老年髋部骨折患者的护理体会

目的探讨老年髋部骨折的护理。方法护理80例老年髋部骨折术后患者,包括预防常见并发症的护理(肺部感染、泌尿感染、血栓及血栓性疾病、电解质紊乱、压疮和心理障碍等)和整体护理(严密观察生命体征、注意伤口渗血、保持正确体位及心理护理等)。结果本组80例均痊愈或好转出院。结论精心护理对老年髋部骨折患者术后疗效具有重要意义,能进一步促进髋关节功能恢复。     

新型冠状病毒肺炎疫情期间患者的安全转运

目的 探讨在疫情期间如何实施新型冠状病毒肺炎疑似及确诊患者的安全转运.方法 选取2020年1月至3月院内转运的22例新型冠状病毒肺炎疑似患者和院外转运的3例确诊患者为研究对象,通过转运前评估、制订转运计划、实施分级转运等精细化管理对患者实施转运.结果 19例新型冠状病毒肺炎轻症疑似患者和3例危重症疑似患者及3例确诊患者...     

新型冠状病毒肺炎疫情期间糖尿病患者护理策略

新型冠状病毒肺炎传播性强,起病隐匿,合并有糖尿病患者年龄偏大,病情转归不良,因此做好疫情期间及疫情后糖尿病患者管理尤为重要 。本文针对武汉一线工作期间诊治的罹患新冠肺炎的患者病例特点,结合各医院针对疫情期间的诊疗工作调整措施,对疫情中糖尿病患者的护理特点做一总结,以提高糖尿病患者的护理管理水平。     

新型冠状病毒肺炎老年患者35例的护理

总结35例新型冠状病毒肺炎老年患者的护理经验。护理重点为在落实消毒隔离措施的基础上,严密监测生命体征,准确评估患者临床表现,做好个性化氧疗、人工肝血液净化治疗、干细胞输注等护理,关注患者的心理问题并给予科学、合理心理干预。本组34例患者治愈出院,1例予转ICU继续治疗。     

新型冠状病毒肺炎老年重症患者的救治策略

新型冠状病毒肺炎（简称新冠肺炎）老年重症患者因高龄、基础疾病多、器官功能处于代偿边缘等一系列问题,在感染新冠肺炎后,易进展为重型和危重型。本文总结了新冠肺炎老年重症患者救治的经验,通过在原发新冠肺炎控制的基础上,积极治疗基础疾病、重视器官功能维护及并发症预防、早期评估患者的病情风险、实施康复及心理护理,为以后该类患者的临床治疗提供依据。     

新型冠状病毒肺炎疫情期间PET/CT检查流程及护理体会

PET/CT目前是分子影像中高端的显像方式,具有灵敏、准确、定位精度高等特点,可以获得全身多层面的断层图像,能够了解全身整体状况,达到早期发现病灶和提高诊断准确性的目的。本文结合新型冠状病毒肺炎疫情期间的防护要求和PET/CT的影像检查特点,探讨如何保证普通患者在疫情期间能安全、顺利完成PET/CT检查。     

新型冠状病毒肺炎疫情期间急性中毒患者急救中的洗胃流程优化效果

目的 观察新型冠状病毒肺炎疫情期间优化洗胃流程在急性中毒患者急救中的效果.方法 总结新型冠状病毒肺炎疫情期间急诊收治经验,完善急性中毒洗胃患者的急救流程,比较2020年2-7月优化流程前和2020年8月-2021年3月优化流程后,本院急性中毒患者的抢救效率及患者满意度.结果 优化洗胃流程后,患者从接诊到洗胃开始的时间缩短,首次置管成功率提高,洗胃相关并发症发生率下降,患者护理满意度提高,差异有统计学意义(P＜0.05).结论 优化的急救护理流程不仅能满足疫情防控需求,还能有效提高急性中毒患者洗胃的救治效率和患者满意度.     

新型冠状病毒肺炎疫情期间孕产妇管理探讨

新型冠状病毒肺炎是2019年12月在武汉发现的一种新发传染病。孕产妇是一个非常特殊的群体,是新型冠状病毒肺炎的易感人群。在新型冠状病毒肺炎疫情期间,做好孕产妇的感染防控、确保疫情期间母胎安全非常重要。本文从孕期检查、居家生活管理、前往医院的路上和医院内注意事项、家中消毒及空气净化、住院后的自我防护、产后注意事项等方面做了探讨。     

突发新型冠状病毒肺炎疫情期间男护士应急现状调查分析

随着护理事业的不断发展和职业需求,越来越多的男性投身于护理队伍,形成一股不可忽视的力量。男护士在紧急情况下往往能够随机应变,能够更沉着地应对突发事件,寻找解决方案,能够对全局进行把控,婚前婚后受家庭影响较小[1]。另外,男性病人十分青睐男护士进行护理工作。男女护士搭配工作,提高了病人及医护人员的满意度和工作效率,明显提高了团队协作能力,在灾害及突发事件中更有力地起到救援作用[2]。     

新型冠状病毒肺炎疫情期间急性心肌梗死患者急诊介入手术的应急策略

新型冠状病毒肺炎(COVID-19)具有强传染性、人群普遍易感性、高病死率等特点;而急性心肌梗死具有发病迅速、最佳救治窗口期短、病情危重等特点,其救治关键在于选择最佳策略以最大限度地提高再灌注效率.目前疫情防控形势严峻,对急性心肌梗死行急诊腔内介入治疗等临床工作也提出了新的要求.为规范救治流程,本研究对心血管医务人员的...     

重症新型冠状病毒肺炎患者床旁超声诊治1例报告

虽然肺部CT对肺炎诊断具有优势,但对重型新型冠状病毒肺炎(COVID-19)患者临床应用面临交叉感染、加重病情等风险.本研究探讨床旁超声对重型COVID-19患者应用的特点,评价其临床诊断与治疗的作用.实践证明,超声有助于快速筛查COVID-19患者呼吸衰竭病因,在诊治、抢救过程中发挥重要作用.     

Medical care of elderly patients with hip fractures

Medical morbidity associated with hip fractures in the elderly population is considerable. The all-cause mortality rate is 24% at 12 months. The functional limitations of survivors can be pronounced. As the American population ages, hip fractures will substantially affect the utilization of hospital resources. Several issues, including preoperative clearance and related surgical timing, deep venous thrombosis prophylaxis, delirium, nutrition, and urinary tract management, are important in the care of these patients. A close partnership between orthopedic surgeons and clinicians provides the best strategy of care for the subset of patients with multisystemic complications.     

新冠肺炎疫情期间急诊胸痛、卒中、创伤中心患者特征分析及应对

目的 探讨扬州新型冠状病毒肺炎(COVID-2019)疫情暴发期间江苏省苏北人民医院急诊胸痛中心、卒中中心、创伤中心(简称"三大中心")患者特征变化,并提出应对策略.方法 统计2021年7月28日—8月27日(扬州COVID-2019疫情暴发期)、2019年7月28日—8月27日(无疫情期)和2020年7月28日—8月...     

Ultrasound-guided femoral nerve blocks in elderly patients with hip fractures

Objectives

The primary objective of this study was to determine the feasibility of ultrasound-guided femoral nerve blocks in elderly patients with hip fractures in the emergency department (ED). The secondary objective was to examine the effectiveness of this technique as an adjunct for pain control in the ED.

Methods

This prospective observational study enrolled a convenience sample of 13 patients with hip fractures. Ultrasound-guided femoral nerve block was performed on all participants. To determine feasibility, time to perform the procedure, number of attempts, and complications were measured. To determine effectiveness of pain control, numerical rating scores were assessed at baseline and at 15 minutes, 30 minutes, and hourly after the procedure for 4 hours. Summary statistics were calculated for feasibility measures. Wilcoxon matched-pairs signed-rank tests and Friedman analysis of variance test were used to compare differences in pain scores.

Results

The median age of the participants was 82 years (range, 67-94 years); 9 were female. The median time to perform the procedure was 8 minutes (range, 7-11 minutes). All procedures required only one attempt; there were no complications. After the procedure, there were 44% and 67% relative decreases in pain scores at 15 minutes (P ≤ .002) and at 30 minutes (P ≤ .001), respectively. Pain scores were unchanged from 30 minutes to 4 hours after the procedure (P ≤ .77).

Conclusions

Ultrasound-guided femoral nerve blocks are feasible to perform in the ED. Significant and sustained decreases in pain scores were achieved with this technique.     

Reducing acute confusional states in elderly patients with hip fractures

The extent to which the incidence of postoperative acute confusional states could be reduced in elderly (greater than or equal to age 60) patients with hip fractures was tested. Interpersonal and environmental nursing interventions were carried out with 57 patients on orthopedic units in three hospitals. The incidence of confusion was reduced from 51.5% in the comparison group (n = 170) to 43.9%. Analysis that controlled for risk factors in the two groups showed the drop in incidence to be significant (p less than .02). The most effective interventions appeared to be those that provided orientation and clarification, corrected sensory deficit, and increased continuity of care.     

Scoring systems to evaluate elderly patients with hip fractures

Purpose: To report about different scales and scoring systems used to evaluate elderly patient with hip fracture during the acute post-fracture phase and during post-operative rehabilitation.

Methods and results: Report of the different scales from a literature review.

Conclusions: Standard validated scales are one of the tools to perform such an evaluation process as objectively as possible and to evaluate surgical, medical and rehabilitative management in these elderly patients. These scales are only a complementary tool, and they cannot replace physical examination. However, these validated tools are probably more accurate than just clinical impression. The appropriate combination of clinical experience and these scales may well contribute to a better care of elderly patients with hip fractures.     

Scoring systems to evaluate elderly patients with hip fractures

Purpose: To report about different scales and scoring systems used to evaluate elderly patient with hip fracture during the acute post-fracture phase and during post-operative rehabilitation.

Methods and results: Report of the different scales from a literature review.

Conclusions: Standard validated scales are one of the tools to perform such an evaluation process as objectively as possible and to evaluate surgical, medical and rehabilitative management in these elderly patients. These scales are only a complementary tool, and they cannot replace physical examination. However, these validated tools are probably more accurate than just clinical impression. The appropriate combination of clinical experience and these scales may well contribute to a better care of elderly patients with hip fractures.