Objective To evaluate the application effect of nurse based,with clinicians and anesthesiologists supervised acute pain service (NBASS-APS)in clinical postoperative pain management.Methods 300 cases of abdominal surgery were divided into the observation group and the control group with 150 cases in each group,the observation group was given NBASS-APS,the control group used the traditional acute pain service mode.The total cost and postoperative analgesia effect were recorded in all patients.Results The hospitalization costs,anal exhaust time,ambulation time and hospital stay in the observation group were significantly less than those in the control group,and postoperative 48h sleep time was significantly longer than that in the control group,VAS scores of each time period were significant-ly lower than those in the control group,there was significant difference.Conclusions Application of NBASS-APS in patients after abdominal surgery can effectively reduce hospitalization costs and improve cost efficiency.

Objective To investigate the effects of discharge planning model on self-management behaviors of patients with coronary stent implantation (CASI).Methods Using random control study,106 patients with CASI were divided into intervention group and control group by random digits table method with 53 cases each.The intervention group was received discharge planning services.The control group was received routine nursing and follow-up of department of cardiology.In the process of study due to lost to fall off in 5 cases,including 2 cases of intervention group and 3 cases of control group.The level of self-management behaviors of patients was evaluated before intervention,after 1 month and 6 months of intervention.Results The total scores of self-management behaviors of patients after 1 month of intervention was (94.59±8.43) scores in intervention group,which was higher than that in control group (83.41 ±7.91)scores,and there was significant difference,P＜0.01.The total scores of self-management behaviors of patients after 6 months of intervention was (91.68±9.01) scores in intervention group,which was higher than that in control group (78.32±8.52) scores,and there was significant difference,P＜0.01.Conclusion Discharge planning model can effectively improve the level of self-management behaviors of patients with CASI,improve the quality of life,ensure the implementation effect of continuing nursing care service.

Objective To evaluate the impact of family intervention on the quality of life in the patients after total laryngectomy and their family members. Methods Family intervention was implemented for the patients after total laryngectomy and their family members from 2008 to 2009,and only patients received intervention from 2005 to 2007. The patients and their family members were investigated with Quality of Life Instrument for Cancer Patients-Head and Neck Cancer (QLICP-HN) and Quality of Life Scale-Family Version (QOL Scale-FAMILY) respectively when the patients were admitted to hospital and one year after discharged. Results The quality of life in patients after total laryngectomy and their family members was significantly improved after family intervention was implemented (P<0.05). Conclusion Family intervention is practicable and helpful to improve the quality of life in patients after total laryngectomy and their family members.

Objective To develop an instrument for measuring family relocation stress scale during patient transferred from ICU. And to provide evidence for ICU health care personnel to assess and deal with the family member′s relocation stress. Methods A draft scale was developed based on the result of related scale abroad, literature review and semi-structured interviews. Delphi method and Classical test theory were used in item selection. Results The degree of experts′ authority in two rounds′consultation were 0.83. The Kendall′s coordination coefficients of importance were 0.36, 0.36 (P<0.05) in dimension and 0.35, 0.37 (P<0.05) in item. Five items were deleted by the statistical analysis with pilot investigation. 6 dimensions (transfer anxiety, environmental changes, disease severity, nursing model changes, the safety of transfer, self-efficacy of care ability) and 20 items consisted the scale. The Cronbach α coefficient was 0.882. Exploratory factor analysis extracted 6 items, accumulated variance contribution rate was 72.226%. Confirmative factor analysis showed χ2/df=1.677, comparative fit index=0.936, Tucker-Lewis index=0.921, root mean square error of approximation=0.061. Conclusions The scale is based on abundant theoretical evidence and reasonable design, with satisfactory reliability and validity. It can be used as the evaluation tool for family relocation stress during patient transferred from ICU.

Objective To investigate the clinical application of the emergency triage criteria in the Hospital Emergency De‐partment Standardization Process by comparing it with the 5 level national triage system (5L NTS) .Methods Totally 984 patients visiting the emergency department of the Wushan County People′s Hospital from January 1 to January 31 ,2015 were chosen to con‐duct the evaluation of 4‐grade classification standard triage with 5L NTS as the control evaluation criteria .The error rate ,evaluation time and degree of difficulty or ease were compared between the two criteria .Results The error rate of 4‐grade triage standard was 4 .7% ,which of 5L NTS was 3 .6% ,the difference was not statistically significant (χ2 =1 .220 ,P=0 .269) .The triage time had sta‐tistical difference between the two criteria (t= -2 .291 ,P=0 .04) ,while the degree of difficulty or ease in using criteria had no sta‐tistical difference(χ2 =1 .143 ,P=0 .285) .Conclusion The 4‐grade triage criteria recommended by the Hospital Emergency Depart‐ment Standardization Process has no obvious differences in the aspects of triage error rate ,degree of difficulty or ease in use com‐pared with the widely recognized 5L NTS in the world ,and has the clinical promotion value .

Transitional care is a new mode of nursing practice, fully embodies the people-oriented concept of quality of nursing.Based on the domestic and foreign research, this article elaborates the concept and current application status of transitional care in cancer pain patients,integrates the new progress of transitional care team,information management of discharged patients,contents and quality management of transitional care, systematically puts forward the system framework of transitional care in cancer pain patients, and discusses the design of clinical trial, the dive~ity of transitional care contents et al,to provide theoretical references for further optimizing the transitional care system of the cancer pain patients.

Objective To construct nursing service quality evaluation index system for abdominal operation patients. Methods Based on the service quality(SERVQUAL)model, a total of 33 nursing experts were selected by Delphi method for two turns of consultation. All the consultation experts have got senior professional title and 90.9%(30/33) have been working for more than 20 years. Finally, we calculated the questionnaire response rates, the authority coefficient, the mean and standard deviation, the coefficient of variation and the harmony coefficient. Results The response rates of questionnaires was 91.89% and 100% respectively, while the authority coefficient of experts was 0.91. The harmony coefficient of first and second and third indictors was 0.43, 0.47 and 0.53 respectively in the second consultation. Combined with selection of indicators and expert opinion, the final evaluation index system includes 6 first grade indexes, 14 second grade indexes and 49 third grade indexes. Conclusions There is a high level of authority and team coordination in experts. The results of the study can provide a reference for evaluating the nursing service quality of abdominal operation patients.

Objective To evaluate the effect of discharge planning service mode in patients with intracoronary stent implantation. Methods Total?ly 106 patients with intracoronary stent implantation were divided into intervention group and control group,the intervention group received discharge planning services. The control group received routine nursing and follow?up of Department of Cardiology. The intervention lasted 6 months. Compari?son of two groups of patients in hospitalization days,cost of hospitalization and cardiovascular events and the rate of readmission and Compliance be?havior and clinical indicators and quality of life. Results The incidence rate of cardiovascular events and readmission rate in discharge planning group is lower than the routine nursing group(P<0.05);Discharge planning group of smoking cessation rates,weekly rehabilitation exercise times and coronary heart disease in two level prevention drug use rate is superior to that of routine group(P<0.05). Discharge planning group,left ventric?ular ejection fraction,success rate of blood lipids and the quality of life is better than the routine group(P<0.05). Conclusion Discharge plan?ning intervention can reduce the incidence of cardiovascular events and readmission rate,improve ventricular function and the compliance behavior and the quality of life in patients with coronary stent implantation.

Objective:To explore the effect of family integrated care (FIC) combined with intelligent health education platform in health education for elderly patients with stroke.Methods:Eighty patients with stroke were included from the Department of Neurology of the Second Affiliated Hospital of Chongqing Medical University from June 2019 to May 2020. They were divided into the experimental group and the control group ( n=40, respectively) by the random number table method. Patients in the control group received routine FIC in the Department of Neurology. Additional intelligent health education platform was provided for the experimental group to carry out intensive education. The modified Barthel index scale, self-care compliance scale and hospital anxiety and depression scale (HADS) were used before and after the intervention to evaluate patient′s self-care ability, self-care compliance and the degree of anxiety and depression. Results:Finally, 39 patients in the experimental group (1 case lost to followed-up) and 37 patients in the control group (3 cases lost to followed-up) completed the study. After the intervention, the scores of the modified Barthel index and self-care compliance scale of the experimental group were significantly higher than those of the control group [(65.9±12.6) vs (60.1±11.9) points, (78.2±13.6) vs (71.4±14.6) points], the HADS score was significantly lower than the control group [(15.18±2.46) vs (19.46±2.40) points] (all P<0.05). The scores of the modified Barthel index scale and self-care compliance scale of the experimental group after the intervention were significantly higher than those before the intervention [(65.9±12.6) vs (40.8±12.5) points, (78.2±13.6) vs (54.6±15.9) points] (all P<0.05), the HADS score was significantly lower than before the intervention [(15.18±2.46) vs (21.74±3.52) points] (all P<0.05). Similarly,the scores of the modified Barthel index and self-care compliance scale of the control group after the intervention were significantly higher than before the intervention [(60.1±11.9) vs (41.6±9.72) points, (71.4±14.6) vs (54.3±14.8) points], the HADS score was significantly lower than before the intervention [(19.46±2.40) vs (21.38±3.09) points] (all P<0.05). Conclusion:FIC combined with intelligent health education platform can significantly improve the self-care ability and self-nursing compliance of elderly stroke patients, and markedly improve the degree of depression and anxiety.

Objective To establish a systematic and scientific transitional care quality evaluation index for patients with coronary heart disease (CHD) after percutaneous coronary intervention (PCI), and to determine the weight of the index.Methods Using self management theory and Omaha effectiveness evaluation system as frameworks, the transitional care quality evaluation index for patients with CHD after PCI was basically formed on the basis of literature analysis and qualitative research. Totally 23 experts were consulted by Delphi method, and the weight of each index was determined by analytic hierarchy process (AHP).Results The quality evaluation index was finally determined after three rounds of expert consultation, composing of 4 first-class indexes, 16 second-class indexes and 42 third-class indexes. The questionnaire recovery rates of the three rounds of consultations were 91.3％, 81.0％ and 100.0％ respectively. And the authority coefficient of the experts were 0.87, 0.88 and 0.91 respectively. The index weight of various levels were determined by AHP. The weight of 4 first-class indexes were 0.489, 0.137, 0.304 and 0.070 respectively, and theCr value of indexes of various levels were all less than 0.10.Conclusions The transitional care quality evaluation index for patients with CHD after PCI is established to give feedback on the effects of transitional nursing and to promote the quality of transitional nursing.