Objective:To investigate initial stroke young and middle-aged patients’ health literacy and current status of their intentional delay to see the doctor, and to explore the impact of health literacy on intentional delay to see the doctor.Methods:We carried out a questionnaire survey on 107 young and middle-aged patients with initial stroke in a Grade III, Class A hospital in Guangzhou with a self-designed general situation questionnaire, a health literacy questionnaire and a SPDBI.Results:hTe SPDBI score of initial stroke young and middle-aged patients was 94.72±14.35; the total score and score of each dimension were signiifcantly higher than national norm. hTe score of health literacy was 123.86±25.47; the total score and score of basic health care were signiifcantly higher than national norm. Patient’s health literacy score was positively correlated with SPDBI score and the score of each dimension (P<0.05). Hierarchical regression analysis showed that health knowledge, health behavior and health belief and health skills of health literacy were separate inlfuencing factors of intentional delay to see the doctor <br> (P<0.05).Conclusion: Initial stroke young and middle-aged patients’ inadequate health literacy is an important reason of intentional delay to see the doctor. It is requested that clinical medical workers strengthen patients’ health education, so as to lead patients to going to see the doctor in time and improve the clinical therapeutic effect.

目的：探讨优质护理理念在肝胆外科临床护理带教中的应用效果。方法通过带教计划、带教实施、带教考核评价三阶段方法，将优质护理理念融入临床带教工作中，总结优质护理中护理带教的注意事项。结果实习护生的动手能力及主动性大大提高，对患者病情的观察更加及时细致，提高了护生的沟通、判断能力，也提高了带教老师的业务水平和人文素质，同时也提高了患者对实习护生的满意度。结论在肝胆外科临床护理带教中，按优质护理服务理念要求可提高临床护理带教质量。

Objective To explore the PDCA cycle management model for improving the role of patients’anxiety in pa-tients with T tube drainage. Methods 60 cases with T tube drainage were randomly divided into experimental group (from September 2013 to March 2014, using conventional care method + applying PCDA cycle management) and con-trol group (from March to August 2013, using conventional care method). The anxiety score was adopted by Zung self-rating anxiety scale in the third day after surgery and the day before removing tube. The satisfaction was evaluated by the indwelling T tube patients’satisfaction questionnaire designed by medical staff. The anxiety situation and satisfac-tion in two groups were compared. Results The scores were (46.25±9.49) scores and (51.08±10.66) scores in experi-mental group and control group in the third day after surgery, there was no statistically significant difference (P =0.069). The scores were (41.58±7.95) scores and (47.83±6.92) scores in experimental group and control group in the day before removing tube, there was statistically significant difference (P= 0.002). In experimental group, the anxiety score in the day before removing tube was significantly lower than in third day after surgery, there was statistically significant difference (P=0.043). In control group, the anxiety score in the day before removing tube was a little bit lower than in third day after surgery, there was no statistically significant difference (P=0.167). The satisfaction were 96.67%and 80.00%in experimental group and control group in the day before removing tube, there was statistically significant difference (P=0.049). Conclusion PDCA cycle management model can reduce patients’anxiety and improve patients’satisfaction.

目的探讨中药甘遂末辅助治疗急性胰腺炎的效果观察及护理.方法将确诊为急性胰腺炎的35例患者随机分为2组，对照组予常规治疗及护理方案，观察组在对照组治疗的基础上加用甘遂末口服或经胃管注入，并观察记录用药后的反应，包括2组的临床症状及实验室指标.结果观察组在首次通便时间、腹痛腹胀缓解时间、血淀粉酶恢复正常时间均优于对照组，两组比较有统计学意义(P<0.01).结论早期合理应用甘遂配合综合性治疗及细致有效的护理措施，可减轻症状、缩短病程，促进疾病恢复.

Objective To investigate the application of pelvic floor muscle training in patients with benign prostatic hyperplasia transurethral resection of prostate in peri-operation period of stress urinary incontinence symptoms in nursing,in order to further improve the nursing methods,improve the quality of nursing care provided basis.Methods A retrospective analysis from 2010 to 2012 in our hospital in 33 patients with BPH TURP SUI postoperative symptoms of clinical data,in carries on the pelvic floor muscle training after the nursing methods were summarized and analyzed.Results Nurses and patients with active care,most of the patients the symptoms were improved,Ⅰ、Ⅱdegree of improvement is particularly evident in patients with.Conclusion Pelvic floor muscle function training for prevention and treatment of benign prostatic hyperplasia transurethral prostatectomy stress incontinence after a more reasonable scheme,medical personnel appropriate intervention may contribute to the improvement of patients with urinary incontinence symptoms,improve their quality of life.