自我效能理论指导下的健康教育在慢性阻塞性肺疾病患者健康管理中的应用

目的 探讨慢性阻塞性肺疾病(COPD)患者健康管理中应用自我效能理论指导下的健康教育的效果。方法 选取2019年7月-2022年7月收治的共计92例COPD患者,以随机数字表法分成干预组(n=46)与对照组(n=46),对照组给予常规健康管理,干预组给予自我效能理论指导下的健康教育,对两组肺功能、自我效能感及生活质量进行比较。结果 干预后两组第1秒用力呼气容积(FEV1)、用力肺活量(FVC)均提高(P<0.05),干预组较对照组更高(P<0.05);干预后两组COPD自我效能量感问卷(CSES)评分均提高(P<0.05),干预组评分较对照组更高(P<0.05);干预后两组圣乔治呼吸问卷(SGRQ)评分均降低(P<0.05),干预组评分较对照组更低(P<0.05)。结论 自我效能理论指导下的健康教育应用于COPD患者健康管理中,能够改善肺功能,提高自我效能感与生活质量。     

心理护理工作中的伦理渗透

心理护理是护理人员运用心理学的理论和方法,研究和解决病人的心理问题。伦理是关于人与人、人与自然相处的准则和道德规范。它主要关注人类行为是否有利于社会的秩序和稳定,是否有利于人心向善,是否有利于人际关系以及人与自然关系的协调。强化伦理在护理心理工作中的渗透,从本质上看,是对心理护理发展的一种激励、提升和保障,     

超声引导下经皮肾穿刺围术期护理体会

我院于2001年6月~2006年6月,对1320例患者在超声引导下行肾穿刺活检术,由于加强术前准备、患者准备指导及术后潜在并发症的预防护理,效果满意,现报告如下。1材料与方法1.1一般资料本组1320例住院患者中,男742例,女578例,年龄11~68岁,平均36岁。原发性肾病综合征651例、慢性肾炎438例I、gA肾病47例、过敏性紫癜肾炎43例、乙肝相关性肾炎46例、急性肾功能衰竭28例、狼疮性肾炎67例。1.2仪器设备材料采用GE.LOGIC500型彩色多普勒超声诊断仪。探头频率3.5MHz。美国Promex公司生产的单次弹射组织活检针16或18G。1.3方法1.3.1术前准备①房间…     

C型臂机引导下经皮椎体成形术的术中配合及护理

经皮椎体成型术（PVP）主要用于骨质疏松症引起的椎体压缩性骨折。PVP是一种在影像增强设备的监视下，利用微创技术将骨水泥等生物材料经皮及椎弓根注入椎体，以恢复其高度，增加病变椎体抗压强度，防止椎体进一步塌陷和变形，减轻患者疼痛并改善功能的治疗方法。2007年我院行PVP治疗20例患者，效果明显，手术配合报告如下。     

Effective management starts with self management

Each manager is his or her own best resource. As with any resource, managers should put effort into the development and improvement of that resource. A conscious effort to continuously improve personal resources will increase a manager's ability to effectively manage the efforts of others. These personal resources include initiative, integrity, organization of time and resources, and coping strategies. An individual's ability to practice initiative in their profession is only limited by their attitude. How do you answer the following questions: How much do I like my job? Do I have the desire to improve the skills and the abilities that will allow me to perform my duties more efficiently? How can I best achieve the goals expected of my department and me? In short, you will never improve your ability to manage unless you get moving! Don't wait for occasional pushes from above. Become an active and enthusiastic contributor to the development of plans and goals. Integrity is essential in establishing trust and loyalty between managers and their staff. Integrity is displayed to the department through honesty, consistency and fairness when dealing with operational problems. Most managers have an honest desire to learn how to manage their time, but don't have the time for it. In other words, we are so busy working inefficiently that we don't have time to become efficient. By organizing your space, you begin to organize the effective use of the time you spend in that space. Remember that your office is space, and space is a resource; demonstrate that you as a manager are concerned with the effective utilization of all organizational resources. Management is not for everybody. Some individuals may be better off realizing this early in the process. If an individual feels that management is their field, they should establish as much control over themselves and over the work place as they can if they hope to perform effectively for the long run. Some stress can be a positive motivator, but if the stress is unrelenting, if managers finds that they are chronically on the verge of anxiety, depression or panic, stress can also lead to personal ineffectiveness or eventually even physical or emotional illness.     

Teaching radiology to military nursing students

OBJECTIVES: To assess the students' perceptions and evaluations of radiology lectures and to determine the factors correlating with performance on examinations. METHODS: Sixty-three nursing students were asked to submit their opinions regarding the lecture at the end of each lecture, and they were asked to evaluate the lectures as a whole at the end of the course. Relationships between each of the survey items (student curiosity, overall understanding, usefulness of the lecture, difficulty level, incentive to study, and total number of opinions regarding the lecture) and the final examination score were examined with Spearman correlation analysis. RESULTS: Statistically significant positive correlations were found between student curiosity and the final examination score (n = 62, rs = 0.281, p < 0.028) and between the total number of opinions and the final examination score (n = 63, rs = 0.273, p < 0.032). However, the other variables did not reach statistical significance. CONCLUSIONS: Our results suggest that lectures enhancing student curiosity and eliciting feedback from students may be related to high performance on examinations.     

临床护生实习现状分析

部队医院精简整编后，聘用合同护士已成为军队医院缓解护理人员不足的主要手段。临床护理教学是帮助护生将课堂上所学基础理论知识与病人的临床护理实践紧密结合的关键环节，是使护生获得专业护士所必须具备的专业技能、态度和行为的重要途径。本文对我院护生及带教老师在实习期间所出现的问题进行了全面分析，提出了针对性的对策，取得了显著效果。     

以护生为主体的健康教育在临床护理教学中的应用

临床护理教学是学校课堂教学的延续,是护理教学的重要组成部分,不仅是护生将理论知识转化为临床实践的重要场所,而且有利于护生专业思维方式的养成,是培养合格护理人员的关键^[1]。健康教育能力是临床工作能力的重要组成部分,也是新世纪护理人才必须具备的能力之一。为适应社会的发展,护理教育者应进一步注重加强护理学生健康教育能力的培养。     

Clinical radiation management for fluoroscopically guided interventional procedures

The primary goal of radiation management in interventional radiology is to minimize the unnecessary use of radiation. Clinical radiation management minimizes radiation risk to the patient without increasing other risks, such as procedural risks. A number of factors are considered when estimating the likelihood and severity of patient radiation effects. These include demographic factors, medical history factors, and procedure factors. Important aspects of the patient's medical history include coexisting diseases and genetic factors, medication use, radiation history, and pregnancy. As appropriate, these are evaluated as part of the preprocedure patient evaluation; radiation risk to the patient is considered along with other procedural risks. Dose optimization is possible through appropriate use of the basic features of interventional fluoroscopic equipment and intelligent use of dose-reducing technology. For all fluoroscopically guided interventional procedures, it is good practice to monitor radiation dose throughout the procedure and record it in the patient's medical record. Patients who have received a clinically significant radiation dose should be followed up after the procedure for possible deterministic effects. The authors recommend including radiation management as part of the departmental quality assurance program.