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关键词： Corneal Ulcer   Internet Plus   Nursing Care   Symptom Management  

摘要： Objective To evaluate the influence of precision symptom management based on Internet plus on patients with corneal ulcer. Methods An intervention team was set up to build an Internet + precise symptom management plan for corneal ulcer patients, and the research involved 120 patients with corneal ulcers in a tertiary A hospital in Chongqing from July to December 2023. The patients were divided into an intervention group(n=60) and a control group(n=60) according to the random number table generated by SPSS. Symptom assessment questionnaires were completed once a day during hospitalization and twice a week after discharge, and visual acuity, quality of life, and self-efficacy were assessed on the day of admission and 4 weeks after discharge. Results A total of 112 patients completed the study. The data of 54 cases in the intervention group and 58 cases in the control group were statistically analyzed. During hospitalization and within 4 weeks after discharge, the reported symptom threshold events in the intervention group were lower than those in the control group(P=0.031, P=0.027), and the visual acuity, quality of life, and self-efficacy of the intervention group patients were better than those of the control group patients at the end of the 4th week, with statistically significant differences(all P<0.05). Conclusion Symptom management program based on internet plus can alleviate patients' symptom experience, improve patients' visual acuity, quality of life and self-efficacy. © 2025 Chinese Nursing Journals Publishing House Co.,Ltd. All rights reserved.

关键词： 初试自命题   PDCA模型   风险化解对策  

摘要： 自命题考试是发挥招生单位招生自主权、体现办学特色和科学选才的重要机制。当前，自命题工作的安全形势仍不容乐观。究其根源，是由自命题工作的复杂性、管理制度不够完善以及参与人员的有限理性所致。PDCA模型是一套追求自我完善的循环改进机制，契合了招生单位对于化解自命题工作风险的期望。因此，构建基于PDCA模型的自命题工作风险化解对策，需要从以下方面着手：一是全面透视自命题工作风险，制定改进目标与计划；二是细化自命题工作培训，提高工作人员执行力；三是制定检查工作方案，确保计划的执行效果；四是审慎处置检查报告，优化自命题工作规程。

关键词： Candidiasis   Human Immunodeficiency Virus   Nursing Care   Reliability   Risk Assessment   Scale   Validity  

摘要： Objective To develop an assessment scale of oropharyngeal candidiasis risks in HIV-infected patients, and to test its reliability and validity. Methods The draft of the assessment scale was constructed by the literature analysis method, Delphi consultations and analytic hierarchy process. Totally 231 HIV-infected patients in a tertiary A hospital of Hangzhou were recruited for questionnaire survey in October 2023 to January 2024. Results The scale includes 3 dimensions, including general factors, HIV related factors and oral related factors, 12 first-level items and 21 second-level items. The Cronbach's α coefficient of the scale was 0.813;the content validity index was 0.98;the correlation of each dimension was 0.574~0.733 (P<0.05). Confirmatory factor analysis showed that the 3 factor models fitted the data well. The critical value (30.5 points) of the scale was determined by ROC curve;the area under the curve was 0.909;the sensitivity of index system was 0.962, and specificity was 0.697. Conclusion The assessment scale of oropharyngeal candidiasis risks in HIV-infected patients has good reliability and validity, and it can be used as an auxiliary tool for effective identification and prediction of oropharyngeal candidiasis risk. © 2025 Chinese Nursing Journals Publishing House Co.,Ltd. All rights reserved.