Taking the three-dimensional quality evaluation model as the framework, through literature review, a preliminary construction of the quality evaluation index system of discharge planning for elderly patients was established. The Delphi method was used to conduct 2 rounds of consultation with 20 experts, and finally the quality evaluation index system of discharge planning for elderly patients was determined, and the weight of each index was determined by the network analytic hierarchy process.Results:Among 2 rounds of consultation, the effective recovery rates of the questionnaires were 85.00% (17/20) and 100.00% (17/17) , the expert authority coefficients were 0.912 and 0.909, and the Kendall harmony coefficients were 0.141 and 0.134, respectively ( P<0.05) . The quality evaluation index system of discharge planning for elderly patients included 3 first-level indicators, 12 second-level indicators, and 50 third-level indicators. Conclusions:The quality evaluation index system of discharge planning for elderly patients is scientific and reliable, and can provide a reference basis for comprehensive evaluation of the quality of discharge planning for elderly patients.

Objective:To explore the symptoms and psychological experience of elderly patients with chronic obstructive pulmonary disease (COPD) and urinary incontinence.Methods:From January to February 2021, a total of 17 patients in General Hospital of Ningxia Medical University and Wuzhong People's Hospital were enrolled by phenomenological method and interviewed using semi-structured interview method. KJ method was used to analyze, summarize and refine the interview data.Results:A total of 4 themes were extracted, including confusion in cognition and management between COPD and urinary incontinence symptoms, affected compliance of lung rehabilitation, intertwined physical and mental burden and psychological adjustment, and eager for medical staff's attention and help to symptom interaction.Conclusions:Elderly patients with COPD and urinary incontinence have many trouble under the interaction of symptoms. Medical staff should pay attention to the complexity of symptom process and the interaction between symptoms, and carry out timely and effective symptom evaluation and intervention, so as to improve patients' compliance of lung rehabilitation and quality of life.