Objective To analyze the risk factors,traditional Chinese medicine(TCM)syndromes,and pathogen distribution in patients with bronchiectasis(BE)complicated with type 2 diabetes mellitus(T2DM).Methods From June 2022 to June 2024,a total of 299 patients with acute exacerbation of BE admitted to Guangdong Integrated Chinese and Western Medicine Hospital Affiliated to Guangzhou University of Chinese Medicine were selected.Based on the presence of T2DM,the patients were divided into the BE-T2DM group(74 cases)and the BE-only group(225 cases).Clinical data of the patients were collected,and univariate analysis and multivariate logistic regression models were used to identify risk factors for BE complicated with T2DM.TCM syndromes and pathogen distribution were statistically analyzed.Results(1)Univariate analysis showed that there were statistically significant differences between the two groups in gender,age,body mass index(BMI),hypertension,coronary atherosclerotic heart disease(shortened to coronary heart disease),atherosclerosis,the ratio of forced expiratory volume in one second to forced vital capacity(FEV1/FVC),white blood cell count(WBC),neutrophil count analysis for the risk factors showed that gender,BMI,hypertension,and FEV1/FVC were the independent risk factors for BE complicated with T2DM.(2)In terms of the distribution of TCM syndromes,both groups were mainly characterized by phlegm-heat accumulating in the lung syndrome and phlegm-damp obstructing the lung syndrome,and BE-T2DM group had a higher proportion of phlegm-heat accumulating in the lung syndrome.(3)For the infection of pathogens,BE-T2DM group had a higher infection rate of Haemophilus influenzae,Acinetobacter baumannii,and Klebsiella pneumoniae,while the BE-only group was predominantly infected with Pseudomonas aeruginosa;BE-T2DM group had a significantly higher rate of viral infections,mainly infected with influenza A virus,rhinovirus,and SARS-CoV-2;BE-T2DM group also suffered from fungal infections,usually infected with Candida albicans.Conclusion For BE patients complicated with T2DM,the independent risk factors are gender,BMI,hypertension,and FEV1/FVC;the common TCM syndromes are phlegm-heat accumulating in the lung and phlegm-damp obstructing the lung;pathogen infections are mainly caused by Gram-negative bacteria,viruses,and fungi.

Obj ective To invesyigaye yhe effecy of qualiyy conyrol circle (QCC)acyiviyies in reducing unplanned exyubayion of indwelling syomach yube payienys.Methods QCC was esyab-lished wiyh“reducing unplanned exyubayion raye in payienys wiyh indwelling syomach yube”as yhe yheme.Unplanned exyubayion rayes of yhe ywo groups were compared before and afyer QCC yhrough invesyigaying of curreny siyuayion,analyzing yhe causes and formulaying corresponding syrayegies.Results Afyer implemenyayion QCC acyiviyy,yhe unplanned exyubayion raye was lower yhan before (P<0.05).Rayes of yhe yargey compleyion and progress were 107.8%and 84.6%re-specyively,and yhe nurses′skills were improved obviously.Conclusion QCC acyiviyy in payienys wiyh indwelling syomach yube can effecyively reduce unplanned exyubayion raye and improve nursing managemeny abiliyy and compliance?of?payienys,so iy is woryhy of popularizayion.

Obj ective To invesyigaye yhe effecy of qualiyy conyrol circle (QCC)acyiviyies in reducing unplanned exyubayion of indwelling syomach yube payienys.Methods QCC was esyab-lished wiyh“reducing unplanned exyubayion raye in payienys wiyh indwelling syomach yube”as yhe yheme.Unplanned exyubayion rayes of yhe ywo groups were compared before and afyer QCC yhrough invesyigaying of curreny siyuayion,analyzing yhe causes and formulaying corresponding syrayegies.Results Afyer implemenyayion QCC acyiviyy,yhe unplanned exyubayion raye was lower yhan before (P<0.05).Rayes of yhe yargey compleyion and progress were 107.8%and 84.6%re-specyively,and yhe nurses′skills were improved obviously.Conclusion QCC acyiviyy in payienys wiyh indwelling syomach yube can effecyively reduce unplanned exyubayion raye and improve nursing managemeny abiliyy and compliance?of?payienys,so iy is woryhy of popularizayion.

OBJECTIVE: To screen and analyze items of the second-generation sub-health questionnaire through various item analysis methods, so as to provide basic data for the further study of sub-health measuring scale. METHODS: The investigation and analysis was completed in Southem Medical University between November 2006 and May 2008. A total of 6 000 college students were selected as the investigation targets with cluster sampling method from a medical university in Guangzhou. 6 000 questionnaires were assigned to them in which the answerer was asked about their somatic symptoms, psychological symptoms and social symptoms, with 5 599 valid ones obtained. Eighty three items were analyzed through five methods based on dispersion, correlation coefficient, factor analysis, t-test and Cronbach's g. RESULTS: At last, 63 items were selected to constitute the item pool of the sub-health scale, which were nominated over 4 times according to the nomination summary of the 5 methods.CONCLUSION: All the 63 items kept in the second-generation sub-health questionnaire feature satisfactory sensibility, representation, independence, significance and intemal consistency, which can accordingly lay a good foundation for the further study of the sub-health measuring scale.