Objective To comprehend the differencesof the cognition status of nurse-patient relationship between nurses and patients and provide the evidence for targeted continuing nursing education . Methods Total of 141 nurses and 150 patients had been accepted self-design questionnaire about the cognition status of nurse-patient relationship.Results There were 47.33% of nurses and 47.52% of patients believed that both nurses and patients took the main responsibility to cause nurse-patient disputes , and there was no statistical difference between nurse and patient (χ2 =3.686, P >0.05 ).According to the results of questionnaire,60.67%of patients wanted to build up a relationship like family with nurse while 58.87% of nurses wanted to keep relationship like friend with patient (χ2 =101.210,59.392, respectively; P<0.01). Conclusions This study can provide evidence for continuing education according to the requirement of nurse and patient. We should enhance nurses ’ knowledge of psychology and etiquette , promote nurse-patient communication and rule out biased information from nurses and patients , and aim to build up a continuing education system leading by a harmony nurse-patient relationship for nurses .

AIM: To evaluate the changes in corneal epithelial thickness(CET)and corneal optical density(CD)after smart pulse technology(SPT)-assisted transepithelial photorefractive keratectomy(TPRK)and analyze their correlation.METHODS: The prospective study included 60 patients(120 eyes)with myopia and myopic astigmatism who underwent SPT-TPRK in the ophthalmology department at the First Affiliated Hospital of Xinxiang Medical University between February and August 2023. Changes in CET and CD were evaluated preoperatively and at 1 wk, 1 and 3 mo postoperatively.RESULTS: A total of 14 cases(28 eyes)were lost to follow-up, and 3 patients(6 eyes)with postoperative haze were excluded from this study, resulting in a final inclusion of 43 patients(86 eyes). At 1 wk after SPT-TPRK, CET had statistically significantly thickened compared to preoperative levels(P<0.05), particularly in the CET at 0-2 mm central corneal area(P<0.05). At 1 mo after SPT-TPRK, the CET at 0-2 mm area had statistically significantly decreased(P<0.05). At 3 mo after SPT-TPRK, the CET at 0-2 mm had essentially reached preoperative levels. Postoperative CD values increased, with a positive correlation between CET in the 0-2 mm area and CD in the whole 0-2 mm area(r=0.256, P<0.05), and a positive correlation between CET in the 2-5 mm area and CD in the anterior 2-6 mm area(r=0.319, P<0.05).CONCLUSION: Corneal epithelial remodeling takes 3 mo in areas within 2 mm of the central cornea; areas with thinner CET have faster postoperative corneal epithelial remodeling and greater thickening in the early postoperative period; CD increases in the early postoperative period compared to the preoperative value, and in some areas, there is a positive correlation between CET and CD value.