Obesity is one of the metabolic diseases that affect psychosomatic health of people and is a risk factor of many chronic diseases. In recent years, the incidence of obesity continues to rise, thus effective weight control and healthy weight loss have become the focus and difficulty of medical research today. Studies have shown that internal microecological changes are related to the occurrence of obesity. Comprehensive health education and nursing play an important role in weight management by adjusting intestinal microecological environment. This paper comprehensively describes the effect of intestinal microecological environment on obesity. The intestinal microecology induces obesity by regulating the nervous system, participating in energy metabolism, regulating immunity and other mechanisms. Interventions such as diet, emotion, exercise and traditional Chinese medicine nursing techniques can regulate the intestinal microecological environment and effectively manage body weight.

As a symbiotic organism, microorganism forms a microecosystem with host body and plays an important role in life activities. With the in-depth study of human microecology, more related basic researches that have been transformed into applied research in clinical practice in recent years. Based on the theory of microecology, this paper explores the establishment and evolution of microecological environment, its relationship with aging and disease and intervention content and effects from the perspective of the whole life cycle of human body. From the perspective of research, this paper explores the internal relationship between microecology and nursing discipline so as to provide theoretical basis and practical basis for the application of microecology in nursing field.

为了解医务人员职业安全现状,从医务人员、患者、医学生不同视角多维度分析职业暴露、医患关系、工作压力与职业安全的相关性,探讨保障医务人员职业安全的有效机制及可实现性.采用方便抽样的方法,通过问卷星对云南、浙江、福建等地共计411人进行线上问卷调查.采用频数分布和构成比对计数资料进行统计描述,卡方检验进行数据分析.55.39％的受访者认为医务人员职业安全状况不良,不安全的因素按照频数由高到低依次是职业压力、医患关系、职业暴露.不同职业人员对医务人员职业安全的认知具有显著差异.媒体正确导向、倡导尊重医生,开展宣传教育、缩小医患信息不对等,改善就诊流程、缩短就诊时间,是保障医务人员职业安全最重要的三个预测因素.在此基础上建议从医务人员、医院、患者、政府及舆论五方面进行部署,以提高医务人员的职业安全程度.

针对目前合格临床医师培养周期延长的事实,如何在各个阶段达成培养目的尤为重要.鉴于此,本文拟就中医实习医师阶段职业气质的培养为关注点,分析其主要内涵及存在问题,并提出相关对策以增强中医实习医师阶段职业价值、态度、行为和伦理,医学科学基础,临床技能,批判性思维等职业气质的培养.

本文通过理论阐述,深入探析“土郁夺之”的理论内涵,认为“土郁夺之”是《黄帝内经》中治疗脾胃系疾病的一条高度凝练的治则.“土都”多因湿热、气郁损伤脾胃,破坏脾胃正常运化环境,导致各种脾胃系疾病的发生,需从“夺”字出发,通过清利湿热、调畅气机等“夺”法恢复脾胃,发挥其运化功能环境的正常.