神经内科脑卒中患者长期鼻饲出现食物返流的原因分析及护理

目的探讨神经内科脑卒中患者长期鼻饲出现食物返流的相关因素及护理对策。方法回顾性分析本院神经内科2010年1月～2010年12月的150例脑卒中患者鼻饲过程中出现食物返流的15例患者的原因,并进行护理方面的分析。结果脑卒中患者鼻饲出现食物返流发生的原因与患者的病情、年龄、体位不当、留置胃管技术和鼻饲量、鼻饲时间及鼻饲液的温度等有密切关系。结论对不同患者进行原因分析,不断总结经验,制定相应的护理对策,采取预见性护理,从而减少食物返流的发生,在临床工作中十分重要。     

一贯制责任护理模式对提高孕产妇满意度的影响研究

Objective The purpose of this study is to find the influence of conducting the consistency primary nursing model in obstetrics department for improving patients' satisfaction to nursing work.Methods A quantitative research was conducted by an investigation of two groups of subjects,with one group being given the model of nursing and the other group not being given the same model of nursing.The investigation was to investigate the degree of satisfaction of patients to nursing work.And the total score of satisfaction and each score of each item investigated were analyzed and compared.Qualitative research:to abstract the related subject issues of pregnant and postpartum women to satisfaction degree to nursing work,by using the method of visiting and discussing of focuses of the pregnant and postpartum women groups.Results Patients' overall and sub-item satisfaction with invention of new model in the research group was higher than that of the control group,and had a statistical significance (P＜0.01).And the Results from visiting and discussing the groups of patients also reflected the research group had a good satisfaction.Conclusions The consistency primary nursing model improves pregnant and postpartum women's satisfaction to nursing work,and it is worthy of extending.     

对孕产妇实施一贯制责任护理的成效分析

目的在产科实施＂一贯制＂责任护理模式,探讨该模式对提高孕产妇对护理工作满意度的效果以及对产妇产后常见健康问题的影响。方法对孕产妇实施＂一贯制＂责任护理模式,并于模式实施后,采用孕产妇对产科护理工作满意度量表对孕产妇进行问卷调查;收集产妇产后尿潴留、奶胀发生率,以及出院时、产后6周时的母乳喂养率等资料;采用母乳喂养知识知晓情况量表调查产妇母乳喂养知识知晓情况。结果＂一贯制＂责任护理模式的孕产妇满意度为93.1%（139.67/150）;产后尿潴留、奶胀的发生率较低,分别为0.9%,18.7%;母乳喂养率及母乳喂养知识知晓率分别是98.7%和89.9%。结论＂一贯制＂责任护理是一种先进的护理模式,明显提高孕产妇对产科护理工作的满意度,同时大大减轻产妇产后的常见问题,具有很高的母乳喂养率,该模式值得在产科推广。     

"一贯制"责任护理模式对产妇产后恢复的影响

目的 探讨在产科实施"一贯制"责任护理模式对产妇产后恢复和常见问题的影响.方法 比较实施"一贯制"责任护理模式的产妇与实施岗位功能制护理模式的产妇产后尿潴留、奶胀的发生率、出院时和产后6周时的母乳喂养率,及产妇产后母乳喂养知识的知晓情况.结果 观察组产妇出院时及产后6周的母乳喂养率均高于对照组,差异有统计学意义(P＜0.01);观察组母乳喂养知识知晓得分高于对照组,差异有统计学意义(P＜0.01);观察组产后6 h尿潴留发生率明显低于对照组,差异有统计学意义(P＜0.01);产后72 h内观察组未发生奶胀的人数明显多于对照组,发生奶胀的人数少于对照组,差异有统计学意义(P＜0.01).结论 "一贯制"责任护理是一种先进的护理模式,降低了产妇产后尿潴留、奶胀的发生率,提高了母乳喂养率,值得推广.     

乳腺癌的遗传性、危险性及其对策

乳腺癌是妇女中最常见的肿瘤 ,也是妇女死于癌症的一个主要原因 ,仅次于肺癌。该病的许多危险因素已明确 ,如家族史 ,据估计 5 %～ 10 %的乳腺癌妇女有遗传因素。遗传与乳腺癌　遗传学的发展使包括乳腺癌的许多疾病更加清楚。乳腺细胞中包含能对激素状态和许多其它因素反应的基因 ,如果这些基因发生变异 ,乳腺细胞就不再正常生长。在鉴别乳腺癌危险因素时有一个重要发现 ,即在高危家庭中 BRCA1和 BRCA2基因发生了突变 ,这对乳腺癌研究有极大的影响。BRCA1和 BRCA2基因突变占遗传因素乳腺病例的的 30 %～ 70 %。此外 ,5 %～10 %的卵巢…     

一贯制责任护理模式对提高孕产妇满意度的影响研究

Objective The purpose of this study is to find the influence of conducting the consistency primary nursing model in obstetrics department for improving patients' satisfaction to nursing work.Methods A quantitative research was conducted by an investigation of two groups of subjects,with one group being given the model of nursing and the other group not being given the same model of nursing.The investigation was to investigate the degree of satisfaction of patients to nursing work.And the total score of satisfaction and each score of each item investigated were analyzed and compared.Qualitative research:to abstract the related subject issues of pregnant and postpartum women to satisfaction degree to nursing work,by using the method of visiting and discussing of focuses of the pregnant and postpartum women groups.Results Patients' overall and sub-item satisfaction with invention of new model in the research group was higher than that of the control group,and had a statistical significance (P＜0.01).And the Results from visiting and discussing the groups of patients also reflected the research group had a good satisfaction.Conclusions The consistency primary nursing model improves pregnant and postpartum women's satisfaction to nursing work,and it is worthy of extending.     

一贯制责任护理模式对提高孕产妇满意度的影响研究

Objective The purpose of this study is to find the influence of conducting the consistency primary nursing model in obstetrics department for improving patients' satisfaction to nursing work.Methods A quantitative research was conducted by an investigation of two groups of subjects,with one group being given the model of nursing and the other group not being given the same model of nursing.The investigation was to investigate the degree of satisfaction of patients to nursing work.And the total score of satisfaction and each score of each item investigated were analyzed and compared.Qualitative research:to abstract the related subject issues of pregnant and postpartum women to satisfaction degree to nursing work,by using the method of visiting and discussing of focuses of the pregnant and postpartum women groups.Results Patients' overall and sub-item satisfaction with invention of new model in the research group was higher than that of the control group,and had a statistical significance (P＜0.01).And the Results from visiting and discussing the groups of patients also reflected the research group had a good satisfaction.Conclusions The consistency primary nursing model improves pregnant and postpartum women's satisfaction to nursing work,and it is worthy of extending.     

以护理服务为重点的绩效考核系统应用效果评价

目的:探讨以护理服务为重点的绩效考核系统的应用方法与效果。方法:收集2016年4月~2017年6月护理绩效考核数据,从岗位工作量、质量与效率、服务与态度、管理与团队四个方面对护士的绩效表现进行评价。结果:绩效考核系统实施前后,护理人员工作表现较差或不合格的人数由12.6%下降到7.8%,患者对护理工作满意率由基线的97.5%上升到98.4%,对护理工作满分率由87.4%上升到95.4%。结论:以护理服务为重点的护理绩效考核系统的实施,可促进护士个人工作发展,提高患者满意度,从而提升护理服务质量。     

计划行为理论对产后返岗产妇纯母乳喂养行为的影响侯燕文,万宏伟*,沈莹,陈燕

目的：通过计划行为理论在初产妇母乳喂养干预中的应用,评价其是否能提高初产妇产后返岗后的纯母乳喂养率。方法：以上海市某院为研究场所,选取352名来院产检无严重并发症的孕妇区组随机为实验组和对照组。分别在产前、出院后、产后6周、产后4月利用问卷收集其母乳喂养情况等资料。利用卡方检验分析其各阶段纯母乳喂养率情况。结果：显示干预组与对照组产后出院、产后6周、产后4月的纯母乳喂养率,结果显示,在产后出院、产后6周、产后4月纯母乳喂养率的差别均有统计学差异(P<0.05);结论：基于计划行为理论的护理干预对初产妇母乳喂养效果评价发现,其能够提高初产妇各阶段以及产后返岗时纯母乳喂养率。     

不孕症妇女的心理状况探讨

生殖器官发育异常、内分泌失调、心理障碍及其他多种疾病均可导致不孕。很多调查结果表明：不孕症的精神压力严重影响着家庭生活质量。为更好地了解不孕症妇女的心理状态，提高综合治疗水平，我科1996年10月～1999年1月对200例不孕症患进行了心理状况调查，现报告如下。