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Objective To understand the survival rate.factors affecting the survival rate and death causes in the patients with continuous ambulatory peritoneal dialysis (CAPD) by retrospectively analyzing the data of CAPD patients to adopt the effective measures by aiming at various factors. Methods The retrospective analysis was performed on the survival rate and its influencing factors in 308 patients with definitely diagnosed end stage renal disease and conducting CAPD exceeding 3 months in the hospital from January 1.2010 to October 1.2017.Then the influence of related factors such as the age. Alb level, residual renal function, dialysis related peritonitis.dialysis sufficiency, volume, blood pressure. calcium and phosphorus metabolism on the survival rate was analyzed. The various factors were analyzed by using the Kaplan-Meier method. The multivariate analysis was performed by using the Cox regression model. Results The anemia degree, poor nutritional status, low residual renal function value, peritonitis occurrence during dialysis in first time peritoneal dialysis were the risk factors of poor survival rate in CAPD patients;the nutritional status and residual renal function in the first time dialysis were the independent risk factors affecting the survival rate in the CAPD patients. Among 308 cases of CAPD, 86 cases (27.92%) died, including 68 cases (79.07%) of cardiovascular events, 10 cases (11.63%) of peritoneal infection,3 cases(3.49%) of digestive tract bleeding,2 cases(2.33%) of cerebral infarction and 3 cases (3.49%) of others. Conclusion The influencing factors of survival in CAPD patients are mainly the anemia degree in the first time peritoneal dialysis,nutritional status,residual renal function and dialysis related peritonitis occurrence. The nutritional status at the first time peritoneal dialysis and residual renal function are the independent risk factors. The cardiovascular events is the main death cause of CAPD patients,followed by peritoneal infection. [ABSTRACT FROM AUTHOR]

目的探讨延续护理对提高携T 管出院患者管道护理能力和医疗服务满意度的效果。方法采用历 史对照类实验研究方法，选择110 例因肝胆管结石在该科行胆道引流并携管出院的患者作为研究对象。以2015 年5 月 至2016 年5 月携管出院患者作为对照组，以2016 年6 月至2017 年5 月携管出院患者作为干预组，每组55 例。对照组 实施常规健康指导，干预组在常规健康指导的基础上实施个体化延续性护理，比较2 组患者T 管护理能力和医疗服务 满意度。结果干预组T 管护理知识问卷调查得分及出院护理满意度均高于对照组，差异有统计学意义（P<0.05）。结 论个体化延续护理干预提高了患者对疾病的认知及对管道的自我维护意识，同时提高了患者出院护理满意度。 [ABSTRACT FROM AUTHOR]

禁食是经内镜治疗的消化道肿瘤患者术后常规的护理措施，然而患者在禁食期间常发生主观饥饿感或 低血糖事件，不仅让患者因不适感增加而导致治疗配合度降低，而且还增加了医疗风险、延长住院时间，最终致使患者 住院费用显著增加。针对患者内镜下治疗期间低血糖进行防范管理，有助于减少低血糖的发生，提高患者依从性，控制 住院时间，降低住院费用，保证医疗安全。 [ABSTRACT FROM AUTHOR]

目的探讨集束化管理在提高急诊护理文书书写质量的效果。方法选取2014年1—12月该院急诊科留观大病历110份并从中选取抢救护理记录单50份作为对照组,选取2015年1—12月留观大病历110份,并从中选取抢救护理记录单50份作为研究组并进行集束化管理,分析比较急诊科责任护士及高级责任护士留观大病历及抢救护理记录单书写情况。结果 2015年留观大病历各项文书书写情况均明显优于2014年,差异均有统计学意义(P<0.05);2015年抢救护理记录单各项书写情况均明显优于2014年,差异均有统计学意义(P<0.05)。结论采用集束化管理模式能有效提高急诊护理文书书写质量及书写规范性,能培养护理人员应有的慎独精神,树立严谨的工作作风,进一步增强护理人员的责任感,在临床应用中具有推广价值。 [ABSTRACT FROM AUTHOR]

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目的探讨品管圈（QCC)活动在降低糖尿病患者低血糖发生率中的应用。方法选取本科2015年 5~10月收治入院的2塑糖尿病患者为研究对象。按QCC理论步骤进行计划、实施、确认和处置（PDCA)，分析导致糖尿病 患者发生低血糖的原因，针对性地拟定对策并实施，经PDCA循环后进行效果评价。结果实施$CC后，糖尿病患者低 血糖发生率由改善前的28.72%下降至改善后的12.62%，差异有统计学意义(P<0.05)。圈员解决问题的能力、个人素质修 养、沟通协调能力、责任心、自信心、团队精神、工作积极性和QCC手法均较之前有所提高，尤其是自信心与QCC手法的 应用。结论运用QCC可有效降低糖尿病患者的低血糖发生率，保证患者护理安全和治疗效果，提高QCC圈员的品管 手法、创新意识及解决问题的能力。 [ABSTRACT FROM AUTHOR]

Objective To investigate the effect of early enteral nutrition support combined with minimally invasive percutaneous drainage of abdominal cavity on the immune function and nutritional status in the patients with severe acute pancreatitis (SAP). Methods 40 cases of SAP in our hospital from August 2012 to February 2015 were selected as the research subjects and randomly divided into the observation group and the control group according to the odd and even number of admission, 20 cases in each group. The observation group was given early enteral nutrition support combined with minimally invasive percutaneous drainage of abdominal cavity based on the traditional comprehensive treatment, while the control group was given the traditional comprehensive treatment. The immune function (CD4/CD8 ratio, IgG level) before and after treatment, serum albumin and prealbumin change, WBC, blood amylase level on 1, 7, 14, 21 d after admission, mortality after treatment, hospitalization time and treatment cost were also observed. Results The serum CD4/CD8 ratio and IgG level after treatment in the observation group were significantly improved compared with the before treatment and the control group after treatment,the difference was statistically significant (P<0.05); WBC and blood amylase levels on 7,14, 21 d of treatment in the observation group were decreased compared with the control group, the serum prealbumin level was significantly higher than before treatment, moreover significantly increased compared with the control group after treatment, the difference was statistically significant (P<0.05); the mortality in the observation group was 5.0% (1/20), which was significantly lower than 25.0% (5/20) in the control group, the hospitalization time and treatment costs were significantly less than those in the control group, the difference was statistically significant (P<0.05). Conclusion Early enteral nutrition support combined with intraperitoneal drainage in the treatment of SAP can significantly improve the nutritional status and immune function with low treatment costs, short treatment time, low mortality and definite effect. [ABSTRACT FROM AUTHOR]