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目的探讨集束化护理模式在腹腔镜胃癌根治术患者中的应用效果。方法选取2018年9月至2019年9月该院行腹腔镜胃癌根治术的患者96例，随机分为观察组和对照组，每组48例。对照组采用常规护理模式，观察组在对照组基础上采用集束化护理模式，比较两组术后肠鸣音恢复时间、首次排气时间、首次排便时间、胃管留置时间、生活质量评分、不良反应发生率及护理满意度。结果观察组术后肠鸣音恢复时间、首次排气时间、首次排便时间及胃管留置时间均少于对照组，差异均有统计学意义（P＜0.05）。观察组生理职能、躯体疼痛、精神健康及活力评分均高于对照组，差异均有统计学意义（P＜0.05）。观察组不良反应总发生率及护理总满意度均优于对照组，差异有统计学意义（P＜0.05）。结论将集束化护理模式应用于腹腔镜胃癌根治术患者护理中，有利于实现护理质量的持续改进，促进患者术后胃肠功能的恢复，改善患者的生活质量，减少术后不良反应的发生，建立和谐的护患关系，值得临床推广应用。 [ABSTRACT FROM AUTHOR]

Objective • To evaluate the reliability and validity of the Adolescents, Quality of Life Scale in left-behind children to provide a reliable measurement tool for the study of the quality of life of left-behlnd children. Methods • Six schools (three primary schools and three secondary schools) were selected in the Qianjiang District of Chongqing City by the purpose sampling method. A total of 1 276 students in flue 4-9 grades were selected. One week later，one of the primary and secondary schools was retested respectively. Results • The 23rd item was deleted from the Adolescents' Quality of Life Scale. Every factor load of 38 items was greater than 0.4, and the cumulative variance contribution rate was 61.713%. A total of 4 dimensions and 11 factors were obtained- Confirmatory factor analysis showed that, for physical, psychological，social，and pubertal dimensions and total scale，/Vdf values were less than 5, and goodness of fit index (GFI), incremental fit index (IFI) and comparative fit index (CFI) values were greater than 0.9; root mean square error of approximation (RMSEA) value of each dimension was less than 0.08, and RMSEA value of total scale was 0.083; normed fit index (NFI) values of physical and pubertal dimensions were greater than 0.9, and NFI values for the psychological and social dimensions and total scale were 0.883, 0.876, and 0.871, respectively. The coefficient and the test-retest reliability of each dimension and the total scale were 0.648--0,849 and 0.554-0,831，respectively. Condnslon · The revised Adolescent Children's Quality of Life Scale has good reliability and validity, suggesting that it can be used for assessing the quality of life of left-behind children in China. [ABSTRACT FROM AUTHOR]

Objective. To evaluate the reliability and validity of the Adolescents Quality of Life Scale in left-behind children to provide a reliable measurement tool for the study of the quality of life of left-behind children. Methods. Six schools (three primary schools and three secondary schools) were selected in the Qianjiang District of Chongqing Citythe purpose sampling method. A total of 1 276 students in the 4-9 grades were selected. One week later, one of the primary and secondary schools was retested respectively. Results. The 23rd item was deleted the Adolescents Quality of Life Scale. Every factor load of 38 items was greater than 0.4, and the cumulative variance contribution rate was 61.713%. A total of 4 dimensions and 11 factors were obtained. Confirmatory factor analysis showed that, for physical, psychological, social, and pubertal dimensions and total scale, χ2/df values were less than 5, and goodness of fit index (GFI), incremental fit index (IFI) and comparative fit index (CFI) values were greater than 0.9; root mean square error of approximation (RMSEA) value of each dimension was less than 0.08, and RMSEA value of total scale was 0.083; normed fit index (NFI) values of physical and pubertal dimensions were greater than 0.9, and NFI values for the psychological and social dimensions and total scale were 0.883, 0.876, and 0.871, respectively. The coefficient and the test-retest reliability of each dimension and the total scale were 0.648-0.849 and 0.554-0.831, respectively. Conclusion. The revised Adolescent Childrens Quality of Life Scale has good reliability and validity, suggesting that it can be used for assessing the quality of life of left-behind children in China. [ABSTRACT FROM AUTHOR]

To investigate the clinical efficacy of fecal microbiota transplantation (FMT) combined with polyethylene glycol on intractable constipation and its effect on the quality of life and psychological states. Methods: A total of 35 patients with intractable constipation were treated with combined therapy of FMT and polyethylene glycol for 4 weeks in our department from November 2013 to May 2015. Knowles-Eccersley-Scott-Symptom (KESS) score, the patient assessment of constipation quality of life (PAC-Qo L) score, Zung selfrating anxiety scale (SAS) and selfrating depression scale(SDS) were recorded to assess the effects before and after treatment. Results: After treatment, the clinical recovery rate and improvement rate were 37.1 % and 77.1 %, which were 34.3% and 71.4 % after 3 months' follow-up, the KESS, PAC-Qo L, SAS and SDS scores were all significantly decreased compared with those before treatment (P<0.05). No serious adverse event occurred during the whole follow-up. Conclusions: Combination of Fecal microbiota transplantation and polyethylene glycol could significantly improve the quality of life and the abnormal psychological status of patients with intractable constipation. [ABSTRACT FROM AUTHOR]