Objective:To study the application effect of modified butterfly needle fixation method for implantable venous access port in breast cancer patients, in order to povide reference for the clinical applicaiton.Methods:A total of 300 patients with breast cancer from Janurary to December 2019 in Sun Yat-Sen University Cancer Center were divided into two groups by random digits table method: experimental group and control group, 150 cases in each group. The experimental group was treated with modified implantable intravenous port butterfly needle fixation method, while the control group was treated with conventional fixation method. The Visual Analogue Scale of pain during needle extraction, the incidence of needle stick injury and the time of needle extraction were measured between the two groups.Results:The Visual Analogue Scale of pain, the time of needle pulling were (4.01±0.89) points, (2.71±0.52) min in the control group, and (1.84±0.84) points, (1.86±0.39) min in the experimental group, the differences were statistically significant ( t values were -21.70, -16.02, P<0.01). The incidence of needle stick injury was 4.00% (6/150) in the control group and no needlestick injury event occurred in the experimental group, the difference was statistically significant (Fisher exact probability, P<0.05). Conclusions:The modified method of dressing fixation can effectively reduce the pain during needle pulling, reduce the incidence of needle stick injury, and effectively shorten the time of needle pulling.

目的 了解社区脊髓损伤患者的心理状况和社会参与水平现状,并探讨二者的相关性.方法 采用便利抽样法,选取2016年9月至2017年9月在中山大学孙逸仙纪念医院和南方医科大学南方医院就诊后回归社区的脊髓损伤患者250例为研究对象,采用一般资料调查问卷、医院焦虑抑郁量表和中文版自主参与测评问卷对其进行调查.结果 被调查的250例社区脊髓损伤患者医院焦虑抑郁量表总得分为(16.25±6.85)分,其中焦虑亚量表得分为(7.12±3.76)分,抑郁亚量表得分为(9.13±3.77)分,焦虑、抑郁发生率分别为34.80％和57.60％;自主参与测评问卷总得分为(44.90±17.31)分,总均分为(1.80±0.69)分.患者医院焦虑抑郁量表总得分以及焦虑、抑郁亚量表得分均与自主参与测评问卷总得分及各维度得分呈正相关(P<0.001).结论 社区脊髓损伤患者焦虑、抑郁发生率高,社会参与处于中等水平.医护人员在为社区脊髓损伤患者提供延续性康复护理的过程中,要关注其心理状况和社会参与情况,采取有效措施缓解患者焦虑和抑郁情绪,提高其社会参与的积极性.

目的 了解老年脑卒中患者出院后的康复认知、需求与负担,为促进老年脑卒中患者康复提供参考依据.方法 采用目的抽样法,选取10例老年脑卒中患者进行半结构式访谈,应用Colaizzi 7步分析法进行资料分析.结果 通过对访谈资料的归类与剖析可归纳为3大主题6个亚主题:①康复锻炼认知不足;②对康复的需求强烈,包括对恢复肢体功能的需求、对专业康复指导的需求、对康复资源的需求;③患者的康复负担重,包括即经济负担、家庭照护角色负担.结论 对于老年脑卒中患者,应给予专业的出院后康复指导,提高患者对康复锻炼的认知水平,促进其康复功能锻炼行为的形成与维持,减轻患者康复过程中的心理负担,进而促进患者的康复.