Objective To investigate the effect of daily log combined with multimedia technology on functional exercise in patients with ankylosing spondylitis .Methods A total of 61 patients were randomly assigned to experimental group ( 31 ) and control group ( 30 ) .Two groups of patients accept the same drug therapy.The patients in the experimental group underwent multimedia course and synchronous training of function excise guided by simultaneous video , and they were requested to write daily log about functional exercise .The patients in the control group took use of conventional health education and conventional functional exercise guidance .We assessed patients by Bath ankylosing spondylitis functional index ( BASMI ) , Bath ankylosing spondylitis metrology index ( BASFI ) and functional exercises compliance at pre-and post-treatment three months.Results In the experimental group, BASMI score decreased from (4.6 ±1.8) to (2.6 ±1.6) and BASFI score decreased from (47.67 ±17.31) to (16.72 ±12.91).In the control group BASMI score reduced from (4.7 ±1.7) to (3.5 ±1.3) and BASFI score declined from (48.01 ±16.86) to (23.83 ± 13.03).The difference of BASMI score and BASFI score between these two groups were significant at post -treatment (t=3.125, 3.213;P<0.01).The excellent rates of functional exercises compliance were indifferent between two groups before intervention , but it increased to 83.9% in the experimental group and the number was 46.7%in the control group at three month post-treatment (P<0.01).Conclusions Daily log combined with multimedia technology applies for patients with ankylosing spondylitis contributing them to master the method of functional exercise , and the spinal motion and body function can be significantly improved after three months′intervention .

Objective To study the status of the usage and the awareness of drip chamber in the application in administration of medicine .Methods The self-designed questionnaire about drip chamber used for administration of medicine was used to survey 310 nurses.Results There were different kinds of appellations for the drip chamber , among with the “Murphy's Dropper” was used the most , and it was not in line with the national and the international standards .298 nurses ( 96.13%) in the survey accepted and used the drip chamber for administration of medicine .246 nurses (82.55%) replaced the intravenous injection by the drip chamber for administration of medicine .Only 12 nurses were opposed to the drip chamber for administration of medicine.All the respondents failed to give the exact answer of drug concentration changes and the amount of electrolyte solution used for rinsing drip set .Conclusions The application of drip chamber should be standardized by national and international standards .Nurses fail to fully recognize the way of using drip chamber for medicine, so it cannot be replaced completely by the intravenous injection .

Objective:To explore the impact of intensive education and regular visit on the blood glucose level of the elderly diabetic patients at home.Methods:60 elderly diabetic patients were randomly divided into intervention and control groups(30 cases for each group) after they were discharged from hospital.The patients in the intervention group were given 8 hours concentrated intensive training after their discharge from hospital and then counseling was conducted by telephone every week and home visit was paid each month;the patients in the control group did not receive any special interventions.Results:There were no statistically significant differences between the two groups in the comparison of fasting blood glucose(FBG),postprandial blood glucose(PBG) 2 hours after meal and glycosylated hemoglobin(HbA1C) before intervention;each biochemical indicator was markedly reduced after intervention for 4 month compared with that before intervention in the intervention group and compared with the control group at the same period(P<0.01);the change of each biochemical indicator was not much significant than ever before in the control group.Conclusion:The effect of nurses based intensive education,regular telephone counseling and home visit is satisfactory in the intervention on the blood glucose level of elderly diabetic patients at home.

This paper summarizes the experiences of nursing care of a patient with synovitis-acne-pustulosis-hyperostosis-osteitis syndrome. The patient was discharged with improvement after psychological care,pain management,skin care,medication administration,diet care,observation and prevention of potential complications.

糖尿病是一种慢性、终身性疾病,患病率随着年龄增高而上升,表现出明显的年龄依赖性.由于我国老年人口基数巨大,所以老年糖尿病患者绝对数非常庞大.家庭是我国老年人主要养老场所,居家治疗则成为患者主要治疗方式,但老年人记忆力下降,感知能力减退,学习新知识和获取信息的能力下降,因此对老年糖尿病患者施行家庭护理干预显得尤为重要.

近年来,随着我国社会经济的发展、农民生活水平的提高,农村糖尿病发病率及患病率也在逐年升高.重视农村老年糖尿病的预防和诊治工作,已经成为影响我国糖尿病整体防治水平的重要环节.尽管一些地区和部门开始尝试一些专门面向农村患者的糖尿病知识宣传和防治工作,但由于我国农村人口基数巨大,各地区对糖尿病的认识和防治水平不均,建立一个综合性防治网络仍然任重道远.因此,了解农村老年糖尿病的特点,提高家庭护理水平,减少和预防并发症,就显得非常重要.我们对48例农村老年糖尿病患者进行分析,发现农村患者有其较为突出的区别于城镇患者的特点,对出院后家庭护理的指导采取更具有针对性的措施,效果明显.

妇科恶性肿瘤通常以手术治疗为主,但有些患者就诊时病情往往已经到了肿瘤晚期,肿块巨大,与周围组织粘连严重,手术非常困难.还有些患者肿瘤切除术后复发或广泛转移,丧失再次手术的机会.介入化疗的方法,可使肿瘤瘤体明显缩小,减轻临床症状或创造手术机会,有效提高患者生命质量.

患者,女,56岁.主因卵巢浆液性囊腺癌瘤细胞减灭术后常规化疗于2002年11月13日9∶00入院.查体:体温36.4℃,脉搏68次/min,呼吸16次/min,血压120/80 mm Hg.心肺未闻及异常,腹平软,无压痛.妇科情况:已婚经产型外阴,阴道通畅,分泌物性状正常,阴道未见转移结节,盆腔空虚,未触及肿物.既往曾经在注射重组人粒细胞巨噬细胞集落刺激因子(利百多,rhGM-GSF)后出现轻微发热等不适.血常规:白细胞3.8×109/L,红细胞3.69×1012/L,血小板145×109/L.苯海拉明20 mg肌肉注射,利百多75 μg皮下注射,15 min后患者主诉腰背部疼痛,未做特殊处理.