Through the investigation and interview of Nanta Street Health Service Center, and the telephone follow-up of elderly patients with hypertension and diabetes, to understand the current situation of chronic disease management and explore the community intervention strategy of undergraduate nursing students. In October 2021, the data of 200 elderly patients with hypertension and/or diabetes mellitus were randomly exported from the chronic disease management system of the center, and the staff of the center were also examined and interviewed. The elderly patients whose data were exported were telephonically followed up by the cut-off date of January 2022. According to their original diseases, they were divided into elderly hypertension group, elderly diabetes group, and elderly hypertension combined with diabetes group, and their data were counted and analyzed. Among the elderly patients with chronic diseases, 49 cases (72%) had normal blood pressure index and 19 cases (27.9%) had high blood pressure in the elderly hypertension group; 43 cases (72.8%) had normal blood glucose index and 16 cases (27.1%) had high blood glucose in the elderly diabetes group; 37 cases (67.2%) had normal blood pressure and blood glucose index and 18 cases (32.7%) had high blood pressure and/or high blood glucose in the elderly hypertension combined with diabetes group. The situation of chronic diseases accompanied by complications and activity abnormalities in the elderly was as follows: 9 cases (13.2%) of complications and 5 cases (7.3%) of activity abnormalities in the elderly hypertension group; 11 cases (18.6%) of complications and 10 cases (16.9%) of activity abnormalities in the elderly diabetes group; and 21 cases (38.1%) of complications and 15 cases (27.2%) of activity abnormalities in the elderly hypertension combined with diabetes group. Health management of key populations showed that the center filed 3,301 cases of elderly patients aged 65 years and older, and the rate of physical examination during the system year was 68.8%; the center managed 1,687 cases of hypertensive patients during the system year, and the standardized management rate was 77.83%; the center managed 651 cases of diabetic patients during the system year, and the standardized management rate was 80.03%. The management of hypertension and diabetes in the community, health education and family visits need to be further improved. Undergraduate nursing students and other medical students can volunteer to serve in the management of chronic diseases in the community, provide diversified and multi-form health education, and establish a "family-community health service center-Tertiary general hospital" linkage network platform to provide a path to improve the management of chronic diseases in the community and to enhance the health literacy of the whole population.

目的:探究微课的探究式教学模式在"外科护理学"中的应用教学效果,分析其应用价值和前景,为教学模式的创新提供参考.方法:选取我校2017级护理学本科190名学生作为研究对象,按上课班级随机分为对照组及实验组,分别实施常规传统课堂教学和基于微课的探究式教学,并对比两组学生的考核成绩和教学满意度.结果:实验组同学的理论考试成绩和实验操作考试成绩均显著高于对照组,具有统计学意义(P<0.05);教学结束后共计回收190份有效问卷,实验组对于基于微课的探究式教学方法各方面满意度均显著高于对照组,综合满意度也显著较高(P<0.05).结论:在"外科护理学"教学中应用微课探究式教学模式可提高教学效果,促进学生理论知识和实践操作能力的提高,教学满意度较高,在教学中应用价值较高,值得推广.

With the advent of the new media era, all kinds of platform software have updated rapidly. In addition, college students have, through the network platform and mobile terminal, obtained ways of obtaining information and expressing themselves, and this has resulted in communication becoming an important part of their life. All kinds of events in the world have rapidly attracted popular attention and all kinds of hot network events have emerged. This article begins by assessing the feasibility and necessity of integrating network hot events into the professional course of surgical nursing, as a way of carrying out ideological and political education. It also considers four aspects of teaching design: the transformation of teachers; the combination of network and teaching knowledge points; the selection of teaching cases; and teaching reflection. In beginning with the internet events that students are interested in, it asserts that teaching content can truly balance "knowledge imparting" and "value leading", and can cultivate a new generation of nursing talents through the internet platform. This, it suggests, will help to achieve the goal of "three-wide education" through internet platform.

了解新冠肺炎疫情背景下本科护生的专业认同现状并分析其影响因素,以提升本科护生的专业认同水平.

探讨基于微课的探究式教学模式对本科护生自我导向学习能力的影响,以提高护生的自我导向学习能力.

目的 了解护理学专业毕业生的就业意向与职业认同感现状,分析影响护生就业意向的因素,为减少护理人才的流失提供依据.方法 运用问卷星网络平台制作网络调查问卷,通过QQ或微信向我校2020届护理学专业毕业生发放问卷,调查护生的就业意向与职业认同感现状.结果 参与填写问卷的护生371人,回收有效问卷305份.305名护生职业认同感平均得分为(59.10±9.51)分,其中239人(78.4％)毕业后愿意从事护理工作,66人(27.6％)选择转行.学历、就读护理学专业的原因、职业认同感是影响护生就业意向的主要因素.结论 护生职业认同感有待提高,护理教育者应重视职业认同感的培养,提高护生毕业后继续从事护理工作的意愿.

目的 探讨微信公众平台对本科护生自主学习能力的影响.方法 选取某地方本科院校2016级护生,按授课班级随机分为对照组及实验组,对照组采用传统教学模式,实验组在传统教学模式基础上,接受“护理人家”公众号定时推送的微课、操作视频、教学案例、重难点及练习题等学习资源.结果 实验组考核成绩及自主学习能力均高于对照组,差异有显著性(P＜0.05).结论 微信公众平台可提高护生自主学习能力,值得推广.

[目的]探讨负压封闭引流(VSD)联合持续灌洗在直肠癌Miles手术后肛门切口不愈病人中的应用.[方法]对20例直肠癌Miles手术后肛门切口不愈病人在保守性清创后应用VSD联合持续灌洗进行护理,在VSD联合持续灌洗过程中维持有效的负压吸引、重视创面护理,同时注意病人疼痛、饮食及心理护理.[结果]20例病人VSD持续灌洗期间均无堵管发生,经护理后伤口愈合良好.[结论]对直肠癌Miles术后肛门切口不愈病人在保守性清创后应用VSD联合持续灌洗进行护理可促进伤口愈合.

Objective:To probe into the influence of QQ group net assisting teaching platform on the self direct-ed learning ability of undergraduates nursing students,so as to provide a basic for nursing teaching reform. Methods:The nursing students in two nursing undergraduate classes were selected as research subj ects by using convenience sampling and divided into experimental group and control group based on their classes.All the students received routine nursing teaching.However,the students in experimental group received nursing train-ing via QQ group net assiting teaching platform,then to compare the self directed learning ability and course performance.Results:In observation group,the curriculum test results score,self directed learning awareness, learning strategy,learning behavior,learning evaluation,interpersonal average score and self directed learning scores were higher,and the differences were statistically significant(P<0.05).Conclusion:The QQ group net-work assisting teaching platform could effectively promote the quality of nursing teaching,it also could improve the self directed learning ability,it was deserved further promotion and application.

目的探讨PDCA循环法在《外科护理学》教学中的效果。方法选取我校于2013年9月入校的护理学专业学生130名作为研究对象,将其随机分为观察组和对照组,各65例。在《外科护理学》教学中,观察组给予PDCA循环法,对照组给予传统教学方法,比较两组学生考核成绩及对教学方法的评价。结果观察组学生的考核成绩明显高于对照组（P＜0.01）;观察组学生认为PDCA循环法能提高自身各方面能力,各方面评分与对照组比较差异显著（P＜0.01）。结论在《外科护理学》教学中采用PDCA循环法,能明显提高学生的理论知识水平和操作能力,有助于提升学生的综合素质,值得推广。

目的 了解慢性伤口患者伤口护理知识知晓情况及其影响因素,为慢性伤口患者的健康教育提供依据.方法 运用便利抽样法,采用自制的慢性伤口患者伤口护理知识调查问卷,现场调查广州市三个区域四家三甲医院五个院区的慢性伤口患者187例.结果 187例慢性伤口患者伤口护理知识平均得分为(8.77±2.62)分,及格率为14.4％.自己处理过伤口的慢性伤口患者得分高于自己未处理过伤口的患者(P＜0.05),年龄＜44岁的慢性伤口患者得分高于其他年龄组的患者(P＜0.05),大专及以上文化程度的慢性伤口患者得分高于其他文化程度的患者(P＜0.05),换药次数＞6次的慢性伤口患者得分高于其他换药次数的患者(P＜0.05).结论 慢性伤口患者伤口自我护理知识的总体水平较低,进行健康教育时应更关注年龄大、文化程度低、无业的患者.