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Objective:To explore the application effect of nurses hierarchical online training system model based on ADDIE (analyze, design, develop, implement, evaluate) teaching theory on medical oncology nursing teaching.Methods:A total of 95 nursing students who had internships in the Department of Oncology in Suining Hospital Affiliated to North Sichuan Medical College from March 2019 to June 2020 were selected in the study and they were divided into observation group ( n=48) and control group ( n=47) according to the order of admission. The control group received regular teaching, and the observation group used the ADDIE teaching theory-based nurse hierarchical online training system model for teaching. The two groups of nursing students' cancer pain management ability, comprehensive ability, assessment scores and teaching satisfaction were recorded and comparatively analyzed. SPSS 22.0 was used for t test and chi-square test. Results:The scores of pain assessment, pain knowledge, pain medication, and pain intervention of the observation group were higher than those of the control group ( P<0.05); the observation group's total scores of comprehensive ability assessment, nursing students' theoretical assessment, and scenario simulation operation assessment scores were higher than those of the control group ( P<0.05); the nursing students in the observation group were more satisfied with the teaching style, content, practicability and teaching effect than those in the control group ( P<0.05). Conclusion:The hierarchical online training system model for nurses based on ADDIE teaching theory applied to medical oncology nursing teaching can effectively improve nursing students' cancer pain nursing ability, comprehensive ability and satisfaction, and achieve good training and assessment results.
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Objective To investigate the correlation of serum urate and gout with calcific aortic stenosis.Methods Patients aged over 60 years admitted into our hospital from July 2009 to January 2019 were retrospectively analyzed.A total of 230 patients were diagnosed as calcific aortic stenosis according to clinical history and transthoracic echocardiography(TTE),and enrolled in the aortic stenosis group.During the same period,460 age-matched patients without aortic stenosis confirmed by TTE were randomly recruited in the 1 ∶ 2 case-control study.The correlations of calcific aortic stenosis with serum urate and gout were analyzed.According to the differential pressure across the valve leaflets assessed by TTE,patients with calcific aortic stenosis were divided into 3 subgroups:the mild stenosis subgroup(n=42),the moderate stenosis subgroup(n=79)and the severe stenosis subgroup(n =109).Relationships of serum urate and gout with different degrees of calcific aortic stenosis were analyzed.Risk factors for the degree of calcific aortic stenosis were analyzed by Logistic regression analysis.Results Serum urate level was higher in aortic stenosis group than in control group [(401.8±139.7) μmol/L vs.(320.7± 106.2) μmol/L,P＜0.05].And the proportion of patients with gout was higher in aortic stenosis group than in control group[11.3％ (26 cases) vs.5.0％ (23 cases),P＜ 0.05].Multivariate Logistic regression analysis indicated that serum urate (OR =3.47,95 ％CI:2.24～ 5.38,P ＜ 0.01) was an independent risk factor for calcific aortic stenosis,while gout (OR=1.41,95％CI:0.74～2.71,P =0.30)was not.There was no correlation of serum urate and gout with the severity of calcific aortic stenosis among the three subgroups(P＞0.05).Conclusions Serum urate level is significantly increased in patients with calcified aortic stenosis.Serum urate is an independent risk factor for calcified aortic stenosis,but has no relationship with stenosis degree.The correlation between gout and calcified aortic stenosis still needs to be further explored.
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Objective To study the effects of using the dropping retention-enema in the clinical practices.Methods Divided 60 cases who need retention-enema into the experimental group and the control group,there were 30 cases in the each group.The traditional retention-enema method was used in the control group,while the dropping retention-enema method was used in the experimental group.Compared the related factors between the two groups.Results All the factors which can indicated the clinical effects in the experimental group were better than those of in the control group,P