目的:分析外周静脉留置针不完全置入法对降低鼻咽癌患者非计划拔管率的效果.方法:选取2021年1月—2022年8月广西医科大附属肿瘤医院放疗科收治的外周静脉留置针输液的鼻咽癌患者160例,采用随机数字表法分成对照组与观察组各80例.对照组采取外周静脉留置针常规置入法,观察组采取外周静脉留置针不完全置入法.比较两组患者的非计划拔管率、输液通畅率、静脉炎发生率和满意度情况.结果:观察组患者非计划拔管率(1.25％)和静脉炎发生率为(2.50％)低于对照组患者(8.75％、11.25％),差异有统计学意义(P＜0

目的:探讨金因肽联合藻酸盐敷料用于头颈部肿瘤患者放疗所致湿性皮炎的效果价值.方法:选择2020年8月至2022年2月在我科行头颈部放疗所致湿性皮炎患者60例,按随机数字表法分成两组,观察组使用金因肽+藻酸盐敷料,对照组采取金因肽,治疗后评价两组总有效率,并对两组皮炎分级进行判断,统计两组创面干燥渗液停止、创面愈合时间,比较两组治疗结果.结果:观察组总有效率90.00％高出对照组66.67％(P<0.05).治疗前两组皮炎分级无差异(P>0.05),治疗后观察组II级放射性皮炎发生率高出对照组,但III放射性皮炎发生率低于对照组(P<0.05).观察组创面干燥渗液停止、创面愈合时间均短于对照组(P<0.05).结论:金因肽+藻酸盐敷料治疗放疗所致湿性皮炎的效果更为显著,能够改善皮炎分级,促进症状消失,缩短创面愈合时间,值得推广.

Objective:To explore the effect of narrative nursing plan on patients with cancer fatalism at the initial stage of radiotherapy for nasopharyngeal carcinoma.Methods:Convenience sampling was used to select 126 patients with nasopharyngeal carcinoma who were admitted to the Third Ward of Radiotherapy, Affiliated Tumor Hospital of Guangxi Medical University from July 2019 to June 2020 with cancer fatalism at the initial stage of radiotherapy. Among them, 62 cases from July to December 2019 were set as the control group, and 64 cases from January to June 2020 were set as the observation group. Routine nursing intervention and narrative nursing intervention were given respectively, and before the intervention (the second day after admission), after 7 weeks of intervention, the Fatalism Scale and Center for Epidemiologic Studies-Depression scale scores of the two groups were compared.Results:Before the intervention, the cancer fatalism and depression scores of the two groups were at a high level and the difference was not statistically significant ( P>0.05); after the implementation of the narrative nursing intervention program, the cancer fatalism and depression scores of the observation group were (37.23±6.12), (9.42±1.36) points, lower than (47.78±9.14), (15.65±2.03) points of the control group. There was statistical significance ( t values were 7.698, 7.524, P<0.05). Conclusion:In the early stage of radiotherapy, patients with nasopharyngeal carcinoma have a strong concept of cancer fatalism, and narrative nursing intervention can effectively reduce their cancer fatalism and depression.

目的 提高临床实习护生健康宣教的能力.方法 护理大专学生共96人,2017年度48人,2018年度48人,每年度均分为6批,每批8人.对照组由带教老师讲授健康宣教相关内容后分别对病种相同5例患者进行健康宣教,学生在旁边听讲宣教内容.观察组由带教老师先讲授健康宣教相关内容、示范患者健康宣教后,由护生进行角色扮演,再由护生对病种相同患者进行健康宣教,每个学生进行5例患者宣教,每批学生学习结束进行满意度调查.结果 两组护生实习结束,带教方式、知识掌握、沟通能力培养、语言表达能力培养、学习兴趣等满意度比较,差异有统计学意义(P<0.01).结论 实例健康宣教带教法,可提高护生健康宣教的能力.

目的 探讨工作坊教学模式在PICC导管维护临床带教中的应用效果.方法 将实习护生分为对照组和观察组,各20名,对照组采用传统实习带教模式,观察组采用工作坊教学模式.比较两组考核成绩和达标率,并进行教学效果评价调查.结果 观察组考核得分及达标率均高于对照组,差异有显著性(P<0.05),且观察组实习护生对教学效果的评价更高.结论 工作坊教学模式用于PICC导管维护临床带教,能使实习护生有效掌握PICC导管维护方法,提高带教效果.

目的 观察丹参混合液外涂预防放射性皮肤损伤的效果.方法 将乳腺癌保乳术后放疗患者82例分为两组,分别采用丹参混合液、痱子粉外涂,观察两组皮肤损伤等级及症状情况.结果 丹参混合液外涂,放射性皮肤损伤轻于对照组(P＜0.05),止痒、止痛、减轻色素沉着效果优于对照组(P＜0.05).结论 丹参混合液外涂能有效减轻放射性皮肤损伤.

[目的]探讨左上肢经外周静脉穿刺置入中心静脉导管(PICC)时改良一字法外测量的长度。[方法]将106例左上肢行PICC置管病人分为对照组和观察组各53例,对照组采用一字法,即病人平卧,左上肢外展90°,由穿刺点呈水平线一次测量至右侧胸锁关节锁骨的胸骨端外侧缘;观察组在一字法基础上,视病人皮下脂肪厚度加0.5cm～1.5cm。置管后拍胸部X线正位片,观察导管尖端位置。[结果]观察组77.4%导管尖端达第3肋软骨或第6胸椎,对照组均在第2胸肋间隙或第5胸椎及以上。[结论]在左上肢行PICC置管时将一字法外测量所得数据视个体皮下脂肪厚度加0.5cm～1.5cm作为置管长度,可使导管尖端达到合适的上腔静脉位置。