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1.
张静 《华夏医学》2011,24(4):473-474
护理专业学生的临床实习是从学生向护士过渡的一个重要阶段。实施正规的临床带教对护理专业学生的整个实习期间,乃至终生从事的护理事业的影响至关重要,护理专业学生在妇科实习4周期间,根据护理专业学生每个阶段的特点,循序渐进地进行带教,  相似文献   

2.
本文报告了四川省乐山卫生学校1999 年3 月~6 月开展的社区护理实践活动。并采用了社会效益评价和学生综合能力评价两个指标体系对社区护理实践结果进行了评价。评价结果表明: 学生在校学习期间深入社区开展社区护理实践是切实可行的, 它为深化护理专业的教学改革提供了有力依据。  相似文献   

3.
护理专业实习生安全护理现状调查与对策   总被引:4,自引:2,他引:2  
目的:通过对护理专业毕业实习期间的学生安全护理现状进行调查与分析,有针对性地制定相应对策。方法:采用调查问卷对229名某高校护理专业实习生进行调查。结果:护理专业学生生实刊期间锐器伤的发生率70.3%,乙肝疫苗的接种率67.7%,20.0%的学生经常感到压力大,6.1%遭到耳只场身体暴力,38.0%遭到职场心理暴力,14.6%曾有泄密发生。结论:校院共同努力加强护生职业防护、护理相关法律知识教育和能力培养,提高学生维护身体安全和法律安全的能力。  相似文献   

4.
针对医学检验本科生在校期间沟通教育的不足,提出在实习期间应分析学生特点,结合各教学单位的工作实际设立培养目标,有计划、有步骤地进行沟通能力培养; 在培养的不同阶段,评价体系对教学效果进行评估和总结,并通过PDCA等管理学方法对培养模式和评价体系进行验证、调整和持续改进。  相似文献   

5.
周小鸥  梅钧  余辉 《九江医学》2013,(1):15-17,23
为了探讨PBL种教学方法在医学免疫学课程教学效果,文中对2005~2007级临床医学本科生进行跟踪研究。采用教学测试及问卷调查的方法,研究学生在校期间PBL教学方法应用于医学免疫学的教学效果以及实习期间对PBL学习方法的后续应用效果。通过对三届本科生的连续性跟踪研究,可见随着PBL教学方式逐步完善,不仅对在校学生的教学效果有很大提高,同时能被学生灵活应用于自主学习中,值得推广。  相似文献   

6.
目的调查护理专业学生对急诊科实习期间的培训需求,为进一步完善及开展急诊实习护生培训提供依据。方法采用便利抽样对广东省内24所三甲医院的实习护生及4所设置护理专业的本科院校在校护生共279人进行问卷调查。问卷内容包括一般资料、急诊实习培训需求(含教学内容及教学方法)调查表。结果参与调查的护生中,有97.13%的护生(271人)认为非常有必要学习急救知识和技能,85.66%的护生(239人)非常有兴趣学习急救知识和技能;急诊实习培训需求中"急危重症技能"维度得分最高,为88.91分,"科室规章制度"维度得分最低,为76.08分;单因素分析结果显示,性别、今后从事护理工作的意愿、对急救知识的学习兴趣及自主网络学习急救知识的意愿得分差异有统计学意义(P<0.05);急诊教学方法需求调查中排名最高的3种教学方法依次为情景教学法、以问题为基础的教学法、行动教学法。结论护生对在急诊实习期间的培训需求较高,临床护理管理者及教育者在设计培训安排时,应在医学院校教学大纲的基础上,结合护生的实习培训需求进行设置,以完善急诊实习护生的培训、满足护生在急诊实习期间的学习需求。  相似文献   

7.
目的 探讨西部某省高校护生自主学习现况及其影响因素.方法 选择西部某省4所高校全日制在校护理本、专科学生,采用自制一般情况调查表和沈王琴翻译汉化的中文版Williamson自主学习自评量表对其进行问卷调查研究.结果 护生自主学习能力总体处于中等水平;得分最高、最低维度分别为人际关系技能和学习行为维度;一本院校明显高于二本院校(P<0.01);高年级、女生、自愿选择和喜欢护理专业的护生自主学习能力高于其他组别(P<0.05);学习动机、学习兴趣、每周自主学习时间等为正向影响因素,学习困难为负向影响因素.结论 年级,性别,是否自愿选择护理专业,对护理专业的喜欢程度,学习动机,学习兴趣等是护生自主学习能力的主要影响因素.  相似文献   

8.
采用护理学生自主学习能力量表对某省属高校护理学专业555名本科生进行问卷调查,以了解护理专业本科生自主学习能力现况,探讨其影响因素。结果显示,护理专业本科生自主学习能力处于中等水平,影响护生的自主学习能力主要为年级、小组学习、课后反思和浏览期刊次数等。建议护理教育者通过培养护生的反思与阅读能力、优化学生的学习策略、营造良好学习环境等措施,培养与提高学生的自主学习能力,促进护理教育质量的提升。  相似文献   

9.
目的:了解昆明医学高等院校学生自主学习现状,为教学中促进学生自主学习提供依据。方法:在Zimmerman自主学习理论基础上,采用袁红梅编制的《大学生学习自主量表》,对昆明医学类高等院校本、专科410名学生进行调查研究。结果:临床类各专业间和医疗辅助类各专业间学生自主学习能力无显著性差异;不同学历层次、不同专业的男生和女生在自主学习能力上没有显著性差异;本、专科层次的学生自主学习能力总体水平不高,本科生强于专科生。结论:鉴于昆明医学类高等院校本专科学生自主学习能力水平不高的现状,教师在授课过程中应围绕自主学习的4个纬度进行有目的地干预和强化,从而提高学生自主学习能力。  相似文献   

10.
目的:调查辽宁省3所院校护理专业学生自主学习能力现状。方法:对3所院校相同年级和同一院校不同年级的护生进行能力测试和分析。结果:3所院校护生自主学习能力不高;辽医护生自主学习能力最强(P〈0.05),大医和沈医无显著性差异(p〉0.05);沈医2010级与2012级护生自主学习能力无显著性差异(p〉0.05)。结论:目前护理专业学生的自主学习能力总体水平不高.针对调查现状作者提出了思考和对策。  相似文献   

11.
Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P < 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (>0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P <0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P < 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.  相似文献   

12.
Objective: To set up a simple and reliable rat model of combined liver-kidney transplantation. Methods: SD rats served as both donors and recipients. 4℃ sodium lactate Ringer's was infused from portal veins to donated livers,and from abdominal aorta to donated kidneys, respectively. Anastomosis of the portal vein and the inferior vena cava (IVC) inferior to the right kidney between the graft and the recipient was performed by a double cuff method, then the superior hepatic vena cava with suture. A patch of donated renal artery was anastomosed to the recipient abdominal aorta. The urethra and bile duct were reconstructed with a simple inside bracket. Results: Among 65 cases of combined liver-kidney transplantation, the success rate in the late 40 cases was 77.5%. The function of the grafted liver and kidney remained normal. Conclusion: This rat model of combined liver-kidney transplantation can be established in common laboratory conditions with high success rate and meet the needs of renal transplantation experiment.  相似文献   

13.
Objective To observe blood pressure change with age in salt-sensitive teenagers whose salt sensitivity were determined by repeated testing.Methods Salt sensitivity was determined through intravenous infusion of normal saline combined with volume-depletion by oral diuretic furosemide in 55 teenagers. After five years, salt sensitivity was re-examined and subject blood pressure was followed up. Blood pressure changes in salt-sensitive teenagers were compared to that of non-salt sensitive teenagers over five years.Results After 5 years, the repetition rate of salt sensitivity determined by intravenous saline loading is 92.7%. In teenagers with salt sensitivity on the baseline, both the systolic blood pressure increments and increment rates were much higher than non-salt sensitive teenagers (12.7±12.1 mmHg vs. 2.8±5.2 mmHg, P< 0.01; 12.2%± 12.0% vs. 2.5% ±4.4%, P< 0.001,respectively). There was a similar trend for diastolic blood pressure (8.4 ± 6.4 mmHg vs. 3.7 ± 6.4 mmHg, P = 0.052; 13.2% ±10.6 % vs. 6.8%± 10.1%, P = 0.053, respectively).Conclusions Salt sensitivity determined by intravenous saline loading showed good reproducibility. Blood pressure increments with age were much higher in salt-sensitive teenagers than non-salt sensitive teenagers, especially in terms of systolic blood pressure.  相似文献   

14.
Increasing maternal age is the only etiological factor unequivocally linked to Down's syndrome in humans. The occurrence rate of newborns with Down's syndrome is about 1/220 in women over 35 years old. However, the occurrence rate in embryos fertilized in vitro, of the elder woman is unclear. Using FISH we screened the number of chromosome 21 in preimplanted embryos of 5 elderly women (average age, 38.4 years) to study the feasibility and necessity of screening trisomy 21 in embryos in patients over 35 years old at the in vitro fertilization (IVF) center.  相似文献   

15.
Real-time three-dimensional echocardiography (RT3DE)is a new ultrasound technique that enables dynamic threedimensional visualization and quantification of the heart in real time. Investigation of feasibility and methodology of RT3DE in determining left ventricular (LV) and right ventricular (RV) volumes, RT3DE was performed in 35 normal adults using Philips SONOS 7500 system with a 2-4 MHz matrix array transducer. The 60°×60° "pyramid" volume database was obtained and analyzed on a TomTec echo workstation. Both LV and RV volumes were calculated with four 3DE methods (i.e. apical 2, 4, 8, and 16-plane) through manually tracing ventricular endocardial borders in end diastole and end systole. Stroke volumes were then calculated. LV volume was also measured by 2DE Simpson's rule using GE VIVID 7 ultrasound machine.  相似文献   

16.
A clinical guideline for the therapeutic interventions of integrative medicine may be defined as a written document which states a series of recommendations on therapeutic interventions of integrative medicine for a special disease or condition. The guideline may provide assistance to medical professionals in making clinical decisions aimed at improving the clinical outcome of patients and reducing the costs of medical care(~'4~. Recommendations issued by a guideline should be based on the best available evidence in both Western and Chinese medicine. For fulfilling this purpose, the development of clinical guidelines for therapeutic interventions in the field of integrative medicine should follow scientific principles and undergo a rigorous processes.  相似文献   

17.
Objective:To probe into the influence of changes of ovarian hormones on the pathogenesis of the specific sub-type premenstrual syndrome(PMS)and reveal partial microcosmic mechanisms of adverse flow of liver-qi.Methods:Estradiol(E2)and progesterone(P)levels in serum were determined at different phases of menstrual cycle by radioimmunoassay.Results:In the group of PMS with adverse flow of liver-qi.the secretive peak value Of E2 and P at the follicular phase significantly decreased,and the secretive peak value at the luteal phase did not come into being.Conclusions:Low E2 and P secretive peak at the follicular phase and absence of secretive peak at the luteal phase is one of the microcosmic mechanisms of PMS with adverse flow of liver-qi.One of the pathophysiologic mechanisms of specific sub-type PMS is probably the continuous low level of E2and P.  相似文献   

18.
目的:评价使用安心颗粒对急诊经皮冠状动脉介入术(PPCI)术后生活质量的影响.方法:将160例接受PPCI的急性ST段抬高型心肌梗死患者随机分为安心颗粒组(术前顿服安心颗粒8.8g,术后安心颗粒4.4 g/次,每日2次)和对照组(仅接受基础药物治疗).所有患者均服用阿司匹林、氯吡格雷和阿托伐他汀.分别在入院时、出院前1d、出院后180 d时,应用心肌梗死多维度量表(MIDAS)、中文版SF-36评价量表对患者生活质量评分.并观察术后30 d以内的出血并发症、血小板减少症发生情况.结果:入院时和出院前1d,两组患者的心肌梗死MIDAS、SF-36量表评分比较无差异(P>0.05);出院后180 d时,与对照组比较,安心颗粒组MIDAS、SF-36评分明显减低(P<0.05);组内与入院时比较,两组出院前1d、出院后180 d时,MIDAS、SF-36评分均降低(P<0.05).两组患者在随访期间均无大量出血、少量出血、重度和极重度血小板减少症发生,安心颗粒组有4例、对照组有7例发生不明显出血(P>0.05).两组发生轻度血小板减少症的患者数比较无差异(P>0.05).结论:PPCI使用安心颗粒,能改善急性ST段抬高型心肌梗死患者的生活质量,且不增加出血风险.  相似文献   

19.
Journal of Nanjing Medical University (English Edition) JNMU, sponsored by Nanjing Medical University, was established in 1987. It is a bimonthly comprehensive English medical journal published locally and abroad.Since 2007, Journal of Nanjing Medical University (English Edition )was granted Elsevier the full publishing and distribution rights worldwide for the Electronic Edition, excluding the People's Republic of China.  相似文献   

20.
Objective:To investigate the influences of urapidil and nicardipine on rabbit sinus function,atrio-ventricular node function and hemodynamics.Methods:Thirty-two Angora's rabbits were selected and randomly divided into four groups.U1 group:urapidil 0.25 mg/kg;U2 group:urapidil 0.5 mg/kg;N1 group:nicardipine 10 μg/kg;N2 group:nicardipine 20 μg/kg.All these medicine were administrated within 30 seconds.Measurements were taken before and after the administration of urapidil or nicardipine for the following data:mean blood pressure(MAP),heart rate(HR),sino-atrial conduction time(SACT),maximal sinoatrial recovery time(SNRTmax)corrected sinus node recovery time(CSNRT),index of sinus node recovery time(SNRTI),Wenckebach A-V conduction frequency (WB),and P-R interval.Results:Significant MAP and HR changes were identified in all of the four groups before and after administration of both urapidil and nicardipine.No significant changes could be found in the rest of the parameters.Intergroup analysis showed that SACT and CSNRT of N1 and N2 groups were shorter than those of the U2 group(P<0.01);the MAP decreased(P<0.01)and the HR increased drastically(P<0.01).Conclusions:Neither urapidil(0.25 mg/kg,0.5 mg/kg)nor nicardipine(10μg/kg,20μg/kg)has any significant influence on rabbit sinus function or rabbit atrio-ventricular node function.Nicardipine could be a better choice than urapidil for parafunctional sinus node patients.  相似文献   

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