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Objective To explore the burden status and influencing factors of family caregivers in elderly patients with hip fracture and cognitive impairment. Methods Using the convenient sampling method and Zarit Caregiver Burden Scale to investigate the family caregivers of the elderly hip fracture patients with cognitive impairment admitted to the orthopaedic department of a tertiary hospital in Chengdu, Sichuan Province. Results The family caregivers' care burden score of elderly hip fracture patients with cognitive impairment was（39.65±13.89). The results of multiple stepwise regression analysis showed that the main influencing factors of care burden were whether the caregivers had chronic diseases and Barthel index (R2 = 0.539, F = 20.206, P < 0.001). Conclusion More than 59.9% of the elderly patients with hip fracture and cognitive impairment are in the middle or above level of family caregiver burden. The caregiver's own chronic disease and Barthel Index (BI) of the caregiver are the influencing factors of caregiver burden level. Therefore，medical staff should not only pay attention to the elderly hip fracture patients with cognitive impairment, but also understand the burden level and influencing factors of caregivers, and take personalized nursing measures to decrease the burden level of caregivers，in order to further improve the function of family care and the quality of their life. [ABSTRACT FROM AUTHOR]

Objective To explore the current situation and influencing factors of family resilience of patients with total hip arthroplasty， and to provide theoretical basis for the guidance of rehabilitation nursing. Methods 212 family caregivers who were admitted to the orthopaedic department of a general hospital in Chengdu City， Sichuan Province from March to May 2019 were investigated by convenience samplingusing Family Resilience Scale. Results The score of Family Resilience Scale of patients with total hip arthroplasty was 116.19 ± 13.47，of which the score of social support was the lowest in the second-dimension family strength （1.73 ±0.39）， and whether there were other caregivers was an independent factor affecting the family resilience of patients with total hip arthroplasty （ = 10.393， ＜0.01）， which could explain 33.6% of the total variation （F=108.004， ＜0.01） . Conclusion The family resilience of patients with total hip arthroplasty is in the lower middle level and is mainly affected by the number of family caregivers. A reasonable increase in the number of family caregivers will help to improve the family resilience of patients after total hip arthroplasty， and medical stuffs should pay attention to the transitional care and home care of patients after discharge， and help families to pass the rehabilitation care of patients smoothly and healthily. [ABSTRACT FROM AUTHOR]

Objective: To analyze the risk factors affecting death in patients with acute severe pancreatitis, to provide evidences for clinical prevention and treatment. Methods: The clinical data of 101 patients with acute severe pancreatitis who were admitted to the hospital during the period from November 2014 to October 2018 were retrospectively analyzed. According to their treatment outcomes, they were divided into survival group (improved and discharged, n=82) and death group (died during hospitalization period, n=19). The risk factors affecting death in patients with acute severe pancreatitis were analyzed. Results: Univariate analysis showed there were significant differences in Ranson score, scores of Acute Physiology and Chronic Health Evaluation (APACHE-II), CT severity index (CTSI), cause of disease, serum calcium (Ca), serum albumin (ALB), blood glucose, serum creatinine (Cr), blood urea nitrogen (BUN), aspartate aminotransferase (AST), incidence of upper gastrointestinal haemorrhage, pleural effusion, sepsis, shock and multiple organ failure between survival group and death group (P<0.05). Multivariate Logistic regression analysis showed that APACHE-II scores, blood glucose, Cr, BUN, sepsis, shock, and multiple organ failure were independent risk factors for death in patients with acute severe pancreatitis (P<0.05), while Ca and ALB were protective factors (P<0.05). Conclusion: The risk factors affecting death in patients with acute severe pancreatitis include APACHE-II scores, FPG, Cr, BUN, AST, sepsis, shock, and multiple organ failure, while the protective factors include Ca and ALB. [ABSTRACT FROM AUTHOR]