Diabetes mellitus (DM) is one of the remarkable disease challenges in the twenty-first century and poses threat to patients' physical health. Given the difficulty of treatment and the high possibility of relapse, patients often have mental illness. A total of 117 patients with type 2 DM were randomly divided into two groups for a 2-month intervention. The intervention group underwent an Information-Motivation-Behavioral skills (IMB) intervention program based on protection motivation theory, and traditional intervention was applied to the control group. No significant difference is found between the intervention and control groups before the intervention (P > 0.05). However, after the intervention, the blood glucose level and depression score of the intervention group are lower than those of the control group (P < 0.05), and the psychological resilience and quality of life are significantly higher than those of the control group (P < 0.05). The blood glucose level and depression score of the intervention group decrease after the intervention (P < 0.05), and the psychological resilience and quality of life are significantly increase (P < 0.05). No significant difference is found in the blood glucose level, depression, psychological resilience, and quality of life of the control group before and after the intervention (P > 0.05). The combination of IMB intervention and protection motivation theory is important to improving the psychological resilience of patients with type 2 DM, raising their quality of life and reducing their blood glucose level.

Objective? To explore the effects of continuing nursing intervention on preventing premature myocardial infarction caused by coronary heart disease (CHD). Methods? Totally 80 patients with premature CHD admitted in the Department of Cardiology, Daqing Oilfield General Hospital from January 2015 to January 2016 were selected using convenient sampling and divided into the intervention group (n=40) and the control group (n=40) according to the odd or even number of medical records. Totally 110 patients with myocardial infarction caused by CHD admitted in the Department of Cardiology in the same hospital between January and December 2014 were reviewed. A Cox model was developed to predict the risk factors associated with myocardial infarction in premature CHD patients. Patients in the intervention group received primary/secondary, group/individual and online/offline nursing interventions as well as follow-up continuing nursing interventions specially for the risk factors of myocardial infarction, while patients in the control group received only conventional health education before discharge. The risk of myocardial infarction was compared between the two groups. Results? There was statistical difference in the incidence risk rate of myocardial infarction between the two groups of premature CHD patients (χ2=10.450; P＜0.01); and the risk of myocardial infarction in the intervention group was low (RR=0.417). Conclusions? Continuing nursing interventions specially for the risk factors have significant effects on preventing myocardial infarction in CHD patients.

Objective To predict the urinary infection factors by classification tree model for benign prostatic hyperplasia (BPH) patients with postoperative urinary tract, and put forward nursing measures toward these risk factors.Methods By the methods of medical records information acquisition and prevalence study, patients were collected, who saw a doctor and accepted the TURP for the treatment of urinary tract infection with 112 cases infected and 2586 cases not infected retrospectively in 7 hospitals in Daqing. All information acquired by recording or documents. The model was constructed that whether occurred postoperative urinary tract infection was set up as outcome variable and the possible risks for postoperative urinary tract infections was established as independent variable. According to the model result, model risk factors will be put forward. Results Catheter indwelling time, age, degree of anxiety, diabetes and smoking were the main risk factors for postoperative BPH urinary tract infection (t=14.23, 11.30, 10.42,6.23,8.27,7.29;P<0.05), and catheter indwelling time had the largest effect.Conclusions For patients with different ages, to shorten the time for placing a urinary catheter, anxiety levels and blood glucose control, strict quitting smoking can reduce the incidence of postoperative BPH urinary tract infection.

Objective To explore the effects of individualized rehabilitation plan with network on functional recovery in movement disorders patients with traumatic brain injury after operation. Methods A total of 160 movement disorders patients with traumatic brain injury accepted operation in the period between March 2012 and March 2014 in our hospital were selected and randomly divided into experimental group (80 cases) and control group (80 cases). The personalized rehabilitation nursing with network were performed in the experimental group, while the routine nursing was performed in the control group; Fugl-Meyer rehabilitation evaluation table and Barthel index table were used to evaluate patients'motor function and activity of daily living after the nursing care, and the self-designed questionnaires were used to evaluate patients' satisfaction. Results There were no significant differences in the motor function, balance, feeling, activity and joint pain between two groups before the intervention (P>0. 05). The scores of each items in the experimental group were significantly higher than those of control group, and the total score of two groups in motor function were ( 140. 83 ± 14. 28 ) and (114. 79 ± 10. 73) after interventions (P<0. 01). The score of daily life ability was (79. 95 ± 15. 28) in the experimental group, which was apparently higher than ( 46. 97 ± 16. 17 ) in the control group after the intervention (P <0. 01). The total number of satisfied patients of experimental group was 79, which was significantly more than that of control group (59) (P<0. 01). Conclusions Individualized rehabilitation plan with network can improve motor function and daily life ability of patients with traumatic brain injury, and increase patients'satisfaction, which has excellent application effects.

Objective To explore the effects of family care on self-perceived burden ( SPB ) in maintenance hemodialysis patients. Methods A total of 256 maintenance hemodialysis patients were investigated with general information questionnaire, the Family APGAR Index, and self-perceived burden SPB scale. The effect of family care on self-perceived burden was analyzed by hierarchical regression analysis. Results Patients′mean SPB score was(36. 27 ± 6. 89), and the score of family care was (6. 62 ± 1. 59). It was shown in the hierarchical regression analysis that the adaptation, affection and intimacy in family care could explain 31. 6% of total variance of self-perceived burden in maintenance hemodialysis patients. Conclusions SPB is prevalent in maintenance hemodialysis patients, and family care is an important influencing factor of self-perceived burden. Clinical doctors and nurses should reduce their self-perceived burden by improving family care.

BACKGROUNDDepression is one of the most common psychiatric illnesses among perimenopausal women. Currently, drug treatments for the disorder tend to have higher risks than other forms of treatment. On the contrary, aerobic exercise can effectively relieve menopausal syndrome among perimenopausal women. Square dance, a kind of aerobic exercise favored by middle-aged women in China, could be a beneficial intervention for perimenopausal depression.SUBJECTS AND METHODSA total of 321 women in perimenopause were chosen from Nangang Community, DaoLi Community, and Daowai Community in Harbin, Heilongjiang Province, from September 2015 through April 2016. Of the women with depressive symptoms, 60 did not participate in square dance. The subjects were randomly assigned to the intervention group (n=26) and control group (n=24). Intervention group patients participated in guided square dance exercise 60-90 min at least 5 times per week at a regular time for 3 months. The women in the control group received no intervention.RESULTSOf the screened subjects, 72 women (22.4%) suffered mild to severe depression; younger, working married women who square danced regularly presented a low depression rate (p<0.05). The depression index score of the intervention group after three months was 0.43±0.09, a statistically significant decrease (t=5.658, p<0.001). The difference in the depression index changes of the intervention and control group was also significant (t=5.407, p<0.001).CONCLUSIONThe depression rate among women in perimenopause is high. Some intervention measures, such as promoting female employment, organizing collective activities for retired or unemployed women, and stabilizing family ties can prevent or improve the depression of women in perimenopause. Square dance can effectively reduce the depression levels of women in perimenopause.

Objective To explore the influence of long distance care model on the anxiety, depression and treatment adherence of patients with chronic heart failure.Methods Totals of 120 patients with chronic heart failure were selected from July 2013 to March 2014.They were randomly divided into the control group and experimental group, with 60 cases in each.After discharge, they were implemented with different nursing method.The control group was given routine outpatient nursing, while the experimental group was given the long distance care on the basis of conventional outpatient nursing.After six months, the Self-rating Anxiety Scale ( SAS) and Self-rating Depression Scale ( SDS) were used to assess patients′anxiety, depression and subjective feeling.Results After 6 months of long distance care, the scores of SAS and SDS in the experimental group were (39.27 ±8.31) and (40.54 ±5.51), which were significantly better than those of the control group with (49.12 ±7.31) and (51.14 ±6.64), and the differences were statistically significant (t =-16.26,-18.39, respectively;P <0.05).In the experimental group, 5 patients could not follow the treatment compliance, 11 patients could generally follow the treatment compliance, and 44 patients completely follow the treatment compliance.The difference between the two groups was significant ( U =11.217, P <0.01 ). Conclusions Long distance care can reduce the anxiety and depression of patients with chronic heart failure, and improve patients′compliance.