Objective:To explore the effect of hypnotic music therapy in reducing eye pain in patients with diabetic retinopathy undergoing panretinal photocoagulation (PRP) .Methods:From January 2019 to January 2020, 60 diabetic retinopathy patients undergoing PRP admitted to Beijing Tiantan Hospital, Capital Medical University, were selected as the research object. Patients were divided into the control group and intervention group using the random number table method, with 30 cases in each group. Control group carried out routine high-quality nursing, and intervention group implemented hypnotic music therapy on the basis of control group. We observed the pain (Visual Analogue Score, VAS) , pain nursing satisfaction (Patient Satisfaction Scale) , anxiety (Self-rating Anxiety Scale, SAS) and depression (Self-rating Depression Scale, SDS) of the two groups of patients after PRP.Results:The pain scores of the 4 quadrants of the retina after PRP in intervention group were lower than those in control group, and the difference was statistically significant ( P< 0.05) . The SAS score and SDS score of intervention group after intervention were lower than those of control group, the difference was statistically significant ( P<0.05) . The pain nursing satisfaction score of intervention group was higher than that of control group, and the difference was also statistically significant ( P<0.05) . Conclusions:The application of hypnotic music therapy can reduce the degree of pain during the operation of diabetic retinopathy patients undergoing PRP, relieve anxiety and depression, improve nursing satisfaction, and enable patients to cooperate well with treatment.

Objective:To evaluate the dry eye status of nursing school students and understand their ocular surface health.Methods:Using the convenience sampling method, a total of 90 nursing students studying in the Nursing College of Capital Medical University in March 2018 were selected as the research objects. The OCULUS Jenvis-OSDI dry eye questionnaire and OCULUS ocular surface comprehensive analyzer were used subjectively and objectively to analyze the heath of ocular surface.Results:According to the OSDI dry eye questionnaire, mild dry eyes were 21 cases accounted for 23.3%, moderate dry eyes were 42 cases accounted for 46.7%, and severe dry eyes were 21 cases accounted for 23.3%. The main symptom of dry eye was foreign body sensation, accounting for 53.3%. The secondary symptoms were photophobia and blurred vision, which accounted for 46.7% and 40%, respectively. The OCULUS ocular surface comprehensive analyzer showed that the amount of tear secretion in both eyes was normal. In dry eye grading based on average tear film break-up time, critical dry eye accounted for about 60% and dry eye accounted for about 10%. Eye red analysis showed that 9 patients (10%) with hyperemia score>2.0 were dry eye caused by inflammation.Conclusions:The nursing school students have a high incidence of dry eye and subjective symptoms. It indicates that the students overuse eye and do not pay attention to eye hygiene. It is the responsibility of the nursing teacher to carry out health education for students, popularize scientific and rational use of eye knowledge, and pay attention to eye health.

Objective:To explore the curative effect of ginger combined with tropisetron on preventing nausea and vomiting caused by chemotherapy in patients with breast cancer.Methods:80 patients with breast cancer who received first chemotherapy from Beijing Tiantan Hospital from April 2019 to December 2019 were selected by the convenient sampling method. According to the random number table method, they were divided into the control group and the intervention group, with 40 cases in each group. The control group received intravenous tropisetron before routine chemotherapy to prevent nausea and vomiting. On this basis, patients in the intervention group took slices of fresh ginger under the tongue 30 min before chemotherapy and applied the slices of fresh ginger to Shenque acupoint and Neiguan acupoint. The degree of nausea and vomiting after chemotherapy and compliance with chemotherapy were compared between the two groups.Results:On 0 to 5 d after chemotherapy, there were 7 patients with nausea of grade Ⅱ and Ⅲ in the intervention group and 18 patients with nausea of grade Ⅱ and Ⅲ in the control group. There were 4 patients with vomiting of grade Ⅱ and Ⅲ in the intervention group and 18 patients with vomiting of gradeⅡ and Ⅲ in the control group. There were statistically significant differences in the degrees of nausea and vomiting between the two groups ( Z=-2.980, -4.151; P<0.05) . There was no statistically significant difference in chemotherapy compliance between the two groups ( P>0.05) . Conclusions:Ginger in mouth and ginger point application combined with tropisetron can effectively alleviate chemotherapy-induced nausea and vomiting symptoms.

Objective? To explore the effects of different postures on intraocular pressure (IOP) in patiernts with glaucoma. Methods? Totally 100 patients admitted in the Department of Ophthalmology, Beijing Tiantan Hospital, Capital Medical University between April and July 2018 were selected by convenient sampling. Icare rebound tonometry was ued to measure the patients＇ IOP when they lay on the back (0°, 10°, 20°, 30°) from 19:00 to 21:00. Results? There was statistically significant difference in the IOP of patients with different postures (P＜0.05). There was statistically significant difference in the IOP of patients laying on the bak at different angles (P＜0.05). There was no statistically significant difference in the IOP laying on the bak at 10°,20° and 30° (P＞0.05). Conclusions? The moderately elevated the head of the bed during the sleep of patients helps to improve and control the IOP at night.

通过检索数据库,整理、分析、总结历代医家对帕金森病的认识、学术思想以及临床经验,探索补帕金森病的病因病机、治则治法.帕金森病是临床上仅次于阿尔滋海默的常见神经退行性疾病,一般认为帕金森病属于本虚标实证,以肝肾不足为本,痰、火、瘀、毒为标,治疗强调标本兼治,以补益肝肾为主,佐以补益气血,兼以祛邪解毒,达到改善症状,提高患者生活质量的目的.

Objective To discuss the effect of team-based learning ( TBL ) teaching method in emergency nursing skills teaching. Methods Advanced nursing Class One in 2013 grade was randomly selected as the experimental class (40 students) , which was given the TBL teaching method, and common nursing Class Two was randomly chosen as the control classe (40 students) , adopting traditional teaching method ( Lecture Based Learning, LBL) . The com-parison of the results of the two classes' written examinations and operating examinations and questionnaires about teach-ing method were all statistically analyzed respectively. Results The results of operating examinations of experimental class were better than that of the control class and there were statistical significance, but there was no statistical signifi-cance in written examination of the two classes. Conclusions TBL teaching method applied in the emergency nursing skills can effectively improve students ' emergency operating ability, mobilize the enthusiasm of students, cultivate students' learning ability, enhance students' awareness of the team spirit, and it's a suitable teaching method for emer-gency nursing skills.

目的：了解护士及胃切除患者对术后饮食的认知情况。方法采用自设问卷的方法，对北京市某三级甲等医院的58名外科护士和45例胃切除术后患者进行调查。结果①护士掌握胃切除术后患者饮食知识情况总得分（67.73±10.95）分，胃切除术后患者饮食掌握知识情况得分为（65.47±14.17）分；②护士得分较低的前5项是：拔胃管当天每次饮水量、拔胃管当天饮水间隔时间、清流食的种类、容易形成胃结石的食物、不宜进食的食物；③不同职称的护士得分不同（F＝3.897，P＝0.014）。结论①护士与患者对饮食知识的认知存在不足；②护士和患者对胃切除术后患者拔胃管当天每次饮水量及饮水的间隔时间掌握、饮食种类的划分等方面的知识有欠缺。

Objective To analyze and discuss the correlations between different areas of corneal thickness and ICare rebound tonometer ( RBT ) .Methods Totals of 108 volunteers were selected as the subjects.Corneal thicknesses (central cornea, 2mm distance of corneal limbus nasal side and temporal side,) were measured by using optical coherence tomography ( OCT) , and intraocular pressure of different corneal areas were measured with RBT.The correlation of corneal thickness and intraocular pressure in different corneal zones were analyzed by Pearson correlation analysis.Results Thicknesses in central cornea,2 mm distance of corneal limbus nasal side and temporal side were (527.84 ±32.93), (551.31 ±35.40) and (533.91 ±34.42)μm, respectively.Numbers of IOP were (16.39 ±5.31), (16.37 ±5.48) and (16.44 ±5.72) mmHg, respectively.Central corneal (r=0.319,P<0.01), nasal side (r=0.267,P<0.05),temporal side (r=0.299, P <0.02 ), positive correlation was found between corneal thickness and intraocular pressure. Conclusions Corneal thickness of different areas will affect measurement results of intraocular pressures by using ICare rebound tonometer.

Objective To understand the illness behavior and its influencing factors in hospitalized prostate hyperplasia patients so as to guide clinical nursing.Methods One hundred and five hospitalized prostate hyperplasia patients were surveyed by the illness behavior questionnaire.Results One hundred and five questionnaires were issued and 100 questionnaires were responsive with an effective response rate of 95.2％.The scores of psychological orientation,disease conviction and wondering index were respectively (1.66 ±1.01),(5.82 ± 2.15),(5.82 ± 2.47).There were respectively 43.0％,39.0％ and 36.0％ participants abnormal in psychological orientation,disease conviction and wondering index.Multiple regression analysis showed that educational level was associated with psychological orientation (P ＜ 0.05),self-care degree and other chronic diseases were correlated with disease assurance (P ＜ 0.05),and exercise frequency was the influencing factor of hypochondriac index (P ＜ 0.05).Conclusions Health workers should strengthen disease education,help patients express their negative emotions and treat the disease actively.We should encourage patients to care themselves and exercise moderately step by step in order to relieve their "disease feeling" and thereby promote disease rehabilitation and improve the prognosis.

Objective To analyze the effect of iCare rebound tonometer in different position,different angle measuring on intraocular pressure.Methods Intraocular pressure was measured using the iCare rebound tonometer on the right eyes of 108 subjects in various conditions as follows:first,in an upright position toward the center of the cornea with the probe perpendicular to the corneal plane ; then,at 2 mm from the limbus in the nasal and temporal regions with the probe perpendicular to the corneal plane or along the visual axis; and lastly,with the angled probe touching the central cornea at angles of 10-20°.Paired t-test was used to assess the agreement between the three methods.Pearson's correlation coefficient was used for correlation analysis.Results When the probe was vertical,angle measure central corneal limbal 2 mm nasal and temporal region (0-180 ° along Meridian),IOP respectively was (16.388 9 ± 5.305 32),(16.370 4 ± 5.479 94),(16.435 2 ±5.719 74)mm Hg,and good correlation was found between intraocular pressure and central cornea intraocular pressure and horizontal meridian nasal (r2 =0.910,P ＜ 0.05),temporal (r2 =0.878,P ＜ 0.05).Probe tilt of 10-20°,central cornea intraocular pressure IOP results was (16.472 2 ± 5.339 78)mm Hg,and relevance was found between IOP results and central cornea intraocular pressure with vertical probe (r2 =0.853,P ＜ 0.05).Conclusions iCare tonometer is reliable measurement of intraocular pressure not only through the central region of the cornea but also through corneal peripheral region,no matter whether the probe is vertical or inclined.

AIM:To study normal value of corneal thickness in healthy subjects in different age groups with Fourier-domain optical coherence tomography(FD-OCT). METHODS:Total 420 eyes of 210 healthy volunteers were analyzed. These were divided into three groups: young group(YG, n=70, 140 eyes, 18 to 40 years old), medium group(MG, n=70, 140 eyes, 41 to 60 years old), old group(OG, n=70, 140 eyes, more 61 years old). Corneal thickness in central zone and inner-ring and outer-ring zones were measured by using FD-OCT. RESULTS:The thinnest zone was 527.19±1.72μm in central cornea zone, and the thickest zone was 582.42±2.50μm in superior in outer zone. Differences of corneal thickness were not significant in different measured zones(P>0.05). Average values of corneal thickness made by FD-OCT was better consistent and highly correlated for three groups(right eye: YG-MG: r=0.949, MG-OG: r=0.924,YG-OG: r=0.981. left eye: YG-MG: r=0.996, MG-OG: r=0.901, YG-OG: r=0.876). CONCLUSION: Measurement of cornea thickness by FD-OCT is more reproducible, reliable and convenient, and may better represent actual cornea thickness.

近来,我院收治1例阑尾切除术后并发下肢动静脉血栓患者,经精心护理,效果满意.现将护理体会报告如下.

外科患者在ICU监护期间,由于患者病情危重,自主活动差,经常发生各种皮肤损伤,大多数是由医源性因素造成的.通过对患者的皮肤观察,在护理患者过程中要找出每个患者出现皮肤问题的具体原因,制定相应的护理及预防措施,降低了医源性皮肤损伤的发生率,提高了护理质量,减少了患者的痛苦.