Search

This paper summarized the nursing management of resection for giant abdominal tumor in a patient with lipomatous tumor. Based on the nursing assessment and illness condition monitoring, comprehensive nursing interventions including pain control, nutrition support, health education and psychological care were carried out to relieve the patient’s negative emotion, prevention postoperative complications and improve the recovery. (本文总结1例非典型脂肪瘤样肿瘤患者行腹部巨大肿瘤切除术后的护理经验。患者入院后完善常规检查, 做好术前准备和术中配合, 术后加强病情观察, 针对性止痛, 给予营养支持, 开展健康教育和心理干预, 缓解患者负性情绪, 预防并发症, 促进患者早日康复。)

Objective To explore the application effect of enhanced recovery after surgery (EARS) in gynecological laparoscopy. Methods Totally 87 patients who underwent gynecological laparoscopy were retrospectively analyzed. According to the sequence of hospital admissions, 45 patients in control group received routine perioperative care, and another 42 patients in ERAS group were given EARS-based nursing interventions. Primary outcomes included intraoperative indexes (operation time, intraoperative blood loss and decrease in hemoglobin, postoperative indexes (first time of postoperative off-bed activities, anus exhausting time, length of stay, Visual Analogue Scale on pain at 12 hours after surgery) and postoperative complications such as nausea and vomiting, should and neck pain, abdominal distension. Results The operation time in the ERAS group was shorter than that in the control group (P＜0. 05). Patients in the ERAS group had shorter first time of postoperative off-bed activities, anus exhausting time, length of stay, and lower score of VAS pain at 12 hours after surgery compared with those in the control group(P＜0. 01). Incidences of nausea and vomiting, should and neck pain, abdominal distension in the ERAS group were lower than those in the control group (P＜0. 05). Conclusion The EARS-based nursing is potentially effective to improve the postoperative recovery of patients who underwent gynecological laparoscopy, it may reduce the postoperative pain and complications, and shorten the length of stay of patients. (目的 探讨术后加速康复(ERAS)在妇科腹腔镜手术患者中的应用效果。方法 回顾性收集2020年7月—2021年6月医院妇科行腹腔镜手术治疗的患者87例。2020年7月—2020年12月收治的45例患者为对照组, 2021年1月—6月收治的42例患者为ERAS组。对照组实施常规围手术期护理干预, ERAS组实施基于ERAS的护理干预。记录两组患者术中相关指标: 者手术时间、术中出血量和血红蛋白(Hb)减少量, 术后相关指标: 术后首次下床活动时间、肛门排气时间、住院时间、术后12 h疼痛视觉模拟评分(VAS), 以及术后并发症(恶心呕吐、肩颈酸痛、腹胀)发生情况。结果 ERAS组手术时间短于对照组, 差异有统计学意义(P＜0. 05)。 ERAS组术后肛门排气时间、术后首次下床活动时间和住院时间短于对照组, 术后12 h的VAS评分低于对照组, 差异有统计学意义(P＜0. 01)。 ERAS组术后恶心呕吐、肩膀酸痛和腹胀的发生率低于对照组, 差异有统计学意义(P＜0. 05)。结论 给予妇科腹腔镜手术患者ERAS快速康复护理, 能够有效促进患者术后康复时间, 降低术后疼痛和并发症发生风险, 缩短患者住院时间。)

Objective To explore the status and factors influencing the intrinsic capacity of hospitalized elderly patients, in order to provide a reference for further activity to maintain the function of the elderly and improve the outcome. Methods Using a convenience sampling method, 264 elderly patients admitted to the geriatric ward from March 2020 to April 2022 were selected as the study population, and the WHO-recommended intrinsic capacity assessment tool, the Geriatric Index of Comorbidity (GIC) and the General Information Questionnaire were applied to analyze the status and factors influencing the intrinsic capacity of hospitalized elderly patients. Results The intrinsic capacity score of 264 elderly patients was 2. 0 (2. 0, 3. 0), and 94. 32%(249/263) of elderly inpatients had a decrease in at least one dimension of intrinsic capacity. There were differences in age, marital status, residence status, and number of GIC diseases and GIC-disease burden among elderly inpatients with different status of intrinsic capacity in univariate analysis (P < 0. 05). Logistic regression analysis suggested that age (OR=0. 904, 95% CI: 0. 869 to 0. 941) and residence status (OR=0. 254, 95% CI: 0. 092 to 0. 700) were independent influences on the intrinsic capacity of hospitalized elderly patients. Conclusion Intrinsic capacity impairment in hospitalized elderly patients is common. Age and residential status are influential factors in the intrinsic capacity of hospitalized elderly patients. Although multi-morbidity in older adults is correlated to intrinsic capacity to some extent, but it is not an independent influence of intrinsic capacity. (目的 探讨住院老年患者内在能力现状及影响因素, 为进一步采取积极措施维持老年人功能和改善预后提供参考依据。方法 采用便利抽样的方法, 选取2020年3月—2022年4月入住医院老年医学病房的264例老年患者作为研究对象, 应用WHO推荐的内在能力评估工具、老年人共病指数(GIC)及一般资料问卷进行调查, 分析住院老年患者的内在能力现状及影响因素。结果 264例老年患者的内在能力得分为2. 0(2. 0, 3. 0), 有94. 32%(249/263)的老年住院患者存在至少1个维度的内在能力下降。单因素分析中内在能力不同状态的老年住院患者之间年龄、婚姻状况、居住情况及GIC疾病数目与GIC疾病负担存在差异(P＜0. 05)。Logistics回归分析提示年龄(OR=0. 904, 95%CI: 0. 869～0. 941)及居住情况(OR=0. 254, 95%CI: 0. 092～0. 700)是住院老年患者内在能力的独立影响因素。结论 住院老年患者内在能力下降的情况普遍存在。年龄和居住情况是住院老年患者内在能力的影响因素。虽然老年人多病共存在一定程度上与内在能力具有相关性, 但并非内在能力的独立影响因素。)

为提高金枪鱼油的稳定性，以明胶-六偏磷酸钠为壁材，通过复合凝聚法包埋金枪鱼油制备金枪鱼油微胶囊。采用单因素实验筛选了适宜的鱼油抗氧化剂和微胶囊明胶壁材，并优化了鱼油O/W乳液的均质条件、复合凝聚发生和微胶囊形成的适宜pH及恒温搅拌机转速；在优化的条件下，分析所制备微胶囊的微观形态、氧化稳定性、包埋特性和粉体性质。结果表明，复合凝聚法制备金枪鱼油微胶囊的适宜条件为：在金枪鱼油中添加0.04%维生素E,采用99%生物技术级明胶，在均质速度25 000 r/min、乳化时间35 min下制备金枪鱼油O/W乳液，并在恒温搅拌机转速800 r/min、pH 4.46下发生复合凝聚，在此条件下制备的金枪鱼油微胶囊形态呈椭圆形或纺锤形，大小较均匀，平均粒径为20.23 μm，氧化诱导时间为21.65 h，包埋率为 97.70%，封装效率为 95.16%，休止角为42.15°，溶解度为61.67%，在模拟胃液与模拟肠液中的缓释性能分别为71.36%与38.11%。综上，以明胶-六偏磷酸钠复合凝聚层为壁材制备的金枪鱼油微胶囊呈现较好的感官特性、包埋特性和粉体性质，氧化稳定性显著提高。 In order to improve the stability of tuna oil, the tuna oil was encapsulated to prepare tuna oil microcapsules by complex coacervation with gelatin-sodium hexametaphosphate as wall material. The antioxidant of tuna oil, type of gelatin, homogenization conditions of O/W emulsion, pH and constant temperature mixer speed suitable for generating complex coacervation and forming microcapsules were optimized to prepare tuna oil microcapsules by single factor experiment. The microscopic morphology, oxidation stability, embedding property and powder property of the microcapsule prepared under the optimal conditions were analyzed. The results showed that the optimal preparation conditions of complex coacervated microcapsules were obtained as follows: adding 0.04% vitamin E in tuna oil, tuna oil O/W emulsion prepared with 99% biotechnological grade gelatin at homogenisa tion speed 25 000 r/min and emulsification time 35 min, constant temperature mixer speed 800 r/min, and complex coacervation pH 4.46. Under these conditions, the tuna oil microcapsules was oval or fusiform and relative uniform in size and the mean particle size was 20.23 μm.The oxidation induction time,encapsulation rate, encapsulation efficiency, angle of repose and solubility of the microcapsule were 21.65 h,97.70%, 95.16%, 42.15° and 61.67%, respectively, and the sustained release properties in simulated gastric and intestinal fluids were 71.36% and 38.11%, respectively. In Summary, The tuna oil microcapsules prepared with the gelatin-sodium hexametaphosphate complex condensed layer as the wall material has better sensory property, embedding property and powder property, and its oxidation stability is significantly improved.

Copyright of Acta Agriculturae Zhejiangensis is the property of Acta Agriculturae Zhejiangensis Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Acta Agriculturae Zhejiangensis is the property of Acta Agriculturae Zhejiangensis Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Anhui Agricultural Sciences is the property of Journal of Anhui Agricultural Sciences Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Chinese Journal of Bioprocess Engineering is the property of Chinese Journal of Bioprocess Engineering Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Food Safety & Quality is the property of Journal of Food Safety & Quality Editorial Department and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Shipin Kexue/ Food Science is the property of Food Science Editorial Department and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of University Chemistry is the property of Peking University, College of Chemistry & Molecular Engineering and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Modern Preventive Medicine is the property of Modern Preventive Medicine Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Anhui Agricultural Sciences is the property of Journal of Anhui Agricultural Sciences Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Changzhou University (Natural Science Edition) / Changzhou Daxue Xuebao (Ziran Kexue Ban) is the property of Editorial Department of Journal of Changzhou University and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Henan Agricultural Sciences is the property of Editorial Board of Journal of Henan Agricultural Sciences and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Technology Economics is the property of Chinese Society of Technology Economics and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Dalian Polytechnic University is the property of Journal of Dalian Polytechnic University Editorial Department and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Plastics Science & Technology / Suliao Ke-Ji is the property of Plastics Science & Technology Editorial Office and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Shipin Kexue/ Food Science is the property of Food Science Editorial Department and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Application Research of Computers / Jisuanji Yingyong Yanjiu is the property of Application Research of Computers Edition and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Application Research of Computers / Jisuanji Yingyong Yanjiu is the property of Application Research of Computers Edition and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)