癌症病人的临终关怀与护理

简要阐明了临终关怀护理的发展及其服务机构的形式 ,综述了癌症病人临终关怀护理的重点是控制症状、给予病人及其家属心理支持 ,提出护理人员有责任开展和宣传临终关怀的意义 ,提高临终关怀的护理质量。     

Patients' conceptions of quality care and barrier care

AIM: To describe patients' conceptions of quality care and barrier care. METHODS: As this study concerned conceptions of care, a phenomenographic approach was chosen. Fourteen adult orthopaedic patients participated. Data-collection was performed by means of semi-structured interviews. The qualitative data were analysed with two foci, conceptions of quality care and conceptions of barrier care. Different categories of understanding, that is, conceptions, constitute the the essential outcome of phenomenographic analysis. The research was conducted in one county hospital and in one regional hospital situated in different cities in the south of Sweden. RESULTS AND CONCLUSIONS: Patients' conceptions of quality care resulted in six categories. When comparing the findings with previous research in this field, the findings of the present study confirmed to a large extent the findings from other studies of quality care. Patients' conceptions of barrier care resulted in five categoris. The conceptions of barrier care must be considered as elements in patients' conceptions of quality care, and this must be called atention to in efforts to measure patient satisfaction and in analyses of good care. It also can influence health care workers' compliance to guidelines in infection control procedures.     

Effects of resident-oriented care on quality of care, wellbeing and satisfaction with care

In a resident-oriented care model applied in nursing homes, the residents are assigned to primary nurses. These primary nurses are responsible for the total care of the residents assigned to them. The purpose of the present study, using a pretest, post-test and control group quasi-experimental design, was to evaluate the effects of the implementation of resident-oriented care on the following aspects of quality of care: coordination of care, instrumental aspects, expressive aspects, resident wellbeing and satisfaction with care, and family satisfaction with care. The study was carried out on somatic and psycho-geriatric wards in three nursing homes in the Netherlands. Data were collected by questionnaires, interviews and observations. The results of the study showed that the intervention was partly successful in the experimental group. Some aspects of the resident-oriented care model were not clearly evident. Moreover, the effects on quality-of-care aspects were limited. The results revealed that the 'coordination of care' increased on half of the experimental wards. Furthermore, there was an indication that 'expressive aspects' changed in favour of the experimental wards. The implementation of resident-oriented care had no effect on resident wellbeing and satisfaction or on family satisfaction. Finally, the results are discussed in the light of some methodological limitations that often go together with intervention studies in the real world.     

护理人文关怀与住院患者对护理工作满意度的相关性研究

目的 探讨护理人文关怀与住院患者对护理工作满意度两者之间的关系。 方法 采用护理关怀行为评价量表及住院患者对护理工作满意度问卷对住院的120例患者进行调查。 结果 不同患者年龄、性别、受教育程度、婚姻情况对患者对护理人员护理关怀行为需求不同;除了与鼓励患者情感的表达这一维度相关性无统计学意义外,护理关怀行为各维度与住院患者护理工作满意度呈正相关。 结论 人文关怀在临床护理中的应用可以有效的提高住院患者的满意度。     

强直性脊柱炎病人的康复治疗及护理

强直性脊柱炎目前尚无根治方法,国内外均强调早期诊断和综合治疗。现从体育疗法、物理疗法、中医药疗法等方面介绍强直性脊柱炎的非药物康复治疗及护理。     

强直性脊柱炎病人的康复治疗及护理

强直性脊柱炎目前尚无根治方法,国内外均强调早期诊断和综合治疗。现从体育疗法、物理疗法、中医药疗法等方面介绍强直性脊柱炎的非药物康复治疗及护理。     

无缝隙护理在优质护理服务中的应用

目的 探讨无缝隙护理在优质护理服务中的应用,旨在为患者提供更人性化的护理,进而提高患者的满意度.方法 通过弹性排班,实行对患者包干到人的工作制度,加强护理的责任心,提高工作积极性.结果患者满意度较改革前提高8.2%,护理工作质量明显提高,护患关系更加和谐.结论 开展无缝隙护理是提供优质护理服务的重要手段,强调以患者为中心的整体护理理念,提高护理服务质量,提升医院的核心竞争力.     

Agonizing care: care ethics,agonistic feminism and a political theory of care

'Care' is central to nursing theory and practice, and has been described in a variety of ways. Intense conversations about care have been developing in other fields of study as well, from the social sciences to the humanities. Care ethics has grown out of intellectual exchange between feminist thought, moral theory and the critique of traditional western political philosophy. However, care ethics is not without its critics, as these accounts of care have also sparked vigorous challenges. This paper traces the construct of care through nursing theory, care ethics, feminist critiques of moral and political theory and agonistic feminism to outline a set of problematics that a political theory of care should engage. It discusses how care is conventionally posited in more or less essentialist, universalizing and naturalizing terms. It introduces the ideas of feminist theorists who resist dichotomizing care and the political, and situate care in the context of power and politics. The tensions between care feminism and agonistic feminism are highlighted in order to explore the potential of theorizing both care and nursing in political terms.     

安宁缓和医疗中的灵性照顾

灵性照顾是安宁缓和医疗实践的核心内容之一.本文以中国医科大学附属盛京医院宁养病房开展灵性照顾的实践经验为基础,阐述了灵性的概念和灵性照顾的意义,以及有效开展灵性照顾的相关要点,供安宁缓和医疗从业人员参考.