RESUMEN
A case of a 47-year-old female patient who had a severe headache for 2 days was reported. Spontaneous subarachnoid hemorrhage (SAH, hunt-Hess classification Ⅱ level)-anterior communicating aneurysm rupture was diagnosed by brain CT and digital subtraction angiography (DSA) examination.Intravascular interventional aneurysm embolization was performed, and the patient appeared progressive limb weakness 5 days after operation. Physical examination revealed grade Ⅱ upper limb muscle strength and grade Ⅰ lower limb muscle strength. The muscle tone of the extremities was decreased,and the tendon reflex disappeared. The pinprick pain was decreased below the double wrist joints and the ankle joints. After neuroelectrophysiology test and cerebrospinal fluid assay, the patient was diagnosed as Guillain-Barré syndrome associated with subarachnoid hemorrhagic aneurysm embolization.
RESUMEN
Objective To investigate the effect of self-directed learning applications in clinical nursing teaching. Methods In our department of nursing practice 63 nursing students were divided into the control group(n=31)and ob-servation group (n=32), respectively used traditional teaching methods and self-directed learning, test results,inde-pendent learning skills,thinking skills,communication skills of two groups were compared. Results The theoretical knowledge,operational skills and total scores of observation group were significantly higher than that in control group(P<0.05).The self-management skills,information capabilities,ability to cooperate and scores of observation group were significantly higher than that in control group(P<0.05). The open-minded,analytical ability,seek the truth,systematic,confidence and total score of observation group were significantly higher than that in control group(P<0.05).The inter-personal communication skills, coaching and consulting capabilities to provide effective feedback and negative scores of observation group were significantly higher than that in control group (P<0.05).Conclusion Self-directed learning is applied in gynecological care clinical teaching nursing students could effectively mobilize the enthusiasm and initiative of learn to improve the self-learning ability,critical thinking and communication skills,to improve the quality of clinical teaching .