中医护理干预促进剖宫产术后肛门排气的效果分析

目的分析中医护理干预促进剖宫产术后肛门排气的效果。方法以2016年12月20日~2017年8月12日作为研究阶段,共纳入研究对象1000例,均为接受剖宫产术患者,采用随机数字表法分为对照组(n=500)和治疗组(n=500),对照组采用常规护理模式,治疗组采用中医护理干预,比较两组护理效果。结果治疗组腹胀发生2例(0.40%),对照组腹胀25例(5.00%),差异有统计学意义(P0.05)。两组首次肛门排气时间、首次排便时间、肠鸣音恢复时间比较差异具有统计学意义(P0.05)。两组护理前SAS、SDS评分差异不显著(P0.05),经过护理后,对照组SAS(48.61±3.78)分、SDS(46.55±3.05)分与治疗组SAS(34.64±4.31)分、SDS(30.56±2.48)分比较差异有统计学意义(P0.05)。治疗组护理满意率99.20%高于对照组84.40%,差异有统计学意义(P0.05)。结论针对接受剖宫产术的产妇采用中医护理干预可有效降低腹胀的发生,实现术后肛门排气时间的提前,有效改善产妇焦虑、抑郁情绪状态,提高护理满意度,值得临床推广与应用。     

舌癌根治术后患者整体护理的效果观察

目的探讨舌癌患者根治术后实施整体护理的效果。方法将入住我院50例接受舌癌舌颌颈联合根治术的患者,按照随机数字表法分为观察组和对照组各25例,对照组患者应用常规护理方法,观察组患者应用整体护理方法,比较两组患者护理的口腔清洁度、术后语言表达效果及满意度。结果观察组患者的口腔清洁度优良率高于对照组,两组比较差异有统计学意义(χ~2=9.44,P0.05);观察组患者的术后语言效果优于对照组,两组比较差异有统计学意义(χ~2=5.09,P0.05);观察组患者满意度高于对照组,两组比较差异有统计学意义(χ~2=9.92,P0.05)。结论通过整体护理的实施,有助于增强舌癌患者术后治疗信心,促进康复及提高他们的生活质量,值得临床推广。     

胰岛素泵在妊娠期糖尿病患者院外应用中的护理

目的总结院外使用胰岛素泵延续治疗GDM患者的护理体会。方法将2015-2016年我科开展胰岛素泵院外延续治疗的GDM患者进行护理指导与追踪使用胰岛素泵的情况以及生活习惯进行干预的护理方法。结果 119例患者中血糖稳定者116例,64例GDM患者已顺利生产健康宝宝,无围产期并发症发生。结论良好的护理干预有利于院外使用胰岛素泵的GDM患者血糖稳定控制。     

Human love – the inner essence of nursing ethics according to Estrid Rodhe. A study using the approach of history of ideas

The aim of this study is to describe the idea pattern of nursing ethics in the textbook written by the Swedish nurse Estrid Rodhe (1911). The purpose is to increase understanding of the ideas in early written history of nursing ethics by using the method of history of ideas. A theoretical premise, but also a fascinating factor in this study, is that the ethics of one profession is always contextual in relation to current period. The historical context of Rodhe’s time was a time of difficult societal circumstances in Europe. Nurses’ work was demanding, but a distinctive feature was enthusiasm to develop nursing. Discussion of the moral issues of nursing was intense, and the characteristics of a good nurse consisted of being as altruistic and unselfish woman. Based on our analysis, the inner essence of Rodhe’s idea pattern consists of human love. It is reflected in her ideas of calling‐based altruism, virtuous woman as a personal reason for being a nurse and nurses’ ethical duty to implementation and subservience. Rodhe’s thinking reflects the conventions of her time. The role of personal moral characteristics of nurses was highlighted and not viewed as separable from the professional. Her textbook represented nursing knowledge of ethics written by a nurse and making her a pioneer of the early written history of nursing in general. Understanding the past helps us comprehend current issues in nursing and makes visible cultural values that form the basis for today and tomorrow. It also provides a possibility to observe the same fundamental features in spite of temporal distance. Here, the history of ideas is a beneficial and fruitful method to increase our understanding of nursing ethics.     

Principle‐based analysis of the concept of telecare

Aim. To report a concept analysis of telecare. Background. Lately telecare has become a worldwide, modern way of giving care over distance by means of technology. Other concepts, like telemedicine, e‐health, and telehealth, focus on the same topic though the boundaries between them seem to be blurred. Data sources. Sources comprise 44 English language research articles retrieved from the database of Medline and Cinahl (1995–October 2011). Design. Literature Review. Method. A principle‐based analysis was undertaken through content analysis of the definitions, attributes, preconditions, and outcomes of the concept. Results. The attributes are well described according to the use of technology, caring activity, persons involved, and accessibility. Preconditions and outcomes are well described concerning individual and health political needs and benefits. The concept did not hold its boundaries through theoretical integration with the concept of telemedicine and telehealth. The definition of telecare competes with concepts like home‐based e‐health, telehomecare, telephonecare, telephone‐based psychosocial services, telehealth, and telemedicine. Assessment of the definitions resulted in a suggestion of a new definition: Telecare is the use of information, communication, and monitoring technologies which allow healthcare providers to remotely evaluate health status, give educational intervention, or deliver health and social care to patients in their homes. Conclusion. The logical principle was assessed to be partly immature, whereas the pragmatical and linguistical principles were found to be mature. A new definition is suggested and this has moved the epistemological principle forward to maturity.