Objective To evaluate the application value of intermittent pneumatic compression ( IPC) in preventing deep vein thrombosis ( DVT ) after spinal operation. Methods Randomized controlled trails ( RCTs) on ICP in preventing DVT were searched in the Cochrane Library, PubMed, CNKI, Wanfang data and so on. Quality of RCTs was evaluated strictly. Data were extracted by two researchers. Literature was selected and extracted according to inclusion and exclusion criteria. And then, Meta-analysis was used to analyze the data with the software Stata 12.0.Results Meta-analysis results revealed much on the incidences comparison of DVT between the IPC group and the blank control group [RR=0.11, 95% CI(0.04, 0.34), P=0.921], among the ICP group and low-molecular-weight heparin group with the low molecular heparin group [ RR=0. 27, 95% CI ( 0.12, 0.61) , P=0.97] , among the ICP group and graduated compression stocking group with the group using graduated compression stocking alone (χ2=3.871, P<0.05) with significant differences. However, there was no statistically significant difference in the incidence of DVT between the ICP group and the low molecular heparin group (P>0. 05). The use of IPC was safe by the confirmation of research report. Conclusions IPC can effectively prevent DVT and reduce the incidence of DVT of postoperative patients in department of spine surgery. However, the clinical RCTs with large sample size and high quality are needed to validate since the included studies with low quality and small sample size.

Objective To develop a hospice care attitude scale for medical workers and to test its reliability and validity. Methods The inital scale was formed by literature review, semi-structured interview and expert consultation. From September to December 2015, a total of 238 medical workers, from different departments from hospitals of different levels in Quanzhou, were selected hierarchically and randomly, and were investigated about their attitude towards hospice care, by which, reliability and validity of the scale were tested, and the final scale was formed. Results In the final scale of hospice care attitude for medi-cal workers, 7 dimensions with 26 items were included. By exploratory factor analysis, 7 common factors were extracted, with cumulative contribution of variance 62.238% . Content validity of the scale was 0.889, with Cronbach's alpha 0.891, split-half reliability 0.863 and test-retest Pearson correlation coefficient 0.867. Conclusions The hospice care attitude scale for medical workers has been proved to be reliable and valid, which can be used to assess hospice care attitude of the medical workers.

Objective To explore the status of cognition on hospice care of community health care providers in Changchun City so as to provide an effective reference for developing hospice care in community and relevant departments.Methods From January to March 2017,we extracted three districts(Chaoyang District,Luyuan District,Nanguan District of Changchun City)by convenience sampling and selected 260 eligible community health care providers from 10 community health service centers by chester sampling as respondents.The status of cognition on hospice care of community health care providers was investigated with the self-designed questionnaire.The SPSS 19.0 was used to data analysis.Results The score of knowledge,attitude and behavior on hospice care of community health care providers was(13.26±2.94),(138.29±13.16)and(20.89±3.42)respectively.Conclusions Community health care providers of Changchun City are with a positive attitude toward hospice care.At the same time,they do well in hospice care provided for the dying patients and their family members.However,their grasping state on knowledge of hospice care is weak due to lack systematic professional knowledge training in hospice care.We should strengthen knowledge education as well as training in hospice care for community health care providers and improve the whole cognition on hospice care of community health care providers.