Objective To develop an inpatient assessment form for geriatric syndromes,aiming to quickly and accurately determine whether elderly inpatients are at risk of geriatric syndromes.Methods From May 2021 to December 2023,an initial item pool for the scale was proposed through literature review.Sixteen experts from four fields of geriatric nursing,nursing management,nursing education,and geriatric medicine were selected from seven institutions in six provinces and cities across the country.Two rounds of Delphi expert consultation were conducted to inquire about the assessment form.Results The enthusiasm coefficient of the two rounds of expert consultation was 100.00%,and the expert authority coefficient was 0.88.In the first round of expert consultation,the importance ratings of the three-level indicators ranged from 4.06 to 4.75,with a coefficient of variation of 0.09 to 0.25,a full score rate of 43.75%to 81.25%,and a Kendall coordination coefficient W of 0.210.In the second round of expert consultation,the importance ratings of the three-level indicators ranged from 4.63 to 4.94,with a coefficient of variation of 0.05 to 0.13,a full score rate of 62.50%to 93.75%,and a Kendall coordination coefficient W of 0.419.After two rounds of expert consultation,the inpatient assessment form for geriatric syndromes was finally determined,including 5 first-level indicators(past history,physical function,common geriatric symptoms,mental and psychological status,socioeconomic status),26 second-level indicators,and 41 third-level indicators.Conclusion The inpatient assessment form for geriatric syndromes developed in this study is scientifically and practically feasible and can be used to quickly identify the risk of geriatric syndromes in elderly inpatients.

Objective:To explore the clinical value of application of Teach-back education model in the process of health education for patients with chronic obstructive pulmonary disease (COPD) .Methods:Using the convenient sampling method, a total of 100 COPD patients admitted to Huzhou Central Hospital from March 2018 to March 2019 were selected as the research objects. They were randomly divided into the control group and the study group, with 50 cases in each group. The control group adopted conventional health education, while the intervention group adopted Teach-back education model on the basis of conventional health education. COPD Assessment Test (CAT) scores, blood gas indexes, lung function indexes of patients of the two groups before and after the intervention, as well as the recurrence and readmission status were compared and analyzed 3 months after discharge.Results:After intervention, CAT score of the study group was lower than that of the control group, blood gas analysis indexes such as partial pressure of carbon dioxide (PaCO 2) , partial pressure of oxygen (PaO 2) and blood oxygen saturation (SaO 2) were better than those of the control group, and forced expiratory volume in one second (FEV 1) and forced expiratory volume in one second/forced vital capacity (FEV 1/FVC) levels were higher than those of the control group, and the differences were statistically significant ( P<0.05) .Three months after discharge, the frequency of disease attacks in the study group was less than that in the control group and the readmission rate was lower than that in the control group, and the differences were statistically significant ( P<0.05) . Conclusions:The use of Teach-back education model in health education for COPD patients can significantly improve the patients' respiratory symptoms, improve lung function, PaO 2 and SaO 2, reduce the recurrence and readmission of patients and optimize quality of life of patients, which is worthy of clinical promotion and application.

Objective To explore the effect of competency based education (CBE) in the nursing training of GNS (gerontological nurse specialist).Method The CBE was used in the nursing training of GNS and the differences in knowledge and nursing skills,ability in nursing training,and aiblity in organization and scienticific research.Result After the training,the GSN was above 80 in knowledge and skills,ability in nursing training,ability in organization and scientific research and self-assessment better than that before training (P＜0.05).Conclusion The CBE for the nursing training can upgrade the abilities in the GSN in the aspects of knowledge and skills,nursing training,organization and scientific research so that they become more competent in the gerontological nursing.

Objective To explore the training model of nurse specialists in geriatric and study its practical effect. Methods Forty-two nurse specialist participating in the training courses in geriatrics were enrolled in the study. The training was divided into 2 stages: the first one was for 1 month theoretical study together with 2 months clinical practice; the second was for 9 months clinical research on a specific topic. The examinations were done both at the two stages. They were interviewed on their views on theoretical study and internship at the end of first stage. Results The degree of satisfaction with the theoretical course was 91.6%, and the satisfaction degree of internship was 92.9%. The average scores at the end of the final examination and graduation examination were more than 85 points. Toally they were funded with 4 muncipal scientific research programs and 3 municipal patents, and published 9 academic papers. Conclusions The standardized training model is accessible for the nursing because of the training content and form. This model is feasible and effective, and it is worth applying and popularizing in the training of nurse specialist in the future.