腹腔镜下卵巢囊肿剥除术的护理

腹腔镜手术已广泛应用于临床，通过对腹腔镜下卵巢囊肿剥除术360例的观察及护理，介绍了手术方法及优点，总结了术前、术中和术后护理要点。     

妇科腹腔镜手术后并发症的观察及护理

目的：探讨妇科腹腔镜手术后并发症的观察及护理对策。方法：对1304例妇科腹腔镜手术患者术后，密切观察，及时发现各种并发症的发生。结果：82例术后发生并发症，通过我们的精心治疗及护理康复出院。结论：腹腔镜手，术有微创、术后恢复快等优点，但其亦有并发症的发生，加强术后细心观察及时处理，精心护理，是保障患者顺利康复出院的重要环节。     

60例腹腔镜下子宫肌瘤剔出术的护理观察

目的 回顾性总结我院在腹腔镜下行子宫肌瘤剔出术的护理措施。方法 对60例患者予心理护理及充分的术前准备，术中密切配合，术后严密观察病情变化及细心的护理。结果 60位患者临床疗效良好，无一例发生感染、出血、腹腔脏器损伤等严重并发症。结论 用腹腔镜行子宫肌瘤剔出术具有出血少，损伤轻、恢复快、切口美观的优点，术前的心理护理及术前的肠道准备和术后患者的病情观察及护理，可以减少患者术后并发症的发生，提高腹腔镜手术的成功率，利于患者早日康复。     

术中精细化护理在腹腔镜胆囊切除术中的应用分析

目的 探讨术中精细化护理对腹腔镜胆囊切除术患者的应用效果。方法 选取 2019 年 1 月至 2021 年 5 月我院接收的 72 例腹腔镜胆囊切除术患者为研究对象。通过随机数字表法将研究对象分为参照组和观察组，每组各 36 例。参照组采用常规护 理，观察组实施术中精细化护理。比较两组的围术期指标、并发症发生率、术后疼痛情况和护理满意度。结果 观察组并发症 发生率低于参照组（P<0.05）。观察组手术时间、术中出血量、肠鸣音恢复时间、排便时间、下床活动时间、术后肛门排气时 间、住院时间均少于参照组（P<0.05）。观察组护理满意度高于参照组（P<0.05）。观察组术后 6h、术后 24h、术后 72h 疼痛 评分均低于参照组（P<0.05）。结论 将精细化护理应用在腹腔镜胆囊切除术中，可以改善临床指标，降低术后疼痛程度，提 高护理满意度。     

10例腹腔镜下前列腺癌根治术病人的围术期护理

总结10例腹腔镜下前列腺癌根治术病人的围术期护理，强调应加强术前心理护理、肠道准备，术后严密观察病人生命体征的变化，做好引流管的护理、并发症的观察和护理。     

完全腹腔镜胰十二指肠切除术的护理体会

总结了完全腹腔镜胰十二指肠切除术的护理体会。术前护理包括饮食护理、心理护理、术前准备;术后护理包括一般护理、术后并发症的观察与护理。认为对完全腹腔镜下胰十二指肠切除术的患者术前进行细致恰当准备和对术后并发症的早期观察与护理干预仍是现阶段施行完全腹腔镜下胰十二指肠切除手术的护理重点。     

路径化康复护理对腹腔镜胆囊切除术患者的影响

目的：探讨路径化康复护理在腹腔镜胆囊切除术患者中的应用效果。方法：选取2019年7月~2020年7月行腹腔镜胆囊切除术的80例患者作为研究对象，按随机数字表法分为对照组和观察组，各40例。对照组实施常规护理，观察组予以路径化康复护理。对比两组术后疼痛评分、康复指标与并发症发生情况。结果：观察组术后72 h的疼痛评分及术后并发症发生率低于对照组，术后肛门排气时间、下床活动时间、住院时间短于对照组（P＜0.05）。结论：路径化康复护理用于腹腔镜胆囊切除术患者中，利于减轻患者术后疼痛，减少并发症，加快术后康复进程。     

腹腔镜脾切除联合断流术后出血的观察和护理

总结腹腔镜下脾切除联合门-奇断流术后出血的观察和护理体会。观察和护理包括:术前护理、术后护理以及出院指导。术前护理包括心理护理、常规术前准备,术后护理包括一般护理、监测生命体征、引流管的护理以及并发症的预防和护理。认为合理的术前、术后护理可有效避免腹腔镜脾切除联合断流术后出血等并发症的发生。     

腹腔镜胆囊切除术后疼痛的观察与护理

笔总结了648例腹腔镜胆囊切除术患术后疼痛的观察与护理。分别阐述腹腔镜胆囊切除术患术后腹部切口疼痛、肩部疼痛、腰部疼痛、四肢疼痛、咽喉部疼痛的护理。认为腹腔镜胆囊切除术手术虽然创伤小、疼痛轻，但术后疼痛仍然是护理工作的重点之一。     

腹腔镜手术治疗胆源性胰腺炎的护理

目的 总结腹腔镜手术治疗6例胆源性胰腺炎的护理经验。方法 系统的介绍了治疗方法、结果和护理要点。包括术前准备及心理护理。术中、术后生命体征的监测，术后胃肠减压及腹腔引流管的观察、护理，营养支持。健康教育和出院指导。结果 本组病例中术后无并发症发生。均痊愈出院。结论 术前抗休克治疗、心理护理．术后胃肠减压管、引流管的观察与护理．肠内外营养的支持及出院指导．是腹腔镜治疗胆源性胰腺炎成功的有效保证。     

A personal nursing philosophy in practice

The use of a nursing philosophy as the basis for nursing practice promotes the proper application of nursing knowledge as well as the development of further nursing theory and knowledge. My personal philosophy of nursing seeks to encompass the art of conveying nursing science holistically with compassion and dignity. To illustrate this nursing philosophy, the four nursing metaparadigm concepts are described in relation to nursing as both a science and an art. Nursing science and art are also discussed in relation to nursing as a profession. The concepts of family-centered care and developmental care highlight the practice of nursing as an art. The use of nursing knowledge in practice is discussed through the use of nursing's five ways of knowing, nursing theories, borrowed theories, and nursing's paradigms. The concept of the nurse scholar and the further development of nursing knowledge is identified as a priority. Supportive examples from my nursing experience working in a Neonatal Intensive Care Unit (NICU) are utilized to highlight the importance of nursing knowledge development and the provision of optimal patient care.     

护理本科生护理信息能力的调查研究

目的 了解本科护理专业学生护理信息能力现状,为护理信息能力的培养提供依据.方法 采用中文版护理信息能力自评量表(Self-Assessment of Nursing Informatics Competencies Scale,SANICS)对湖南省4所院校的1 098名护理本科生进行问卷调查.结果 护理本科生护理信息能力总分为(70.19±15.82)分,处于中等水平以下,不同年级、计算机等级、临床实习经历、学习过护理学信息相关课程及接触护理信息系统经历的护理本科生的护理信息能力比较,差异有统计学意义(P<0.05).结论 护理本科生的临床信息角色、护理信息态度、计算机技能的应用及无线设备技能仍有较大提升空间,护理教育工作者应尽快制订与学生和临床需求相对接的护理信息能力培养方案,促进我国护理信息学高等教育的发展.     

1例重症蚕豆病患儿的护理

探讨重症蚕豆病患儿的病情观察及护理方法.对科室收治的1例重症蚕豆病患儿的临床资料进行分析总结:本例患儿短期内出现溶血,表现为贫血并伴有黄疸及血红蛋白尿,通过密切观察病情,采取正确有效的护理措施,促进了患儿的早期康复.     

Role of sociology within the nursing enterprise: some reflections on the unfinished debate

The present paper reviews literature on the relevance of sociology to nursing in the context of arguments presented by Cooke, Sharp and Porter. It explores some of the arguments presented for and against sociology in nursing education. On a broader perspective, sociology inter alia, is at best worthwhile for nurses and is not as positively harmful as Sharp asserts. The discussion draws attention to the relevance of social theory for nursing practice. It is argued that almost all social theories have been widely applied in nursing research. The case for sociology as applied to nursing or nursing sociology versus general sociology for nurses was examined. This paper concludes in favor of the inclusion of sociology as applied to nursing in the nursing curriculum.     

Science and Tradition in the Nursing Discipline

The purpose of the article is to argue for a conception of nursing knowledge that stresses theoretical and practical knowledge as equally important, and to analyze the roles of nursing science and nursing tradition in the discipline of nursing. Nursing knowledge is characterized as involving values, sets of beliefs, and procedural knowledge. Practical nursing knowledge is viewed as an integration of values, beliefs and procedural knowledge into action, whereas theoretical knowledge is viewed as a conception of nursing. Nursing tradition is described as the main organizer of practical nursing knowledge at the collective level, and nursing science as the main organizer of collective theoretical knowledge.     

临床护理经济管理问题分析与对策

目的分析我院护理经济管理在临床实际中存在的问题。方法采用随机问卷和病区护士长谈话交流的方式,调查了她们对护理工作中有关经济管理问题的认识。结果目前护士长对临床护理经济管理意识淡薄,护理经济管理领域空白,护理服务价格和价值相背离及护理服务市场有待拓展。结论应加强护士长经济管理意识的提高。并提出了更新护理管理理念,提升护理价值,加快护理经济研究,建立健全科学的护理成本核算方法。同时应重视护理市场的主动开发,拓展护理服务领域等对策以达到提升护理经济和社会价值的双重效益。     

"Nursing care visit: possibilities and limits". An empirical study in Bremen, Hamburg, Mecklenburg-Vorpommern, Lower Saxony and Schleswig-Holstein

This study examines the distribution, understanding and objectives of nursing visits as well as the implementation and the experience with nursing visits in 87 hospitals in North Germany (Bremen, Lower Saxony, Hamburg, Schleswig-Holstein and Mecklenburg-Western Pomerania). The survey was conducted using a questionnaire. It was found that nursing visits are implemented in 31% of the departments. By means of the nursing visit the patients are involved in the nursing process. The objectives of nursing visits are patient orientation. and the improvement of the nursing quality. The nursing visit is criticised because of both the level of organisation and the time spent on nursing visits as well as the lack of training, maintaining confidentiality and questions of data protection. The study contributes to a better understanding of nursing visits and a clearer definition of the term. It is the first empirical study of this type that has been conducted in Germany.     

组织护理实习生进行操作技能竞赛的实践与效果

目的通过每年举办护理操作技能竞赛,激发护理专业实习生的学习热情,提高实习生操作的规范性,以更快地适应临床工作。方法在每年临床实习的中后期开展护理操作技能竞赛,并评出名次给予奖励。结果各届实习生操作技能竞赛成绩均在90分以上;参加过操作技能竞赛的新护士岗前操作考核成绩高于未参加过操作技能竞赛的新护士(P<0.01)。结论实习期间举办操作技能竞赛可调动实习生的积极性,加强操作的规范性,为新护士适应临床护理工作打下良好基础。     

表格式一般患者护理记录单的设计与临床应用

目的改进一般患者护理记录书写方法,以减轻护士书写负担,体现专科护理的特点。方法以护理程序为框架,以病人为中心的原则设计护理表格,包括病人入院首次护理记录、住院过程中的护理记录、出院护理记录、出院指导,均设计为表格式,将不同专科疾病将常见的并带有共性的观察重点、护理措施等横向列入表头项目栏,同一专科不同疾病或同一疾病不同个体特异性观察要点、病情变化、护理措施、护理效果等留空格由护士书写,比较实施表格式前后护理病历质量,对一般患者护理记录从客观性、准确性、及时性、完整性、规范性、专科性等方面进行对比分析。结果应用表格式护理记录后护理记录总分及各项评分结果与传统式护理记录方法均有提高,差异有统计学意义（P〈0．05）。护士普遍反映明显缩短了书写时间。结论表格式记录具有实用性,书写简单、省时,书写质量提高。护理记录单表格化有利于临床护理工作,值得推广。