Objective:To investigate the clinical pharmaceutical care methods and promote rational drug use. Methods:The diag-nosis and treatment process of one patient with chronic obstructive pulmonary disease were used as the examples, the pharmacists par-ticipated in selecting drugs, adjusting dosage and making individual regimen to carry out the pharmaceutical care in the whole treatment process, including observing curative effect, monitoring adverse reactions, implementing patient education,nutritional support, immu-notherapy and the effect evaluation. Results:Clinical pharmacists together with clinicians developed the treatment regimens for the pa-tient with the full implementation of pharmaceutical care, the effect was promising, and the patient recovered and discharged from hos-pital. Conclusion:Clinical pharmacists should implement pharmaceutical care for patients with chronic obstructive pulmonary disease in the whole treatment process, which can reduce drug adverse reactions and interactions effectively, and play an important role in ra-tional and safe drug use.

目的探讨预测脑卒中康复结局的重要因素和可靠的预测模型。方法采用回顾性研究的方法,对北京博爱医院1999年1月—2001年7月收治的225例首次脑卒中患者的临床资料进行分析。患者的功能状态按照自行设计的日常生活活动能力 (activitiesofdailyliving ,ADL)量表进行评定。 结果尽管许多因素都会影响患者的功能恢复,但最有意义的3个因素是年龄、入院时的功能状态(ADL入院)和发病到康复治疗的间隔时间 (onset addmisioninterval,OAI)。年龄较小、ADL入院值较高、康复训练开始较早患者的ADL出院值较高。年龄与ADL增加值无关。预测模型:ADL出院 =49.52—0.14×年龄+0.66×ADL入院-0.03×发病到康复治疗间隔时间(R2=0.62,P=0.0001)。结论根据此模型,可预测患者出院时的功能状态(ADL出院),制定合理的康复目标和康复训练计划。

目的探讨急性颈髓损伤院内急救护理及早期并发症的防治。方法对34例颈髓(C3 -5)损伤患者进行回顾性调查。结果 34例颈髓损伤患者经急诊救治,32例并发症得到控制,入院治疗,2例死亡。结论伤后正确处理,对危及生命的并发症早发现、早治疗是提高抢救成功率的关键。

目的探讨不同年龄组脑卒中患者康复结局的预测模型。方法对462例首次发病的脑卒中患者的临床资料进行回顾性分析。采用自行设计的日常生活活动能力(ADL)评定量表对其进行评定。结果总回归方程为:ADL出院=55.09+0.593ADL入院-0.17年龄-0.02OAI,复相关系数R=0.75,决定系数R2=0.56,校正的决定系数R2adjus=0.56;60岁以下年龄组回归方程为:ADL出院=52.27+0.51ADL入院-0.03OAI,R=0.69,R2=0.48,R2adjust=0.48;60岁以上年龄组回归方程为:ADL出院=34.46+0.73ADL入院,R=0.8,R2=0.64,R2adjus=0.64。60岁以上年龄组的预测模型准确性较高。结论按年龄分组可提高对脑卒中患者康复结局预测的准确性。

Objective To investigate the actualities about bladder management in patients with spinal cord injury. Methods 76 spinal cord injured patients were investigated with questionnaire. Results 61 patients adopted the bladder management methods recommended by their doctors, the other 15 refused the doctor's suggestion. In frequency order, bladder management methods used by spinal cord injured patients were intermittent catheterization (43.4%),triggering voiding or bladder expression(34.2%),indwelling catheter (2.6%), urine collection device 3.9% and others (15.8%). The female were more likely to adopt intermittent catheterization. The general satisfaction was 77.63%. Conclusion Medical staffs should recommend appropriate bladder management method for spinal cord injured patients not only considering their medical conditions bur also their psychological and social conditions.

ObjectiveTo explore the relationship between coping modes and depression in stroke patients accepting rehabilitation initially. Methods30 stroke patients were assessed with Medical Coping Modes Questionnaire (MCMQ) and Self-rating Depression Scale (SDS). ResultsThe score of resignation in MCMQ was significantly higher in depression group than in non-depression group （P<0.01). There was correlation between scores of resignation and SDS (r=0.416, P=0.003). ConclusionDepression may relate with resignation in stroke patients admitted in the hospital for rehabilitation initially.

ObjectiveTo explore the effect of marriage on the life satisfaction and mood of the spinal cord injury couple survived after Tangshan earthquake.Methods40 SCI patients (20 married and 20 unmarried) who were survived after Tangshan earthquake were investigated with 20 from married family (10 male and 10 female) and 20 from unmarried family (10 male and 10 female). The contents of investigation included life satisfaction, quality of life, anxiety and depression.Results The married group had significantly more satisfied with their life and less anxiety than the unmarried group. But there were no differences in evaluation of life quality and depression between two groups.Conclusion The marriage can improve the life satisfaction and psychological health of the SCI patients survived after Tangshan earthquake.

Objective To Investigation the quality of marrow smear purchased by CDUTCM.Methods The quality and the typ-icality of marrow smears purchased during 2015 -2016 were collectively examined,and then decided whether these smears fit the blood cell morphology experimental teaching requirement.Results Of all the 960 marrow smears purchased these two years, 49.7% failed in smear made or stained,and 16.0% failed to meet the teaching requirements in the typicality of marrow cells.Con-clusion Teaching marrow smears,being different from clinic ones in their preparation and morphological diagnosis,must be of great quality in sustaining and of better typicality in their cell features.

Physical pain is a common uncomfortable symptom for pregnant women , and doing exercise for improving pain experience during pregnancy has been approved by national and international people .Exercise during pregnancy has various forms , and the exercise interventions of pain to different parts of the body have been carried out at domestic and abroad with favorable effect .Affected by the Chinese traditional recognition , the Chinese women′s acceptance of the exercise during pregnancy is low .This paper will summarize the exercise development during pregnancy of domestic and international , types of exercise for cutting pain , efficacy and safety of safeguard measures , and advocate nursing staff to carry out multi-specialty cooperation for investigation , promote the implementation and promotion of exercise during pregnancy so as to improve the service quality of pregnancy and delivery .

Objective? To explore the effectiveness of the WeChat platform combined with the Problem-Based Learning (PBL) approach in teaching interns in the operating room. Methods? A total of 42 intern nurses working in the operating room of Zhuji People's Hospital of Zhejiang Province in 2016 were selected as the control group. The regular teaching mode was adopted. In 2017, a total of 47 intern nurses were selected as the observation group, and the WeChat platform was combined with the PBL approach. We compared the theoretical assessment scores and the basic skill operation assessment scores of the two groups at the end of their internship period. Results? The basic theoretical knowledge score of the nurses in the observation group was (95.84±6.83), the basic skills knowledge score was (93.75±5.37), and the basic operation assessment score was (93.17±2.83), which were all higher than the control group and the differences were statistically significant (t=5.379, 6.840, 3.319; P＜0.05). Conclusions? The WeChat platform combined with the PBL approach can improve the ability of the nurses to master the basic theoretical knowledge and operational skills in the operating room teaching and contribute to the improvement of the quality of the operating room nursing work.