《儿科护理学》自考要过“五关”

护士上学难，参加自学考试更难。在临床一线从事护理工作以来，我们顺利通过了大专、本科自学考试。身为过来人，我们的自考经验和体会是要横刀立马过好“五关”，才能获得胜利。     

综合性医院自考护理大专临床实践管理工作探讨

目的:探讨一种适合综合性医院自考护理大专临床实践的管理方式,使临床工作和继续教育培训达到双赢.方法:对2000年～2003年院内、院外共35名未取得师级职称,已通过自考护理大专理论课程的护理人员,由卫生局验证符合条件的,采取全脱产和不脱产两种方式安排临床实践,并按规范化的管理.结果:35名护理人员顺利通过自考大专毕业技能考核.结论:二级"甲等"以上综合性医院自考护理大专低年资的护理人员可采取不脱产的临床实践方式.     

综合性医院自考护理大专临床实践管理工作探讨

目的 :探讨一种适合综合性医院自考护理大专临床实践的管理方式 ,使临床工作和继续教育培训达到双赢。方法 :对 2 0 0 0年～ 2 0 0 3年院内、院外共 35名未取得师级职称 ,已通过自考护理大专理论课程的护理人员 ,由卫生局验证符合条件的 ,采取全脱产和不脱产两种方式安排临床实践 ,并按规范化的管理。结果 :35名护理人员顺利通过自考大专毕业技能考核。结论 :二级“甲等”以上综合性医院自考护理大专低年资的护理人员可采取不脱产的临床实践方式。     

经皮冠状动脉腔内成形术和支架术护理诊断及措施的探讨

系统化整体护理，除对疾病的护理外，更要注意心理护理、健康教育、健康指导。要求护理人员不仅要掌握护理学方面的知识，还要学习心理学、社会学、教育学等方面的知识。我科在开展整体护理同时，结合本科工作特点，将护理程序运用到整体护理全过程，收到良好效果，将我科对3例经皮冠状动脉腔内成形术和支架术(PTCA+Stent)护理提出的护理诊断及措施报告如下。……     

如何提高高护自考通过率

随着社会的发展 ,对护士的素质要求也越来越高。对于在职护士来说 ,主要通过自学和举办各种形式的学习班来实现护理知识的更新。而在高护自学考试中 ,护士由于工作繁忙或学习方法不当 ,往往不能通过考试。在有限的时间里 ,如何提高学习效率 ,妥善处理好工作、学习、家务的关系 ,顺利通过高护自考 ,是值得我们探讨的一个问题。1　要有坚强的意志 ,明确的目标　　自学考试充分体现个人的意志。意志是自觉的确定目的 ,并根据目的来支配、调节自己的行动 ,克服各种困难 ,从而实现目的的心理过程。自考学习时无人督促 ,全凭自觉 ,考试结果也不直…     

本科自考助学对高职高专学生的影响调查

目的探索本科自考助学对高职高专学生在校学习、就业选择、职业发展、个人成长的影响,为专科院校开展本科自考助学提供参考。方法采用自编调查问卷对我校2009级秋季药学1班和2010级春季护理学7班学生进行问卷、典型座谈及电话访谈相结合的调查。结果本科自考助学对专科学生自主学习能力、就业选择及个人成长具有积极、显著、长期的影响。结论本科自考助学能提升在校专科学生自身专业素养、综合素质和学历水平,有利于专科学生的成长成才。     

应用多媒体进行护理查房的做法与体会

目的：探讨多媒体进行护理查房的效果。方法：将典型精神病伴其它疾病患者的病例制作成多媒体课件，利用护理大查房时间由本科护士长为全院护理人员讲授，组织学习相关专业知识。结果：患者的并发症及意外事件发生率降低。患者及医生对护理人员工作满意度提高。结论：应用多媒体护理查房，有助于护士掌握其它疾病护理常规及措施，扩大了临床护理查房容量。     

加强对高护自学考试管理的体会

新疆自学考试1992年增设了高等护理专业以来,我院护理部加强了对高护自学考试(下称自考)的管理,通过4年的实践,证明是行之有效的,既提高了全院护理队伍的素质及个人的学历水平,又保证了全院护理工作的正常运转。我们的体会是: 一、加强自考的管理,有利于提高考试的合格率: 1.护理部对自考人员实行统一管理,成立院内     

PBL教学在放射护理教学中的应用

目的探讨应用PBL教学方法提高放射护理人员的应急急救水平的效果。方法选取本科20名放射第一线医护人员,随机分成两组,分别采用传统的教学模式和PBL教学模式,内容以造影剂反应的急救技术为中心,进行相关的理论测试和急救能力操作考试。结果应用PBL教学法比传统教学法可提高护理人员对应用型知识的掌握,并提高护理人员的急救操作技能。结论PBL教学法在放射急救护理中能明显提高教学质量,值得推广。     

怎样写好护理记录

书写护理记录是临床护理人员必须具备的基本功。随着护理学的不断发展，对护理记录的要求也越来越高。由于各门科学的相互渗透及现代科学技术的应用日益广泛，学习并掌握常用护理记录的书写方法，做好护理记录，已成为每一个护理人员的迫切要求。     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

Dr.Zhang Ren''''s Experience in the Acupuncture Treatment of Different Diseases with the Same Therapeutic Principle

Dr.Zhang Ren,the chief physician,is the chairman of Shanghai Acupuncture and Moxibustion Association.Having been engaged in medicine for about 40 years,he is experienced in treating various intractable diseases.In his long years of clinical practice,he advocates taking the TCM differentiation as the basis to seek for the acupuncture method for treatment of modern intractable diseases.The author of this essay had the fortune to follow Dr.Zhang in study.The following is a summary of Dr.Zhang's experience in the acupuncture treatment for different intractable diseases with the same therapeutic principle.     

Luo Lingjie''''s Experience in Treating Chronic Nephropathy

In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects.     

Acupuncture Combined with Spinal Tui Na for Treatment of Primary Dysmenorrhea in 30 Cases

Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea.     

猪肺磷脂注射液联合经鼻持续气道正压通气对呼吸衰竭早产儿的临床疗效及肌酸激酶同工酶活性的影响

目的 探讨猪肺磷脂注射液联合经鼻持续气道正压通气(NCPAP)对呼吸衰竭早产儿的临床疗效及肌酸激酶同工酶活性(CK-MB)的影响.方法 选取呼吸衰竭早产儿80例,分为观察组和对照组各40例.对照组采用NCPAP给氧治疗,观察组给予NCPAP给氧联合猪肺磷脂气管内给药.观察两组患儿治疗前及治疗12h、24 h后PaO2、PaCO2、血氧饱和度(SaO2)、pH的变化情况,检测治疗前及治疗5d后血清CK-MB水平;评估两组患儿的临床治疗效果.结果 两组患儿PaO2、PaCO2、SaO2、pH比较,差异均有统计学意义(P＜0.05),其中观察组治疗后的PaO2、SaO2、pH均高于对照组,PaCO2则低于对照组.两组的PaO2、SaO2、pH均随观察时间延长而升高(P＜0.05),PaCO2均随观察时间的延长而降低(P＜0.05).观察组治疗有效率为87.5％,显著高于对照组的70.0％ (P ＜0.05).治疗5d后两组患儿血清CK-MB水平均较前降低(P＜0.05),且观察组明显低于对照组(P＜0.05).结论 猪肺磷脂注射液气管内给药联合NCPAP可以显著降低呼吸衰竭早产儿CK-MB的含量,提高治疗有效率,起到很好的呼吸循环支持作用.     

Survey and practice of reporting quality of randomized controlled clinical trials on traditional Chinese medicine

Evidence obtained from randomized controlled trials （RCTs） has been generally accepted as the gold standard in the evaluation of clinical effectiveness. Readers need to understand the trial design, implementation, results, analysis and interpretation, so as to fully Jnderstand the results of RCTs. Thus, the investigators of RCTs have to report these items in a complete, accurate and clear manner. Since 1998, we have conducted several evaluations on the reporting quality of RCTs published in Chinese journals on traditional Chinese medicine （TCM） and results have shown that there is an urgent need for higher quality RCTs on TCM.     

TCM Treatment of Ankylosing Spondylitis by Tonifying the Kidney and Strengthening the Governor Vessel

Ankylosing spondylitis is a chronic and progressive disorder with inflammation mainly involving the central axis joints. It mainly affects the cervical spine and the lumbosacral area, with the pathogenesis closely related to the kidney and the Governor Vessel (GV). TCM holds that the syndrome is deficiency in origin and excess in superficiality, which is due to insufficiency of the kidney, deficiency of GV, and blocking of the channels with the invasion of exogenous evil, leading to poor circulation of qi and blood and malnutrition of the bones, muscles and joints. The TCM method of tonifying the kidney and strengthening GV to regulate circulation of qi and blood and check the arthralgia pain should be adopted, with the Kidney-Tonifying and GV Strengthening Decoction (益肾强督汤) prescribed.     

IMPROVING P-gp EXPRESSION IN HUMAN MONONUCLEAR CELLS IN VITRO TRANSFECTED BY MULTIDRUG RESISTANCE-1 mRNA

CHEMOTHERAPY playsa greatrolein the treat- ment of malignanttumors,especiallyingynecolo- gicalones.But inanticancerchemotherapy,leuko-cytopeniaisfrequentlytheprimarydose-limitingsideeffect factor.Moreover,cancersarefrequentlychemoresistantbe-causeof overexpressionof P-glycoprotein(P-gp), which isencodedby multidrugresistancegene (MDR1 ) and detectableinup to50% ofhuman cancersand renderscellsresistancetoanticancerdrugs.The safetyand potentialtherapeuticbenefitof mdr1 gene transferredto h…