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        west china medical publishers
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        find Author "李俊英" 19 results
        • 特發性震顫的磁共振功能成像進展

          特發性震顫(essential tremor,ET)是臨床最為常見的神經系統疾病之一,以姿勢性或動作性震顫為主要臨床表現。磁共振功能成像(functional magnetic resonance imaging,fMRI)是 20 世紀 90 年代以來在傳統的 MRI 技術的基礎上迅速發展起來的一種新的成像技術。該文就 fMRI 在 ET 中的應用原理、病理生理機制、鑒別診斷以及發展前景等方面進行了綜述。

          Release date:2017-05-18 01:09 Export PDF Favorites Scan
        • 腫瘤患者心理痛苦評估與治療研究進展

          【摘要】 隨著醫學模式從傳統的醫學模式向生物-心理-社會醫學模式轉變,心理因素越來越受到醫學界的重視,雖然腫瘤患者的心理痛苦問題普遍存在,但在臨床工作中卻常常被忽視。因此,需要選擇合適的篩查工具對腫瘤患者的心理痛苦進行評估,并根據評估結果結合相應的臨床表現實施恰當的心理干預和(或)心理治療,以降低腫瘤患者的心理痛苦水平,提高其生存質量。

          Release date:2016-09-08 09:26 Export PDF Favorites Scan
        • Research progress of blood nutrition and immune indicators in lung cancer prognosis

          Lung cancer ranks among the most prevalent and lethal malignancies globally. Its prognostic outcomes are not only contingent upon tumor characteristics and therapeutic interventions but also intricately linked to the nutritional and immune profiles of patients. This article conducts a thorough review of both domestic and international research, providing a comprehensive synthesis of the prognostic value of widely investigated nutritional and immune indicators in the context of lung cancer. The primary objective is to identify optimal prognostic markers in clinical practice, offering guidance for precise post-treatment assessment and early intervention for lung cancer patients.

          Release date:2024-02-29 12:02 Export PDF Favorites Scan
        • 實施優質護理服務對預防腫瘤患者跌倒的影響

          目的 探討實施優質護理服務對預防腫瘤患者跌倒的影響。 方法 選擇2009年3月-2011年3月的住院腫瘤患者7 479例,回顧性分析實施優質護理服務前后患者跌倒的發生情況。 結果 2009年3月-2010年2月實施優質護理服務前,收治患者3 611例,意外跌倒8例(發生率2.22‰);2010年3月-2011年3月實施優質護理服務后,收治患者3 868例,意外跌倒2例(發生率0.52‰),實施前后跌倒相比具有統計學意義(P<0.005)。 結論 開展優質護理服務,護士工作主動性增強,床邊護理時間增加,健康教育效果顯著,安全管理預防措施到位,減少了腫瘤患者意外跌倒事件的發生,提高了護理質量和患者滿意度。

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        • Effect of Balint groups on promoting mental health in oncology nurses

          Objective To discuss the effect of Balint groups on promoting mental health of oncology nurses through developing Balint group activities. Methods From December 2015 to December 2016, a series of Balint group activities were carried out among 63 oncology nurses in West China Hospital of Sichuan University. Huaxi Emotion Index was used to investigate the psychological status in the nurses before and after the activities of Balint groups, and then the data was analyzed statistically. Result Except the scores of nurses aged over 41 and nurses above the primary and secondary level (P>0.05), all other scores had significant differences (P<0.05). Conclusions Balint group activities can significantly relieve oncology nurses’ negative emotions such as anxiety, tension and depression, alleviate body discomfort symptoms and improve interpersonal relationships. Huaxi Emotion Index is easy to understand, which helps rapid clinical assessment and nurses’ psychological problems screening. It is suitable for popularization and application clinically.

          Release date:2017-05-18 01:09 Export PDF Favorites Scan
        • 患者安全評價體系在醫院護理管理中的應用及研究進展

          在醫院的護理管理工作中,患者的生命安全是醫護人員長期面臨的一個問題。在搜集不良護理事件信息的基礎上,制定出一套科學、合理的患者安全評價體系,有助于減少護理差錯的發生,有效保障患者的醫療安全,同時還能為醫院的護理規劃、護理決策提供一定的信息支持,為改善患者安全保障體系提供有效的管理工具。該文主要針對患者安全評價體系在國內及國外醫院護理管理中的應用進展進行了簡要綜述,以期為提高國內醫院護理管理水平提供參考。

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        • Investigation on Knowledge of Peripheral Inserted Central Venous Catheter in Oncology Medical Staff Members of Class-Ⅲ Hospitals in Chengdu City

          目的 了解成都市腫瘤科醫護人員經外周靜脈留置中心靜脈導管術(PICC)認知現狀,為今后開展PICC相關知識培訓提供科學依據。 方法 2009年12月-2010年1月采用自行設計的問卷對成都市5家三甲醫院的腫瘤科醫護人員309名(醫生134名,護士175名)進行PICC認知態度現狀調查。 結果 成都市三甲醫院腫瘤科醫護人員PICC認知呈中等偏低的水平,護士PICC知識的掌握高于醫生(P<0.05),護士PICC態度得分優于醫生(P<0.05)。94.84%的醫護人員知道PICC技術;只有8.38%的腫瘤科醫護人員接受過PICC專業培訓。不同文化程度、年齡、工齡、職業與PICC認知之間的差異存在統計學意義(P<0.05)。 結論 三甲醫院腫瘤科醫護人員對PICC技術有一定的了解,但總體認知仍有待提高,需加強PICC相關知識培訓,進一步提高醫護人員PICC認知水平,以利于腫瘤專科開展PICC技術,促進腫瘤護理的專業化發展。

          Release date:2016-09-08 09:13 Export PDF Favorites Scan
        • Comparison between One-off Anesthesia Paracentesis Kit and Ordinary Peritoneal Paracentesis Kit Used in Intra-peritoneal Chemotherapy

          【摘要】 目的 探討一次性麻醉穿刺包與普通腹腔穿刺包在腹腔化療中應用效果。 方法 將2008年6月-2009年4月住院的胃癌和卵巢癌行腹腔化療的患者53例,隨機分為兩組。實驗組29例,用一次性麻醉穿刺包行腹腔穿刺化療;對照組24例,用普通腹腔穿刺包行腹腔穿刺化療;比較兩組患者應用不同穿刺包行腹腔穿刺化療的并發癥比較。 結果 實驗組并發癥發生率明顯低于對照組(Plt;0.05)。 結論 一次性麻醉穿刺包應用于腹腔化療中操作簡便、創傷小、并發癥少,患者樂于接受等優點,值得在臨床上推廣使用。【Abstract】 Objective To explore the effects of one-off anesthesia paracentesis kit and ordinary peritoneal paracentesis kit in intraperitoneal chemotherapy. Methods A total of 53 patients with gastric cancer or ovarian cancer from June 2008 to April 2009 were randomly divided into two groups: 29 patients in trial group underwent intra-peritoneal chemotherapy with one-off anesthesia paracentesis kit, and 24 patients in the control group underwent intra-peritoneal chemotherapy with ordinary peritoneal paracentesis kit. The complications in two groups were compared. Results The incidence of complications in trial group was much lower than that in the control group (Plt;0.05). Conclusion One-off anesthesia paracentesis kit in intra-peritoneal chemotherapy has several advantages including simple manipulation, small injuries, and few complications, which is well accepted by the patients.

          Release date:2016-09-08 09:52 Export PDF Favorites Scan
        • Current status and correlation of fear of disease progression and sleep quality in laryngeal cancer patients

          Objective To investigate the current status of fear of disease progression and sleep quality among laryngeal cancer patients, and analyze the correlation between them. Methods Laryngeal cancer patients who were hospitalized in West China Hospital of Sichuan University between March 2021 and February 2022 were selected for this cross-sectional survey. Sociodemographic and disease-related data questionnaires, Chinese version of Fear of Progression Questionaire Short Form, and Pittsburgh Sleep Quality Index (PSQI) Scale were used to investigate the laryngeal cancer patients who met the inclusion criteria, and the correlation between fear of disease progression and PSQI score in laryngeal cancer patients was analyzed by Spearman correlation analysis. Multiple linear stepwise regression analysis was used to analyze the effects of sociodemographic and disease-related characteristics on the total score of fear of disease progression in laryngeal cancer patients, and the effects of sociodemographic, disease-related characteristics and total score of fear of disease progression on the total score of PSQI of laryngeal cancer patients. Scores were expressed as median (lower quartile, upper quartile). Results A total of 312 copies of questionnaires were distributed and 309 valid copies were recovered, with an effective recovery rate of 99.0%. The total score of fear of disease progression in the laryngeal cancer patients was 22.00 (16.00, 30.00), including 12.00 (8.00, 17.00) in physiological health dimension, and 10.00 (7.00, 14.00) in social and family dimension. The total score of PSQI was 5.00 (3.00, 8.50). The correlations of the physiological health dimension score, the social and family dimension score, and the total score of fear of disease progression with the total score of PSQI in laryngeal cancer patients were positive with statistical significance (rs=0.294, P<0.001; rs=0.234, P<0.001; rs=0.287, P<0.001). Multiple linear stepwise regression analyses showed that the total score of fear of disease progression in laryngeal cancer patients was affected by the stage of disease, occupation, primary caregiver and treatment plan (P<0.05), and the total score of PSQI of laryngeal cancer patients was affected by level of education, treatment plan and the total score of fear of disease progression (P<0.05). Conclusions The fear of disease progression in laryngeal cancer patients has a significant negative correlation with the sleep quality. Meanwhile, alleviating the level of fear of disease progression may improve sleep quality.

          Release date:2024-02-29 12:02 Export PDF Favorites Scan
        • 培美曲塞治療晚期非小細胞肺癌過程中毒副反應的觀察與護理

          目的:了解新藥培美曲塞治療晚期非小細胞肺癌的毒副反應,探尋其對癥護理對策。方法:通過 31例晚期非小細胞肺癌患者應用培美曲塞治療,觀察其作用及毒副反應并實施相應護理措施。結果:31例晚期非小細胞肺癌患者應用培美曲塞治療,發生的毒副反應主要有消化道反應、骨髓抑制、過敏反應及疲勞等,其中 Ⅱ度惡心嘔吐 21例,Ⅲ度惡心嘔吐 5例,Ⅳ度惡心嘔吐 3例,便秘 11例,腹瀉 5例;骨髓抑制共 16例,其中Ⅱ度血紅蛋白下降 10例,Ⅲ度血紅蛋白降低 3例,Ⅱ度粒細胞減少 11例,Ⅲ 度粒細胞減少 3例,Ⅳ度粒細胞減少 2例, Ⅱ度血小板減少 10例,Ⅲ度血小板減少 2例;Ⅱ度皮疹 2例,過敏性休克 1例,經采取有效的對癥治療及積極的護理措施后都得到了緩解。結論:培美曲塞治療晚期非小細胞肺癌患者,及時進行毒副反應的對癥處理和護理干預,能有效地提高患者的生活質量。

          Release date:2016-09-08 09:56 Export PDF Favorites Scan
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