肿瘤化疗患者PICC置管后常见并发症的原因分析及护理对策

目的探讨肿瘤化疗患者PICC置管后常见并发症的原因及护理对策。方法对2010年6月～2011年6月我科129例肿瘤化疗患者进行PICC置管,观察和记录各种并发症的发生,并分析其原因以及护理干预措施。结果本组发生穿刺点渗血7例,穿刺点感染3例,静脉炎3例,导管堵塞2例,导管脱出2例,血栓形成1例。结论肿瘤化疗患者PICC置管期间有一定并发症,采取适当的预防措施,其发生率可以明显降低。

胸腔置管引流恶性胸水及腔内化疗16例患者的护理

目的:探讨胸腔穿刺置入中心静脉导管引流恶性胸腔积液及腔内灌注化疗的护理。方法:对16例恶性胸水的患者在B超定位下进行胸腔内留置中心静脉导管,间断引流胸腔积液及腔内灌注化疗药物,做好心理护理,严密观察病情变化,协助患者变换体位,严格无菌操作,保持导管固定通畅,并给予相应的护理措施预防化疗毒副反应。结果:15例顺利完成治疗,无严重并发症,1例死亡。结论:熟练掌握护理要点,及时防治并发症是治疗成功的关键。

Effects of mindfulness-based psychological care on mood and sleep of leukemia patients in chemotherapy

Purpose:The aim of this research was to explore the benefits of mindfulness-based psychological care(MBPC)and assess whether the intervention would be beneficial in reducing insomnia and emotional symptoms of leukemia patients receiving chemotherapy.Methods:A randomized control design study was applied in two hematology departments in a hospital in Zhengzhou.Patients in the experimental group received mindfulness-based psychological care(MBPC),and those in the control group received conventional care.Anxiety,depression,and sleeping problems were measured using the Self-Rating Anxiety Scale,Self-Rating Depression Scale,and the Pittsburgh Sleep Quality Index.Results:Statistically significant differences were observed among anxiety,depression,and sleeping problems between the two groups in the post-test(P<0.05).A significant decrease in anxiety and depression and an improvement in sleep were observed between pre-and post-interventions(P<0.05)in the experimental group.Conclusions:MBPC significantly improved sleep quality and mood of the experimental group.It is an effective complementary therapy for leukemia treatment that is inexpensive,noninvasive,and associated with relaxation and pain reduction.

The study of the situation of critical thinking emotional tendency of nursing teachers

Critical thinking （CT） is an important content of nursing education. It is also the important symbol of the improvementof overall quality of nursing teachers. In recent years, educational circles pay more and more attention to the cultivationof students’ CT ability, take CT and solve the problem as two basic skills of thinking. In the early 1980s, critical societytheory was led into the nursing field. After years of development, CT has become one of research hotspots in today’sinternational nursing. Numerous studies had confirmed that the CT played a significant role in nursing education, clinicalpractice and nursing scientific research. The paper studied the whole status and characteristics of CT emotional tendencyof college nursing teachers, and analyzed potential cause and discussed deeply on the corresponding factors of how toimprove college nursing teachers’ teaching ability and scientific ability. This research adopted random sampling method,in which questionnaires were distributed among some nursing teachers in six universities and 97 nursing teachers. Thestatistical results indicated that nursing teachers had a positive performance towards CT emotional tendency, but notstrong positive, and there were statistical significance among nursing teachers with different age, different length ofservice and reading habit （all P〈0.05）. In a conclusion, the managers of universities should lay stress on the importanceof critical thinking, and provide the development space to enhance the nursing teachers’ CT ability and offer betterservices for nursing student.

Opportunities and challenges for the development of traditional Chinese medicinenursing under the new healthcare reform

Based on the “Opinions on Deepening the Reform of Medicine and Health”, “Strategic planning outline of thedevelopment of Traditional Chinese Medicine （2016-2030）” and the other relevant polices announced by StateAdministration of Traditional Chinese Medicine of the People’s Republic of China, this paper analyzes and summarizesthe opportunities and challenges for the development of Traditional Chinese Medicine nursing （TCM nursing） under thenew healthcare reform, in order to provide reference and thinking for the professional development of TCM nursing.

多西他赛联合吡柔比星治疗乳腺癌的护理研究

全世界每年新增约130万乳腺癌患者,乳腺癌造成的死亡人数每年超过40万人,而且在女性常见恶性肿瘤中乳腺癌发病率已升至榜首,对女性生命健康及生活质量造成严重威胁。随着医学技术的发展,对乳腺癌临床治疗的研究不断深入,根据不同的病情一般有放射疗法、全身性化疗和外科手术切除等治疗方法。根据临床统计化学药物治疗能有效改善乳腺癌患者的生存周期和生活质量,是有效的乳腺癌综合治疗方案。

半枝莲颗粒联合氟尿嘧啶治疗肝癌患者的临床护理

目的探讨半枝莲颗粒联合氟尿嘧啶治疗肝癌的患者的临床护理效果。方法对2016年1~6月本院收治的56例原发性肝癌患者采用半枝莲颗粒联合氟尿嘧啶进行治疗,将其临床护理工作随机分为常规护理组和优化护理组,常规护理组在护理上按照内科常规的护理措施进行护理,优化护理组在常规护理基础上进行优化,比较2组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)评分。结果常规护理组患者的焦虑自评量表(SAS)和抑郁自评量表(SDS)评分均高于优化护理组。结论优化护理能显著降低患者的焦虑和抑郁,可供临床护理工作参考。