目的:探究个案护理的延伸护理服务在泌尿外科腹腔镜患者中的应用效果.方法:将2020年2月至2022年2月入选的110例患者作为此次研究对象,并根据随机法分为对照组和观察组,各55例.对照组采用常规护理方法,观察组采用个案护理的延伸护理服务.比较两组患者并发症发生率、心理状态、生活质量、护理质量、术后康复时间.结果:观察组患者并发症发生率3.64％,低于对照组20.00％(P<0.05).护理后观察组患者焦虑评分、抑郁评分均低于对照组(P<0.05).观察组患者睡眠质量、健康状况、社会功能、情感角色、生命活

目的:探讨家属支持系统联合微视频盆底肌训练教学干预在前列腺癌术后尿失禁患者中的应用效果.方法:选取2017年3月1日～2020年12月31日80例前列腺癌术后尿失禁患者随机分为对照组和观察组各40例,对照组实施常规康复护理,观察组在对照组基础上实施家属支持系统联合微视频盆底肌训练教学干预,比较两组干预效果.结果:观察组日排尿次数多于对照组(P<0.05),日漏尿次数少于对照组(P<0.05);两组干预1个月后国际尿失禁咨询委员会尿失禁调查问卷简表(ICI-Q-LF)评分、尿失禁生活质量问卷(IQOL)评分低于干预前(P<0.05),观察组干预1个月后ICI-Q-LF评分、IQOL评分低于对照组(P<0.05);两组干预1个月后中文版尿失禁自我效能量表(GSE-UI)评分高于干预前(P<0.05),观察组干预1个月后GSE-UI评分高于对照组(P<0.05).结论:家属支持系统联合微视频盆底肌训练教学干预可减少前列腺癌术后尿失禁患者漏尿次数,改善尿失禁情况,增强控尿信心,提高患者生活质量.

目的 探讨快速康复外科护理对前列腺癌根治术后患者控尿功能及康复结局的影响.方法 以我院2015年7月-2018年7月泌尿外科收治的64例前列腺癌根治术后尿失禁患者为研究对象,采用随机抽样法分组模式分为研究组和对照组,各32例.对照组接受常规护理,研究组在对照组的基础上开展快速康复外科护理,比较2组情绪状态改善情况、干预后的控尿能力、各康复指标、并发症发生率及护理满意度.结果 干预后研究组的负面情绪评分显著低于对照组(P<0.05);研究组治疗总有效率(93.75％)显著高于对照组(75.00％),组间比较差异具有显著性(P<0.05);研究组术后各康复指标均显著优于对照组,组间比较差异具有显著性(P<0.05);研究组并发症发生率显著低于对照组,满意度评分显著高于对照组(P<0.05).结论 快速康复外科护理可有效改善患者的情绪状态,缩短患者术后康复进程,降低术后并发症发生率,提高患者术后控尿能力及护理满意度.

目的:了解广西某肿瘤专科医院护理人员血脂水平及血脂异常检出率,为提高肿瘤专科医院护理人员的健康管理与健康促进提供理论依据.方法:对2017年9月至2019年12月广西某肿瘤专科医院在职护理人员1 003人次体检资料进行分析,比较不同年份、不同年龄组、不同职称护理人员总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)和高密度脂蛋白胆固醇(HDL-C)水平,并与当地居民血脂水平、其他医疗机构结果进行比较.结果:2017-2019年,TC异常检出率最高,其次为LDL-C,TG、HDL-C异常检出率随年份变化呈上升趋势;在不同年龄组中,2017-2019年,30?39岁TC、LDL-C指标异常检出率高于其他年龄组;2018年、2019年,30?39岁HDL-C指标异常检出率高于其他年龄组(P＜0.05);在30?39岁年龄阶段异常检出率最高的为TC,其次为LDL-C;在TC、LDL-C指标水平中,低职称低于高一职称;在TG指标水平中,护士、护师、主管护师均低于副主任护师及以上;在HDL-C指标水平中,护士均低于护师、主管护师、副主任护师及以上(P＜0.05);TC、LDL-C均高于当地居民血脂,TG低于当地居民血脂(P＜0.05).结论:护理人员血脂异常检出率均呈上升趋势,医院管理者应重视在职护理人员的健康管理,尤其是30?39岁年龄段与高职称护理人员的血脂监控方面和健康促进工作.

BACKGROUND Nurses who work in hospitals experience a high level of burnout and the relationship between immune variables and burnout syndrome has yet to be elucidated. The aim of the present study was to investigate the effects of job burnout on immune function in female oncology nurses in a tertiary oncology hospital in Guangxi, China. The aspects of the human immune system evaluated were humoral and cellular immunity and complement components 3 (C3) and 4 (C4). MATERIAL AND METHODS We administered the Maslach Burnout Inventory-General Survey (MBI-GS), which includes scales for emotional exhaustion, depersonalization (DP), and personal accomplishment (PA), to measure variables related to immune function in 105 female nurses in a tertiary oncology hospital in Guangxi, China. Levels of humoral immunity and C3 and C4 were detected with immune turbidimetry. Cellular immunity was assessed with indirect immunofluorescence. RESULTS A Spearman rank correlation analysis revealed that levels of C3, C4, and CD4- and CD8-positive T cells were significantly associated with burnout symptoms (P<0.05, P<0.01, and P<0.05, respectively). Furthermore, there was a correlation between demographic data and humoral and cellular immunity (both P<0.05). Multivariable linear regression analysis showed that C4 levels were closely related to DP (P<0.05) and that CD4 and CD8 levels were closely related to PA (P<0.01). CONCLUSIONS These results suggest that DP and PA have an impact on immune function, and that timely psychological and behavioral interventions can be used to reduce the degree of job burnout among nurses and regulate their immunity, thus enabling them to better serve patients.

前列腺癌骨转移性疼痛多发生于老年前腺癌患者中,目前临床上的止痛治疗方法主要为西药止痛、中药止痛、中西医结合止痛和腹腔镜手术止痛,治疗效果各有优势.对患者的护理主要采取综合护理干预、延续性护理干预和心理护理,对缓解患者疼痛、减少并发症、帮助患者树立信心和改善生活质量有积极的意义.

宫颈癌根治术是早、中期以及一些晚期宫颈癌患者使用的手术治疗手段,但患者常因术后盆底功能失调而导致尿潴留、膀胱刺激症等问题的发生,严重的可能会引起膀胱功能出现终身损伤.为了减少宫颈癌根治术后膀胱功能障碍,国内外研究者对术后膀胱功能障碍的发生因素以及预防诊治手段进行了深入研究,本文将目前有关的研究结果进行总结分析,以期为临床防治提供借鉴.

Objective: To investigate the resilience of medical workers from other provinces to Wuhan to support fighting against 2019 novel coronavirus pneumonia (COVID-19). Methods : In February 2020, medical works supporting Wuhan in the fighting against COVID-19 were eligible to complete an online survey made up of Connor Davidson Resilience Scale (CD-RISC), Hospital Anxiety Depression Scale (HADS) and Simplified Coping Style Questionnaire (SCSQ). Results : A total of 114 medical workers were investigated. The CD-RISC scores of medical workers were at a high level (67.03±13.22). The resilience level was highest for physicians (73.48±11.49), followed by supporting staff, including health care assistants, technicians (67.78±12.43) and nurses (64.86±13.46). There were also significant differences in education, training and support from hospital, adequate preparation and confidence to complete support tasks (P<0. 05). Resilience was negatively correlated with anxiety (r=-.498, P<0.01) and depression (r=-.471, P<0.01), but positively correlated with active coping styles (r=.733, P<0.01). Multiple regression analysis showed that active coping (β=1.314, p<0.05), depression (β= -.806, p<0.05), anxiety (β= -1.091, p<0.05) and training and support from hospital (β= -3.510, p<0.05) were significant influence factors of resilience. Conclusion : The manager of the health management system should be aware that active coping, depression, anxiety and training, and support from hospitals are the influential factor of resilience. In addition, it is necessary to need to take these preferences into account and develop psychosocial interventions to help reinforce the resilience of medical works fighting emerging contagious diseases such as COVID-19.

目的 探讨特定电磁波治疗联合应用盐酸溴已新在预防肾肿瘤肾部分切除术后患者肺部感染的应用观察.方法 选取2014年6月至2017年6月间实施腹腔镜肾部分切除术的患者80例,随机分为两组,对照组(40例)术后予盐酸溴已新雾化及常规护理治疗,治疗组(40例)在上述基础上联合使用特定电磁波治疗,比较两组的治疗效果.结果 治疗组肺部感染的发生率明显低于对照组,组间比较有统计学意义(P<0.05);对照组和治疗组术前白细胞计数和CRP水平之间差异无统计学意义((P>0.05);术后,两组白细胞计数和CRP水平较本组术前均有明显的上升,组内对比有统计学意义(P<0.05),但治疗组术后的白细胞计数和CRP水平明显低于对照组,组间有统计学意义(P<0.05).结论 对于肾部分切除术患者联合使用盐酸溴已新和特定电磁波治疗,可以明显降低患者的炎症水平,有效预防肺部感染的发生,治疗效果显著.

Objective:To explore the application value of Kegel exercise combined with moxibustion acupuncture point therapy in preventing and treating bladder dysfunction of patients with cervical neoplasms.Methods:A total of 180 patients who underwent radical hysterectomy of cervical neoplasms in Department of Gynecologic Oncology in Tumor Hospital Affiliated to Guangxi Medical University from December 2017 to April 2019 were selected as research objects by the convenience sampling method. They were randomly divided into 3 groups, with 60 cases in every group. Patients in the control group were given routine nursing, the observation group one was given Kegel exercise training on the basis of the control group and the observation group two was given Kegel exercise combined with moxibustion acupuncture point therapy on basis of the control group. The incidence of urinary retention, bladder function recovery and postoperative quality of life after intervention were compared among the three groups.Results:There were statistically significant differences in indwelling time, residual urine volume, and urinary retention rate among the three groups of patients ( P<0.05) . The differences in postoperative bladder function among the three groups were statistically significant ( P<0.05) . The proportion of patients with bladder function ofⅢ-Ⅳ in the observation group 2 was lower than those in the control group and the observation group 1. In the comparison of Postoperative Quality of Life Scale scores, the differences between the scores of physiological scores, functional scores, cervical cancer subscales and the total Postoperative Quality of Life Scale scores of the three groups were statistically significant ( P<0.05) . Conclusions:Kegel exercise combined with moxibustion acupuncture point therapy can effectively reduce the incidence of postoperative urinary retention in patients with cervical neoplasms, promote the recovery of bladder function and improve the quality of life of patients after surgery.

目的 探讨肿瘤科护士心理资本、护理能力和工作倦怠的关系,为制定改善肿瘤科护士工作倦怠的干预措施提供依据.方法 采取便利抽样法,以广西25所三级综合医院和专科医院1203名肿瘤科护士为研究对象,采用一般情况调查表、护士心理资本问卷、护士护理能力量表及工作倦怠量表进行问卷调查.结果 工作倦怠量表中,情感衰竭评分为(2.23±1.61)分,消极怠慢评分为(1.63±1.15)分,成就感低落评分为(2.43±1.28)分;护士心理资本量表评分为(4.15±0.86)分,护理能力量表评分为(73.44±13.11)分.Pearson相关性分析显示肿瘤科护士情感衰竭与心理资本,护理能力呈负相关(r=-0.422,-0.283;P<0.05),消极怠慢与心理资本,护理能力呈负相关(r=-0.519,-0.365;P<0.05),个人成就感低落与心理资本,护理能力呈负相关(r=-0.477,-0.533;P<0.05);结构方程模型结果显示,肿瘤科护士的心理资本能直接影响工作倦怠,直接效应为β=-0.58,护理能力在其中的中介效应效果量为β=-0.17.结论 肿瘤科护士心理资本对工作倦怠具有直接预测作用,护理能力在肿瘤科护士心理资本和工作倦怠之间存在中介效应.建议可通过制定提高肿瘤科护士的心理资本和护理能力的措施,以改善其工作倦怠.

目的 研究对肺癌化疗患者采用临床护理路径模式护理对改善其生活质量的效果.方法 选取本院2016年9月—2018年9月收治的192例肺癌患者为研究对象.根据双盲原则随机将其分为对照组与观察组,每组各96例.对照组患者化疗期间采用常规护理,观察组患者化疗期间给予临床护理路径模式护理.观察两组患者的住院时间,采用癌症生存质量量表(EORTC QLQ-C30)评估患者的生活质量.结果 观察组患者住院时间为(16.5±1.2)d,对照组患者住院时间为(20.8±1.7)d,观察组明显短于对照组,差异具有统计学意义(t=-20.247,P<0.01);观察组患者生活质量5个维度评分均低于对照组,差异具有统计学意义(P<0.05).结论 临床护理路径模式可缩短平均住院日,提高肺癌化疗患者的生活质量.

患者报告结局(patient-reported outcomes,PROs)是患者症状和生活质量的自我测评标准化工具系统.本文通过文献检索、整理和分析,阐述PROs目前在国内外妇科恶性肿瘤中的应用进展,以期为妇科肿瘤患者临床照护措施提供参考依据.

目的 构建中晚期前列腺癌患者疼痛等级与应对方式的结构方程模型,从而探讨缓解患者疼痛的应对路径.方法 采用癌症疼痛情况调查表、应对方式问卷修正版对120例中晚期前列腺癌患者进行调查.通过Amos 20.0软件构建疼痛等级与应对方式的结构方程模型,分析应对方式对中晚期前列腺癌患者疼痛程度的效应关系.结果 疼痛等级与应对方式的结构方程模型拟合指标良好.消极应对对疼痛等级有直接正效应(β=2.304,P<0.05),且其还可通过积极应对对疼痛等级有间接正效应(β=0.023,P<0.05).结论 加强正面引导和心理暗示有助于削减中晚期前列腺癌患者的消极情绪,从而缓解疼痛.

目的 探讨护士工作倦怠与离职意愿的关系及心理资本的中介作用.方法 2019年8-10月,采用问卷调查法,以广西壮族自治区某三级甲等肿瘤专科医院的344名护士作为研究对象,运用护士心理资本量表、工作倦怠量表及离职意愿问卷进行调查.结果 工作倦怠与离职意愿呈显著正相关(r=0.613,P＜0.01);心理资本与工作倦怠及离职意愿均呈显著负相关(r=-0.667、-0.387,均P＜0.01).结构方程模型显示工作倦怠中的情感衰竭可正向预测离职意愿;心理资本在情绪衰竭与离职意愿关系之间起完全中介作用,中介效应值为0.084;心理资本在低成就感与离职意愿之间起部分中介作用,中介效应值为0.165.结论 广西某三级甲等肿瘤专科医院护士工作倦怠与离职意愿突出,护理管理者应注重心理资本这种积极心理资源的开发,从而降低工作倦怠,减少护理人才的流失.

Background To investigate the resilience of non-local medical workers sent to support local medical workers in treating the outbreak of 2019 novel coronavirus disease (COVID-19). Methods In February 2020, non-local medical workers who had been sent to Wuhan as support staff to respond to the COVID-19 outbreak were asked to complete an online survey composed of the Connor Davidson Resilience Scale (CD-RISC), Hospital Anxiety Depression Scale (HADS) and Simplified Coping Style Questionnaire (SCSQ). Results Survey responses from 114 non-local medical workers were analyzed. CD-RISC scores were high (67.03 ± 13.22). The resilience level was highest for physicians (73.48 ± 11.49), followed by support staff, including health care assistants, technicians (67.78 ± 12.43) and nurses (64.86 ± 13.46). Respondents differed significantly in the levels of education, training/support provided by the respondent’s permanent hospital (where he or she normally works), and in their feelings of being adequately prepared and confident to complete tasks ( P < 0.05). Resilience correlated negatively with anxiety ( r = −.498, P < 0.01) and depression ( r = −.471, P < 0.01) but positively with active coping styles ( r = .733, P < 0.01). Multiple regression analysis showed that active coping ( β = 1.314, p < 0.05), depression ( β = −.806, p < 0.05), anxiety ( β = − 1.091, p < 0.05), and training/support provided by the respondent’s permanent hospital ( β = 3.510, p < 0.05) were significant associated with resilience. Conclusion Our data show that active coping, depression, anxiety, and training/support provided by the respondent’s permanent hospital are associated with resilience. Managers of medical staff should use these data to develop psychosocial interventions aimed at reinforcing the resilience of medical workers during highly stressful and prolonged medical emergencies, as seen during the COVID-19 outbreak.

随着市场经济与医疗卫生事业的发展,医院定将不负人民重托、无愧历史选择,努力奋斗与拼搏,高度重视和加强廉政文化建设,营造崇廉、尚廉的良好社会氛围,激励全体医务工作者不断奋进、凝聚同心、共筑中国梦的磅礴力量,筑牢医院发展基石,共谋医院持续、和谐及健康发展.

对综合治疗后的宫颈癌患者生理、心理、生活质量及延续性护理的构建等方面进行综述,探讨如何减少治疗后并发症的发生,促进患者对后期生活的适应性,旨在为提高宫颈癌患者综合治疗后的护理水平,为改善患者预后及提高生活质量提供借鉴.

目的:对腹腔镜下膀胱全切回肠代膀胱术围手术期患者进行心理护理.方法:选择36例膀胱癌腹腔镜下膀胱全切回肠代膀胱术围手术期患者给予心理护理.结果:36例患者均保持良好的心态,配合治疗和护理,均顺利出院.结论:膀胱癌围术期心理护理,可显著减轻患者紧张、担心等不良情绪,提高患者的手术配合度,减少术后并发症发生率,有效改善预后效果,对患者的康复液具有重要作用.

目的 了解近5年我国本科护生实习期教育的研究热点,为临床护理教学提供参考.方法检索CBM、CNKI、万方数据库中近5年发表的以我国本科实习护生教育为研究对象的文献,利用BICOMB 2.0对纳入文献的关键词进行词频分析、词篇共现矩阵分析,SPSS 20.0统计软件进行共词聚类分析.结果共检索到相关文献290篇,截取高频主题词29个,共词聚类分析结果得到5个研究热点:临床护理教学方法、护生核心能力的培养及评定、护生职业选择及护士角色、教师教学能力和教学质量、护生的需求及心理状况.结论对近5年我国本科护生实习期教育研究热点分析有助于了解该领域的研究现状及发展趋势,为临床护理管理和教育提供参考和借鉴.