There is a correlation between nutritional status and treatment outcomes and long-term survival in MHD patients but there is limited research on the relationship between GNRI and IDH. This case-control study aimed to investigate the correlation between Geriatric Nutritional Risk Index (GNRI) and intradialytic hypotension (IDH) in elderly patients undergoing maintenance hemodialysis (MHD). This study was carried out on 129 cases of MHD patients with IDH and 258 non-IDH-controls in Ruijin Hospital, Shanghai Jiaotong University School of Medicine, China, between June 2020 and May 2022. Professional researchers collected patients’ general information on gender, primary disease, dialysis-related indicators, anthropometric measures, laboratory biochemicals, and GNRI. Logistic regression analysis was used to evaluate the correlation between GNRI and IDH. A total of 385 elderly MHD patients were included. Compared with GNRI Q4 group, the odds ratios for the risk of IDH in GNRI Q3 group, GNRI Q2 group, and GNRI Q1 group of elderly MHD patients were 1.227, 2.196, and 8.350, respectively, showing a significant downward trend (P-trend < 0.05). The area under the curve of GNRI for predicting IDH was 0.839 (95

目的：研究急性胰腺炎护理中采取个性化健康教育模式的有效性。方法：2019年7月到2022年7月，选取102例急性胰腺炎患者为研究对象，通过随机数字表法将患者分组，对照组与观察组各有51例患者。对照组治疗期间实施常规护理模式，观察组治疗期间实施个性化健康教育模式，汇总比较两组患者的焦虑抑郁情绪评分与护理满意度。结果：对两组焦虑、抑郁情绪展开比较，护理前比值未见差异（P＞0.05）。对两组护理满意度展开比较，比值可见差异且观察组满意度更高，有统计学意义（P＜0.05）。结论：急性胰腺炎患者治疗期间实施个性化健康教育模式，可减轻患者的焦虑抑郁情绪，提高患者满意度，值得临床推广。

目的 探讨自行设计血液灌流肝素化准备装置的应用效果.方法 基于2014年版血液透析专科操作指南自行设计血液灌流器肝素化准备装置.选取患者38名,实行血液透析联合灌流132例次,对比使用准备装置前后护士用于灌流器肝素化准备的时间、治疗后仪器凝血情况及护士满意度.结果使用准备装置后,血液灌流肝素化准备时间由之前的(45.80±3.52)min减低为(32.1±2.89)min,差异有统计学意义(t=24.463,P<0.01);改进前后治疗中凝血发生率差异无统计学意义(P>0.1);93.39％的护士对血液灌流器肝素化准备装置使用效果满意.结论 血液灌流器肝素化准备装置的使用省时省力,可有效避免护士的职业损伤,有利于提高护士的工作满意度,实现流程标准化.

目前，恶性肿瘤已超过心脑血管疾病成为人类第一致死原因，而化疗仍然是治疗恶性肿瘤的主要手段之一。骨髓抑制是化疗药物引起的较常见和较严重的毒性反应[1]，不同程度地影响了恶性肿瘤患者的化疗进程及生活质量。因此，对化疗患者骨髓抑制的分度作出准确评估，并进行合理、有效、全面的护理干预，对缓解骨髓抑制具有重要意义。现就临床上肿瘤患者化疗后骨髓抑制的护理现状作一阐述。