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find Keyword "肿瘤患者" 13 results
  • 外周静脉置入中心静脉导管留置期间恶性肿瘤患者焦虑状况调查研究

    目的 了解肿瘤患者留置外周静脉置入中心静脉导管(PICC)期间的焦虑状况水平,为采取针对性的护理干预提供依据。 方法 2012年2月-4月通过便利抽样的方法,调查某三甲医院肿瘤中心入住的200例留置PICC患者的焦虑情况,分析焦虑产生的相关因素。 结果 留置PICC住院患者的焦虑自评量表评分比中国常模人群高,差异有统计学意义(t=11.2,P<0.05)。影响置管患者焦虑的因素有婚姻情况、文化程度、家庭背景、经济收入及医疗保险情况等。 结论 加强留置PICC患者健康教育和心理护理干预,可降低患者焦虑水平。

    Release date:2016-08-26 02:09 Export PDF Favorites Scan
  • 实施优质护理服务对预防肿瘤患者跌倒的影响

    目的 探讨实施优质护理服务对预防肿瘤患者跌倒的影响。 方法 选择2009年3月-2011年3月的住院肿瘤患者7 479例,回顾性分析实施优质护理服务前后患者跌倒的发生情况。 结果 2009年3月-2010年2月实施优质护理服务前,收治患者3 611例,意外跌倒8例(发生率2.22‰);2010年3月-2011年3月实施优质护理服务后,收治患者3 868例,意外跌倒2例(发生率0.52‰),实施前后跌倒相比具有统计学意义(P<0.005)。 结论 开展优质护理服务,护士工作主动性增强,床边护理时间增加,健康教育效果显著,安全管理预防措施到位,减少了肿瘤患者意外跌倒事件的发生,提高了护理质量和患者满意度。

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  • Pattern of Clinical Ward Round on the Department of Oncology in Hospital

    肿瘤患者常常具有不适应情绪和行为反应,如焦虑、抑郁、悲伤、愤怒、恐惧等。针对这类患者的特征,我们对肿瘤科查房模式进行探讨,旨在缓解患者的不良情绪,提高肿瘤患者的治疗疗效,降低医疗风险。

    Release date:2016-08-26 02:21 Export PDF Favorites Scan
  • A Study on Catheter Related Infection in Cancer Patient Treated with Central Venous Catheterization

    Objective To study the catheter-related infection (CRI) in cancer patients treated with central venous catheterization. Methods A prospective study with 196 cancer patients was conducted to analyze the types of catheter-related infection and pathogen, as well as the relationship between CRI and the following factors: insert location, gender, age, remained time, or bone marrow suppression. Results Of the total 196 cases, 16 cases were diagnosed as CRI and the CRI rate was 8.2%. The types of CRI were five cases of pathogen colonization, four cases of insert location infection and seven cases of catheter-related bloodstream infection. Of the total 244 specimens, 20 were positive including 7 pathogenic bacteria in either Gram positive or Gram negative types, the dominating pathogens were staphylococcus aureus, staphylococcus epidermidis, acinetobacter baumannii and klebsiella pneumoniae. CRI was related to both insert location and age which were both the independent risk factors. Conclusion The concept of prevention should be set up, and the comprehensive measures should be taken to reduce CRI, such as choosing an appropriate insert location and complying with a strict catheter insert standard.

    Release date:2016-09-07 11:00 Export PDF Favorites Scan
  • 肿瘤患者外周静脉置入中心静脉导管并发症的管理与质量控制

    【摘要】 目的 总结肿瘤患者外周静脉置入中心静脉导管(peripherally inserted central catheter,PICC)并发症管理与质量控制的方法。 方法 对2008年11月-2010年3月收治的398例置入PICC的肿瘤患者,采用建立专业化的PICC治疗团队,设计PICC置管临床路径,专业护士置管操作,对常见PICC并发症实施规范化的质量监控与管理。 结果 398例PICC治疗患者发生导管相关并发症37例,总发生率为9.3%,其导管堵塞、静脉血栓、机械性静脉炎、导管相关性血流感染等并发症均有发生,但发生率均控制在较低范围。 结论 重视和规范PICC的操作与维护管理,可最大限度降低PICC相关并发症,确保PICC置管患者的治疗安全。

    Release date:2016-09-08 09:26 Export PDF Favorites Scan
  • The Level of Hope and the Influential Factors of Hope in Patients with Tumor Recurrence

    【摘要】 目的 了解肿瘤复发患者希望水平及其影响因素。 方法 2010年10-12月采用Herth希望量表和自制的一般情况调查表,对302例肿瘤复发患者进行问卷调查,并对相关影响因素进行分析。 结果 肿瘤复发患者希望总体均分为(31.14±5.56)分,7.95%(24例)的患者希望评分为低等水平,74.50%(225例)的患者希望评分为中等水平,17.55%(53例)的患者希望评分为高等水平。肿瘤复发患者希望水平得分的主要影响因素有:婚姻状况、工作状况、医疗费用支付情况、肿瘤类型以及无瘤生存时间。其中,与未婚患者相比,离异患者希望水平较低;与在职患者相比,退休患者希望水平较高;在医疗费用的支付方式上,自费所占的比例越大,患者希望水平越低;与其他肿瘤类型相比,以乳腺癌患者希望水平最低;此外,患者无瘤生存时间越长,其希望水平就越低。 结论 尽管肿瘤复发患者希望水平受多种因素的影响,但多数患者仍对现状和未来充满希望,其希望仍维持在较高水平。【Abstract】 Objective To explore the level of hope and the influential factors of hope in patient with tumor recurrence. Methods A total of 302 patients with tumor recurrence were enrolled. The patients were investigated by Herth Hope Scale and self-designed questionnaire.  Results The average level of hope in patients with tumor recurrence was 31.14±5.56; of the total patients,7.95% (24 patients) had low level, 74.50% (225 patients) had media level and 17.55% (53 patients) had high level of hope. Parts of demographic characteristics had significant influences on level of hope and specifically: patient devoiced had lower level of hope than patients married (F=-1.868,Plt;0.05); patients retired had higher level of hope than patients on job (F=2.004,Plt;0.005); patients with greater own proportion of medical expense had lower level of hope than patients with smaller own proportion of medical expense (F=-0.937,Plt;0.05); patients with breast cancer had lower level of hope than patients with other type of cancer (F=-10.824,Plt;0.001); and finally, patients with longer free survival time had lower level of hope than patients with shorter free survival time (F=-1.930,Plt;0.001). Conclusion Parts of demographic characteristics have significant influences on level of hope in patients with tumor recurrence, but most patients still have high level of hope.

    Release date:2016-09-08 09:27 Export PDF Favorites Scan
  • 化学疗法经外周静脉置入中心静脉导管路径医护一体化管理模式探讨

    【摘要】 目的 总结肿瘤患者化学疗法经外周静脉置入中心静脉导管(peripherally inserted central catheter, PICC)路径医护一体化管理模式的经验与效果,提高医护团队的工作效率。 方法 针对化学疗法PICC路径管理前医护合作存在的问题,通过优化配置医护团队,建立PICC临床路径管理制度,规范PICC技术操作、技术维护质量标准等措施,实现PICC医护一体化管理模式。 结果 医护一体化管理模式能有效地提高医护工作效率,降低PICC并发症,患者满意度提高。 结论 实施肿瘤患者化学疗法PICC路径医护一体化的管理模式,使护理工作流程更加合理化,PICC技术管理更加规范,可为患者节约住院费用,并加快病床周转。

    Release date:2016-09-08 09:27 Export PDF Favorites Scan
  • 肝胆胰恶性肿瘤患者术后延迟愈合切口的护理

    【摘要】 目的 总结肝胆胰恶性肿瘤患者术后延迟愈合切口的护理方法和效果。 方法 2009年11月-2010年9月将45例肝胆胰系统肿瘤患者按术后切口愈合情况随机分为实验组和对照组。实验组应用湿性伤口愈合理论和方法行切口换药,对照组使用传统方法行切口换药。 结果 实验组切口换药次数6~11次,平均(8.78±2.39)次后愈合;对照组切口换药次数8~17次,平均(13.55±2.39)次后愈合,两组方法比较有统计学意义(Plt;0.01);切口愈合时间实验组7~13 d,平均(10.30±1.77) d;对照组9~18 d,平均(15.00±2.60) d,两组比较有有统计学意义(Plt;0.01)。 结论 湿性伤口愈合理论是新伤口愈合理论,能促进切口愈合,缩短换药次数和时间,减轻患者的痛苦和经济负担,缩短住院日,值得推广。

    Release date:2016-09-08 09:52 Export PDF Favorites Scan
  • Off-Label Drug Use in Global Cancer Patients: A Systematic Review

    ObjectiveTo systematically review the global situation of off-label drug use in cancer patients. MethodsWe searched PubMed, EMbase, CNKI, CBM and VIP databases from their inception to October 2014, to collect studies on off-label drug use in cancer patients. The publication language was limited to English and Chinese. Combieg criteria was used for methodological quality assessment of included studies. A describe analysis was used to analyze the incidence and the proportion of different off-label used drugs. ResultsA total of 14 cross-sectional studies were included. Among them, 1 was from Switzerland, 1 was from Italy, 1 was from Australia, and the other 11 studies were from China. Seven included studies reported the investigated patients' number, containing 3 713 cancer patients and 13 238 prescriptions. The incidences of off-label drug were 2 844, accounting for 21.48%. There were similar rates of off-label prescriptions in Europe, Asia and Australia, but the average off-label prescriptions of European cancer patients were lower than Asia and Australia. The total rate of "unapproved dose", "unapproved indication", and "unapproved solvents" were more than 80% in off-label drug use. ConclusionThe average off-label prescriptions of European cancer patients are lower than Asian and Australian. "Unapproved dose", "unapproved indication" and "unapproved solvents" are the most common off-label prescription in off-label drug use.

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  • 肿瘤患者希望水平影响因素研究进展

    肿瘤在世界范围内呈现三高趋势,即高发病率、高致残率和高病死率,在我国某些地区已成为居民首位死亡原因。罹患肿瘤会使患者产生严重的心理应激反应,继而产生躯体症状,降低患者的生存质量。希望是对能达到某种目标有信心的感受,是积极心理学的重要组成部分。国外从20世纪60年代起开始进行希望研究,证实个体内在的希望水平与其身心健康密切相关,并指出医务人员帮助肿瘤患者及其家庭发掘和维持希望是一项有意义的工作。该文对影响肿瘤患者希望水平的相关因素进行了综述。

    Release date:2016-10-28 02:02 Export PDF Favorites Scan
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