优质护理对普外手术患者满意度及焦虑评分的影响

目的 观察普外科手术患者开展优质护理的服务效果.方法 选择普外科择期手术患者68例,将其随机分为对照组34例和治疗组34例.对照组进行普外手术的常规护理,治疗组进行优质护理服务,比较两组患者手术前后焦虑自评量表（SAS）评分和患者对护理服务的满意度评分.结果 对照组与治疗组术后焦虑评分均较术前降低,且治疗组与术前比较显著降低（P〈0.01）.术后治疗组与对照组比较,焦虑评分显著降低（P〈0.05）.术后患者对护理服务的满意度评分,治疗组明显高于对照组（P〈0.01）.结论 对于普外手术患者进行优质护理服务,可以明显减轻普外科手术患者的恐惧焦虑,提高患者对护理服务的满意度.     

手术室人性化护理服务对妇科围手术期患者心理健康的影响

目的 探讨手术室人性化护理服务对妇科围手术期患者的心理健康影响效果.方法 选取住院治疗的妇科非急诊手术患者300例,随机分为观察组及对照组,每组150例.对照组患者采用常规护理方法,观察组采用人性化护理服务.观察两组患者入院时及手术当天血压、心率变化情况,术前睡眠质量,术后疼痛耐受程度及对护理服务满意度.结果 手术当天两组患者血压、心率均较入院时升高,但观察组患者收缩压及心率升高值均低于对照组(P＜0.01),术前睡眠质量优于对照组(P＜0.01),术后疼痛观可耐受率明显高于对照组(P＜0.01),对护理服务满意度明显高于对照组(P＜0.01).结论 人性化护理服务措施有利于疏导患者术前紧张焦虑情绪,提高对手术的认识及对术后疼痛的耐受,可为手术创造有利条件.     

手术室整体护理模式临床效应最大化研究与分析

目的:探讨手术室整体护理模式临床效应最大化的护理方法.方法:将200例手术患者随机分为研究组和对照组各100例,研究组在围术期以满足患者舒适为准则实施舒适护理,对照组实施常规护理.两组均于术前1 d应用焦虑自评量表(SAS)评定患者的焦虑、恐惧程度;于术后3 d应用焦亚萍的围术期患者心理护理效果评分表评定围术期护理效果;分别于术前1 d和麻醉前测量患者的心率、血压.结果:两组术前1 d SAS得分情况、麻醉前与术前1 d心率和血压变化情况、围术期护理效果、患者满意度比较均有显著性差异(P相似文献   

手术室围术期心理护理对老年手术患者焦虑心理的影响

目的探讨手术室围术期心理护理对老年手术患者焦虑心理的影响.方法60例老年手术患者,随机分为2组,干预组采用围术期心理护理方法,对照组采用传统护理方法.分别观察术前1d、手术当天和术后3d患者血压、心率和焦虑状况.干预组术前和手术当日血压、心率无显著性变化(p＞0.05).结果2组患者焦虑水平在术前1d无显著差异(p＞0.05),而手术当日、术后3d有显著差异(p＜0.01).而对照组手术当日血压、心率、较术前基础值明显增高(p＜0.01).结论围术期心理护理可减轻老年手术患者焦虑心理,降低患者血压、心率变化幅度.     

手术室整体护理模式临床效应最大化研究与分析

目的：探讨手术室整体护理模式临床效应最大化的护理方法。方法：将200例手术患者随机分为研究组和对照组各100例,研究组在围术期以满足患者舒适为准则实施舒适护理,对照组实施常规护理。两组均于术前1 d应用焦虑自评量表（SAS）评定患者的焦虑、恐惧程度;于术后3 d应用焦亚萍的围术期患者心理护理效果评分表评定围术期护理效果;分别于术前1 d和麻醉前测量患者的心率、血压。结果：两组术前1 d SAS得分情况、麻醉前与术前1 d心率和血压变化情况、围术期护理效果、患者满意度比较均有显著性差异（P〈0.05）。结论：以追求整体护理临床效应最大化为目的的舒适护理,可使患者获得生理和心理满足感和安全感,缓解患者对手术的恐惧和担忧,提高围术期护理效果及患者满意度。     

舒适护理在手术室全程护理中的应用及评价

将246例择期手术患者随机分为实验组140例和对照组106例,实验组在手术室全程护理中应用舒适护理的模式,对照组应用常规护理.结果实验组患者术前IIAMA分值显著低于对照组患者(P<0.01),配合治疗程度则明显优于对照组(P<0.01);生命体征变化比较,实验组患者在围手术期血压、心率、呼吸无明显变化(P>0.05),而对照组患者术中血压较术前升高、心率较术前增快、呼吸频率加速(P<0.01).认为对手术室患者进行全程舒适护理模式,可减轻或解除患者对手术的焦虑,促进了患者对治疗的护理配合.     

人性化护理在颅内动脉瘤患者手术室整体护理中的应用与评价

目的：探讨人性化护理在颅内动脉瘤患者手术室整体护理中的效果。方法将择期行颅内动脉瘤夹闭术的184例患者随机分为实验组和对照组各92例,对照组给予常规护理,实验组给予人性化护理,手术中记录患者的血压、心率,应用Zung氏焦虑自评量表对两组患者围手术期的焦虑程度进行评估,并调查患者对围手术期的满意度。结果与对照组相较,实验组术后1d焦虑程度和术中血压、心率较低,围手术期满意度则较高,两组比较差异均具有统计学意义（均P<0.05）。结论人性化护理可有效缓解颅内动脉瘤夹闭术患者的围手术期焦虑情绪,并能明显提高患者的满意度和手术室整体护理的效果。     

医护合作式术前访视在手术室护理中的应用

目的：探讨医护合作式术前访视在手术室护理中的应用效果.方法：选择2011年3月～2012年6月我院收治的需手术治疗的患者120例,随机分为观察组和对照组各60例,其中观察组采用医护合作式术前访视,而对照组采用常规的术前访视.观察两组患者入手术室前后血压、心率的变化及术后患者满意度.结果：两组患者入手术室前30 min收缩压和心率差异无统计学意义（P＞0.05）.入手术室10 min后对照组患者的血压、心率较手术前有所升高,两组比较差异具有统计学意义（P＜0.05）.观察组患者的满意度达高于对照组,两组比较差异有统计学意义（P＜0.05）.结论：医护合作式术前访视应用于手术室优质护理工作中,有助于减轻对手术患者的生理及心理影响,提高手术室护理服务质量和患者满意程度,进而使手术顺利进行.     

个性化护理在围手术期的应用

目的:探讨手术室护士个性化护理的应用效果.方法:选取消化道恶性肿瘤患者94例,表格随机法分成对照组和实验组各47例,对照组给予常规围手术期整体护理,实验组给予个性化围手术期护理,两组患者分别于接受访视前、接受访视后、入手术室后测量患者的焦虑值,心率、血压及术后患者对手术室护理工作的满意度调查.并进行比较分析.结果:术前访视前两组患者的SAS(Zung焦虑自评量表)评分、心率、血压比较均相近,差异无统计学意义(P＞0.05),经术前访视后,实验组的SAS评分、心率、血压波动显著低于对照组(P＜0.01);术后患者对手术室护理工作满意率显著高于对照组(P＜0.01).结论:个性化护理能降低患者的焦虑值使生命体征稳定,有利于手术的顺利进行及术后的康复,能提高患者对护理工作的满意度.     

综合护理干预对肾移植手术患者焦虑影响的临床效果研究

目的 探讨手术室护理干预对术中焦虑的效果.方法 选择非全身麻醉下手术的意识清醒患者180例,随机分为实验组和对照组.实验组给予芳香疗法、足底按摩及术中床旁陪护等一系列的护理干预措施,对照组给予常规术前访视,监测并记录术中焦虑,血压,心率等变化情况.结果 实验组患者焦虑水平明显低于对照组,差异有显著性意义.结论 手术室护理干预可显著降低患者术中焦虑程度,稳定血压,心率,减少术中不良反应和提高患者对手术室的满意度.     

Putting policy into practice: pre- and posttests of implementing standardized languages for nursing documentation

Aims and objectives. To describe the change in documentation of the nursing process in all inpatient wards in a 900‐bed university hospital. Major research question was what are the differences between before and after implementation of documentation policy related to the steps of the nursing process? Background. Implementation of standardized languages has been shown to be difficult to accomplish in clinical practice. Patients are the source of data and their conditions, responses and well‐being should be reflected in the nursing record. As such, nursing documentation can create the premises for the development of new knowledge in nursing and the improvement of nursing performance and can provide data and information necessary for nursing researchers to evaluate the quality of interventions and participate in the formulation of healthcare policy. This study is part of longitudinal project to prepare nurses for electronic documentation within the interdisciplinary health record and to improve documentation of nursing using standardized languages. Design and method. A cross‐sectional study design was used: a pretest (n = 355 nursing records) for baseline status of nursing documentation, an intervention and a post‐test (n = 349 nursing records) to obtain data on nursing documentation. The year‐long intervention comprised planned work in groups, and educational and supporting efforts. Results. A statistically significant improvement was found in the use of Functional Health Patterns for documentation of nursing assessment, NANDA for nursing diagnoses and Nursing Interventions Classification for nursing interventions in documentation of daily nursing care for inpatients. Conclusion. At all organizational levels intervention aimed at putting policy regarding documentation into clinical practice considerably improved daily use of standardized nursing languages. Relevance to clinical practice. Nurses need to use standardized language to document patient care data in the electronic health record and to demonstrate contributions to nursing care.     

Structure and content in Norwegian nursing care documentation.

In 1994, the Norwegian Board of Health (NBH) published recommendations for nursing care documentation. The two-fold purpose of the present study was to see if 5 wards in 2 Norwegian hospitals fulfilled the proposed NBH recommendations and guidelines regarding documentation, and to evaluate them in terms of the proposed structure and key words of the VIPS model. Results showed that all nursing records (n = 55) had an admission assessment. A nursing care plan was present in 62% of the records. Nursing goals were lacking in the remaining 38%, diagnosis and planned interventions were absent in 18%, and 45% of the diagnoses lacked information concerning patient progress or outcome. The nursing care plans were updated in only 40% of the records and discharge notes were present in 35%, confirming that NBH recommendations were not met in this sample. The key words of the VIPS model covered all information present in the records, and high interrater reliability was obtained for the majority of key words categorized by two independent researchers. It is suggested that the VIPS model components and key words can contribute to a reliable and uniform model for nursing care documentation and enhance comprehensive and systematic documentation, which is presently lacking in Norwegian records.     

提升护理服务综合价值的研究

目的:研究护理综合价值的提升。方法:分析护理价值研究背景,阐述护理价值研究进展结果:提出护理价值研究途径。结论:有利于达成一种共识,使广大护理人员认识护理价值、研究护理价值、开发护理价值,重视护理综合价值研究和提升。 护理服务价值是护理服务劳动产品的价值和服务本身所创造的价值的总和,即使用价值与价值的统一。目前日本、美国、德国和中国都在加强护理价值研究的探索,但仍存在使用价值与价值研究分离问题。因此,我们应不断加强护理综合价值研究,以适应卫生事业改革对护理管理的挑战。本研究主要在分析国内外护理价值研究的基础上,提出综合护理价值研究途径,以达到合理评价护理价值的目的。     

Research and the configuration of nursing services

• ? This paper is concerned with the way in which nursing research has influenced changes in the organization of nursing services, particularly the shift from so-called traditional nursing to new nursing. To this end published research and professional literature are selectively reviewed.
• ? The case is made to support the view that change in nursing has been driven forward by the evangelical zeal of opinion leaders rather than evidence.
• ? It is suggested that holistic care as embodied in new nursing is no longer affordable. Market pressures have precipitated a revisiting of the task basis of nursing. An effective anchor would have been a solid body of research evidence pointing up the value new nursing may have. Regrettably not enough research was done prior to the diffusion of new nursing. What was done was not always adequate, and what was adequate was not effectively deployed by nurse leaders.
• ? Nursing is the largest workforce in the NHS and has attracted a great deal of policy interest. It is suggested that it will become increasingly important for nursing to be more strategic, and develop its own professionally driven research agenda.
• ? The future of the nursing profession is uncertain. It is clear that evidence-based practice is centre stage, and there is a need for nursing to re-negotiate its professional boundaries and to develop intellectual partnerships in order to move the knowledge base of practice forward.

     

我国护理行业的改革与发展

从我国护理行业的现状、卫生体制改革以及基本国情出发 ,着重探讨护理管理、护理教育、护理环境、护理经济与管理体系、护理立法等方面的发展途径     

Innovations in United States genetics nursing: Practice and research

Aim: Clinical and research applications from human genome discoveries are growing and creating both opportunities and challenges to the integration of genetic concepts into practice and research. Nurses have a long history of caring for individuals, families, and groups with genetic conditions. In the past two decades, a small group of nurses in the USA have used a variety of strategies to further develop the field of genetics nursing. In this paper we identify innovative approaches to identifying genetics‐related nursing roles and opportunities, as well as successful collaborative efforts beyond nursing to address the emerging health and societal challenges related to human genetics discoveries. Methods: The information presented here comes from a variety of sources where the authors or genetics nurses directly participated, including: (i) a systematic literature review of genetics nursing; (ii) a comprehensive research study of models of delivering clinical genetics services and the roles of health professionals; and (iii) participation in numerous national research, planning, programmatic, and advisory groups involved with clinical genetics‐related health services, research, education, and public policy. Results: Genetics nurses in the US have developed innovative responses to genetics‐related challenges within and beyond the profession of nursing. These include: (i) establishing an organization for nurses in genetics and gaining formal recognition of genetics as a specialty of nursing; (ii) defining the scope of genetics nursing practice and developing a new genetics nursing credential; (iii) establishing a multiprofessional genetics education coalition and defining genetic competency for health‐care practice; (iv) creating new clinical practice roles for nurses that integrate emerging genetics concepts and skills into diverse clinical practice areas; (v) expanding nursing involvement in genetics‐related research; and (vi) participation in high‐level genetics advisory groups. Conclusions: The US experience shows that nurses have made substantial progress in expanding their involvement in genetic services through visionary leadership, innovative approaches to challenges, establishing support with nurse colleagues, and engaging in multiprofessional efforts. The most important first step is developing a supportive environment for nurse advancement. In the US, the genetics nurses’ organization known as the International Society of Nurses in Genetics (ISONG) has provided this base.     

整体护理病房三级护理查房的体会

我院自1999年7月开始在整体护理模式病房中实施三级护理查房。1年多来,对800例危重病人进行了护理查房,查房的形式为责任护士每天查,主管护师或护士长每周查,副主任护师以上或科护士长每月抽查,护理部主任每季抽查。通过查房,明显提高了危重病人的护理质量,病人得到了更为优质的服务,护理服务满意率提高;对护理人员来说,提高了业务水平,锻炼了口头表达能力;对护理管理来说,及时了解护士对护理程序的应用情况,掌握危重病人的护理质量,对护理中存在的不足及时提出指导意见。     

基层医院整体护理的实施与对策

目的:总结实施整体护理的经验,提高护理质量。方法:全面综合分析实施整体护理的对策和措施。结果:经验:领导的高度重视和大力支持,是实现整体护理模式转变的坚实基础;提高人员整体素质,确保整体护理的有效开展;多做少写,以点带面,实行非模式病房开展整体护理工作;积极开展健康教育,巩固整体护理效果;实施整体护理质量管理的措施。体会:领导的重视和支持,是开展整体护理工作的根本保证;提高了社会公众对护理工作的认可程度和护士的社会地位;显示了护士的自身价值;改善了护患关系,提高了病人满意度,同时也密切了医护关系;护理队伍整体素质提高,敬业精神增强。结论:实施整体护理,促进了护理学科的发展。     

Towards an aesthetics of nursing

Towards an aesthetics of nursing This paper re-appraises the work of Barbara Carper on aesthetics and the art of nursing. It identifies serious flaws in Carper's original arguments and the way in which she and subsequent authors have conflated the concepts of art and aesthetics in nursing. The paper explores a broader approach to aesthetics and proposes a way in which a theoretical approach to nursing aesthetics could be developed. The paper concludes that nursing is a fit object of aesthetic appreciation and that aesthetic quality is a necessary attribute of good nursing practice.     

晨间护理缺陷分析及对策

目的提高晨间护理质量。方法通过向住院病人和护士发放问卷调查及每周不定期检查各病区晨间护理质量,了解晨间护理工作中存在的缺陷,提出整改的措施。结果晨间护理工作中存在的主要缺陷:51.8%的病人认为护士与病人的沟通少,进病房时未向病人问好,整理病房时未向病人解释,口腔清洁率70.3%,头发清洁率45.3%,皮肤清洁率69.5%,病房安静整洁率67.3%,床单位整洁率86.5%,病情关注情况67.9%,健康教育执行情况48.6%,协助生活不能自理的病人进食、入厕、更衣、床上排便等占75.4%,时间安排满意度75.6%,护士认为晨间护理重要的占30%,晨间护理内容知晓率占60.9%,认为工作量大来不及做的占56.7%。结论提高护士对晨间护理的认识,规范晨间护理内容和程序,加强与病人的沟通,提供符合个体化需要的晨间护理,合理安排护理人员、工作重点和时间,持续质量改进,有助于提高晨间护理质量。