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The authors summarize the perioperative management provided to a splenic abscess patient with Mediterranean anemia complicated by portal vein thrombosis. Key aspects of perioperative management include multidisciplinary comprehensive management of the patient, implementation of a bundled infection control program, personalized thrombosis management, attention to the patient′s psychological well-being, provision of continuous care, and assistance with home management. Following a series of treatments and perioperative management, the patient′s condi-tion was improved, and discharged after 42 days of hospitalization.
RESUMO
Objective To analyze the status and influencing factors of job satisfaction of nurses at public hospitals, providing references for the teambuilding strategy of nurses. Methods Questionnaire survey method was used, in October 2017, to study job satisfaction of 1,047 nurses at 13 public general hospitals, for a countermeasure study. Results Job satisfaction of the nurses was found at a medium level. Specifically, their overall job satisfaction score was 3. 68, and the satisfaction scores of the following dimensions from high to low were: on-the-job training (3. 91), hierarchical nurse use (3. 79), performance appraisal (3. 68), promotion evaluation (3. 67), and remuneration (3. 62) respectively. Contents of the five dimensions are strongly related to the overall job satisfaction (r＞0. 6). Job satisfaction scores of nurses with their differences in positions, annual income, and hospital level were significantly different (P＜ 0. 05). The three main influencing factors for talent turnover rate are remuneration, workplace pressure and work environment. Conclusions Higher remuneration, improved hierarchical management system, and greater attention to nursing care at secondary hospitals are very important for effectively improving the job satisfaction of nurses and ensuring the health care industry.