ObjectiveTo investigate the status of early screening for breast cancer among female first-degree relatives of breast cancer patients. MethodsBy convenience sampling, the female first-degree relatives of the patients with breast cancer admitted in Department of Breast and Thyroid Disease from 2 hospitals in Suzhou from January to August of 2018 were selected and investigated using questionnaires (n=180). By cross-sectional study method, their knowledge, attitude and practice(KAP) about the early screening of breast cancer were assessed. Univariate analysis, correlation analysis and Logistic multivariate regression analysis were conducted to analyze the influencing factors on the participating behaviors of the first-degree relatives of breast cancer pativents in the early screening for breast cancer. Results6.7% participants reported doing breast self-examination once a month and 22.8% reported getting image examination of breasts once a year. The results of multivariate logistic regression indicated that age, educational background, employment status and attitude towards early screening were the influencing factors of the early screening practice for breast cancer. ConclusionsThe screening rate among female first-degree relatives of breast cancer patients is very low. In future studies, effective intervention should be carried out for the female first-degree relatives of breast cancer patients, focusing on the elderly and poorly educated population, in order to promote their breast cancer early screening practice.

目的 探讨将乳腺癌患者一级亲属(FDR)和患者同时进行早期筛查的健康教育对促进其筛查行为的作用.方法 通过类实验性研究,按照患者就医顺序将我院2017年1-7月收治的乳腺癌患者FDR进行分组,对照组采取发放宣教手册自学的方式,干预组和患者一同接受早期筛查的指导,比较干预前、干预后3个月、干预后1年两组研究对象早期筛查知识、态度和行为的变化.结果 两组研究对象早期筛查知识均有显著提高,但干预组知识、态度得分显著高于对照组,干预组乳房自检(BSE)、临床检查行为显著高于对照组,但两组研究对象常规每年1次乳腺影像学筛查行为的参与率无显著差异.结论 与患者一同接受健康教育可以有效提高FDR的筛查知识和态度,促进BSE和临床检查的行为,还需要进一步采取策略提高其进行影像学筛查的行为.

Objective To investigate the incidence and risk factors of poor wound healing after the removal of thoracic and abdominal cavity drainage tube. Methods Totally 300 patients with thoracic and abdominal cavity drainage tube from October 2012 to March 2013 were investigated with a self-designed questionnaire. Data were analyzed by logistic regression analysis. Results The incidence of poor wound healing was 18.9%. Logistic regression analysis indicated that the volume of exudation during catheterization(OR=2.694),the duration of exudation(OR=61.900),low level serum albumin(OR=46.074),unplanned extubation(OR=42.446),discharge from hospital with the tube(OR=20.073) were risk factors of poor wound healing. Conclusions The patients with long duration and large volume of exudation during catheterization,unplanned extubation,discharge from hospital with the tube and low level serum albumin are high risk populations of poor wound healing after the removal of thoracic and abdominal cavity drainage tube. Nurses should take timely risk assessment and interventions to reduce the occurrence of poor wound healing.

<正>胃癌是世界范围内常见的恶性肿瘤之一,死亡率占我国恶性肿瘤的首位,目前采用以外科治疗为主的综合治疗。研究表明,如果术后能早期恢复肠内营养,有利于预防和减少术后并发症的发生。我科对胃癌术后患者进行早期肠内营养支持,并结

Background Objective Early enteral nutrition(EEN)after gastrointestinal surgery should be preferred to traditional management or total parenteral nutrition(TPN),but its clinical use is still limited for concerns about possible gastrointestinal adverse effects and complication.Thus,focusing on safety,tolerance and possible adverse effects of early enteral nutrition,hospitalization and corresponding nurse management,we observed and evaluated our cases.Methods A random sample of 80 subjects,in Department of General Surgery,the First Affiliated Hospital of Soochow University,treated with EEN(EEN group)within 24 hours after gastrointestinal carcinoma operation was chose to study comparing to another random sample of 74 subjects in the same period treated with traditional management(TM group).Primary endpoints is clinical manifestation and length of hospital stay.Results Comparing to TM group,EEN group get a earlier recovery of gastrointestinal function,lower incidence of postoperative complication and shorter length of hospital stay.Conclusions EEN contribute to recovery of patient undergoing gastrointestinal surgery,and it is a safe and a tolerable therapy.

<正>胰腺癌发病率在全世界范围内呈上升趋势。外科治疗是目前惟一对胰腺癌有治愈可能的治疗措施[1]。胰十二指肠切除术(whipple手术)是治疗胰头癌、壶腹部恶性肿瘤包括胆总管中下的癌、壶腹

原发性肝癌是我国常见恶性肿瘤之一,位于肿瘤死亡原因的第2位[1].由于肝癌病人术前肝功能的损害及凝血酶原、凝血因子的降低,大大增加了术后危险性及术后并发症的发生率,对手术的成功及术后恢复带来不利,为了提高手术成功率,降低并发症发生,对肝癌患者术后并发症及护理应引起足够重视.

目的探寻护理在择期腹腔镜结直肠癌手术患者与择期传统开腹结直肠癌术患者中的不同,了解快速康复外科理念在结直肠癌手术患者中的运用。方法运用循证护理理论进行指导,查询文献,理解快速康复外科的理论,对择期腹腔镜结直肠癌手术患者进行针对性护理,观察护理结果,与同期择期传统结直肠癌手术患者进行比较。结果两组对比,在患者术后排气排便时间、术后住院天数和总并发症发生率等方面有显著性差异(P<0.05)。结论循证护理是一种理想的护理模式,运用于择期腹腔镜结直肠癌手术患者中,显著提高了护理质量;作为快速康复外科理念的运用,腹腔镜左半结肠切除手术更有利于患者恢复。

胃癌是我国较为常见的消化道恶性肿瘤之一,胃癌患者由于长期胃区疼痛,食欲下降,身体消瘦,营养不良及慢性消化系统症状,使病人产生焦虑、忧虑、恐惧心理[1].如果这些心理长期得不到疏导,会出现不同程度的心理障碍,直接影响患者的疗效、疾病的康复和生活质量.本科对住院的胃癌患者进行针对性的个体心理干预,取得较满意的疗效.

肝移植患者的护理对移植的成功及康复举足轻重.现将对17例同种异体肝移植患者的护理经验介绍如下.

肠造口有三种:结肠造口、回肠造口及尿道造口,其中以结肠造口最多见.以往人们仅对肠造口的手术技术及防治术后并发症加以注意,而对肠造口护理不甚关心、重视.近年来国内外对肠造口护理越来越注重.在国外有专职的肠造口的治疗师及护士,不断设计出多种新型的肠造口器材,且有防漏防臭作用,成立了造口联议会.为造口患者提高生活质量创造了条件.近年来我们对我院收治的肠造口患者进行护理干预,现将50例患者有关护理体会介绍如下.