Objective:To explore the application effect of doctor-nurse-patient integration nursing model combined with psychological intervention in patients with ovarian cancer.Methods:Patients with ovarian cancer who received chemotherapy in Tianjin Medical University Cancer Hospital from January 2017 to October 2021 were selected as research objects by the convenient sampling method. Patients admitted from January 2017 to September 2019 were included in the control group, and patients admitted from April 2020 to November 2021 were included in the observation group, with 47 cases in each group. The control group was given routine nursing, while the observation group was given doctor-nurse-patient integration nursing management combined with medical-patient integrated psychological intervention on the basis of the control group. Treatment compliance, chemotherapy-related toxic reactions, negative psychological emotions, quality of life and hope level before and after intervention were observed in the two groups.Results:The treatment compliance of observation group was higher than that of control group ( P<0.05) , and the proportion of chemotherapy-related toxicity was lower than that of control group ( P<0.05) . The scores of Self-rating Depression Scale and Self-rating Anxiety Scale at first and sixth week of nursing in observation group were lower than those in control group ( P<0.05) . The scores of the EORTC core quality of life questionnaire (EORTC QLQ-C30) and Herth Hope Index (HHI) in observation group were higher than those in control group ( P<0.05) . Conclusions:The combination of doctor-nurse-patient integration nursing mode and psychological intervention can improve the treatment compliance of ovarian cancer patients, alleviate the negative psychology of patients and improve the quality of life and hope level.

Objective To discuss the treatment effect and application value of salmon calcitonin nasal spray in the patients with postmenopausal osteoporosis.Methods 130 patients with postmenopausal osteoporosis were divided into observation group and control group by random number method,65 cases in each group.The control group was given calcium and alfacalcidol treatment,the observation group received in combination with salmon calcitonin nasal spray treatment.The clinical effect of the two groups was recorded.Results The total effective rate of the treat-ment group was 95.38%,which of the control group was 84.62%,the difference between the two groups was statisti-cally significant (χ2 =4.188,P<0.05 ).After treatment,the tuberosity bone mineral density,femoral neck BMD, L1 -4 lumbar spine bone mineral density of the observation group were (0.69 ±0.15)g/cm2,(0.77 ±0.21)g/cm2, (0.98 ±0.26)g/cm2,which of the control group were (0.52 ±0.08)g/cm2,(0.64 ±0.13)g/cm2,(0.81 ± 0.15)g/cm2,the differences between the two groups were statistically significant (t=8.062,4.243,4.566,all P<0.05).After treatment,the calcitonin,beta collagen fragment,osteocalcin of the observation group were (2.97 ± 0.86)ng/L,(0.11 ±0.01)ng/mL,(7.18 ±1.14)ng/mL,which of the control group were (2.41 ±0.43)ng/L, (0.35 ±0.08)ng/mL,(15.89 ±3.53)ng/mL,the differences between the two groups were statistically significant (t=4.695,24.000,18.930,all P<0.05).Conclusion Salmon calcitonin nasal spray in the treatment of patients with postmenopausal osteoporosis can reduce pain,inhibit osteoclast activity,promote bone formation,prevent bone loss and increase bone mass,it is safe and worthy of popularizing in clinical application.

Objective To investigate the work, training and living status of carers in Zhejiang, and analyze the main issues, so as to provide the corresponding measures of strengthening nursing team construction and improving elderly service quality. Methods Using cross section survey, the self design questionnaire investigated the work, training and living status of carers in 26 county areas. Results We handed out 1 200 questionnaire and collected 1 107 effective questionnaire with effective rate 92. 3%. The middle and old age for carers occupied 85. 1% (942/1 107), and middle school or below education background were 81. 8% (906/1 107);they mainly undertook the work of elderly daily life care including feeding, bathing and changing cloths;only 35. 7% (395/1 107) carer had certificate and 45. 4% (503/1 107) received training; 26. 9%(298/1 107) carer satisfied the current living status. Conclusions The carer team is the aging, has low income and benefits, and low professional quality and restricted social function, and so on problems, so we should enhance the carer′s pay and benefits, perfect professional system, and enhance their quality of life, so as to improve carer team′s whole quality.