Objective To investigate the real experiences of nurses participating in the treatment of patients with new respiratory infectious diseases. Method The semi-structural interview method was used to carry out in-depth interviews with 8 nurses who were involved in the whole process of treatments and cares of patients with SARS and H1N1 influenza to understand their real experiences. Result The nurses, who participated in the treatment and care to patients with new respiratory infectious diseases, experienced such emotions of nervousness, excitement, anxiety, fear, exhaustion, obtained support from their families, hospitals, society and meanwhile recognized their lack of professional knowledge and clinical skills. Conclusion The nurses participating in the treatment of patients with new respiratory infectious diseases should be given strengthened professional training , psychological and social support.

Objective To explore the effect of sequential nursing management on quality of life of patients with dementia Louis's disease.Methods A total of 56 patients with Lewy bodies were randomly divided into control group and intervention group,with 28 cases per group.The two groups were given conventional medication,the control group adopted general nursing,while the intervention group conducted sequential nursing management.Patients of two groups were evaluated by simple intelligence state Checklist (MMSE),daily living capacity scale (ADL) and health status questionnaire (SF-36) before intervention and after 6 months of intervention.Results The MMSE score and SF-36 comprehensive score in the intervention group were higher than that in the control group (P ＜0.05);Significant differences were observed in scores of 8 dimensions such as physical health and social function compared with the control group (P ＜ 0.05).Conclusion Sequential nursing management can improve daily life ability and quality of life for patients with dementia of Louis bodies,delay progress of disease and improve quality of life of patients.

Objective To explore the effect of sequential nursing management on quality of life of patients with dementia Louis's disease.Methods A total of 56 patients with Lewy bodies were randomly divided into control group and intervention group,with 28 cases per group.The two groups were given conventional medication,the control group adopted general nursing,while the intervention group conducted sequential nursing management.Patients of two groups were evaluated by simple intelligence state Checklist (MMSE),daily living capacity scale (ADL) and health status questionnaire (SF-36) before intervention and after 6 months of intervention.Results The MMSE score and SF-36 comprehensive score in the intervention group were higher than that in the control group (P ＜0.05);Significant differences were observed in scores of 8 dimensions such as physical health and social function compared with the control group (P ＜ 0.05).Conclusion Sequential nursing management can improve daily life ability and quality of life for patients with dementia of Louis bodies,delay progress of disease and improve quality of life of patients.

Objective To evaluate the effect of iron metabolism of preoperation on the length of intensive care unit (ICU) stay in liver transplant recipients.Methods A retrospective study was conducted. 120 adult liver transplant recipients admitted to Tianjin First Central Hospital from September 2015 to September 2017 were enrolled. The basic data, model of end-stage liver disease (MELD) evaluation system score at admission; iron metabolism index, routine blood test, blood biochemistry, coagulation time and C-reactive protein (CRP) level within 24 hours after admission; intraoperative clinical indicators such as operation time, operation bleeding volume, red blood cells and fresh frozen plasma input volume, hot ischemia time, cold ischemia time, urine volume; and the length of ICU stay were collected. All patients were divided into iron deficiency group (ID group; serum ferritin < 100μg/L, or serum ferritin 100-300μg/L and transferrin saturation < 0.20) and non-iron deficiency group (non-ID group; serum ferritin > 300μg/L, or serum ferritin 100-300μg/L and transferrin saturation > 0.20) according iron deficiency standard. The indexes of iron metabolism, basic data and clinical indicators of two groups were compared. The correlation between serum ferritin level and the length of ICU stay was analyzed by Pearson correlation.Results Compared with non-ID group, the levels of serum iron concentration and serum ferritin were significantly decreased in ID group [serum iron concentration (μmol/L): 3.50±1.62 vs. 14.50±2.31, serum ferritin (μg/L): 67.00±31.54 vs. 315.00±36.73, bothP < 0.01], infusion volume of intraoperative red blood cells and fresh frozen plasma were significantly increased, and the length of ICU stay was significantly prolonged (days: 6.5±2.4 vs. 3.3±0.5,P < 0.01). There was no significant difference in transferrin saturation, CRP and other clinical indicators between the two groups. Correlation analysis showed that serum ferritin level was negative correlated with the length of ICU stay (r = -0.768,P < 0.001).Conclusion Preoperative iron deficiency in liver transplant recipients will lead to increased blood transfusion and prolonged length of ICU stays.

Objective To observe the effect of different explosion impulse on rabbit lung injury and decide the death curve,so as to provide a reference for the prediction of lung injury.Methods Six healthy male New Zealand white rabbits with weight of 2.0-2.5 kg and age of (6 ± 1)months were selected.The rabbits were put 0.5 m,0.6 m,0.7 m,0.9 m,1.0 m,and 1.2 m away from 90 g TNT to carry out the blast injury experiment.The characteristic parameters of blast shock wave and general lung injury were recorded.Based on the experimental results combined with theoretical analysis,the changes of rabbit lung injury depending on the explosion distance as well as the rabbit death curve were determined.Results After the 90 g TNT explosion,the peak overpressure of shock wave and the corresponding specific impulse decreased quickly with the increase of explosion distance.The peak overpressure was 0.79 MPa and the specific impulse was 82 Pa · s at the explosion distance of 0.5 m.The peak overpressure was 0.1 MPa and the specific impulse was 34 Pa · s at the explosion distance of 1.2 m.The rabbits at 0.5 m and 0.6 m died,the rabbit at 0.7 m was severely injured,and the rabbits at 0.9 m,1.0 m,and 1.2 m were slightly injured.The dependence of lung injury degree on the explosion distance under 90 g TNT explosion was established based on dimensional analysis theory.The lung injury degree was exponentially attenuated with the explosion distance:φ =(R/0.6)-5.64(φ represented lung injury degree,and R represented the explosion distance).Considering the combined injury effects of peak overpressure of shock wave and its specific impulse on rabbit lung,the death curve of rabbit was determined:(p-0.1) (I-59) =2.6 (p represented peak overpressure,and I represented specific impulse).The criterion of "overpressure-specific impulse" was used to estimate the death of rabbit,and the death curve of rabbit was determined as (p-0.1)(I-59) =2.6(p represented peak overpressure and I represented specific impulse).The critical overpressure was 0.1 MPa and the critical specific impulse was 59 Pa · s.Conclusions Under the explosion condition of 90 g TNT,the relationship between degree of lung injury in rabbits and explosion distance is established.Death curve of rabbits is determined based on the damage effect of shock wave peak overpressure and specific impulse on the lungs of rabbits,which is significant for predicting the blast injury.

Objective:To explore the learning experience of medical students in digital storytelling teaching,providing a theoretical basis for the practice and research of digital storytelling teaching.Methods:Qualitative research and mixed-method research containing qualitative studies on medical students'experiences in digital storytelling teaching were retrieved from domestic and foreign databases,with a retrieval time limit from database establishment to January 2024.The quality evaluation criteria for qualitative research from JBI Evidence-Based Healthcare Center were used to evaluate the quality of the included literature,and the meta-integration method was used to systematically integrate and analyze the results.Results:A total of 12 articles were included,44 research results were extracted,and 11 new categories were summarized and integrated into 3 integration results,including medical students benefit greatly from digital storytelling teaching;the unique advantages of digital storytelling as an emerging teaching tool;and the obstacles of digital storytelling in education.Conclusion:Medical students hold a positive attitude towards the teaching mode of digital storytelling and have gained a good learning experience from it.However,there are shortcomings such as the uneven quality of digital storytelling resources,and some medical students'unsuitability for the learning mode of digital storytelling.Further research is needed on ethical issues arising from the teaching mode of digital storytelling.

Objective To understand the medication compliance,family care and their correlation in patients with chronic hepatitis B. Methods From January to Decemeber 2016,two hundred and seventy-six chronic hepatitis B patients from a class III grade A infectious disease hospital in Nantong were selected as the research object by convenient sampling method. They were investigated by the medication compliance questionnaire and the family care index questionnaire. Results Chronic hepatitis B patients with good medication compliance accounted for 48.91%,the family care score was(7.82±2.38)points. Pearson correlation analysis showed negative correlation between the medication compliance of patients and family care(r=-0.173, P < 0.05). There were significance differences in medication compliance among different age,gender, occupation,cultural level,monthly income,medical payment(χ2=27.45,8.42,13.36,24.76,10.65,18.38;P < 0.05). There were significant differences in family care scores among patients of different age,gender, occupation,marital status,monthly income and method of medical payment(t=7.41,2.52,4.96,6.88,5.65, 11.26;P<0.05). Conclusions The medication compliance and family care of chronic hepatitis B patients still needs to be further improved. It is necessary to strengthen the multi family-oriented nursing intervention,and improve medication compliance and family care so as to delay progression and improve quality of life of patients.

Objective To explore the negative emotion in decompensated cirrhosis patients with HBV and its influencing factors. Methods A total of 251 decompensated cirrhosis patients with HBV of hepatic department in Nantong Third People's Hospital,the Affiliated Hospital of Nantong University,were extracted from January 2016 to December 2016. They were investigated with the self-rating depressive scale(SDS)and the self rating anxiety scale(SAS). Results The scores of SDS and SAS of 251 decompensated cirrhosis patients with HBV were(57.34±12.44)and(52.48±8.98). The incidence rates of depression and anxiety were 66.53% and 56.27%. Pearson correlation analysis showed that there was a significantly positive correlation between the scores of SDS and SAS(r=0.491,P < 0.001). There were statistically significant differences in the scores of SDS and SAS among different ages,sexes,occupations,cultural levels,marital status,monthly income(P < 0.05). There were statistically significant differences in the incidence rates of depression and anxiety among ages,sexes, occupations,cultural levels,marital status,monthly income,medical payment(P<0.05). Conclusions The scores of SDS and SAS as well as the incidence rates of depression and anxiety are high in decompensated cirrhosis patients with HBV. It should be paid high attention to. Comprehensive measures should be taken to relieve depression and anxiety.

Objective To explore and analyze the social support and family burden in patients with chronic hepatitis B (CHB).Methods From January to December 2016, a total of 272 patients with CHB and 272 primary caregivers in a Class Ⅲ Grade A hospital in Nantong were selected by convenience sampling method, and investigated by social support rating scale (SSRS) and family burden scale of disease (FBS). The results were statistically analyzed by SPSS 17.0 software, and the correlation between social support and family burden was analyzed by Pearson correlation analysis.Results The score of social support was (44.99±7.21) and family burden was (16.59±11.03). Pearson correlation analyzsis showed a negative correlation between social support and family burden (r=-0.176,P=0.004). The differences of social support were statistically significant among CHB patients with different marital status, monthly income and medical payment method (t/F=5.499, 11.490, 23.140;P<0.05). The differences of family burden were statistically significant among CHB patients' caregivers with different gender, occupation, education level, relation with patients and time caregiving (t/F= 2.412, 2.180, 7.990, 2.714, 6.372;P<0.05).Conclusions Further interventions should be implemented to improve social support and reduce disease burden for patients with CHB.

Objective To explore the efficacy of group intervention on the medication compliance, the degree of family care, negative emotion in patients with chronic hepatitis B. Methods From July to August 2016, a total of 80 patients with chronic hepatitis B who volunteered to take part in this research were selected and divided into two groups by random table method, with 40 cases in each group. The experimental group received group intervention, while the control group were given routine intervention. The medication compliance, the degree of family care and the negative emotion of the two groups were compared before and after intervention. Results After 6 months' intervention, the medication compliance of the experimental group was (0.67±0.85), and that of the control group was (1.20±1.34). The difference was statistically significant (t=2.097, P< 0.05). Patients with good family function in the experimental group increased from 65.00% to 87.50%. The scores of SAS and SDS were (42.92±9.04) and (45.91±8.89), which were both lower than those of the control group, with statistical significance (t=2.231, 2.226;P< 0.05). Conclusions Group intervention could help increase medication compliance and family care degree, at the same time decrease negative emotion in patients with chronic hepatitis B.