Objective To explore the practical effect of evidence-based nursing combined with personalized psychological intervention in the perioperative period of patients with oral and maxillofacial fractures.Methods A retrospective analysis was conducted on the baseline data of 81 patients with oral and maxillofacial fractures who underwent surgical treatment in the Affiliated Hospital of Xuzhou Medical University from March 2020 to August 2022.Different nursing interventions were carried out based on the actual situation of the patients,and they were divided into two groups according to the different perioperative care.Among them,40 patients in the control group received routine perioperative care,while 41 patients in the observation group received evidence-based nursing combined with personalized psychological intervention.The nursing effec,treatment effect,complications,and adverse emotions were compared between the two groups.Results Compared with the control group,the observation group had higher rates of excellent and good nursing care,wound healing,and oral function recovery(P<0.05).Compared with the control group,the observation group had a lower incidence of complications such as oral infections(P<0.05).The Hamilton Anxiety Scale and Hamilton Depression Scale scores of both groups were lower on the 2nd postoperative day and at discharge compared with those at admission(P<0.05).The observation group had lower scores than the control group(P<0.05).Conclusion Through evidence-based nursing combined with personalized psychological intervention during the perioperative period for patients with oral and maxillofacial fractures,the adverse emotions and complications of the patients have been effectively improved,and the excellent nursing rate,wound healing rate,and oral function recovery rate have all been improved.

Cancer and its accompanying treatments can lead to numerous physical and emotional concerns, including subclinical or clinical depression and anxiety, which could significantly impact one’s well-being, quality of life, and survival. A large number of studies have elucidated that neuroinflammation is associated with depression. Here, we report the hippocampal pathological changes and depressive behaviors of a heterotopic breast cancer transplantation mouse model; hence, a heterotopic 4T1 breast cancer transplantation mouse model was established. Assessment of cognitive and locomotive functions of the experimental animals was conducted using open- and closed-field tests, including a tail suspension test. Expression levels of monoaminergic system markers, brain-derived neurotrophic factor (BDNF), pro-inflammatory cytokines, and nuclear factor-kappa B (NFκB) in the hippocampus and serum were detected using immunochemistry and western and enzyme-linked immunosorbent assay analysis. A comparison of the differences between model and control animals was performed. As per our findings, 4T1 tumor-bearing mice displayed cancer-related anorexia/cachexia with significant reductions in the travel distance and the total number of squares crossed in the open- and closed-field tests. Additionally, the 4T1 tumor-bearing mice withstood a more extended period of immobility during the tail suspension test. Immunohistochemistry studies revealed reduced levels of serotonin, norepinephrine, and BDNF in the hippocampus and serum. Elevated levels of NFκB and pro-inflammatory cytokines in the hippocampus were also observed. These findings suggest that hippocampal inflammation may have played an important role in the neurological function and depressive behavior in heterotopic 4T1 breast cancer transplantation mice.

目的:探讨个性化护理在治疗颌面间隙感染合并糖尿病患者中的应用效果.方法:选取我院收治的200例颌面间隙感染合并糖尿病患者作为研究对象.100位参与研究的入院患者入院时间均在2019年2月至2021年2月,依据入院时间分为研究组与对照组,对照组患者采用常规护理模式;研究组患者在对照组患者护理模式的基础上给予个性化护理干预;观察并分析两组患者的临床各项指标变化以及患者对于护理模式的满意度情况.结果:不同护理方式干预下,研究组患者的糖化血红蛋白水平、空腹及餐后两小时的血糖水平均显著优于对照组患者的临床各项指标,两组间数据对比明显,统计学意义存在(P<0.05);经个性化护理的研究组患者,其护理满意度为98(98％),对照组患者的护理满意度为70(70％),两组间数据对比明显,统计学意义存在(P<0.05).结论:在颌面间隙感染合并糖尿病患者的临床治疗中增加个性化护理,其临床应用效果良好,有效改善患者的血糖水平,护理质量提升,患者的满意度大大增加,临床具有重要的积极意义.

目的:探讨ISBAR沟通模式在口腔科病房床旁交接班中的应用方法及效果.方法:选取2019年10月收治的144例住院患者作为对照组,采用传统的口头交班模式.选取2019年11月收治的147例住院患者作为观察组,实施口腔科ISBAR沟通模式进行交接班.比较两组临床效果.结果:观察组交班漏项率低于对照组(P<0.01),护士对患者病情"十知道"掌握率高于对照组(P<0.05,P<0.01),患者的护理满意度高于对照组(P<0.01).结论:ISBAR沟通模式在口腔科病房床旁交接班中的应用效果较好,可降低交班漏项率,督促护士全面掌握患者病情,提高患者的护理满意度.

目的 探讨延续性护理对口腔颌面部骨折患者饮食及张口锻炼依从性的影响.方法 口腔颌面部创伤性骨折患者116例根据入院时间分为对照组58例和干预组58例.对照组患者接受常规护理和出院指导,干预组在对照组基础上实施延续性护理.随访6个月,评价2组饮食依从性和张口锻炼依从性,评估患者张口困难程度.结果 干预组饮食依从性和张口锻炼的依从性优于对照组(P<0.01).干预组患者张口困难程度低于对照组(P<0.05).结论 延续性护理能提高口腔颌面骨折患者饮食及张口锻炼的依从性.

目的 探讨CBL+PBL双轨式教学法在口腔科护理带教中的应用效果.方法 选取本院2016年3月—2018年2月60名口腔科临床实习护生为研究对象.其中2016年3月—2017年2月的30名护生作为对照组,采用既往的临床教学模式教学;2017年3月—2018年2月的30名护生作为实验组,采用CBL+PBL双轨式教学法.比较两组护生专业理论成绩、护理操作成绩及带教满意度.结果 实验组护生的专业理论成绩、护理操作成绩及带教满意度均高于对照组,两组比较差异有统计学意义(P<0.05).结论口腔科护理带教应用CBL+PBL双轨式教学法,更易于被护生接受,更能提高临床带教效果.

目的:探讨高流量鼻导管在AECOPD患者拔管序贯通气中的临床效果.方法:选取我院在2017年3月——2018年10月重症监护室进行有创机械通气超过两天的90例慢性阻塞性肺疾病患者进行研究,根据氧疗方法的不同分为观察组和对照组,每组各45例,观察组进行高流量鼻导管氧疗,而对照组进行无创正压通气,对比两组患者治疗前后生理各项指标,以及治疗效果的比较.结果:观察组患者在拔管治疗后患者的心率、呼吸频率、动脉血氧分压等均高于对照组,并且观察组患者治疗的舒适度明显优于对照组,对比结果有差异,P<0.05.结论:高流量鼻导管在AECOPD患者拔管序贯通气中的临床效果更好,能够提高患者的舒适度,有效改善患者的各项生理指标.

目的 探讨经鼻高流量湿化氧疗在ICU呼吸衰竭低氧血症患者中的应用效果,寻求经鼻高流量湿化氧疗的最佳护理方法.方法 回顾和总结2016年4～12月入住该院ICU接受高流量湿化氧疗的24例患者的氧疗护理.护理要点总结如下:正确连接呼吸湿化治疗仪管路,保持湿化的连续性和有效性,正确选择氧源,有效进行气道管理,严密观察患者的氧疗效果.结果 经鼻高流量湿化氧疗能够有效改善患者氧合,其中23例患者接受高流量湿化氧疗后动脉氧分压和氧合指数均有显著提高,呼吸频率、心率和呼吸困难等症状得到有效改善,1例COPD患者接受经鼻高流量湿化吸氧48 h后呼吸困难症状未得到显著改善而再次接受气管插管呼吸机支持治疗.所有患者在接受经鼻高流量湿化氧疗期间均无鼻周皮肤破损和腹胀的发生.结论 经鼻高流量湿化氧疗能够有效改善患者呼吸衰竭的临床症状,提高患者氧疗的舒适度和依从性.

Objective To explore the effects of transitional nursing on the quality of life in patients with chronic obstructive pulmonary disease (COPD). Methods A total of 118 patients in the stable phase of COPD, who were discharged from the Affiliated Hospital of Xuzhou Medical University during March 2015 to June 2016 were selected by convenience sampling method and divided into observation group (n=60) and control group (n=58) according to the random number table. The patients in the control group were treated with routine nursing mode, while the patients in the observation group were given transitional care after discharged on the basis of routine nursing. The effects of the transitional care and patients' quality of life were evaluated with Care Transitions Measure (CTM) and Chronic Obstructive Pulmonary Disease Assessment Test (CAT) at three time points, before intervention, three and six months after the intervention. Results There was no statistical difference in the score of CTM between the two groups before intervention (P>0.05). After intervention for 3 and 6 months, the CTM score of the observation group patients were significantly higher than that of the control group, and the differences were statistically significant (P<0.05). Before intervention and 3 months after intervention, patients' CAT score had no statistical difference between the two groups (P> 0.05). The CAT score of the patients in the observation group was lower than that in the control group after intervention for 6 months, and the difference was statistically significant (P<0.05). Conclusions Transitional nursing mode can improve the cognition of patients in COPD stable phase, promote healthy lifestyle and behavior, and improve patients' quality of life.

Objective To evaluate the effects of the application of high-flow nasal cannula (HFNC)for the respiratory failure following radical resection of pulmonary carcinoma. Methods A total of 48 patients with radicalsurgeryofpulmonarycarcinoma effect postoperative failure from February 2015 to August 2016 were randomly divided into observation group(24 cases) and control group(24 cases) with digital table method.The observation group was received with HFNC,and the control group with oxygen atomization mask 8-10 L/min.The heart rate,respiratory rate,PaO2,PaCO2and oxygenation index(PaO2/FiO2)changes were evaluated before treatment,treatment for 1,6,24 h and at the end of the treatment in both groups, at the same time, noninvasive positive pressure ventilation (NPPV) rate, again intubation mechanical ventilation rate, incidence of ventilator associated pneumonia (VAP), ICU confusion assessment (CAM-ICU) positive rates and ICU stay time were compared in the course of treatment of difference. Results Through two different methods of treatment, the heart rate, respiratory rate, PaO2, PaCO2,PaO2/FiO2were(78.88±12.03)times/min,(18.96±7.53)times/min,(140.2±18.37)mmHg(1 mmHg=0.133 kPa),(37.04±7.67)mmHg,(242.83±27.13)mmHg in the observation group,respectively,compared with(88.83±16.48)times/min,(25.46±9.51)times/min,(86.08±20.83)mmHg,(45.71±10.37)mmHg and(210.71±36.34)mmHg in the control group,which had significant differences(t=-3.922-3.415,P<0.05). The ICU stay time in the observation group was( 68.71 ± 32.38) h, respectively, which was much shorter than that in the contorl group(107.67±66.15) h, the difference was statistically significant (t=2.416, P<0.05). The occurrence rates of NPPV and the positive rates of CAM-ICU were16.7%(4/24),4.2%(1/24)in the observation group,respectively,compared with 45.8%(11/24),33.3%(8/24)in the control group,which had significant differences(x2=4.752,4.923,P<0.05). Conclusions HFNC is a new and effective way of oxygen therapy that can better improve circulation oxygenation,reduce PaCO2,reduce the rate of line of NPPV and CAM-positive rate in the ICU,and can shorten the patient's ICU stay time in the treatment of lung cancer patients with postoperative respiratory failure.

肥胖症是由多种因素引起的慢性代谢性疾病,无明显病因者称单纯性肥胖症,有明确病因者称继发性肥胖症.腹腔镜胃袖状切除术(LSG)来达到胃减容的目的是治疗肥胖症安全有效的手术方式,且对肥胖伴发的代谢性疾病有显著的缓解甚至治愈效果,因此该术式在国内外广受青睐[1].我科收治1例肥胖症合并扩张型性心肌病胃减容术后急性心力衰竭患者应用体外膜肺氧合(ECMO)救治成功.现报道如下. 1 病例介绍 患者,男,30岁,因体重进行性加重24年,于2016年10月19日入院,诊断为肥胖症、心功能不全、扩展性心肌病,轻度肺动脉高压、中度三尖瓣返流,入院行代谢减重手术.

[目的]了解临床护士的健商状况及影响因素.[方法]采用分层随机抽样对249名临床护士进行问卷调查.[结果]护士健商总得分(6.20分±0.94分)较理想,健商问卷中自我保健、健康知识、生活方式和生活技能4个因子得分较理想,但精神状态因子得分为警惕分值,其18项健商维度指数比较理想,压力、环境与工作2项分值为警惕值.不同年龄、婚姻状况、学历、职称、工龄护士健商得分的差异有统计学意义(P＜0.05).[结论]护士具有较为理想的健商水平,高年龄、已婚、高学历、高职称及高年资护士具有较高的健商.

<正>彭大师饮酒创名画在我国画坛历史上有一幅油画作品,名为《你办事,我放心》。它是由我国当代著名油画大师彭彬主创,与中央美术学院原院长、著名教授靳尚谊联合创

市场是一只看不见的手,在市场经济环境下,找"市长"不如找"市场",这已经成为人们的共识.即使在买方市场的条件下,企业也并不是无法生存,只是需要换一种生存的方法,即必须不断地研究市场、适应市场、把握市场、开拓市场、引导市场,进而上升到创造市场.这就是市场经济的逻辑,企业只有按这个逻辑运作才能生存与发展.