对唇裂婴儿实施协同性护理的探讨

对存在于唇裂婴儿治疗过程中，患儿父母参与生活护理的现状，从形成因素，护、患关系，护士和患者家长的关系以及在护理发挥中的影响，影响护理效果的因素，改进的方法进行了探讨。认为在亲护理观指导下，建立融洽的护、患、陪护之间的关系，开展以家属为中心的健康教育，以唇裂婴儿为中心的协同性护理是一种行之有效的方法。     

口腔科护理

。02012对唇裂婴儿实施协同性护理的探讨/陈听…//实用护理杂志一1999,15(7)一37一38 在唇裂婴儿治疗过程中,对患儿父母参与生活护理的现状,从形成因素、护患关系、护士和患者家长的关系以及在护理中发挥的作用、影响护理效果的因素、改进的方法进行了探讨。认为在新护理观指导     

论精神科治疗性护患关系

治疗性护患关系是一种以护士和患者人际关系建立的过程为基础,以提高患者最佳利益和结果为目的的关系。有效的护理有赖于护士对患者的了解,是所有护理实践的中心。建立一个互相信任、开放、良好的护患关系,是有效护理的根本保证。在精神病护理工作中,影响护患者关系的因素众多,本文对精神科治疗性护患关系论述如下。     

整体护理与护患关系模式的转变

广义的护患关系是指护士与病人及其家属、陪伴、监护人的关系 ;而狭义的护患关系是指护士与病人的关系。护患关系模式有三种类型 :1 )主动 (护士 ) -被动型 (病人 ) ;2 )引导(护士 ) -合作型 (护患 ) ;3)共同参与型 (护患[1 ] )。共同参与型的护患关系 ,是理想的护患关系模式 ,加速了治疗护理的进程 ,加速病人的康复。1　以疾病为中心的功能制护理 ,护患关系为主动 -被动型的模式以疾病为中心的功能制护理 ,把人看成是单纯的生物学上的人 ,把疾病看成生物因素所致。护士忙于完成治疗护理任务 ,如 :静脉输液、发药。对病人的心理状态全然不顾…     

临床护理工作中影响护患关系的主要因素及其对策

护患关系是指在特定条件下,护理人员通过医疗、护理活动与患者建立起的工作性人际关系。随着医学模式由“生物医学”向“生物-心理-社会医学”的转变,护理模式也由“以疾病为中心”向“以患者为中心”的整体护理模式转变。良好护患关系的建立,是新护理模式转变中的关键因素,也是成功交往的基础,可以帮助创造人与人之间的和谐关系,是护患沟通中的重要内容。1主要影响因素1.1护士自身因素1.1.1护士的职业道德及伦理道德护理本质上说是尊重患者的生命和权利,护患之间平等关系是传统医德的重要核心内容,也是社会主义制度下医德特征的体现。护患…     

对护理本科生临床护患沟通实践教学的研究

以病人为中心的沟通可以促进积极的护患关系发展,而且它可以和其他的组织因素一起促进高质量护理照顾的传递[1].在健康护理的有效传递中困难可能来自护患沟通方面的问题,而不是医学护理技术方面的失败[2].     

对护理本科生临床护患沟通实践教学的研究

以病人为中心的沟通可以促进积极的护患关系发展，而且它可以和其他的组织因素一起促进高质量护理照顾的传递。在健康护理的有效传递中困难可能来自护患沟通方面的问题，而不是医学护理技术方面的失败。因此，许多国家的护理学者对护患沟通进行了相应的调查和研究，强调了培养和提高护士护患沟通能力的重要性。李华莹在护理专业课教学中，     

医院如何构建和谐护患关系

在医院开展以病人为中心，以提高医疗服务质量为主题的管理年活动中，我院全体护理人员积极响应号召，从规范护士行为和护理过程入手，把构建和谐护患关系放到第一位。和谐的护患关系是提高护理质量、保证护理安全的关键，为了开展构建和诣护患关系，我院具体从以下几方面开展工作。     

护患关系紧张护士沟通因素研究现状

目前我国的护患关系愈发紧张,引起护患关系紧张的因素众多,其中护患沟通中护士自身存在的问题较为严重,本文就护患关系的现状以及护患沟通中护士自身存在的问题进行分析,具体包括沟通因素、服务态度因素、护理技术因素、护士的心理和性格因素、护理人员不足因素以及护理工作特点因素,以期为临床工作提供有价值的参考。     

护患关系在护理工作中的重要性

护患关系是指护士与病人在医疗、护理等活动中，自然形成的一种帮助与被帮助的关系．护患关系不仅局限于护患之间，而且是一种多方面多层次的专业性互动关系。同时护患关系还是一种治疗性关系．良好的护患关系可为病人提供一个安全，舒适，支持性的治疗修养环境，也是提高护理质量的重要体现．在以人的健康为中心的人性化服务的今天，建立良好的护患关系至关重要。     

改良喂养方式对唇裂腭裂新生儿喂养的效果

目的探讨改良喂养方式对唇裂腭裂新生儿的喂养效果。方法将40例唇裂腭裂新生儿随机分为对照组和实验组各20例,对照组使用普通汤匙常规喂养,实验组采用改良喂养方式喂养。结果实验组新生儿发生呛咳与呕奶、窒息和吸入性肺炎三项并发症的概率明显低于对照组,差异具有统计学意义（P〈0．05）,其家长对于护理工作的认可情况也明显好于对照组,差异具有统计学意义（P〈0．05）。结论改良喂养方式能减少唇裂腭裂新生儿喂养并发症的发生,提高家长满意度,随访结果好,值得临床推广。     

唇腭裂新生儿父母的角色功能评估与指导

目的:探讨护士与唇腭裂新生儿父母的有效协同护理模式。方法:对29例唇腭裂新生儿的父母54人进行2次父母角色功能评估,针对性实施父母角色功能指导。结果:出院时唇腭裂新生儿父母角色功能明显改善,差异有统计学意义;新生儿父母对护理工作总满意度100%。结论:对唇腭裂新生儿父母的角色功能进行评估,并针对性地实施父母角色功能的指导,有利于形成一个有效的协同性护理格局。     

先天性唇腭裂患儿手术前后的喂养护理

目的：研究先天性唇腭裂患儿手术前后的特殊喂养护理。方法：对３６例患儿分别采取母乳喂养、奶瓶喂养和汤匙喂养,并对喂养中容易出现的问题及时采取对策,预防并发症。结果：３６例患儿顺利渡过了手术前后的特别喂养阶段,患儿身高、体重增加。结论：针对患儿的特点,选择适合患儿的喂养方法是保证患儿手术前后喂养成功的关键。     

先天性小儿唇腭裂的围手术期护理

目的探讨小儿先天性唇腭裂有效的围手术期护理措施。方法对我院2010年1月至2011年12月收治的43例先天性唇腭裂患儿给予围手术期护理。结果患儿伤12I愈合时间为6,7d,平均6．6d,术后对患儿家长进行护理满意度调查发现,患儿家长总满意度为100％。结论护理干预对先天性小儿唇腭裂手术的疗效具有重要意义,围手术期综合护理措施能够取得较好的临床效果,提高患儿家长的满意度。     

Cleft lips and palates: a multidisciplinary approach.

Families of infants born with congenital defects such as cleft lip, cleft palate, and combinations of these often grasp with accepting the condition. Nurses can help facilitate acceptance by parents and families and play a key role in the management and habilitation of these children.     

Genetics of cleft lip and palate

Cleft lip with or without cleft palate (CL/CP) is one of the most common structural birth defects, with treatment including multiple surgeries, speech therapy, and dental and orthodontic treatments over the first 18 years of life. As a result of the treatment interventions, pediatric nurses may be required to care for these children beginning in infancy through adolescence. Providing care for these patients and families can include educating patients and parents about the genetics of CL/CP, as well as meeting their immediate medical needs. A basic overview of normal lip and palate development, classification of clefts, pathophysiology of CL/CP, incidence, inheritance, genetic and environmental causes, genetic counseling, prenatal diagnosis, fetal surgery, and nursing implications is provided to educate pediatric nurses about the basics of the genetics of CL/CP.     

情景教学法健康宣教在婴幼儿唇腭裂整形修补术后喂养中的应用

目的 探讨情景教学法健康宣教对婴幼儿唇腭裂整形修补术后喂养质量及并发症的影响.方法 采用随机数字表法将在我院实施整形修补术的112例唇腭裂婴幼儿分为对照组和观察组,每组56例,对照组采用常规口头健康宣教和喂养护理,观察组采用情景教学法健康宣教,并按照宣教方法开展喂养护理,比较两组患儿家长喂养相关知识掌握度、患儿喂养依从...     

Learning from experience: differences in how novice vs. expert nurses diagnose why an infant is crying

Diagnosing client health problems is a well-recognized task for nurses. This study examined the effects of nursing education and experience on that problem-solving process by comparing the performance of four groups of nurses. Junior and senior nursing students, nursing students who were parents, and pediatric nurses solved two computer-presented problems. The task involved acquiring information in order to evaluate competing causal hypotheses. One problem concerned why an infant was crying and the other was a control problem. A number of group differences were identified. The experienced groups of pediatric nurses and parents differed from the student nurses by using less information and selecting different information units, such as information about the infant's age, earlier in the problems. Parents were the most accurate; they did not select any incorrect hypotheses. The dual roles of education and experience are discussed and it is proposed that computer-presented simulations can be an important tool for understanding problem-solving processes, as well as for promoting clinical skill development.     

改良Mohler法先天性单侧唇裂修复及同期鼻畸形矫正术围手术期护理

目的总结26例运用改良Mohler法进行先天性单侧唇裂修复及同期鼻畸形矫正术患儿的围手术期护理要点,为临床该类整形患儿护理专业化提供借鉴。方法对2018年1月~2019年12月在我院接受改良Mohler法先天性单侧唇裂修复及同期鼻畸形矫正术的26例患儿及家长实施围手术期护理,具体措施包括术前患儿家长心理护理和健康宣教,术后患儿口腔护理及饮食指导、皮瓣观察及护理、呼吸道护理、健康宣教、心理疏导等。结果 26例改良Mohler法先天性单侧唇裂修复及同期鼻畸形矫正手术均顺利完成,术后切口愈合良好,患儿鼻唇部线距均得到明显改善,双侧唇高、唇长、鼻孔宽度对称,术后3个月随访,4例存在裂隙侧唇峰上移,唇高不足,术后6个月随访,畸形无加重,上唇缩短症状明显改善,患儿家属对手术效果满意,护理满意度100%。结论改良Mohler法单侧唇裂修复及同期鼻畸形矫正术可有效修复先天性单侧唇裂鼻畸形,恢复鼻唇部正常三维形态,围手术期的科学护理对手术顺利完成和保证修复效果至关重要。     

Developmentally supportive care in the newborn intensive care unit: early intervention in the community

The traditional focus of hospital nurses on the medical concerns of infants and toddlers is expanding to encompass the more global view that integrates the developmental level of each infant/toddler into the nursing care plan. Research on early brain development has supported the focus on developmentally supportive care in the NICU. Nursing support of the early relationship between infant and parent that will influence the infant's future development is part of this process. The integration of developmental care concepts including family-centered care that begins on admission to the NICU may continue into the process of discharge and transition to home. The nurse is in an excellent position to support the family in naming their concerns, their strengths, and the hopes and dreams they have for their infant. Nurses in the NICU, home care, community, and public health increasingly focus on a developmental perspective in their work but will be continually challenged to increase their knowledge and understanding of developmental milestones, neurodevelopmental assessment, and their role in collaborating with the wider world of early intervention. This collaboration includes the health care system, the educational system, and the social service system as equal players. For some nurses, this will be a new experience whereby the responsibility for the child is shared among members of an interdisciplinary team that includes the parents. Nurses are key to providing developmentally supportive care and working collaboratively on behalf of the infants and toddlers and their families.