Objective To construct a nursing plan for the quality of bowel preparation of diabetic patients,and to explore effects of its application. Methods The Delphi expert consultation method was used to construct a nursing plan for the intestinal preparation of diabetic patients. The plan includes 4 times of intestinal preparation intervention,5 key points of intestinal preparation intervention and 15 guiding contents of nursing intervention. 300 patients who underwent colonoscopy in the digestive endoscopy center of a tertiary general hospital in Fujian Province from August 2020 to January 2021 were selected as the research subjects,using the experimental research method. The research participants are grouped in chronological order,and finally 150 cases were included in the actual research subject control group and 150 cases in the experimental group. The control group was given regular bowel preparation guidance,and the experimental group used diabetic colonoscopy on the basis of routine care. The adequacy rate of bowel preparation,the detection rate of adenoma,the compliance of bowel preparation and the occurrence of adverse reactions of the 2 groups were compared. Results The bowel preparation adequacy rate,colon adenoma detection rate,and bowel preparation compliance ratio of the experimental group were all higher than those of the control group（P<0.05）. The number of cases of nausea,abdominal distension and hypoglycemia in bowel preparation in the experimental group were Less than it in the control group（P<0.05）. Conclusion The application of the intestinal preparation nursing intervention program for diabetic patients can effectively improve the bowel preparation adequacy rate,the detection rate of polyps,and the compliance of intestinal preparation;reduce the occurrence of adverse reactions during the intestinal preparation process,and alleviate the intestinal preparation of patients.

Objective To understand the status of the bowel preparation quality of outpatients with colonoscopy. To analyze the effect of interval time from the completion of bowel preparation to the start of colonoscopy on the quality of bowel preparation. Methods Demographic and clinical data of outpatients undergoing colonoscopy at digestive endoscopy center of 3 general hospitals in Fuzhou from April 2019 to September 2019 were collected.Chi-square test was used to screen the factors with statistical significance on the bowel preparation quality（P<0.10）. After statistical method of propensity value matching was used to eliminate the confounding factors,the differences in bowel preparation quality between different interval groups（divided into（2,3] h、（3,4] h、（4,5] h、（5,6] h、（6,7] h、（7,8] h、（8,∞） h） were compared by variance analysis. Results A total of 401 patients were enrolled in the study. After matching of 401 samples with propensity value matching,316 new samples were generated and the influence of confounding factors was excluded by test. Compared the data with analysis of variance,the quality of bowel preparation was different in different interval time groups.The quality of bowel preparation in group of（2,3] h was significantly better than groups of（4,5] h and（6,7] h. The quality of bowel preparation in group of（3,4] h was significantly greater than（6,7] h. There was no significant difference between 2 groups of（2,3] h and（3,4] h. There was no significant difference between any 2 groups in（4,5] h,（6,7] h,（7,8] h,（8,∞） h. Conclusion The quality of bowel preparation can be maintained at an optimal state of cleanliness within 2~4 hours between the completion of bowel preparation and the start of colonoscopy.

Objective To compare the effects of different cuff pressures on compression of forearm hematoma after transradial coronary intervention in elderly patients with coronary heart disease. Methods From March 2016 to February 2019,94 patients with forearm hematoma after interventional treatment in a tertiary hospital were randomly divided into the experimental group and the control group using random number table,with 47 patients in each group. Hematoma was compressed by a sphygmomanometer cuff inflation. The sphygmomanometer cuff inflation pressure of the experimental group and the control group was higher than systolic blood pressure by 30 mmHg（1 mmHg=0.133 kPa） and 20 mmHg,respectively,and the pressure was decompressed for 1 min after 5 min of compression,for 5 repeated cycles,in which the control group was decompressed to 0 mmHg,and the experimental group was decompressed to the patients’ diastolic pressure. The comfort and pain of the patients in both groups were observed. The arm circumference,forearm tension and swelling were observed right after the compression and 30 min after the compression. Results During the compression process,there was no significant difference in the comfort and pain between two groups（P>0.05）. Immediately after the compression,there was no significant difference in the degree of swelling of the forearm between the two groups（P>0.05）. Immediately after the compression and 30 min after the compression,the improvement of arm circumference and forearm tension in the experimental group was better than those in the control group,and the differences were statistically significant（P<0.05）. After 30 min of compression,degree of forearm swelling in the experimental group was lower than that in the control group,and the difference was statistically significant（P<0.01）. Conclusion Keeping the sphygmomanometer cuff inflation pressure higher than patients’ systolic blood pressure by 30 mmHg, releasing pressure to patients’ diastolic pressure after five mins maintenance, maintaining pressure for one min and repeating for five circles can be beneficial to improve patients’ arm circumference, forearm tension and swelling degree.