Objective:To investigate the prevalence of nutritional risk among hospitalized patients with gynecologic tumor and provide a reference for nutritional intervention.Methods:Hospitalized patients with gynecologic tumor in a grade A class 3 hospital in Beijing were consecutively enrolled from December 2016 to December 2017. Nutritional risk was measured by nutritional risk screening 2002(NRS 2002)within the first 24 h after admission. The relevant influencing factors were analyzed.Results:A total of 1 500 hospitalized patients who met entry criteria and obtained informed consent were consecutively enrolled. The prevalence of nutritional risk was 23.1%, and 53.1 % patients had at least one nutrition-related problem. The analysis of relevant influencing factors showed that patients of age under 30 years and over 50 years( χ2=108.014, P<0.01), malignancy( χ2=112.197, P<0.01), low differentiation pathological type( χ2=251.392, P<0.01), chemotherapy( χ2=339.999, P<0.01)accompanied with vomiting( χ2=121.402, P<0.01), diarrhea( χ2=49.920, P<0.01)had the relatively high prevalence rate of nutritional risk. Pathological stage and operation had no significant effect( P>0.05). Conclusions:The prevalence of nutritional risk among hospitalized patients with gynecologic tumor is relatively high. The main relevant influencing factors include age, kinds of diseases, pathological type, chemotherapy, vomiting and diarrhea.
护理交班作为临床护理工作中的一个重要环节，对保证临床护理工作质量起着举足轻重的作用［1］。在以往的护理交班中，常用记事本、普通纸张记录交班内容，或直接按照一般护理记录单交班。手写交班每日需转抄患者基本信息及相关交班内容，增加了护士的书写工作量；反复手工转抄因手写字迹不清晰易造成抄写错误，增加了出现医疗差错的风险。因此，完善护理交班，让交班本的格式更加规范，内容更加全面、具体、详细，节约护士时间，一直在研究探索中。为了避免以上缺点，经过不断的试用与改进，设计了一种电子版交班表，从2010年8月起经过北京协和医院病房实践，收到良好效果并相继在其他病房推广应用。现介绍如下。
>肠镜检查是目前发现肠道肿瘤及癌前病变最简便、安全、有效的方法。肠道准备始终是结肠镜检查关键的基础性工作,无论结肠镜设备如何先进,操作医生技术如何娴熟,肠道准备质量的好坏直接影响到结肠检查结果的质量。所以,美国等发达国家要求每例结肠镜检查报告应有肠道准备质量的内容。现在临床没有正规的专用肠道准备观察表,常用护理记录来记录患者肠道准备的情况,需要书写的文字
