Objective To investigate the companion care needs of inpatients at four tertiary hospitals in Wuhan,for providing targeted quality of care.Methods A questionnaire was customized according to Maslow＇s theory to survey 526 inpatients at four tertiary hospitals in Wuhan.Resnlts The companion care needs of inpatients were found high.Fore example,the esteem needs were the highest(2.41±0.39)yet with the lowest extent of satisfaction(2.59±0.43),followed by love and belonging needs(2.35±0.40)and safety needs(2.34±0.35)respectively.The physiological needs were the lowest(2.08±0.32)yet with the highest extent of satisfaction(2.63±0.44).Conclusion Nursing staff should change their mindset to respect patients' esteem needs,improve their nursing skills and service for safer care.Multimodel companion care needs should also be provided to meet patients' diversified needs.

Objective The aim of this study is to evaluate clinical outcomes of patients with acute type A intranural hematoma of the aorta(IMH) received surgical treatment.Methods We analyzed 40 consecutive patients with acute type A aortic IMH in Fuwai hospital.The patients are from 2012.1.1 to 2015.12.31.The average age of patients is(56 ± 11) years.Clinical outcomes and morphological evolution by CT were analyzed for 2 years.Results Most of the patients were treated medically during their initial hospitalization.There were 2 patients died in in-hospital and no 2-year mortality.16 patients (40％) were received acute surgery,24 patients(60％)were received normal surgery.Conclusion Surgical treatment would be a favorable treatment option in type A acute IMH.

Objective To investigate the application effect of a graded management program of hand-foot syndrome(HFS)in patients with breast cancer who received chemotherapy.Methods Convenience sampling method was adopted to select breast cancer patients who received chemotherapy in the breast surgery department of a tertiary A hospital in Wuhan.According to the time of admission,55 patients admitted from April 2022 to September 2022 were included in the experimental group,in which the graded management program was carried out according to the occurrence of HFS.55 patients admitted from October 2021 to March 2022 were included in the control group,in which the routine chemotherapy care was carried out.Interventions in both groups lasted until 3 days after the last chemotherapy.The incidence of HFS and its impact on quality of life 3 days after the final chemotherapy were compared between the 2 groups.Results The incidence of HFS was 34.55%in the experimental group and 58.18%in the control group,and there were significant differences in the incidence and grade of HFS between the 2 groups(P<0.05).The total score of life quality scale in the experimental group was 15.00(13.00,17.00)and 19.00(17.00,22.00)in the control group.The life quality of patients in the experimental group was significantly higher than that in the control group(P<0.001).Conclusion The graded management program for breast cancer patients with HFS can reduce the incidence and grade of HFS,and can help to improve the quality of life in breast cancer patients who received chemotherapy.