深圳市三级医院临床护士组织承诺及影响因素调查分析

Objective To study the organizational commitment and influencing factors of clinical nurses at tertiary hospital in Shenzhen. Methods 347 clinical nurses from a tertiary hospital were select-ed by stratified random sampling and investigated and analyzed for organizational commitment with ques-tionnaires. Results Total score for organizational commitment of clinical nurses was (60.45±9.99),in which, from the highest to the lowest, the scores for five aspects were normative commitment (14.49±2.97), affective commitment (13.50±3.57), ideal commitment (11.69±3.20), economic commitment (11.27±3.23), opportunity commitment (9.50±3.30),respectively, their influencing factors included age, nursing age, mari-tal status, professional tide. Conclusions The organizational commitment of clinical nurses is at higher-middle level, their influencing factors are multi-dimensional, demographic characteristics have different im-pact on five aspects of organizational commitment.     

急性心肌梗死行介入治疗合并并发症的护理

急性心肌梗死(AMI)行经皮冠状动脉介入治疗(PCI)术，具有冠状动脉通畅迅速、残余狭窄轻和近、远期预后佳的优点。介入性心导管术本身是比较安全和有效的，但是与任何侵入性检查一样，危险性还是存在的。外周血管并发症较为常见，总发生率为6％，常见有血管损伤、出血及血肿、动静脉瘘以及血栓性并发症等。血管并发症可能导致永久的损伤和致残，甚至发生死亡。我科于2004年6月收治1例AMI行急诊介入治疗后合并多种并发症的患者，现将护理观察体会介绍如下。     

压疮风险预警报告表的设计与应用研究

Objective To elevate the prevention rate and reduce the incidence of pressure ulcer inhospi-tal. Methods Design a forecast report chart to assess patients who were in hospital from Jan. 2007 to Dec. 2008 by putting this chart in application, from which screen out 1881 patients who were susceptible to high risk of pressure ulcer (patients" risk scale was below 14) . Those patients were regarded as investigation group, and their shin con-difions was observed, and taken effective nursing measures. Using historical contrast, the patients picked out by Braden chart in Jan. 2005-Dec. 2006 were considered as control group. The differences in gender, age, history, and the number of patients between two groups were insignificant (P>0.05) . The high - risk prediction accura-cy rate of pressure ulcer, inevitable pressure ulcer rate, the amount of inevitable pressure ulcer in different depth, and the amount of evitable pressure ulcer were analyzed. Results The high - risk prediction accuracy rote of pres-sure ulcer, inevitable pressure ulcer rate, the amount of inevitable pressure ulcer in Ⅱ depth, and the amount of evitable pressure ulcer inhospital of investigation group were significantly better than those of control group (P < 0.05) . Conclusions The forecast report chart is a more effective in pressure ulcer risk prediction. Predictive nuring , management and supervision for patients with pressure ulcer high risk factors are conducive to the im-provement of the basic nursing quality and thus lower the incidence of pressure ulcer among high risk patients.     

PICC在血液病化疗中的应用

[目的]评价PICC在血液病化疗中的应用价值.[方法]对86例血液病病人进行PICC置入化疗,并采取局部护理、管腔通畅护理、出院指导等相应护理措施.[结果]置管成功率为100%,导管留置时间(91.5±39.2)d,最短4 d,最长372 d.有34例出现并发症,其中导管头端异位5例,15例导管入口处炎症,4例导管接头堵塞,5例静脉炎,4例导管接头处破裂,1例导管脱出.[结论]PICC是一种安全、有效的静脉化疗途径,病人痛苦小,并发症少,可以长期使用,有利于病人多次化疗的进行,值得临床推广应用.     

压疮风险预警报告表的设计与应用研究

Objective To elevate the prevention rate and reduce the incidence of pressure ulcer inhospi-tal. Methods Design a forecast report chart to assess patients who were in hospital from Jan. 2007 to Dec. 2008 by putting this chart in application, from which screen out 1881 patients who were susceptible to high risk of pressure ulcer (patients" risk scale was below 14) . Those patients were regarded as investigation group, and their shin con-difions was observed, and taken effective nursing measures. Using historical contrast, the patients picked out by Braden chart in Jan. 2005-Dec. 2006 were considered as control group. The differences in gender, age, history, and the number of patients between two groups were insignificant (P>0.05) . The high - risk prediction accura-cy rate of pressure ulcer, inevitable pressure ulcer rate, the amount of inevitable pressure ulcer in different depth, and the amount of evitable pressure ulcer were analyzed. Results The high - risk prediction accuracy rote of pres-sure ulcer, inevitable pressure ulcer rate, the amount of inevitable pressure ulcer in Ⅱ depth, and the amount of evitable pressure ulcer inhospital of investigation group were significantly better than those of control group (P < 0.05) . Conclusions The forecast report chart is a more effective in pressure ulcer risk prediction. Predictive nuring , management and supervision for patients with pressure ulcer high risk factors are conducive to the im-provement of the basic nursing quality and thus lower the incidence of pressure ulcer among high risk patients.     

深圳市三级甲等综合性医院护理人员培训意愿与满意度调查

目的：调查深圳市三级甲等综合性医院护理人员培训意愿与满意度,并探讨其影响因素。方法采用问卷调查法对深圳市3家三级甲等综合性医院的654名护理人员进行培训意愿与培训满意度调查,并采用SNK-q检验对不同人口学特征人群之间的培训意愿与满意度进行比较。结果654名护理人员培训意愿总均分为（2．10±0．67）分,培训满意度总均分为（2．72±0．49）分,培训意愿较高但培训满意度低;年龄及年资较轻的护理人员的培训意愿较高,科护士长及以上职位人群培训意愿最高,门诊护士的培训意愿显著低于其他科室。结论医院应建立一个开放、灵活、高效、个性化的互动培训模式,为护理人员提供更加丰富的学习资源与便利的学习平台,提高满意度与培训效果。     

电话回访出院患者护理满意度的调查分析

目的通过电话回访出院患者护理满意度,了解患者住院期间的护理质量提高情况。方法2011年1月和2011年12月分别以我院24个临床科室为研究对象,从每个科室随机抽取出院患者各10例,应用出院患者护理满意度问卷,以电话回访方式,调查患者满意度,比较2011年1月和2011年12月患者护理满意度的差异。结果与2011年1月相比,2011年12月出院患者满意度的总均分及服务态度、护理知识告知、病房管理和工作能力维度的平均分有显著提高,而基础护理、关爱患者维持在较高水准。结论出院患者满意度调查是一种直接、真实、客观的护理质量反馈方法,便于医院了解患者住院期间的护理质量、存在问题,为持续改进护理质量、提供优质服务提供了科学依据。     

盆底肌电刺激联合生物反馈改善产妇尿失禁的效果观察

目的 观察盆底肌电刺激联合生物反馈对改善产妇产后尿失禁的效果.方法 选取35例产后尿失禁产妇,使用PHENIX USB系列神经肌肉刺激治疗仪,进行盆底肌低频电刺激联合生物反馈康复治疗,每周2次,每次15～20 min,疗程为15次,治疗前后进行手测肌力及填写国际尿失禁咨询委员会问卷简表(Incontinence Qustionnaire-Short Form,ICI-Q-SF)测量.结果 28例(80％)患者尿失禁症状完全消失,7例(20％)症状显著改善,治愈率达80％,治疗后ICI-Q-SF评分较治疗前明显降低,治疗后手测肌力较治疗前明显加强,差异有统计学意义(P＜0.05).结论 产后盆底肌低频电刺激联合生物反馈治疗可改善产妇盆底肌功能,治疗尿失禁症状,有利于产妇的产后康复.     

网络随访对腹膜透析患者并发症发生率的影响

目的探讨网络随访对腹膜透析患者并发症发生率的影响。方法将187例规律随访的腹膜透析患者按自愿参与的原则分为观察组81例、对照组106例,对照组采取门诊随访、电话随访,必要时家访;观察组在采取门诊随访、电话随访的基础上开设飞信平台、QQ群随访,比较随访1年后2组患者腹膜炎发生率、导管出口处感染率及住院率。结果观察组患者腹膜炎发生率为162.0个病人月·次-1、住院率为29.6%,对照组腹膜炎发生率为63.6个病人月·次-1、住院率为69.8%,观察组腹膜炎发生率及住院率均低于对照组(均P<0.05)。2组导管出口处感染率比较差异无统计学意义(97.2个病人月·次-1比66.9个病人月·次-1,P>0.05)。结论网络随访可降低腹膜炎发生率及住院率,是一种有效的腹膜透析随访管理方法。 更多还原     

压疮风险预警报告表的设计与应用研究

Objective To elevate the prevention rate and reduce the incidence of pressure ulcer inhospi-tal. Methods Design a forecast report chart to assess patients who were in hospital from Jan. 2007 to Dec. 2008 by putting this chart in application, from which screen out 1881 patients who were susceptible to high risk of pressure ulcer (patients" risk scale was below 14) . Those patients were regarded as investigation group, and their shin con-difions was observed, and taken effective nursing measures. Using historical contrast, the patients picked out by Braden chart in Jan. 2005-Dec. 2006 were considered as control group. The differences in gender, age, history, and the number of patients between two groups were insignificant (P>0.05) . The high - risk prediction accura-cy rate of pressure ulcer, inevitable pressure ulcer rate, the amount of inevitable pressure ulcer in different depth, and the amount of evitable pressure ulcer were analyzed. Results The high - risk prediction accuracy rote of pres-sure ulcer, inevitable pressure ulcer rate, the amount of inevitable pressure ulcer in Ⅱ depth, and the amount of evitable pressure ulcer inhospital of investigation group were significantly better than those of control group (P < 0.05) . Conclusions The forecast report chart is a more effective in pressure ulcer risk prediction. Predictive nuring , management and supervision for patients with pressure ulcer high risk factors are conducive to the im-provement of the basic nursing quality and thus lower the incidence of pressure ulcer among high risk patients.