Objective To develop the model of home hospice care integrating professional nursing with family care and evaluate its efficacy. Methods Sixty patients at home were selected in the study. We provided them with home hospice service integrating professional nursing with family care and psychological counselor. Patients ’ quality of life, living cost and satisfaction with the hospice care were evaluated. Results All patients’ quality of life was improved after 2-month and 5-month intervention (P<0.001). No scald, falling, unexpected falling-off of tube or extubation, autolesion, suicide and getting lost occurred to patients. All patients and their families were satisfied with the community service and 98% of them were satisfied with psychological counseling, cost and living environment. Meanwhile, 83%of them were satisfied with pain control. Conclusion A suitable model of local hospice care benefits the improvement of terminal patient’s quality of life and family’s satisfaction as well as cost-saving. It is an effective model and worth to be popularized.

Objective To investigate the correlated between disease cognition and uncertainty of family members and recurrence risk in patients with ischemic stroke. Methods From January 2013 to February 2014,389 patients with ischemic stroke and their family members were chosen by convenience sampling method admitted in 3 secondary hospitals of Shenzhen,and they were divided into control group ( n =288 ) and recurrence group ( n =101 ) according to the recurrence of ischemic stroke. Then investigated the disease cognition and uncertainty of family members by self-made general information questionnaire, stroke knowledge questionnaire and disease uncertainty scale. Results The score of disease cognition of family members of re-currence group was higher than that of control group,while the scores of disease uncertainty dimension,lack of information di-mension and the total dimensions of disease uncertainty were lower than those of control group(P﹤0. 05). Linear correlation a-nalysis showed that,the score of disease cognition of family members of recurrence group was negatively correlated with the recur-rence frequency of ischemic stroke(r= -0. 245,P=0. 014),while the score of disease uncertainty was positively correlated with the recurrence frequency of ischemic stroke(r=0. 220,P=0. 010). Conclusion Disease cognition and uncertainty of family members are influencing factors of recurrence of ischemic stroke,thus measures should be take to improve the disease cog-nition of family members,reduce disease uncertainty,to reduce the recurrence of ischemic stroke.

Objective:To investigate the pressure sores professional team bedridden patients with pressure ulcers observation of the degree of risk to the community and its effect an extension of community care services.Methods:For the establishment of hospital and community pressure sores professional group at high risk of pressure sores on the community,families and patients with health education,knowledge,training,guidance on tracking long-term bedridden patients.60 cases of community use of the Norton pressure ulcer risk score sheet score and level of risk classification.Results:The degree classification of the results of the community bedridden patients Norton pressure sore risk score is the smaller,the occurrence of pressure ulcer risk the higher the greater the degree of risk(P0.05).Conclusion:Full effective nursing intervention,the application of the Norton score assessment community bedridden patients with pressure ulcers degree of risk,reduce community pressure ulcer,the effective pressure ulcer prevention community incidence.

目的:探讨舒适护理对妇科腹腔镜手术患者术后的并发症的影响。方法:将56例妇科腹腔镜手术患者随机分为观察组26例和对照组30例,观察组给予舒适护理,对照组给予常规护理,比较分析两组术后对并发症的认知程度及并发症发生情况。结果:观察组对并发症认知程度高于对照组(P<0.05),并发症(穿刺口出血、肠道损伤和下肢静脉血栓形成)发生率和痊愈时间低于对照组(P<0.05)。结论:舒适护理可有效降低妇科腹腔镜手术患者术后并发症,促进患者早日痊愈。

目的 探讨社区压疮专业小组对社区压疮护理干预的有效性.方法 成立社区压疮专业小组,压疮专业小组对社区压疮高危人群、家属和患者进行健康宣教、知识培训、制定措施、入户现场指导、定时追踪、随访、评价,全程、规范、系统护理干预.结果 通过压疮专业小组对社区压疮进行有效护理干预,使社区压疮发生率由原来的41.86%降低到8.06%.结论 通过全程有效护理干预,减少社区压疮发生,提高患者生活质量,有效预防社区的压疮发生率.

Objective Purpose of observation of Kai Sai Lu retention enema treatment for benign prostatic hyperplasia urine retention results.Methods 72 cases of benign prostatic hyperplasia patients in the use of traditional urine retention induced voiding invalid,using different doses(40 ml,60ml,80ml) Kai Sai Lu retention enema treatment,observation and defecation,urination time.Results Of 72 cases of urinary retention of patients in 36 cases defecation,urination,and the total efficiency of 89.8 percent.60ml group and 80 ml group was significantly higher than 10 ml,while the 60 ml and 80 ml group between the groups was not significant.Conclusion Kai Sai Lu retention enema can promote urination,Kai Sai Lu amount in 60～80ml suitable.

Objective Application of early care intervention on patients with severe traumatic brain injury rehabilitation effect.Methods Random patients with severe brain injury will be 96 patients divided into two groups and the control group and the control group using conventional care,the observation group in the hospital the same day for early rehabilitation care,the treatment of the two groups will be compared.Results Discharged patients with functional groups,the Observer Group functional recovery significantly better than the control group,Barthel Index and the Fugl-Meyer Assessment dominant difference(P<0.01).Conclusion Early intervention is conducive to promoting nursing severe neurological function in patients with traumatic brain injury rehabilitation,the disabled patients with lower rates,improved quality of life.