Objective:To probe into the influence of “life boat club”health education on the quality of life of pa-tients with breast cancer and their spouses.Methods:A total of 100 breast cancer patients who underwent modi-fied radical mastectomy and their spouse were randomly divided into intervention group and control group with 50 cases each.Patients in intervention group were involved in the “life boat club”.Cases in control group re-ceived routine nursing care.At 1st month,3rd month,6th month after surgery and before admission of chemo-therapy,their quality of life was measured.Results:After the intervention,quality of life score,physiological sta-tus,functional status scores of breast cancer patients in intervention group were higher than that in control group from the beginning 1 months after operation (P<0.05).The scores of social/family status,emotional sta-tus,additional status were higher than that in control group from 3 months after the operation(P<0.05).The qual-ity of life score and all dimensions scores changed with the score of intervention time.And there was interaction between the way of intervention and intervention time.The physiological health score of spouse was higher than that in control group from the third months after operation(P<0.05).Mental health score was higher than that in control group from the first month after operation(P<0.05).The physiological function of quality of life and mental health score were higher than the control group from the first month after operation(P<0.05).The vitality,so-cial function and emotional function were higher than that in control group from third month after surgery(P<0.05).The physiological function and general health were higher than that in control group from 6 months after operation(P<0.05 ).Two areas and dimensions (except social function)scores with the intervention time change,(in addition to physical pain)showed the interaction between intervention and intervention time.Conclu-sion:“Life boat club”model of health education for breast cancer patients and their families can arouse the psy-chological potential,improve their quality of life,build friendship type of doctor patient interaction.

Objective To explore the clinical application value of Orem self-care theory in the mental nursing of children with acute leukemia .Methods Fifty-five children with acute leukemia were randomly divided into the control group ( n=27 ) and the experimental group ( n=28 ) according to single and double number .The control group received the routine nursing , and the experimental group received the nursing intervention according to Orem self -care theory on the basis of the routine nursing .The changes of mental status and the nursing satisfaction were evaluated and compared between two groups through the Symptom Checklis-90 ( SCL-90 ) , Hamilton Anxiety Scale ( HAMA ) , and Hamilton Depression Scale ( HAMD ) . Results The anxiety and depression were mainly dominated in children with leukemia .One week after the intervention, the score of HAMA in the experimental group decreased from (18 ±6)to (12 ±5),and was lower than (16 ±3)in the control group; the score of HAMD in the experimental group decreased from (23 ±8) to (17 ±3), and was lower than (20 ±4) in the control group, and the differences were statistically significant (t=3.50, 2.39, 2.68, 1.87, respectively;P<0.05).The nursing satisfaction in the experimental group was 96.4%, and was higher than 85.2%in the control group, and the difference was statistically significant (χ2 =3.47, P<0.05).Conclusions The application of Orem self-care theory in children with acute leukemia can obviously alleviate their anxiety and depression , and improve clinical nursing satisfaction .

<正>慢性硬膜下血肿(chronic subdural hematoma,CSDH)指硬脑膜下的血肿形成已有3周以上,血肿周围形成机化包膜者,是老年颅脑损伤的一种常见疾病[1]。颅骨钻孔冲洗引流术是首选治疗方法,疗

目的:探讨联合用药雾化吸入预防肺切术后肺不张的疗效。方法:将196例肺切术患者随机分为观察组和对照组各98例,观察组采用肝素钠稀释液5 ml+氨溴索注射液30 mg雾化吸入;对照组采用生理盐水5 m1+糜蛋白酶5 mg+庆大霉素8万U雾化吸入,比较两组患者术后5 d的疗效(肺部感染及肺不张、支气管镜吸痰、胸腔引流管拔除时间)。结果:观察组患者术后5 d的疗效显著优于对照组(P<0.05)。结论:采用氨溴索注射液、肝素钠联合氧气驱动雾化吸入预防肺切术后肺不张效果显著,值得临床推广。

对106例乳腺癌改良根除术后病人给予科学的、渐进式的肢体功能锻炼指导与实施,结果106例乳腺癌改良根除术病人中,通过患肢功能自我评定,6个月后104例生活完全自理,2例部分自理。

Objective To investigate the influence of the existing problems in health education to the satisfaction degree of inpatients.Methods 358 inpatients in four different quarter were selected and the satisfaction degree were evaluated with inpatients opinion questionnaire table,and the results were analyzed by statistical tests.Results The satisfaction degree of inpatients in the four quarters were obviously different(P0.005).Conclusions The satisfaction degree of inpatients comes next the improving of health education.,the in-patient satisfaction will also improve.Strengthening the implementation effect of the health education by assessing the need of the patients and effective health education can enhance satisfaction degree of inpatients.

食管癌根治术后1周内,极容易并发肺不张及肺部感染,其对术后影响远较一般胸部手术感染严重.因此,食管癌术后的呼吸道护理极为重要,现将54例患者的护理体会介绍如下.