优质护理服务对CCU临床患者护理质量的影响

目的 了解优质护理服务对CCU临床患者护理质量的影响,为临床治疗和临床护理提供相应的依据,并制定有利于患者健康的相应对策.方法 选择2009年2月～2011年5月入住本院CCU的患者266人为研究对象,采用问卷法对患者进行调查,并分析影响护理质量的因素.结果 实施优质护理服务后,患者对护理工作的满意程度,与实施优质护理前相比,差异有统计学意义(P<0.05),影响患者对护理质量评价的因素有患者的家庭、职业、文化、经济收入和家庭支持.结论 护理人员应重视和加强护理工作质量和效率,提高临床护理工作的质量.     

护理干预对泌尿外科患者术后疼痛缓解的效果观察

目的对泌尿外科患者术后疼痛护理中综合护理干预的应用效果进行研究。方法本次实验抽取2019年1月-2020年1月期间接受手术的泌尿外科患者共计90例,通过抽签将所选患者分为甲组及乙组,两组患者人数相同。在实验过程中,护理人员对甲组患者实施常规护理,对乙组患者实施综合护理干预,统计和记录两组患者疼痛评分、护理满意情况及不良反应出现情况。结果研究结果显示,相比甲组患者,乙组患者疼痛评分较低,两组患者疼痛评分之间差异较大,数据呈现统计学意义(P<0.05);相比甲组患者,乙组患者护理满意度较高,两组患者护理满意度之间差异较大,数据呈现统计学意义(P<0.05);相比甲组患者,乙组患者不良反应出现几率较低,两组患者不良反应出现几率之间差异较大,数据呈现统计学意义(P<0.05)。结论在泌尿外科患者术后疼痛护理中综合护理干预有着较好的效果,其能够在一定程度上降低患者疼痛评分,促进患者护理满意度的提升,减少不良反应的出现,具有较强的现实意义。     

护理干预对ICU患者焦虑情绪的影响研究

目的 探讨实施心理护理对ICU患者焦虑情绪的影响.方法 选取近期本院入住ICU的患者100例,随机分为观察组50例,对照组50例,对照组采取常规护理方法,观察组在实行常规护理的同时,实行心理护理.观察患者的护理效果及患者的满意度.结果 与对照组相比,观察组患者焦虑情绪明显降低,患者满意度明显增高(均为P<0.05).结论 对ICU患者采取心理护理干预,可以有效的防治患者的焦虑情绪发生.     

护理干预在手术室护理工作中应用的效果分析

目的 探讨手术室患者常遇到的心理问题,对患者的焦虑、抑郁等状况进行护理干预.方法 随机将244例手术患者分为实验组124例和对照组120例,对实验组患者进行全面的护理干预,对对照组患者给予传统、常规护理方法进行护理.比较2组干预后焦虑状态和手术室配合治疗程度.结果 实验组患者通过护理干预后,患者的焦虑程度明显降低,而对照组患者无显著变化.实验组在手术室期间配合程度显著优于对照组.结论 对手术室患者进行全面的护理干预,可以有效的解除或减轻患者对手术的焦虑、畏惧情绪,可以促进患者早日康复.     

优质护理服务在医院护理管理中的应用效果评价

目的探讨护理优质服务对临床护理质量提高的应用价值。方法选取本科2015年1~8月入院的80例肿瘤患者作为研究对象,随机分为观察组和对照组,观察组患者开展优质护理服务,对照组患者进行常规护理,对比两组患者对护理水平的满意度。结果观察组护理满意度明显高于对照组,差异有统计学意义(P0.05)。结论优质护理服务能提高医院的护理管理质量,提高患者的护理满意度,值得临床推广。     

心理护理在妇产科的应用

随着医学护理模式的不断发展，由单纯的责任护理转变为全方位的为患者服务的整体护理，护士不仅要有娴熟的业务知识，良好的服务态度，更要重视患者的心理变态，并针对患者的不同心理特点采取不同的心理护理措施促进患者的康复，现将多年来在妇产科住院患者的心理护理及特点总结如下。     

舒适护理应用于剖宫产护理中的效果观察

我们选取2011年6月~2013年8月剖宫产患者128例,将其按双盲随机方法分为两组:观察组(64例)与对照组(64例)。对照组患者采用常规护理方法进行临床护理;观察组患者在常规护理基础上加用舒适护理干预,将两组患者治疗后的护理效果进行比较。结果观察组患者术后疼痛评分明显低于对照组;观察组患者对护理工作满意度明显高于对照组(P<0.05),具有统计学意义。将舒适护理应用于剖宫产患者手术治疗中,能够有效缓解患者恐惧、焦虑不良心理,提高患者舒适度,降低术后疼痛,对提高护理质量及患者满意度均有重要作用。     

应用分度护理改进护理服务质量的成效

目的:探讨分度护理对提高护理服务质量的可行性及优越性。方法:选择护理量较大的神经外科一级护理的患者225例,随机分为实验组115例,对照组110例,实验组采用分度法对患者进行护理,对照组采用常规方法对患者进行护理,对实验组不同生活自理能力(ADL)分级的患者之间、两组患者护理质量情况及护理服务满意情况进行比较。结果:实验组不同ADL分级患者之间的巡视间隔时间、直接护理时间差异有统计学意义,基础护理得分差异无统计学意义,两组患者护理质量及护理服务满意情况比较差异有统计学意义。结论:患者的需求具有个体化特征,应用分度护理更能满足患者的需求,有效提高护理服务质量及满意度。     

整体护理和循证护理在手术室护理中的作用

目的 探讨整体护理和循证护理在手术室护理中的作用.方法 收集我院手术室进行普外科和妇产科应用腰硬联合麻醉的清醒患者719例,其中普外科286例,妇产科433例,随机法分为实验组(360例)和对照组(359例).对照组采用传统护理模式进行护理,实验组采用整体护理和循证护理模式进行护理.观察手术患者术前焦虑、恐惧等心理应激反应,术中15 min、术后10 min血压和心率变化,术后并发症、预后及满意度变化情况.结果 观察组患者术前发生焦虑、恐惧比率明显较对照组低,观察组患者术中心率和血压变化均较平稳,为对照组在术中15 min与术后10 min时心率和血压均较术前有明显变化,所有患者均未发现明显术后并发症,预后均较满意,观察组在患者出院时的满意度调查明显较对照组高.结论 有效的整体护理加上循证护理相对于以往的传统护理模式无论对于患者术中顺利完成手术治疗,减轻患者心理负担以及患者对手术期间的护理满意度均存在很大的优势,医院手术室护理实施整体护理势在必行,且同时应试行循证护理,以提供手术室护理质量.     

护患交流的技巧

整体护理是以患者为中心,运用护理程序,对患者进行全方位的护理。在护理程序的实施过程中,与患者交流是非常重要的。如收集资料是评估患者的第一步,主要通过与患者的交流来完成。护士要与患者成功地进行交流,使双方均获得需要的信息,关键是护士要掌握和运用与患者交流的技巧。1正确认识护患关系1.1护患关系的性质护患关系不同于一般的人际关系,是帮助者与被帮助者之间的关系。有时还是两个系统之间的关系,即帮助系统(包括与患者相互作用的护士和其他工作人员)和被帮助系统(包括寻求帮助的患者、家属及其他人员等)之间的关系。1.2护患关系的…     

Guns and Knives in New Mexico: Patterns of Penetrating Trauma, 1978–1993

Objective: To identify patterns of nonfatal and fatal penetrating trauma among children and adults in New Mexico using ED and medical examiner data.
Methods: The authors retrospectively sampled in 5-year intervals all victims of penetrating trauma who presented to either the state Level-1 trauma center or the state medical examiner from a 16-year period (1978–1993). Rates of nonfatal and fatal firearm and stabbing injury were compared for children and adults.
Results: Rates of nonfatal injury were similar (firearm, 34.3 per 100,000 person-years; stabbing, 35.1). However, rates of fatal injury were significantly different (firearm, 21.9; stabbing, 2.7; relative risk: 8.2; 95% confidence interval: 5.4, 12.5). From 1978 to 1993, nonfatal injury rates increased for children (p = 0.0043) and adults (p < 0.0001), while fatal penetrating injury remained constant. The increase in nonfatal injury in children resulted from increased firearm injury rates. In adults, both stabbing and firearm nonfatal injury rates increased.
Conclusions: Nonfatal injury data suggest that nonfatal violence has increased; fatal injury data suggest that violent death rates have remained constant. Injury patterns vary by age, mechanism of trauma, and data source. These results suggest that ED and medical examiner data differ and that both are needed to guide injury prevention programs.     

Interprofessional approaches to creating safe,high quality health care

Three supplementary perspectives are presented arguing that interprofessional collaboration is both necessary and desirable. Nonetheless, there are often too many serious intra-professional barriers and obstacles to interprofessional collaboration to make it successful. Some of these barriers, it is argued and illustrated, are found in the multiple ways in which professional identity is tacitly acquired and embodied in the practitioners' habitual, everyday practice. The paper then explores ways in which reflection, especially Second order reflection, can help to elucidate and overcome these obstacles, as well as increasing professional adaptability and competence.     

Systematic Reviews Published in the January 2011 Issue of The Cochrane Library

ABSTRACT

The Cochrane Library of Systematic Reviews is published quarterly as a DVD and monthly online. The January 2011 issue (first quarterly DVD for 2011) contains 4515 complete reviews, 1985 protocols for reviews in production, and 13,521 one-page summaries of systematic reviews published in the general medical literature. In addition, there are citations of 641,000 randomized controlled trials, and 14,018 cited papers in the Cochrane methodology register. The health technology assessment database contains over 9300 citations. One hundred and seven new reviews have been published in the last 3 months, of which five have potential relevance for practitioners in pain and palliative medicine.     

Prise en charge des entorses externes de cheville : étude clinique préliminaire sur l’efficacité du dispositif Myolux™

Ankle sprains are the most common injury of the musculoskeletal system and are associated with significant societal and economic impacts. It has been proven that classical therapeutic strategies may not be effective in preventing recurrent injuries: the recurrence rates reported in the literature can reach 73%. In order to provide an effective rehabilitation solution, a destabilizing orthosis was developed. This device is equipped with a mechanical articulator reproducing the subtalar mechanics and placed under the heel. In this paper, we present the main results of a preliminary clinical study conducted between 2004 and 2007. All subjects included in this study were treated with the abovementioned orthosis during 10 rehabilitation sessions of 30 minutes each. Data show a relatively low recurrence rate of 12% for the overall population. Moreover, it's of primary importance to note that this satisfactory ratio is largely reduced (3% of recurrence rate) for the 29 patients who performed one training session per month after the 10th initial rehabilitation sessions. Hence, the destabilizing orthosis appears to be an effective solution to prevent recurrent ankle sprains. However, joint protection requires long-term and regular training sessions. This result has motivated the development of a similar device allowing patients to perform training sessions at home. Finally, data obtained in this study are promising awaiting the final results of the comparative, multicentric and independent clinical trials currently managed by the Hospices Civils de Lyon.     

Clinical Trial Updates and Hotline Sessions presented at the European Society of Cardiology Congress 2007

This article provides information and commentaries on trials which were presented at the Hotline and Clinical Trial Update Sessions at the European Society of Cardiology Congress 2007 in Vienna. The key presentations were performed by leading experts in the field with relevant positions in the trials or registries. It is important to note that unpublished reports should be considered as preliminary data, as the analysis may change in the final publications. The comprehensive summaries have been generated from the oral presentation and the webcasts of the European Society of Cardiology and should provide the readers with the most comprehensive information of relevant publications.     

Prospects for the control of neglected tropical diseases by mass drug administration

The prospects for the control of neglected tropical diseases, including soil-transmitted helminthiasis, shistosomiasis, lymphatic filariasis, onchocerciasis and trachoma, through mass drug administration, are exemplified by the elimination of the trachoma as a public-health problem in Morocco. In spite of this and other striking successes, mass drug administration programs are faced with major challenges resulting from suboptimal coverage and lack of efficacy. At current suboptimal coverage rates, programs may need prolongation for an extended period, increasing costs and undermining sustainability. Community participation through health education and information appears to be crucial to improve coverage and to achieve sustainability. Implementation of complementary measures, such as vector control, improved hygiene and environmental sanitation, are important to further control transmission and to prevent re-emergence of the infection and, again, may only be achieved effectively through community-based initiatives. To reduce costs and to relieve pressure on the health system, combining neglected tropical disease programs in areas where diseases coexist and integration with existing control programs for malaria, tuberculosis and HIV/AIDS is advocated. The risk of developing drug resistance is of particular concern in view of the lack of alternative drugs, and reduced treatment efficacy due to emerging resistance is evident for the soil-transmitted helminths and onchocerciasis. Given the risk for the development of drug resistance and the need for a high degree of participation, close attention should be paid to the monitoring of the coverage and efficacy of the different program components.     

Balance and Boundaries in Grief Counseling: An Intervention Framework for Volunteer Training

Volunteers or paraprofessional counselors are commonly used to provide supportive care to the bereaved. These counselors generally are trained in basic listening skills, providing a generic, nonspecific approach to intervention that remains to be proven effective. The present paper outlines a framework that provides paraprofessionals with a broader model for intervention with the bereaved. Attention to boundaries as a helper and balance in the grief recovery are central to the model. Interventions are described that provide the paraprofessional counselor with more options for tailoring their counseling strategy to the individual. These include techniques that are presumed to be more specific to the enhancement of grief recovery.     

A new method for the simultaneous analysis of unmodified and modified urinary nucleosides and nucleobases by high performance liquid chromatography

Details are given of a new, rapid and simple pre-fractionation method and an isocratic high performance liquid chromatography system suitable for parallel analysis of nucleosides and nucleobases from urine and other biological fluids. The quantitative recovery and excellent reproducibility of the method is demonstrated by analysis of representative standard RNA catabolites. The advantage of this new method for application to biological samples is discussed.     

Bacterial meningitis: an update of new treatment options

The outcome of bacterial meningitis critically depends on the rapid initiation of bactericidal antibiotic therapy and adequate management of septic shock. In community-acquired meningitis, the choice of an optimum initial empirical antibiotic regimen depends on the regional resistance patterns. Pathogens resistant to antibacterials prevail in nosocomial bacterial meningitis. Dexamethasone is recommended as adjunctive therapy for community-acquired meningitis in developed countries. In comatose patients, aggressive measures to lower intracranial pressure <20 mmHg (in particular, external ventriculostomy, osmotherapy and temporary hyperventilation) were effective in a case–control study. Although many experimental approaches were protective in animal models, none of them has been proven effective in patients. Antibiotics, which are bactericidal but do not lyse bacteria, and inhibitors of matrix metalloproteinases or complement factor C5 appear the most promising therapeutic options. At present, vaccination is the most efficient method to reduce disease burden. Palmitoylethanolamide appears promising to enhance the resistance of the brain to infections.