In the battle against Coronavirus Disease 2019 (COVID-19) outbreak in China, the community has become a frontline to combat the epidemic. By leveraging the advantages of grid management, including household connection, clear responsibility, leaving no dead ends and all-round implementation, detection, early reporting, early quarantine, and early treatment for the epidemic has been guaranteed. Grid management has played an important role in the battle against COVID-19, and meanwhile enabled the timely and accurate service of epidemic prevention and control in the community health service system. It indicates that the scientificity, integrity, accuracy, feasibility and timeliness of community health services may be enhanced by embedding the community health service system into the community grid. Key words: Community health service; Infectious disease control; Grid management; 2019 Novel Coronavirus; Coronavirus Disease 2019; Epidemic prevention and control

Objective To explore the effects of diagnosis related groups (DRGs) related indexes in nursing human resource allocation of internal medicine system so as to provide a basis for reasonably allocating nursing human resource. Methods This study retrospectively consulted the medical record information of inpatients in internal medicine system of Linyi People's Hospital from 1st January 2017 to 31st December 2017, analyzed the production capacity of internal medicine system in 2017. Based on the capacity, this study allocated 2018 nursing human resource allocation of internal medicine, and compared the production capacity scores of internal medicine capacity, the medical service efficiency, medical service safety, nursing quality, satisfaction of nurses with nursing human resource allocation and patients' satisfaction with nursing care before and after implementation. SPSS18.0 software was used in data processing and analysis. Results After allocating nursing human resource based on DRGs capacity score, the production capacity scores were higher than those before implentation; the time efficiency of medical service efficiency reduced compared with that before implementation; ward management quality, nursing safety management quality, clinical nursing service quality, nursing documentation writing quality, health education quality, critical patients management quality, disinfection isolation quality, patients' satisfaction with nursing care and satisfaction of nurses with nursing human resource allocation in 2018 internal medicine system improved compared with those before implementation with statistical differences (t=-3.636、3.367、-13.090、-14.665、-11.630、-10.005、-11.572、-13.941、-8.906; P<0.05) . Conclusions Nursing human resource allocation based on DRGs capacity score could cover the demand of clinical nursing work, improve the work efficiency and nursing quality, and increase satisfaction of patients and nurses under the condition of limited nursing human resource. Key words: Nursing staff; Nursing human resource allocation; Diagnosis related groups; Capacity; Internal medicine

Objective To explore the effects of Cox interaction model of client health behavior (Cox-IMCHB) -based nursing intervention on health outcomes and quality of life (QOL) among patients receiving liver transplantation. Methods From October 2014 to August 2016, this study selected 65 patients met the inclusion and exclusion criteria in the First Bethune Hospital of Jilin University as subjects. Patients were divided into control group (n=32) and observation group (n=33) according to surgery order. Control group carried out the routine nursing for patients receiving liver transplantation, while observation group implemented the comprehensive nursing based on the Cox-IMCHB theory. Treatment compliance, follow-up rate and nursing service satisfaction of patients between two groups were observed one month and six months after surgery. Results One month after surgery, there was no statistical difference in the compliance of patients between two groups (P>0.05) . Six months after surgery, the total score of treatment compliance, scores of self-monitoring compliance, living habits compliance and follow-up compliance in observation group were 42.00 (40.00, 43.00) , 2.00 (2.00, 3.00) , 17.00 (16.00, 18.00) and 7.00 (7.00, 8.00) higher than those in control group with statistical differences (P 0.05) . Six months after surgery, the patient satisfaction and rate of follow-up in observation group were higher than those in control group with statistical differences (P<0.05) . Conclusions Cox-IMCHB-based nursing intervention for patients receiving liver transplantation can improve patients' long-term treatment compliance and patient satisfaction with utilization of medical service resource as well as nursing care so as to promote favorable outcomes. Key words: Liver transplantation; Quality of life; Health outcome; Cox interaction model of client health behavior; Compliance; Satisfaction; Follow-up

Objective To construct the continuous nursing need index system based on discharge readiness for patients with spinal cord injury so as to guide the clinical nursing practice. Methods From January 2017 to July 2018, this study selected 115 spinal cord injury inpatients of Spine Surgery Department at a ClassⅢ Grade A hospital in Qingdao as subjects by convenience sampling. The Readiness for Hospital Discharge Scale (RHDS) was used to investigate those patients. According to the investigation results, this study primarily built the continuous nursing need index system for spinal cord injury patients. Delphi method was used to select 25 experts for two rounds of consultation so as to establish the final the continuous nursing need index system for spinal cord injury patients. Results Among 115 spinal cord injury patients, the total score and item average score of RHDS were (60.39±22.12) points and (5.27±2.75) points respectively. Among two rounds of consultation, the authoritative coefficients of experts were 0.78 and 0.81 respectively, and the coordination coefficients were 0.343 and 0.423. In the second round of consultation, the variation coefficients ranged from 0.09 to 0.18. The final the continuous nursing need index system for spinal cord injury patients included 5 first-level indexes and 33 second-level indexes. Conclusions The continuous nursing need index system for spinal cord injury patients has a high level of authoritative coefficients and is scientific practical which can provide a basis for discharge health instruction in spinal cord injury patients and promote the safe transition in hospital-community-family as well as comprehensive rehabilitation. Key words: Spinal cord injuries; Continuous nursing; Discharge readiness; Nursing needs; Delphi method

This paper reviewed the obesity harm, concept of home care, home care after bariatric and metabolic surgery, measure tools of home care needs, home care needs and intervention for postoperative home care needs. This paper also put forward that we can formulate home nutrition plan, promote shape recovery and rebuild psychology to satisfy the postoperative home care needs of obesity patients, and explored the home care model for patients undergoing bariatric and metabolic surgery suitable for national conditions. Key words: Review; Obesity; Bariatric and metabolic surgery; Home care; Nursing needs; Instruments

Objective To retrieve and analyze the evidence of preoperative breathing exercise in lung cancer patients, and to summarize the best evidence so as to provide a reference for medical staff to manage preoperative breathing exercise of lung cancer patients. Methods Evidences on preoperative breathing exercise of lung cancer patients were retrieved in the UpToDate, Cochrane Library, PubMed from building database to 1st February 2019, such as guidelines, expert consensus, evidence summaries, systematic reviews, primary studies on evidence. Results A total of 8 evidences were included, one clinical decision, one guideline, three expert consensus, two systematic reviews and one primary study. Evidences of preoperative breathing exercise in lung cancer patients were mainly methods, intensity and frequency of breathing exercise. Conclusions The included evidences showed that it is benefit for lung cancer patients to do preoperative breathing exercise. Medical staff should formulate reasonable breathing exercise plan based on evidence and clinical situation to provide scientifically and effectively preoperative breathing exercise management for lung cancer patients. Key words: Breathing exercises; Lung cancer; Preoperative period; Evidence-based

Objective To study the application value of six-step cancer notification model (setting, patient's perception, invitation, knowledge, exploring/empathy, strategy/summary, SPIKES) in lung cancer nursing. Methods The convenience sampling method was used. Forty-two lung cancer patients admitted to the First Affiliated Hospital of Zhengzhou University from June 2017 to June 2018 were selected as control group, and 42 lung cancer patients admitted from July 2018 to July 2019 were selected as observation group. The control group underwent routine nursing, and the observation group underwent SPIKES on the basis of the control group. Hamilton Anxiety Scale (HAMA) , Hamilton Depression Scale (HAMD) , Herth Hope Index (HHI) and Quality of Life Questionnaire-Core30 (QLQ-C30) were used to compare the intervention effect between the two groups. Results At discharge, the scores of HAMA (13.84±3.04) and HAMD (15.87±2.11) in the observation group were lower than those in the control group, and the differences were statistically significant (t=5.079, 7.232; P<0.05) . At discharge, the total HHI score of the observation group (34.53±9.25) and the QLQ-C30 score (7.24±2.61) were higher than those in the control group, and the differences were statistically significant (t=5.550, 3.641; P<0.05) . Conclusions Carrying out SPIKES for lung cancer patients can alleviate the negative emotions of patients, improve the hope index and quality of life, which has high clinical application value. Key words: Lung neoplasms; Six-step cancer notification model; Negative emotion; Quality of life

Objective To explore the current situation of rehabilitation resource and the influencing factors of rehabilitation nursing needs of patients at home in Xuzhou so as to provide a reference for home rehabilitation for patients. Methods From October 2018 to December 2018, this study investigated all rehabilitation medical institutions (rehabilitation specialized hospitals, general hospitals with Rehabilitation Department, community health service institutions) in Xuzhou City by general investigation. Rehabilitation specialized hospitals in Xuzhou were investigated with the method of field visit and questionnaire survey, and the investigation content included the situation and professional categories of rehabilitation professionals. At the same time, totals of 411 patients with the needs for rehabilitation in Xuzhou were investigated, and the investigation content included the basic situation, rehabilitation needs of patients, contract service by family doctors. This study also analyzed the influencing factors of home rehabilitation nursing needs by Logistic regression. Results There were 120 rehabilitation medical institutions in Xuzhou City. The bed number was 2 675 accounted for 57.98% (2 675/4 314) of the bed number shall be equipped with. There were 402 rehabilitation physicians, 432 rehabilitation nurses and 808 rehabilitation therapists respectively occupied 31.07% (402/1 294) , 16.69% (432/2 588) and 31.22% (808/2 588) of the planning. There were 30.90% (127/411) of rehabilitation patients signed a contract with community doctors, and 45.67% (58/127) of them dissatisfied with community doctors service and the satisfaction rate was 18.90% (24/127) . The influencing factors of family doctor contract included the ages of patients (OR=0.557) , history of hemiplegia (OR=1.520) and the number of community doctors (OR=1.131) . The young the ages were, the better the contract degrees were. The factors promoted the contract were hemiplegia and increasing in the number community doctors. Conclusions In Xuzhou, the rehabilitation medical resource allocation cannot meet the needs of the masses. The insufficient rehabilitation medical resource allocation reflected in the lack of rehabilitation talents, rehabilitation medical institutions and rehabilitation equipment. The rate of family doctors contract service was in the low level, and there are still great difficulties in the home rehabilitation. Key words: Rehabilitation; Health resources; Physicians, family; Contract service; Home rehabilitation; Need; Investigation

Objective To explore the effects of action research method in quality control circle (QCC) knowledge training for nurses. Methods From August 2018 to October 2018, this study selected 216 nurses participating in QCC training by convenience sampling as learners. The action research method was used in QCC knowledge training for 216 nurses in three issues. The training effects were evaluated by theoretical test. Results After three issues of training for nurses, the theoretical achievements were (84.64±4.91) , (90.23±4.23) and (94.28±3.11) respectively higher than those before training with statistical differences (t=13.09, 16.54, 25.62; P<0.05) . Conclusions Action research method improves the training effects of QCC knowledge and perfects the training system for QCC. Key words: Nursing staff; Inservice training; Action research method; Quality control circle knowledge

Objective To explore the effects of out-of-hospital cardiac rehabilitation in coronary disease patients after percutaneous coronary intervention (PCI) . Methods From January 2017 to March 2018, this study selected 70 coronary disease patients with PCI in Department of Geriatric Medicine at Jiangsu Province Hospital as subjects by convenience sampling. Those 70 patients were randomly divided into control group and experimental group, 35 cases in each group. Two groups all carried out routine treatment and nursing in hospital. Control group implemented outpatient follow-up after discharge; experimental group adopted out-of-hospital cardiac rehabilitation. The follow-up for patients of two groups lasted one year. This study compared the scores of Seattle Angina Questionnaire (SAQ) , Self-rating Anxiety Scale (SAS) and risk factors of patients between two groups. Results The scores of SAS of experimental group were lower than those of control group 3, 6, 12 months after discharge with statistical differences (P<0.05) . The dimension scores of SAQ of patients between two groups 3, 6, 12 months after discharge were higher than those of admission; the scores of SAQ of experimental group were higher than those of control group in the same period with statistical differences (P<0.05) . A total of 12 months after discharge, the body mass index (BMI) of patients in experimental group was higher than that in control group; the blood glucose and fat were lower than those in control group; the patients with smoking was less than that in control group with statistical differences (P<0.05) . Conclusions Out-of-hospital cardiac rehabilitation nursing can relieve the anxiety of coronary disease patients with PCI and control or reduce the risk factors so as to improve the disease condition which is a method suitable for long-term management of PCI patients. Key words: Anxiety; Coronary disease; Cardiac rehabilitation; Angina pectoris; Percutaneous coronary intervention