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Cancer-related fatigue is a severe form of fatigue among people with cancer, influencing the treatment outcome and quality of life of the patient. This paper reviewed the studies about cancer-related fatigue and related systematic nursing interventions, and provided evidence for establishment of systematic nursing model suited to national circumstances. (癌因性疲乏(CRF)在癌症患者中普遍存在, 严重影响患者治疗和生活质量。本研究综述CRF与系统护理干预的相关概念, 总结相关护理干预措施, 旨在为进一步探讨和建立适合我国国情的系统性护理干预模式提供参考。)

Combination of peginterferon-alpha (PEG-IFN) and ribavirin (RBV) therapy is the current standard of care for chronic hepatitis C. This paper reviewed the studies of drug-related adverse reactions in hepatitis C patients who received PEG-IFN and RBV therapy, in order to increase awareness of medical staff and patients on drug-related adverse reactions, and provide reference for implementation of comprehensive interventions. (聚乙二醇干扰素(PEG－IFN)联合利巴韦林(RBV)的方案和直接抗病毒药物(DAA)是目前临床较为常见丙型病毒性肝炎治疗方案。本文对两种治疗方案的不良反应及护理干预进行综述, 旨在引起医护人员和患者对不良反应的关注及再认识, 为医护人员提供全维度的护理干预措施提供参考。)

Objective To explore the application of diversified prevention and nursing of osteoporosis for male schizophrenia patients in long-term hospitalization. Methods Totally 66 male schizophrenia patients with long-term hospitalization were enrolled as research objects. A two-year follow-up of the diversified prevention and nursing of osteoporosis was carried out. The changes in bone mineral density were measured before and after intervention. The Positive and Negative Syndrome Scale (PANSS) was used to assess the severity of psychiatric symptoms, and Scale of Social Skills for Psychiatric Inpatients (SSPI) was used to evaluate the daily living skills and social function of patients. Results An increase in bone mineral density was observed after intervention (0. 88±0. 15 g/cm2 vs. 0. 93±0. 18 g/cm2 , P＜0. 05). The scores of positive symptom, negative symptom and general psychiatric symptom after intervention were higher than those before intervention (P＜0. 01). The scores of ability of daily living, dynamic and communicative situation, and social activity skills were higher than those before intervention(P＜0. 01). Conclusion Osteoporosis or osteopenia in male schizophrenia patients with long-term hospitalization should not be ignored. Implementation of a diversified prevention and nursing strategy can increase the bone mineral density, relieve the psychiatric symptoms and improve the daily living skills and social function of patients. (目的 探讨多元化骨质疏松预防护理在长期住院男性精神分裂症患者中的应用效果。方法 选取66名长期住院男性精神分裂症患者为研究对象, 实施多元化骨质疏松预防护理, 干预时间为2年。检测并记录干预前后患者的骨密度数据变化, 采用精神分裂症阳性和阴性症状量表(PANSS)评估患者精神症状的严重程度; 采用住院精神患者社会功能评定量表(SSPI)评估生活能力和社会功能。结果 实施护理干预后患者骨密度值为(0. 93±0. 18)g/cm2, 高于实施护理干预前的(0. 88±0. 15)g/cm2, 差异有统计学意义(P＜0. 05); 患者PANSS量表评分中阳性症状、阴性症状和一般精神病理量表评分均较干预前下降, 差异有统计学意义(P＜0. 01); 患者SSPI量表评分中日常生活能力、动性和交往情况和社会性活动技能评分均较干预前上升, 差异有统计学意义(P＜0. 01)。结论 长期住院男性精神分裂症患者的骨质疏松或骨量减少问题不容忽视。通过对其实施多元化骨质疏松预防护理, 可明显促进其骨密度增加, 改善患者精神症状的严重程度, 提高生活能力和社会功能。)

Objective To investigate the effect of predictive nursing based on Plan-Do-Check-Action(PDCA) cycle in prevention of falls in long-stay senile psychiatric patients. Methods Totally 140 senile psychiatric patients with hospital stay more than one year were included as the control group. After implementation of predictive nursing based on PDCA cycle, another 140 senile psychiatric patients with hospital stay more than one year were recruited as the observation group. To compare the incidence of falls and related nursing quality scales between two groups. Results Two cases in the observation group were lost to follow-up. There were 8 (5. 80%)cases of falls in the observation group and 20(14. 29%) cases of falls in the control group, with a significant difference (P＜0. 05). The scores of nursing quality in aspects of management, implementation, equipment and environment, education and feedback were higher than those in the control group(P＜0. 05). Conclusion The predictive nursing based on PDCA cycle is effective to reduce the risk of falls in long-stay senile psychiatric patients. (目的 探讨PDCA循环式预见性护理在预防长期住院老年精神科患者跌倒中的应用效果。方法 选取2019年1月1日前在苏州市广济医院精神科住院时间≥1年的患者140例作为对照组, 另选取2019年1月1日起施行PDCA式预见性护理后住院时间≥1年的患者140例患者为观察组, 观察2组跌倒发生情况, 比较2组防范患者跌倒护理质量。结果 观察组2例患者退出研究。观察组发生跌倒8(5. 80%)例, 对照组发生跌倒20(14. 29%)例, 2组比较差异有统计学意义(P＜0. 05)。观察组组织管理、措施落实、设备环境及宣教反馈评分均高于对照组, 差异有统计学意义(P＜0. 05)。结论 PDCA循环式预见性护理能有效降低长期住院老年精神科患者跌倒风险, 提高护理质量。)