成人流动注射车的研制及临床应用

成人流动注射车(以下简称为注射车)是根据护士必须到座位上给门诊输液患者进行静脉注射、输液的护理管理要求而设计,并已获得专利号(ZL03232457．X)。此注射车经临床应用,效果很好,现介绍如下。     

实用新型成人流动注射车的研制

实用新型成人流动注射车,是根据门诊静脉输液患的特点,在医院原有的治疗车基础上,专门设计的一种方便、舒适和实用的静脉输液工具车(专利号：ZL03232457．X),现介绍如下。     

改良型胰岛素笔注射车的研制及应用

正随着糖尿病患病人数的增加,使用胰岛素注射笔的住院患者越来越多,我科原来设计的胰岛素笔注射车明显容量不足,加之原车密封性、保温性能较差,储存空间不统一,在材质和颜色上与我院其他治疗车极不协调,已满足不了目前临床使用的需求,为此,我们对胰岛素笔注射车进行了改良和研制。1材料与制作1.1材料改良型胰岛素笔注射车表面由3 mm厚的彩钢材料制成,其规格为60 cm×45 cm×103 cm,车内     

实用新型流动注射车临床应用评价

根据现代护理管理的要求，门诊输液厅护士必须到座位上给病人输液，为病人提供人性化的静脉输液护理服务。目前，许多医院在输液厅应用的是普通治疗车，护士只能将病人的手放在座椅扶手上进行操作，这样的操作方式护土需过度弯腰才能完成操作，因而增加了体力消耗，影响穿刺成功率。为此，笔者应用自行设计的流动注射车为病人进行输液，并与常规应用普通治疗车的方法进行对比研究，现报道如下。     

一种便携式洗头车的研制与临床应用

正住院患者由于疾病本身的影响和其它客观原因,在住院期间无法完成自身的清洁如头发的清洁。本院骨科90%以上的患者行动不能自理且住院周期长,如何完成必要的基础护理工作成为了护士的难题。自从本科研制出洗头车并应用于临床后,极大减轻了护士的工作量。住院患者及家属的满意度也有了较大的提升,现介绍如下。     

胰岛素注射笔车的设计与应用

由于胰岛素注射笔的种类不同,且易受温度变化的影响,给临床工作带来一定难度,为此,我们设计并制作胰岛素注射笔车,解决了临床大量使用多种类胰岛素注射笔管理的问题. 1 制作 胰岛素注射笔车由30 mm厚的不锈钢材质制成,其规格为860 mm×550 mm×950 mm.     

多功能吸痰车的研制与应用

为方便抢救病人 ,减少吸痰用物往返取放的时间 ,我科于 2 0 0 0年 6月自行研制多功能吸痰车 ,经过 1ａ的临床使用 ,效果满意 ,现介绍如下。1　构造 (见图 1)图 1　多功能吸痰车透视图注 :①操作平台　②带盖方箱 (箱底开孔 14ｍｍ ,共 3个 )　③抽屉　④吸痰机　⑤电插座箱　⑥不锈钢栏 (三面栏高 60ｍｍ ,正面挡边高 2 0ｍｍ)　⑦车轮　⑧不锈钢拉手　⑨一次性吸痰内胆固定塑料支架2　材料全车采用厚 1ｍｍ的不锈钢钢板 ,管材直径为 2 2ｍｍ的不锈钢圆管。3　用法抢救病人时 ,所有吸痰和抢救用物均在车上 ,多功能车的操作平台上放治疗盘 ,…     

婴幼儿定容型腹膜透析装置的研制与应用

复杂重症先天性心脏病婴幼儿由于各器官系统发育尚不成熟,在手术后易并发低心排出量综合症、充血性心衰、急性肾功能衰竭[1].     

婴幼儿定容型腹膜透析装置的研制与应用

复杂重症先天性心脏病婴幼儿由于各器官系统发育尚不成熟,在手术后易并发低心排出量综合症、充血性心衰、急性肾功能衰竭[1]。婴幼儿腹膜通透性好,及时有效的腹膜透析可以纠正以上并发症,降低病死率,但能够有效执行婴幼儿腹膜透析的透析装置临床上未见有报道,据此,我科研制了婴     

成都市金牛区婴幼儿喂养情况及其母亲的喂养知识调查

目的了解成都市金牛区婴幼儿喂养情况及其母亲的喂养知识水平,为合理喂养提供科学依据。方法以随机整群抽样的方法,抽取成都市金牛区400名婴幼儿的母亲进行问卷调查。结果 4个月母乳喂养率为67.35%,6个月母乳喂养率为57.80%,辅食添加时间为（4.61±1.13）月龄;6～12月龄鱼、肉和禽类添加率较低,仅为62.11%。不同年龄段低体重、生长迟缓、肥胖和超重发生率等方面比较差异无统计学意义（P〉0.05）;母亲的喂养知识水平与年龄、职业无显著相关性（P〉0.05）,与文化程度有关（r=0.132,P〈0.05）,母乳喂养者的喂养知识水平较高（χ2=7.055,P〈0.05）。结论婴幼儿喂养主要问题是母乳喂养率较低,婴儿辅食添加存在较早现象,婴儿动物性食物家长喂养知识水平较低,应积极宣传和普及科学喂养知识。     

带氧装置转运平车的设计与应用

目的 制作带氧装置转运平车.方法 制作氧气装置固定架,置于平车下方,将10L小氧气筒放置固定架内,增加氧气压力流量表、湿化瓶与分区储物框.结果 10L的小氧气筒比氧气枕氧气容量增加10倍,解决了转运途中可能出现供氧不足或中断的问题,减少气道干燥等不适感;增加氧气压力表,无需人工加压,节省了人力;增加分区储物框,物品归类放置,节约了置物空间;氧气筒固定放置,避免转运中遇突发事件时来回准备氧气而延误抢救时机.结论 制作带氧装置转运平车,能增加氧容量,达到安全、准确给氧,操作方便,省时省力,节省空间的效果.     

The roles of child reactivity and parenting context in infant pain response

This study examined the relative importance of and developmental changes in biologically-based child variables (infant vagal tone and infant difficultness) and parental contextual variables (maternal behavior during pain and maternal sensitivity) in the prediction of infant pain behavior during immunization. Sixty infant-mother dyads were assessed when infants were approximately 6 or 18-months of age. During the first session, mothers completed a measure of infant difficultness, infants' resting EKG signals were recorded, and maternal sensitivity was rated. During the second session, infants' immunizations were video-recorded and maternal vocalizations and infant pain behavior were rated. At 6-months of age, 44% of the variability in infant pain behavior was predicted by infant difficultness and mothers' vocalizations during immunization. At 18-months of age, 35% of the variability in infant pain behavior was predicted by maternal sensitivity and infant vagal tone level. Children's emotion regulation skills and socialization histories may underlie age-related changes in the predictors of their pain.     

The diagnosis and evaluation of child maltreatment

Child maltreatment continues to be one of the most common and most difficult problems seen in the emergency room. An early estimate indicated that up to 10% of children under age 6 seen in emergency departments have some form of nonaccidental injury. Recent data suggest that approximately 1% of the child population are victims of maltreatment each year. Many of these cases involve only subtle signs and have great potential to pass undetected. This article provides a review of the various forms of maltreatment, with emphasis on the key points involved in the history, physical examination, and management. The protocol for evaluating maltreatment from the North Carolina Memorial Hospital is presented. This framework will aid the physician in the crucial first step of identifying maltreatment, which, along with diligent follow-up and the assistance of the available social services, offers the best hope for further prevention.     

三聚氰胺污染奶粉致小儿泌尿系结石53例随诊分析

目的 分析三聚氰胺污染奶粉喂养小儿泌尿系结石的临床特征及预后.方法 回顾分析2008年8-11月我院住院的三聚氰胺污染奶粉致小儿泌尿系结石53例的临床表现、实验室化验、影像学检查、治疗效果、1年随访结果及预后.结果 53例患儿中男39例,女14例,男比女2.79:1:入院时主要临床表现排尿时哭闹、腹痛、血尿、少尿、无尿;实验室检查尿常规pH值均<6(5.32±0.25),血尿酸[(638.69 ±36.25)μmo/L]、尿素氮[(8.35±1.97)mmol/L]明显增高;彩色多普勒超声仪及CT显示双肾结石、单侧肾结石、双肾及单肾伴单侧输尿管结石、单侧输尿管结石、膀胱结石.内科治疗后,37例结石全部排出.pH值明显升高(6.52±0.47),血尿酸[(382.31±29.57)μmo/L]、尿素氮[(5.15 ±1.92)mmol/L]明显下降.发病1年随诊结石排出者无复发.结论 三聚氰胺污染奶粉致小儿泌尿系结石内科治疗效果好:结石排出后复发少.     

Testing a mobile app for child abuse treatment: A mixed methods study

ObjectiveThis study provides a preliminary evaluation of the usability and acceptability of a mobile application (sexual assault care algorithm, SACA).MethodsAn explanatory sequential mixed methods research was used. A quantitative survey was followed up by a qualitative study. A convenience sample of participants (n = 4) was recruited. The research was conducted on a one-on-one basis. In the quantitative phase, a random assignment technique was used to divide four participants into two groups of two participants each. Post-Study System Usability Questionnaire(PSSUQ) and Acceptability e-Scale were used to collect quantitative data. In the qualitative phase, interview, observation, and documentation were used to collect qualitative data. Data were analyzed both quantitative and qualitatively. The qualitative data were linked with the initial quantitative data to determine how the follow-up qualitative data helped explain the initial quantitative results.ResultsThe quantitative results suggested that SACA has high usability (5.05 ± 1.83) and acceptability (3.81 ± 1.22). The qualitative results further indicate that the participants thought SACA was easy to use and useful, and most of them would recommend it to others. Areas of improvement include adding features that would calculate and validate the elapsed time since the sexual assault, adding explanations to some buttons, and providing training.ConclusionsOur findings highlight the value of using a mixed methods research design to conduct a usability and acceptability test. Nurses are more likely to adopt a new technology for their evidence-based practice when the technology is easy to use and useful and requires less time to find the right piece of guideline evidence. Individualized training needs to be designed based on users’ characteristics.     

互动模式在家长参与肺炎婴幼儿排痰护理中的应用

目的探讨护士在引导家长参与肺炎婴幼儿排痰护理中应用互动模式的护理效果。方法对符合研究条件的肺炎婴幼儿按入院顺序编号,根据随机数字表分成观察组和对照组各63例,观察组实施双向性的互动护理模式,而对照组实施传统单向性的护理模式。结果观察组患儿肺部哕音消失时间5．129±1．584（d）,与对照组比较t=7．631,P〈0．01;观察组止咳天数5．651土1．536（d）,两组比较t=8．600,P〈0．01;家长心理压力观察组26．087±2．639（分）,两组比较P〈0．01;家长对护理工作的满意度观察组97±1．02％,两组比较P〈0．01;家长参与护理的程度比较X^2=114．692,P〈0．01。结论本研究中护士应用互动模式比传统的单向性护理模式能更有效地达到护理目标。     

Usability and acceptability of a mobile application prototype for a combined behavioural activation and physical rehabilitation intervention in acute respiratory failure survivors

BackgroundAcute respiratory failure survivors experience depression symptoms and new impairments in physical function. Behavioural activation, an evidence-based nonpharmacological treatment for depression, combined with physical rehabilitation, is a promising intervention. Notably, mHealth applications (Apps) are potentially effective methods of delivering home-based interventions.ObjectivesThe objective of this study was to evaluate the usability and acceptability of a prototype App to deliver a combined, home-based behavioural activation and rehabilitation intervention to acute respiratory failure survivors.MethodsA prospective user-preference study was conducted with acute respiratory failure survivors and self-designated care partners. Survivors were adults with at least mild depression symptoms before hospital discharge who received mechanical ventilation in the intensive care unit for ≥24 h. Survivors and care partners reviewed the App during a single in-person home visit and completed the System Usability Scale (range: 0–100; score >73 considered “good”) and a semistructured interview.ResultsTen patient/care partner dyads completed study. The median [interquartile range] patient age was 50 [40–64] years, and 50% were female. The median System Usability Scale scores among patients and care partners were 76 [68–83] and 88 [75–94], respectively. Qualitative feedback supported usability and acceptability of the App, with three themes reported: (1) stigma associated with depression, (2) App as a motivator for recovery, and (3) App providing multidisciplinary support for survivor and care partner.ConclusionsA mobile App prototype designed to deliver a combined behavioural activation and rehabilitation intervention was usable and acceptable to survivors of acute respiratory failure and their care partners. Given the reported stigma associated with depression, the self-directed App may be particularly valuable for motivation and multidisciplinary support.     

新生儿ICU移动护理信息系统的开发与应用

目的优化和完善新生儿ICU数据传输,加强护理工作的信息化管理,提高护理工作效率和质量。方法研发适应大型新生儿ICU临床护理工作需要的移动护理信息系统,包括六项功能模块和两项管理模块,并应用于临床。结果移动护理信息系统提供了全部护理过程信息收集、传递、分析功能,实现了新生儿ICU护理移动信息技术的突破。结论新生儿ICU移动护理信息系统促进了护理管理科学化、信息化的进程,值得推广应用。     

发育支持护理在早产低出生体重儿中的应用研究

目的 探讨发育支持护理在早产低出生体重儿中的应用价值.方法 选择193例早产低出生体重儿 ,随机分为对照组86例和观察组107例 ,对照组患儿实施传统护理 ,观察组患儿在传统护理基础上增加发育支持护理 ,观察两组患儿体重和黄疸的变化 ,机械通气情况和并发症发生率以及达全量肠内喂养的时间.结果 患儿体质量最大下降比例恢复至出生体重的时间、达全量肠内喂养时间、恢复后体重增长情况、两组患儿第3天、第7天胆红素水平、发生呼吸暂停例数 ;机械通气持续时间 ,留置胃管时间两组比较 ,差异均有统计学意义(P<0 .01) ,而机械通气例数、颅内出血 ,院内感染发生率比较 ,差异均无统计学意义(P>0 .05).结论 发育支持护理对促进早产低出生体重儿的生长发育有重要临床意义.