气虚血瘀型盆腔炎中医护理方案的效果研究

目的探讨运用中医护理方案干预气虚血瘀型盆腔炎的临床效果。方法将60例确诊为气虚血瘀型盆腔炎住院患者随机分为2组,各30例。观察组应用中医护理方案进行护理,对照组采用常规护理措施,观察并比较2组患者临床护理效果、住院天数及对护理满意度情况。结果观察组患者的临床总有效率(96.7%)显著优于对照组(76.7%),观察组的护理满意度评分结果显著优于对照组,差异有统计学意义(P0.05)。结论采用中医护理方案对气虚血瘀型盆腔炎患者进行护理,临床效果明显优于常规护理,值得推广使用。     

乳腺癌手术类型对患者远期生活质量及心理的影响

目的探讨术后2年保乳术与改良根治术后患者心理及生活质量的差异。方法对两家医院55例乳腺癌患者（30例患者接受改良根治术，25例患者接受保乳术）采用FACT—B以及HAD量表进行问卷调查。结果FACT—B量表中只有穿衣及性吸引力方面保乳手术组明显好于改良根治术组，但在其他方面并无明显差异。HAD评分也在两组中未能显示出差异。结论需要慎重选择保乳术，尤其对于年轻工女性，不能因为追求美观而轻易选择保乳术。做好宣教工作，让适合保乳的患者真正放心。     

Meanings of at‐homeness at end‐of‐life among older people

Maintaining the well‐being of older people who are approaching the end‐of‐life has been recognised as a significant aspect of well‐being in general. However, there are few studies that have explicitly focused on at‐homeness among older people. This study aims to illuminate meanings of at‐homeness among older people with advancing illnesses. Twenty men and women, aged 85 or older, with advancing illnesses and who lived in their own homes, in nursing homes or in short‐term nursing homes in three urban areas of Sweden were strategically sampled in the study. Data were generated in narrative interviews, and the analysis was based on a phenomenological hermeneutical method. After obtaining a naïve understanding and conducting structural analyses, two aspects of the phenomenon were revealed: at‐homeness as being oneself and at‐homeness as being connected. At‐homeness as being oneself meant being able to manage ordinary everyday life as well as being beneficial to one's life. At‐homeness as being connected meant being close to significant others, being in affirming friendships and being in safe dependency. Here, at‐homeness is seen as a twofold phenomenon, where being oneself and being connected are interrelated aspects. Being oneself and being connected are further interpreted by means of the concepts of agency and communion, which have been theorised as two main forces of the human being.     

节能经济型手术室管理初探

节能经济型手术室建设首先考虑的是安全、可靠、实用方便,既洁污分明,又分区合理;既符合医院感染控制管理原则,又遵循全过程和全面控制原则;既要减少交叉感染,又要节约使用空间和运营费用。