Objective:To investigate the effects of resistance exercise (RE) in elderly cancer patients (ECPs). Methods:Convenience sampling was used to select 240 ECPs, who received radiotherapy and chemotherapy at the Department of Oncology of a Level-A tertiary hospital in Shanghai from September 2019 to August 2020, and they were randomized to control (CON) and experimental (EXP). After a 12-week intervention, the Functional Assessment of Chronic Illness Therapy-Fatigue (FACIT-F), the 36-Item Short Form Health Survey (SF-36), the Connor-Davidson resilience scale (CD-RISC) and the Functional Independence Measure (FIMSM) were used to evaluate the effects of RE in two groups. Results:After 12-week intervention, the total FIMSM score and the scores of self-care, transfers, locomotion, communication, and social cognition of EXP was higher than before, and compared with CON (P<0.05). However, the intervention did not effectively improve the sphincter control (P>0.05). The SF-36 and CD-RISC scores of EXP were higher than those of CON, and FACIT-F score was lower than that of CON with statistically significant differences (P<0.05). Conclusion:RE effectively relieved the cancer-related fatigue (CRF) in ECPs, improved their mental state, quality of life and mobility.

目的 翻译并评价中文版糖尿病足风险筛查及分级工具,并验证其信效度及预测效果,为临床快速筛查提供工具.方法 根据跨文化研究指南对糖尿病足风险筛查及分级工具进行汉化,并对356例糖尿病患者进行糖尿病足风险筛查,评定此筛查工具信效度.结果 中文版糖尿病足风险筛查及分级工具有6个维度14个条目,筛查工具内容效度指数(S-CVI)为1,Cronbach's a系数为0.677.ROC曲线下面积为0.743,灵敏度为62.7％,特异度为79.3％,约登指数为42.0％.结论 中文版糖尿病足风险筛查及分级工具总体信效度和预测效果良好,筛查内容涉及糖尿病足风险主要影响因素,可用于糖尿病患者糖尿病足风险筛查,并为分级护理干预提供参考.

研究表明,鹦鹉热衣原体主要引起机体呼吸道感染,但临床症状差异较大,可从轻度到重度不等,严重者甚至出现重症肺炎,进而威胁患者的生命安全.鹦鹉热衣原体重症肺炎合并多器官功能障碍综合征(MODS)的病例较罕见,国内文献鲜有报道.本文报道1例鹦鹉热衣原体重症肺炎合并MODS患者,并总结其护理经验,包括病情观察、呼吸衰竭的护理、持续肾脏替代疗法(CRRT)的护理、静脉血栓栓塞症(VTE)的预防、营养支持、心理护理、医护人员个人防护及延续性护理,经过18 d的积极治疗和有效护理,患者最终康复出院.

目的 探讨儿童阴道横纹肌肉瘤(RMS)近距离放疗的临床护理方法.方法 为10例儿童阴道RMS患儿进行近距离放射治疗,对放疗前后的观察、护理及疗效进行总结.结果 对10例患儿全部进行跟踪随访,随访时间12个月,10例患儿均取得良好的治疗效果,且术后并发症发生率降低.结论 针对性地制定护理措施,可减轻阴道RMS患儿痛苦,降低并发症发生率,从而提高患儿的治疗效果.

目的:采用共词及聚类分析的方法,分析我国近10年来护理交接班研究热点,为我国护理交接班研究发展提供参考.方法:以"护士""护理人员""医院"为主题词,"护士""交班""交接班"为关键词,检索中国生物医学文献数据库(CBM)、中国知网(CNKI)、维普、万方数据库,检索公开发表在期刊上的文献,使用Bicomb 2.0、NoteExpress、SPSS 22.0软件对这些文献的关键词进行共词聚类分析.结果:检索文献963篇,有高频词28个,总结出我国护理交接班研究的7个热点:优质护理服务下的交接班研究、流程管理在低年资护士交接班中的研究、品管圈在内科晨间床旁交接班中的研究、现状-背景-评估-建议(SBAR)交接班模式及表格式交接班报告在监护室及急诊交接班中的研究、交接班在护理安全中的研究、交接班在外科导管管理中的研究、交接班在手术安全管理及药物管理中的研究.结论:本研究发现我国护理交接班主要关注低年资护士交接班、监护室及急诊交接班、交接班在外科导管管理中的研究、交接班在手术安全管理及药物管理中的研究等热点.

目的 根据应用反馈,最终形成基于SBAR模式的专科化《监护室护士床旁交班方案》.方法 采用前后对照的研究方法,纳入15名监护室护士,在某监护室应用4个月,评估基于SBAR模式专科化《监护室护士床旁交班方案》修订版的应用,采用主观评价指标(中文版护士交接班评估量表,自制满意度测试问卷)评价交班效果及对交班模式的满意度;客观过程评价指标(接班时错误信息发生数量、接班时信息遗漏发生数量、床旁交班时间、准备交班内容时间及交班方案使用频率)测量交班的效率性.结果 干预期间,中文版护士交接班评估量表得分干预后第一月最低,干预后第二月显著高于基线.满意度结果得分干预后第一月最低,干预后第二月显著高于基线.信息的遗漏一直呈现下降趋势;床旁交班时间、准备交班时间,干预后均要长于干预前,随着使用时间增长,时间缩短.交班使用频率也是随着干预时间增长,而呈现减少趋势(P＜0.05).结论 《监护室护士床旁交班方案》修订版,对监护室护士的挑战较大,但是通过有效的培训,足够时间的磨合,当监护室护士适应后,能提高监护室交班的有效性及监护室交班的满意度.

目的:对国内外脑出血患者深静脉血栓形成的危险因素进行系统分析.方法:计算机检索Pubmed、Web of Science、the Cochrane Library、EMBASE、中国学术期刊数据库(CNKI)、万方数据库(Wanfang Data)、中国生物医学文献数据库(CBM),筛选脑出血患者深静脉血栓形成危险因素的相关文献.采用RevMan 5.3软件对纳入的文献进行分析,并用描述性分析的方法对脑出血患者深静脉血栓形成的危险因素进行补充分析.结果:经检索共获得358篇文献,最终纳入10篇文献进入统计分析,涉及19447例脑出血患者,其中1104例合并深静脉血栓形成.Meta分析显示人口学资料中,肥胖[OR=9.45,95％CI(1.81,49.40),P=0.008]、年龄[OR=3.84,95％CI(2.57,5.75),P<0.001]是脑出血患者深静脉血栓形成的风险因素;房颤[OR=3.77,95％CI(2.83,5.02),P<0.001]、瘫痪[OR=6.73,95％CI(1.69,26.84),P=0.007]及平均住院日[OR=13.44,95％CI(11.97,14.90),P<0.001]是脑出血患者深静脉血栓形成的高危因素;基于美国国立卫生院脑卒中量表(NIHSS)评定的神经功能缺损程度,在西方国家是风险因素[OR=5.14,95％CI(3.32,6.97),P<0.001],但是在亚洲国家,此量表评定的神经功能缺损程度不是风险因素[OR=9.06,95％CI(0.58,142.66),P=0.12];D-二聚体[OR=607.42,95％CI(488.19,726.64),P<0.001]及[OR=8.24,95％CI(6.36,10.67),P<0.001],C反应蛋白(CRP)值[OR=8.43,95％CI(4.85,14.65),P<0.001]是高危因素.结论:年龄增大、肥胖程度增大、瘫痪、并发房颤、较长住院日、较高D-二聚体及CRP值的脑出血患者发生深静脉血栓形成的可能性越大.

目的 了解老年癌症患者综合需求情况,为进一步的护理干预提供参考.方法 采用癌症患者综合需求评估量表(Comprehensive Needs Assessment Tool in cancer for patients,CNAT)对397例老年癌症患者进行问卷调查.结果 老年癌症患者综合需求总分42.37(32.77,53.11)分,身体症状需求35.90(12.82,51.28)分,心理情感需求33.33(9.01,57.58)分,知识信息需求50.00(33.33,66.67)分,实际支持需求33.33(19.05,47.62)分,社会精神支持需求33.33(22.22,55.56)分,护理需求58.33(33.33,66.67)分,医院设施需求66.67(41.67,66.67)分,医疗需求58.33(33.33,75.00)分;老年癌症患者综合需求受到目前职业、照顾者类型、治疗方式、癌症类型、癌症患病时间、癌症分期、受教育程度、家庭月总收入及目前居住地影响(均P＜0.01).结论 老年癌症患者就医体验需求较高,与患者的病情及获得资源的情况有关.需要加强对低学历、居住于农村,患有乳腺癌、子宫及其附件癌症、癌症分期较差及放疗患者的针对性干预,满足其需求.

Objective To explore the application effect of extended nursing care in pediatric atopic dermati-tis based on Wechat public platform .Methods By convenience sampling method ,101 cases of pediatric atopic dermatitis were selected .They were divided into control group (January to November 2016 ,n=51) and observation group (December 2016 to September 2017 ,n=50) ,which received extended nursing care through telephone follow-up and WeChat public platform ,respectively .After six months of intervention , the scoring atopic dermatitis index (SCORAD) ,infant dermatitis quality of life (IDQOL) ,the children's dermatology life quality index (CDLQI) ,the dermatitis family impact questionnaire (DFI) and parent sat-isfaction follow-up scale were used to assess patients and their parents .Results Before intervention ,no statistical significance of SCORAD ,IDQOL ,CDLQI and DFI was found between two groups (all P>0.05) .After intervention ,no statistical significance of IDQOL was found between two groups (P>0 .05) . The SCORAD ,CDLQI and DFI scores in observation group were lower than that of control group ,the satisfaction level of parents in observation group was higher than that of control group (all P<0 .05) .Con-clusions Extended nursing care based on WeChat public platform has a significant effect in pediatric atopic derma-titis .It can improve patient's quality of life and promote the recovery of atopic dermatitis in children .

Objective To analyze the related factors of influencing deep vein indwelling catheter dysfunction in hemodialysis patients.Methods A total of 37 cases with deep vein indwelling catheter in hemodialysis patients were selected.They were divided into patent group and blocked group according to the appearance of catheter dysfunction (hemodialysis blood flow less than three times 180 ml/min,adjustment of body position,inversion of tube connection during hemodialysis,requirement of thrombolytic therapy and so on) in 5 months.The common data and biochemical indicator were compared between two groups.Results Patent group had 28 cases,and blocked group had 9 cases.There was no significant difference in age,diabetes mellitus ratio,platelet,low density lipoprotein cholesterol and albumin between two groups (P ＞0.05).Hemoglobin in patent group was lower than that in blocked group [(90.1 ± 13.8) g/L vs.(108.3 ± 11.6) g/L],and there was significant difference(P＜ 0.05).Conclusion Hemoglobin is the correlated factor that effects deep vein indwelling catheter dysfunction after hemodialysis.

系统性红斑狼疮(Systemic lupus erythematosus,SLE)是一种可累及全身各个脏器和组织的免疫性疾病.当疾病累及中枢神经系统时,临床上可出现各种神经、精神症状,包括意识障碍、认知功能异常、偏瘫、失语及痫性发作等表现,临床上称为:LE(Lupus encephalopathy,LE)[1].LE多为疾病严重的体现,一旦发生具有较高的死亡率和严重的后遗症,因此在护理工作中尤应加以注意,及时发现、迅速诊断、积极治疗和护理对疾病的转归具有重要意义.本文收集了确诊为LE的SLE患者69例,分析总结了该病的护理特殊性,现报道如下.

<正>低分子肝素(low molecular weight heparin,LMWH)是20世纪70年代发展起来的一种新型抗凝药物。目前国内外在临床上应用的LMWH类药物有Nadroparin(那曲肝素钠)、Enoxaparin(依诺肝素钠)、Dalteparin(达肝素钠)、Revi- parin(瑞肝素钠)、Ardeparin(阿地肝素钠)和Tinzaparin(亭

目的了解护生法律法规及职业安全意识现状。方法对291名实习护生采用自行设计的问卷调查其法律法规知识及职业安全意识现状。结果护生了解率较高的内容是创造安全的临床环境(76.6%),了解率较低的内容是麻醉药品的管理及使用方法(32.6%)。不足50.0%护生表示了解护理安全规章制度、护理风险防范措施,如何尊重患者知情、隐私权、入院安全告知及特殊护理操作告知。57.4%护生对护患沟通技巧表示了解。结论护生法制观念和职业安全意识欠缺,缺乏沟通技巧。应于护生临床实习前强化法律培训,加强临床实习的风险管理,注重培养其沟通能力以提高护生的法律及职业安全意识。