Objective : To explore the microbial contamination status of household washing machines and evaluate the improvement effect of professional washing machine cleaning on microbial contamination. Results : After washing , the total number of fungi in the washing machine ranged from 0 to 49. 22 CFU/cm2 . The fungal clearance rates of the outer wall of the inner cylinder, filter screen , sealring , washing water and detergent drawer box were 99. 36% , 99. 74% , 99. 76% , 99. 51% and 99. 64% , respecing , the number of coliform bacteria was close to 0. Before washing , the average detection rate of Salmonella in the washing machine was 5. 33% , the average detection rate of Shigella was 2. 67% , and no Candida albicans was detected. After washing, Salmonella , Shigella and Candida albicans were not detected. After washing , the total number of fungi in the washing machine ranged from 0 to 49. 22 CFU/cm2 . The fungal clearance rates of the outer wall of the inner cylinder, filter screen , sealring , washing water and detergent drawer box were 99. 36% , 99. 74% , 99. 76% , 99. 51% and 99. 64% , respecing , the number of coliform bacteria was close to 0. Before washing , the average detection rate of Salmonella in the washing machine was 5. 33% , the average detection rate of Shigella was 2. 67% , and no Candida albicans was detected. After washing, Salmonella , Shigella and Candida albicans were not detected. Conclusion There are a large number of bacteria and fungi in the household washing machine before cleaning , and there are Salmonella and Shigella contamination. After professional cleaning , the hygiene condition of the washing machine is significantly improved.

Objective:To deeply understand the pain perception and experience of patients after mixed hemorrhoid surgery, so as to provide reference for taking targeted intervention measures to relieve pain symptoms.Methods:Purpose sampling method was used to conduct semi-structured in-depth interviews with 9 patients with postoperative pain of mixed hemorrhoids admitted to Guilin Hospital of Integrated Traditional Chinese and Western Medicine from February to March 2021, and Colaizzi phenomenological analysis method was used to analyze data and refine themes.Results:The pain perception and experience of patients after mixed hemorrhoid surgery can be summarized into 5 themes: fear of pain, persistent negative thinking about pain, perception of inability to cope with pain, emotional expectation, and expectation of Traditional Chinese Medicine nursing techniques.Conclusions:Patients after mixed hemorrhoid surgery have many burdens and needs in terms of pain experience. Medical staff must establish a complete pain management system for patients after mixed hemorrhoid surgery, aiming at the catastrophic pain experience of patients, correcting their cognitive level of pain management, and satisfying patients Alleviate the need for pain, establish an effective emotional and family support system, improve its pain self-management ability, and promote postoperative recovery.

Objective:To investigate the current situation of early postoperative pain beliefs in patients with mixed hemorrhoids and its influencing factors, and to provide a basis for formulating targeted intervention measures.Methods:Totally 242 postoperative patients with mixed hemorrhoids who were treated in Guilin Integrated Traditional Chinese and Western Medicine were selected by convenience sampling method from January 2020 to January 2021 as the research object. The general information questionnaire, Pain Belief and Perception Scale, Visual Analogue Scale, Positive and Negative Emotion Scale were used to investigate. Multiple linear regression was used to analyze the factors influencing of early postoperative pain beliefs in patients with mixed hemorrhoids.Results:The total score of early postoperative pain belief in patients with mixed hemorrhoids was -21-30 (5.32 ± 2.57) points; the results of multiple linear regression analysis showed that age, education level, anal visual analogue score, and negative emotion scores were main factors affecting their pain beliefs ( r=0.736, P<0.05). Conclusions:Patients with mixed hemorrhoids have negative pain beliefs in the early postoperative period. Patients with advanced age, primary/junior high school, high anal pain intensity, and high negative emotion scores are more likely to have negative pain beliefs. Nursing staff should promptly formulate targeted intervention measures according to the main influencing factors in order to reduce the occurrence of negative beliefs about pain.

Objective:To explore the clinical effect of multidisciplinary cooperative intervention in improving self-management and improving fluid retention in the elderly patients with chronic heart failure.Methods:Totally 130 cases of the elderly patients with chronic heart failure from January to December 2018 were enrolled and were divided into control group and observation group with 65 cases randomly. The control group received routine nursing instruction and telephone follow-up. The observation group was given multidisciplinary team guidance to patients self-management in addition to routine nursing instruction and telephone follow-up. After 3 months, the self-management and fluid retention of the two groups were compared.Results:After 3 months of intervention, the scores and total scores of the observation group in the four dimensions of drug management, diet management, psychological and social adaptation management, symptom management were 19.43±0.71,11.51±0.59,19.07±0.65,25.24±1.31, 72.65±7.16, the control group was 11.09±3.40, 6.05±1.71, 12.73±2.49, 15.72±4.18, 46.35±7.83. The scores and total scores of the observation group were better than those of the control group ( t value was 4.835-13.727, all P < 0.05).After intervention for 3 months, the proportion of severe edema, moderate edema and mild edema in the observation group was 4.61% (3/65), 13.85% (9/65), 81.54% (53/65), respectively, and the control group was 38.46% (25/65), 52.31% (34/65) and 9.23% (6/65) respectively. The degree of fluid retention in the observation group was better than that in the control group ( Z value was -2.373, all P < 0.05). Conclusion:Multidisciplinary cooperative intervention can improve self-management and improve fluid retention in elderly patients with chronic heart failure.

Objective:To understand the cognitive and positive coping strategies of postoperative chemotherapy patients with nausea and vomiting, and to provide a basis for clinical nurses to develop targeted intervention programs.Methods:From May to July 2019, 15 patients with postoperative adjuvant chemotherapy breast cancer who were hospitalized for breast surgery were selected by the purpose sampling method. The phenomenological research method in qualitative research was used to interview them. The Colaizzi data analysis principle was used to analyze the data and refine the theme.Results:Four themes were extracted through analysis: the perception of nausea and vomiting; the accompanying symptoms of nausea and vomiting; nausea and vomiting have different effects on patients' emotions and social interactions; patients adopt various ways to actively deal with nausea and vomiting, including self-regulation, behavioral adjustment, social support, and seeking professional help.Conclusions:Medical staff should pay attention to the nausea and vomiting of patients undergoing postoperative chemotherapy for breast cancer and the coping strategies adopted, and timely evaluate and intervene to alleviate the symptoms and improve their quality of life.

Objective:To understand the driving factors of postpartum health promotion behaviors in pregnant women with gestational diabetes.Methods:From September to October 2019, the purpose of the sampling method was to select 14 cases of gestational diabetic gynaecologists who visited the outpatient department of diabetes care in our hospital as the research subjects. The phenomenological research method was used to conduct a semi-structured interview. Colaizzi′s 7-step analysis method was used to organize and analyze the data to refine the subject.Results:The driving force of postpartum health promotion behaviors of gestational diabetes mothers mainly came from the internal driving force and the external driving force. The internal driving force was mainly the uncertainty of gestational diabetes, the solution of the problem improves self-worth, and the post-traumatic growth made patients re-understand life. The external driving force was mainly family support, full mobilization of subjective initiative, quantitative diet intake and building of a healthy lifestyle.Conclusions:The driving factors for postpartum health promotion of gestational diabetic women are complex and diverse. Medical staff should timely grasp the post-natal health promotion status of gestational diabetic women, and promote their self-support and social support.

Objective:To investigate the status of family function and self-management in patients with chronic kidney disease in the early stage, and to analyze the correlation between the two.Methods:From May 2018 to November 2019, 242 early stage patients with chronic kidney disease in the Department of Nephrology of the Second Affiliated Hospital of Guangxi Medical University were selected as the research subjects. The family function assessment scale and self-management scale were used for investigation.Results:The average scores of family function in early stage of chronic kidney disease patients were (2.11±0.37) points, and the average scores of self-management were (2.29±0.63) points; family function was negatively correlated with self-management ( r value was -0.832, P <0.05). Multiple linear regression analysis showed that education level and family function were influencing factors of patient self-management ( t value was 15.916, 17.569, P <0.05). Conclusions:The family function and self-management of patients with chronic kidney disease need to be improved in the early stage. Family function can affect patients' self-management. Nursing staff should focus on the functions of communication and behavior control in the family functions of patients with early chronic kidney disease in order to improve their self-management ability.

Pediatric cough is a heterogeneous condition in terms of symptoms and the underlying disease mechanisms. Symptom phenotypes hold complicated interactions between each other to form an intricate network structure. This study aims to investigate whether the network structure of pediatric cough symptoms is associated with the prognosis and outcome of patients. A total of 384 cases were derived from the electronic medical records of a highly experienced traditional Chinese medicine (TCM) physician. The data were divided into two groups according to the therapeutic effect, namely, an invalid group (group A with 40 cases of poor efficacy) and a valid group (group B with 344 cases of good efficacy). Several well-established analysis methods, namely, statistical test, correlation analysis, and complex network analysis, were used to analyze the data. This study reports that symptom networks of patients with pediatric cough are related to the effectiveness of treatment: a dense network of symptoms is associated with great difficulty in treatment. Interventions with the most different symptoms in the symptom network may have improved therapeutic effects.

Objective To explore the current situation and the relationship of social support with social function in breast cancer patients after mastectomy. Methods A questionnaire survey was conducted in 100 patients with breast cancer from July 2015 to November 2016 using the Social Support Rating Scale (SSRS) and the Social Function Deficiency Screening Scale (SFDSS). Pearson correlation test was used to investigate the relationship between social support and social function. Results The total score of SSRS and the average score of SFDSS was (33.46±5.28) and (1.86±0.67), respectively. The overall score of SSRS, subjective support and the availability of support showed a negative relationship with social functional deficiency (P< 0.05). Conclusions It is beneficial to help understand and take advantage of social support in patients with breast cancer after breast mastectomy so that to improve their social function and quality of life.

Objective To explore the status of early postoperative social relationship quality and hope level in patients with breast cancer and analyze the correlation between them. Method A questionnaire survey was conducted among 100 patients with breast cancer using the social relationship quality scale and Herth hope scale. Results The total score and expected total score of early postoperative social relationship were (47.86±6.10)and (30.81±1.86), respectively. There was a positive correlation between the two groups (r=0.324,P<0.05). Conclusions The quality of social relations in the postoperative patients with breast cancer is positively correlated with the level of hope. Nursing staff should give breast cancer patients hope and strength at the same time, helping them understand and use social relations to improve the quality of life.