Heart failure(HF)is the final stage of various cardiovascular diseases.The period of high incidence of death and readmission in patients with HF within 2 to 3 months after discharge is defined as the"vulnerable period".The management of vulnerable period focuses on how to identify high-risk groups with the need of close follow-up and more active intervention.Despite the application of various effective medical treatment and nursing strategies,readmissions in HF patients remain high,which not only poses a significant financial burden on the healthcare system but also carries the prognostic impact of worsening survival associated with repeated hospitalizations.Remote monitoring is a promising approach for early detection of worsening HF and intervention before apparent decompensation.Remote monitoring includes patient reporting of remote vital signs monitoring,wearable devices,information from cardiac implantable electronic devices and invasive remote hemodynamic monitoring.Remote cardiac monitoring devices have developed rapidly.A wide variety of monitoring devices have been developed,and trials have been conducted to explore the availability and safety of remote monitoring devices and their effectiveness in reducing the risk of HF re-hospitalization.Wearable devices are easy to be accepted by patients because of their non-invasive,portable,cost and other factors.

Heart failure(HF)is the final stage of various cardiovascular diseases.The period of high incidence of death and readmission in patients with HF within 2 to 3 months after discharge is defined as the"vulnerable period".The management of vulnerable period focuses on how to identify high-risk groups with the need of close follow-up and more active intervention.Despite the application of various effective medical treatment and nursing strategies,readmissions in HF patients remain high,which not only poses a significant financial burden on the healthcare system but also carries the prognostic impact of worsening survival associated with repeated hospitalizations.Remote monitoring is a promising approach for early detection of worsening HF and intervention before apparent decompensation.Remote monitoring includes patient reporting of remote vital signs monitoring,wearable devices,information from cardiac implantable electronic devices and invasive remote hemodynamic monitoring.Remote cardiac monitoring devices have developed rapidly.A wide variety of monitoring devices have been developed,and trials have been conducted to explore the availability and safety of remote monitoring devices and their effectiveness in reducing the risk of HF re-hospitalization.Wearable devices are easy to be accepted by patients because of their non-invasive,portable,cost and other factors.

Objective:To explore the willingness to engage in geriatric nursing services of students in geriatric related majors in universities of Xinjiang Uygur Autonomous Region, China (Xinjiang for short) , and analyze its influencing factors, so as to provide a reference for cultivating the geriatric nursing service personnel in Xinjiang.Methods:From September 2019 to July 2020, 976 students in geriatric related majors (the nursing major and geriatric service and management major) from 2 universities, a medical university and a vocational university in Xinjiang, were selected as the research object. Students were investigated with the Students' Willingness to Engage in Geriatric Nursing Services Questionnaire, and 50 students were interviewed with the structured interview.Results:Among 976 university students in geriatric related majors, 606 (62.09%) were willing to engage in geriatric nursing services. Logistic regression analysis showed that attitudes towards the aged, registered residence, experience of caring for the aged, living with the aged, attention to geriatric nursing information, and views on the prospects of geriatric nursing services were the influencing factors of students' willingness to engage in geriatric nursing services with a statistical difference ( P<0.05) . The results of grey relation analysis showed that the driving strength of the influencing factors of the willingness to engage in geriatric nursing services of students in geriatric related majors from strong to weak was views on the prospects of geriatric nursing services (the relation index was 0.944) and attitudes toward the aged (the relation index was 0.828) , experience of caring for the aged (the relation index was 0.763) , attention to geriatric nursing information (the relation index was 0.658) , living with the aged (the relation index was 0.600) and the registered residence (the relation index was 0.563) . Conclusions:The most critical influencing factor for students in geriatric related majors in Xinjiang universities to engage in geriatric nursing services is their views on the prospects of geriatric nursing services and their attitudes towards the aged. Universities should further strengthen the discipline construction and curriculum reforms of geriatric related majors, pay attention to the education of career prospects, cultivate a positive attitude towards the aged, and increase the willingness of students to engage in geriatric nursing services.

Objective:To explore the application effect of standardized management mode of the whole course of disease led by nurses in patients of percutaneous nephrolithotomy (PCNL) .Methods:A total of 100 PCNL patients in the Department of Urology Surgery of Hunan Provincial People's Hospital, from July 2019 to July 2020, were selected as the research subjects, and divided into observation group and control group according to admission order, with 50 cases in each group. Both groups accepted routine treatment and nursing, while the observation group also received the standardized management mode of the whole course of disease. The duration of preoperative preparation, length of hospitalization, hospitalization cost, postoperative complications and the rate of unplanned return visit within 1 month after discharge were compared between the two groups.Results:The duration of preoperative preparation and the length of hospitalization of the observation group were both less than the those of the control group, and the differences were statistically significant ( P<0.05) . The hospitalization cost of the observation group was less than that of the control group, with statistical significance ( P<0.05) . The postoperative complications and the rate of unplanned return visit within 1 month after discharge of the observation group were both lower than those of the control group, and the differences were statistically significant ( P<0.05) . Conclusions:The standardized management mode of the whole course of disease led by nurses is beneficial to shorten the waiting time and total hospitalization time of PCNL patients, reduce hospitalization expenses, reduce complications and unplanned return visit, which is worthy of clinical promotion.

Objective To evaluate the attitudes of clinical nurses toward caring for the dying patients, and possible influencing factors concerning the attitudes were investigated, so as to provide a scientific basis for further intervention, thus improving the positive attitudes toward care of the dying patients in the future research. Methods A convenience sampling method was used to recruit 770 nurses from 15 hospitals located in 5 provinces in China. A demographic survey, Chinese version of Frommelt Attitudes Toward Care of the Dying Scale Form B (FATCOD-B-C) and Chinese version Death Attitude Profile-Revised were employed in the survey. Results FATCOD-B-C scale was used to evaluate the attitudes of nurses toward caring for dying patients, with the mean score of all FATCOD-B-C item being 95.62 ± 7.45. To analyze relationship among demographic variables and the total score of FATCOD-B-C. Univariate analysis revealed that age group (F=2.285), years employed as a nurse (F=3.353), educational background (F=5.581), technical title (F=5.692), level of hospital (t=2.058), religious beliefs (t=-2.788), previous education on death and dying(F=9.743), previous experience in dealing with terminally ill persons (t=2.761) had significant influence on the nurses' attitudes toward caring for dying patients and families(P<0.05). Multiple linear regression analysis indicated that nurses' attitudes toward caring for dying patients had been affected by those factors, among which the most influential factor was educational background. Conclusions It shows that nurses'FATCOD-B-C scores are at a low level. It is suggested to improve nurses' positive attitudes of caring for dying patients and their families by making the specific methods based on the influencing factors, thus improving the development of palliative care.