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Dimensions in oncology nursing : journal of the Division of Nursing最新文献

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Atelectasis/pneumonia: prevention for the abdominal surgical patient. 腹壁手术患者肺不张/肺炎的预防。
R Dexeus
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引用次数: 0
The social impact of cancer. 癌症的社会影响。
S F Pardue, M V Fenton, L R Rounds

Patients with cancer and their families often experience an enhanced need for "social support." Social support has been found to be empirically related to influencing health outcomes. It was noted that there are nine different types of social support, with "emotional support" being one of the most important. There are also different providers of social support, with the immediate family being the most common provider. Examples of interventions for nurses as providers of social support were outlined. In addition, the processes involved in the provision of social support, and the costs and consequences of providing social support were discussed. "Ironically, cancer may often undermine one of the strongest potential resources people have in coping with the disease--their social relationships. In fact, the social relationships of the cancer patient may not only fail to buffer them against the stress of cancer, but may provide additional sources of distress" (Wortman, 1984, p. 2341).

癌症患者和他们的家人通常对“社会支持”的需求增加。经验表明,社会支持与影响健康结果有关。有人指出,有九种不同类型的社会支持,其中“情感支持”是最重要的一种。社会支持也有不同的提供者,直系亲属是最常见的提供者。概述了护士作为社会支持提供者的干预措施的例子。此外,还讨论了提供社会支助所涉及的过程,以及提供社会支助的成本和后果。具有讽刺意味的是,癌症往往会破坏人们在应对疾病时最强大的潜在资源之一——他们的社会关系。事实上,癌症患者的社会关系可能不仅不能缓冲他们对癌症的压力,而且可能提供额外的痛苦来源”(Wortman, 1984, p. 2341)。
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引用次数: 0
Surgical nursing. 外科护理学。
D B Smith
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引用次数: 0
Cultural differences of the Hispanic patient. 西班牙裔患者的文化差异。
E M Campana
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引用次数: 0
Intraoperative radiotherapy. 术中放射治疗。
S Erickson, T Ochran, E Edel
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引用次数: 0
Pulse oximeters. 脉搏血氧仪。
C Ratliff
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引用次数: 0
The impact of cancer. 癌症的影响。
D B Smith
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引用次数: 0
Shock: managing the septic syndrome in patients with cancer. 休克:处理癌症患者的脓毒性综合征。
L Truett, M S Ewer

The septic syndrome remains a major clinical challenge in the management of patients with cancer. Significant advances have resulted in some improvement in outcome, but mortality remains high. Cancer patients with sepsis must be treated aggressively, and empiric antibiotic therapy, as well as early transfer to an intensive care unit (where invasive monitoring can be undertaken), may prove lifesaving. Though we have stressed early diagnosis and treatment, these issues only address part of the problem: the septic syndrome should also be considered a potentially preventable condition. Meticulous attention to measures designed to prevent infection in immunocompromised patients is perhaps even more important; such measures are sometimes overlooked. Cancer patients are fragile, and they should always be thought of as potential hosts for serious infection. Only with a combination of vigilance at preventing infection as well as early intervention once infection is established can the bleak statistics of the septic syndrome be improved.

脓毒性综合征仍然是癌症患者管理的主要临床挑战。取得了重大进展,结果有所改善,但死亡率仍然很高。患有败血症的癌症患者必须积极治疗,经验性抗生素治疗以及早期转移到重症监护病房(可以进行侵入性监测)可能会挽救生命。虽然我们强调早期诊断和治疗,但这些问题只解决了问题的一部分:脓毒症也应该被认为是一种潜在的可预防的疾病。对旨在预防免疫功能低下患者感染的措施给予细致的关注或许更为重要;这些措施有时会被忽视。癌症患者是脆弱的,他们应该一直被认为是严重感染的潜在宿主。只有提高预防感染的警惕,并在感染后进行早期干预,才能改善脓毒症的惨淡统计。
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引用次数: 0
Social impact of cancer. 癌症的社会影响。
A Borda, J Henry, M Bruso
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引用次数: 0
Case studies in thoracic surgery. 胸外科病例研究。
K M Shuey
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引用次数: 0
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Dimensions in oncology nursing : journal of the Division of Nursing
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