Objective To investigate the effects of nasogastric tube（NGT） indwelling on postoperative pulmonary complications（PPCs） and prognosis in patients with cardiovascular surgery,in order to reduce PPCs and improve the patients’ prognoses. Methods Retrospective data of patients undergoing cardiovascular surgery in a tertiary hospital in Wuhan from July 2018 to November 2019 was conducted. The baseline data of patients in 2 groups were matched using a propensity score analysis. Results 316 patients were successfully matched,with 158 patients in the nasogastric tube indwelling group and 158 patients in the non-indwelling group. Compared with the patients in the NGT group without indwelling,the incidence of pulmonary infection,atelectasis,pneumothorax and respiratory failure was higher in the NGT group;the length of stay in the hospital and the length of stay in ICU were longer;the outcome was poor,with statistically significant differences（P<0.05）. Conclusion NGT indwelling is associated with the occurrence of pulmonary complications in patients with cardiovascular surgery,and it might prolong the length of stay and affect patient’s outcome.

Objective To explore modes and effects of emergency nursing management in isolation wards for coronavirus disease 2019（COVID-19） in a general hospital under a joint rescue model. Methods A joint rescue model was carried out in fever wards at a COVID-19 designated hospital in Wuhan after evaluating the wards environment,medical situation,patients’ conditions and the structure of nursing staff. By restructuring the three-level responsibility system of nursing management,COVID-19 wards were reorganized by rapid screening and isolation of suspected patients; advantageous complementarities in nursing schedule,multi-mode standardized training,double insurance of oxygen supplier for patients during oxygen therapy,seamless supervision on hospital infection prevention,emphasis on physical and mental health of nursing staff were conducted. Results With the close cooperation of medical staff,the joint rescue and support model has been carried out smoothly. 97 cases with COVID-19 were treated in wards from January 27 to March 15th,2020; 84 cases（86.59%） were cured and discharged; 1 patient died（1.03%）. There was no nosocomial infection and cross infection among medical staff. Conclusion Amid the COVID-19 epidemic,the number of confirmed cases has risen sharply,while nurses of respiratory and critical care specialty were in shortage in reorganized hospitals. The implementation of the joint rescue model can achieve human resources support and professional technical support,improve the hospital conditions and deficiency of oxygen,increase the cure rate,avoid nosocomial infection,and promote physical and mental health of nursing staff.

Objective To design and develop an Internet Nursing Service Platform（herein after referred to as the platform）and to evaluate its application effects,in order to provide references for the development of internet nursing services. Methods The platform was designed and developed based on Internet Nursing Service Pilot Program with 3 ports for clients,nurses and platform management system,22 services including basic care,maternal and child care,specialist care,and 30 inspection services. 1 municipal hospital and 5 township-level hospitals were selected for trial operation,and the focus group interview was used to evaluate the platform effects. Results As of March 2020,the platform had a total of 247 registered nurses,7 411 users and 1 941 completed orders. The top 3 services were the determination of neonatal percutaneous bilirubin,replacement of gastric tube and nasal feeding,and general dressing change. The systematic evaluation rate and telephone follow-up satisfaction were both 100%. 4 themes were summarized from the focus group interviews,namely meeting the professional care needs of home patients,promoting the home health of patients,enhancing professional sense of value,unsolved platform problems in application practice. Conclusion The operation of the platform provides an innovative access to ensure the health of patients at home,and provides continuous nursing services. However,the operating mechanism and service staffing need to be further improved to ensure the effective operation of this platform.