日间手术患者延续性护理服务需求调查及分析

目的调查日间手术患者对延续性护理服务的需求,并分析日间手术患者延续性护理服务需求的影响因素。方法通过问卷调查的方法进行数据收集。结果本研究共计调查288名患者,日间手术患者延续性护理服务总需求得分为2.88±0.785,处于中上水平。其中需求较高的内容有伤口自我观察和护理（2.93±0.813）,复诊方式指导（2.89±0.859）,预防疾病复发的指导（2.88±0.855）。其中需求最高的病种为腹腔镜胆囊切除术（3.15±0.583）、白内障（2.94±0.697）、下肢静脉曲张（2.87±0.805）。一般资料中女性需求高于男性需求（X2=4.473,P<0.05）;不同婚姻状态需求差异有统计学意义（X2=10.778,P<0.05）;不同医疗支付需求差异有统计学意义（X2=13.033,P<0.05）,不同居住方式者之间的需求差异也有统计学意义（X2=21.757,P<0.05）。结论日间手术患者对延续性护理服务具有较高的需求,应针对不同的病种制定不同的延续性护理方案,并针对不同的群体提供有侧重的延续性护理服务。     

宫腔镜手术的配合及其术后并发症的护理

目的：提高宫腔镜手术成功率,减少并发症的发生。方法：对372例宫腔镜手术患者的临床资料及其术后并发症情况作一回顾性分析。结果：本组有5例（1.3%）出现不同程度的并发症,包括出血2例,子宫穿孔2例,感染1例,但均无不良预后,术后2～4 d出院。结论：熟练的手术护理配合是宫腔镜手术成功的有力保障。     

日间手术模式下宫腔镜手术患者术前心理弹性现状的调研与分析

目的调研并分析日间手术模式下宫腔镜手术患者术前心理弹性水平及相关影响因素,为制定个体化的临床干预措施提供理论依据。方法采用横断面调查方法,应用一般情况调查表、心理弹性量表(CD-RISC)、社会支持评定量表(SSRS)、五大人格量表(BFI)、一般自我效能量表(GSES)、生活满意度量表(SWLS)对2018年6月-2019年2月温州医科大学附属第一医院收治的199例日间宫腔镜手术患者进行术前问卷调查。结果宫腔镜日间手术患者术前心理弹性量表得分为(59.12±15.46)分,明显低于正常成人心理弹性水平。多元逐步回归分析结果显示,文化程度、个体对社会支持的利用情况、开放性性格特征及一般自我效能感是患者术前心理弹性水平的预测因子(P<0.05),解释总变异的48%。结论宫腔镜日间手术患者术前心理弹性水平普遍较低,临床工作人员应在术前对患者特征进行综合评测并制定个体干预计划,充分利用社会支持力量,激励自我效能感,使患者对日间宫腔镜手术有更充分的认识,促进其心理弹性水平的提升。     

探讨患者日间手术病房护理模式的效果

目的:探讨患者日间手术病房护理模式的效果.方法:选取2016年4月到2017年4月期间我院收治的120例需要进行手术治疗的患者,随机平均分成两组,对照组和观察组,对照组患者给予常规护理,观察组患者在常规护理的基础上给予日间手术病房护理,对比两组患者的护理满意度.结果:观察组患者的护理满意度优于对照组,差异有统计学意义(P<0.05).结论:在对行手术治疗的患者护理过程中,日间手术病房管理护理模式能够提高护理质量,提升护理满意度,建立良好护患关系,值得临床推广和应用.     

妇科宫腔镜术后的临床护理分析

目的:探讨妇科宫腔镜手术后的护理方法和效果,以供临床参考使用。方法:随机抽取120例行宫腔镜手术治疗的患者,分为观察组和对照组,每组60例,观察组在常规护理的基础上针对术后可能出现的不适采取干预措施,对照组单纯给予常规护理。结果:观察组与对照组在术后并发症发生率,住院时间方面差异具有统计学意义(p<0.05)。结论:对进行宫腔镜手术的患者在术后进行有针对性的护理,可以有效的减少患者出现的不良反应,有利于患者早日康复出院。     

我院开展日间手术的效果评价与分析

目的探索开展日间手术的临床应用价值。方法对照分析开展日间手术前后相关学科和主要病种平均住院日、例均费用的变化。结呆日间手术使全院和相关科室、相应病种的平均住院日明显缩短,例均住院费用明显下降。结论开展日间手术可明显缩短人均住院日、减少人均住院费用,是解决“看病难、看病贵”有效的途径。     

儿童门诊日间手术的护理体会

通过总结245例儿童门诊日间手术的护理体会,大大提高了日间手术的成功率,同时并发症的发生也相应的减少,无感染、出血或者复发的患儿.日间手术降低了手术治疗费用,缩短了治疗时间和住院时间,减少院内感染的几率,也有利于患儿术后休息和恢复.提高了医院的社会效益和经济效益.     

宫腔镜手术病人的护理

宫腔镜是妇科领域常用的一种诊断和手术方式，由于损伤小、痛苦少、恢复快、适应范围广，很受病人的欢迎。我院2002-2006年对72例病人实施宫腔镜手术。现介绍如下。     

护士在宫腔镜手术中的配合与术后护理

电视宫腔镜检查手术是近代妇科发展的一项技术,通过宫腔镜可直接观察宫腔内病变情况,必要时可同时作定位活检或相关手术治疗[1]。本院自2003年5月~2004年12月开展宫腔镜检查手术300例,效果满意,现报告如下。一、临床资料1·一般资料本组300例,平均年龄36(23~54)岁。手术名称及构成比见表1。表1300例宫腔镜手术名称及构成比手术名称例数构成比(%)宫腔镜检查14547.60子宫黏膜下肌瘤、息肉切割6020.00宫腔粘连分离227.33子宫纵隔切开155.00镜下通液、取IUD、诊断性刮宫6020.00合计300100.002·术前评估总体评估应包括病史询问、体格检查和选…     

宫腔镜诊断与术前术后护理

检查宫腔镜它是一种高科技微创诊疗仪器械,最大程度上实现宫内病变精准测定,诊断更准确,明显提高诊断准确率,不仅能直接看到检查子宫内生理,病理病变,宫腔镜还能确定病灶存在的部位,大小外观和范围,且能对病灶表面的组织结构进行细致的观察,并在直观下取材或定位刮宫大大提高了对宫腔内疾病诊断的准确性,更新发展和弥补了传统诊断方法的不足.     

宫腹腔镜联合治疗不孕症的临床效果分析

目的研究宫腹腔镜联合应用治疗不孕症患者的疗效。方法对236例不孕症患者进行宫腹腔镜联合诊治,了解其有无宫腔病变、盆腔病变及输卵管通畅情况,并进行相应治疗。结果236例患者盆腔病变185例,宫腔病变128例;盆腔粘连(46.61%)、子宫内膜异位症(15.25%)是盆腔主要病变;子宫内膜异常(31.35%)是宫腔主要病变。腹腔镜下输卵管通液术与术前子宫输卵管碘油造影(HSG)符合率51.24%。236例患者随访率76.69%,受孕85例,受孕率46.96%。结论联合应用宫腹腔镜明显提高了不孕症诊断的准确性,并可同时实施有针对性的治疗。患者的受孕率跟术后盆腔、宫腔病变治疗效果及输卵管通畅程度有关。     

Day Care Quality and Child Development in Singapore

This paper reports the findings of an investigation into the effects of the day care environment on language development in 122 pre-school children in Singapore. This study examined child progress in which pre- and post assessment scores and the interactive relationship between day care and family environments were taken into account.

Characteristics of 16 day care centres were assessed by the Early Childhood Environment Rating Scale, ECERS (Harms & Clifford, 1980). This rating scale was validated against the views of early childhood experts in Singapore. Observer reliability was also obtained before assessing the centres.

Day care effects were investigated by assessing children at two time points. A pretest was conducted at the beginning of the year and a post-test administered towards the end of the year. The findings of this study indicated that the quality of day care centres as measured by the total score and specific subscales of the ECERS were related to some aspects of language development in children.     

The Child's Start in Day Care Centre

10 children have been followed from their start in day care and during the first months by means of qualitative observations. Their parents and kindergarten teachers have been interviewed. A basic issue in the study is that starting in day care means on the one hand separation from the family and on the other hand possibilities of new activities and new social relations. How does this issue figure in the day care life of the child? The day care centre appeared to be a place for exploration and activities with much attraction for the child. The separation was only difficult for one of the children. For this child a caring kindergarten teacher, opportunities for exploration and support in these activities from the kindergarten teacher was of importance in overcoming the difficulties with the separation. It furthermore appeared that right from the start the content in the child's day care life is related to activities with things and facilities and soon also with peers. The relation with the kindergarten teacher is important for the child in that through the caring attitude of the kindergarten teacher it becomes appreciated and a participant in the joint life.     

流程管理在骨科日间手术病房的应用

目的探索流程管理对骨科日间手术病房安全管理的指导作用。方法通过制定合理的日间手术病房工作流程,组织全科护理人员学习,将护理流程应用于实际护理工作中,并在实施过程中不断加以完善。结果经过1年的临床实践,日间病房无护理不良事件发生,病人满意度达95%以上。结论护理流程规范了日间手术病房的管理,有效保证了护理质量。     

日间手术在香港的发展

日间手术由于可降低费用,节省能源而在许多发达国家得到普及,近几年已被引入香港。建立日间手术中心的目的与香港医院管理局的核心价值相一致。其优点为:降低不必要的住院率;提高病床使用率;有效地利用能源;缩短术次间隔;缩短择期手术患者等候时间。     

Increasing Children's Language in Day Care through Caregiver Conversations

The language interactions of four children aged (20-23 months) and their caregiver at a day care centre, were tape recorded daily in morning play sessions for nine weeks. After a four week baseline period, additional toys were provided (the Extra Toy phase), during the play sessions. Two weeks later, using a multiple baseline design, caregiver training was added (Extra Toys and Caregiver training phase) focussing successively on each of three children. Caregiver training involved verbal and written instructions, modelling and feedback on joint focus language interactions. The results suggest that (1) caregivers need training in language interaction skills to improve the quality and quantity of language interactions with young children. Providing an enriched environment i.e. extra toys, is not sufficient alone to improve language interactions. (2) There is a functional relationship between the quantity and the quality of language interactions and language acquisition, such that the increased ratio of conversations between child and caregiver result in increased rates of child language acquisition.     

老年患者心脏直视术后的气道护理

目的:探讨老年患者心脏直视术后的气道护理方法。方法:总结了34例老年患者心脏术后的气道护理。包括术前呼吸功能的锻炼,术后适时正确的吸痰,按需进行气道湿化,及时协助排痰,指导患者有效的咳嗽咳痰。结果3:4例患者中2例因痰液黏稠不易吸出行气管切开,延长机械通气时间80~120小时,余均恢复良好。结论:加强老年患者术后呼吸道的管理,保证气道通畅,可预防和减少气道并发症的发生。     

Effects of Day Care Upon the Cognitive Development of the Advantaged Child: A discussion

‘A Discussion of the Effects of Day Care Upon the Cognitive Development of the Advantaged Child’ reviews recent research findings reporting the effect that day care has upon the intellectual development of advantaged children. An overwhelming amount of research indicates that for the disadvantaged child, day care is both cognitively enriching and advantageous. The findings as they relate to the advantaged child are not so conclusive, however. Some researchers report beneficial effects, while others report day care as having a negative effect on cognitive functions.

Several problems exist in this area of study that complicate the issue. First, researchers differ on their definition of ‘day care’. Second, most studies on cognitive development within the day care setting have been limited to university‐based centers. Thus, the quality of the care must be a major consideration in these studies. Finally, some researchers view the currently used cognitive testing instruments as a hinderance in and of themselves.

Additional research is indeed needed in this area of growing concern. More longitudinal studies and long term observational studies may prove useful in the future.     

宫腔镜检查子宫出血性疾病的应用价值

应用宫腔镜检查妇科门诊常见子宫出血性疾病１２４例。发现原因不明的子宫出血 中宫腔内有器质性病变占８１．２５％。人工终止妊娠后出血中异常者占８５．７１％，绝经后出血子宫有 改变的占 ８８． ８８％，带环后出血异常者占 ７６． １９％。宫腔镜可直接观察宫腔内情况，能早期发现宫 内的早期病变。     

Day Care for Children in Need: Universal Provision or a Targeted Service?

This paper is concerned with local authority provision for a particular group of children, those considered to be 'in need' and aged under 5, in the context of the debate about universal versus selective services. It explores the provision of early childhood services, in particular day care, within the framework of welfare policies and the concept of need. After outlining the development of day care policy in Britain the paper considers how, within the current policy of targeting day care on children 'in need', local authorities might attempt to make provision available to a wider range of families, in line with the messages from current research that more emphasis needs to be placed on services to support families at an early stage rather than intervening later only when their needs are acute. It concludes that local authorities need to adopt a strategic and coordinated approach to early childhood services, working with other agencies and local communities, to ensure that a range of services are available to support children and families at different levels of need.