Most diabetics need long-term blood glucose monitoring and insulin injections,and they produce a large amount of sharps such as lancet and insulin needle,which brings great potential harm. Therefore,the standard disposal is very important. This paper reviews the current status and the influencing factors associated with sharps waste disposal practice outside health care facilities among patients with diabetes. Meanwhile,it summarizes the interventions that can promote patients to safely dispose of sharps waste. This paper aims to provide references for nursing staff to formulate the safety management measures of sharps waste,so as to standardize the disposal of sharps waste for patients with diabetes,and to reduce the occurrence of needle stick injuries.

Objective To construct a risk prediction model for malnutrition in patients with chronic heart failure,and verify the prediction effect of the model. Methods From January 2019 to January 2020,109 patients hospitalized in the Department of Cardiovascular Medicine of a tertiary hospital in Zhenjiang were selected as the subjects of model establishment. They were divided into a malnutrition group（40 cases） and a normal nutrition group（69 cases）.Logistic regression analysis model was used to establish the influencing factors of the subjects. Hosmer-Lemeshow and receiver operating characteristic curve were used to test the goodness of fit and predictive effect of the model,and 72 patients were included again in the application research of the model. Results The incidence of malnutrition in patients with chronic heart failure was 40.33%. The risk factors for malnutrition were age（OR=3.835）,smoking（OR=8.091）,total serum protein（OR=9.103）,C-reactive protein（OR=5.947）,and edema（OR=5.709）.Hosmer-Lemeshow test P=0.623;the area under the receiver operating characteristic curve was 0.882;the Youden index was 0.582;the best critical value was 0.604;the sensitivity was 0.625;the specificity was 0.957,and the actual application accuracy rate was 81.94%. Conclusion The risk prediction model constructed in this study has a good effect and can provide references for clinical screening of nutritional risks in patients with chronic heart failure.

Objective To understand the nutritional status,dietary structure and intake of some micronutrients in oral feeding patients attacked by chronic heart failure,so as to provide scientific bases for guiding their rational diet and formulating relevant nutritional interventions.Methods A total of 106 oral feeding patients with chronic heart failure in Department of Cardiology of a tertiary hospital were investigated. The nutritional status of the patients was evaluated by the Heart Failure specific Mini Nutrition Assessment scale（MNA-HF）,and the breakfast,lunch,supper and extra meals of the patients were recorded by 24-hour diet review. The total amount of dietary nutrients was calculated and compared with the Dietary Guidelines for Chinese Residents（2016）,the Reference Dietary Intake of Chinese Residents（2013） and Jiangsu Dietary Survey Data in 2010 to 2012.Results 106 oral feeding patients with chronic heart failure were investigated by MNA-HF scale,and it was found that the incidence of nutritional risks or malnutrition was about 61.32%. The per capita daily intake of vegetables,soybeans and nuts in patients with heart failure accorded with the recommended values of Dietary Guidelines for Chinese Residents. Cereals,potatoes,beans,fruits,milk and dairy products have not yet reached the recommended values. Livestock and poultry,meat,aquatic products,eggs,oils and fats and salts all exceed the recommended values. The per capita daily intake of energy is about 5 316.66±659.15 kJ;the per capita daily intake of protein,fat and carbohydrates is about 62.27±23.24 g,51.27±37.81 g and 140.28±47.46 g,respectively;the energy supply ratios are about 20.34%,33.42% and 46.15%,respectively. The per capita daily intake of sodium and iron was higher than the recommended intake or appropriate intake（RNIs or AIs）. The per capita daily intake of vitamin B1 and potassium was lower than that of RNIs or AIs.Conclusion The nutritional and dietary status of patients with chronic heart failure who take food by mouth is hardly optimistic. It was suggested that nurses could strengthen nutritional risk screening and dietary guidance for patients suffered with chronic heart failure,and formulate relevant interventions for patients with nutritional risks or malnutrition.

Objective To explore the application of nursing project management on reducing complications after stereotactic electroencephalographic surgery.Methods Since February 2017,our institute started to implement the nursing project management together with routine nursing,through analyzing nature and reasons of complications as well as providing improvement measures. A total of 100 epilepsy patients who underwent stereotactic electroencephalographic surgery in Beijing Institute of Functional Neurosurgery from January 2015 to January 2017 were assigned into the control group,and they were given routine nursing care; after the implementation of nursing project management,from February 2017 to January 2019,158 epilepsy patients who underwent stereotactic electroencephalographic surgery were assigned into the intervention group. The incidence of complications between two groups was compared.Results There was no significant difference in the incidence of surgery-related complications between two groups（P>0.05）,but the incidence of nursing-related complications in the intervention group was significantly reduced（P<0.05）.Conclusion Nursing project management can reduce the occurrence of nursing-related complications of stereotactic electroencephalographic surgery.