Objective:To explore the application of collaborative nursing combined with medical integration model in minimally invasive surgery for pediatric urinary calculi, to provide clinical guidance for minimally invasive surgical nursing of urinary calculi in children.Methods:From December 2020 to July 2022, 90 children who underwent minimally invasive surgery for urinary calculi in Children′s Hospital Affiliated to Zhejiang University Medicine College were selected as subjects by quasi experiment. According to the time sequence of enrollment, they were divided into observation group ( n = 45) and control group ( n = 45). The control group was given routine nursing mode nursing, and the observation group was given collaborative nursing combined with medical integration mode nursing. The clinical related indicators, pain, anxiety and complications were compared between the two groups. Results:In the observation group, the operation time, the amount of bleeding during operation, the first time to get out of bed after operation, the rate of stone removal immediately after operation and the rate of stone removal 1 month after operation were (75.48 ± 5.92) min, (168.75 ± 17.28) ml, (6.12 ± 1.05) h, 84.44%(38/45) and 97.77%(44/45), respectively. The control group was (78.39 ± 6.75) min, (178.30 ± 19.25) ml, (6.84 ± 1.23) h, 64.44 % (29/45) and 82.22 %(37/45), respectively, the differences were statistically significant ( t/ χ2 = 2.17, 2.48, 2.99, 4.73, 6.05, all P<0.05). The Face, legges, Activity, Cry, Consolability Behavioral Tool scores of the observation group at 1 d, 3 d and 7 d after operation were 6.28 ± 1.21, 5.35 ± 1.37 and 2.87 ± 0.65, respectively, and those of the control group were 7.05 ± 1.55, 5.95 ± 1.25 and 3.21 ± 0.73, respectively, the differences were statistically significant ( t = 2.63, 2.17, 2.33, all P<0.05). The Modified Yale Preoperative Anxiety Scale and Frankl Compliance Scale Scores in the observation group at the day before discharge hospital were 55.28 ± 5.52, 3.60 ± 0.40, while in the control group were 60.02 ± 8.56, 2.82 ± 0.61, the differeces were significat ( t = 3.12, 3.02, both P<0.05). The incidence of complications was 2.22 %(1/45) in the observation group and 15.56 %(7/45) in the control group, the difference was significant ( χ2 = 4.94, P<0.05). Conclusions:The application of collaborative nursing combined with medical care integration model in minimally invasive surgery of urinary calculi in children has a significant effect.

目的 探讨对行腹腔镜肾积水手术治疗的患儿家属采用情景模拟法联合心理干预的临床效果.方法 选取肾积水患儿及其家属代表各100例,所有患儿均行腹腔镜手术进行治疗,随机分为对照组和研究组,各50例.两组均给予常规性护理措施,其中对照组在手术治疗前加强干预,而研究组手术治疗前在常规护理基础上联合实施情景模拟和心理干预,对比两种干预方式对患儿家属心理状况和术后满意的影响.结果 干预后,研究组心理状况九项因子评分均低于对照组(P＜0.05);研究组患儿家属对术后满意度高于对照组(P＜0.05).结论 情景模拟联合心理干预可以有效缓解患儿家属的心理状况,提高患儿家属的术后满意度,临床干预效果显著.

积极的师生关系对实现高等学校立德树人根本任务具有重要意义.通过构建高等学校"双维结构"师生关系模型,探究师生关系的结构、特征及影响机制.研究发现,大学生对师生关系的感知整体较为积极;师生关系等研究变量存在区域、学校类型等差异;师生关系受教师支持、教师可接近性预测,并影响学生的专业感知、能力不确定性及专业持续意向,师生关系是整个影响模型的中介变量;专业感知则在师生关系影响学生专业持续意向的过程中起中介作用.基于实证研究结果,建议在高等学校拓展"生评教"的内涵,在"生评教"中尝试引入师生关系测评;多方式传递与学生课外交流的信号,改变教师可接近性困难的认知误区;进一步改进教学和科研融通机制,以科教融通作为实现教师可接近性的有效方式;重视职业生涯规划教育的多面性,由专业课程教师的融入重构其广度与深度.

目的 分析对实施腹腔镜隐睾下降固定术的患儿进行图文沟通护理模式及家属宣教的作用.方法 选择实施腹腔镜下隐睾下降固定手术治疗的患儿82例,随机分成常规组及实验组,各41例.常规组采取基础护理及家属宣教,实验组采取基础护理、家属宣教及图文沟通护理,比较两组患儿每天哭闹次数、单次哭闹时间、并发症发生率及患儿家长总满意度.结果 实验组患儿每天哭闹次数低于常规组,单次哭闹时间短于常规组(P＜0.05);实验组并发症发生率低于对照组(P＜0.05);实验组患儿家长总满意度高于对照组(P＜0.05).结论 对实施腹腔镜隐睾下降固定术患儿采取图文沟通护理模式及家属宣教,能够减少患儿哭闹次数及持续时间,减少并发症,提升患儿家长满意度,发挥一定干预效果.

Three typical low frequency noise samples which were collected from some associated facilities in urban residential areas and white noise which was produced by acoustic apparatus were selected to compare the competence of brainwork index (AYP) and error rate in noisy environment with those in quiet environment, using dosage exercise method. The result indicates that AYP is lower in noisy environment and the error rate is higher than that in quiet environment, and there are significant differences between them. The changes of most testees in groups that use three different low frequency noise samples respectively are more obvious than the group that uses white noise, and the AYP difference attains significant level. It indicates that low frequency components are the main frequency elements to affect the ability of thinking and judgment. By paired samples t-test and frequency spectrums analysis, the results show that the impact degree of air condition outdoor unit noise is highest, and noise samples which have a peak frequency between 50-300 Hz have a more negative impact on the ability of thinking and judgment than other environmental noise.