护理结局分类系统在住院糖尿病患者健康教育中的应用

目的探讨护理结局分类系统在住院糖尿病患者健康教育中的应用与效果评价。方法根据护理结局分类系统糖尿病相关指标制定调查问卷,选择住院糖尿病患者242例,在入院和出院时分别进行患者的相关知识掌握率、护理方法掌握率、遵医行为以及自我管理能力等方面评价。结果患者在出院并持续进行健康教育后相关知识、护理方法、遵医行为的掌握率分别为95.35%、92.25%和90.02%,分别高于入院时掌握率(P<0.01);除定期检查外,自我管理能力其他各项指标均高于入院时相关指标(P<0.01)。结论将护理结局分类系统应用于住院糖尿病人的护理健康教育,规范了护士对糖尿病病人的护理程序,提高了护理健康教育的效果。     

供应室与病房配合开展整体护理方法探讨

目的 对供应室和病房之间配合展开的整体护理方式进行探讨分析.方法 随机选取36个病房,将某院的病房分为两组,a组是供应室和病房配合开展整体护理工作18个,b组是供应室和病房单独开展护理工作18个,对这两组的情况进行对比分析.结果 通过本次临床实验发现,供应室和病房配合开展整体护理工作在手术的效果、护理效果、患者康复效果、器械清洗效果上都要好于供应室和病房单独开展护理工作,a组护理满意度高达100％,手术成功率达94.4％,患者康复情况良好,器械清洗率达到99.1％,而b组护理满意度只有61.1％,手术成功率77.8％,患者康复情况一般,器械清洗率只有76.1％,两组比较差异有统计学意义(P＜0.05).结论 供应室和病房间配合展开的整体护理效果明显,值得在护理工作中推广应用.     

先天性肠闭锁患儿家长围手术期健康教育评价标准的构建

目的构建先天性肠闭锁患儿家长围手术期健康教育评价标准。方法以健康教育"知、信、行"理论为框架,参照护理结局分类系统和护理措施分类系统,通过对患儿家长的深度访谈和医护人员的焦点团体访谈及德尔菲(Delphi)专家函询,构建先天性肠闭锁患儿家长围手术期健康教育评价标准。结果初步构建的评价标准体系包含3个维度和41个一级指标。结论该评价体系体现了围手术期护理服务的内涵,可指导临床护理行为,为健康教育质量控制提供评判和参考依据。     

优质护理对产褥期产妇结局及新生儿的影响

目的：探讨优质护理对产褥期产妇结局及新生儿的影响.方法：将笔者所在医院2010 年8 月-2011 年3 月收治的120 例产褥期产妇分为观察组和对照组,对照组采用常规护理,观察组采用优质护理服务,比较两组产妇围产期结局及对新生儿的影响.结果：观察组产后抑郁率、失眠率、泌乳情况、感染率、新生儿肺炎、感染率、湿疹率显著低于对照组（P〈0.05）.结论：优质护理有利于提高护理质量,改善产褥期产妇和新生儿结局,值得推广.     

河北省24所中医院护理质控工作现状及对策

目的 评价河北省24所中医院护理质控工作开展情况,分析中医院护理工作中存在的问题,为推进中医护理质控工作提供依据。方法 采用《河北省中医护理质控中心质控检查评价标准(2020版)》,对河北省24所中医院的中医护理质控现状及开展情况进行横断面调查。结果 本次调查总得分率为93.18%,查对制度管理、优质护理服务管理、整体护理管理和中医护理管理四个维度的得分率高于90.00%,但在护理不良事件管理、信息化建设、优质护理、中医护理方案等方面仍存在阻碍中医护理发展的问题。结论 中医护理发展任重道远,管理者应加大临床督导和中医护理技术的推广工作,切实保障临床患者护理安全,打造中医护理品牌。     

优质护理对妊娠高血压产妇妊娠结局的影响

目的:探讨优质护理对妊娠高血压孕妇妊娠结局的影响。方法:选择2011年12月~2015年12月我院收治的妊娠期高血压疾病孕妇200例作为研究对象,随机分为两组,每组100例,对照组采用常规护理方法,观察组采用优质护理干预,分析两组孕妇的妊娠结局和胎儿的妊娠结局。结果:对照组患者剖宫产、胎盘早剥、子痫、产后出血发生率均显著高于观察组患者,胎儿窘迫率、新生儿窒息率、新生儿死亡率均比观察组患者高,两组数据差值较大,P0.05。结论:积极实施优质护理对妊娠高血压患者进行干预,可改善母婴结局,保障母婴安全,值得推广应用。     

护理结局分类系统在消化性溃疡患者健康教育中的应用

目的 探讨护理结局分类系统在消化性溃疡患者健康教育中的应用.方法 根据护理结局分类系统消化性溃疡相关指标制定调查问卷,选择消化性溃疡患者120例,在人院时和出院后6个月分别进行患者的疾病相关知识掌握率、自我管理能力及行为生活方式改变情况等方面的评价.结果 患者在出院并持续进行6个月的健康教育后,其消化性溃疡基本知识（69.17％）、治疗知识（75.83％）、日常预防知识（72.50％）、用药知识（79.17％）、自我管理知识（68.33％）等指标均高于入院时（P＜0.01）;患者的健康心理（71.67％）、遵医用药（76.67％）、饮食控制（75.83％）、适量运动（69.17％）、自我监测（69.17％）、定期检查（66.67％）等指标均高于入院时（P＜0.01）.结论 护理结局分类系可提高消化性溃疡患者的自我管理能力和疾病相关知识.     

临床护理人员高级职称评价标准调查与分析

建立科学、系统、规范的护理人员高级职称评价指标体系,对于调动临床护理人员工作积极性具有重要意义。本文通过选取四省部分医疗机构护理人员开展护理高级职称评价标准问卷调查,从基本情况、护理工作、护理教学、护理科研和社会工作5个维度进行分析研究,提出有关政策建议。     

探讨优质护理在门诊导诊中的应用效果

目的：探讨优质护理在门诊导诊中的应用效果。方法：本文选取湖南省马王堆医院实行门诊导诊的护理人员开展优质护理服务探讨,将实施此制度前门诊患者及其门诊医师的护理满意度进行临床对比。结果：门诊导诊开展新的优质护理服务模式后,门诊患者及其医师对于门诊护理人员的满意度相比于实施优质护理服务之前的满意度明显提高,前后对比具有显著性差异（P〈0．05）,具有统计学意义。结论：在临床门诊导诊工作开展过程中,有效的实施优质护理服务能够有效的提高门诊患者的护理满意度,便于临床医师开展护理工作,值得在临床上推广应用。     

巴林特小组对军队医院聘用制护士工作压力的应用效果

目的 在了解军队医院聘用制护士工作压力的基础上,探索巴林特小组对国内护士工作压力的应用效果.方法 采用方便抽样方法,分别对军队两所三甲医院的210名、188名聘用制护士进行工作压力调查.选取有自主意愿、工作压力得分中度以上的前10名护士作为干预对象,以医院为单位各成一组,开展为期6次的巴林特小组训练.结果 两所医院护士工作压力程度接近,压力水平较高;综合医院组对象干预前后在 "护理工作"维度得分上差异非常显著(P＜0.001);"时间与工作量、环境与设备、管理与人际关系"3个维度得分均差异显著(P＜0.005);专科医院组对象干预前后在 "护理工作、环境与设备、患者护理、管理与人际关系"4个维度得分上差异非常显著(P＜0.001);"时间与工作量"维度得分差异显著(P＜0.005);两组对象合并后干预前后在"护理工作、时间与工作量、环境与设备、患者护理、管理与人际关系"5个维度得分上差异非常显著(P＜0.001).结论 管理者应对临床护士的工作压力引起重视;巴林特小组能够有效减轻护士工作压力;对象要有选择性,并要调动其积极性;选用高素质的小组主持人;巴林特小组技术的长期效果需要深入研究.     

基于工作职责模糊聚类分析的护理人员等级划分研究

目的对我国临床护理人员的工作职责进行分类研究,为护理人员等级划分提供依据。方法30名护理专家从学历、工作时间、知识和技能、能力4个方面对筛选出的32项护理人员工作职责进行评分,对评分结果进行模糊聚类分析。结果当λ=0.9933时,护理人员工作职责聚为6类,此时模糊聚类结果与实际情况最相符合。结论根据聚类结果和实际情况,我国临床护理人员可划分为5个等级,每个等级护理人员的学历、工作时间、知识和技能、能力与其所承担的职责相匹配。     

The forgotten players in ACO development: nursing homes

Given the history and dynamics of the Patient Protection and Affordable Care Act, nursing homes have been left out of the business of Accountable Care Organization (ACO) development and implementation over the last year. Only now are ACOs, hospitals, and physicians realizing that an effective ACO needs long-term care and rehabilitation as a key component to maximize shared savings in the ACO environment. This article discusses the history of ACO development, examines why nursing homes may have been left out, and explains why nursing homes are critical participants in ACO effectiveness. The article also discusses how nursing homes will need to position their businesses for ACO participation.     

国产钬激光治疗泌尿系结石的护理配合体会

目的：探讨国产钬激光治疗泌尿系结石的护理配合。方法：配合医生采用国产钬激光机经输尿管镜或膀胱镜治疗泌尿系结石患者68例。结果：输尿管中、下段结石31例全部排尽；输尿管上段结石10例中有8例全部排尽，膀胱结石27例全部粉碎，无1例护理并发症。结论：运用正确的护理，国产钬激光治疗泌尿系结石疗效满意，安全可靠，值得推广。     

Validation of the measure of processes of care for use when there is no Child Development Centre

INTRODUCTION: Clinical governance requires measurement of the outcomes of health care. The Measure of Processes of Care (MPOC; King, Rosenbaum & King 1995) is a postal questionnaire developed in Canada to reflect parents' perceptions of the quality of services received. AIM: To examine the usefulness of the MPOC for the evaluation of services for children with disabilities and their families. METHODS: The MPOC was revised minimally for British idiom, taking out explicit references to a 'Centre'. Surveys of parents using child disability services were carried out in three rural and two urban communities, where there are no Child Development Centres, with a total of 495 analysable questionnaires returned. In addition, 32 parents using a home nursing service for children with multiple disabilities completed questionnaires. RESULTS: The rate of return ranged from 49% to 67%. Factor analysis confirmed a five-factor solution but only one factor mapped clearly onto the Canadian structure. Using the revised structure, the surveys provide evidence of the discriminating potential of the MPOC, comparing the perceptions of parents who do or do not have a care coordinator, and comparing recipients of a home nursing service with matched users of general services. CONCLUSIONS: The MPOC can be used as a measure of outcome for child disability services of differing organizational structures.     

高职护生实习满意度调查及其对离职意愿的影响分析简

目的：了解高职护生临床实习的满意度及其对离职意愿的影响。方法：采用自行设计的满意度调查问卷的形式,对某校2010级实习护生进行调研,包括自身方面、带教老师、工作环境、工作管理4个维度18个项目。结果：护生对于带教老师方面满意度最高,对工作环境满意度得分较低。而临床工作压力大,工作劳累,以及医院感染对自身可能的威胁成为影响护生产生离职想法的最主要因素。结论：对护生进行人性化管理,提高带教老师的教学能力,对护生进行实习前针对性培训是提高临床护理教学质量、提升实习护生满意度的有效途径。     

Functionally and medically defined subgroups of nursing home populations

The functional and health characteristics of nursing home residents in New York State using a multivariate classification procedure are examined in this article. This analysis suggested that these characteristics could be explained in terms of six dimensions. The association of these six dimensions with two existing sets of nursing home case-mix groups was analyzed in order to determine how groups based only on the health and functional characteristics of residents related to groups based primarily on measures of current service use. A number of resident characteristics were not described well by case-mix measures based only on service use, suggesting the need to modify such groups using additional sources of input.     

Adult day health care evaluation study: methodology and implementation. Adult Day Health Care Evaluation Development Group.

The Adult Day Health Care Evaluation Study was developed in response to a congressional mandate to study the medical efficacy and cost effectiveness of the Adult Day Health Care (ADHC) effort in the Department of Veterans Affairs (VA). Four sites providing ADHC in VA facilities are participating in an ongoing randomized controlled trial. Three years of developmental work prior to the study addressed methodological issues that were problematic in previous studies. This developmental work resulted in the methodological approaches described here: (1) a patient recruitment process that actively recruits and screens all potential candidates using empirically developed admission criteria based on predictors of nursing home placement in VA; (2) the selection and development of measures of medical efficacy that assess a wide range of patient and caregiver outcomes with sufficient sensitivity to detect small but clinically important changes; and (3) methods for detailed, accurate, and efficient measurement of utilization and costs of health care within and outside VA. These approaches may be helpful to other researchers and may advance the methodological sophistication of long-term care program evaluation.     

Meeting the challenges for gerontological nursing in Europe: The European Nursing Academy for Care of Older persons (ENACO)

In order to support the urgent need for proactive and targeted investments in care for older persons a group of geriatric nurse specialists from different European countries convened in Leuven (Belgium) in November 2002 to launch the European Nursing Academy for Care of Older persons (ENACO). The mission of ENACO is to enhance outcomes of older persons and their caregivers through strengthening gerontological clinical nursing care, education, research and health policy within an interdisciplinary context. Specific objectives of ENACO are: 1) providing up-to-date education and training by "teaching the teachers". More specifically, the target groups are master's prepared nurses specialized in gerontology who can contribute and guide the development of gerontological/geriatric nursing care in their own country; 2) developing a core curriculum for basic gerontological nursing education in Europe and; 3) developing an European network of gerontological nursing expertise. More specifically, a web page providing opportunities for interactive communication as well as a mentoring program will be developed for nurses interested in the deepening and fine-tuning of their professional experience in care for older persons. The fact that care for older persons is high on the European agenda, the collaboration with the European Academy for Medicine of Ageing (EAMA), and other professional organizations in Europe and other parts of the world, are promising elements in the development of ENACO.     

应用SPECT针刺分子显像儿童孤独症的护理

目的：探讨应用SPECT分子影像研究数码针刺治疗儿童孤独症的临床护理。方法：随机选择已确诊的儿童孤独症患儿97例,应用SPECT针刺分子显像,观察护理过程。结果：97例CA患儿中,93例（95．9％）在护理干预下针刺显像一次成功,4例（4．1％）采集失败,需第二次采集。结论：儿童孤独症患者进行SPECT针刺显像是一项需要护理干预的特殊护理工作,护理干预是保证针刺影像质量和医疗安全不可缺少的重要环节,不可忽视。     

移动医护协同服务平台方案设计

目的：建立移动医护协同服务平台,设计移动医护系统,使医疗护理工作流程得到优化,以实现病区医疗、护理工作的全程信息化管理。方法：基于无线动态环境,采用分层架构设计护理协同工作门户、智能移动终端应用系统和消息引擎服务系统3个子系统。基于面向服务的架构（soa）模式,实现移动医护协同服务管理。结果：根据医院病区医护工作的实际情况,建设的移动护理系统满足了医护核心工作阶段式服务,实现了基础医护工作数字化、信息化的建设。结论：移动医护协同服务系统的建立,可实现医护管理的全程信息化,通过接入健康服务、云服务中心,可做到资源共享,实现全方位覆盖的智能化医护管理。