手术室护士对剖宫产妇的心理护理

目的观察剖宫产患者实施心理护理的效果。方法对我院2007年1月至2010年1月971例患者进行围手术期的心理护理。结果产妇能很好地配合医护人员顺利地完成手术,手术后切口愈口良好,无并发症发生。结论在剖宫产围手术期完整性和连续性的心理护理,使产妇主动配合手术,使手术顺利完成,保证了母婴安全,减少了并发症的发生。     

高龄患者围手术期的整体护理

目的：使高龄患者顺利度过手术危险期，减少并发症，降低围手术期死亡率。方法：规范围手术期护理，根据患者情况，制定护理措施，实施人性化和个性化的服务。结果：76例手术患者无围手术期死亡。结论：系统的有针对性的围手术期整体护理的开展，对保障手术顺利、控制术后并发症、平安度过危险期、提高生活质量非常重要。     

阴式全子宫切除术的护理

目的 探讨阴式全子宫切除术患者围手术期的有效护理措施.方法 调查需行阴式全子宫切除术的患者60例,了解其术前的护理需求、让患者参与制订护理计划.结果 术前相关知识缺乏的患者占93.3%,通过有效的护理后下降至6.7%,使他们了解并配合实施围手术期的护理措施.结论 通过细致的围手术期的护理,使患者了解疾病的相关知识,消除减轻了焦虑、抑郁、恐惧心理,顺利度过围手术期.     

全喉切除患者围手术期的心理康复护理

目的 通过对全喉切除患者围手术期的心理康复护理,增加患者战胜疾病的信心,促进其身心康复,使其尽早回归社会.方法 根据全喉切除患者围手术期心理变化特点,对78例全喉切除患者进行心理康复指导.结果 通过心理康复护理,患者能以积极、乐观、健康的心身状态面对疾病,积极配合治疗和护理,顺利度过围手术期.结论 对全喉切除患者在围手术期进行针对性心理康复护理,有利于减轻围手术期患者心身压力,促进疾病转归.     

人文关怀在剖宫产手术患者围术期护理配合中的应用

目的:探讨人文关怀在剖宫产手术围术期护理配合中的应用方法和效果。方法:对540例剖宫产产妇在术前访视、术中配合、术后回访的每个细节中实行人文关怀。结果:本组患者手术顺利,产妇情绪平稳,出血量少,无并发症;手术时间30～45min,平均37.5 min。术后3 d回访产妇满意度达到99.5%。结论:对接受剖宫产手术的产妇在围术期护理配合中实施人文关怀可明显提高护理质量,保证手术顺利进行,降低产后并发症发生率。     

剖宫产产后并发腹壁子宫内膜异位症36例治疗与护理

目的:探讨剖宫产产后并发腹壁子宫内膜异位症患者的治疗与护理方法。方法:对36例腹壁子宫内膜异位症患者的临床资料、治疗、护理与随访进行回顾性分析。结果:本组患者均行手术治疗切除病灶,同时配合做好围术期护理;36例患者全部顺利康复,无一例复发。结论:腹壁子宫内膜异位症患者可以通过手术切除病灶、配合全程优质围术期护理达到完全治愈,但要关注预防。     

编织袋椎体后凸成形术治疗椎体压缩骨折的护理

目的总结13例因椎体病理性骨折行编织袋椎体后凸成形术患者的护理经验。方法做好围手术期术前准备、术后病情观察和护理、抗骨质疏松综合护理以及指导患者康复锻炼。结果本组患者均顺利度过围手术期,术后48h内自行下地负重行走,日常生活质量明显改善,无护理并发症发生。结论围术期积极有效的护理干预,能使患者更好地配合治疗,提高患者的生活质量。     

剖宫产术同时行子宫肌瘤剔除术的围手术期护理

[目的]总结15例剖宫产术同时行子宫肌瘤剔除术病人的围手术期护理。[方法]对病人术前进行充分的心理护理及术前准备,术后加强产后出血,生命体征的监测,密切观察有无出血、感染等并发症发生,并促进母乳喂养和做好出院指导。[结果]本组有2例产妇发生产后出血,其余产妇均顺利度过围手术期。[结论]剖宫产术同时行子宫肌瘤剔除术,加上精心的围手术期护理,可降低产妇二次手术风险,该方法是可行、安全的。     

1例重症瓣膜病合并类夙湿关节炎患者行心脏手术的围手术期护理

目的总结重症瓣膜病合并类风湿关节炎患者行心脏手术的围手术期护理经验,提高治疗效果。方法对我科收治的1例重症瓣膜病合并类风湿关节炎患者瓣膜置换的临床资料进行回顾性分析。结果此例患者虽然病情严重,但给予严格有效的围手术期护理和健康教育,使患者顺利度过了围手术期。结论术前改善心功能,严格术后护理以及有效的健康教育是患者顺利度过危险期并取得良好效果的有力措施。     

输卵管妊娠腹腔镜下注药术的围术期护理

本文介绍了21例输卵管妊娠患者腹腔镜下注药术的围术期护理。对患者术前进行充分的心理护理及术前准备，术后加强生命体征监测，严密观察患者生命体征、腹痛、阴道流血情况，绝对卧床休息，配合应用米非司酮等，并做好出院指导。本组除2例患者因输卵管妊娠破裂行开腹手术外，其余患者均顺利度过围术期，痊愈出院。     

Live a legacy or live a lie: a choice

This article is about the result of a choice to Live a Legacy or Live a Lie. The choice led to the development and implementation of a clinical practice model (CPM) designed to create a healthy, healing integrated practice culture. The focus is on the foundation of the model that is a unique ongoing process called the Core Belief Review. The purpose of the review is to uncover those things that matter most for both those who give and receive care. The ongoing open communication process provides insights and truths about reality and a sense of direction related to the nature of the work necessary to create and sustain the best places to give and receive care. The results of the review feedback from 2500 providers and recipients of care are correlated to the actions taken to address the complexities of the point-of-care reality and the clinical outcomes reached as a result of collaboration and lessons learned within an International Consortium.     

Intensive care use in a developing country: a comparison between a Tunisian and a French unit

Objectives: To compare the variations in intensive care (ICU) outcome in relation to variations in resources utilization and costs between a developed and a developing country with different medical and economical conditions. Design and setting: Prospective comparison between a 26-bed French ICU and an 8-bed Tunisian ICU, both in university hospitals. Patients: Four hundred thirty and 534 consecutive admissions, respectively, in the French and Tunisian ICUs. Measurements: We prospectively recorded demographic, physiologic, and treatment information for all patients, and collected data on the two ICU structures and facilities. Costs and ICU outcome were compared in the overall population, in three groups of severity indexes and among selected diagnostic groups. Results: Tunisian patients were significantly younger, were in better health previously and were less severely ill at ICU admission (p < 0.01). French patients had a lower overall mortality rate (17.2 vs 22.5 %; p < 0.01) and received more treatment (p < 0.01). In the low severity range, the outcome and costs were similar in the two countries. In the highest severity range, Tunisian and French patients had similar mortality rates, while the former received less therapy throughout their ICU stays (p < 0.05). Conversely, in the mid-range of severity, mortality was higher among Tunisian patients, and a difference in management was identified in COPD patients. Conclusion: Although the Tunisian ICU might appear more cost-effective than the French one in the highest severity group of patients, most of this difference appeared in relation to shorter lengths of ICU stay, and a poorer efficiency and cost-effectiveness was suggested in the mid-range severity group. Differences in economical constraints may partly explain differences in ICU performances. These results indicate where resource allocation could be directed to improve the efficiency of ICU care. Received: 15 December 1997 Accepted: 8 July 1998     

Caring for a patient with a urostomy in a community setting

Around 7500 people in the UK have a urostomy. A urostomy is normally performed if a person has bladder cancer, congenital bladder abnormalities. Many people who have a urostomy have long term conditions and may require the help and support of community nurses. This article examines common complications of urostomy including stomal complications, urinary tract infections and dermal complications. Although stoma complications are common and can affect quality of life, many people with a stoma tend not to seek help. Community nurses can provide care and support to optimize stoma management and enable the person with a urostomy to enjoy the best possible quality of life.     

Fatal haemorrhage from a caput medusae: a differential to a stabbing

Fatal haemorrhage from caput medusae is reported once previously in the literature. We report the case of a 48-year-old man who presented to the ED in hypovolaemic shock, with a suspected stab wound to the abdomen. He was subsequently found to have exsanguinated from a cutaneous varix secondary to chronic liver disease.