目的 探讨二维码信息化建设在手术室链式管理体系构建中的应用效果.方法 由专职人员将专科器械的相关信息制成二维码,对手术室手术器械进行管理,比较管理前后的器械丢失率、消毒供应室分拣清点器械时间和专科手术医师的满意度.结果 实施二维码管理后的器械丢失率为5.78％,实施二维码管理前的器械丢失率为20.33％,差异有统计学意义(P<0.05).实施二维码管理后消毒供应室工作人员分拣清点手术器械的时间短于实施二维码管理前,差异有统计学意义(P<0.05);实施二维码管理后手术医师对器械管理的满意度明显高于实施二维码管理前,差异有统计学意义(P<0.05).结论 将二维码信息化建设应用于手术室链式管理体系构建中,可明显提高工作效率,从而实现对器械的精细化管理,同时提高手术医师对器械管理的满意度.

Objective:To explore the application effect of risk management in quality control of medical apparatus and instruments of operation room.Methods: 172 pieces of medical apparatus and instruments were divided into risk management group (n=86) and common management group (n=86). A series of indicators, such as effective acceptance rate, qualified cleaning rate, completed supporting facility, specific aim rate, deficiency rate of quantity, error rate of preparation, wet pack rate of sterilization, lost rate of post surgery and the satisfaction degree of physician, were applied to complete statistic analysis.Results: The effective acceptance rate, qualified cleaning rate, completed supporting facility rate and specific aim rate of risk management group were significantly higher than that of common management group (x2=5.02,x2=7.38,x2=9.35,x2=11.14,P<0.05). The deficiency rate of quantity, error rate of preparation, wet pack rate of sterilization, lost rate post surgery of risk management group were significantly lower than that of common management group (x2=6.63,x2=9.21,x2=11.34,x2=13.28,P<0.05). And the satisfaction degree of physician of risk management group (97.7％, 84/86) was significantly higher than that of common group (73.3％, 63/86) (x2=12.83, P<0.05).Conclusion: The application effect of risk management is better than that of common management in the quality control of medical apparatus and instruments in operation room.

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.

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.观察并比较两组术后胃肠功能、负性心理情绪、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);观察组术后肛门排气时间、肠鸣音恢复时间、排便时间分别为(3.51±1.21)d、(1.24±0.57)d、(4.02±1.37)d,均少于对照组,差异有统计学意义(P<0.05);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,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 explore the influence of the whole course psychological intervention on negative emotion, side effect of chemotherapy and the quality of life in patients with rectal cancer. Methods A total of 112 pa-tients with rectal cancer in our department from February 2008 to November 2014 were selected as the research sub-jects, which were randomly divided into intervention group and non-intervention group based on the digital table meth-od, with 56 patients in each group. Patients in the intervention group received whole course of psychological interven-tion, and patients in the non-intervention group did not receive psychological intervention with other treatments the same. Self-rating anxiety scale (SAS) and Self-rating Depression Scale (SDS) were used to compare the scores of anxi-ety and depression between the two groups before the psychological intervention and before discharge. The scores of quality of life were compared between two groups before the psychological intervention after 1 year of psychological intervention by European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Core-30 (EORTC QLQ-C30). Results The scores of anxiety in the intervention group and the non-intervention group were (42.63 ± 3.66) and (57.56 ± 4.13), and the scores of depression were (39.85 ± 6.37) and (56.67 ± 8.35), respectively. The scores of anxiety and depression in the intervention group were significantly lower than those in the non-intervention group (P<0.05). The scores of physical function, role function and other scores of quality of life in the intervention group were significantly higher than those in non-intervention group, and the differences were statistically significant (P<0.05). The incidence of severe fatigue and weakness in the intervention group and the non-intervention group were 13%and 25%, respectively. The incidence of severe nausea and vomiting were 14%and 27%, respectively. The adverse reaction of chemotherapy in the intervention group was lower than that in the non-intervention group, and the difference was sta-tistically significant (P<0.05). Conclusion The whole course psychological intervention on the basis of routine treat-ment can reduce the patient's negative emotions, significantly improve the quality of life of patients, and reduce the side effects of chemotherapy, which is worth to clinical promotion.

目的：探讨提高低年资护士护理质量的管理方法，提升科室护理质量。方法：实行医院三级质控管理体系下的“科室三级质控”。结果：低年资护士的科室护理质量逐步得到提高。结论：科室三级质控可以提高了护士积极性和护理质控意识，提升护理质量，同时促进科室管理文化的建立和完善。

Objective To investigate the effect of psychological intervention on negative emotion ,sleep in patients with gastric cancer and prognosis . Methods Patients were randomly divided into 2 groups ,the intervention group 40 psychological intervention group and 40 in non-intervention .The two groups of patients were performed operation ,chemotherapy and other conventional treatment .The control group received the routine nursing mode ,nursing , intervention group received psychological intervention based on routine nursing mode .Comparison of two groups of patients before and after the intervention of negative mood ,sleep ,pain and variation of survival rate .Results After the intervention the intervention group patients with anxiety and inhibition of all scores were lower than the control group .The intervention group than in the control group of sleep time increased significantly .But the intervention group than in control group significantly reduced pain scores .Significantly increase the survival rate of group intervention .There are significant differences (P<0.05) .Conclusion The psychological intervention can reduce negative emotion of patients with gastric cancer undergoing operation ,increase the sleep time of patients and reduce the pain of patients ,improve patient survival .

<正>临床路径是指针对某一疾病建立一套标准化治疗模式与治疗程序,是一个有关临床治疗的综合模式,以循证医学证据和指南为指导来促进组织治疗和疾病管理的方法,最终起到规范医疗行为、减少变异、降低成本、提高质[1]

目的 探索大肠癌组织中血管生成素-2(Angiopoetin-2)与大肠癌淋巴转移的关系.方法 采用免疫组化方法检测40例大肠癌组织中血管生成素-2的表达,采用CD34标记计数肿瘤组织微血管密度(MVD),分析血管生成素-2和大肠癌淋巴转移病理因素关系,采用X2检验和Spearman等级相差分析对相应资料进行分析,显著性标准α=0.05.结果 在大肠癌合并淋巴结转移癌中,血管生成素-2阳性表达明显高于无淋巴结转移的大肠癌.结论 血管生成素-2可能促进大肠癌的血管生成,进而促进大肠癌的转移.

此两种药物均为肠外营养的添加剂,多种微量元素(11)可供应锌、锰、铜、磷、铁的正常每日需要量,用作多种氨基酸注射液和葡萄糖注射液的添加剂,可发挥各种电解质和微量元素的特有作用以便机体内有关生化反应能正常进行.说明书上指明将多种微量元素(11)加入复方氨基酸注射液或5%的葡萄糖注射液中,可笔者在临床中发现多种微量元素(11)加入复方氨基酸注射液中,药液发生混浊现象,故将临床常用的几种氨基酸注射液分别进行配伍试验,发现均有此现象的出现,先将结果报道如下.

对低位直肠癌患者行Miles手术作永久性结肠造口(人工肛门)是目前公认的一种有效的治疗方法.由于结肠造口改变了原有的正常排便方式,且造口局部污染、刺激、感染,给患者身心带来巨大影响,明显影响其生活质量[1],同时手术及疾病本身对患者心理、生活等方面的影响,均可造成患者以及整个家庭生活质量的下降[2-4].我们对62例患者实施常规护理的同时,对实验组同步实施有针对性的心理护理,收到满意效果,报告如下。