健康教育和心理护理在高龄产妇孕早期中的应用效果分析

目的:研究健康教育和心理护理在高龄产妇孕早期中的应用效果。方法:选取的研究对象为2014年7月~2016年5月期间在某院住院部的高龄产妇,将100例高龄产妇简单随机分为对照组与观察组,每组50例。其中,对照组高龄产妇实施常规护理观察组在其基础上加强健康教育和心理护理,对比两组高龄产妇的生活质量和产前抑郁症发生率。结果:观察组高龄产妇的生活质量和产前抑郁症发生率均优于对照组(P0.05)。结论:对高龄产妇加强健康教育和心理护理能够使产妇掌握孕期健康教育知识,降低产前抑郁症发生率,促进生活质量的提高。     

97例高龄产妇妊娠及分娩中的护理干预效果分析

目的：探讨97例高龄产妇妊娠及分娩中的护理干预效果。方法选取2011年1月-2013年1月于本院就诊的高龄产妇97例,将患者按照入院编号,随机分为两组,观察组50例,对照组47例,观察组患者在常规护理的基础之上,给予患者科学的护理干预;对照组患者给予常规护理,观察和分析两组患者护理干预效果,比较两组患者的焦虑水平和自我舒适度水平。结果观察组50例患者在接受科学的精心护理之后,患者的焦虑水平降低,自我舒适度水平提高;对照组患者在接受常规护理之后,患者焦虑水平和自我舒适度变化不够明显,观察组患者指标变化要明显高于对照组患者,组间治疗效果比较差异具有统计学意义（P〈0.05）。结论给予高龄产妇积极的护理干预措施,能有效改善患者心理焦虑水平,提高患者对医院的满意度和舒适度,获得非常理想的护理效果。     

助产护理干预在高龄产妇分娩中的应用

目的探讨在高龄产妇分娩中应用助产护理干预的临床效果分析。方法选自2012年1月1日至2013年1月1日进入到我院进行分娩的产妇80例,将这80例产妇随机分成2组,每组40例产妇,分别命名为观察组和对照组。对观察组的40例产妇采用助产护理干预,对对照组的40例产妇采用常规护理的方法,观察2组产妇的临床护理效果。结果观察组的40例采用助产护理干预的护理方法,正常生产29例,所占比例72.5%,剖宫产8例,所占比例20%,阴道助产3例,所占比例7.5%,对照组的40例采用常规护理的方法,正常生产25例,所占比例62.5%,剖宫产10例,所占比例25%,阴道助产5例,所占比例12.5%。观察组新生儿窒息3例,所占比例为7.5%,产妇的总产程为7.3 h,产妇产后的出血量为153.5 mL。对照组新生儿窒息5例,所占比例为12.5%,产妇的总产程为10.3 h,产妇产后的出血量为183.2 mL。结论在高龄产妇的分娩的过程中,采用助产护理的方式,无论是在正常生产的比例上,还是在新生儿窒息的比例上,以及产妇的产程以及产后的出血量上都比常规护理的方式要优越,值得临床推广。     

延续性护理在老年糖尿病患者中的应用效果

目的研究引入延续性护理对社区老年糖尿病患者中的遵医嘱用药、体育锻炼、饮食控制的应用效果。方法选择确诊为糖尿病并在我院接受治疗的老年患者116例,随机分为延续性护理组和对照组,每组均为58例患者,对照组仅给予一般常规护理干预,延续性护理组除给予一般护理干预,还给予了延续护理干预。6个月后统计比较分析两组患者遵医嘱用药、规律体育锻炼及饮食控制情况。结果延续性护理组患者在遵医嘱用药、规律体育锻炼及饮食控制情况分别为52例(89.7%)、42例(72.4%)、44例(75.9%),而对照组分别为30例(51.7%)、24例(41.3%)、21例(36.2%),各项指标比较均存在显著性差异(P<0.05)。结论延续性护理有助于促进老年糖尿病患者的治疗依从性的提升,值得临床护理推广。     

高龄产妇产后大出血的护理防范措施及效果分析

目的分析高龄产妇产后大出血的护理防范措施及效果。方法将2015年8月至2017年8月在我院分娩的60例高龄产妇纳入本次实验,按照随机双盲法将其分为分析组(30例,综合护理)和对照组(30例,常规护理),对比两组患者的护理效果。结果分析组产妇自然分娩率(73.3%)较对照组(46.7%)更高,分析组产妇产后大出血发生率(0.0%)较对照组(13.3%)更低,分析组产妇护理满意度(96.7%)较对照组(80.0%)更高,组间比较P <0.05。结论对高龄产妇实施综合护理干预利于提升自然分娩率,减少产后大出血的发生,并提升护理满意度,值得推广。     

延续性护理和常规护理在精神分裂症患者中的护理效果对比观察

目的对精神分裂症患者分别采用延续性护理和常规护理,并对2种护理模式的护理效果进行对比分析。方法本次研究的观察对象为我院收治的81例精神分裂症患者,按出院时间的先后顺序将其分为常规组和干预组,其中常规组41例,行常规护理;干预组40例,行延续性护理。结果通过比较两组患者护理后的治疗依从性、精神病量表评分及复发率,发现观察组的治疗总依从性(100.00%)、精神量表评分及复发率(5.00%)均与对照组的相应值存在明显差异,且差异显著(P<0.05)。结论与常规护理相比,对精神分裂症患者采用延续性护理不仅有助于提高其治疗依从性、改善病情,还能减少疾病的复发情况,使用价值较高。     

延续性护理在脑卒中患者中的应用效果观察

目的观察延续性护理在脑卒中患者中的应用效果。方法抽取2014年2月至2016年2月我院收治的56例脑卒中患者,根据入院顺序分为观察组(n=28)和对照组(n=28)。对照组给予常规护理,观察组在对照组基础上采用延续性护理,对比两组护理前后日常生活能力及焦虑、抑郁状况变化情况。结果护理后,观察组焦虑及抑郁评分均较护理前显著降低,且观察组低于对照组,差异均具有统计学意义(P<0.05);护理后观察组Barthel(BI)指数评分为(84.7±10.6)分,高于对照组(77.6±11.5)分,差异具有统计学意义(P<0.05)。结论对脑卒中患者应用延续性护理可明显改善患者焦虑及抑郁情绪,提高其日常生活能力,具有较高应用价值。     

心理护理干预对高龄产妇的影响分析

目的探讨心理护理对高龄产妇的影响。方法回顾性分析我院2007年1月至2010年6月收治的高龄产妇120例临床护理资料,依照护理方式不同分为观察组和对照组。结果观察组SAS、SDS、SES、VAS评分均明显优于对照组（P〈0.05）,观察组滞产、胎儿窘迫、产后出血发生率明显低于对照组,差异有统计学意义（P〈0.05）。结论心理护理可以明显改善高龄产妇不良心理情绪,降低不良妊娠结局的发生率。     

母婴床旁护理模式在产科护理中的临床应用

目的评价母婴床旁护理模式在产科护理中的效果。方法随机选取2018年5~12月期间产科收治的产妇200例,在产后区选择10间病房进行研究,其中1~5号病房收治100例产妇,设为对照组,采用传统护理模式,产妇护理在床旁进行,但婴儿的一切护理均由主管护士定时集中在沐浴室及处置室进行。6~10号病房收治100例产妇,设为试验组,采用母婴床旁护理模式,除产妇护理在床旁以外,婴儿护理也移至床旁进行,即对产妇及婴儿实行一对一护理,同时对产妇及家属进行产后健康知识教育;采用心理状态采用焦虑自评量表(SAS)测定产妇住院前后心理状态评分;使用自制问卷调查表评价产妇健康教育知识掌握情况、护理满意度、产妇护理操作评分。结果住院前两组产妇SAS评分无统计学差异(P 0.05);两组产妇采取不同护理模式后,两组产妇SAS评分住院前较住院后均有所改善,差异有统计学意义(P 0.05),住院后试验组产妇SAS评分显著低于对照组,差异有统计学意义(P 0.05);住院后试验组产妇健康知识掌握评分(84.67±6.58),护理满意度评分(97.00±1.55),护理操作评分(84.69±8.14);对照组产妇健康知识掌握评分(74.13±5.11),护理满意度评分(71.98±4.95);护理操作评分(74.13±6.87);住院后试验组产妇的健康知识掌握程度、护理操作评分和护理满意度均高于对照组,差异有统计学意义(P 0.05)。结论母婴床旁护理模式相比传统产科护理模式有良好的效果,能够提高产妇对护理满意度,同时增加患者健康知识掌握程度,减轻产妇产后焦虑状态,为家庭支出减轻经济负担,可以在临床护理中推广使用。     

应用失效模式与效应分析预防透析导管功能不良

目的 探讨失效模式与效应分析模式(failuremodeand efectanalysis,FMEA)在预防透析用导管功能不良中的应用效果.方法 对2013年1月至12月在本院行深静脉置管74例透析患者进行FMEA分析,指出透析用导管使用和维护流程下可能导致导管功能不良的环节及原因,提出解决问题及流程整改方案,并制定护理对策.结果 实施FMEA管理后,各风险环节危机值均较实施前显著降低,其中凝血状况评估不足、肝素生理盐水浓度不当、导管内有残留血液、封管方法不当4个环节RPN值,差异有统计学意义(P＜0.001),导管堵塞实际发生率(1/550,0.2％)低于以往同期水平(20/725,2.8％).结论 FMEA能前瞻性地发现透析患者导管功能不良的潜在危险因素,通过预防,可以最大限度减少导管功能不良发生率,提高透析质量,延长导管使用寿命.     

医疗失效模式与效应分析在新生儿肠外营养液配置中的应用

目的降低新生儿肠外营养液配置的差错发生率。方法利用医疗失效模式与效果分析(HFMEA)创建新生儿肠外营养液的配置流程,分析新生儿肠外营养液配置过程中的失效模式并评估其风险因素,从医嘱审核、混合调配和复核3个环节入手,对各项工作流程进行改进,通过比较HFMEA实施前后配置流程中风险优先级数值评分和差错发生率评价实施效果。结果 HFMEA实施后,新生儿肠外营养液配置流程中风险优先级数值评分下降了71.25%,各环节差错发生率明显降低,差异有统计学意义(P<0.05)。结论采用HFMEA对新生儿肠外营养配置各环节进行风险防范管理,可有效减少药物配置过程中差错发生率,保障新生儿用药安全。     

The impact of pharmacy discharge planning on continuity of care

Maintaining high quality patient care following hospital discharge is essential for complete recovery and continued well-being. Historically, pharmacist participation in discharge planning has been minimal and has been frequently limited to last minute patient counselling. Hospital pharmacists can contribute to the continuity of patient care by summarizing changes made to a patient's therapy, their rationale, and future considerations in a discharge report to the family physician and/or community pharmacist. In this study, pharmacy discharge summaries were prepared for inclusion in the discharge report to the family physician. Summaries were also forwarded to the community pharmacist, where appropriate. Two types of pharmacy summaries completed were "Rationale for Inpatient Changes" (RIC) and "Recommendations for Future Changes" (RFC) summaries. Evaluation forms accompanying the summaries elicited very favourable responses. An independent review group of two physicians and two pharmacists rated the potential for reduction of patient mortality/morbidity as either marked, modest, minor or negligible; most of the summaries were evaluated as having a "modest" impact. Workload associated with preparation of pharmacy summaries would require additional pharmacy staff. Direct and indirect cost savings, including decreased drug costs and avoidance of drug complications and hospital readmissions, are associated with this service.     

导乐陪护分娩模式对产妇妊娠结局影响的观察

目的 观察导乐陪护分娩模式对产妇妊娠结局、情感状况及不良事件的影响。方法 选取2015年8—11月常州市金坛区人民医院接收的行传统护理模式的产妇44例,作为对照组;另选取2015年12月至2016年3月该院接收的行导乐陪伴式分娩的产妇44例,作为研究组。比较两组分娩结局、产后2 h出血量、干预前后焦虑自评量表(self-rating anxiety scale,SAS)和抑郁自评量表(self-rating depression scale,SDS)评分及不良事件发生率。结果 研究组中转剖宫产率为2.3%(1/44),低于对照组的18.2%(8/44);研究组自然分娩率为97.7%(43/44),高于对照组的81.8%(36/44),差异有统计学意义(P<0.05)。研究组产妇产后2 h出血量少于对照组、SAS和SDS评分均小于对照组,研究组在围生期的不良事件发生率低于对照组,差异有统计学意义(P<0.05)。结论 产妇引入导乐陪护分娩模式,有助于缓解其焦虑、抑郁情绪,降低中转剖宫产发生率,减少不良事件发生数,提高了产科护理质量。     

母婴保健实行医院社区联合管理模式的研究

Objective To explore the feasible management mode of maternal and infant care in order to improve the level of maternal and infant health. Methods The "love maternal and infant project" was constructed to carry out maternal health for the whole period of management seamlessly by the mode of combining hospital and eommunity. Result Adding "love maternal and infant project" increased maternal self-health awareness and health care, the complications during pregnancy was prevented, the birth defects was also effective prevented, and maternal and neonatal mortality were significantly reduced (from 7.4‰ to 0.8‰).Conclusion The management model of hospital-based, community as a supplement can improve maternal health and increase, puerperant and family mem-bers' awareness of consciously obeying the demands of inspection and monitoring. The health care system should be rigorous, long-term and continuing, and suitable for a certain size and equipment general hospital.     

母婴保健实行医院社区联合管理模式的研究

Objective To explore the feasible management mode of maternal and infant care in order to improve the level of maternal and infant health. Methods The "love maternal and infant project" was constructed to carry out maternal health for the whole period of management seamlessly by the mode of combining hospital and eommunity. Result Adding "love maternal and infant project" increased maternal self-health awareness and health care, the complications during pregnancy was prevented, the birth defects was also effective prevented, and maternal and neonatal mortality were significantly reduced (from 7.4‰ to 0.8‰).Conclusion The management model of hospital-based, community as a supplement can improve maternal health and increase, puerperant and family mem-bers' awareness of consciously obeying the demands of inspection and monitoring. The health care system should be rigorous, long-term and continuing, and suitable for a certain size and equipment general hospital.     

母婴保健实行医院社区联合管理模式的研究

Objective To explore the feasible management mode of maternal and infant care in order to improve the level of maternal and infant health. Methods The "love maternal and infant project" was constructed to carry out maternal health for the whole period of management seamlessly by the mode of combining hospital and eommunity. Result Adding "love maternal and infant project" increased maternal self-health awareness and health care, the complications during pregnancy was prevented, the birth defects was also effective prevented, and maternal and neonatal mortality were significantly reduced (from 7.4‰ to 0.8‰).Conclusion The management model of hospital-based, community as a supplement can improve maternal health and increase, puerperant and family mem-bers' awareness of consciously obeying the demands of inspection and monitoring. The health care system should be rigorous, long-term and continuing, and suitable for a certain size and equipment general hospital.