Objective To observe the clinical effect of a modified version of constraint-induced movement therapy(MCIMT)on motor recovery in the upper extremities of stroke patients. Methods Twenty-seven stroke patients were randomly divided into a treatment group(n=14)and a routine group(n=13).The Bobath approach and functional arm exercise were administered to the patients in the routine group(2 h/d,5 times a week)for ten weeks.The MCIMT administered to the treatment group involved restriction of the functional arm by a sling during 90%of waking time and during training(by shaping)of the affected extremity(1 hour per day,three times a week)in addition to activities of daily living exercise for at least 2 hours every day.The main outcome measures were the ten items of the simplified test for evaluating hand function(STEF)and Wolf's Motor Function Test(WMFT). Results No significant difference was observed between the 2 groups with regard to WMFT and STEF scores before treatment.After treatment,both groups had improved their WMFT and STEF scores significantly,but there was a significant difference between the treatment and the control groups with regard to WMFT scores and 7 items of the STEF test. Conclusion Modified constraint-induced movement therapy is effective not only for promoting motor recovery of the upper extremity,but also for improving the flexibility and velocity of movement instroke patients.

Objective:To understand the experience and suggestions of medical and nursing staff on the quality evaluation of hospital-community linked transitional care for patients with heart failure and to provide a reference for establishing the quality evaluation index system of hospital-community linked transitional care for patients with heart failure.Methods:From October to November 2019, a total of 10 nursing managers, doctors working in chest pain centers of a ClassⅢ hospital and nursing managers in a community hospital that had carried out hospital-community linkage transitional care in Shanghai were selected as interviewees by the objective sampling method. Qualitative research method was adopted to collect data through face-to-face and semi-structured in-depth interviews, and Colaizzi 7-step analysis method was adopted for analysis.Results:A total of 5 themes were extracted, namely, outcome index of patients with heart failure was the focus of quality evaluation, process quality evaluation was the key point, structural quality should be paid enough attention, index characteristics determined the evaluation time, and quality evaluation was still faced with many difficulties.Conclusions:Topics related to hospital-community linked transitional care quality assessment extracted from the perspective of medical and nursing staff can provide a reference basis for building a scientific and widely applicable index system and promote the continuous improvement of hospital-community linked transitional care for patients with heart failure.

Heart failure is a serious threat to human health and a huge financial burden on their families.Continuous care plays an important role in the rehabilitation of heart failure. Many hospitals are actively exploring and implementing the continuous care for heart failure patients, and standardizing the quality indexes of heart failure care has become an urgent need. This article reviews the related researches on the evaluation indexes of continuous care quality for patients with heart failure from three aspects, structure, process and results and presents the research deficiencies and future research directions so as to provide a reference for the construction of targeted and standardized evaluation indexes of continuous care for patients with heart failure in the future.

Objective To investigate the level of Chinese and Japanese main caregivers′ empowerment and self-efficacy, and to explore the relationship between empowerment, self-efficacy and activities of daily living ( ADL) among disabled elderly. Methods A total of 200 disabled elderly who were over 65 years old and their caregivers from 10 medical institutes in Japan and 3 in China completed main caregivers′ empowerment measurement (MCEM), self-efficacy scale (SES), and ADL scale. Results Average age of Chinese elderly was 11 years old younger than Japanese [(71. 9 ± 6. 7) years vs (83. 2 ± 7. 9) years], and the level of ADL in Chinese elderly was higher than Japanese. MCEM and SES score of Chinese and Japanese caregivers were above average. There were positive relationships between ADL of elderly and caregiver′s MCEM score and SE score ( r=0. 29,0. 25;P <0. 01). Caregivers with higher MCEM score, the elderly they took care had higher level of ADL. Conclusions The level of empowerment and self-efficacy for Japanese and Chinese caregivers are above average, and have positive correlation with the patients′ ADL level, so as to provide a inspiration of targeted nursing intervention for main caregivers.

Objective:To explore the current status and influencing factors of cancer related fatigue (CRF) in patients receiving chemotherapy for prostate cancer.Methods:Totally 165 patients with prostate cancer who received chemotherapy in the Department of Urinary Surgery at Tenth People's Hospital of Tongji University from March 2018 to November 2019 were selected by convenient sampling and investigated with the general information questionnaire, Brief Fatigue Inventory (BFI) , Social Support Revalued Scale (SSRS) and International Prostate Symptom Scores (IPSS) . The influencing factors of severe CRF in patients receiving chemotherapy for prostate cancer were analyzed.Results:Among the 165 patients, 139 had fatigue, including 77 mild fatigue and 62 moderate to severe fatigue cases. Univariate analysis showed that there were statistically significant differences in the degree of CRF among patients receiving chemotherapy for prostate cancer with different appetite, duration of disease, duration of chemotherapy, level of social support, and urinary system symptoms (χ 2=7.45, 14.37, 9.93, 6.87, 25.65; P< 0.05) . Multivariate regression analysis revealed that duration of the disease, duration of chemotherapy, level of social support and urinary system symptoms were the influencing factors of moderate to severe CRF in patients receiving chemotherapy for prostate cancer ( P< 0.05) . Conclusions:CRF is a common problem in patients undergoing chemotherapy for prostate cancer, which is affected by many factors. Clinical medical staff should formulate more targeted individualized treatment and nursing plans to alleviate the symptoms of CRF and further improve the quality of life of the patients based on their actual situation.