套管式引流管治疗脑脓肿的护理

脑脓肿是神经外科常见的疾病,目前对脑脓肿的治疗方法有反复穿刺抽脓、脓肿切除和塑料管引流等.1978年我院开始使用自行设计制成的套管式引流管,对不同部位的脑脓肿行持续引流治疗24例。其中男18例,女6例,年龄最大51岁,最小1岁零9个月,治愈15例,好转5例,死亡4例,。现将治疗中的护理体会总结如下。     

护理管理的新进展

本文综述近年我国护理管理的一些新进展，主要是护理管理纳入法制化轨道，护理质量从经济管理转入科学管理模式，护理教育管理体制的形成，按职称上岗模式的探索以及微机在护理管理中的应用。     

开颅术后引流管的护理

总结神经外科开颅术后引流管的护理方法,避免引流管护理不当导致的并发症;预防出血,调节和监控颅内压。术后密切的观察,准确有效的引流管护理是开颅术后顺利引流的关键,为降低致残率和提高患者的生存质量奠定了基础。     

成人开胸术后引流管的护理

开胸术后引流管的护理对术后早期恢复非常重要 ,自 5 0 2例开胸术后引流管的护理经验中认为 ,充分引流、密切观察、有效的镇痛能使病人减少并发症、早期拔管、减轻痛苦 ,有利术后恢复。     

颅脑术后引流管的护理

颅脑术后通常要放置引流管，目的为预防出血及血肿的发生，对各种疾病引起的颅内压增高起调节及减压作用，使颅内压增高症状得以缓解。引流的成败直接关系到病人的生命与预后效果，所以引流管的护理及管理是引流成功的关键环节，引流管的护理是ICU护士必须掌握的专科技术之一。现将颅脑术后引流管护理体会总结如下。     

乳腺癌术后留置腋下负压引流管的护理

目的 总结女性乳腺癌患者行改电根治术后保持腋下负压引流管有效负压的护理经验。方法 了解负压引流管放置的具体位置，负压引流装置的组成，掌握引流管护理的关键及注意事项。结果 保持有效的负压避免皮下积液的产生，促进皮瓣的愈合。     

泌尿外科手术患者常见引流管的护理

引流管在泌尿外科手术患者中应用广泛,常用于各种泌尿外科手术后的患者,它可影响患者手术成败和术后康复,而护理是其重要方面。因此护士应熟悉泌尿外科患者不同引流管的特征,掌握引流管的一般护理和某些引流管的特殊护理,以提高手术成功率,帮助患者早日康复。现笔者将泌尿外科常见引流管的护理报告如下：     

浅谈腹腔引流管的有效性护理

腹腔引流是腹部手术后常用的治疗方法之一,护理人员应保持引流通畅,密切观察引流液的情况,防止逆行感染,注意引流管的有效冲洗;观察有无胆、肠、胰漏和出血等并发症;落实好基础护理工作,满足病人的基本需要;做好病人及家属的心理护理,从而达到有效护理的目的.     

食管癌术后胸腔引流管的护理

胸膜腔负压是维持肺气体交换的重要条件.食管癌术后,由于气体进入胸腔,肺因其本身的弹性回缩而塌陷,又由于手术创伤造成胸腔内渗血、渗液,故术后需在胸腔内放置引流管,以排出积液及气体,重建胸腔负压,使肺扩张,缩小或消灭残腔,减少术后并发症.早期拔管能减轻痛苦,有利于恢复.     

麻醉护理的探索与发展

本篇文章主要通过对美国麻醉护理历史、发展和现状的详细介绍和比较我国麻醉护理的现状,为开展我国麻醉护理工作提供参考。     

循证护理实践：护理学科发展的必然趋势

循证护理实践对促进护理决策的科学性、护理措施的有效性有着积极的意义,本文通过分析“循证护理”的概念、现况和发展趋势,探讨其对促进护理学科发展和临床护理质量提高的重要价值。     

搭建护理新技术、新产品开发与推广的平台

为增强护理人员的科研意识和创新思维,为患者提供更加优质、高效的护理服务,同时推动护理学科的建设和发展,河南省护理学会新技术、新产品开发与推广专科小组通过开展护理用品创新大赛、与企业合作将创新成果推广应用于临床及成立新技术、新产品开发与推广专科分会等措施,搭建了河南省护理新技术、新产品开发与推广的平台,并孕育出52项专利,其中39项已转化为实际产品并应用于提高一线护理人员的工作效率,造福于患者。     

A pluralistic evaluation of nursing/practice development units

Nursing/practice development units (N/PDU) are perceived as centres for pioneering, evaluating and disseminating innovative practice development and facilitating the professional development of practitioners. This paper reports on a pluralistic evaluation research study of the nursing/ practice development unit accreditation programme provided by the University of Leeds, UK. Individual and focus group interviews were undertaken with key stakeholders involved in six nursing/practice development units. These included: clinical leaders, team members, executive nurses, trust board members, general medical practitioners, nursing/practice development unit steering group members, and accreditation panel members. Stakeholder perceptions of what constituted a successful nursing/practice development unit were elicited and then used to judge the success of the programme. Seven criteria for judging the success of nursing/practice development units were identified. These were: achieving optimum practice; providing a patient-orientated service; disseminating innovative practice; team working; enabling practitioners to develop their full potential; adopting a strategic approach to change and autonomous functioning. The findings highlighted differences between the rhetoric of a successful nursing/practice development unit and the reality in which they function. Whereas all the units were actively involved in innovative practice development, evaluation, dissemination and networking activities, several factors influenced the success of the units, in particular, the role of the clinical leader, the motivation and commitment of nursing/practice development unit members, financial resources, and the nature of support from managers, medical staff and education institutions. Although the nursing/practice development units had made significant progress in developing both healthcare practice and practitioners, there is still a need to consider how the claim that nursing/practice development units benefit patients can be substantiated.     

新时期我军护理发展面对的挑战与应对策略

从国家卫生制度改革、军队精简整编及体制改革、护理服务观念、护理服务对象及领域、护理管理模式、科技进步与高新技术、护理教育、法制观念方面综述了我军护理发展面对的挑战，并提出了应对策略。     

新时期我军护理发展面对的挑战与应对策略

从国家卫生制度改革、军队精简整编及体制改革、护理服务观念、护理服务对象及领域、护理管理模式、科技进步与高新技术、护理教育、法制观念方面综述了我军护理发展面对的挑战,并提出了应对策略.     

急性重症胰腺炎病人术后引流管的护理

回顾性总结了41例急性重症胰腺炎病人的术后护理,包括进行心理护理.加强基础护理、腹腔冲洗、胃肠内营养、引流管的护理等.认为术后各种引流管的护理是急性重症胰腺炎病人术后康复的重要措施之一.     

护理高质量发展专家共识

2021年5月7日至9日,首届"亚洲护理论坛"在上海成功举办,在《关于推动公立医院高质量发展的意见》文件精神指导下,国内32家大型综合医院及高等护理院校专家深入研讨,共同形成了《护理高质量发展专家共识》,从党建引领、学科建设、人才培养、科学管理、一流服务等方面提出了新时期护理发展的核心和内涵。     

45例胰腺癌患者介入治疗的护理

总结了45例胰腺癌患者行介入治疗的护理。包括术前准备,术中配合及术后护理。为减少患者术后并发症的发生,促进早日康复,做好各项观察及护理尤为重要。     

Use of intuition by nursing students: instrument development and testing

BACKGROUND: Intuition has been described as an important type of nursing knowledge and has gained acceptance as a valid way of knowing in clinical nursing. Use of intuition has become one way of explaining professional expertise. Measures of the use of intuition have been developed primarily for experienced nurses, but few measures of intuition use among nursing students exist. AIM: The aim of this paper is to describe the development and psychometric testing of an instrument to measure use of intuition by nursing students. METHODS: Instrument development consisted of concept clarification, item development, and psychometric testing. Intuition was defined as a non-linear process of knowing perceived through physical awareness, emotional awareness, and/or through physical or spiritual connections. Initial measurement items were derived inductively from the literature and informal interviews with senior nursing students. Seven content experts established a content validity index of 0.86 for the initial 33-item measure. It was pretested with a sample of 20 senior nursing students prior to its nationwide validation with a random sample of 1000 senior bachelor of science and associate degree nursing students. RESULTS: Postal mail data collection resulted in 349 responses (35% response rate). Principal component analysis with orthogonal varimax rotation resulted in seven factors accounting for 66.2% of the variance: physical sensations (28.4%); premonitions (9.7%); spiritual connections (7.7%); reading of cues (6.1%); sensing energy (5.7%); apprehension (4.3%); and reassuring feelings (4%). Eigenvalues ranged from 1 to 7.1 and factor loadings ranged from 0.534 to 0.858. The validation resulted in a revised 25-item measure that demonstrated an overall Cronbach's alpha of 0.89 and a range of 0.69-0.84 for each factor. The study is limited by the use of a self-report measure and the attrition in the randomized sample. CONCLUSIONS: The intuition measure for use with students showed evidence of construct validity and reliability. With further testing, the measure could serve as a stimulus to foster students' intuitive abilities.