目的 探究传染科护理人员的心理弹性现状,分析其影响因素.方法 选择271名传染科护理人员为研究组,另选取153名普通科室护理人员为对照组.收集两组护理人员的相关资料并对比其CD-RISC得分.分析影响传染科护理人员心理弹性的因素.结果 研究组的乐观性、力量性、坚韧性得分及CD-RISC总分均低于对照组(P<0.05).性别、学历、职称、工作年限、传染病相关知识掌握程度、社会支持情况、是否满意目前排班情况、对目前工作量和时长的感受、是否曾经参与过公共卫生突然事件处理、是否接受过心理辅导为影响传染科护理人员心理弹性的独立影响因素(P<0.05).结论 传染科护理人员的心理状况不容乐观,临床需根据上述独立影响因素给予针对性干预.

目的 探讨早期分级个性化防控护理在慢性阻塞性肺疾病(COPD)患者静脉血栓栓塞症(VTE)预防中的应用.方法 以112例COPD患者为对象,随机分为实验组和对照组,各56例.统计两组VTE的发生及护理满意度.结果 实验组患者干预后VTE发生率为8.93％(5/56),低于对照组[23.21％(13/56);χ2=3.912,P=0.048].两组干预后D-D、PLT、HCT水平均降低,实验组低于对照组(P<0.05).实验组护理的时机合理性、理念个性化、策略适宜性、结局有效性评分均高于对照组(P<0.05).结论 早期分级个性化防控护理可有效降低COPD患者VTE的发生.

目的 观察肺结核患者营养状况的针对性护理效果.方法 选取肺结核患者160例,分为观察组和对照组,各80例.对照组患者予以常规护理干预,观察组患者根据营养状况予以针对性护理,两组患者均连续护理观察3个月.比较两组患者护理干预前后营养风险筛查筛查量表2002(NRS2002)变化、淋巴细胞分子构成、血红蛋白水平、血清蛋白水平变化并比较.结果 护理干预3个月后,两组患者NRS2002各维度得分及总分均较入组时明显下降,且观察组低于对照组(P＜0.05);两组患者CD+、CD+、CD+/CD8+均较治疗前上升,且观察者高于对照组(P＜0.05),CD+均较治疗前下降,且观察组低于对照组(P＜0.05);两组患者血清蛋白水平和血红蛋白水平均较治疗前上升,且观察组高于对照组(P＜0.05).结论 采用针对性护理模式对肺结核患者营养状况进行护理,可有效提升患者免疫功能,降低患者因营养风险,提升患者营养状况,促进患者病情康复,对肺结核患者具有较高的临床价值.

Objective To evaluate the application of evidence-based nursing for prevention pleural reaction symptoms in patients with thoracentesis. Methods100 patients with thoracentesis were divided into observation group and control group. Evidence-based nursing was used in observation group and routine nursing was used in control group. The rate of pleural reaction symptoms were compared between two groups.ResultsThe rate of pleural reaction symptoms in observation group was signiifcantly lower than control (2.0%vs. 16.0%),P<0.05.Conclusion Using evidence-based nursing in patients with thoracentesis can reduce pleural reaction symptoms rate.

肺结核多见于免疫低下人群，是艾滋病患者最常见的机会性感染疾病之一；艾滋病合并肺结核是导致艾滋病患者死亡的最常见病因之一。积极的治疗及护理，可影响该类患者的治疗效果及预后。

Objective: To explore the effects of nursing intervention on life quality of diabetic patients complicated with pulmonary tuberculosis(TB). Method: One hundred patients were randomized into the treatment group and the control group. Both groups received the therapy of lowering blood glucose and against TB, the control group routine nursing and the treatment group nursing intervention. Result: There were 48 cases of focus absorption in the observation group(96.0%) and 46 cases in the control group(92.0%), there was no significant difference(P>0.05).FVC, VC and PEF of the observation group were improved more significantly than those indexes of the control group(P<0.05). Social, psychological, environmental and physiological indexes of the observation groups were remarkably lower than those of the control group(P<0.05). Conclusion: Nursing intervention is helpful to improve life quality of diabetic patients complicated with pulmonary TB.