Objective:To explore possible effective administrative approaches to improve the application of nursing care,and increase the satisfaction degrees among patients.Methods: Appraisal indexes of humanistic nursing care are included in clinical nursing quality appraisal system,to provide regular inspection,supervision,feedback,and tracing for the continuous quality improvement of nursing care by three levels of quality control.Results: Compared with former mode,the current mode shows a significant increase in the second level of quality control indexes with a p value less than 0.001,and the internal and external satisfaction degrees also shows significant increases with respective p value less than 0.001.Conclusion: Continuous quality improvement proves to strengthen the nursing care behaviors,and guarantee the quality of nursing care in clinical practice.

Most medical disputes in clinical practice are resulted from misunderstandings or obstacles in the communication between nurses and patients.This paper summarizes ten skills of nurse-patient communication including compellation,primary impression communication,conversation skill,breakthrough point selection,conversation style selection,listening skill,inquiry skill,inform skill,persuasion skill,comforting skill,and skill of mental suggestion,aiming to solve medical disputes,build up a friend-like relationship between patients and nurses,and promote nursing service.

Objective To investigate the influencing factors of satisfaction with surgical treatment decision-making in gynecologic cancer patients. Methods One hundred and eighty gynecologic oncology patients in the First People's Hospital of Yulin, Guangxi were selected as the study group. The questionnaire of CPE was used to investigate the decision-making participation expectation scale. Results Toally 95 patients (52.78%) were satisfied with the operation decision-making. Logistic regression analysis showed that the satisfaction degree was correlated with information of the treatment plan, full communication between the doctors and patients and worry about the operation failure (P<0.05). Conclusions The patient's satisfaction with operation decision-making among gynecologic tumor patients is at a lower level. The communication between patients and relatives, doctors and patients should both be improved to eliminate patients' concerns about the surgical failure and thus improve their satisfaction with the operation decision-making.

ObjectiveTo evaluate the efficacy and safety of Rongjin Tongbi decoction on sciatica caused by lumbar intervertebral disc herniation with liver and kidney deficiency type based on a randomized controlled study. MethodFrom January 2019 to July 2022， 90 patients in the department of Traditional Chinese medicine（TCM） of Beijing Jishuitan Hospital who met the inclusion criteria were selected and divided into two groups according to the random number table， with 45 patients in each group. During the study， 19 cases dropped out， with 41 cases included in the final observation group and 30 cases in the control group. The observation group was given Rongjin Tongbi decoction orally， and the control group was given Loxoprofen Sodium Tablets orally for 28 days. The differences in the visual analog scale （VAS） scores， the Japanese Orthopaedic Association （JOA） scores， activities of daily living （ADL） assessments， TCM clinical symptoms， subjective symptoms， and clinical signs scores between two groups before and after treatment were observed. Liver and kidney functions and gastrointestinal adverse reactions were detected for safety evaluation. ResultBefore treatment， there was no statistically significant difference in scores between the observation group and the control group. After treatment， the absolute values of the differences in VAS and ADL scores in the observation group were higher than those in the control group （P<0.05）. There was no statistically significant difference in the absolute value of the difference in JOA scores between two groups. The absolute value of the difference in TCM clinical symptom scores in the observation group was higher than that in the control group （P<0.01）. There was no statistically significant difference in the absolute values of the differences in subjective symptom and clinical sign scores between two groups. The levels of liver and kidney function indicators in both groups before and after the experiment were normal， and there was no significant difference in gastrointestinal reactions. ConclusionRongjin Tongbi decoction can significantly improve the symptoms of sciatica patients caused by lumbar intervertebral disc herniation with liver and kidney deficiency type. After treatment， the patients exhibited significant improvements in pain， activity and other aspects， and it is proven to be safe and reliable， which is conducive to the recovery of physical function.