Objective:To probe into the cognitive status of practice nursing students on the suicide prevention of inpatients in general hospital,so as to provide references for nursing managers implementing the targeted suicide prevention and nursing training from nurses career sourse.Methods:The self designed cognitive questionnaire of practice nursing students was used to survey the suicide prevention of inpatients.A total of 325 practice nurs-ing students veceived site investigation by cross sectional survey.Results:The total average score of 325 practi-cal nursing students’cognition on suicide prevention of inpatients was(12.78±2.20),and the correct rate was 63.88%.The average score of suicide general knowledge was(7.52±1.69),and the correct rate was 62.64%. The average score of suicide prevention knowledge was(5.26±1.26),and the correct rate was 65.73%.There were statistically significant differences in the suicide prevention cognition score of inpatients in general hospital among different ages and education background of practice nursing students(P<0.05 or P<0.01).Conclusion:The cognitive level of practice nursing students on the suicide prevention of inpatients in general hospitals was not high.Nursing managers should carry out related training according to different educational level of nursing students and combined with the influencing factors,so as to improve the cognitive level of practice nursing students on the suicide prevention of inpatients in general hospital.
肥厚性硬膜炎(HP)的病因不完全清楚,诊断及治疗存在许多尚需研究之处。本文对HP的病因与发病机制、临床表现、检查、诊断及鉴别诊断、治疗及预后的相关研究进展综述如下
<正>1病例介绍病人,女,48岁,湖北某饮料公司工人,跳楼自杀未遂造成左侧骨盆骨折,已在当地医院进行过手术治疗,于术后12d转入我院。转入时意识清楚,生命体征稳定,左下肢疼痛,活动受限,四肢有多处擦伤,已结痂愈合,留置尿管一根,骶尾部有一2cm×3cm的Ⅲ度压疮。因其已失去至亲,生活失意,自杀未遂,有入睡困难等严重的心理、情绪障碍。
Objective:To investigate the clinical characteristics of patients with dorsolateral medullary syndrome.Methods:The clinical data of 28 cases with dorsolateral medullary syndrome were analyzed retrospectively.Results: The onset of the presentation was generally acute.The symptoms and signs were dizziness(vertigo),nausea and vomiting,dysphagia,regurgitation,dysarthria,unsteadiness of ambulation,ataxia,Honer's syndrome and crossed sensory disturbance.MRI confirmed the infarction in the dorsolateral medulla in 27 patients.Angiography was performed in 8 patients,showed the stenosis or obstruction of the vertebral artery in 7 cases,and occlusion of the posterior inferior and anterior inferior cerebellar arteries.Stenting was placed in 1 case.All patients were routinely managed.Conclusion: Dorsolateral medullary syndrome is a clinical syndrome mainly induced by stenosis or occlusion of the vertebral arteries.The onset-age is young.MRI examination is an ideal tool to diagnose the syndrome.Angiography is useful in exploring the etiological factors.