Correlation between critical thinking and emotional intelligence:a national crosssectional study on operating room nursing students in Iran

Objective:According to the World Federation of Medical Education,critical thinking should be part of the training of medical and paramedical students.Professionals can improve the quality of care of patients after surgery by having or acquiring this skill in health care.Also,Emotional intelligence is introduced as an impor tant and effective factor on the professional performance and mental health of healthcare professionals.Thus,the present study was designed and implemented to determine the relationship between emotional intelligence and critical thinking among operating room nursing students of medical sciences universities in Iran.Methods:This cross-sectional study was done on 420 operating room students in 10 top medical sciences universities of Iran in 2022.The sampling method in this research was multistage sampling.The data collection instruments included demographic characteristics,Rickett's critical thinking,and Bradberry-Greaves'emotional intelligence questionnaires.After receiving the ethics code,data collection was done for 2 months.For data analysis,descriptive and inferential analyses including independent t-tests,analysis of variance,and Pearson correlation were used.The collected data were analyzed by SPSS 18(IBM Corporation,Armonk,New York,United States).P-value<0.05 was considered significant.Results:The mean age of the students participating in this study was 23.02±3.70 years,with women constituting 67.4%of them.The results of data analysis indicated that the mean total score of critical thinking and emotional intelligence was 124.10±37.52 and 114.12±43.63,respectively.A direct significant correlation between critical thinking and emotional intelligence(r=0.459,P-value<0.001)and a significant relationship between gender and emotional intelligence(P-value=0.028)were found.Conclusions:Based on the present study results,educational managers in the Ministry of Health are suggested to consider suitable educational programs for improving critical thinking and emotional intelligence to enhance the quality of care provided by students in operating rooms.

Enhancing Patient Safety in the Operating Room: A Comprehensive Guide from a Nurse’s Perspective

Ensuring patient safety within the operating room is a paramount concern in contemporary healthcare, and this guide aims to provide an in-depth exploration of this crucial aspect from the perspective of nurses. Nurses play a pivotal role in supporting surgeons and maintaining a safe environment for patients undergoing various medical procedures.

From Knowledge Transfer to Capability Development:The Future of PBL+CBL Teaching Method in Operating Room Nursing Education

Concomitant with the advancement of contemporary medical technology,the significance of perioperative nursing has been increasingly accentuated,necessitating elevated standards for the pedagogy of perioperative nursing.Presently,the PBL(problem-based learning)pedagogical approach,when integrated with CBL(case-based learning),has garnered considerable interest.An extensive literature review has been conducted to analyze the application of the PBL-CBL fusion in the education of perioperative nursing.Findings indicate that this integrative teaching methodology not only enhances students’theoretical knowledge,practical competencies,and collaborative skills but also contributes to the elevation of teaching quality.In conclusion,the PBL-CBL teaching approach holds immense potential for broader application in perioperative nursing education.Nevertheless,it is imperative to continually refine this combined pedagogical strategy to further enhance the caliber of perioperative nursing instruction and to cultivate a greater number of exceptional nursing professionals in the operating room setting.

Effect of simulating training of the fundamentals of laparoscopic surgery on the attitude of operating room nurses students:an intervention study

Objective:Clinical education plays a key role in preparing students for patient care.Laparoscopy is one of the most important minimally invasive surgeries(MISs)wherein surgical technologists are responsible for camera navigation and assistant surgeons are responsible for peg transfer.Therefore,it is necessary to improve the attitude of the operating room students toward these skills during their study period.The present study was conducted to determine the effect of simulating training in the fundamentals of laparoscopic surgery(FLS)on the attitude of the operating room students.Methods:This interventional study was conducted on 28 operating room students of Iran University of Medical Sciences in 2019.The census sampling method was used.The data-collection tool included the“Intrinsic motivation inventory(IMI)questionnaire.”The educational intervention was carried out in theoretical(booklet design)and practical(simulation)sections.Data analysis was carried out using descriptive and inferential analyses including the paired t-test,Mann–Whitney U test,and independent t-test.The collected data were analyzed using R and SPSS software.P-value<0.05 was considered as the significant level.Results:The mean±SD of the participants'age was 22.93±2.14 years,and the majority of them were women(67.9%).There was a significant difference in the mean scores of students'attitudes toward the FLS before and after the educational intervention(P<0.001)in all dimensions(interest,perceived competence,perceived choice,and tension).There was also a significant correlation between gender and interest dimension(P=0.005).Conclusions:The results of the present study showed that simulating the training FLS curriculum positively affects students'attitudes.Therefore,the researchers suggest that for creating a positive attitude,increasing students'interest in laparoscopic surgery,and ensuring a more effective presence in the operating room,this training should be considered in the operating room curriculum.

Influence of humanistic care-based operating room nursing on safety,recovery,and satisfaction after radical surgery for colorectal carcinoma

BACKGROUND Radical surgery is a preferred treatment for colorectal carcinoma,wherein nursing intervention is essential for postoperative recovery and prevention of complications.Recently,the application of humanistic care in medical care has attracted attention.Humanistic care emphasizes comprehensive care,with importance attached to patients’physical needs as well as psychological and emotional support to provide more humane and personalized care services.However,no clinical reports have examined the use of humanistic care in patients undergoing radical surgery for colorectal carcinoma.AIM To investigate the influence of humanistic care-based operating room nursing on the safety,postoperative recovery,and nursing satisfaction of patients who have undergone radical surgery for colorectal carcinoma.METHODS In total,120 patients with rectal cancer who underwent surgery in Zhongnan Hospital of Wuhan University between August 2023 and March 2024 were selected and grouped based on the nursing methods employed.Of these patients,55 were treated with routine nursing intervention(control group)and 65 were provided humanistic care-based operating room nursing(research group).The patients’vital signs were recorded,including systolic/diastolic blood pressure(SBP/DBP)and heart beats per minute(BPM),as well as serum stress indices,including norepinephrine(NE),adrenal hormone(AD),and cortisol(Cor).Postoperative recovery and complications were also recorded.Patients’negative emotions,life hope,and nursing satisfaction were evaluated using the Self-rating Depression/Anxiety Scale(SDS/SAS),Herth Hope Index(HHI),and self-deve-loped nursing satisfaction questionnaire,respectively.RESULTS During emergence from anesthesia,SBP,DBP,and BPM levels were found to be lower in the research group than those in the control group,also serum Cor,AD,and NE levels were lower.In addition,the research group had shorter operative,awakening,anal exhaust,first postoperative ambulation,drainage tube removal,intestinal recovery,and hospital times.The total complication rate and the SDS and SAS scores were lower in the research group than those in the control group.The HHI and nursing satisfaction scores were higher in the research group.CONCLUSION Humanistic care-based operating room nursing can mitigate physiological stress responses,reduce postoperative complications,promote postoperative recovery,relieve adverse psychological emotions,and enhance life hope and nursing satisfaction in patients undergoing radical surgery for colorectal carcinoma,which can be popularized in clinical practice.

Combination of comprehensive thermal care and detail-oriented nursing care in the operating room for managing gestational diabetes mellitus

BACKGROUND As the incidence of gestational diabetes mellitus(GDM)increases,its impact on cesarean sections has attracted widespread attention.Omni-directional,insulated care and detailed care are of great significance in this patient population,as they can effectively improve the quality of care in the operating room.AIM To explore the effect of the integrated use of comprehensive thermal insulation.METHODS Women with GDM who underwent cesarean sections at our hospital between April 2023 and February 2024 were included in this retrospective study.The participants were randomly allocated to two groups:The observation and control groups.An all-around thermal insulation nursing strategy,including preoperative,intraoperative,and postoperative temperature maintenance,was adopted.In addition,detailed nursing care measures,such as blood glucose monitoring,wound care,and psychological counseling,were implemented in the observation group.RESULTS Comparative observation revealed that all-around thermal insulation care can effectively prevent the incidence of maternal hypothermia caused by surgery,reduce the risk of infection,and promote blood circulation.The implementation of detailed care improved maternal satisfaction and reduced the incidence of complications via the appropriate management of fluctuations in the blood glucose levels and optimization of the nursing process before and after surgery according to the patient's characteristics.CONCLUSION The application of a combination of comprehensive thermal insulation and detailed nursing care improved the overall quality of perioperative care.

Clinical Comparison of Airway Stent Placement in Intervention Room and Operating Room

Background and objective Airway stent placement is the effective regimen for central airway obstruction(CAO),while its application scenarios varied.This study aimed to make clinical comparison of airway stent placement in the intervention room and operating room.Methods Patients underwent airway stent placement between 2014 and 2018 were included in this retrospective case-control study.Clinical performance of airway stent placement in intervention room and operating room were compared.Results 82 patients were included in this study,including 39 in the intervention room and 43 in the operating room.Patients treated in the intervention room had lower Charlson comorbidity index(CCI)(P=0.018)and received less Y-shaped stents(P<0.001).Better clinical response(P=0.026),more stents placed(P<0.001)and longer length of stent(P<0.001)were observed in operating room,while there was no significantly statistical difference of stent-related complications and post-stent survival rate between the two groups.Extracorporeal membrane oxygenation(ECMO)supported airway stent placement procedures were performed in the operating room,which provided definitive safety support for high-risk intervention.Conclusion Patients with CAO could benefit from the operating room scenario,and airway stent placement in the operating room is more suitable for patients with higher CCI scores and receiving more complicated procedures.

Analysis of the Influence of Operating Room Nursing Care Management on the Incidence Rate of Nosocomial Infection in Orthopedic Surgery Patients

Objective:To analysis the influence of operating room nursing care management on the incidence rate of nosocomial infection in orthopedic surgery patients.Methodology:Fifty six orthopedic surgery patients who admitted into the hospital between January to December 2018 were enrolled into this study and randomly divided into two groups,which were the control group(under general management)and the observation group(under the operating room nursing care management).Further,the incidence rate of nosocomial infections,the incidence rate of irregular nursing care phenomena,the satisfaction score of nursing care management,and the quality of life score were observed and recorded.Result:The incidence rate of nosocomial infection,the incidence rate of irregular nursing care management,the satisfaction score of nursing care management,and the quality of life score of the observation group were compared to that of the control group,and the result showed P<0.05,indicates the statistical significance between the data indicators.Conclusion:The use of operating room nursing care management in patients with orthopedic surgery has shown a significant effect.

Operating room nurses’lived experiences of ethical codes:A phenomenological study in Iran

Objective:Operating room nurses,as essential members of health care teams,often face ethical challenges in the operating room.By using the ethical experiences of operating room nurses,a better understanding of ethics in the operating room can be achieved,which can lead to better nursing decisions in the face of these challenges.Therefore,this study was conducted to investigate operating room nurses’lived experiences of ethical codes.Methods:A hermeneutic phenomenological study was performed in Hamadan(Iran)from February 2019 to November 2020.Ten operating room nurses were selected as participants by purposive sampling.Data were collected through in-depth and semi-structured interviews.Data analysis was performed based on Van Manen methodology.Results:Data analysis revealed three main themes and 11 sub-themes representing the operating room nurses experience of the ethical code.The main themes were;adherence to professional commitments,preserving patient dignity,and respect to colleagues.Conclusion:The results underlined ethics and ethical values in the operating room.Due to the intense interactions between operating room nurses with the patient and surgical team,commitment to ethics by nurses can lead to improving quality of care and interactions among members of the surgical team.It is suggested that using these codes as a guideline and a framework could be developed to improve the ethical and professional performance of operating room nurses.

Intervention effect of encouraging mental and programmed nursing of patients in interventional operating room on their compliance and bad moods

BACKGROUND Patients’lack of correct understanding of cardiovascular disease and interventional therapy is often accompanied by varying degrees of fear,depression and anxiety.Negative emotion will affect the hemodynamic fluctuation of patients undergoing interventional surgery,which is not conducive to the smooth and safe operation of interventional surgery.Therefore,it is very important to implement effective nursing intervention in the operating room.AIM To explore the intervention effect of motivational psychological nursing combined with programmed nursing on compliance and bad mood of patients in interventional operating room.METHODS A total of 98 patients in the interventional operating room of our hospital from October 2019 to March 2021 were randomly divided into study group(n=49)and control group(n=49).The control group took routine nursing.However,the study group took motivational psychological nursing combined with procedural nursing on the basis of the control group.Statistics were made on rehabilitation compliance,Positive and Negative Affect Schedule of bad mood,Simplified Coping Styles Questionnaire score of coping style and satisfaction of intervention between the two groups before and after intervention.RESULTS The rehabilitation compliance of the study group(95.92%)was higher than that of the control group(81.63%)(P<0.05).After intervention,the scores of upset,fear,irritability,tension and fear in the study group were respectively,which were lower than those in the control group(P<0.05).After intervention,the score of positive coping in the study group was higher than that in the control group.However,the score of negative coping in the study group was lower than that in the control group(P<0.05).The intervention satisfaction of the study group(93.88%)was higher than that of the control group(79.59%)(P<0.05).CONCLUSION The intervention of motivational psychological nursing combined with procedural nursing can improve the rehabilitation compliance,and alleviate the bad mood.In addition,it can change their coping style to the disease,and the patients are more satisfied with the nursing work.

Potential effects of the nursing work environment on the work-family conflict in operating room nurses

BACKGROUND The nursing working environment is an important subsystem in the hospital environment.A good working environment could have a positive impact on nurses.However,the work-family conflict and unsatisfactory working environment could significantly reduce their working enthusiasm,efficacy as well as the overall quality of the nursing,increase their fatigue,and thereby compromise their career status.AIM To explore the possible status quo and to analyze the correlation between work environment perception and the work-family conflict among nurses in the operating room.METHODS A total of 312 operating room nurses from two first-class hospitals at Grade 2 and two first-class hospitals at Grade 3 in China from May to September 2017 were included in this research using the cluster sampling method.The data,including the general information questionnaire,the practice environment scale of the nursing work index(PES-NWI),and the work-family conflict scale,were systematically collected.Pearson correlation analysis was applied to analyze the correlation between the two scores,with influencing factors analyzed by hierarchical regression analysis.RESULTS A total of 312 questionnaires were issued,and the response rate and effective questionnaire rate were both 96.15%(300/312).The total scores of the PES-NWI scale and the work-family conflict scale were 3.07±0.43(vs maximum up to 4 points)and 52.32±8.79(vs maximum up to 90 points),respectively.The scores of the PES-NWI scale were negatively correlated with that of work-family conflict scale(all P<0.05).The perception of the nursing work environment and the number of night shifts per month were the major factors contributing to the workfamily conflict(all P<0.05).CONCLUSION The nursing work environment and the work-family conflict among nurses in the operating room were both found at a medium level with a negative correlation between the two.

Effect of Nursing Intervention in Operating Room for Patients with Gastric Cancer during Anesthesia Recovery Period

Objective: To analyze the effect of nursing intervention in operating room for gastric cancer patients in anesthesia recovery period. Methods: From June 2021 to December 2021, 78 patients who underwent gastric cancer surgery in our hospital were selected for research. Combined with the random number table method, they were divided into the control group (providing routine nursing care in operating room) and the observation group (providing nursing intervention in operating room) with 39 patients in each group respectively. The body temperature of the two groups during operation, during abdominal closure and after operation, the time of leaving anesthesia room, extubation, postoperative wakefulness and hospitalization, degree of satisfaction with nursing work was compared. Results: Compared with the control group, the body temperature in the observation group tended to be more normal during operation, during abdominal closure and after operation (P 0.05). The time of leaving anesthesia room, extubation, postoperative wakefulness and hospitalization in the observation group were shorter than those in the control group (P 0.05). The satisfaction degree of the observation group with nursing work was higher than that of the control group (P 0.05). Conclusion: Nursing intervention in operating room is effective for gastric cancer patients in anesthesia recovery period, which can maintain their perioperative temperature stability, promote their postoperative recovery and enhance their satisfaction with nursing work. It is worth adopting.

格鲁吉亚ROOMS酒店

Rooms旅馆位于神奇的高加索山脉，前身为苏联时期的旅游中心．多山的地貌环境和遗留的现存结构．都被设计师考虑进旅馆的内外部设计之中。因此，从外部一定距离和角度观察建筑物时．可以发现屋顶的设计是与“山顶”相呼应的。外立面以木制和金属两种不同材料对房间和阳台做了垂直和水平的划分，赋予整个建筑一种简单几何学的美感。此建筑物在有机地配合户外自然环境的同时．又为景观增添了一道新的风景线。

领悟社会支持对突发公共卫生事件中一线人员正念干预效用中的中介效应

目的研究正念干预在突发公共卫生事件中一线人员中的效果,并考察领悟社会支持在正念干预效用中的中介效应。方法选择2021年3月至2022年4月在医院一线工作的200名医务人员为研究对象,按照随机数字表法分为对照组和观察组,每组100名。对照组给予常规心理干预,观察组给予正念干预。干预后比较两组医护人员的正念水平、领悟社会支持能力、睡眠质量和心理情况。分析以上四者之间的相关性,采用中介效应模型分析领悟社会支持在正念干预效用中的中介效应。结果干预后,观察组医护人员的正念水平和领悟社会支持量表评分明显高于对照组(P<0.05),观察组分别为(89.59±8.45)分和(88.48±8.53)分,对照组分别为(71.35±7.47)分和(76.34±7.58)分。观察组医护人员的睡眠质量和焦虑-抑郁-压力量表评分明显低于对照组(P<0.05),分别为(7.35±1.24)分和(16.46±2.29)分,对照组分别为(13.56±2.31)分和(29.48±3.05)分。医护人员的正念水平与领悟社会能力呈正相关,两者分别与焦虑-抑郁-压力和睡眠质量呈负相关。领悟社会支持在正念水平和正念干预效果中发挥中介效应,正念与睡眠质量的总效应值为-0.347,与焦虑之间为-0.439,与抑郁之间为-0.508,与压力之间为-0.395。结论正念干预能可直接或通过领悟社会支持能力间接作用,显著提高突发公共卫生事件中一线人员改善其睡眠质量及负面情绪,具有重要临床应用价值。

人性化管理对新入职护理人员职业适应能力及职业压力的影响

目的探讨人性化管理对新入职护理人员职业适应能力及职业压力的影响。方法将2019年7月—2022年7月的80名新入职护理人员根据随机数字表法分为对照组和观察组。对照组40名护理人员进行常规管理干预,观察组40名护理人员则进行人性化管理干预。比较2组新入职护理人员管理干预前后的职业适应能力(职业适应能力量表)及职业压力状态(护士工作压力源量表)、对管理模式的满意度。结果管理干预前,2组职业适应能力量表及护士工作压力源量表评分比较,差异无统计学意义(P>0.05);管理干预后,2组新入职护理人员的职业适应能力量表评分高于管理干预前,护士工作压力源量表评分低于管理干预前;且管理干预后,观察组的职业适应能力量表评分高于对照组,护士工作压力源量表评分低于对照组,观察组对管理模式的总满意度为100%,高于对照组的82.50%,差异有统计学意义(P<0.05)。结论人性化管理可显著改善新入职护理人员的职业适应能力及职业压力状态,在新入职护理人员中的应用价值相对更高。

半结构访谈联合德尔菲法用于急诊护生的护理迷你临床演练评估量表的构建

目的利用半结构访谈联合德尔菲法构建符合急诊护理的迷你临床演练评估量表(Mini⁃CEX)指标,为评估急诊护生临床护理能力提供有效工具。方法查阅国内外急诊护理相关文献,对符合纳入标准的文献进行归纳整理后,筛选出用于急诊临床护理能力的评价指标,对江苏省苏北人民医院急诊科的16名医生和护士长进行半结构访谈,将半结构访谈内容作为Mini⁃CEX量表的初步量表;然后利用德尔菲法对初步量表的各个指标条目进行专家咨询,形成最终的Mini⁃CEX量表。结果经2轮函询后形成4个一级指标(人文关怀、护理问诊、实践能力、整体表现)、10个二级指标(正确且合理称呼患者,注重患者隐私保护,能够建立良好的护患关系,有效引导和利用问题询问,采集病史完整,准确掌握护理措施流程与使用技巧,准确掌握各种急救药物位置与用法,准确掌握急救相关仪器的使用方法与注意事项,准确评估患者病情、护理指征及评估时间合理、整体效率高,护理过程简洁、流畅及护理措施实施顺序准确),共10个条目的急诊护理Mini⁃CEX量表评分项目指标体系。结论采取半结构访谈法联合德尔菲法所构建的急诊护理Mini⁃CEX量表评价指标对急诊护理带教具有良好的指导作用,能够作为急诊护生临床护理技能的有效评估工具。

CT灌注成像参数对急性脑梗死侧支循环的评估价值及与术后近期预后的相关性

目的探讨CT灌注成像(CTPI)参数对急性脑梗死(ACI)侧支循环的评估价值及与术后近期预后的相关性。方法选取我院2022年1月-2023年2月收治的106例ACI患者,以数字血管造影(DSA)作为诊断“金标准”,将其分有侧支循环组(46例)与无侧支循环组(60例)。两组患者均进行CTPI检查,对比两组受试者CTPI参数[脑血容量(CBV)、脑血流量(CBF)、平均通过时间(MTT)及达峰时间(TTP)],采用受试者工作特征(ROC)曲线分析CTPI参数对ACI侧支循环的预测价值;比较CTPI参数评估急性缺血性脑梗死侧支循环与DSA检查的一致性;采用Pearson相关性分析ACI患者的CTPI参数与美国国立卫生研究院卒中量表(NIHSS)、改良Ranking量表(mRS)评分的相关性。结果有侧支循环组CBV、CBF均高于无侧支循环组(P<0.05),MTT、TTP均低于无侧支循环组(P<0.05)。ROC曲线分析显示,CBV、CBF、MTT、TTP及联合检测对ACI侧支循环均有预测效能(P<0.05),其AUC分别为0.793、0.705、0.841、0.669、0.879,单独检测中MTT效能最高,但仍低于联合检测效能。CTPI参数联合检查对ACI侧支循环的诊断灵敏性为84.78%、特异性为90.00%、准确率为87.74%、阳性预测值为86.67%、阴性预测值为88.52%、Kappa值为0.750。有侧支循环组NIHSS、mRS评分均低于无侧支循环组(P<0.05);Pearson相关分析发现,CBV、CBF与NIHSS、mRS评分呈负相关(P<0.05),MTT、TTP与NIHSS、mRS评分呈正相关(P<0.05)。结论ACI有侧支循环患者的CBV、CBF均较无侧支循环患者高,MTT、TTP均较无侧支循环患者低,CTPI参数用于评估ACI侧支循环具有较高的诊断效能,且有侧支循环患者近期预后较好,同时CBV、CBF、MTT、TTP与ACI患者近期预后均存在相关性,可通过检测CBV、CBF、MTT、TTP预测患者近期预后。

动态增强MRI定量参数及肿瘤标记物对乳腺癌新辅助化疗疗效的评估价值分析

目的:探索动态增强磁共振成像(DCE-MRI)定量参数及肿瘤标记物对乳腺癌新辅助化疗疗效的评估价值。方法:选取2019年5月至2022年5月在济宁市第一人民医院接受新辅助化疗联合手术干预的75例乳腺癌患者,根据实体瘤疗效评价标准(RECIST)将其分为有效组(54例)和无效组(21例),比较化疗前和化疗后两组患者DCE-MRI定量参数血管外细胞外间隙容积比(V_(e))、速率常数(K_(ep))及容积转换常数(K^(trans))指标与肿瘤标志物癌胚抗原(CEA)、糖类抗原(CA125)及糖类抗原15-3(CA15-3)水平,采用受试者工作特征(ROC)曲线分析各项诊断方式预测效能。结果:化疗后,有效组患者DCEMRI定量参数Ve、K_(ep)及K^(trans)与无效组比较,差异有统计学意义(t=7.237、51.695、16.879,P<0.05)。有效组患者肿瘤标志物CEA、CA125及CA15-3与无效组比较,差异有统计学意义(t=44.201、6.736、6.885,P<0.05)。V_(e)、K_(ep)、K^(trans)、CEA、CA125及CA15-3的6项指标联合预测乳腺癌新辅助化疗疗效ROC曲线下面积(AUC)值为0.979,显著高于各项指标单独检测的AUC值,差异有统计学意义(Z=2.993、2.679、2.510、2.731、3.215、3.071,P<0.05)。结论:肿瘤标记物联合DCE-MRI定量参数可更好预测乳腺癌新辅助化疗疗效情况,间接评估预后。

急诊科护士突发公共卫生事件心理弹性培训方案的构建与初步应用研究

目的构建基于Kumpfer心理弹性框架理论与国际心理弹性研究计划项目组(the International Resilience Research Project,IRRP)心理弹性训练策略的心理弹性培训方案,探讨其在急诊科护士突发公共卫生事件下的应用效果。方法2022年1-6月,采用简单随机抽样法选择上海市某三级医院的急诊科护士为研究对象,按随机数字表分为对照组和观察组各30例,对照组采用常规培训和管理方法,观察组在对照组的基础上实施心理弹性培训方案。评价并比较两组护士干预前后心理弹性及应急能力的变化。结果干预后,观察组护士的心理弹性、应急能力得分均高于对照组(均P<0.05)。结论心理弹性培训方案在突发公共卫生事件下能有效提升急诊科护士的心理弹性水平,保障突发公共卫生事件应急处置工作有序开展。

基于磁共振多模态成像定量参数鉴别诊断乳腺良恶性病变及与临床病理特征的关系探究

目的 分析磁共振多模态成像定量参数鉴别诊断乳腺良恶性病变的价值,并探究乳腺病变性质与临床病理特征的关系。方法 纳入2015年1月-2022年12月医院120例乳腺占位性病变患者,所有患者入院时均接受磁共振多模态成像检查,包括弥散加权(DWI)、磁共振波谱成像(MRS)与磁共振动态增强(DCE-MRI),以病理检查结果为“金标准”,分析该检查方式鉴别诊断乳腺良恶性病变的价值。依据乳腺占位性病变性质将患者分为恶性组与良性组,对比两组临床病理特征,分析乳腺病变性质与临床病理特征的关系。结果 120例乳腺占位性病变患者经病理检查结果显示,乳腺癌98例(81.67%),乳腺良性病变22例(18.33%);以病理检查结果为“金标准”,DCE-MRI及联合诊断乳腺病变性质的灵敏度、准确度高于DWI(P<0.05);乳腺癌组表观扩散系数(ADC)、rADC值低于乳腺良性病变组,Ⅰ型TIC曲线占比低于乳腺良性病变组,Ⅲ型TIC曲线占比高于乳腺良性病变组(P<0.05);绘制ROC曲线,结果显示,ADC、rADC及TIC曲线类型诊断乳腺病变性质具有一定价值(AUC=0.815、0.850、0.911);乳腺癌组肿瘤形态不规则、边缘毛刺/不规则、强化不均匀占比高于乳腺良性病变组(P<0.05);经Logistic回归分析,结果显示,肿瘤临床病理特征与乳腺占位性病变密切相关,形态不规则、边缘毛刺/不规则、强化不均匀是乳腺癌的危险因素(OR>1,P<0.05)。结论磁共振多模态成像定量参数对乳腺良恶性病变具有一定鉴别诊断价值,乳腺癌的发生与肿瘤形态不规则、边缘毛刺/不规则、强化不均匀等临床病理特征密切相关。