31例晚期食管癌病人行食管内支架置入术的护理

[目的]总结晚期食管癌病人行食管内支架置入术的护理措施。[方法]回顾性分析31例晚期食管癌病人行食管内支架置入术的临床资料。[结果]本组病人支架植入后狭窄解除,梗阻症状明显缓解,恢复进食;合并食管瘘者,支架植入后瘘口完全封闭,肺部及纵隔感染得以控制;无支架本身引起的致死性并发症;2例于继续放疗后,发生了支架移位,于内镜直视下重新调整位置;19例术后均出现不同程度胸骨后疼痛及异物感。[结论]加强晚期食管癌病人行食管内支架置入术的护理有利于预后。     

食管金属内支架置入术的护理

食管癌是常见的恶性肿瘤之一,在我省潮汕地区发病率很高,就诊时多为中晚期。晚期食管癌常并发食管狭窄、食管—气管瘘、食管—纵隔瘘,使患者进食困难、感染发烧,严重影响营养摄入,直接危及生命。食管金属内支架置入以安全、易操作、近期疗效好、并发症少等优点已成为一种有效的     

食管支架置入术病人的护理

[目的]探讨晚期食管癌食管狭窄病人行食管支架置入术治疗的护理。[方法]对lo例晚期食管癌狭窄病人采用食管支架置入术进行姑息治疗，术前给予心理护理、口腔护理、术前准备。术后给予体位指导、饮食指导、并发症的观察及护理、出院指导。[结果]8例病人吞咽困难改善，能经口进流质饮食和软食，2例病人因癌肿广泛转移死亡。[结论]食管支架置入术能较好地解决晚期食管癌食管狭窄病人进食困难问题，提高病人的生活质量。正确的护理是减少并发症、提高治疗效果的保证。     

食管狭窄行食管支架置入术42例围术期护理

目的:探讨食管狭窄行食管支架置入术患者围术期的护理方法.方法:对42例食管狭窄行食管支架置入术,患者均行x线检查确定狭窄的部位、程度、范围等,术前认真做好物品准备、心理护理,术中给予密切配合,术后加强并发症观察与护理、一般护理、饮食护理、出院指导.结果:本组共放入支架46枚,放置成功率达100%.结论:食管支架置入术治疗食管狭窄疗效可靠、安全,科学规范的围术期护理是保证手术成功和支架长期通畅的关键.     

食管狭窄行食管支架置入术42例围术期护理

目的：探讨食管狭窄行食管支架置入术患者围术期的护理方法。方法：对42例食管狭窄行食管支架置入术,患者均行X线检查确定狭窄的部位、程度、范围等,术前认真做好物品准备、心理护理,术中给予密切配合,术后加强并发症观察与护理、一般护理、饮食护理、出院指导。结果：本组共放入支架46枚,放置成功率达100％。结论：食管支架置入术治疗食管狭窄疗效可靠、安全,科学规范的围术期护理是保证手术成功和支架长期通畅的关键。     

晚期食管癌食管支架置入术后并发症观察及护理

食管狭窄是晚期食管癌及食管癌放疗术后常见并发症。应用膨胀式金属支架治疗食管癌术后食管狭窄,操作简单、安全、有效,能提高患生存质量,近年来得到广泛应用。我科自2000～2004年对8例晚期食管癌术后食管狭窄行金属支架置入术,现总结护理体会如下。     

内镜下食管支架置入术治疗食管恶性狭窄46例围术期护理体会

1996年1月-2005年12月，我们应用金属支架治疗食管恶性狭窄46例，取得满意效果。现将护理体会报告如下。     

食管支架置入术病人的护理

[目的]探讨晚期食管癌食管狭窄病人行食管支架置入术治疗的护理。[方法]对10例晚期食管癌狭窄病人采用食管支架置入术进行姑息治疗,术前给予心理护理、口腔护理、术前准备。术后给予体位指导、饮食指导、并发症的观察及护理、出院指导。[结果]8例病人吞咽困难改善,能经口进流质饮食和软食,2例病人因癌肿广泛转移死亡。[结论]食管支架置入术能较好地解决晚期食管癌食管狭窄病人进食困难问题,提高病人的生活质量。正确的护理是减少并发症、提高治疗效果的保证。     

食管内支架置入术的护理体会

食管内支架置入术是治疗食管癌引起的食管狭窄的有效方法，此种方法创伤小，安全性高，且能及时改善患者进食状况，摄入营养物质，从而延长患者的生存期，提高生存质量，更能增进病人战胜疾病，积极治疗的信心，我院放射科于1998年以来对11例恶性食管狭窄的患者施行了食管内支架置入术，取得了满意的效果。现将护理体会总结报告如下。     

光动力治疗食管癌的护理体会

目的:探讨光动力治疗10例食管癌的患者的护理措施及并发症的预防方法。方法:对10例食管癌患者进行了回顾性分析。针对光敏剂的应用及激光照射后可能发生的并发症.在治疗前后实施的相应护理措施。结果:10例患者中有1例发生护理并发症。结论:实施有效的针对性护理措施,是减少并发症的发生以及保证此项治疗成功的关键。     

The institution enters the family home: home visits in Sweden to new parents by the child health care nurse

The purpose of this study is to investigate interactional patterns in the dialogue that occurs during home visits of the nurse to new parents, to find out whether there are similarities between home visits and visits to the child health care centers, and to discuss this in relation to what is emphasized as important in home visits. Audiotaped conversations of encounters during 5 home visits to new parents and interviews with parents and nurses were collected and analyzed qualitatively. Results show that the interactions were orchestrated by the nurse, and operated on an agenda that was task-oriented. The interaction was dominated by the nurse, and thus was asymmetrical. It seemed that the nurse was attentive to what the parents brought up in the discussions and responded to their worries very thoroughly, in accordance with the ideology. However, sometimes the parents were not even involved in the nurse's activities.     

肝癌患者合并糖尿病围手术期的护理

目的：探讨对肝癌患者合并糖尿病围手术期的护理要点。方法：对17例肝癌合并糖尿病的患者行手术治疗和精心护理后进行疗效观察分析。结果：均安全渡过手术，伤口Ⅰ期愈合，未发生切口感染现象。结论：做好围手术期的护理工作，抓住护理要点，有利于患者安全度过手术期及促进术后康复。     

An innovative approach to educating nurse informaticians

The need for nurses with expertise in technology and information systems is expected to increase. This article describes a collaboration between a university's school of nursing and school of computer science and information to prepare nurses who wish to become nurse informaticians. The specifics of the master's-level Collaborative Nursing Informatics Program are discussed, classroom and clinical experiences are described, and evaluation processes are summarized.     

前列腺摘除术后膀胱痉挛的常见原因与护理对策

膀胱痉挛是前列腺摘除术后常见的并发症之一,其发生率约为40%~100%,表现为强烈的尿意、便意、肛门坠胀、难以忍受的膀胱强烈收缩、疼痛及尿道外口反射痛,并可引发继发性出血及冲洗液阻滞,合并心血管疾病者可诱发冠心病、血压增高等并发症[1]。2004年1月~2005年12月我科行耻骨上     

腹腔镜与开腹子宫肌瘤剔除术临床护理对照

子宫肌瘤是最常见的妇科肿瘤，以往经腹行肌瘤剔除术对要求保留生育能力的患者是常用的治疗方法。随着内镜设备的改进和外科技术的发展，腹腔镜子宫肌瘤剔除术成为除腹部或阴道手术外的另一选择。现将我科2004年1月-2005年12月在我院实施腹腔镜子宫肌瘤剔除术68例，开腹子宫肌瘤剔除术52例的临床护理经验报道如下。     

Metastasis to the esophagus

Tumor metastatic to the esophagus is a rare lesion. Two cases, primary in pancreas and rectum, are described. There are no distinguishing radiologic features.     

An introduction to research: a primer for the nurse anesthetist

The goals of this article are to provide an overview of the research process and highlight some of the most important aspects. In the process, the definition of research and some general terminology will be reviewed. Discussions of how to define a problem, reviewing the literature, types of study designs, sampling, types of measurement, reliability and validity, limitations and assumptions, data analysis, ethical concerns with human subjects, and time management are included, as are examples of published research.