护患沟通能力及其影响因素的探讨

目的:了解护患沟通能力及其影响因素,为有效促进临床护患沟通提供参考。方法:采用中文版杰弗逊共情量表,随机抽取180名护士进行问卷调查。结果:护患沟通能力评分为(112.64±12.34)分,不同学历、职称护士的沟通能力评分比较,差异有统计学意义(均P<0.01);工作压力、职业态度、职称、学历是护患沟通能力的主要影响因素。结论:护患沟通能力受多种因素的影响,在护理工作者的在职教育中,应强化人文社会科学知识的学习,着力于提高沟通能力的培养。     

护士自我效能感与护患沟通能力的相关性研究

目的：本研究旨在探索护士自我效能感与护患沟通能力的相关性。方法：采用问卷调查法,对110名护士,20名护士长及420名住院病人进行调查。结果：临床护士的自我效能感与护患沟通能力呈正相关（P〈0.05）。结论：高自我效能感的护士护患沟通能力强。     

人际交往效能感与低年资护士群体护患沟通能力的关联性分析

目的:对低年资护士群体人际交往效能感水平与其护患沟通能力的相关性进行研究,为提高医疗服务质量提供依据。方法:按方便抽样法选取120名低年资护士(护龄<3年)纳入调查,调查工具采用国内通用的人际交往效能感量表及护患沟通能力评价量表。结果:本组低年资护士人际交往效能感平均得分为(137.27±15.64)分,护患沟通能力平均得分为(151.72±14.02)分,以上两项整体水平均显示中等偏低;多元线性回归分析显示,低年资护士护患沟通能力与人际交往效能感之间存在显著正相关(P<0.01或0.05)。结论:人际交往自我效能感是临床行为中护患沟通能力的良好预测项,护理管理者应注重培养低年资护士群体人际交往效能感水平,以达到促进该群体护患沟通能力的提高。     

神经外科护患沟通中老护士具备的素质优势

目的阐述神经外科老护士在护患沟通中的优势。方法老护士和新护士分2组在临床进行护患沟通试验。结果老护士组无1例发生护患矛盾和纠纷,患者满意度为99%;新护士组有6例投诉护士态度差,责任心不强,2名护士遭受患者家属打骂,患者满意度为86%.结论充分发挥老护士在神经外科护患沟通中的优势和作用,可带动年轻护士不断加强自身修养,提高专业技术水平,促进护患沟通,减少护患纠纷,提高患者对护士的满意度,更好地落实优质护理模式。     

太原市三级甲等医院护士心理资本的现状调查

目的:调查太原市三级甲等医院护士心理资本现状.方法:采用一般资料调查表、心理资本问卷中文修订版对太原市五所三级甲等医院的645名护士进行问卷调查.结果:心理资本各条目均分(4.11±0.75)分;四个维度得分由高到低依次为自我效能(4.43±0.82)分,韧性(4.10±0.92)分,乐观(4.05±1.10)分,希望(3.83±0.92)分.不同年龄、婚姻状况、护龄、职务、职称、用工形式及学历的护士在心理资本的得分上差异有统计学意义(P<0.05).30~39岁,护龄在6~14年的护士,以及聘用护士的心理水平较低.结论:护士心理资本水平处于中等偏上水平,建议医院管理者重视护士心理资本的管理与开发.     

急诊护士沟通能力的现状调查及培训效果评价

目的 探讨急诊科护士的沟通能力现状并评价沟通能力培训的效果.方法 应用医患沟通能力评价量表(SEGUE)对海南省人民医院急诊科7个急救单元的139名护士进行沟通能力的现状调查,对所有护士进行系统地沟通能力培训,培训结束后再次进行沟通能力调查.比较培训前后护士的沟通能力,并分析培训前后不同的社会人口学资料护士沟通能力的差异.结果 培训前护士总体沟通能力得分为(14.54±2.71)分,经过培训后其得分为(18.56±3.51)分,两者比较差异有统计学意义(P<0.05);培训前后,年龄越大、工作年限越长、职称职务越高,沟通能力越强,差异有统计学意义(P<0.05).结论 急诊科护士的沟通能力亟待加强,应加强低年资护士的培训,增加人文教育的培训内容,提升急诊科护士的沟通能力.     

护患沟通能力及其影响因素的分析

目的分析护患沟通能力及其影响因素,指导临床护患沟通。方法以杰弗逊共情量表(注:中文版)为工具,通过随机抽查的方式调查本院护士100名。结果护患沟通能力评分为(112.64±12.34)分,比较各学历、职称护士的沟通能力评分,差异有统计学意义(P0.05);影响护患沟通能力主要是职业态度、工作压力、学历、职称。结论影响护患沟通能力有多方因素,在职工作中,护理工作者应多学习人文社会科学知识,培养良好的沟通能力。     

基层医院护患矛盾的调查研究

目的了解护患纠纷事件中护士心理健康状况与其防范措施。方法采用症状自评量表（SCL－90）、简易应对方式量表（SCSQ）和社会支持量表（SSRS）,对2所医院62名护士在发生纠纷1周内进行调查。结果护患纠纷事件中护士SCL-90各因子分及总均分显著高于中国常模（P〈0．01）;护患纠纷事件中护士的心理健康状况与其应对方式、社会支持显著相关。结论护患纠纷应当加强护理人员服务意识,重视人文关怀,加强质量监督,加强沟通,强化法律意识。     

微笑服务与有效沟通情景模拟对提高护理满意度的效果

目的将护士微笑服务与有效沟通情景模拟进行定期的学习和演示,提高护士责任心,提高护理服务满意度。方法从2018年下半年和2017下半年的全科室N2级护士中,分别随机抽取10名护士作为观察组和对照组。对照组实施常规护理工作,每个月测评患者对N2级护士满意度;观察组在常规临床护理工作基础上,实施有效的护患沟通情景模拟学习,每个月测评患者对N2级护士护理满意度。结果观察组的满意度平均97.7%,对照组满意度平均94.1%,观察组护理满意度明显优于对照组(P0.01)。结论护患沟通情景模拟学习可促进护患沟通,改善护患关系,提高护理满意度,保障各项医疗及护理工作更加顺利的开展。     

浅谈护士心理健康辅导中心理疏导的应用效果

目的分析和探讨护士心理健康辅导中心理疏导的应用效果。方法用"随机分组法",将50名护士平均分成两组,分别为对照组和观察组,每组25名护士,对照组护士采用常规管理,观察组护士在对照组的基础上,采用心理辅导,4个月的干预之后,观察两组护士的心理健康水平和工作满意度。结果对照组护士的症状自评量表总分为(147.79±22.18)分,明显高于观察组护士的(117.14±15.67)分,差异具有统计学意义(P0.05);观察组护士的工作满意度总分为(98.14±1.26)分,明显高于对照组患者的(83.75±2.11)分,差异具有统计学意义(P0.05)。结论心理疏导在护士的心理健康辅导当中起到非常重要的作用,能够有效提高护士的心理健康水平,从而提高护士的工作满意度。     

Value of D-Dimers in patients with acute aortic dissection

Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P ＜ 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (＞0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P ＜0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P ＜ 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.     

Research of combined liver-kidney transplantation model in rats

Objective： To set up a simple and reliable rat model of combined liver-kidney transplantation. Methods： SD rats served as both donors and recipients. 4℃ sodium lactate Ringer＇s was infused from portal veins to donated livers,and from abdominal aorta to donated kidneys, respectively. Anastomosis of the portal vein and the inferior vena cava （IVC） inferior to the right kidney between the graft and the recipient was performed by a double cuff method, then the superior hepatic vena cava with suture. A patch of donated renal artery was anastomosed to the recipient abdominal aorta. The urethra and bile duct were reconstructed with a simple inside bracket. Results： Among 65 cases of combined liver-kidney transplantation, the success rate in the late 40 cases was 77.5%. The function of the grafted liver and kidney remained normal. Conclusion： This rat model of combined liver-kidney transplantation can be established in common laboratory conditions with high success rate and meet the needs of renal transplantation experiment.     

BLOOD PRESSURE CHANGE WITH AGE IN SALT-SENSITIVE TEENAGERS

Objective To observe blood pressure change with age in salt-sensitive teenagers whose salt sensitivity were determined by repeated testing.Methods Salt sensitivity was determined through intravenous infusion of normal saline combined with volume-depletion by oral diuretic furosemide in 55 teenagers. After five years, salt sensitivity was re-examined and subject blood pressure was followed up. Blood pressure changes in salt-sensitive teenagers were compared to that of non-salt sensitive teenagers over five years.Results After 5 years, the repetition rate of salt sensitivity determined by intravenous saline loading is 92.7%. In teenagers with salt sensitivity on the baseline, both the systolic blood pressure increments and increment rates were much higher than non-salt sensitive teenagers (12.7±12.1 mmHg vs. 2.8±5.2 mmHg, P＜ 0.01; 12.2%± 12.0% vs. 2.5% ±4.4%, P＜ 0.001,respectively). There was a similar trend for diastolic blood pressure (8.4 ± 6.4 mmHg vs. 3.7 ± 6.4 mmHg, P = 0.052; 13.2% ±10.6 % vs. 6.8%± 10.1%, P = 0.053, respectively).Conclusions Salt sensitivity determined by intravenous saline loading showed good reproducibility. Blood pressure increments with age were much higher in salt-sensitive teenagers than non-salt sensitive teenagers, especially in terms of systolic blood pressure.     

Development on Adjustable Calibration Marker for Shock Wave Focus

Shock wave lithotripsy （SWL） is a treatment of choice for upper urinary stones. However, this procedure is inappropriate for obese patients because the focus is often unable to reach the target owing to the limited focal distance in shock wave source. Although treating such patients in a blast path may increase the application length of shock wave source, it＇s difficult to find this path on the lithotripter monitor. For this reason, we invented an adjustable calibration marker in order to set an effective focus in the shock wave hath.     

Study on the TCM Pathogenesis of Angiopathic Complications of Type II Diabetes

Excess production of reactive oxygen species(ROS)of mitochondrion mediated by hyperglycemia is the common pathogenesis of angiopathic complications of diabetes.TCM holds that the damp from the dysfunction of spleen.kidney and liver is the causative factor of complications of diabetes.This is similar to the mechanism of Ros resulting in angiopathic complications of diabetes.When the angiopathic complications of type II diabetes mellitus(T2DM)are difierentiated as caused by turbid damp in TCM can be explained as ROS.Since the obstruction of pathogenic damp in channels and collaterals is said to be the main pathogenesis,the treating principle should be dissolving the damp to remove the obstruction.     

Leptin, Ghrelin and TNF-α before and after Hypo-caloric Traditional Chinese Diet and Auricular Acupuncture

INTRODUCTION Obesity is a complex emergent problem, which can be possibly solved not only by the diet but also by the life style and promotion of a constant physical exercise. 1, 2 No doubt careful attentions must be given to the nutritional condition of obese people, the dietary habits, the somatic build (i.e. distribution of fat mass) and the organic functions linked to formation of the fat mass. All the parameters should be constantly monitored before, during and after a diet treatment. 3, 4, 5     

Relationship between Dysglycemia and Carotid Atherosclerosis in Tibetan Population

People with dysglycemia are at high risk for atherosclerotic diseases. This study aims at investigating the atherosclerotic vascular damage in dysglycemia and its metabolic origin in Tibetan population.     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

安心颗粒对急诊经皮冠状动脉介入术后生活质量影响的研究

目的：评价使用安心颗粒对急诊经皮冠状动脉介入术（PPCI）术后生活质量的影响.方法：将160例接受PPCI的急性ST段抬高型心肌梗死患者随机分为安心颗粒组（术前顿服安心颗粒8.8g,术后安心颗粒4.4 g/次,每日2次）和对照组（仅接受基础药物治疗）.所有患者均服用阿司匹林、氯吡格雷和阿托伐他汀.分别在入院时、出院前1d、出院后180 d时,应用心肌梗死多维度量表（MIDAS）、中文版SF-36评价量表对患者生活质量评分.并观察术后30 d以内的出血并发症、血小板减少症发生情况.结果：入院时和出院前1d,两组患者的心肌梗死MIDAS、SF-36量表评分比较无差异（P＞0.05）;出院后180 d时,与对照组比较,安心颗粒组MIDAS、SF-36评分明显减低（P＜0.05）;组内与入院时比较,两组出院前1d、出院后180 d时,MIDAS、SF-36评分均降低（P＜0.05）.两组患者在随访期间均无大量出血、少量出血、重度和极重度血小板减少症发生,安心颗粒组有4例、对照组有7例发生不明显出血（P＞0.05）.两组发生轻度血小板减少症的患者数比较无差异（P＞0.05）.结论：PPCI使用安心颗粒,能改善急性ST段抬高型心肌梗死患者的生活质量,且不增加出血风险.     

CLINICAL SIGNIFICANCE OF SERUM CYTOKINES IL-1β,sIL-2R,IL-6,TNF-α,AND IFN-v IN ACUTE CORONARY SYNDROME

Objectives To explore serum cytokines levels (including IL-1 β, sIL-2R, IL-6, TNF-α, and IFN-v) and their significance in patients with acute coronary syndrome (ACS) and the subsequent follow-ups, with attempt to estimate the role of various serum inflammatory markers in the diagnosis and assessment of ACS.Methods The study population include 40 patients with acute myocardial infarction (AMI), 40 patients with unstable angina pectoris (UAP), and 40 controls. Among the 80 patients, 60 patients attended a follow up 4 months later. Serum inflammatory markers including IL-1 β, sIL-2R, IL-6, TNF-α, and IFN-v were measured by enzyme linked immunosorbent assay.Results Serum IL- 1 β, sIL-2R, IL-6, TNF-α were significantly higher in AMI group or UAP group compared to the control group and became significantly lower 4 months later in the follow-up patients. Serum levels of IFN-v shows no significant difference between AMI group or UAP group and controls, also showing no significant change when measured in follow up patients. There was no correlation between serum creatine kinase-MB isoenzyme levels and serum inflammatory markers either in UAP or AMI group. Furthermore, when divided into two subgroups using Wagner's QRS scoring system in the AMI group, there is no difference of each serum inflammatory marker between ≤ 6 scores group and ＞ 6 scores group.Conclusion Serum levels of certain inflammatory markers may have some diagnostic value for ACS, and can be a useful marker reflecting disease stability.