目的 调查我院手术室护士DVT预防知-信-行现状,并分析其影响因素.方法 选择我院2018年1—12月在职手术室护士100名为研究对象,选用基础资料调查问卷获取护士相关信息,借助"手术室护士DVT预防知-信-行调查问卷"评估其DVT预防知-信-行表现,并基于多重线性回归分析明确影响因素.结果 手术室护士DVT预防的知识、信念、行为评分分别为(12.28±0.85)分、(38.48±4.48)分、(54.39±7.63)分;经多重线性回归分析显示,手术室护士DVT预防知识影响因素有学历水平、工作年限、职称级别(P<0.05);信念影响因素有工作年限、职称级别、系统化培训(P<0.05);行为影响因素有系统化培训、年手术例数、护理管理监督(P<0.05).结论 我院手术室护士DVT预防知识掌握较好,但预防信念差,预防态度不积极,预防护理规范性、熟练度仍有待提升;影响手术室护士DVT预防的知-信-行因素不同,在手术室护理管理中,需加强对护士DVT危害及预防重要性的宣教,并开展规范化培训,提高其预防DVT的行为水平和态度.

Objective:To probe into the application effect of multi clues guide method for implementation of continuity of care for elderly patients with diabetic cataract.Methods:A total of 104 elderly patients with diabet-ic cataract treated in our hospital from July 2015 to December 2015 were selected as subjects.They were ran-domly divided into control group and experimental group,52 cases in each.The patients in control group re-ceived conventional continuity of care,the patients in experimental group received continuity of care by using the multi clues guide method.After intervention,the indicators of both groups were compared.Results:After inter-vention,the disease self care ability score,postoperative visual acuity of elderly patients in experimental group were significantly higher than those in control group.After intervention,the fasting blood glucose,postprandial 2h blood glucose and complications in experimental group were significantly lower than those in control group (P<0.05).Conclusion:Multi clues guide method in the implementation of continuity of care for elderly pa-tients with diabetic cataract was helpful to improve the disease self care ability and disease control effect.

Objective To explore the application effect of quality control circle activities in patient undergone cataract surgery. Methods 200 patients undergone cataract surgery in our operation room from June to December 2013 were se-lected and classified into prior-group of quality control circle activity.200 patients undergone cataract surgery in our operation room from January 2014 to June were selected and classified posterior-group of quality control circle activi-ties.Group of quality control circle activities was established and reduction of incidence of operative complications in cataract surgery as activity theme was designed.The current situation of operative complications in cataract surgery was analyzed in order to find the related factors,corresponding nursing measures for implementation was formulated,and the incidence of operative complications in cataract surgery before and after quality control circle activitiy was compared. Results The incidence rate of complication after implementation 1.5%,which was lower than 5.5% before implementa-tion,with significant difference(P<0.01).The degree of nursing satisfaction and the score of nurse’s comprehensive ability after implementation was higher than that before implementation,with significant difference(P<0.01). Conclusion Quali-ty control circle activity can reduce the incidence rate of operative complication in cataract surgery,improve quality of nursing service as well as nurse’s comprehensive ability.

目的：了解维持性血透高血压患者居家口服降压药的依从性，并制定相应的护理干预措施以提高患者的服药依从性。方法对维持性透析6个月以上、口服至少1种降压药的透析患者进行居家口服降压药的依从性调查，并进行健康教育；半年后再次调查患者的服药依从性。结果进行护理干预后，维持性血透高血压患者居家服药的依从性提高，比例由27％增加到60％（P＜0．05）。结论对维持血透高血压患者进行有效护理干预措施，有助于提高居家服药的依从性，使血压的达标率提高，并减少患者高血压相关不良事件的发生，延长患者的生命，具有重要的社会意义。

目的 研究柔性管理在普外科护理中的综合应用效果.方法 分别将本院的23名普外科护理人员在2012年实施柔性管理措施后的情况与2011年未实施时进行对比,同时将2012年来院的920例普外科病患和2011年的877例普外科病患情况进行对比.比较护理人员的变化和病患的护理效果情况.结果 柔性管理措施实施后,护理人员在工作热情、学习积极性、团队氛围上有了明显提高;病患对护理服务满意度有了明显提升.前后对比差异性均具有统计学意义(P＜0.05).结论 适合将柔性管理在普外科护理中进行推广和应用,其综合应用效果明显.

总结了17例颈内静脉留置双腔导管作为永久通路在血液透析患者中的应用与护理经验,包括正确掌握使用和封管方法,积极预防与处理并发症。认为颈内静脉长期留置双腔导管作为一种永久性血管通路,适用于自身血管条件差或多次作动静脉内瘘闭合术失败的慢性肾衰血液透析患者,正确使用和维护是延长留置导管使用寿命,防止并发症发生的关键。

目的探讨尿毒症患者的心理健康状况,为心理支持提供依据。方法采用焦虑自评量表(SAS)和抑郁自评量表(SDS),让患者在血液透析前24～72h自评,根据指导语提示不记名独立完成评定。结果 101例尿毒症患者的SAS、SDS总分均值分别与常模比较P<0.01,都存在不同程度的焦虑和抑郁。结论尿毒症患者会出现焦虑和抑郁等较普遍的心理障碍,应对他们及早心理干预,提供针对性的心理支持,以提高治疗效果和生活质量。

Objective To explore the clinical significance by investigating and analyzing the percentage of T cell subpopulation in CD4+T cell in the peripheral blood of patien ts with SLE.,Methods Thirty-four SLE patients of preliminary diagnosis and twenty SLE patients of relapse and thirty-five SEL patients of post-treatment and thirty-nine healthy individuals were studied,the percentage of T cell subpopulation in CD4+T cell in the peripheral blood was detected by flow cytometry(FCM),the relationship of ESR,GLB,C3,C4,IgG and the percentage of T cell subpopulation were observed.Results Compared with another three cases,the percentage of T cell subpopulation in CD4+T cell from thirty-four SEL patients of preliminary diagnosis was the lowest(p 0.05),so is in active stage,significant correlation was found between the levels of the percentage of T cell subpopulation in CD4+T cell and other serological parameters including ESR,GLB,C3,C4,IgG.Conclusion T cell subpopulation may play an important role in the pathogenesis and progression of SLE.

CD4+CD25+Treg细胞具有免疫失能活性,经体外非特异性和体内特异性抗原激活后,通过细胞接触依赖或细胞因子非依赖方式抑制自身反应性T细胞或效应性T细胞增殖/应答反应,发挥免疫抑制活性,进而控制过度的免疫应答、诱导自身免疫耐受、维持免疫稳态,具体的作用机制尚在进一步研究及探讨中.

维持性血液透析(血透)是终末期尿毒症患者主要的终身替代疗法之一.我们长期对维持性血液透析患者进行了心理护理,探讨心理护理对维持性血液透析患者的影响,对我科2006年2月至2007年9月145例维持性血液透析者实施了心理护理,收到良好效果,现报道如下: 1资料与方法

Objective To investigate the reasonable way of germicide removal in the reusing dialyzers. Methods Patients enrolled were divided into different groups randomly. Different methods were used to rinse the reusing dialyzers to remove germicide. Renalin residual test strips were used to examine the renalin residual density. Results were rewrded and clinical symptoms were observed. Results After rinsing the reusing dialyzers with Normal saline (NS) 1000ml for 10 minutes in singlepass fashion.The renalin residual density was lower than 3mg/ L.Though the renalin residual of polysulfone high-flux dialyzer was lower than 2mg/L, 37.5% patients got fever. So 1000ml NS and 15 minutes were needed to rinse polysulfone high-flux dialyzer. Conclusion The way of rinsing NS 1000ml and circulating in a single-pass fashion for 10 minutes is effective in polysulfone dialyzer (F6). The way of rinsing NS 1 000ml and circulating in a single-pass fashion for 15 minutes is effective in polysulfone high-flux dialyzer (F60S). The renalin residual density must be ≤1mg/L.

急性或慢性肾衰竭尿毒症病人,当合并其他器官功能障碍或衰竭时,临床病情危重,死亡率高.抢救时可采用常规普通血液透析、腹膜透析、持续血液净化等.近2年,我们应用每天血液透析法对部分尿毒症危重病人进行抢救治疗,取得较好效果,现报告如下.

血液灌流是通过体外循环使血液通过吸附装置(血液灌流器),清除内源性或外源性毒物或药物,是目前抢救重度药物或毒物中毒,尤其是处于昏迷状态的中毒病人的最可靠和较理想的首选方法[1].海洛因为半合成的阿片生物碱衍生物,吸毒过量时,常因呼吸和循环衰竭而致猝死.自1995年3月～1999年5月,我们对急性海洛因中毒的患者采用传统的纳洛酮内科治疗的同时,进行了血液灌流的方法抢救病人,获得了良好的临床效果.