Objective To explore the effect of quantitative assessment of grading nursing model on nursing quality and satisfaction of psychiatric inpatients. Methods From September to December 2016, 77 psychiatric inpatients from a class Ⅲ grade A psychiatric hospital of Guangzhou were selected as the research object. The patients were randomly divided into two groups according to the order of hospitalization, 47 cases in the study group and 30 cases in the control group. The study group was the quantitative evaluation group, and the nurses grouped with the doctor. The medical team consisted of 2 nurses (1 nurse-in-charge or over and 1 senior nurse) and 1 doctor. The control group, that was, the traditional routine group, the doctor in charge was responsible for delivering the order, and the nursing staff was responsible for the implementation. After 6 weeks of the intervention of quantitative evaluation and classified nursing mode in psychiatric department, two groups of patients were investigated by using self-made general information questionnaire, grading nursing quality evaluation table and patient satisfaction questionnaire. Results The total average score of nursing quality of the study group was (97.61±2.19) points, the hospital satisfaction was (33.28±1.79) points, while in the control group the total average score of nursing quality was (96.48±1.37) points, the satisfaction score was (28.83±4.71) points. There was a significant difference in the score of nursing quality between the two groups (t=2.515, 5.802;P<0.05). Conclusions The preliminary results show that quantitative assessment of grading nursing model can improve nursing quality and hospitalization satisfaction of psychiatric hospitalized patients.

Objective:To investigate the relationship between hypertension with hyperhomocysteinemia (HHcy) and early neurological deterioration (END) in patients with intracerebral hemorrhage.Methods:Patients with acute intracerebral hemorrhage admitted to the Department of Neurology, the First People's Hospital of Huainan from January 2017 to December 2018 were enrolled prospectively. END was defined as the National Institutes of Health Stroke Scale (NIHSS) score increased by ≥4 or Glasgow Coma Scale (GCS) score decreased by ≥2 at any time within 72 h after onset from baseline. The baseline data of the END and non-END groups were compared, and multivariate logistic regression analysis was use to evaluate the independent risk factors for END. Results:A total of 238 patients with acute intracerebral hemorrhage were enrolled, and 64 of them (26.9%) developed END. The baseline hematoma volume, NIHSS score, blood glucose, homocysteine level, neutrophil count, and the proportion of hypertension, hemorrhage into ventricle and hematoma enlargement in the END group were significantly higher than those in the non-END group, while the baseline GCS score was significantly lower than that in the non-END group (all P<0.05). Multivariate logistic regression analysis showed that after adjusting for the confounding factors, the baseline hematoma volume (odds ratio [ OR] 1.086, 95% confidence interval [ CI] 1.029-1.146; P=0.003), baseline GCS score ( OR 0.420, 95% CI 0.245-0.719; P=0.002) and hypertension with HHcy ( OR 2.441, 95% CI 1.185-5.029; P=0.016) had significant independent correlation with END. Conclusion:Hypertension with HHcy is an independent predictor of END in patients with intracerebral hemorrhage.