Objective:To explore the status of early social function in young and middle-aged patients after percutaneous coronary intervention (PCI) and analyze its influencing factors, so as to provide a basis for formulating relevant intervention measures.Methods:From July to December 2021, the convenient sampling method was used to select 110 young and middle-aged patients with coronary heart disease after PCI in the First Affiliated Hospital of Harbin Medical University as the research objects. The general information questionnaire, Social Disability Screening Schedule (SDSS) , Social Support Rate Scale (SSRS) and General Self-Efficacy Scale (GSES) were used to investigate the patients. Univariate analysis and multiple linear regression analysis were used to explore the influencing factors of early social function in young and middle-aged patients with coronary heart disease after PCI. A total of 110 questionnaires were distributed and 106 valid questionnaires were recovered, with an effective recovery rate of 96.36% (106/110) .Results:The scores of SDSS, SSRS and GSES of 106 young and middle-aged patients after PCI were (3.89±1.63) , (38.80±7.02) and (21.08±6.39) , respectively. The results of univariate analysis showed that there were statistically significant differences in SDSS scores among patients with different gender, family per capita monthly income, education level and number of stents ( P<0.01) . The results of multiple linear regression analysis showed that gender, family per capita monthly income, education level, number of stents, general self-efficacy and social support were the influencing factors of early social function in young and middle-aged patients with coronary heart disease after PCI ( P<0.05) . Conclusions:The status of early social function in young and middle-aged patients with coronary heart disease after PCI is not ideal. Medical staff should give more intervention and guidance to patients after PCI who are female, have a lower education level, have a lower per capita monthly family income and have a large number of stents, consider the influence of self-efficacy and social support on the social function of patients and formulate corresponding intervention measures according to the influencing factors, so as to improve the level of social function of patients.

目的 探究四全照顾在老年中高危腹主动脉瘤腔内修复术治疗中的应用效果.方法 选取2017年1月～2018年4月于哈尔滨医科大学附属第一医院接受腔内修复术治疗的142例中高危腹主动脉瘤老年患者为研究对象,按照随机数表法将患者分为对照组与观察组各71例.对照组采取常规照顾护理方案,观察组在对照组的基础上加以四全照顾护理方式.比较两组术后拔气管插管时间、ICU观察时间、术后进食时间以及总住院时间等术后指标;比较两组焦虑自评量表(SAS)、抑郁自评量表(SDS)、Kolcaba舒适度评分(GCQ)以及Barthel自理指数;比较两组患者并发症发生情况.结果 观察组术后拔气管插管时间、ICU观察时间、术后进食时间以及总住院时间均短于对照组,差异均具有统计学意义(P ＜0.001);治疗后观察组SAS评分、SDS评分均低于对照组,GCQ评分与Barthel自理指数均高于对照组,差异均具有统计学意义(P ＜0.001);观察组并发症发生率低于对照组,差异具有统计学意义(P＜0.05).结论 四全照顾应用于腔内修复术有利于提高中高危腹主动脉瘤老年患者手术效果,降低患者住院时间和并发症发生率,对于患者情绪控制以及自理能力有促进作用.

Objective:To explore the effect of intervention model based on Behavior Change Wheel (BCW) theory on self-management behavior and health literacy of patients after percutaneous coronary intervention (PCI) , and provide evidence for clinical intervention.Methods:The 85 patients who underwent PCI in the Department of Cardiology of the First Affiliated Hospital of Harbin Medical University in March 2019 were selected as the control group, and the 69 patients who underwent PCI in April 2019 were included in the experimental group by purposive sampling method. The patients in the control group received routine health guidance in cardiology, while the patients in the experimental group received the intervention model based on BCW theory. The effects of intervention were compared using the Self-Management Scale for Coronary Heart Disease and the Health Literacy Scale for Chronic Patients.Results:The scores of disease medical management and daily life management in the experimental group were higher than those in the control group 3 months after PCI ( P<0.05) . The difference was statistically significant ( P<0.05) . There was no statistical significance difference in emotional management score between the two groups ( P>0.05) . Three months after the operation, the patients in the experimental group had higher communication and interaction ability, improved health willingness, and economic support willingness scores than the control group, and the differences were statistically significant ( P<0.05) . There was no significant difference in the information acquisition ability score between the two groups ( P>0.05) . Conclusions:BCW-based intervention can improve self-management behavior and health literacy in patients after PCI.

目的 探讨针对性干预对下肢深静脉血栓患者介入溶栓术后疗效及患者满意度分析.方法 选取2017年9月至2018年8月哈尔滨医科大学附属第一医院的500例下肢深静脉血栓患者行介入溶栓治疗,按照干预方式不同进行分组,对照组采用常规干预,观察组采用针对性干预,各250例.比较两组患者术后并发症发生率,舒适度评分(BCS)、下床活动时间、住院时间、生活质量评分和满意率.结果 干预后,观察组患者的并发症发生率2.00％(5/250)低于对照组的7.20％(18/250);BCS评分高于对照组,下床活动时间和住院时间均短于对照组,差异有统计学意义(P<0.05);观察组患者的躯体功能、心理功能、物质生活和社会功能的得分均高于对照组;观察组患者的满意率99.2％(248/250)高于对照组的95.6％(239/250),差异有统计学意义(P<0.05).结论 对介入溶栓治疗的下肢深静脉血栓患者实施针对性干预有助于降低术后并发症发生率,改善患者的预后,可提高患者满意度.

Objective To analyze the effect of breast cancer professional nursing on chemotherapy response in intravenous administration.Methods A total of 60 patients with breast cancer receiving intravenous chemotherapy from March 2013 to July 2014 were randomly divided into control group (30 cases) and observation group (30 cases).Control group was given basic nursing and observation group was given breast cancer professional nursing.The chemotherapy responses were observed and compared between the two groups.Results The incidences of pain,phlebitis and leakage in observation group were significantly lower than those in control group [13.3％ (4/30) vs20.0％ (6/30),6.7％ (2/30) vs 16.7％ (5/30),6.7％ (2/30) vs 13.3％ (4/30),x2 =1.934,2.031,2.615,P =0.042,0.038,0.031).The self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores in observation group was significantly lower [(46 ± 20) scores vs (52 ± 16) scores,(52 ± 12) scores vs (64 12) scores,t =2.716,3.124,P =0.029,0.025].The systolic blood pressure and heart rate had no statistical differences after nursing between the two groups (P ＞ 0.05).Conclusion Breast cancer professional nurses can greatly decrease the clinical complications,relieve the anxiety and depression,optimize the clinical efficacy in intravenous chemotherapy.

Objective:To observe the effect of acupuncture treatment on paroxysmal supraventricular tachycar-dia.Methods:42 patients with paroxysmal supraventricular tachycardia were diagnosed after Heartbeat .In the interictal application of transesophageal atrial pacing induced supraventricular tachycardia to attack Beckoning , then the application of acupuncture was at bilateral Neiguan and Shenmen treatment .Results:According to clin-ical observation of 42 cases,it was effective in 31 cases,accounting for 73.81%;it was invalid in 11 cases,ac-counting for 26 .19%.Conclusion:Acupuncture of Neiguan with Shenmen is effective in the treatment of atrio-ventricular nodal reentrant tachycardia ( AVNRT) and atrial reentrant supraventricular tachycardia ( IART) ,and it is also effective to bypass the reentrant supraventricular tachycardia ( AVRT) ,but the effect on atrial fibrillation ( Af) disease is not obvious .

房室结折返性心动过速（AVNRT）是最常见的一种室上性心动过速,其发生是由于房室结存在解剖或功能性的双（或多）径路,并且不同径路的传导时间及不应期均不同,形成折返环而导致心动过速。以往的观察发现,AVNRT在女性中发病概率明显增高[1-2]。本文主要通过对不同发病人群的性别、年龄及电生理各项指标进行分析,寻找其电生理及射频消融特点,为这种疾病的治疗提供更多的帮助。1对象与方法

本文以我院为例,探讨计算机网络系统在临床护理中所起的作用。使用计算机网络后,护士由繁琐的事物性工作中解脱出来,护士有充足的时间深入病房进行最佳护理和健康指导,为适应当今医学"以病人为中心"的护理模式提供了有利条件。

在临床工作中,有许多病人手术后需要头颈部固定,保持特定的姿势,从而避免如吻合口瘘、裂、切口愈合不良等并发症的发生,以减轻病人的痛苦,但原有的头颈部固定方法有许多弊端.2006年5月～2007年2月我们采用新的头颈部固定法免费为15位病人试用,其中气管部分切除重建术病人2例,男性1例,女性1例,年龄35～40岁.甲状腺手术病人13例,男5例,女8例,年龄25～55岁.临床应用效果满意,得到病人及家属的好评,介绍如下.