【摘要】 目的 探討腫瘤科護士銳器傷發生原因及預防管理對策。 方法 2006年6月-2008年5月，采用醫療銳器傷登記表收集護士銳器傷情況，并對相關數據資料進行統計分析。 結果 24名護士（5.71人次/100張床）發生銳器傷，主要發生于護齡≤1年的護士（66.67%）；發生時間多集中在上午8:30～11:00之間（41.67%）；地點多為病房床旁（70.83%）；銳器傷集中發生在操作后處理廢棄物過程中（50.00%）；而傷害發生率最高的器具為輸液器頭皮針（59.26%）；通過追蹤調查，發現所有銳器傷人員經處理后均未發生血源性感染。 結論 加強防范知訓培訓，提高護士自我防護意識；規范護理操作行為和廢棄銳器的處理等是預防或降低護士工作時段被感染的重要措施與方法。【Abstract】 Objective To discuss the causes and preventive measures of sharp instrument injuries among oncology nurses. Methods Sharp Instrument injuries were collected with the guide of Roll Call of Sharp Instrument Injuries in Medicine from June 2006 to May 2008. Related data were statistically analyzed. Results Sharp instrument injuries occurred to 24 nurses (5.71 per 100 beds), most of whom had just been in the post for less than one year (66.67%). Most injuries happened at 8:30 am-11:00 am during the morning (41.67%) and at, the bed side (70.83%). A half of the injuries occurred during medical waste disposal and most injuries were caused by scalp acupuncture (59.26%). No hematogenous infection occurred after proper treatment of the injuries. Conclusion Strengthening the knowledge of self-protection, stipulating and monitoring procedures of operating and disposing of sharp instruments are the most important measures to prevent the nurses from being injured during their working.
【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.
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.
Peripheral inserted central catheter (PICC) is the most commonly used central venous catheter in hospitalized patients, and catheter-related bloodstreams infection (CRBSI) is one of the most serious complications during PICC retention, which can affect patient prognosis and treatment. Reducing the incidence of intravascular CRBSI is one of the goals of medical quality and safety management, which continues to attract the attention of domestic and foreign experts and scholars. Authoritative institutions at home and abroad have successively issued a series of prevention and control guidelines and expert consensus, and related research on risk assessment of CRBSI is also rapidly developing. This article reviews the risk assessment, prevention and control measures, and information monitoring and feedback of PICC-related bloodstreams infection, in order to provide reference for building a PICC-related bloodstreams infection prevention and control system.
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.
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.
Cancer is a disease that incidence rate, disability rate and mortality rate are high all over the world. It brings great physical and mental pain to patients. Cancer patients are in a life-threatening state of disease for a long time, which will produce fear of progression (FoP). FoP is a psychological state in which fear of disease may recur or progress. As early as the 1980s, foreign countries began the psychological research on the FoP of cancer patients. They found that this fear really exists in cancer patients and is affected by many factors. This paper reviews the concept of FoP and the related factors affecting FoP in cancer patients. The purpose is to provide reference for clinical early evaluation and reducing the FoP of cancer patients and formulating corresponding nursing measures.
Breast cancer patients and their spouses face a series of problems in their sexual life, which together lead to the decline of the sexual life quality of the couple, endangering the physical and mental health and the marital relationship of the patients and their spouses. Therefore, this article reviews the current situation, assessment tools, and influencing factors of sexual life quality of breast cancer patients and their spouses, and introduces the foreign intervention measures of sexual life quality based on the dual perspective of husband and wife, in order to promote the development of research on sexual life of breast cancer patients and their spouses in China, and provide references for the construction of a localized intervention program to improve the sexual life quality.
Objective
To explore the effect of motivational interviewing (MI) on anxiety and depression in patients with lung cancer undergoing initial chemotherapy.
Methods
From May 2015 to April 2016, patients with lung cancer who underwent initial chemotherapy after operation were collected and randomly divided into the control group and the MI group. The patients in the control group received traditional health education, psychological care, and post-discharge follow up; while the patients in the MI group were given routine nursing cares and three motivational interviews and one telephone follow up. At the admission and one month after chemotherapy, all patients were evaluated by the Self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS) and Distress Thermometer (DT).
Results
At the admission, the SAS, SDS, and DT scores of patients in the two groups had no significant differences (P>0.05). After one month of chemotherapy, the SAS, SDS, and DT scores in the MI group were much better compared to the admission (P<0.05). The differences in the SAS, SDS, and DT scores between the two groups were significant (P<0.05).
Conclusion
MI can significantly alleviate anxiety and depression of patients with lung cancer undergoing initial chemotherapy.
