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find Author "杨晓玲" 5 results
  • An Investigation of the Status of Clinical Learning Environment in Undergraduate Nursing Students' in the late Clinical Practice Stage in Sichuan Province

    ObjectiveTo explore the status of clinical learning environment in undergraduate nursing students in the late clinical practice stage in Sichuan Province. MethodThe sampling was performed in a layered-randomized and geometric proportional way. A total of 1 027 nursing students from 6 nursing schools in Sichuan Province between May and July 2012 were included. Data were collected by the self-rating questionnaires, including demographic sheet, and the nursing clinical learning environment scale. ResultsThe general score of evaluation for clinical learning environment by the nursing undergraduates was 144.99±26.60, and the average score of the items was 3.45±0.63. The average scores were 3.41±0.74, 3.59±0.64, 3.43±0.69, 3.45±0.73, 3.35±0.77, and 3.49±0.69, representing the personality, task orientation, working atmosphere and team spirit, innovation, interpersonal relation, and student participation, respectively. ConclusionsThe assessments about clinical learning environment of nursing undergraduates in Sichuan province are medium grade and the evaluation dimensions of personality and interpersonal relationships low. It is necessary to improve clinical learning environment in the future.

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  • QQ 群在 1 型糖尿病患者出院后自我管理的应用研究

    目的 探讨 QQ 群管理对 1 型糖尿病患者出院后依从性的影响。 方法 选择 2013 年 10 月—2015 年 2 月内分泌代谢科住院期间 1 型糖尿病患者 41 例,出院后使用 QQ 群对患者进行健康教育及管理,比较入院时和出院后 6 个月患者的空腹血糖(fasting blood glucose,FBG)、餐后 2 h 血糖(2-hour postprandial blood glucose,2hPBG)、糖化血红蛋白(hemoglobin A1c,HbA1c)及依从性。 结果 入院时,患者的 FBG、2hPBG、HbA1c 分别为(9.03±2.61)mmol/L、(16.04±5.25)mmol/L、(8.77±1.52)%,出院后 6 个月,患者上述指标分别下降为(6.33±1.37)mmol/L、(9.41±2.57)mmol/L、(7.52±1.03)%,差异均有统计学意义(P<0.05)。患者出院后 6 个月依从性量表各项评分均高于入院时,差异均有统计学意义(P<0.05)。 结论 使用 QQ 群管理 1 型糖尿病患者是有效的。

    Release date:2017-07-21 03:43 Export PDF Favorites Scan
  • 经括约肌间瘘管结扎术治疗复杂性肛瘘44例临床疗效观察

    目的评价经括约肌间瘘管结扎术在治疗复杂性肛瘘中的临床疗效。 方法对2009年9月至2014年12月期间南京中医药大学附属医院肛肠科收治的44例经括约肌肛瘘行括约肌间瘘管结扎术患者的临床资料进行回顾性分析。 结果44例中获一期治愈者36例(81.8%);术后括约肌间感染2例,使用银离子敷料换药后治愈,4例出现括约肌间切口感染,形成括约肌间瘘,经直接切开后治愈;完全失败2例,1例因术后症状持续而行挂线治疗后治愈,另1例术后7个月复发(于其他医院行肛瘘切开挂线术)。术后住院时间10~25 d,平均14.7 d;伤口完全愈合时间15~30 d,平均21.1 d。 结论经括约肌间瘘管结扎术是一种简单、有效的保留括约肌术式,该手术减少了对肛门功能的损伤,保证括约肌的完整性。

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  • Clinical Progress of The Ligation of Intersphincteric Fistula Tract in The Treatment of Anal Fistula

    ObjectiveTo summarize the latest research progress of intersphincteric fistula ligation in the treatment of anal fistula. MethodsThrough the retrieval of CNKI and PubMed literature database, the principle, clinical application and related improvement of LIFT were reviewed. ResultsLigation of intersphincteric fistula tract is a sphincter preserving surgery in recent years. Because it has the advantage of ensuring the integrity of the sphincter, less damage to the anal function after operation, the wound healing quickly and so on, it has been accepted by domestic and foreign scholars. ConclusionLIFT to cure anal fistula while ensuring the anal function integrity, is the development trend of anal fistula surgery, is worthy to be popularized.

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  • Study on application of pouched suture plus external dissection and internal ligation in the treatment of mixed hemorrhoids

    Objective To investigate the clinical efficacy of pouched suture plus external dissection and internal ligation in the treatment of mixed hemorrhoids. Methods Seventy patients with Ⅲ-Ⅳ internal henmorrhoids and mixed hemorrhoids who were admitted into Jiangsu Provincial Hospital of Traditional Chinese Medicine form June 2015 to June 2016 were enrolled. The patients were randomly divided into two groups: the combined operativ group and control group. The combined operativ group in which 35 cases were treated by pouched suture plus external dissection and internal ligation, and the control group in which 35 cases were treated by external dissection and internal ligation. The wound healing time, clinical curative effect, hospital stay, the operative time and postoperative complications (postoperative pain, edema, postoperative bleeding volume, urination difficulties, residual skin tag, anorectal stenosis) between two groups were compared. Results No significant difference were found in the clinical curative effect, the operative time and anorectal stenosis in two groups (P>0.05). The visual analogue scale (VAS) scores and the edema scores of the combined operativ group on the first day, the third day, and the fifth day after operation were lower than those of control group, the difference was statistically significant (P<0.05), while there were no statistically significant on the seventh day after operation in two groups (P>0.05) . The wound healing time, hospital stay, postoperative bleeding volume, urination difficulties, and residual skin tag in the combined operativ group were significantly shorter or lower than those in the control group (P<0.05). Conclusion Pouched suture plus external dissection and internal ligation has the advantages of less pain, fewer complications and quicker recovery, it also meets the modern concept of minimally invasive, so it is worthy of popularization and application.

    Release date:2017-04-18 03:08 Export PDF Favorites Scan
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