目的 探讨可吸收线皮内间断缝合联合组织胶在完全植入式静脉输液港(TIVAP)植入术中的临床应用价值.方法 回顾性分析2018年1月至2019年4月在上海长征医院接受TIVAP植入的562例患者临床资料.根据手术切口缝合方式不同,将患者分为观察组(可吸收线皮内间断缝合联合组织胶缝合切口,n=264)和对照组(传统间断丝线缝合切口,n=298).比较两组患者手术时间、切口愈合情况及切口瘢痕评分.结果 观察组、对照组患者手术时间分别为平均(35.6±5.2)min、(36.0±5.7)min,差异无统计学意义(t=0.967,P=0.334).观察组切口愈合情况(Z=-3.310,P=0.001)、切口瘢痕评分(4.9±0.4对4.1±0.8,t=-14.047,P＜0.000 1)均显著优于对照组.结论 可吸收线皮内间断缝合联合组织胶有利于TIVAP植入切口愈合,提高切口美观度,值得推广应用.

目的:探讨以护士为主导的多学科团队协作(MDT)模式在静脉化疗安全管理中的应用方法及效果.方法:选取2015年10月 ～2017年3月164例静脉化疗患者作为对照组,采用常规管理模式;选取2017年4月 ～2018年10月164例静脉化疗患者作为研究组,实施以护士为主导的MDT模式.比较两组临床效果.结果:两组并发症发生率、化疗健康教育知晓率及满意度比较差异均有统计学意义(P<0.05).结论:以护士为主导的MDT模式应用于静脉化疗安全管理中效果较好,有利于改善化疗效果,提高患者满意度.

Objective To investigate the knowledge-attitude-practice(KAP)status of surgical nurses who come from Shanghai 3A -level General Hospitals in preventing venous thromboembolism and analyze its related factors so as to provide references to promote the nurses’behavior change and formation.Methods During October to November 2013,by convenience sampling,a total of 745 nurses in the vascular surgery department ,orthopedics department ,obstetrics and gynecology department,neurosurgery department and ICU in four 3A -level General hospitals were recruited by convenience sampling.Results The average scores of 745 nurses of knowledge,attitude ,and practice were (24.83±5.71),(23.94±2.20)and (23.19± 2.36)respectively.Multivariate stepwise logistic regression analysis showed that the titles were positively correlated with knowledge,and work experience were positively correlated with behavior.The vascular surgery nurses’level of knowledge,attitude and behavior were higher than ICU’s.Knowledge and attitudes,knowledge and behavior,attitudes and behavior were positively correlated (P<0.01).Conclusion The knowledge-attitude-practice (KAP)level of nurses in preventing venous thromboembolism was at the lower level.In order to enhance the prac-tice of nurses in preventing venous thromboembolism,it is necessary to improve their knowledge and attitude, and strength the awareness of hospitals and departments in preventing venous thromboembolism.

目的：探讨短信回访教育对空腹血糖受损体检人群的实施效果.方法便利抽样选取2011年6－12月空腹血糖受损的体检者共100例，按体检单双日分成观察组与对照组各50例，对照组在领取体检报告当日现场给予常规教育，观察组则在常规教育的基础上，在其离院后继续实施短信教育.实施半年后对同组对象进行追踪调查，比较两组空腹血糖受损的体检者对疾病相关知识知晓率、遵医行为符合率以及相关血糖指标控制水平.结果观察组对疾病相关知识知晓率、遵医行为符合率以及相关血糖指标控制水平明显优于对照组(均P＜0．05).结论针对空腹血糖受损的体检人群实施短信回访教育有良好效果，不仅能提高体检者对自身疾病的自我管理能力，有效控制糖尿病的发生，更促进了体检者与医护人员人际交流，增进了相互之间的信任和理解，拓展了医疗市场.

Objective:Discussion on the application of Wechat education in self management of patients with stable chronic obstructive pulmonary diseases ( COPD) . Methods:80 cases of COPD patients were randomly divided into observation group and control group. The control group were given conventional education only when leaving the hospital. The observation group were given additional Wechat education after left the hospital against the control group. The questionnaire survey was conducted for patients on the self-management ability after 6 months. Results:The observation group’s management ability were significantly higher than the control group on symptom management,daily management,emotional management,information management and self-efficacy, the difference have the significant statistical significance(P<0. 05). Conclusion:Wechat education is helpful for COPD patients to improve the knowledge and skills of the disease,improve the ability of self-management.