目的 探讨集束化护理在胃食管反流病患者中的应用价值。方法 100例胃食管反流病患者作为本次研究对象,入组时间为2018年1月—2019年12月,依据随机、双盲法分组原则,将病例均分为对照组和观察组,各50例。对照组以常规护理支持,观察组以集束化护理支持,比较两组患者负性情绪、自我管理效能、生活质量(SF-36)及护理满意度。结果 观察组护理后焦虑自评量表(SAS)与抑郁自评量表(SDS)评分均低于对照组(P<0.05);观察组自我管理效能高于对照组(P<0.05);观察组患者的生理职能、心理职能以及总体健康、社会职能等方面的SF-36各项评分均较护理前提高,且优于对照组(P<0.05);观察组护理总满意率(96%)高于对照组(84%)(P<0.05)。结论 集束化护理在胃食管反流病中应用取得了显著效果,可改善患者负性情绪和临床症状,提升患者自我管理效能和生活质量,使患者的护理满意度提高。

Objective To explore the application value of cluster nursing on patients with gastroesophageal reflux disease. Methods 100 patients with gastroesophageal reflux disease were enrolled in this study from January 2018 to December 2019. According to the principle of random and double-blind grouping, the cases were divided into control group and observation group, with 50 cases in each group. The control group was supported by routine nursing,and the observation group was supported by cluster nursing. Then negative emotion, self-management efficacy, quality of life (SF-36) and nursing satisfaction were observed between the two groups. Results The scores of self-rating anxiety scale (SAS) and self-rating depression scale (SDS) in the observation group were lower than those in the control group (P<0.05). The self-management efficacy in the observation group was higher than that in the control group (P<0.05). The scores of physiological function, psychological function, general health and social function of SF-36 in the observation group were higher than those in the control group (P<0.05). The total satisfaction rate of nursing in the observation group (96%) was higher than that in the control group (84%)(P<0.05). Conclusion The implementation of cluster nursing for patients with gastroesophageal reflux disease can improve patients'negative emotion and clinical symptoms, enhance patients' self-management efficacy and quality of life, and standardize nursing management.

目的 观察实施微信式延续护理干预对真菌性外耳道炎患者心理状态及治疗效果的影响。方法 选取我院2018 年12月—2019年12 月期间门诊治疗的110例真菌性外耳道炎患者为观察对象,将所选患者随机分为常规组和干预组,常规组55例,采取常规护理;干预组55例,在常规护理的基础上实施微信式延续护理干预。观察两组患者的心理状态及治疗依从性、治疗效果的变化。结果 干预组患者心理状态的改善、治疗依从性、治疗效果均优于常规组,差异有统计学意义(P＜0.05)。结论 在给予真菌性外耳道炎患者实施护理干预的过程中,加入微信式延续护理干预,患者的心理状态得到改善、治疗依从率增加及患者治疗的总有效率提高。因此微信式延续护理干预值得在临床护理中进一步推广。

Objective To observe WeChat continuous nursing intervention on mental state and therapeutic efficacy of fungal external auditory meatus. Methods 110 cases of fungal external auditory meatus treated in our hospital from December 2018 to December 2019 were selected as the observation objects,The selected patients were randomly divided into the conventional group and the intervention group,There were 55 cases in the conventional group,taking regular care; there were 55 cases in the intervention group,on the basis of routine nursing,WeChat continuous nursing intervention was implemented. The psychological status and treatment compliance of the two groups were observed,also changes in treatment outcomes. Results The improvement of psychological state,treatment compliance and treatment effect in the intervention group were better than that in the conventional group.The difference was statistically significant(P＜0.05). Conclusion In the course of nursing intervention for patients with fungal external auditory meatus,WeChat continuous nursing intervention was added.The psychological state of the patients has been improved,the rate of treatment compliance is increased and the total effective rate of treatment is increased greatly.Therefore,WeChat continuous nursing intervention is worthy of further promotion in clinical nursing.

目的 探讨臭氧水在外科手消毒中的消毒效果和医护人员的舒适度。方法 将参加手术的医务人员80例按时间段分为对照组、低浓度组、高浓度组,于消毒后分别进行手采样培养,并进行分析。结果 消毒后三组在菌落数比较差异有统计学意义(P<0.01);消毒后三组皮肤在发痒、脱屑、干燥评分比较差异有统计学意义(P<0.05);在气味、粘腻感、干燥速度比较差异有统计学意义(P<0.05)。结论 臭氧水用于外科手消毒效果可靠,无刺激气味和粘腻感,医护人员感觉更舒适。

Objective The aim of this study was to explore the disinfection effect of ozone water in surgical hand disinfection and the comfort of medical staffs. Methods 80 medical staffs who participated in surgeries were divided into control group, low-concentration group and high-concentration group according to the time period. After disinfection, hand samples were cultured and analyzed. Results After disinfection, there were statistically significance in colony number (P<0.01), itching, scaling and drying scores (P<0.05), odor, stickiness and drying speed (P<0.05). Conclusion Ozone water for surgical hand disinfection is reliable, no irritating odor and stickiness, and makes medical staffs feel more comfortable.

目的 探讨降低院前病情识别风险的护理研究。方法 对106例患者进行院前急救护理,53例患者使用简单临床评分(SCS)作为对照组,53例患者采用改良早期预警评分(MEWS)模式作为观察组,并按照院前危重患者救治护理模式实施院前急救护理。比较救治结果。结果 观察组患者院前急救总耗时间缩短,转运成活率和满意度提高,转运并发症发生率低于对照组,差异有统计学意义(P<0.05)。MEWS评分评估28 d生存率的AUC为0.861(P＜0. 001),临界值为6.98分,敏感度87.2%,特异度91.6%,优于SCS。结论 早期预警评分模式可以降低院前病情识别风险,提高救治成功率和护理质量,对患者预后有较好的敏感性和准确性。

Objective To explore the nursing in reducing risk of patients' pre-hospital condition recognition. Methods 106 patients were treated by emergency care in pre-hospital period. Among all patients a simple clinical scoring condition assessment(SCS) were given to 53 patients, who were in control group, and other 53 cases were treated by modified early warning score model (MEWS), who were in observation group. Emergency care was given to all critical patients in pre-hospital period. Then we compared the effects. Results The pre-hospital consumed time was significantly less, transportation survival rate and satisfaction rate of patients were both higher, complication rate was lower in observation group than control group(P＜0.05). The AUC was 0.861(P＜0. 001) of MEWS for evaluating survival rate after 28 days by the ROC curve analysis. The score of cutoff value was 6.98, sensitivity was 87.2%, specificity was 91.6%, which were all better than SCS. Conclusion Early warning score model may decrease the risk of condition recognition in pre-hospital period, improve rescue success rate and nursing quality, providing a better sensitivity and accuracy for prognosis evaluation.

目的 探讨活性臭氧水在失禁性皮肤炎中的应用效果。方法 将123例失禁性皮肤炎患者按入院时间分为对照组、银离子组、实验组各41例,分别给患者使用氧化锌软膏、银离子敷料和活性臭氧水进行治疗,治疗后对治疗效果、愈合时间以及患者对疗效的满意度进行评估。结果 治疗后银离子组、实验组有效率达100%,实验组、银离子组患者愈合时间比较接近,与对照组比较差异有统计学意义(P＜0.05);治疗后实验组的满意度为100%,银离子组为90.24%,对照组为60.98%。结果显示实验组更优于银离子组,且与对照组比较差异有统计学意义(P＜0.01)。结论 利用活性臭氧水治疗失禁性皮肤炎不仅能有效地提高创面的愈合能力,缩短愈合时间,而且方便、安全、高效、成本低。

Objective To investigate the efficacy of ozone water in the treatment of incontinence dermatitis. Methods 23 cases of incontinence dermatitis were divided into control group, silver ion group and experimental group respectively. Each group consists of 41 cases. The patients were treated with Zinc oxide ointment in control group, ionic silver dressing in silver ion group and activity of ozone water treatment in experimental group. Healing time and curative effect, as well as satisfaction assessment of patients after treatment were studied. Results It showed that both silver ion group and experimental group achieved an effective rate of 100%. The healing time of experimental group and silver ion group were relatively similar, while that of control group is significant differentt (P<0.05). Satisfaction assessment showed that the experimental group after treatment was 100%, while silver ion group was 90.24% and 60.98% in the control group. Results showed that experimental group is better than that of silver ion group, and both groups were statistically significant different to control group (P<0.01). Conclusion The use of ozone water in the treatment of incontinence dermatitis can not only effectively improve the wound healing ability, shorten the healing time, but also is convenient, safe and low cost.