实施护理干预对哺乳期早期急性乳腺炎发生的影响

目的:研究实施护理干预对哺乳期早期急性乳腺炎发生的影响.方法:抽取我院门诊收治的70例早期急性乳腺炎患者作为研究对象,随机分成2组,2组患者均实施常规治疗,其中30例设作对照组配合常规护理,另外30例设作观察组配合护理干预,对比2组护理干预影响.结果:观察组乳腺脓肿发生率明显少于对照组,2组对比有显著差异(P<0.05).结论:实施护理干预对哺乳期早期急性乳腺炎发生的影响较大,可以有效降低乳腺脓肿发生率,保护产妇哺乳期健康.     

护理干预对哺乳期急性乳腺炎疗效分析

目的:探讨护理干预对哺乳期急性乳腺炎的临床疗效.方法:选取2015年5月-2016年5月于我院进行治疗的哺乳期急性乳腺炎患者128例,随机分为对照组和观察组各64例.对照组行常规护理模式,观察组在对照组的基础上行优质护理干预.观察并比较两组治疗效果.结果:观察组总有效35.94％,对照组总有效20.31％,观察组疗效优于对照组,P＜0.05,差异具有显著性.结论:对哺乳期急性乳腺炎初产妇在治疗中配合有效的护理,显著提高治疗效果,值得临床推广及应用.     

哺乳期急性乳腺炎患者的临床护理体会

目的:探讨哺乳期急性乳腺炎患者的临床护理体会。方法:将110例哺乳期急性乳腺炎患者平均分为研究组与对照组。对照组采取常规治疗及护理措施,研究组在此基础上采取针对性护理措施。结果:研究组治疗及护理干预的有总有效率为96.36%,明显高于对照组的76.36%(P<0.05)。结论:对哺乳期急性乳腺炎患者给予针对性的护理干预,可以有效改善临床症状,降低脓肿形成机率,缩短治疗时间,保障了产妇的健康及喂养质量。     

综合护理干预新模式在哺乳期急性乳腺炎中的应用

目的分析哺乳期急性乳腺炎护理中综合护理干预新模式的效果。方法选择从2016年4月—2019年1月于本院进行治疗的哺乳期急性乳腺炎患者80例,依照诊疗时间分为1组与2组,其中40例给予综合护理干预为1组,40例给予常规护理干预为2组,对比1组与2组的急性乳腺炎改善时间及痊愈速度,并比较两组护理满意度。结果治疗后,研究1组急性乳腺炎症状改善时间(2.36±0.89)d和痊愈时间(7.96±3.05)d均显著低于2组(3.62±1.03)d、(9.35±2.68)d,差异具有统计学意义(P<0.05)。治疗后,研究1组满意率95.00%,2组的满意率75.00%,前者高于后者,差异具有统计学意义(P<0.05)。结论哺乳期急性乳腺炎患者给予综合护理干预,不仅可以促进患者尽快痊愈康复,而且能切实提升患者护理满意度。     

护理风险管理在哺乳期乳腺炎住院患者母婴同室安全管理中的应用

目的 探讨护理风险管理在哺乳期乳腺炎住院患者母婴同室安全管理中的应用效果。方法 选取2018年10月—2020年9月在重庆市妇幼保健院住院治疗的341例哺乳期乳腺炎患者为研究对象,将护理风险管理实施前(2018年10月—2019年9月)的168例患者作为对照组,实施后(2019年10月—2020年9月)的173例患者作为观察组。对照组患者给予常规护理干预,观察组患者在对照组基础上给予护理风险管理干预,比较2组护士的母婴同室安全风险意识水平、2组婴儿风险事件发生情况及患者出院满意度。结果 观察组护士的母婴同室安全风险意识水平考核中安全识别能力、服务意识及风险意识得分均高于对照组,差异均有统计学意义(P<0.05)。观察组风险事件发生率为1.16%(2/173),低于对照组的7.74%(13/168),差异有统计学意义(χ2=8.781,P=0.003)。观察组患者出院满意度为98.84%(171/173),高于对照组的94.64%(159/168),差异有统计学意义(χ2=4.819,P=0.028)。结论 在哺乳期乳腺炎住院患者母婴同室的安全管理中应用护理风险管理,能有效提升护士...     

早期综合护理干预对产后乳腺炎的影响

目的:观察产后乳腺炎患者实施早期综合护理干预的临床价值及可行性.方法:将150例产后乳腺炎随机分为观察组(实施早期综合护理干预,n=75)和对照组(实施常规护理干预,n=75),对比两组患者临床效果,疾病临床症状持续时间及护理满意度.结果:观察组疾病治疗总有效率97.33%及护理满意度96%明显高于对照组,P<0.05;观察组疾病症状持续时间明显短于对照组,P<0.05.结论:早期综合护理干预在产后乳腺炎患者中的应用效果显著,有效减轻了患者痛苦.     

综合护理干预对急性手外伤患者术后疼痛的影响

目的探讨综合护理干预措施对急性手外伤患者术后疼痛的效果。方法将我院2010年6月至2011年5月收治的86例急性手外伤患者随机分为观察组和对照组,两组各43例。观察组实施综合护理干预方法来缓解患者的疼痛,对照组实行常规护理措施,比较两组患者的疼痛缓解程度。结果观察组总体术后疼痛程度明显比对照组轻,中度和严重疼痛的例数明显少于对照组,观察组对止痛药的依赖性更低。结论护理干预通过针对性的护理措施,对护理工作中存在的问题和不足予以改正和补救,全面提高护理质量。对急性手外伤患者从健康教育和护理操作进行针对性的护理干预,可有效降低患者的疼痛感,促使患者尽快康复。     

急性上呼吸道感染患者临床护理体会

目的探讨临床整体护理干预在急性上呼吸道感染患者中的应用效果。方法选择我院2009年5月至2011年5月收治的急性上呼吸道感染患者120例,按观察组和对照组各60例划分,对照组行常规护理,观察组开展整体护理干预,回顾性分析临床资料。结果观察组患者满意度及康复情况明显优于对照组(P<0.05)。结论急性上呼吸道感染患者实施整体护理干预,确保了治疗的有效性,显著改善了患者的生活质量。     

舒适护理用于急性阑尾炎手术患者中的护理效果

目的：探讨舒适护理用于急性阑尾炎手术患者中的护理效果。方法：选取2015年2月至2016年2月我院收治的68例需要行急性阑尾炎手术的患者作为研究对象,按照随机的原则等分成观察组和对照组,对照组实施常规护理,观察组在常规护理基础上采用舒适护理干预,观察两组患者护理的效果。结果：观察组患者手术治疗的情况以及并发症发生情况都明显优于对照组（P<0.05）,有统计学意义;观察组护理满意度为91.18%,对照组为76.47%,观察组的护理满意度明显高于对照组（P<0.05）,有统计学意义。结论：对于实施急性阑尾炎手术的患者在常规护理的基础上采取舒适护理干预效果显著,值得临床推广。     

观察早期急性乳腺炎综合护理干预的疗效

目的观察早期急性乳腺炎综合护理干预的疗效。方法选取我院乳腺外科门诊收治的60例早期急性乳腺炎患者,随机分为实验组及对照组,其中实验组使用综合护理干预,对照组使用常规的单纯抗生素治疗,治疗后对比两组患者的红肿热痛及炎性消退时间。结果实验组中的红肿热痛消退时间为3.1±0.4d,炎症消退时间为4.3±1.2d;明显比对照组中的红肿消退时间5.2±0.3d,炎症消退时间7.2±0.7d要短得多,两组对比P<0.05,差异具有统计学意义。结论在急性乳腺炎的早期进行综合护理干预,疗程短,效果好,避免切开排脓手术,操作简单,并对婴儿喂哺无影响,在护理工作中易于实施,值得推广。     

Cancer care. Palliative care. The last days of care

The government has promised a further 12m pounds over three years for end-of-life care, on top of the 50m pounds a year for palliative care. A framework developed by Macmillan Cancer Relief has identified seven gold standards of care including communication, coordination, control of symptoms, carer support and care in the dying phase. The government has committed to doubling the number of palliative care consultants by 2015.     

Quality of care for primary care patients with depression in managed care

OBJECTIVE: To evaluate the process and quality of care for primary care patients with depression under managed care organizations. METHOD: Surveys of 1204 outpatients with depression at the time of and after a visit to 1 of 181 primary care clinicians from 46 primary care clinics in 7 managed care organizations. Patients had depressive symptoms in the previous 30 days, with or without a 12-month depressive disorder by diagnostic interview. Process indicators were depression counseling, mental health referral, or psychotropic medication management at index visit and the use of appropriate antidepressant medication during the last 6 months. RESULTS: Of patients with depressive disorder and recent symptoms, 29% to 43% reported a depression-specific process of care in the index visit, and 35% to 42% used antidepressant medication in appropriate dosages in the prior 6 months. Patients with depressive disorders rather than symptoms only and those with comorbid anxiety had higher rates of depression-specific processes and quality of care (P < .005). Recurrent depression, suicidal ideation, and alcohol abuse were not uniquely associated with such rates. Patients visiting for old problems or checkups received more depression-specific care than those with new problems or unscheduled visits. The 7 managed care organizations varied by a factor of 2-fold in rates of depression counseling and appropriate anti-depressant use. CONCLUSIONS: Rates of process and quality of care for depression as reported by patients are moderate to low in managed primary care practices. Such rates are higher for patients with more severe forms of depression or with comorbid anxiety, but not for those with severe but "silent" symptoms like suicide ideation. Visit context factors, such as whether the visit is scheduled, affect rates of depression-specific care. Rates of care for depression are highly variable among managed care organizations, emphasizing the need for process monitoring and quality improvement for depression at the organizational level.     

Perioperative care: preoperative care

With a subject as vast as preoperative care its is impossible in an article of this length to do more than sketch in the broad outlines of assessment and preparation, using a few examples to illustrate certain aspects. Unfortunately the pressure of work in most hospitals is such that the standard of preoperative care is not as high as it might be. Many authors have stressed its values not only in making anaesthesia safer but especially in reducing the incidence of postoperative morbidity--a field that has received too little attention for too long.     

Nutritional care in care homes: experiences and attitudes of care home staff

Background: The Food Award Barnsley (FAB) is organised for care homes that meet nutritional criteria based on national recommendations. Research (Thompson, 2003) highlighted that meeting FAB criteria is not an assurance that residents are receiving adequate nutrition. This is supported by studies demonstrating multiple individual/organisational factors influencing rates of malnutrition in care establishments (Abbasi & Rudman 1994; Health Advisory Services, 2000). To develop a training intervention to support FAB, an understanding of the role, perceptions and attitudes of care staff in the process of nutritional care was required. The main research aims were to describe staff's experiences of nutritional care of service users, to explore staff's attitudes towards nutritional care of service users and to highlight issues relating to nutritional care which could be considered when developing training programmes or provide the basis for future research. Methods: A care home that held the silver FAB, offered nursing and residential care and had more than 20 beds was chosen. Maximum variation sampling was used to select a cross‐section of staff in terms of position, level of education and length of service. Twelve semi‐structured interviews were recorded, transcribed and analysed using the template approach as developed by King (1998). The process from which the conclusions of the study were drawn was made clear through documentation. The audit trail within the final report demonstrates dependability and confirmation and hence the rigour of the study. Results: In general staff felt they were effective in identifying and addressing issues of malnutrition. However, from a dietetic perspective there was a fragmented approach to nutritional care. At all levels ‘confused role expectations’, lack of clear action planning, poor communication and attitudes towards malnutrition represented a significant barrier to good nutritional care within the home. Despite using a nutritional screening tool, staff relied more heavily on their own subjective judgement to identify residents who they thought were malnourished. Care home staff at all grades considered a poor appetite to be a ‘normal’ part of ageing and some felt that in conditions such as Parkinson's Disease it was expected that residents would lose weight. Portion sizes were reduced regardless of the need for compensation for reduced nutritional intake. Discussion: The lack of a coherent approach to nutritional care coupled with poor communication at all levels resulted in the risk that residents were not receiving appropriate nutritional care. Staff relied on their own judgement, not an objective measure; to identify residents they thought were at risk of malnutrition. These problems were compounded by attitudes of staff at all levels to nutrition, weight and ageing which resulted in lack of intervention in residents who were malnourished or at risk of malnutrition. Conclusion: This study highlights barriers to changing the process of nutritional care within the home which should be addressed through training, whilst ensuring national nutritional standards for provision of food are met. References Abbasi, A. & Rudman, D. (1994) Under nutrition in the nursing home: Prevalence, consequences, cause and prevention. Nutr. Rev. 52, 113–122. Health Advisory Services. (2000) “Not Because they are Old”. An Independent Inquiry into the Care of Older People on Acute Wards in General Hospitals. London: Health Advisory Services. King, N. (1998) Template analysis. In Qualitative Methods and Analysis in Organisational Research. eds C. Cassell & G. Symons, pp. 118–134. London: Sage. Thompson, L. (2003) Nutritional Perceptions among Staff Working in a Care Home for Elderly People and the Potential for Nutrition Education. BSc thesis, Leeds Metropolitan University.