目的:探讨细节管理模式在静配中心护理工作中的应用效果.方法:对比分析我院静配中心自实施细节管理以来,管理前后医护人员对于静配中心的满意度,以及护理人员的考核结果等.结果:实施细节管理后,医护人员的业绩考核达标率高于管理前,护理人员对于静配中心的满意度也高于管理前,(p＜0.05),差异具有统计学意义.结论:在静配中心护理工作中采取细节管理模式,能够有效促进护理人员的工作能力,提高医护人员对静配中心工作的认可度及满意度,对于提升医护人员工作的积极性有着推动作用,值得广泛推广使用.

目的:观察临床护理路径联合全程心理护理干预对结肠癌手术患者术后护理的临床效果.方法:选取本院2015年1月至2017年7月实施结肠癌根治术患者90例,根据随机数表法分为观察组及对照组,各45例.对照组行常规护理,观察组在对照组基础上加入临床护理路径并联合全程心理干预.观察并比较两组负性心理情绪,患者护理满意度.结果:干预后,对照组SAS、SDS评分均高于观察组,差异有统计学意义(P<0.05);观察组患者护理总满意率(95.56％)明显高于对照组,差异有统计学意义(P<0.05).结论:结肠癌手术患者实施临床护理路径联合全程心理干预,患者术后负性情绪明显缓解,患者护理满意度高,临床护理效果显著.

目的:观察临床护理路径联合全程心理护理干预对胃癌术后康复影响的分析.方法:选取本院2015年1月至2017年1月实施胃癌根治术患者90例,根据随机数表法分为观察组及对照组,各45例.对照组行常规护理,观察组在对照组基础上加入临床护理路径并联合全程心理干预.观察并比较两组术后心理状况进行比较.结果:干预后,对照组SAS、SDS评分均高于观察组,差异有统计学意义(P<0.05).结论:胃癌根治术患者实施临床护理路径联合全程心理干预,患者术后负性情绪明显缓解,值得推广.

目的:观察临床护理路径联合全程心理护理干预对胃癌根治术患者并发症的影响.方法:选取本院2015年1月至2017年1月实施胃癌根治术患者90例,根据随机数表法分为观察组及对照组,各45例.对照组行常规护理,观察组在对照组基础上加入临床护理路径并联合全程心理干预.观察并比较两组术后并发症、患者护理满意度.结果:观察组术后消化道症状、感染等并发症总发生率(4.44%)明显低于对照组,差异有统计学意义(P<0.05);观察组患者护理总满意率(95.56%)明显高于对照组,差异有统计学意义(P<0.05).结论:胃癌根治术患者实施临床护理路径联合全程心理干预,胃肠功能快速恢复,术后并发症少,患者护理满意度高,临床护理效果显著.

Objective To compare the safety evaluation and long-term effecticacy of thoracoscopic and open operation in for esophageal cancer .Methods Choosing 134 esophageal cancer patients were retrospectively analyzed ,there were 49 cases used received laparoscopic and thoracoscopic combined esophageal cancer radical surgery ,the remainingand 85 cases receivedwith traditional open operation .Two groups patients with Operation indicators ,postoperative complication and long-term curative effects of the 2 groups were evaluationed .Results In the operation process ,the open operation group were had 3 cases of deathd died , there were no death in laparoscopic group .The two groups had no significant difference in hospitalization time and postoperative chest tube indwelling time;The amount of bleeding in laparoscopic group was significantly less than that of the open surgery group;postoperative complications rates was no between the 2 groups had no significant difference between the two groups .Laparo-scopic Postoperative five 5-years survival rate in laparoscopic group was significantly higher than that of the open operation group . Conclusion Minimally invasive operation for esophageal cancer has obvious advantage in postoperative bleeding ,recovery and long-term curative effects .

目的：通过横断面研究、观察腹膜透析患者的平衡能力，了解影响腹膜透析患者体力活动能力的客观因素，进一步分析和探讨腹透患者平衡能力的可能影响因素。方法：选取腹膜透析的随诊患者作为研究对象，通过测定受试者单足闭眼站立时间的长短反应人体平衡能力。对照组为同年龄段的非透析肾脏病患者和健康人群。结果：符合条件的患者103例，男55例，女48例，年龄（59.59±14.48）岁。透析龄（35.3±12.02）个月。腹透患者闭目单脚站立时间的中位数为2.00s，最小值0.00s，最大值42.00s，平均（3.50±6.16）s。将腹透患者与部分非透析受试者（非透析的肾脏病患者35例，普通人群40例）进行比较。三组之间的一般资料包括性别、年龄、身高、体重及BMI比较，差异均无统计学意义（P﹥0.05），但腹膜透析患者（3.5±6.16s）较非透析肾脏病组（4.44±7.17s）和普通人群组（14.02±21.92s）低，经kruskal-wallis秩和检验，差异有统计学意义（ P﹤0.001）。有心脑血管疾病者时间短，经Wanna-Whitney秩和检验，差异均有统计学意义（ P﹤0.05）。而有尿和无尿、糖尿病和非糖尿病及不同性别之间比较，差异均无统计学意义（ P﹥0.05）。结论：腹膜透析患者的闭目单脚站立时间较短，说明腹膜透析患者的平衡能力较差。除年龄是影响腹透患者的体力活动能力的因素之外，患者的营养状态，微炎症状态心脑血管均与其活动能力密切相关。

Objective To investigate the correlation of the number of dissected lymph nodes in non-small cell lung canc-er ( NSCLC) and pleural effusion volume after pulmonary resection .Methods 120 NSCLC patients were divided into different groups according to the number of dissected lymph nodes ,the ways of dissecting the lymph nodes and the exact places of the dis-sected lymph nodes .The volume of the pleural effusion every 2 hours in the 6 hours after the pulmonary resection were measured , and the correlation of the number of dissected lymph nodes and the pleural effusion volume after pulmonary resection were ana -lyzed.Results 1) The total number of the dissected lymph nodes was positively correlated with the volume of the pleural effu -sion;2) dissect the lymph nodes by SML for NSCLC patients with more than 15 dissected lymph nodes ,and the number was posi-tive with the pleural effusion;3) The NSCLC patients with more than 15 dissected lymph nodes frequently received dissection of the lymph nodes by systematic mediastinal lymphadenectomy and bronchial lymph nodes dissection ,and the number of the dissec-ted lymph nodes was positively correlated with the volume of the pleural effusion .Conclusion The volume of the pleural effusion is positively correlated with the number of dissected lymph nodes after the pulmonary resection of NSCLC .

探讨老年肿瘤患者跌倒的危险因素，针对各种原因提出相应的防范措施，确保肿瘤患者住院期间的护理安全。

目的：总结急性呼吸窘迫综合征病人的护理。方法对54例急性呼吸窘迫综合征病人进行积极治疗和密切观察病情变化的同时，在心理、气道管理以及营养支持等方面采取有效的护理措施。结果44例病人经有效治疗和护理后痊愈，10例病人死亡。结论对急性呼吸窘迫综合征病人进行积极有效的护理能提高临床治疗效果和抢救成功率。

颅脑损伤的发病率无论在平时还是在战时都居创伤中的首位或仅次于四肢骨折.外伤后引起脑额叶、颞叶及边缘系统的损害越来越多,与精神活动有关系的大脑皮层包括前额叶和边缘系统皮层[1],其存在的精神症状包括谵妄、抑郁、心因性遗忘等.2001年9月～2003年9月共收治56例轻中型颅脑损伤有精神症状病人,现将护理措施对精神症状的效果分析如下.