Objective To explore the relationship between pain and recurrent falls in the elderly with self-care ability. Methods Based on data from the 4th (2018) and 5th (2020) of the China Health and Retirement Longitudinal Study (CHARLS), a binary logistic regression model was used to analyze the association between pain and recurrent falls in the elderly. Results Among the 1219 elderly people, the average age was (69.6 ± 7.0) years old, with 407 males (33.39%) and 812 females (66.61%). 2) The risk of falling again with mild, moderate, and severe pain was 32.83%, 43.98% and 41.63%, respectively; The risk of falling again was 28.25%, 38.48% and 45.99% for pain sites ≤2, 3-5 and ≥6, respectively. 3) Regression analysis showed that the risk of falling again in the elderly with moderate pain was 1.38 times higher than that with mild pain (OR: 1.38, 95%CI: 1.05-1.81). Compared with those with less than 2 pain sites, the risk of falling again was increased by 50% (OR: 1.50, 95%CI: 1.07-2.09) and 76% (OR: 1.76, 95%CI: 1.28-2.42) in those with 3 to 5 pain sites and ≥6 pain sites, respectively. In women, the risk of falling again was 1.99 times higher in those with ≥6 pain sites than in those with ≤2 pain sites (OR: 1.99, 95%CI: 1.32-3.00). Conclusion The pain level and the risk of falling again in the elderly are in an inverted U-shaped distribution, and the number of pain sites is positively correlated with the risk of falling again in the elderly. Headache, shoulder pain, back pain, leg pain and ankle pain are all related to the risk of falling again in the elderly. It is recommended to manage pain reasonably to reduce the risk of recurrent falling in the elderly.

Objective To explore the application effect of high quality nursing service in outpatient nursing work, to improve the quality of nursing work. Methods This study selected clinic patients as the research object of high quality nursing before and after 1 month, since June 2014 to carry out high quality nursing activities so far, activitied into the stable period,from September 2014 outpatient treatment of 50 cases as the observation group,high quality nursing January 2014 outpatient treatment of 50 cases as the control group,SAS score,nursing satisfaction were compared be-fore and after treatment in the patients of two groups of cases of outpatient registration and the waiting time, waiting time of auxiliary examination were compared. Results Nursing satisfaction results in the observation group was 98.0%,significantly higher than the control group of 76.0%,the difference was statistically significant between two groups(P<0.05).The observation group cases outpatient registration waiting time less than or equal to 15 min was 92.0%, auxil-iary examination waiting time less than or equal to 15 min was 94.0%,were above 90%,were significantly higher than those in control group,the difference was statistically significant between two groups (P<0.05). Before treatment,SAS score of two groups of patients, there was no significant difference (P>0.05). After treatment, two groups of patients with SAS score decreased significantly(t=8.342,t=7.213,P<0.05),and the SAS score of observation group after treatment was significantly lower than the control group, there were significant differences(P<0.05). Conclusion The development of high quality nursing service in outpatient nursing work is helpful to improve nursing satisfaction, reduce the patient's anxiety,shorten the time of examination,so as to further improve the quality of outpatient nursing work.