针对性安全护理措施在肾内科老年患者中的应用

目的：探讨肾内科老年患者可能存在的护理安全隐患,实施针对性护理对策。方法选取肾内科73例老年患者为研究对象。采用随机数字表法分为对照组（n＝36）和观察组（n＝37）,对照组行常规肾内科对症护理,观察组在此基础上实施针对性安全护理。治疗1周后比较两组患者恢复情况。结果观察组治疗总有效率为94．6％,对照组为88．9％,两组患者整体恢复情况比较,差异有统计学意义（Z＝29．14,P＜0．01）;观察组患者出现感染6例、水肿16例,对照组患者出现感染14例、水肿24例,两组比较差异有统计学意义（χ2值分别为4．660,3．902;P＜0．05）。结论合理有效的护理可以改善肾内科老年患者的恢复情况,降低感染和水肿的发病率,对于减少患者的安全隐患意义重大。     

老年肾内科患者护理的安全隐患分析及护理对策

目的 探讨老年肾内科患者存在的安全隐患,对存在的问题进行针对性护理.方法 选取老年肾内科治疗的患者140例,随机分为对照组和观察组,每组70例.对照组采用常规护理措施,观察组采用针对性护理,观察两组患者的恢复及预后情况.结果 观察组患者住院期间感染2例,内瘘出血 1例,内瘘血肿1例;对照组患者感染7例,内瘘出血5例,内瘘血肿6例.观察组住院时间明显少于对照组(P＜0.05);症状缓解情况及恢复情况观察组好于对照组(P＜0.05).结论 将针对性护理运用到对老年肾内科患者的康复过程中,具有很好的效果,不仅减少了患者的住院时间,降低了并发症的发生,同时改善了患者的恢复情况.     

干预性护理对老年肾内科患者安全护理的影响

目的：探讨干预性护理对老年肾内科患者安全护理的影响。方法选择该院2010年4月至2013年4月期间收治的老年肾病患者196例,随机分为观察组和对照组,两组各98例。两组患者病情程度、性别构成、平均年龄等方面比较差异无统计学意义,两组患者在对症治疗的基础上给予护理,对照组给予常规护理;观察组在常规护理的基础上实施干预性护理,主要包括：病情观察、饮食指导、感染预防、水肿预防、血液透析、内瘘防治、心理护理等。结果观察组患者平均住院时间、护理安全隐患发生率均低于对照组,观察组满意度调查结果明显高于对照组,差异具有统计学意义（P＜0．05）。结论老年肾脏疾病患者护理方面主要存在水肿、内瘘、褥疮、感染、跌倒等安全隐患,对患者实施全面的干预性护理能够有效降低老年肾病患者的安全隐患,提高了患者的生存质量,对于患者的治疗与康复具有较为明显的帮助作用,值得在临床护理工作中予以推广应用。     

"护理缺陷分享"风险管理策略在肾内科老年患者中的应用

目的:探讨"护理缺陷分享"风险管理策略在肾内科老年患者中的应用效果。方法:采用方便抽样法,选取2017年1月1日～12月31日骨内科收治的80例老年患者为对照组,采用常规护理,选取2018年1月1日～12月31日肾内科收治的老年患者90例为实验组,采用"护理缺陷分享"风险管理策略;比较两组并发症、护理不良事件发生情况及护理满意度。结果:实验组插管感染、内瘘感染、内瘘血肿、内瘘闭塞等并发症发生率低于对照组(P 0. 05);实验组压力性损伤、事故、投诉事件、护患纠纷等不良事件发生率低于对照组(P 0. 05),护理满意度高于对照组(P 0. 05)。结论:在肾内科老年患者护理过程中应用"护理缺陷分享"风险管理策略,能有效减少或避免护理风险事件和护患矛盾的发生,提高肾内科的护理质量和护理效率,值得在临床中推广应用。     

护理干预在肾内科住院患者安全管理中的应用

目的探讨护理干预在肾内科住院患者安全管理中的作用。方法选取在本院就诊并住院的肾内科患者258例,随机分为实验组与对照组各129例,对照组给予临床肾内科常规护理,而实验组在此基础上再施行护理干预,对2组的住院时间、满意度以及并发症发生情况进行观察记录并比较。结果实验组平均住院时间18.72 d,对照组平均住院时间26.91d,2组差异具有统计学意义(P0.05);实验组患者对于护理工作的总满意率为96.12%,对照组总满意率为79.07%,2组差异具有统计学意义(P0.05);实验组中跌倒、出血、压疮以及感染的并发症发生率均低于对照组,差异具有统计学意义(P0.05)。结论对肾内科住院患者实施护理干预措施,可以有效提高患者的满意度,缩短患者的住院时间,减少并发症的发生,对于住院患者的安全管理具有重要意义。     

肾内科危重患者的护理安全管理与对策

护理安全是指患者在医院接受护理的过程中，不发生法律和规章制度允许范围之外的功能损害、缺陷、障碍或者死亡［1］。但是由于病情严重的患者本身的特殊性，病情不稳定，有些患者甚至存在意识不清、意识障碍等情况，而更为严重的一些患者甚至已经出现脏器和器官的受损、衰竭。对于这样的危重患者，在护理的时候，医护人员更要注意方法和措施，避免护理安全意外事件的发生。而本院肾内科在对于危重患者的护理安全方面采取的一些措施，取得了良好的、令人满意的效果，本文就本院肾内科医生在危重患者护理安全方面的一些体会做出相关的探讨，现报道如下。     

针对性护理干预对提升老年心血管疾病患者睡眠质量的作用分析

目的：分析针对性护理干预应用于老年心血管疾病患者护理工作,对其睡眠质量产生的提升作用。方法：选取2022年6月至2023年6月福建省老年医院心内科收治的老年心血管病患者60例作为研究对象,按照盲选分为对照组和观察组,每组30例。对照组给予常规干预,观察组给予针对性护理干预,比较不良睡眠现象发生率、护理干预满意度、匹兹堡睡眠质量指数(PSQI)评分、护理质量满意度评分、焦虑自评量表(SAS)评分。结果：2组患者干预后不良睡眠现象发生率为26.67%、3.33%;PSQI评分为(9.32±1.06)分、(8.40±1.04)分;护理质量满意度评分为(2.89±0.34)分、(2.53±0.25)分,SAS评分(48.35±1.82)分、(45.63±1.43)分,观察组数据偏小;护理干预满意度为80.00%、100.00%,观察组数据较高,差异均有统计学意义(均P<0.05)。结论：针对性护理干预具备有效提升老年心血管病患者睡眠质量的实践作用。     

护理干预对老年抑郁症患者的影响

目的：探讨护理干预措施对老年抑郁症患者的干预效果。方法采用试验性研究的方法,将社区90例老年抑郁症患者,随机分为观察组和对照组,每组各45例。对照组采用常规护理干预,观察组在常规护理干预的基础上接受为期3个月包括心理护理、安全护理、预防并发症护理、药物护理、社会支持护理等的护理干预措施。使用疾病知识掌握情况测评表和老年抑郁量表进行干预效果评定。结果干预后观察组疾病知识掌握情况、健康理念形成情况均优于对照组,差异有统计学意义（P＜0.01）;观察组干预有效率高于对照组,差异有统计学意义（P＜0.01）。结论通过护理干预,能明显提高患者及家属对疾病知识的掌握情况,提高患者的护理效果。     

美学护理干预对老年患者的影响

目的：探讨将护理美学的理论和技术应用于老年患者护理中的作用。方法将134例老年慢性病患者随机分成普通护理组和美学护理组,每组67例。两组患者均给予常规整体护理,美学组在此基础上将护理美学理论和操作技术贯穿于护理的全过程,使老年人身心愉悦,各项需求都及时得到满足。结果美学护理组生活质量总分及各项得分均显著高于对照组(均P<0.01);美学组患者焦虑及抑郁评分显著低于对照组( P<0.01)。结论美学护理使老年患者产生了良好的心理效应,提高了老年患者住院期间的生活质量。     

护理干预对老年睡眠障碍患者的影响

目的:探讨护理干预对老年睡眠障碍患者的影响。方法:将180例老年睡眠障碍患者随机分为实验组和对照组各90例,对照组给予常规护理,实验组在此基础上给予全面护理干预。结果:实验组患者睡眠潜伏期由干预前的46.36±7.85min减低至25.8±21.13min,睡眠时间由干预前的198.26±63.46min提高至291.45±50.5min,干预前后比较有显著性差异(P<0.01);对照组患者睡眠潜伏期由干预前的41.34±9.29min减低至32.58±7.35min,睡眠时间由干预前的187.35±56.52min提高至246.2±6.01min,干预前后比较无显著性差异(P>0.05)。结论:做好心理护理、创造良好的睡眠环境和条件、睡眠行为疗法、刺激控制指导、睡眠限制、睡眠卫生教育是提高患者睡眠质量的有效干预措施。     

应用螺旋CT检查老年患者的体会

本文总结老年患者ＣＴ检查２３６８例,分析了老年患者在ＣＴ检查中的生理,心理,药物反应特点并提出了相应的护理对策,以保证ＣＴ图像质量,旨在提高ＣＴ检查对老年疾病诊断的准确率。     

舒血宁注射液治疗老年糖尿病性末梢神经炎的疗效观察及护理

目的探讨舒血宁注射液对老年糖尿病性末梢神经炎的临床疗效及护理的方法。方法对2003年2 月-2005年2月62例老年糖尿病性末梢神经炎的患者,随机分为治疗组和对照组各31例,治疗组给予舒血宁注射液静脉点滴。每天15 ml,15 d为1个疗程;对照组给常规内科治疗。结果治疗组和对照组总有效率分别为 86．95％和64．48％,两组总有效率比较在统计学上差异有显著意义(P<0．05)。结论舒血宁注射液治疗老年糖尿病性末梢神经炎有显著的疗效,值得桩床推广应用。     

Link between safe patient handling and patient outcomes in long-term care.

This study examined the relationship between safe patient handling and quality of care measures. A comprehensive patient care ergonomics program included six elements. Using a retrospective observational design, 10 quality domains were compared before and after implementation of the program for 111 residents living on 24 units in six Veterans Administration nursing homes using a general linear regression model with repeated measures clustered within time and adjusted for age. After implementation, we found lower levels of depression, improved urinary continence, higher engagement in activities, lower fall risk, and higher levels of alertness during the day. Additionally, four areas showed a decline in function: pain, combativeness, locomotion, and cognition. Findings from this study may be useful in enhancing organizational support for safe patient-handling programs and could be used to build a business case for improving caregiver safety.     

Hindrance for patient participation in nursing care

THE STUDY'S RATIONALE: Patients' influence in health care through participation, freedom of choice and information, is laid down in laws, national and local directives. In nursing care situations, the degree to which a patient participates depends on the nursing staff. Accordingly, hindrances for patient's participation during nursing care is an important question for the nursing profession. AIMS AND OBJECTIVES: The aim was to focus on Swedish Registered Nurses opinion of hindrances for patient participation in nursing care and to uncover the informants' perspectives in depth. METHODOLOGICAL DESIGN AND JUSTIFICATION: The study was limited to inpatient somatic care and has a qualitative approach. Data were collected through seven focus group interviews with 31 Registered Nurses from five hospitals. An analysis of the tape-recorded interview material was made, combining elements of content analysis with aspects of the Grounded Theory approach. ETHICAL ISSUES AND APPROVAL: The ethics of scientific work was followed. The participants gave informed consent. Verbal and written information was given as a guarantee that all information would be treated confidentially outside the focus group. Formal approval by ethical committee was not required according to national and local directives. RESULTS: Hindrance for patient participation in nursing care comprised three themes: Competence, Influence of significant others and Organization and work environment, and their seven underlying subthemes. CONCLUSIONS: The study clarified factors, which individually or combined may be hindrance for patient participation in nursing practice. Professional nurses must be able to find a balance for their patients' participation in nursing care activities through identification and coping with the hindrances. The three themes and seven subthemes here identified, can be used in patient care and its' evaluation, like also quality assurance of care and work organization and in nursing education. For further development replication studies are needed, like additional studies of patients and significant others.     

护理干预对提高城镇社区老人健康观念的研究

目的:为提高社区老人的生活质量,达到预防和推迟老年人疾病的发生,减轻家庭和社会负担的目的.方法:严格选定城市社区60～70岁之间的健康老人200名,随机分为随访组和对照组各100名.两组老人均先全面进行健康评估,建立个人健康档案,对照组采用常规健康教育,随访组通过一对一结构式访谈进行健康观念的系统护理干预.结果:两组老人在护理干预后第6个月、12个月、18个月后SF-36均分、健康教育效果之间的比较差异有统计学意义(P<0.05或0.01).结论:护士独立完成对60～70岁之间的城市社区老人的健康管理,有助于实现健康老龄化.     

专病专护在护理老年重症肺炎中的作用

目的:通过介绍该院专病专护小组在治疗老年重症肺炎中的作用,探讨老年重症肺炎的专科护理。方法:在借鉴国内外先进的老年重症肺炎护理措施的基础上,成立老年重症肺炎护理的专病专护小组,选拔高素质的专科护士,建立老年重症肺炎护理的管理机制,制定老年重症肺炎的临床护理方案。结果:专病专护实施以后老年重症肺炎的病死率有所下降,护理质量得到了医师的积极评价,护士对老年重症肺炎护理能力得到了提高。结论:专病专护的专业化护理的实施能够有效提高老年重症肺炎的治愈率及护理质量。     

Effect of continuous nursing on nursing quality and patient quality of life and satisfaction among children with pneumonia

ObjectiveIn this study, we aimed to explore the effect of continuous nursing care on children with pneumonia, including patient survival and quality of life.MethodsWe included 90 children with pneumonia who were admitted to our hospital from May 2017 to June 20, 2017. We established two patient groups (45 children per group); the routine group received general care and the continuous group received continuous nursing care. We observed the correlation among nursing effectiveness, clinical symptom improvement, quality of life, satisfaction, and complications.ResultsOur results showed that effectiveness in the continuous care group was 95.55%, significantly higher than that in the routine group (75.55%). Duration of hypothermia (1.75 ± 0.65 days), time to cough remission (4.24 ± 1.12 days), time to rale remission (4.15 ± 0.89 days), and time to remission of shortness of breath (2.65 ± 0.65 days) in the continuous group was shorter than those in the routine group. The incidence of total complications in the continuous group was 8.89%, which was significantly lower than that in the routine group (26.67%). The continuous care group showed greater improvement after intervention.ConclusionContinuous care in children with pneumonia can help to reduce illness severity, pain, heart and lung failure, and serve to avoid medical disputes.