Objective To investigate the psychological status of fear of disease progression in breast cancer patients and related risk factors.Method A total of 300 female breast cancer patients were included in the analysis,of which the degree of fear of progression was investigated by questionnaire-short form(FoP-Q-SF).The related factors of fear of dis-ease progression in breast cancer patients after surgery were analyzed by multiple linear regression.Result In this study, the total score of fear of disease progression in breast cancer patients after surgery was(27.09±3.17)and was below aver-age level compared with general population;as the education level and personal monthly income increased,the score of fear of disease progression in breast cancer patients after surgery was reduced(P=0.000,0.000);while the score elevated along with the increase of age,disease duration and neoplasm staging(P=0.000,0.000,0.000).Multiple linear regression analysis showed that the age, education backgrounds, personal monthly income, disease duration and neoplasm staging were the independent factors influencing the fear of disease progression(P<0.05).Conclusion The total score of fear of disease progression in breast cancer patients after surgery is below the average level,and age,education level,personal monthly income,disease duration and neoplasm staging are related factors.Nurses should formulate more efficient and targeted intervention plan based on the characteristics of breast cancer patients after surgery,and to manage the level of fear of disease progression to improve treatment effect.

[目的]对我国乳腺癌病人围绝经期综合征的发生情况、临床管理现状及病人的需求进行调查,为乳腺癌病人围绝经期的症状管理提供依据.[方法]应用一般资料调查表、绝经期等级评定量表和围绝经期症状管理现状及病人的需求调查表对192例乳腺癌病人进行调查.[结果]所有乳腺癌病人均感受到至少1个围绝经期症状的困扰,54.7％的病人表示对于症状的出现没有心理准备,有92.2％的病人希望与医务人员探讨症状,病人最渴望的探讨方式为面对面及微信.[结论]我国乳腺癌病人存在较严重的围绝经期症状,迫切希望得到医务人员的支持.

[目的]评定中文版医护合作量表(NPCS)的信度和效度。[方法]使用 NPCS对120名护士进行测试,应用探索性因子分析量表的信度和效度。[结果]NPCS所有条目的内容效度(CVI)为0.80~1.00,所有条目CVI均值为0.92。整个量表的 Cronbach’sα系数为0.96,因子分析后3个维度Cronbach’sα系数分别为0.92,0.93,0.89。因子分析累积解释变异量为63.36%。[结论]中文版 NPCS的效度和信度良好,设置条目适于评价临床工作中医护合作行为的程度。

目的 探讨呼吸功能训练仪在老年肺癌患者围手术期的应用方法及效果.方法 将2011年8月至2012年8月行肺叶切除手术的老年肺癌患者60例设为对照组,接受围手术期常规呼吸功能锻炼;2012年12月至2013年12月的60例设为观察组,常规呼吸功能锻炼基础上采用LEVENTON 1200040型呼吸功能锻炼仪进行锻炼.结果 术后第2天观察组肺复张良好率显著高于对照组,术后胸腔闭式引流管留置时间和术后住院时间显著短于对照组(均P＜0.01).结论 老年患者在肺叶切除围手术期使用呼吸功能训练仪可有效地改善呼吸功能,促进术后肺复张.

<正>原发性绒癌又称非妊娠性绒癌,是一种极为少见的恶性肿瘤,在男性和女性中均可发生。原发灶多见于生殖系统,也可见于身体其他部位,胃肠道原发性绒癌报道更为少见。因其发病率低、无特异性临床表现,早期诊断困难,治疗效果不佳,预后较