Objective To analyze effect of three level nursing quality control management model on the quality of the nursing service in the department of general surgery.Methods Analysis in the implementation of nurs-ing quality control before and after nursing quality and the improvement of the examination results of nurses situation in general surgery department of our hospital were compared between the 2012 -2013 without the implementation of three level quality control mode and 2013 -2014 of establishment of the three level nursing quality control manage-ment mode,which was set the nursing quality monitoring nurses,quality monitoring group leader and quality monito-ring nurses in three level nursing quality control system.Results After the implementation of quality control,the quality of basic nursing score[(94.02 ±2.01)points],ward management quality score[(94.13 ±3.04)points],first aid management quality score[(96.22 ±4.06)points]and disinfection and isolation,and the quality score[(95.13 ± 3.04)points]and quality control of basic nursing quality score[(8.121 ±3.31 )points],ward management quality score[(81.35 ±2.34)points],emergency management quality score [(91.42 ±4.36 )points]and disinfection [(81.74 ±3.44)points]degrees and isolation quality scores were significantly higher than those of before three level quality control nursing management model(t =33.07,33.32,8.06,29.17,all P <0.05).Nursing quality control of nursing personnel the technical operation of the average score [(96.35 ±1.03)points],theory test average score [(95.73 ±0.98)points],average and quality control of nursing personnel and technical operation [(89.42 ± 2.49)points],theory test average score[(90.36 ±1.79)points]were obviously higher.The results had statistical significance (t =25.72,26.32,all P <0.05).Conclusion Three level nursing quality control management model established in the general surgery department had remarkable effect on the quality of the nursing service,which is safe and reliable,and improving the quality of nursing.

Objective To investigate the coping style and social relational quality of patients with thyroid carcinoma, and analyze the relationship between them,so as to provide a new perspective to improve the coping style of patients with thyroid carcinoma.Methods 311 patients with thyroid carcinoma were surveyed by the Social Relational Quality Scale and the Medical Coping Style Questionnaire ( Chinese version) .The level of coping style was compared among the patients with different clinical features, and the pearson correlation analysis and multiple linear regression analysis were used to explore the relationship between coping style and social relational quality of patients with thyroid carcinoma.Results The scores of facing, yield and avoidance in the coping style were (18.96 ±2.54), (13.15 ±1.48) and (17.76 ±2.23), respectively.The scores of social relationship of family intimacy, family responsibility and friendship were (20.47 ±2.61),(15.22 ± 2.22) and (14.75 ±2.03), respectively.The total score of social relational quality was (50.44 ±5.51).The score of facing was positively correlated with the total score and the each dimension score of social relational quality (P<0.05).The scores of yield and avoidance were negatively correlated with the total score and the each dimension score of social relational quality ( P <0.05 ) .The differences of coping style in the patients with different family income, model of payment, course of disease and lymph node metastasis were significant ( P<0.05).Multiple linear regression analysis showed that the family income, payment method, lymph node metastasis and social relational quality were the predictors of coping style of patients with thyroid carcinoma(P<0.05). Conclusions The coping style was significantly correlated with social relational quality in patients with thyroid carcinoma.We should improve the coping style by improving the social relational quality.