乳腺癌术后患者人文关怀和心理护理的临床研究

目的 研讨常规护理基础上加人文关怀和心理护理对乳腺癌术后患者康复的促进作用.方法 将2008年1月至2010年1月行乳腺癌手术治疗的460例患者随机分为观察组和对照组各230例.对照组患者按术后护理常规进行护理;观察组患者术后除常规护理外,加人文关怀和心理护理.对2组患者心理障碍减低或解除的程度及对护理工作的满意程度进行对照分析.结果 观察组患者心理障碍解除率为62.2%,对照组患者心理障碍解除率为40.4%;观察组患者对护理工作满意度为95.2%,对照组患者对护理工作满意度为71.7%,2组比较差异显著.结论 人文关怀和心理护理能有效解除患者心理障碍,促进其及早康复,也能提高患者对护理工作的满意度.

Abstract：

Objective To discuss the promoting effect of humanistic care plus psychological cage on basis of conventional nursing on rehabilitation of patients after breast cancer surgery.Methods 460 cases of breast cancer patients from January 2008 to January 2010 were randomly divided into the control group and the observation group with 230 cases in each group.The control group received routine nursing care after surgery,while for the observation group,in addition to conventional care,they received humanistie care and psychological care.The alleviation degree of psychological barrier and degree of satisfaction of the two groups were compared.Results The alleviation degree of psychological barrier was 62.2% .and was 40.4% in the control group.The patients'satisfaction rate was 95.2% in the observation group,and 71.7% in the control group.the difference Was significant.Conclusions Humanistic care and psychological care can effectively relieve mental disorders of patients,promote their early recovery,also can improve their satisfaction degree with nursing work.     

阴茎癌患者围手术期心理障碍临床观察与对策

目的 探讨阴茎癌患者围手术期心理状态与护理对策.方法 采用焦虑自评量表(SAS)、抑郁自评量表(SDS)作为工具,对105例拟行阴茎癌根治术患者进行心理调查,并将调查结果与常模对照分析研究.对存在抑郁、焦虑患者进行自行设计问卷调查,了解他们围手术期最主要的心理问题,据此制定实施针对性护理计划和方案,并于出院时使用SAS、SDS作为工具对他们进行心理调查,与术前对比.结果 67%以上阴茎癌患者术前存在抑郁情绪,同时焦虑情绪的SAS量表总分均值超过40分,明显高于中国常模总分均值的上限.合并焦虑、抑郁阴茎癌患者心理护理前后SAS及SDS评分比较,P<0.01,差异显著.81%患者存在最主要心理障碍为性心理障碍,实施针对性护理干预后,仍具有心理障碍的患者下降至20%,P<0.01,差异显著.结论 阴茎癌患者围手术期存在明显的心理障碍,按患者的心理需求实施针对性的护理对策能有效消除或改变患者心理障碍,提高生活质量.

Abstract：

Objective To explore the mental state and nursing countermeasures of perioperative patients with carcinoma of penis.Methods The self-rating anxiety scale(SAS) and self-rating depressive scale(SDS) were used to investigate the mental state of 105 patients selected radical operation carcinoma of penis. Questionnaire survey was used in the patients with anxiety or depression, to find out their most psychological problems in perioperative period of surgery, in order to design and carry out focused nursing programs and strategies.Results Over 67% patients with carcinoma of penis appeared depression before surgery, and average value of SAS total score of anxiety passed 40, the value was significantly higher than that of upper limit of China norm. The SAS and SDS scores were statistical differences between before and after carrying out mental nursing to the patients with anxiety or depression, P<0.01. There were 81% of patients with most psychological problem was psychosexual disorder, and the rate fell to 20% P<0.01, the difference was significant.Conclusions The patients with carcinoma of penis in perioperative period of surgery had obvious psychological problem, carrying out focused nursing strategies on demand can effectively eliminate or change psychological problem, improve the quality of life.     

护理干预对艾滋病患者亲属照顾者不良心理行为表现的影响

Objective To investigate mining intervention's influence on relative caregivers of AIDS patients with adverse psychological reactions and behavior. Methods Sixty five cases with advene psychological reactions and behavior of the relative caregivers of AIDS patients in hospital were selected and randomly divided into control group 30 cases and observation group 35 cases. Relative caregivers of patients in control group were given routine nursing care, while nursing interventions were added in observation group, the two groups of caregivera' adverse psychological reactions and behavior were observed. Results The patients relative caregiven in observation group with advene psychological reactions and behavior were significantly reduced compared with the control group. The difference was statistically significant (P＜0.01) . Conclusions Nursing intervention can reduce advene psychological reactions and behavior of relative caregivers of AIDS patients, and play a active role to them.     

护理干预对艾滋病患者亲属照顾者不良心理行为表现的影响

Objective To investigate mining intervention's influence on relative caregivers of AIDS patients with adverse psychological reactions and behavior. Methods Sixty five cases with advene psychological reactions and behavior of the relative caregivers of AIDS patients in hospital were selected and randomly divided into control group 30 cases and observation group 35 cases. Relative caregivers of patients in control group were given routine nursing care, while nursing interventions were added in observation group, the two groups of caregivera' adverse psychological reactions and behavior were observed. Results The patients relative caregiven in observation group with advene psychological reactions and behavior were significantly reduced compared with the control group. The difference was statistically significant (P＜0.01) . Conclusions Nursing intervention can reduce advene psychological reactions and behavior of relative caregivers of AIDS patients, and play a active role to them.     

老年患者护理需求与专科护士应对策略研究进展

随着我国老龄化社会的发展,越来越多的老年患者需要专科护士的护理.综述了老年患者的护理、健康教育和心理援助需求,并针对老年患者的护理需求,提出了老年专科护士的应对措施:即重视老年专科护士培养、普及老年护理教育、提供高质量的专业化指导、开展老年专科护理评估工具的研究,以满足老年患者多元化的护理需求,适应老龄化社会发展对专科护理的需求.

Abstract：

Accompanying with the development of our country's aging society, more and more elderly patients need the nursing of nurse specialism. This article reviewed the requirements of geriatric nursing care,health education and psychological aid. To aim directly at the nurse need of geriatric patients, suggest the coping intervention of the geriatric nurse specialism:reconstruct the cultivation of geriatric nurse specialism;popularize the health education of geriatric nursing;provide the high-quality professional instruction;carry out the research of geriatric special nursing evaluation instruments;so to satiate the varied nursing requirements and accommodate the requirements on nursing care accompanying with the progress of the aging society.     

护理干预对艾滋病患者亲属照顾者不良心理行为表现的影响

目的 探讨护理干预对艾滋病患者亲属照顾者不良心理反应及行为表现的影响.方法 选择经评估具有不良心理反应及行为表现的住院艾滋病患者的亲属照顾者65例,随机分为对照组30例,观察组35例,对照组患者亲属照顾者给予一般常规护理,观察组在常规护理基础上进行护理干预,观察两组患者亲属照顾者不良心理反应及行为表现情况.结果 观察组患者亲属照顾者经护理干预后其不良心理反应及行为表现较对照组明显减轻,差异有统计学意义(P＜0.01).结论 护理干预可减轻艾滋病患者亲属照顾者不良心理反应及行为表现,对患者及其亲属照顾者起到积极作用.

Abstract：

Objective To investigate mining intervention's influence on relative caregivers of AIDS patients with adverse psychological reactions and behavior. Methods Sixty five cases with advene psychological reactions and behavior of the relative caregivers of AIDS patients in hospital were selected and randomly divided into control group 30 cases and observation group 35 cases. Relative caregivers of patients in control group were given routine nursing care, while nursing interventions were added in observation group, the two groups of caregivera' adverse psychological reactions and behavior were observed. Results The patients relative caregiven in observation group with advene psychological reactions and behavior were significantly reduced compared with the control group. The difference was statistically significant (P＜0.01) . Conclusions Nursing intervention can reduce advene psychological reactions and behavior of relative caregivers of AIDS patients, and play a active role to them.     

护理干预对宫颈癌患者放疗后并发症的影响

Objective To investigate the nursing intervention on the complication after radiotherapy of cervical cancer patients.Methods A total of 130 cervical cancer patients undergoing radiotherapy were randomly divided into two groups:control group was given conventional methods only treatment and care,while the observation group was given additional routine treatment and care according to the situation in which two radiation therapy in patients with stages of psychological nursing,health education,guidance,individualized care and symptomatic treatment intervention,and then the number of cases of complications for the patients as well as the degree of satisfaction were compared.Results After the first phase of the second phase,the incidence of complications was significantiy lower in observation group than that of the control group,the degree of satisfaction was significantly higher (P＜0.05) .Conclusions The implementation of nursing intervention for cervical cancer patients undergoing radiotherapy can be effective in reducing the incidence of complications and improve patients' satisfaction.     

颈动脉慢性闭塞患者介入治疗的围手术期护理

目的 探讨颈动脉慢性闭塞患者介入治疗的围手术期护理方法.方法 对12例介入治疗成功的颈动脉慢性闭塞患者围手术期的临床护理资料进行总结分析.结果 所有患者术中生命体征平稳,围手术期未出现相关并发症,临床症状和体征明显改善.结论 颈动脉慢性闭塞的介入治疗是治疗颈动脉病变的新技术,术前做好健康教育和心理护理,术中和术后严密监测生命体征和神经功能状况,加强体位护理,发现异常及时处理是防治并发症、巩固手术疗效的重要保证.

Abstract：

Objective To investigate perioperative nursing of interventional therapy for patients with chronic occluded internal carotid artery. Methods We retrospectively analyzed the clinical nursing data of 12 patients with chronic occlusion of internal carotid artery who were successfully performed recanalization for the occluded vessels. Results The vital signs of all patients were normal during the procedures. The patients got favorable outcomes and no complications occurred during the perioperation. Conclusions Interventional therapy for chronic occlusion of internal carotid artery is a new technology for carotid diseases. Perfect preoperative health education and psychological nursing, comprehensive monitoring of vital signs and nerve function, strengthening body position nursing can ensure prevention of complications and the success of surgery.     

骨科康复训练护理活动的调查与研究

目的 对本地区护士开展骨科康复训练护理活动情况进行调查研究.方法 通过自制的康复护理知识问卷和康复训练活动调查问卷,分别调查了本地区10家医院的250名护士对康复护理知识的掌握程度和骨科康复训练护理活动情况.结果 被调查护士中62.45%的知识问卷得分及格,护士对基础知识掌握程度比临床知识高;生理机能方面的护理工作开展得最佳,患者家属进行沟通方面开展得较好,日常生活护理、心理方面指导以及出院后随访的工作开展得最差.结论 本地区骨科护士临床知识需要加强,骨科康复训练护理活动中日常生活护理、心理方面指导以及出院后随访的工作亟待提高.

Abstract：

Objective To investigate the status of orthopedic rehabilitative nursing care. Methods A self-designed questionnaire on the orthopedic rehabilitative knowledge and orthopedic rehabilitative care was used to investigate 250 nurses in the orthopedics department of 10 hospitals. Results 62.45% of the 250 nurses passed the knowledge questionnaire. Nurses comprehended the basis knowledge on orthopedic rehabilitative more than the clinical knowledge; the physiological nursing care of orthopedic rehabilitative was the best, communication with patients' family members was better, and nurses payed few attentions to daily living care, psychological nursing care and following-up after the patients were discharged. Conclusions The clinical knowledge on rehabilitative nursing among the nurses needs timely enhancement, and the work of daily living care, psychological nursing care and following up should be improved.     

腹腔镜下广泛子宫切除及盆腔淋巴结清扫术患者的围手术期护理

目的 探讨腹腔镜下广泛子宫切除及盆腔淋巴结清扫术患者的护理措施.方法 选择本院24例行腹腔镜下广泛子宫切除及盆腔淋巴结清扫术的患者,总结其围手术期护理措施.结果 24例均痊愈出院,其中6例接受化疗,3例接受放射治疗,均获定期随访,患者恢复良好.结论 完善的围手术期护理能够保证患者术后尽早康复.

Abstract：

Objective To discuss the nursing measures of patients with laparoscopic radical hysterectomy and pelvic lymph node dissection. Methods 24 patients with laparoscopic radical hysterecto my and pelvic lymph node dissection were selected and their perioperative nursing measures were summa rized. Results 24 patients were all cured and discharged, 6 patients accepted chemotherapy and 3 patients accepted radiotherapy. All patients were followed up, and they recovered well. Conclusions Perfect perioperative can guarantee early recovery of patients.     

窄带成像内镜下黏膜剥离术治疗消化道肿瘤65例临床护理

目的:探讨窄带成像内镜下行黏膜下层剥离术治疗消化道肿瘤患者的围术期护理方法。方法:对65例实施窄带成像内镜下黏膜下层剥离术治疗的消化道肿瘤患者给予术前护理,术中配合,术后生命体征监护、心理护理、饮食护理、并发症观察等。结果:本组患者病变均完整切除,无严重并发症发生。结论:护士进行正确的术前准备和心理护理、术中配合及对术后并发症的观察和护理是窄带成像内镜下黏膜下层剥离术治疗成功的重要保证。     

经皮肝动脉栓塞术治疗肝癌破裂出血33例围术期护理体会

目的：探讨经皮肝动脉栓塞术治疗肝癌破裂出血的围术期护理方法。方法：对33例接受经皮肝动脉栓塞术治疗的肝癌破裂出血患者,给予术前、术后精心护理,加强心理护理及术后监护。结果：通过积极的心理护理及严密的围术期监护,所有患者顺利恢复。结论：经皮肝动脉栓塞术治疗的肝癌破裂出血患者,围手术期给予积极心理疏导和严密监护,可减少并发症的发生,促进患者康复。     

ICU清醒患者长期使用呼吸机撤机失败原因及护理对策

目的 总结ICU清醒患者长期使用呼吸机撤机失败原因及护理对策.方法 用急性生理功能与慢性健康状况评分Ⅱ评分系统评估疾病严重程度,采用单因素x2检验和多因素Logic回归分析判定撤机失败原因,并给予正确的指导及护理.结果 50例撤机成功,5例撤机困难,5例因撤机失败死亡.结论 运用正确的方法,充分了解患者的心理状态和需求,酌情给予心理疏导,并注意保持呼吸道通畅,选择合适的时机进行训练.     

糖尿病性白内障56例围术期护理

目的:探讨糖尿病性白内障围术期的护理方法.方法:对56例糖尿病性白内障患者进行围术期的护理,如心理护理、血糖监测、饮食指导等.结果:本组患者经过精心护理,术后视力均较术前明显提高,且无并发症的发生.结论:充分的术前准备、周密的术后护理是保证手术顺利进行的关键.     

人性化护理缓解脊柱结核患者不良情绪的应用价值

目的探讨心理护理在脊柱结核患者围术期中的应用效果。方法2017年6月至2018年12月脊柱结核患者52例,采用掷硬币法随机分成对照组与观察组,每组26例。对照组予常规基础护理,观察组除基础护理外增加心理护理,对比两组的疼痛分级和焦虑指数。结果观察组的疼痛分级及焦虑指数均明显低于对照组,差异有统计学意义(P<0.05)。结论将人性化心理护理应用在脊柱结核围手术期,能够明显减低患者的疼痛分级,改善患者的心理状态,对康复起到积极作用,具有较高的推广价值。     

活体肝移植供者围手术期的心理护理

目的 探讨活体肝移植供者围手术期心理护理要点.方法 根据供者的具体情况主要采取:运用护理程序进行充分护理评估,确定供者围手术期主要心理问题;护理人员掌握良好的心理护理知识和技能;针对供者围手术期心理问题进行针对性、个体化心理护理及健康教育,提供优质服务.结果 通过提供全面、整体、系统的心理护理,供者能以良好的心理状态应对.结论 对活体肝移植供者围手术期进行适度、正确的心理引导是十分必要的.     

颞下颌关节镜手术患者的围手术期护理

目的 探讨颞下颌关节镜手术的围手术期护理措施。方法 采集我科2003年1月～4月间行颞下颌关节镜手术治疗的患者50例(61侧)，实施持续被动张口训练与个体化护理。结果 通过个体的心理护理．本组患者心理状态稳定，均能配合顺利完成手术过程，20例住院患者平均住院日3．5d，所有患者伤口愈合Ⅰ／甲，无并发症发生。结论 颞下颌关节镜手术患者的护理，应突出具有关节镜外科特色的个体化护理，并使心理护理贯穿于整个围手术期中。     

ICU清醒患者长期使用呼吸机撤机失败原因分析及护理对策

目的：总结ICU清醒患者长期使用呼吸机撤机失败原因及护理对策。方法：采用急性生理功能与慢性健康状况评分系统评估患者疾病的严重程度,采用因素χ2检验和多因素Logistic回归分析判定撤机失败原因,并给予正确的指导及护理。结果：60例患者中,50例撤机成功,5例撤机困难,5例因撤机失败而死亡。结论：撤机时应充分了解患者的心理状态和需求,酌情给予心理疏导,并注意保持呼吸通畅,选择合适的时机进行撤机训练。     

活体肝移植供者围手术期的心理护理

目的探讨活体肝移植供者围手术期心理护理要点。方法根据供者的具体情况主要采取：运用护理程序进行充分护理评估,确定供者围手术期主要心理问题;护理人员掌握良好的心理护理知识和技能;针对供者围手术期心理问题进行针对性、个体化心理护理及健康教育,提供优质服务。结果通过提供全面、整体、系统的心理护理,供者能以良好的心理状态应对。结论对活体肝移植供者围手术期进行适度、正确的心理引导是十分必要的。     

内镜辅助甲状腺切除术的围术期护理

[目的]探讨内镜辅助甲状腺切除术(EAT)的围术期护理。[方法]对40例行EAT手术的单侧甲状腺结节病人,给予术前教育及心理护理,协助完善术前检查,术后24h护理主要包括备床旁气管切开包,观察手术切口、呼吸、发音、吞咽情况,观察疼痛和颈部活动情况。[结果]40例病人均痊愈出院,无护理并发症,未出现切口出血、窒息、喉返神经损伤等严重并发症,颈部疼痛轻微,不影响夜间睡眠。[结论]术前做好病人心理护理,术后严密观察病情及细致周到的护理可有效预防EAT术后并发症。