Objective To develop a continuous care program for patients with cardiac implantable electronic devices(CIED)utilizing the Omaha system,and to assess its effectiveness.This study aims to provide a reference for the continuous care of patients with CIED.Methods Using the Omaha system as the theoretical framework,based on literature search and semi-structured interviews,a continuity of care program for CIED patients based on the Omaha system was constructed through 2 rounds of expert inquiry.Convenience sampling method was used to select CIED implant patients from the cardiovascular department of a tertiary hospital in Wuhan as the research subjects.61 patients admitted from April to June 2024 were assigned as an experimental group with a continuity of care program based on the Omaha system;61 patients admitted from December 2023 to March 2024 were designated as a control group and received routine nursing measures.The Omaha performance indicators and quality of life at 3 months after discharge were compared between 2 groups upon admission and 1 month after discharge.Results The final 2 groups each included 59 patients.A month after discharge,the Omaha efficacy index in the experimental group was higher than that in the control group,and 3 months after discharge,the quality of life in the experimental group was higher than that in the control group(P＜0.001).Conclusion The CIED patient continuity of care program based on the Omaha system could improve patients'cognitive level,promote healthy behavior,enhance their self-efficacy,and improve their quality of life.

Objective To develop a continuous care program for patients with cardiac implantable electronic devices(CIED)utilizing the Omaha system,and to assess its effectiveness.This study aims to provide a reference for the continuous care of patients with CIED.Methods Using the Omaha system as the theoretical framework,based on literature search and semi-structured interviews,a continuity of care program for CIED patients based on the Omaha system was constructed through 2 rounds of expert inquiry.Convenience sampling method was used to select CIED implant patients from the cardiovascular department of a tertiary hospital in Wuhan as the research subjects.61 patients admitted from April to June 2024 were assigned as an experimental group with a continuity of care program based on the Omaha system;61 patients admitted from December 2023 to March 2024 were designated as a control group and received routine nursing measures.The Omaha performance indicators and quality of life at 3 months after discharge were compared between 2 groups upon admission and 1 month after discharge.Results The final 2 groups each included 59 patients.A month after discharge,the Omaha efficacy index in the experimental group was higher than that in the control group,and 3 months after discharge,the quality of life in the experimental group was higher than that in the control group(P＜0.001).Conclusion The CIED patient continuity of care program based on the Omaha system could improve patients'cognitive level,promote healthy behavior,enhance their self-efficacy,and improve their quality of life.

Objective To explore the relationship between parental authority,parental psychological control, parental attachment and medical students' social anxiety, and to provide theoretical guidance for medical students' mental health.Methods 2105 medical students were assessed with the social phobia inventory (SPIN), Parental authority questionnaire (PAQ), Parental psychological control questionnaire, Inventory of parent attachment (IPA).Results The mean SPIN score of social anxiety was 17.75 ± 10.47.Girls scored higher than boys,but there were no statistically significant differences between them( 17.97±10.44 vs 17.29 ± 10.52, t =1.305, P=0.192).Rural medical students scored higher than urban students,and the difference had statistical significance (19.47 ± 10.60 vs 15.85 ± 10.01, t = 7.478, P ＜ 0.01 ).Stepwise regression revealed that, for urban students' anxiety, father communication and mother authoritative/flexible were protective factors, father unconscionable emotional response, mother alienation, father unconscionable viewpoint and mother communication were risk factors; and for rural students' anxiety father communication was protective factor, mother alienation and mother authoritarian were risk factors.Conclusion Factors such as parental authority, parental psychological control and parental attachment will affect medical students' social anxiety.But the factors are not same between urban and rural.So these factors are considered when carrying out health education for parents.

Objective:To observe the therapeutic effect of Xiaoshui Formula Ⅱ on malignant ascites.Methods:60 cases of malignant ascites were randomly divided into a treatment group and a control group.The treatment group was treated with external application of Xiaoshui Formula Ⅱ and the control group with intraperitoneal injection of DDP.The therapeutic effect of Xiaoshui Formula Ⅱ was observed.Results:The total effective rate of ascites resolution was 87.1% in the treatment group and 58.6% in the control group.There were significant differences in improvement of clinical symptoms,Karnofsky score and correlative indexes between the two groups.Conclusion:Xiaoshui Formula Ⅱ has better therapeutic effect than intraperitoncal injection of DDP,with no side effect.