论著

感染性角膜炎的隔离管理

Isolation and management of infectious keratitis

:88-90
 
目的:规范感染性角膜炎的隔离管理。方法:回顾性分析感染性角膜炎患者在住院期间发生交叉感染的危险因素,探讨现行的隔离管理措施是否有效。结果:隔离管理到位,5年的院感发生率为0.08%。结论:规范感染性角膜炎的隔离管理,能有效地预防医院感染。
Objective: To standardized the isolation and management of infectious keratitis. Methods: Risk factors of cross-infection of patients with infectious keratitis during their hospitalization were retrospectively reviewed to investigate whether the current isolation management is effective. Results: The current isolation management is effective since the incidence of hospital infection was 0.08% in past 5 years. Conclusion: Standardized the isolation management of infectious keratitis can prevent hospital infection efficaciously. 
论著

泪道成形+义管植入日间手术患者的延续性护理

Continuous care of the patients with day surgery of lacrimal duct formed combined tube implantation

:84-87
 
目的:探讨完善泪道成形+义管植入日间手术患者的延续性护理对预防义管意外脱管的重要作用。方法:收集我科2016年1月至12月实施了标准延续性护理的泪道成形+义管植入日间手术患者的意外脱管情况。结果:泪道成形+义管植入日间手术患者随访期间没有发生医源性脱管,有9例9眼带管期间在院外发生脱管,意外脱管率为2.6%。结论:做好泪道成形+义管植入日间手术患者的延续性护理,有效降低义管意外脱出率,有利于患者康复。
Objective: To explore the important role of continuous nursing of the patients with day surgery of lacrimal duct forming combined tube implantation in the aspect of accident prevention to take off the tube. Methods: The information of the patients from Jan. to Dec. 2016 with accident the tube’s takeoff after carrying out the standard continuity of care were collected. Results: There was no iatrogenic but 9 eyes of 9 patients accidentally take off the tube during follow-up period. Accidental decannulation rate was 2.6%. Conclusion: Continuous care of the patients with day surgery of lacrimal duct forming combined tube implantation can effectively reduce the tube accidentally removal rate and be beneficial to patients’ recovery.
论著

甲状腺相关眼病患者的生活质量调查及护理对策

Investigation of quality of life and nursing of patients with thyroid associated ophthalmopathy

:80-83
 
目的:探讨与甲状腺相关眼病患者的生活质量,为做好个体化的护理提供理论依据。方法:采用甲状腺相关眼病的生活质量调查问卷进行调查,用R语言进行数据分析。结果:年龄与视功能评分成负相关(P<0.001,r=–0.504),与社会心理评分成正相关(P=0.002,r=0.327)。文化程度与视功能评分成正相关(P<0.001,r=0.391),与社会心理评分无相关关系(P=0.749)。不同症状的视功能评分之间差异有统计学意义(P<0.001)。结论:通过甲状腺相关眼病的生活质量调查问卷可知,年龄越大,视功能越差,不同症状的患者视功能情况不同,要关注年龄大、复视、视力差患者的安全;在护理上,要做好患者及其有甲状腺功能亢进史家属的健康宣教,尤其关注女性患者的社会心理状况。
Objective: To explore the factors related to the quality of life of patients with thyroid associated ophthalmopathy, and to provide theoretical basis for individual nursing. Methods: The quality of life questionnaire of thyroid associated ophthalmopathy was used to investigate, and the data were analyzed by R language. Results: There was a negative correlation between age and visual function score (P<0.001, r=-0.504), and positively correlated with social psychological score (P=0.002, r=0.327). There was a positive correlation between educational level and visual function score (P<0.001, r=0.391), and had no correlation with social psychological score (P=0.749). There were statistically significant differences in visual function scores among different symptoms (P<0.001).Conclusion: The quality of life of thyroid-related eye disease questionnaire showed that the older, the worse the visual function. Different symptoms of patients had different visual function. We should pay attention to the patients with older, diplopia and poor vision, do health education with the patients and family members with the history of hyperthyroidism as well, especially concern with the social and psychological status of female patients.
论著

小儿角膜移植围手术期护理

Perioperative care for corneal transplantation in children

:219-222
 
目的:减轻行角膜移植术的患儿及家属的心理负担,提高患儿对手术的耐受性,减少术后并发症。方法:对45例将进行角膜移植的患儿进行围手术期护理。结果:所有患儿经过精心的治疗和护理后均恢复良好,视力均有提高。结论:术前做好充足的准备、术前心理护理,术后严密观察生命体征和眼部敷料的情况,做好相关的生活和饮食指导,遵医嘱及时有效用药,注意患儿异常的反应及眼部的情况,及时发现并处理并发症,给予细致的出院指导,有利于患儿早日康复。
Objective: To reduce the psychological burden of the children and families who are scheduled to the corneal transplantation, and to improve the patients’ tolerance and reduce postoperative complications. Methods: The perioperative care was given to 45 patients with corneal transplantation. Results: All children were treated well by careful treatment and care. Conclusion: Before operation, comprehensive preparation and psychological nursing care should be delivered. Affer operation, the physicians and nurses should guide the patients to live a healthy lifestyle, remind them to take the drugs timely, identify the abnormal symptoms and postoperative complications in children with abnormal responses, implement effective treatment timely to accelerate postoperative recovery.
医学教育

八年制医学生对全程导师教学需求与满意度调查

Survey on teaching needs and satisfaction of the eight-year program medical students to the whole-course tutors

:1006-1014
 
目的:了解八年制医学生对全程导师的教学需求与满意度。方法:将中山大学八年制临床医学生分为低年级、高年级两组,均进行匿名线上问卷调查。分析问卷结果,并比较两组间的不同。结果:回收问卷352份。学生对导师个人“比较满意”占比高(低年级45.56% vs 高年级37.79%,P=0.087),对全程导师制度“比较满意”占比高(低年级 36.67% vs 高年级33.14%,P=0.806)。对全程导师制度“很了解”与“比较了解”的学生在低年级中明显低于高年级的占比(16.67% vs77.91%,P<0.001)。低年级学生期待全程导师在职业规划、临床思维、科研思维、心理健康发挥较大影响的占比均高于高年级的实际评估(构成比4个方面均P<0.001,选择“有很大影响”及“比较有影响”在低、高年级占比分别为83.33% vs 36.63%,92.22% vs 29.07%,91.67% vs 31.39%,62.78% vs 38.37%)。结论:学生对全程导师个人及制度均较满意,但存在低年级对该制度了解少、师生联系少、导师实际作用低于学生预期、科研训练机会不足等问题。亟需完善全程导师制,推动临床医学高水平人才的培养。
Objective: To evaluate the teaching needs and satisfaction of the eight-year program medical students to the whole-course tutors. Methods: An anonymous online questionnaire survey was conducted among the eight-year program medical students at Sun Yat-sen University. All students were divided the junior group and the senior group, and the differences between the two groups were compared. Results: A total of 352 valid questionnaires were collected. The proportion of students who were fairly satisfied with their whole-course tutors was 45.56% in  the junior group and 37.79% in the senior group (P=0.087). The proportion of students who were fairly satisfied with the whole-course tutorial system was 36.67% in the junior group and 33.14% in the senior group (P=0.806). The proportion of students who “know well” and “know fairly well” about the whole-course tutorial system in the junior group was significantly lower than that in the senior group (16.67% vs 77.91%, P<0.001). The proportion of students in the junior group expecting their whole-course tutors “having a great impact” or “having some impact” on career planning, clinical thinking, scientific research thinking and mental health was significantly higher than that in the senior group (tests for proportions, all P<0.001, 83.33% vs 36.63%, 92.22% vs 29.07%, 91.67% vs 31.39%, 62.78% vs 38.37%). Conclusion: The eight-year program medical students are satisfied with their whole-course tutors and the whole-course tutorial system. However, some problems still exist, such as lower grade students lack of understanding of the whole-course tutorial system, insufficient contact between tutors and students, the actual influences of tutors failing to meet the students’ expectation, and insufficient opportunity of scientific research and training. It is urgent to improve the whole-course tutorial system and promote the cultivation of qualified medical talents.
医学教育

八年制医学生对全程导师教学需求与满意度调查

Survey on teaching needs and satisfaction of the eight-year program medical students to the whole-course tutors

:1006-1014
 
目的:了解八年制医学生对全程导师的教学需求与满意度。方法:将中山大学八年制临床医学生分为低年级、高年级两组,均进行匿名线上问卷调查。分析问卷结果,并比较两组间的不同。结果:回收问卷352份。学生对导师个人“比较满意”占比高(低年级45.56% vs 高年级37.79%,P=0.087),对全程导师制度“比较满意”占比高(低年级 36.67% vs 高年级33.14%,P=0.806)。对全程导师制度“很了解”与“比较了解”的学生在低年级中明显低于高年级的占比(16.67% vs 77.91%,P<0.001)。低年级学生期待全程导师在职业规划、临床思维、科研思维、心理健康发挥较大影响的占比均高于高年级的实际评估(构成比4个方面均P<0.001,选择“有很大影响”及“比较有影响”在低、高年级占比分别为83.33% vs 36.63%,92.22% vs 29.07%,91.67% vs 31.39%,62.78% vs 38.37%)。结论:学生对全程导师个人及制度均较满意,但存在低年级对该制度了解少、师生联系少、导师实际作用低于学生预期、科研训练机会不足等问题。亟需完善全程导师制,推动临床医学高水平人才的培养。
Objective: To evaluate the teaching needs and satisfaction of the eight-year program medical students to the whole-course tutors. Methods: An anonymous online questionnaire survey was conducted among the eight-year program medical students at Sun Yat-sen University. All students were divided the junior group and the senior group, and the differences between the two groups were compared. Results: A total of 352 valid questionnaires were collected. The proportion of students who were fairly satisfied with their whole-course tutors was 45.56% in the junior group and 37.79% in the senior group (P=0.087). The proportion of students who were fairly satisfied with the whole-course tutorial system was 36.67% in the junior group and 33.14% in the senior group (P=0.806). The proportion of students who “know well” and “know fairly well” about the whole-course tutorial system in the junior group was significantly lower than that in the senior group (16.67% vs 77.91%, P<0.001). The proportion of students in the junior group expecting their whole-course tutors “having a great impact” or “having some impact” on career planning, clinical thinking, scientific research thinking and mental health was significantly higher than that in the senior group (tests for proportions, all P<0.001, 83.33% vs 36.63%, 92.22% vs 29.07%, 91.67% vs 31.39%, 62.78% vs 38.37%). Conclusion: The eight-year program medical students are satisfied with their whole-course tutors and the whole-course tutorial system. However, some problems still exist, such as lower grade students lack of understanding of the whole-course tutorial system, insufficient contact between tutors and students, the actual influences of tutors failing to meet the students’ expectation, and insufficient opportunity of scientific research and training. It is urgent to improve the whole-course tutorial system and promote the cultivation of qualified medical talents.
其他期刊
  • 眼科学报

    主管:中华人民共和国教育部
    主办:中山大学
    承办:中山大学中山眼科中心
    主编:林浩添
    主管:中华人民共和国教育部
    主办:中山大学
    浏览
  • Eye Science

    主管:中华人民共和国教育部
    主办:中山大学
    承办:中山大学中山眼科中心
    主编:林浩添
    主管:中华人民共和国教育部
    主办:中山大学
    浏览
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