1.A correlation study of humanistic quality and professional identity of nurses with master's degree
Chinese Journal of Practical Nursing 2017;33(24):1860-1863
Objective To investigate the status quo of humanistic quality and professional identity of nurses with master′s degree and explore their correlation. Methods A cross-sectional survey was adopted. Totally 198 nurses with master′s degree were investigated with the Nursing Caring Characters Assessment Tool (NCCAT) and the Professional Identity Scale. Results The average score of NCCAT was 121.64 ± 9.09. The average score of the professional identity was 33.90 ± 6.24. Correlation analysis showed that NCCAT score was positively correlated to the professional identity (r=0.316, P=0.000). Conclusions The results indicate that nurses with master's degree need to improve their caring characters; professional identity can serve as an intervention to improve the caring characters of nurses with master′s degree.
2.Application of key factors in nursing quality management in hospital
Chinese Journal of Practical Nursing 2017;33(3):213-215
Objective To explore the role of the key factors in nursing quality control. Methods The content was constructed from four aspects, that is, the standard of care measures, well-functioning nursing quality control system, timely feedback and training mechanism, continuous quality improvement measures. Results The nursing quality standard system was established, the quality of care and patient satisfaction with nursing work were both improved. Conclusions The application of the key factors is the basic guarantee for effective management of nursing quality, which provides high quality nursing service for patients in hospital.
3.Influence of nursing intervention on patients with schizophrenia receiving repetitive transcranial magnetic stimulation
Chinese Journal of Practical Nursing 2015;31(33):2535-2537
Objective To explore the influence of nursing intervention on patients with schizophrenia receiving repetitive transcranial magnetic stimulation (rTMS) treatment.Methods A total of 80 patients with schizophrenia receiving (rTMS) treatment were randomly divided into intervention group 40 cases and control group 40 cases by random digits table method.The control group was given routine care, and the intervention group was given routine nursing and nursing intervention.Before and after treatment, the curative effect was evaluated by the Positive And Negative Symptoms Scale, and the completion of the treatment between two groups was compared.Results The Positive Scale score, Negative Scale score, General Psychopathology Scale, total score in intervention group after treatment were lower than those in control group:(13.1±2.3) points vs.(16.7±2.1) points,(11.5±2.6) points vs.(15.3±2.3) points, (28.3±2.3) points vs.(30.9±2.2) points,(56.9±1.8) points vs.(67.4±1.7) points, and there were significant differences, t=2.398,2.401,2.452,2.191 ,P<0.05.There was no significant difference in the rTMS completion, x2=5.541, P<0.05.Conclusions Nursing intervention can effectively improve the patients with schizophrenia completion of rTMS treatment to improve mental symptoms, so as to improve the clinical curative effect, promote patients recovery of disease.
4.Clinic and microbial characteristic of fever along with agranulocytosis in patients with malignant hematop-athy
The Journal of Practical Medicine 2017;33(14):2345-2348
Objective To investigate the clinic and microbial characteristic of fever along with agranulocy-tosis in patients with malignant hematopathy. Methods Retrospective study was carried out on patients with malig-nant hematopathy who developed agranulocytosis during hospitalization. Results A total of 512 febrile events occurred. Duration of agranulocytosis,severe agranulocytosis,poor physical condition,previous exposure to broad-spectium antibiotics and central venous catheterization were correlated with higher incidence of febrile event. There are 328 cases(64.06%)with definite infected sites and 184 cases(35.94%)with fever of unknown origin(FUO). Gram-negative bacterium was most common(64.35%),followed by Gram-positive bacterium(23.61%)and fungus (12.04%). 57 cases resistant bacteria were detected. Mortality incidence resulting from pulmonary infection was higher than that from FUO(P < 0.005). No significance was found between pulmonary infection and blood stream infection(P>0.25)or between blood stream infection and FUO(P>0.1). Conclusions Many factors were corre-lated with incidence of fever along with agranulocytosis in patients with malignant hematopathy. Gram-negative bacte-rium was most common pathogenic microorganism,followed by Gram-positive bacterium,all of which manifested high drug resistance rate. Understanding the epidemiological trend will be beneficial for clinic treatment.
5.Radiographic Findings of Amyloidosis in Thorax(A Report of 3 Cases with Review of Literatures)
Journal of Practical Radiology 1996;0(04):-
Objective To improve the radiographic knowlege of amyloidosis in thorax.Methods The clinical data and imaging findings(including Ultrasound,X-ray ,CT)of 3 cases proved pathologically were analyzed retrospectively.Results Imaging findings of amyloidosis in thoray included thinkening of broncho-tracheal wall obstructive atelectasis,pleural effusion,pleural thinkening,pulmonary interstitical involvement,thinkening of ventricular walls.Conclusion Though the imaging examination provides some help in diagnosting amyloidosis in thorax but it should be based on pathological evidence.
6.Primary esophageal small cell carcinoma
Yuling ZHANG ; Jing WANG ; Hao ZHANG
Journal of International Oncology 2012;39(1):38-41
Primary esophageal small cell carcinoma ( PESC ) is a rare form of esophageal carcinoma which is with high degree of malignancy and early metastasis.Although the histological origin and etiology of PESC remains to largely unknown,one attractive viewpoint is that it derives from original pluripotent stem cells of esophageal mucosa.PESC have both epithelium and neuroendocrine cellular features.Neuroendocrine biomarkers including NES and Syn have been used for identification of PESC.
7.Relationship between ventricular wall motion state, infarction size and left atrial function in patients with myocardial infarction
Yueheng WANG ; Yanan CUI ; Yuling LANG
Chinese Journal of Ultrasonography 2009;18(3):215-218
Objective To assess the influence of the wall motion state and the infarct size of myocardial on left atrial(LA) function in patients with myocardial infarction(MI), and to investigate the main determinants of LA function. Methods LA function of the small area of MI group (group A), the large area of MI group (group B) and control.group were compared,and the influence of the infarct size on LA function was evaluated. The correlation between parameters of LA function and wall motion score index (WMSI) was analyzed. Stepwise regression was made to determine the influencing factors of LA function. index (VpreⅠ),LA active emptying volume index (AEVI), LA ejection force index (EFI) of group A and group B were larger than those of control group,and the parameters of group B were also larger than those of group A(P<0.05). LA passive emptying fraction (PEF) and atrial expansion index (AEI) of group A and group B were smaller than those of control group,and the parameters of group B were also smaller than regression equation. Conclusions With the increasing of areas of infarction and the aggravating of wall motion sate,the LA remodeling aggravated. The boost pump function of LA augmented, and the function of conduit and reservoir of LA was reduced. Wall motion state, LV remodeling and LV diastolic function were the major determinants of augmented LA function in MI patients.
8.Comparison of curative effect of paracetamol and indomethaein suppository in eaneerons febrile
Yumei YANG ; Yuling WANG ; Jianlei LI
Chinese Journal of Primary Medicine and Pharmacy 2008;15(7):1107-1108
Objective To observe the curative effect of paracetamol and indomethacin suppository in cancer- ous febrile. Methods 108 patients of lung cancer with fever were divided into.two groups,the treatment group of 54 cases and the control group of 54 cases, administered with paracetamol and indomethacin suppository respectively. Results After the two groups took medicine, the difference in defervesceing was significant, with statistics signifi- cance( P < 0.05). Conclusion Indomethacin suppository shows better function of defervesceing than paracetamol.
9.Changes of power of cerebral topographic map and electroencephalogram during anesthesia induction with propofoi,sodium thiopental or gama hydroxybutyrate sodium
Shuzhen ZHANG ; Enzhen WANG ; Yuling TAN
Chinese Journal of Anesthesiology 1994;0(04):-
Cerebral topographic map (CTM) and electroencephalogram (EEG) can evaluate the functional activity of brain, and the purpose of this study was to objectively compare the effect of intravenous anesthetics on brain. Forty-five patients, ASA grade Ⅰ-Ⅱ, undergoing neurosurgery,were randomly divided into three groups after administration of Innovar 2 ml, and then equivalent effective dose of propofol(2~2.5 mg/kg)(Ⅰ),sodium thiopental (4~6mg/kg)(Ⅰ) or gama hydroxybutyrate sodium (70~80mg/kg)(Ⅲ) was intravenously given respectively. All patients were monitored continuously during induction. The high frequent excitative activities of ? rhythm appeared immediately after each anesthestic was injected. During the most effective period: in group Ⅰ, there were no ? rhythm in EEG and obvious power change on CTM; in group Ⅱ irregular ? rhythm took place in EEG occasionally and great increase in top power on CTM occured, which showed evident elevation compared with group Ⅰ (P
10.Investigation and analysis of mental health of clinicians in a hospital in Xinjiang
Yuling WANG ; Hua GAO ; Xinling YANG
Chinese Journal of Health Management 2016;10(5):382-385
Objective To analyse the mental health status of doctors in the First Affiliated Hospital of Xinjiang Medical University. Methods The 673 doctors in different clinic character in the First Affiliated Hospital of Xinjiang Medical University were investigated by questionnaire and symptom checklist-90(SCL-90),and estimate the results through F-test and t-test . Results Doctors in SCL-90 in addition to interpersonal relationships(1.59±0.49, t=-1.02,P>0.05) and the rest of the factors:somatization (1.48 ± 0.55, t=2.32), force(1.75 ± 0.43, t=2.34),depress(1.67 ± 0.44,t=3.00), anxiety(1.55 ± 0.57, t=3,71), hostility(1.76±0.47,t=5.65),horrible(1.48±0.32,t=6.35),stubborn(1.65±0.39, t=4.04),insanity(1.43±0.46, t=3.39)are higher than the national norm, there is statistical difference (P<0.05). In different gender groups, in addition to the somatization and forced, female doctors other project factors were higher than male doctors, including interpersonal relationships(1.62 ± 0.37, 1.56 ± 0.41), hostility factor(1.79 ± 0.38, 1.73 ± 0.43) differences were statistically significant (t=2.15, t=2.07, P均<0.05). In different professional title ,Doctors with primary professional title in addition to the body of the rest are higher than the title doctor. Anxiety factor differences have statistical significance in different groups (F=2.73, P<0.05). In different department , Emergency department and pediatric clinicians in addition to depression, anxiety and other factors of points were higher than those of physicians and surgeons, the difference in interpersonal relationship factors have statistical significance in different groups (F=4.54, P<0.05). Conclusion The scores aboutdoctors, SCL-90 in the First Affiliated Hospital of Xinjiang Medical University in addition to interpersonal relationships, the rest of the factors are higher than the national norm ,showing that clinic doctors were in psy chological sub health state, especially in female doctors, primary professional title dortors and Emergency department and pediatric clinicians.