目的 探究ICU急性出血性胰腺炎患者应用早期肠内营养与全胃肠外营养对其营养状况影响.方法 选取2017年5月～2018年8月该院收治的急性出血性胰腺炎患者98例,将其分为对照组和实验组,每组患者49例.其中对照组应用全胃肠外营养,实验组应用早期肠内营养,对比两组患者营养指标水平.结果 实验组患者的血清白蛋白(ALB)、前白蛋白(PA)、转铁蛋白(TF)等水平显著高于对照组(P<0.05).结论 ICU急性出血性胰腺炎患者应用早期营养支持相对于全胃肠外营养的营养指标显著提高,同时避免患者并发症的出现,提高患者身体的免疫力.

真菌性角膜炎是一种严重损害视力的眼科疾病,常在角膜外伤、角膜手术后、慢性眼表疾病、皮质类固醇激素局部应用、或佩戴隐形眼镜等条件下发生,其感染源可为丝状真菌或酵母菌等。临床表现为角膜边缘羽状浸润,伴或不伴表面隆起,角膜上皮可完整但存在深基质浸润、卫星灶、内皮斑等,抗生

目的 调查低年资护士同事支持的现状及需求情况,为提高低年资护士同事支持提供参考.方法 采用护士一般资料调查表、同事支持量表、自行设计“低年资护士对同事支持需求调查问卷”对长春市某三级甲等医院的142名工作3年以内的低年资护士进行调查.结果 低年资护士的同事支持得分为46.63±13.98;有32.39％和47.18％的低年资护士认为“非常需要”和“需要”同事支持;在同事支持需求项目中,“关心我的福利待遇”、“采取弹性排班”与“有老护士带领我工作”需求较高;影响低年资护士对同事支持需求的主要原因是“不知道开展同事支持,自己具体要做什么”.结论 低年资护士同事支持水平相对较低,低年资护士对同事支持的需求强烈.医院应积极采取有效措施,提高低年资护士同事支持水平,从而缓解低年资护士工作压力,增强团队凝聚力.

<正>慢性肾病患者的肾功能损伤到一定程度会引起终末期肾病,此时需应用肾脏替代疗法,大多数患者选择长期依赖血液透析维持肾脏功能。近年来,由于慢性肾病呈逐年上升趋势,治疗费用不断攀升,且预后不佳,已成为危害全人类公共健康问题的重大疾病之一。据Lysagh[1]报道,在发达的欧美国家终末期肾病的年发病率分别为135/百万人、336/百万人,到2010年美国政府每年将支付高达290亿美元用于治疗多达

Objective To explore the effect of solution-focused approach nursing on the perioperative anxiety and depression of patients with percutaneous renal needle biopsy.Methods Totals of 60 cases who underwent renal biopsy were randomly divided into control group and experimental group with 30 cases each group.Two groups were received regular health education,while the experimental group from 1 day before surgery to 3 days after surgery received the nursing intervention on the solution-focus approach.Before and after surgery,self-rating anxiety scale (SAS),self-rating depression scale (SDS) were used to investigated the patients and compared.Results The incidence of anxiety and depression among all patients was 63.3％ and 66.7％,and no significant difference was found in the score of SAS and before received the percutaneous renal needle biopsy between two groups( P ＞0.05 ).After intervention,the score of SAS and SDS score of experimental group were ( 42.60 ± 6.95 ) and ( 46.80 ± 7.73 ),respectively,and that of control group were ( 50.53 ± 8.63 ),(53.53 ± 10.93 ),and the differences were statistically significant ( P ＜ 0.05 ).Conclusions The intervention solution-focused approach nursing can reduce renal biopsy perioperative patients' degree of anxiety and depression,and improve the quality of nursing.

手术作为一种创伤性治疗手段,能使患者产生一系列的心理障碍,而这些心理障碍可导致一系列的心理、生理变化,从而影响手术效果及延长康复的时间.