门急诊静脉输液患者健康教育需求的调查分析

目的:对门急诊静脉输液健康教育需求进行调查及分析,为健康教育提供方向,满足患者需求,提高患者的满意度,减少护患纠纷的发生.通过进行静脉输液健康教育持续质量的改进,使护士把健康教育当做静脉输液操作中不可缺少的一部分,能够熟练地按照规范化健康教育的流程进行宣教.方法:采用自行设计调查问卷,随机对在本院急诊科输液室进行门急诊静脉输液的患者发放调查问卷,了解门急诊静脉输液的患者的健康教育需求,从而进行护理干预.结果:门急诊静脉输液的患者认为对静脉输液的相关知识进行健康教育是十分必要的,并且对健康教育内容的需求是多样化的.对输液患者进行健康教育,不仅可以提高输液安全,还能减少护患纠纷,从而改善护患关系,提高患者及家属满意度.护理工作者应根据门急诊静脉输液健康教育需求的调查,制定相应的健康教育内容与方式.     

PICC置管术在提升护理服务质量中的作用

目的 探讨经外周置入的中心静脉导管在临床中的应用.通过静脉输液的安全管理制度,为患者提供合理、安全、经济的输液护理.方法 成立静脉输液安全管理组,开展护士静脉输液理论及实践、经外周置入的中心静脉导管相关知识的培训;对3年627例不同方式输注化疗液体的患者进行统计.结果 通过对高渗、营养及刺激性化疗药物输液方式的统计,从外周静脉炎/外周静脉渗出发生率、护理服务态度、护士护理技术等三方面得出经外周置入的中心静脉导管对护理服务质量有改善作用.现我科护理管理各项指标均达到100%.结论 通过对经外周置入的中心静脉导管的安全管理,为护理工作提供了极大帮助,降低患者输注高渗、营养及刺激性化疗液体的风险,提高了护士的工作效率及护理质量.     

“microsoft Excel（电手表格）”在放射科登记工作中的应用

静脉化疗是目前治疗恶性肿瘤的常见方法，因化疔病人疗程长，输液次数多，抗癌药物刺激性大，加之化疗药物的外漏可致血管变硬、变细、局部组织疼痛甚至坏死，不仅给患者增加了痛苦，而且给护理工作带来了诸多不便。因此。在化疗时保护好病人的每一条血管，减少静脉损伤，提高静脉的使用率显得十分重要。在护理实践中，获得了满意效果，现介绍如下．     

肿瘤患者静脉化疗时渗漏的预防及护理

静脉化疗是目前治疗恶性肿瘤的常见方法，因化疔病人疗程长，输液次数多，抗癌药物刺激性大，加之化疗药物的外漏可致血管变硬、变细、局部组织疼痛甚至坏死，不仅给患者增加了痛苦，而且给护理工作带来了诸多不便。因此。在化疗时保护好病人的每一条血管，减少静脉损伤，提高静脉的使用率显得十分重要。在护理实践中，获得了满意效果，现介绍如下．     

静脉留置针在化疗患者治疗中的应用及护理

静脉留置针在临床上的广泛应用，既解决了患者反复穿刺的痛苦，又减轻了护士的护理工作量，特别是恶性肿瘤的静脉化疗患者，随着肿瘤发病率的升高，化疗病人越来越多，但许多化疗药物有较强的刺激性，再加上病人治疗周期长，患者反复化疗对周围静脉血管损伤较大，容易引起静脉炎。又因静脉输液时间长药液容易外渗，造成血管损伤和治疗效果降低。因此在化疗过程中保护好静脉和局部组织，是确保化疗顺利进行的重要因素。现将化疗过程中使用静脉留置针的护理体会介绍如下：     

护士在静脉输液中应注意的伦理学问题

本文从护理伦理学的角度来探讨护士在静脉输液中遭遇的问题,提出护士应加强护理伦理学的学习,正确把握护理伦理学的原则,通过强化人性化静脉输液服务意识,讲究静脉输液的科学性,再造输液业务流程,增加病人参与,以及做好静脉输液健康教育,从而提高病人满意度.     

静脉炎54例治疗及护理体会

静脉炎是由于静脉中输入浓度高、刺激性强药物或静脉内长期放置刺激性较大的塑料管（留置针）引起的局部静脉化学炎性反应,以及在输液过程中护理人员操作不规范引起的局部静脉损伤感染,临床上静脉炎发生率正逐渐上升,让患者在原发病基础上增加新的痛苦,同时更给临床继续用药和再次穿刺以及护理工作带来很多困难.     

艾恒化疗致静脉损伤的护理体会

艾恒(奥沙利铂)是一类毒性强,对血管刺激性大、易导致渗漏损伤使血管发生疼痛、硬化、麻木、甚至局部组织坏死的抗肿瘤药物,这些副作用不仅给病人带来痛苦,增加经济负担,也给护理人员增加静脉穿刺的难度和工作量,影响病人化疗的顺利进行。我们采用新鲜马铃薯和芦荟交替外敷的方     

外用万应止痛膏消除输液部位疼痛的临床观察

静脉输液是临床上广泛应用的一种治疗方法。在输液中由于某些药物对血管具有较强的刺激性,或因患者长期输液致血管发生炎症反应等因素,导致输液部位产生不同程度的疼痛,常需减慢输液速度,延长输液时间,甚至有少数患者因不能忍受疼痛而拒绝输液治疗,以致影响治疗效果。从1995年以来,我们对主诉输液部位疼痛患者采用局部外涂万     

完全植入式输液港全程健康宣教的研究

健康教育能帮助人们形成正确的观念和行为,促进身心健康。完全植入式输液港是一种新型的输液装置,适用于长期及反复间断需要输液的患者,可解决该类患者频繁更换输液管道的痛苦,是肿瘤患者静脉输液、化疗的永久性通道[1],与目     

Optimization of the system of medical service of students of Cadet Schools of the Ministry of Defense of the Russian Federation

One of the factors of the successful military career guidance Cadet schools students is preserving and promoting their health. Medical support of children and adolescents aged 10-17 years should include the full range of medical and preventive measures defined for this group. The state of providing outpatient care for pupils at the Cadet School in St. Petersburg was studied. These results show that full medical care in accordance with the standards can be based only on children's health clinics. It is important that the organization of medical support pupils cadet schools should be cooperate with civilian health care.     

带状疱疹83例误诊原因分析

带状疱疹是由水痘—带状疱疾病毒引起的皮肤科常见疾病。其主要的病理损害,一是受累神经的严重炎症性浸润,继而导致受侵犯神经节内神经细胞变性、坏死;二是皮肤的水泡。迅速抑制神经节和相应的感觉神经纤维的充血、水肿和坏死,防止粘连形成,达到迅速镇痛、改善皮损,缩短病程及防止后遗症的发生是治疗的关键。因而,尽早明确诊断,     

Estimation of accumulated dose of radiation by method of ESR-spectrometry of dental enamel of mammals

ESR-spectrometry was used to investigate radiation-induced paramagnetic centers in enamel of mammals: carnivores (polar bear and fox), ungulates (reindeer, European bison, moose), and man. Values at half the microwave power saturation of the radiation signal, P_1/2, evaluated at room temperature, was found to range from 16 to 26 mW for animals and man. A new approach to discrimination of the radiation induced signal from the total ESR spectrum of reindeer enamel is proposed. ‘Dose-response’ dependencies of enamel of different species mammals were measured within the dose range from 0.48 up to 10.08 Gy. Estimations of ‘radiosensitivity’ enamel of carnivores and ungulates showed good agreement with radiosensitivity enamel of man by ESR method.     

Analysis of the results of the international comparison of activity measurements of a solution of Fe

The results of an international comparison of activity measurements of a solution of ⁵⁵Fe organized by the BIPM in 2005 are reported and analysed. This exercise, which follows the procedures of the CIPM mutual recognition arrangement to update older comparisons, is a renewal of the comparison organized by the BIPM that took place in 1978. A EUROMET comparison was organized in 1996 specifically to compare activity measurements of a ⁵⁵Fe solution by means of liquid-scintillation techniques. Results of these three comparisons are presented and discussed in this paper.

The radionuclide solution was provided by the NPL, which also distributed the samples to the participants. The activity of the ampoules was measured by 16 laboratories using 12 methods producing 25 results. Some general considerations on uncertainty assessments pertaining to the different techniques used are drawn. The outcome of four different estimators is compared from which the presence of at least one outlier can be confirmed. Further measurements should be made to try to reduce the discrepancy between the results. To date the outcome of the present comparison does not show an improvement to that of the 1996 comparison.     

Evaluation of the results of various technics of non-surgical therapy of varicocele

A new method of non-surgical treatment of varicocele syndrome is described: it consists in sclerotherapy of spermatic vein by trans-femoral percutaneous catheterization with balloon-catheters. In 8 cases venous thrombosis has been induced by direct electric clotting. The techniques and a 6 months follow-up are discussed. It is pointed out that this procedure should be considered as the method of choice for tubular lesions and sub-fertility prophylaxis in young people and in childhood.     

延迟性脾破裂误漏诊原因分析

目的探讨延迟性脾破裂误漏诊原因和预防措施.方法回顾性分析总结12例延迟性脾破裂中的诊断和误漏诊的经验与教训.结果本组延迟性脾破裂的误漏诊5例(41.66%).对多发伤与脾破裂并存可能认识不足,外伤史轻微或伤员隐瞒外伤史,缺乏腹痛-缓解-突然再腹痛的典型病史,缺乏“对冲性脾破裂”力学分析和整体化诊断思路等为其误漏诊的主要原因.结论详细的外伤史和全面系统检查,重视腹以外多发伤掩盖腹内脏器伤及延迟性脾破裂可能.确立外伤-腹内脏器伤-脾破裂整体化诊断思路.不间断地辅以B超检查脾形态学变化和腹内有无积液,腹腔穿刺确定有无血腹、X线胸腹部检查观察左侧胸肋角和膈肌运动情况、必要时CT检查以尽早发现脾包膜下血肿,降低延迟性脾破裂误漏诊率.