护患沟通管理流程在儿科门诊输液室的应用

[目的]探讨护患沟通管理流程在儿科门诊输液室的应用.[方法]在儿科门诊输液室实施护患沟通管理流程,包括建立完整的护患沟通流程,加强护理人员对沟通的认识及熟练掌握理论知识,提高专业技术水平,灵活运用各种沟通技巧等.[结果]护患纠纷发生率由实施前的0.22%降到0.13%,病人的满意度由90.5%提高到98.2%.[结论]在儿科门诊输液室实施护患沟通管理流程可降低护患纠纷发生率,提高病人满意度.     

构建门诊输液室和谐护患关系的措施

门诊输液室护患关系的特点是护患关系建立时间短，矛盾多，对护士要求高，病人、家属与护士容易产生矛盾，引发纠纷。如何化解和处理纠纷已成为护士必须慎重对待的问题。现将输液室护士构建和谐护患关系的措施介绍如下。     

浅析儿科门诊护患纠纷及防范措施

儿科门诊护理工作针对的是未成年群体，且多数为独生子女，具有一定的特殊性，因此，儿科门诊屡屡发生一些护患纠纷，如处理不当，不仅影响护患关系，还会造成不良的社会影响。本文就儿科门诊护患纠纷的原因与防范措施进行讨论。     

上肢静脉采血后淤血的护理

静脉采血是门诊抽血室的主要工作，上肢静脉为首选部位。由于护理人员操作不当，引起患者局部皮下淤血时有发生，轻者造成患者精神紧张，重者给患者造成痛苦，甚至引起护患矛盾与纠纷。我们分析了如下原因及对策。     

儿科门诊输液室护患纠纷发生原因分析及对策

分析儿科门诊输液室护患纠纷发生的原因,提出相应的对策.     

儿科门诊输液室护患沟通技巧

儿科门诊输液室流动患者多，治疗量大，护理对象、人际关系复杂，容易成为护患冲突的多发区。护理人员在日常工作中必须灵活运用各种沟通技巧，以缩小护患距离、减少冲突的发生、避免医疗纠纷、提高患儿及家长的满意度。     

急诊输液室应用六西格玛管理效果评价

急诊输液室是急诊病人临时补液的医疗场所。由于急诊输液病人疾病不同、年龄不一，且治疗时间较短，因此，护患矛盾常常发生。为了降低其矛盾的产生，使病人在急诊输液室能安全、放心、满意地完成治疗，2005年我们将六西格玛管理方法引入输液室，取得了一定成效。现将具体做法介绍如下。     

儿科门诊护理投诉原因分析及对策

总结了儿科门诊常见护理投诉原因并提出护理对策.门诊医疗设施、工作流程、服务理念、护患沟通不良是门诊护理投诉的主要原因.护理对策包括对服务设施及工作流程的改造,加强护理质量管理,增加护理人力并培训,转变服务理念,增加便民服务等,可为加强儿科门诊及时化解护患矛盾,提高患者的满意度.     

输液室护患纠纷成因分析及对策

输液室作为医院的窗口部门 ,病人流动性大 ,是护患矛盾和纠纷的多发区。护患之间一旦发生纠纷 ,会给护士和患者都带来不同程度的受害 ,对医院工作造成负面影响。因此 ,如何减少护患纠纷 ,是医院管理的一个重要课题。探讨分析本院护患纠纷发生的原因 ,以减少纠纷发生 ,采取一系列对策 ,取得一定效果 ,介绍如下。1本院输液室每天要接待来自内、外、妇、儿科各病种约400～500人次。据初步统计 ,以前每个月发生的护患矛盾和纠纷 ,平均有10起。分析引起护患纠纷原因有以下几种 :(1)患者的自我保护意识增强 ,维护自身权益的法律意识也在增强。现在…     

影响门诊注射室护患关系的因素分析及对策

目的提高门诊注射室的护理质量。方法对门诊注射室发生的24起护患纠纷进行剖析。结果引起护患纠纷的主要原因是服务态度,占37.5%。结论加强护士的素质教育,重视护患沟通技巧,了解患者及家属的心理需求,是预防纠纷发生的关键。     

Prevalence and severity of nausea and vomiting of pregnancy and effect of vitamin supplementation.

OBJECTIVE: Although nausea and vomiting of pregnancy is the most common medical condition during pregnancy, there are many unanswered questions regarding its cause, epidemiologic features and optimal management. The objectives of this study were to ascertain the prevalence of nausea and vomiting in a sample of Canadian women, to characterize the distribution of their severity and to investigate the role of vitamin B6 deficiency in their etiology. DESIGN: Prospective study. SETTING: Antenatal counselling service for pregnant women. PATIENTS: Three cohorts of women: a prospective, population-based cohort of 193 women, to estimate the rate and severity of nausea and vomiting (cohort A); a cohort of 555 women who sought advice for nausea with or without vomiting, to study the correlation between the maximal daily number of episodes of vomiting and maximal weight loss (cohort B); and a prospective cohort of 301 women who reported vomiting, to correlate vitamin supplementation with vomiting (cohort C). INTERVENTIONS: All 3 cohorts were interviewed during the counselling session, and cohort B was followed up prospectively. OUTCOME MEASURES: Frequency of nausea and vomiting, weight loss, maximal number of daily episodes of vomiting, rate of multivitamin supplementation. RESULTS: Overall, 67% of the women in cohort A reported experiencing nausea or vomiting, or both; 22% reported vomiting, and 9% experienced weight loss. In cohort B there was a significant correlation between the maximal number of daily episodes of vomiting and maximal weight loss, although there was wide variation (r2 = 0.25, p < 0.001). There was a highly significant correlation between the number of daily vomiting episodes and mean weight loss (r2 = 0.99). In cohort C, vomiting was significantly associated with lack of supplementation with multivitamins before 6 weeks' gestation (p = 0.002). CONCLUSIONS: The relation between number of daily vomiting episodes and mean weight loss may serve as a clinical tool to assess the severity of nausea and vomiting in pregnancy and the success of anti-emetics and rehydration regimens. Further study is needed to elucidate the biologic basis of the observed association between vomiting and lack of multivitamin supplementation in early pregnancy.     

骨脂肪瘤及血管脂肪瘤的CT及MRI表现:9例报告并文献复习

目的探讨骨脂肪瘤及血管脂肪瘤的CT及MRI表现。方法收集手术病理证实的9例骨脂肪瘤及血管脂肪瘤的临床及影像学资料,9例术前8例接受CT扫描,3例接受MRI检查。结果9例中骨脂肪瘤6例,骨血管脂肪瘤3例。6例骨脂肪瘤发生于骨内4例,骨旁2例。骨内脂肪瘤跟骨1例,距骨1例,眶骨1例,肱骨1例。骨旁脂肪瘤颅骨1例,股骨1例。骨血管脂肪瘤发生于肋骨1例,颅骨1例,椎骨1例。骨内脂肪瘤CT显示病变骨质呈轻度膨胀性改变,边缘见轻度硬化环,病灶内见脂肪密度及条弧形、结节状钙化,MRI显示病灶T1WI呈高信号,PDWI及T2WI抑脂序列呈低信号。骨旁脂肪瘤CT呈不均匀高密度团块,MRI显示病灶T1WI呈高信号,T1WI及T2WI抑脂序列呈低信号。3例骨血管脂肪瘤CT显示病变骨质呈显著膨胀性改变,骨破坏边缘及内部见多发骨嵴及粗大骨小梁,高密度骨针呈放射状、簇状或不规则排列。结论骨内脂肪瘤及血管脂肪瘤CT及MRI表现均以脂肪成分为主要特征,骨旁脂肪瘤CT以骨化性团块为特征,骨血管脂肪瘤骨质膨胀性改变较骨内脂肪瘤显著,病灶边缘及中心以多发骨嵴及粗大骨小梁为特征。      

城乡居民高血压与饮食习惯的调查分析

心血管疾病是我国的多发病和人群的主要死亡原因之一,而高血压已成为中老年人的常见病,是冠心病、脑卒中最主要的危险因素,已成为世界性公共卫生问题。随着我国经济的发展及人们生活水平的日益提高,我国在1958年、1979年、1991年分别进行了全国性的高血压普查,结果表明,我国高血压患病率在持续上升,且上升速度逐年加快。由于文化程度、生活习惯以及信息来源不足的差异也是导致城居民高血压患病率持续上升的重要原因,因此指导城乡居民进行合理的饮食,对预防高血压的发生、发展有着重要的意义。     

城乡居民高血压与饮食习惯的调查分析

心血管疾病是我国的多发病和人群的主要死亡原因之一,而高血压已成为中老年人的常见病,是冠心病、脑卒中最主要的危险因素,已成为世界性公共卫生问题[1].随着我国经济的发展及人们生活水平的日益提高,我国在1958年、1979年、1991年分别进行了全国性的高血压普查,结果表明,我国高血压患病率在持续上升,且上升速度逐年加快[2].由于文化程度、生活习惯以及信息来源不足的差异也是导致城居民高血压患病率持续上升的重要原因,因此指导城乡居民进行合理的饮食,对预防高血压的发生、发展有着重要的意义.     

Attitude differences of volunteers and nonvolunteers and of susceptible and nonsusceptible hypnotic subjects

A form of the Semantic Differential, containing 9 concepts related to hypnosis and research, was administered to 96 hypnotically inexperienced male Ss. The Ss were later asked to volunteer for a hypnotic experiment, and the hypnotic susceptibility of all volunteers (N = 51) was then determined. Semantic Differential responses of volunteers and nonvolunteers and of highly susceptible and unhyp-notizable Ss were compared. Differences between groups, in both comparisons, were generally not statistically significant, a finding which suggests that there is no simple relationship between paper-and-pencil measures of attitudes and volunteering for hypnotic experiments or hypnotizability.