全腹腔包虫摘除术的围手术期护理

回顾性总结了16例全腹腔多发包虫的治疗及护理体会.术前做好心理护理、术前指导,使患者积极配合手术治疗;术后严密监测生命体征,加强体位、呼吸道、引流管的护理,早期进行药物辅助治疗,认真做好出院指导.     

保髋手术治疗成人股骨头缺血性坏死的护理

目的总结保髋手术治疗成人股骨头缺血性坏死的护理。方法对64例患者进行护理。术前做好心理护理和适应性锻炼;术后做好制动和固定,加强病情观察,重视切口及疼痛护理,加强并发症的预防及护理,做好早期康复锻炼,同时给予出院指导。结果 64例患者术后髋关节疼痛症状基本消失,日常功能活动得到改善。结论保髋手术治疗成人早期股骨头缺血性坏死具有巨大的优势,手术前后护理是保证手术成功的关键。     

8例根治性膀胱切除合并肠代膀胱术的护理

总结了8例膀胱癌患者行根治性膀胱癌切除合并肠代膀胱术的围手术期护理方法。包括术前加强心理护理、充分做好肠道准备、术后密切观察病情变化、引流管护理,做好并发症的护理与治疗、早期进行提肛训练新膀胱。认为加强围手术期护理对减少手术并发症,提高患者生活质量,促进患者康复具有重要作用。     

宫内宫外复合妊娠行腹腔镜手术21例的护理

总结21例宫内宫外复合妊娠患者行腹腔镜手术的护理体会。加强健康宣教以便早期诊断,腹腔镜手术前做好心理疏导、密切病情观察及积极做好术前各项准备,术后保证患者正确舒适的体位并做好饮食指导,重视保胎护理,积极预防并发症,加强出院指导。通过治疗护理17例成功分娩,4例因宫内流产终止妊娠。     

体外受精-胚胎移植并发卵巢扭转伴早期妊娠行手术治疗的护理

总结10例体外受精-胚胎移植并发卵巢扭转伴早期妊娠行手术治疗的护理。护理重点为术前加强心理护理、病情评估,同时做好术前准备;术后严密观察病情变化,做好体位、活动及保胎护理,重视预防感染、预防下肢深静脉栓塞,加强出院指导,促进患者康复。9例持续妊娠直至分娩,1例因孕16周胎膜早破致流产。     

Quadrant通道系统下手术治疗腰椎间盘突出症的护理

总结32例患者在Quadrant通道系统下行微创手术治疗腰椎间盘突出症的护理.护理重点为术前完善准备,对患者做好健康宣教;术后重视体位护理,严密观察病情,及时发现并发症,并做好切口引流管护理,加强早期康复锻炼,同时做好出院指导.经随访6个月,手术优良率为95.5%.     

高原地区镍钛合金环抱器治疗连枷胸的护理体会

总结了高原地区镍钛合金环抱器治疗连枷胸患者的围手术期护理策略,指出术前应制定合理的心理护理方案,做好氧疗和术前准备;术后应加强呼吸道管理,早期下床活动,观察排斥反应。高原地区连枷胸患者早期应用镍钛合金肋骨环抱器行连枷胸内固定术,配合术前及术后有效的的护理措施能够促进患者早期呼吸功能恢复。     

2 例瘢痕性睑外翻患者游离皮瓣移植术的护理

总结2例手术治疗瘢痕性睑外翻游离皮瓣移植术患者的护理。术前做好心理护理、皮肤准备、术前用药,完善术前相关检查,术后加强游离皮瓣血运观察,做好伤口的护理,加强游离皮瓣血运观察获得满意的手术效果。     

腹茧症的围手术期护理

腹茧症是一种罕见的腹部疾病，也是一种特殊的肠梗阻，腹茧症治疗以手术治疗为主，术前重视腹部症状的观察，做好心理护理及术前准备；术后加强并发症的观察及护理，指导患者早期功能锻炼，合理饮食，做好出院指导是防止患者术后再度肠粘连和肠梗阻的重要护理措施，是治疗成功的基础。     

腹腔镜下脾切除术联合断流术11例的围手术期护理

总结11例肝硬化门脉高压出血患者行完全腹腔镜下脾切除联合断流术的护理.护理重点为术前做好心理护理,完善手术准备;术后做好一般护理、引流管护理,加强早期并发症的观察与护理,同时做好出院指导,以提高手术成功率.术后发生2例腹腔出血、2例胸腔积液、1例应激性溃疡,经治疗和护理,均治愈.     

儿科专科护理质量管理实践及效果评价

目的：探索儿科专科护理质量管理改革对提升儿科专科护理质量及患儿满意度的作用。方法：通过实施专科护理岗位规范化培训、定期组织典型专科护理病例讲评比赛、推行专科护理小查房、设计并发放《护理指导手册》、常态化进行护理满意度调查等,改进儿科专科护理质量,并比较专科护理质量管理改革实施前后护理质量检查评分和患儿满意度。结果：儿科专科护理质量管理改革实施后病房管理、基础护理、护理文书、护理过程、急救药械、消毒隔离及患儿满意度评分均有提高,护理缺陷发生率下降,差异均有统计学意义。结论：实施专科护理质量管理改革,可以提升儿科护理质量及患儿满意度,降低护理缺陷发生率,改善医患关系,值得推广。     

综合医院开展个性化护理的做法和效果

目的 :开展个性化护理 ,深化整体护理内涵。方法 :确立个性化护理服务理念 ,制定护理质量标准和目标 ;护理信息化管理及流程改造 ;建立护理支持系统 ,整合资源。结果 :个性化护理体现了整体护理的内涵和发展延续 ,护理满意率保持在 97%的高水平 ;为病人提供了既科学又能满足病人个性需求的安全护理 ,提高了护理工作自身的价值 ;信息化管理和护理支持系统的建立 ,提高了护理技术质量。结论 :实践证明个性化护理是先进的服务理念 ,是促进整体护理深化的重要内涵 ,符合医疗市场经济发展需求。     

Factors influencing home care nursing problems and nursing care

This study was conducted to determine the contributions of sociodemographic factors, medical conditions, and nursing dependency to nursing problems identified and nursing care provided to patients during a home care nursing visit. Patient interviews, direct observation of nursing care, record abstraction, and nurses' reports were used to obtain data from 438 patients receiving nursing visits from a certified home health agency. Nursing dependency was the strongest predictor of the nursing problems of and nursing care provided to home care patients. Measures of nursing dependency should be incorporated in models to determine the extent of nursing problems and nursing care provided in the home and in models of home care nursing reimbursement. © 1993 John Wiley & Sons, Inc.     

开展社区护理研究 推动社区护理发展

我国社区护理工作落后,为推动社区护理发展,我们与卫生局合作,建立社区护理实践基地,组织教师参与社区护理实践,积极开展社区护理研究,以研究带动社区护理发展。目前已获得多项省厅级及局级、院级社区护理研究课题,形成了良好的社区护理研究氛围。在社区护理研究中提高了社区护士及护理教师的工作、研究能力,拓展社区护理的范围,促进社区护理的发展及社区护理教育体系的发展。     

对我科基础护理实施现状及认知的调查与分析

目的了解护理人员基础护理实施现状,以便采取有效对策,提高基础护理质量,为病人提供更优质的服务。方法采用自行设计问卷对护士、护生、护工及病人进行调查,了解我科护理人员基础护理的实施现状及认知情况。结果护理人员缺乏对基础护理内涵的认识,过分依赖于护工,导致基础护理落实不到位。结论要提高基础护理质量,必须注重护士、护生职业素质的培养、教育,转变观念及态度,增强其主动服务意识,明确护工职责,加大护理管理力度。     

临床护士生活护理认知干预

目的探讨临床护士对生活护理认知干预效果,提高护士生活护理质量。方法根据238名临床护士对生活护理认知及影响因素调查结果,对护士进行针对性的生活护理认知干预。比较干预前后护士对生活护理认知情况及生活护理主动性、工作质量、患者对护士工作满意度情况。结果生活护理认知干预后,护士对生活护理认知明显提高,生活护理主动性增强,生活护理工作质量及患者对护士工作满意度提高,各项目干预前后比较,均P<0.01,差异具有统计学意义。结论针对临床护士对生活护理认知的实际情况采取有效的干预措施,可改善临床护士对生活护理的认知,从而提高护士完成生活护理工作的质量。     

Content and completeness of care plans after implementation of standardized nursing terminologies and computerized records

The nursing process and standardized nursing terminologies are essential elements to structure nursing documentation in daily nursing information management. The aim of this study was to describe sustainability and whether and how standardized nursing terminologies, in handwritten versus preprinted versus computerized nursing care plans, changed the content and completeness of documented nursing care. Three audits of patient records were performed: a pretest (n = 291) before a yearlong implementation of standardized nursing terminologies in nursing care plans followed by two posttests: (1) 3 weeks after implementation of nursing terminologies (n = 299) and (2) 22 months after implementation of nursing terminologies and 8 months after implementation of a computerized system (n = 281) in a university hospital. Content and completeness of documented nursing care improved after implementation of standardized nursing terminologies. Documentation of nursing care plans, signs and symptoms, related factors, and nursing interventions increased, whereas mean number of nursing diagnoses per patient did not change between audits. Computerized nursing care plans had the biggest impact, with more variety of nursing diagnoses and increased documentation of signs and symptoms, related factors, and nursing interventions. The use of standardized nursing terminologies improved nursing content in the nursing care plans. Moreover, computerized nursing care plans, in comparison with handwritten and preprinted care plans, increased documentation completeness.     

整体护理查房形式及方法探讨

阐述了整体护理分级查房形式 ,并以护理行政管理查房、新业务新技术查房、个案护理查房、对比性护理查房、评价性护理查房等查房方式为例 ,探讨了整体护理查房的方式、方法和内容     

The collaborative nursing care plan: integration of the clinical pathway with the traditional nursing care plan

The nursing care plan is a commonly used teaching tool in nursing education. By developing individualized nursing care plans for specific clients, students practice use of nursing process and making clinical judgments and decisions. However, the system of managed care has impacted current clinical practice, and many health care agencies have shifted their emphasis from requiring the traditional columnar nursing care plans to use of clinical pathways and standards of care. As result of this trend, nursing educators are faced with the problem of preparing students to cope with today's reality in clinical practice. In response to this problem, this article reexamines the practical utility of the traditional nursing care plan in nursing education. The article also introduces a collaborative nursing care plan, the integration of the clinical pathway with the traditional nursing care plan, and its application in teaching.     

Measuring outcome criteria. The intravenous nursing care plan

A problem-solving approach to nursing care planning has been used effectively to achieve positive outcomes of patient care interventions. Unfortunately, many nursing care plans do not adequately document intravenous nursing care interventions. This article offers guidelines for the development of a nursing care plan that fully documents I.V. nursing interventions and addresses the potential problems associated with I.V. therapy. A sample intravenous nursing care plan is provided.