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目的 制定新冠肺炎定点救治医院应急护理管理策略,探讨其实施效果,为新冠肺炎定点医院的疫情防控护理工作提供建议和指导。方法 基于新冠肺炎定点救治医院病区筹备、医护人员防护用品穿脱程序培训、新冠定点医院相关护理常规和操作技术的培训、危重症患者的护理、医疗废弃物处理、合理排班、心理支持及后勤保障等方面实施疫情防控应急策略及护理管理。结果 2022年4月8日-6月5日,我院累计收治新冠肺炎阳性患者956例,其中重症203例,重症患者好转率(从重症转为普通型或轻型)达到97.8%。结论 新冠肺炎在上海流行期间,制定新冠肺炎定点救治医院护理管理策略、应急体系的构建有效地防止院内交叉感染的发生、有效地治愈重症患者和避免疫情地蔓延和扩散。 相似文献
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[摘要] 目的 探讨院内急救培训护理应急队员在救治批量伤伤员中的作用。方法 组织应急库队员进行急救技能相关培训,成立急救小组,并制订院内应急处置流程,在批量伤伤员救治中启动院内应急处置流程。结果 护理应急队员培训后,应急人员理论、操作技能考核均有显著提高;批量伤员从来院到接受治疗、特殊检查、转手术室的时间显著缩短,病死率显著下降;医生对护理工作、护士自身满意率显著提高(P<0.05)。结论 通过制定院内培训方案对护理应急队员培训后,有效提高了应急人员应急能力,从而有效提高了批量伤员救治成功率。 相似文献
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目的将护理流程应用于神经内科,以提高护理质量。方法将406例脑出血患者随机分为实验组202例和对照组204例,对照组按神经内科常规护理,实验组成立流程管理小组,制订规范化护理流程,强化培训,加强实施过程中管理。结果实验组较对照组护士专科水平、应急抢救技能提高,患者和医生满意度提高,患者住院时间缩短(p〈0.05),差异有统计学意义。结论神经内科实行流程管理可提高护理质量。 相似文献
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目的:探讨医疗团队资源管理模式在急性缺血性脑卒中(AIS)病人救治中的效果。方法:选取2019年6月—2021年6月我院收治的102例AIS病人,行常规救治模式的51例病人作为对照组,行基于医疗团队资源管理模式救治的51例作为观察组,比较两组静脉溶栓流程的时效指标、医护人员对救治流程的满意度及病人治疗满意度情况。结果:观察组各静脉溶栓流程时效指标时间均短于对照组(P<0.05);观察组医护人员对各个救治环节满意度评分均高于对照组(P<0.05);观察组病人治疗满意度高于对照组(P<0.05)。结论:医疗团队资源管理模式应用于AIS病人救治中可缩短就诊至用药时间,提升医护人员服务质量及病人治疗满意度。 相似文献
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《检验医学与临床》2017,(19)
目的探讨专业护理小组的成立在连续性肾脏代替疗法(CRRT)救治危重症患者中的应用价值。方法选取该院2016年重症监护室(ICU)收治的危重症患者62例,按照入院日期分为观察组和对照组,每组各34例。对照组给予常规护理,观察组组建CRRT专业护理小组,比较两组患者干预效果。结果干预后,观察组成员理论考核及技能考核得分均高于对照期,差异有统计学意义(P0.05);同时观察组病死率、并发症发生率均低于对照组,差异有统计学意义(P0.05);观察组满意度高于对照组,差异有统计学意义(χ~2=4.351,P0.05)。结论成立专业护理小组可提高CRRT救治危重症患者的治疗效果,降低病死率及并发症发生率,提高患者满意度,值得临床借鉴和推广。 相似文献
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目的探讨集束化护理策略在ICU患者行连续性肾脏替代治疗(CRRT)中的应用效果。方法选择浙江省人民医院ICU2016年1月1日~12月31日收治的240例接受CRRT的患者为研究对象,将其分为对照组和研究组,每组各120例。对照组患者在CRRT期间实施常规护理,研究组患者接受集束化护理策略。比较两组患者治疗效果以及CRRT相关并发症之间差异。结果研究组每副管路平均使用时间明显延长,而CRRT时间、入住ICU时间及住院28 d死亡率明显减少(均P0.05);研究组穿刺点感染、穿刺点出血、滤器严重凝血、导管相关感染和非计划性下机发生率均明显低于对照组,差异均有统计学意义(χ2=5.263、3.569、6.542、4.563、7.153,P0.05);研究组两组间基础护理合格率及护理满意度均明显高于对照组,差异均有统计学意义(χ2=11.683、13.976,均P0.05)。结论集束化护理策略能够明显减少CRRT期间并发症,缩短入住ICU时间,提高治疗效果,值得在临床中推广应用。 相似文献
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目的探讨PDCA管理在提升急危重症患者救治护理服务能力中的培训效果。方法应用PDCA管理法对某三甲医院471名护士进行抢救知识和急救技能培训,对培训前(2016年1月~12月)和培训后(2017年1月~12月)2组护士的急救知识、操作技能、患者满意度进行比较。结果采用PDCA管理后,护士的理论考试、操作技能考核成绩及患者满意度均较培训前提高(P0.05)。结论全员、全方位、全程参与的系统培训,有助于加强护理应急队伍建设,提升急危重症患者救治护理服务能力。 相似文献
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目的 探讨年龄及并存疾病对维持性血液透析患者生存率影响。方法回顾性分析本院1998年1月至2005年1月维持性血液透析治疗〉3个月的106例患者资料,根据年龄与透析前有无并存疾病,将患者分为3组:低危组54例、中危组36例、高危组16例,采用X^2检验比较各组之间2年存活率。结果所有病例2年存活率为66.6%,各分组之间2年存活率有明显差异(P〈0.01):低危组88.9%,中危组47.2%,高危组31.2%。结论年龄及并存疾病对维持性血液透析患者生存率有着重要影响。 相似文献
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B C Smith E H Winslow 《ANNA journal / American Nephrology Nurses' Association》1990,17(4):283-6; discussion 287
The Number Connection Test (NCT) was used to assess cognitive functioning in 29 chronic renal patients receiving hemodialysis. The patients required an average of 81 seconds to complete the test before hemodialysis compared to 98 seconds during hemodialysis (difference = 17 seconds) (t = 3.29; p = .0027). These findings cannot be explained by test order, sex, age, number of years on dialysis, or duration of each dialysis treatment. This study suggests that renal patients may have decreased cognitive functioning during the hemodialysis treatment. The dialysis period, though a convenient and popular time for patient education, may not be the best time to teach patients. Additional research is needed to confirm these findings and to identify the best and worst times for patient education for hemodialysis patients. 相似文献
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Lesley C Dinwiddie 《Nephrology nursing journal》2004,31(6):653-60, 671; quiz 661-2
Vascular access is the leading cause of morbidity in the hemodialysis patient population. Arteriovenous fistulas (AVFs) have the lowest complication rate while catheters have the highest. Though significant effort is being made to increase the number of AVFs and lower the number of catheters, annual data show that the number of catheters is increasing. To improve vascular access-related patient outcomes, catheter dysfunction needs to be managed by a vascular access team using the CQI process that begins with a comprehensive algorithm for treatment. 相似文献
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目的:探讨品管圈活动在降低血液透析补铁所致的透析机空气报警中的应用,以提高血液透析病人蔗糖铁使用的安全性,保证病人血液透析的顺利进行。方法:由血液净化中心8名医护人员自愿组建品管圈,选定降低血液透析中补铁所致的透析机空气报警率为活动主题,总结分析透析过程中静脉点滴蔗糖铁所致的透析机空气报警原因,同时制定和实施相应的护理对策。结果:应用品管圈活动后,静脉点滴蔗糖铁所致的空气报警率较活动前明显降低,差异有统计学意义(P0.05)。结论:开展品管圈活动,降低了血液透析中静脉点滴蔗糖铁所致的透析机空气报警次数,提高了圈员的团队精神和质量管理能力。 相似文献
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BACKGROUND: Human recombinant erythropoietin (rHuEPO) is administered to patients with end-stage renal disease for treatment of anemia.OBJECTIVE: To assess the impact of a structured team approach to anemia management in rHuEPO-resistant hemodialysis patients.METHODS: This was an 8-month prospective, open-label, quality-improvement initiative. Nineteen patients in a 160-bed hemodialysis unit receiving rHuEPO doses >300 units/kg/wk were defined as rHuEPO-resistant. Hemoglobin (Hb), iron indices, parathyroid hormone, folate, B12, aluminum, and reticulocyte counts were determined at baseline. The former 3 parameters were followed every 6, 12, and 26 weeks, respectively. Vascular access flow was regularly assessed via ultrasonic dilution methodology. Target Hb was 12.0-13.5 g/dL. All factors potentially contributing to rHuEPO resistance were assessed and, if possible, treated every 6 weeks by a dedicated anemia team. Downward rHuEPO dosage adjustments of 12.5-25% to the closest 1000 units were considered if underlying causes of rHuEPO resistance could not be identified or reversed, or if the Hb rose beyond the target level.RESULTS: Dysfunctional vascular access and iron deficiency were the predominant treatable factors associated with rHuEPO resistance. At 8 months, mean rHuEPO dosage decreased significantly from 469 to 319 units/kg/wk (p < 0.001) and mean Hb increased significantly from 10.6 to 11.6 g/dL (p = 0.023). Eight-month cost savings approximated $45 000 (CDN$).CONCLUSIONS: A structured team approach to the management of rHuEPO-resistant patients was successful in significantly lowering rHuEPO dosage with improvement in serum Hb at a substantial cost savings. 相似文献
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Judith Bernardini 《Nephrology nursing journal》2004,31(5):494-498
Peritoneal dialysis provides an excellent alternative to in-center hemodialysis but the development of successful programs is often plagued by myths and misinformation. A review of recent literature can dispel some of the common myths and help understand the barriers to this modality. In addition, achieving optimum outcomes in peritoneal dialysis program requires an active continuous quality improvement team. 相似文献
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Rebecca L Amato 《Nephrology nursing journal》2005,32(2):151-67; quiz 168-70
While nurses may not routinely service the water treatment system or mix the dialysate, they are responsible for understanding all the clinical ramifications of water and dialysate for HD and helping to piece together the entire treatment picture. Although historically the water treatment system has been in the technicians' domain, knowing the technical aspects is important in order for the entire team to work together toward the patients' ultimate well being. This article describes the composition of water treatment systems for hemodialysis as well as the monitoring and testing necessary to assure that both water and dialysate are safe for patient use. 相似文献
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目的:总结急性重症中毒并急性肾功能衰竭(ARF)的临床特点并探讨多种血液净化(BP)模式抢救急性重症中毒的临床疗效。方法:回顾性分析我院30例急性中毒并ARF患者,其中9例行血液透析(HD)治疗,11例行HD串联血液灌流(HD+HP)治疗,10例采用连续性静脉-静脉血液透析滤过(CVVHDF)治疗,各组均给予综合性治疗,比较单纯HD组、HD+HP组、CVVHDF组之间治疗效果。结果:CVVHDF组治愈率高,肾功能恢复优于其他血液净化组(P〈0.05),昏迷者的清醒时间快,住院时间缩短(P〈0.05),无明显毒副作用。结论:CVVHDF、HD+HP血液净化治疗抢救各种急性中毒并ARF患者成功率高,对急性重症中毒伴多器官功能障碍者,提倡早期行CV—VHDF治疗,同时重视洗胃、营养支持、水电解质酸碱平衡、抗感染等综合治疗,以利于急危重症中毒患者的救治。 相似文献