系统护理干预对脊髓损伤后尿失禁患者心理状况的影响

目的:探讨系统护理干预对脊髓损伤尿失禁患者心理状况的影响。方法:对40例脊髓损伤尿失禁患者进行系统护理干预,发放自我测评问卷调查尿失禁心理状况、抑郁、自尊感。结果:本研究显示系统护理干预脊髓损伤尿失禁患者心理状况总有效率达90.0%,且经通过干预后患者症状自评项目、抑郁明显低于干预前、自尊感明显高于干预前(P0.05,P0.01)。结论:尿失禁严重影响脊髓损伤患者的生活质量,通过对患者实行规范管理、干预措施,可减轻抑郁、增强自尊感,提高患者生活质量。     

系统护理干预对脊髓损伤尿失禁患者生活质量的影响

目的:探讨系统护理干预对脊髓损伤尿失禁患者生活质量的影响。方法:对40例脊髓损伤尿失禁患者进行系统护理干预,发放自我测评问卷调查尿失禁改善情况及患者心理状况。结果:本次患者尿失禁有效控制率达85.0%,经干预后患者不良心理状况明显低于干预前(P0.01)。结论:通过对患者实行规范管理、干预措施,可使尿失禁情况得到有效控制,改善患者不良心理状况,提高患者生活质量。     

心理干预改善老年女性压力性尿失禁患者负性情绪和生活质量的研究

目的 评价心理干预改善老年女性压力性尿失禁患者负性情绪和生活质量的有效性.方法 随机将88例老年女性压力性尿失禁患者分为试验组和对照组,两组均给予对症支持治疗和常规护理,试验组则同时给予针对性的心理干预.采用老年抑郁量表(GDS)、焦虑自评量表(SAS)、尿失禁生活质量评价量表(I-QOL)对两组患者干预前后的抑郁、焦虑、生活质量进行评价.结果 经为期1个月的干预后,试验组的评分与对照组比较,差异有统计学意义(均为P＜0.05),试验组患者的负性情绪和生活质量得到明显改善.结论 对老年女性压力性尿失禁患者实施针对性的心理干预,可以改善患者的负性情绪,提高患者的生活质量,对患者的生命意义具有积极的促进作用.     

老年尿失禁患者生活质量调查分析

目的通过对老年尿失禁患者生活质量的调查,提出护理干预措施,提高老年尿失禁患者的生活质量。方法对92例老年尿失禁患者采用生活质量调查问卷表（包括限制性行为、心理社会影响、社交活动受限3个方面,共7个问题）进行自我测评,评估老年尿失禁患者的生活质量。结果老年尿失禁患者生活质量有所下降;就医意向选择会去医院者占45.7%,选择不去医院者占54.3%。结论老年尿失禁问题在我国已不容忽视,应加大宣传力度,提高人们的认识,指导患者及时就医,进行有效的功能锻炼,提高老年尿失禁的治疗效果,提高患者的生活质量。     

全方位护理干预对老年女性尿失禁患者控尿功能的影响

目的探讨全方位护理干预对老年女性尿失禁患者控尿功能的影响。方法选取2017年6~12月广州市第一人民医院收治的老年女性尿失禁患者100例,按照随机数字表法分为对照组和观察组各50例。对照组行常规护理干预,观察组行全方位护理干预。比较两组患者干预后的控尿能力、生活质量、心理健康及对专业知识掌握度、护理满意度。结果观察组患者的总控尿能力显著优于对照组,差异有统计学意义(P<0.05),各项生活质量评分均显著高于对照组,差异有统计学意义(P<0.05)。观察组患者的SAS、SDS评分均低于对照组,差异有统计学意义(P<0.05)。观察组患者对专业知识掌握度及护理满意度均高于对照组,差异有统计学意义(P<0.05)。结论全方位护理能够改善老年女性尿失禁患者控尿功能、提高生活质量和心理状态,住院时间更短,降低了并发症的发生率,显著提高了患者对专业知识的掌握度及对护理的满意度。     

女性尿失禁患者的持续护理干预

目的：探讨女性尿失禁患者的持续护理干预效果。方法：回顾性分析100例女性尿失禁患者临床资料及所采取的持续心理、行为及康复护理干预。结果：通过科学有效的护理干预和临床治疗,90％的患者症状得到改善。结论：通过持续护理干预改变患者对疾病的错误认识,提高患者对疾病的重视程度,建立了就医依从性,在心理、生理等各方面保持了良好的生存状态,提高了生活质量。     

56例女性压力性尿失禁患者的心理特点及护理干预

目的了解女性压力性尿失禁患者的心理特点进行护理干预,可以有效提高患者的生活质量。方法回顾性分析56例住院女性压力性尿失禁患者的心理特点及护理干预措施。结果通过对患者进行护理干预,达到有效提高患者生活质量的目的,通过正确的健康指导,可提高人群对该病的早期干预和防治能力。结论女性压力性尿失禁是常见病,严重影响患者生活质量,针对患者心理特点实施护理干预,可以有效提高患者生活质量及早期防治能力。     

全方位护理干预对老年女性尿失禁患者控尿功能的影响分析

目的 分析全方位护理干预对老年女性尿失禁患者控尿功能的影响。方法 选取 2021 年 1 月至 2022 年 1 月到我院治疗尿 失禁的 60 例老年女性患者,将其均分为对照组和观察组。每组各 30 例。两组采用相同临床治疗方法。对照组给予常规护理, 观察组给予全方位护理。比较两组患者的控尿功能及生活质量。结果 护理前两组的患者的尿失禁问卷简表评分、尿失禁生活 质量量表评分、失禁程度均无明显差异（P>0.05）。观察组护理尿失禁问卷简表评分,尿失禁问卷简表评分和生活质量评分优 于对照组（P<0.05）。结论 对老年女性尿失禁患者给予全方位护理干预,能够改善尿失禁,提高生活质量。     

综合干预对老年女性尿失禁患者自我效能的影响

目的探讨综合护理干预对老年女性尿失禁患者自我效能的影响。方法将60例老年女性尿失禁患者随机分为干预组30例和对照组30例。两组均给予常规护理,干预组同时给予3个月的综合护理干预,包括行为干预、心理干预和社会支持。用老年尿失禁自我效能量表(GSE-UI)和国际尿失禁咨询委员会尿失禁问卷表简表(ICIQ-SF)对两组患者干预前后分别进行评定。结果干预3个月后,干预组在ICIQ-SF评分和GSE-UI评分方面,与干预前和对照组同期相比,差异有统计学意义(P<0.05)。结论综合护理干预有利于增强患者的自我效能,改善患者的尿失禁症状。     

门诊护理干预对提高老年糖尿病患者生活质量的效果评价

目的 探讨门诊护理干预对提高老年糖尿病患者生活质量的效果.方法 2009年9月至2010年9月我院门诊治疗老年糖尿病患者81例,对其进行门诊护理干预,观察干预后1年患者的空腹血糖、糖化血红蛋白、三酰甘油、总胆固醇、体质量等指标,并采用生活质量评定问卷(GQOL-74)测定其生活质量的改善状况.结果 干预1年后,81例门诊治疗老年糖尿病患者各项指标均明显低于干预前,GQOL-74各因子分值明显升高.结论 门诊护理干预在提高糖尿病患者生活质量方面有着显著的效果.     

Putting policy into practice: pre- and posttests of implementing standardized languages for nursing documentation

Aims and objectives. To describe the change in documentation of the nursing process in all inpatient wards in a 900‐bed university hospital. Major research question was what are the differences between before and after implementation of documentation policy related to the steps of the nursing process? Background. Implementation of standardized languages has been shown to be difficult to accomplish in clinical practice. Patients are the source of data and their conditions, responses and well‐being should be reflected in the nursing record. As such, nursing documentation can create the premises for the development of new knowledge in nursing and the improvement of nursing performance and can provide data and information necessary for nursing researchers to evaluate the quality of interventions and participate in the formulation of healthcare policy. This study is part of longitudinal project to prepare nurses for electronic documentation within the interdisciplinary health record and to improve documentation of nursing using standardized languages. Design and method. A cross‐sectional study design was used: a pretest (n = 355 nursing records) for baseline status of nursing documentation, an intervention and a post‐test (n = 349 nursing records) to obtain data on nursing documentation. The year‐long intervention comprised planned work in groups, and educational and supporting efforts. Results. A statistically significant improvement was found in the use of Functional Health Patterns for documentation of nursing assessment, NANDA for nursing diagnoses and Nursing Interventions Classification for nursing interventions in documentation of daily nursing care for inpatients. Conclusion. At all organizational levels intervention aimed at putting policy regarding documentation into clinical practice considerably improved daily use of standardized nursing languages. Relevance to clinical practice. Nurses need to use standardized language to document patient care data in the electronic health record and to demonstrate contributions to nursing care.     

Structure and content in Norwegian nursing care documentation.

In 1994, the Norwegian Board of Health (NBH) published recommendations for nursing care documentation. The two-fold purpose of the present study was to see if 5 wards in 2 Norwegian hospitals fulfilled the proposed NBH recommendations and guidelines regarding documentation, and to evaluate them in terms of the proposed structure and key words of the VIPS model. Results showed that all nursing records (n = 55) had an admission assessment. A nursing care plan was present in 62% of the records. Nursing goals were lacking in the remaining 38%, diagnosis and planned interventions were absent in 18%, and 45% of the diagnoses lacked information concerning patient progress or outcome. The nursing care plans were updated in only 40% of the records and discharge notes were present in 35%, confirming that NBH recommendations were not met in this sample. The key words of the VIPS model covered all information present in the records, and high interrater reliability was obtained for the majority of key words categorized by two independent researchers. It is suggested that the VIPS model components and key words can contribute to a reliable and uniform model for nursing care documentation and enhance comprehensive and systematic documentation, which is presently lacking in Norwegian records.     

提升护理服务综合价值的研究

目的:研究护理综合价值的提升。方法:分析护理价值研究背景,阐述护理价值研究进展结果:提出护理价值研究途径。结论:有利于达成一种共识,使广大护理人员认识护理价值、研究护理价值、开发护理价值,重视护理综合价值研究和提升。 护理服务价值是护理服务劳动产品的价值和服务本身所创造的价值的总和,即使用价值与价值的统一。目前日本、美国、德国和中国都在加强护理价值研究的探索,但仍存在使用价值与价值研究分离问题。因此,我们应不断加强护理综合价值研究,以适应卫生事业改革对护理管理的挑战。本研究主要在分析国内外护理价值研究的基础上,提出综合护理价值研究途径,以达到合理评价护理价值的目的。     

Research and the configuration of nursing services

• ? This paper is concerned with the way in which nursing research has influenced changes in the organization of nursing services, particularly the shift from so-called traditional nursing to new nursing. To this end published research and professional literature are selectively reviewed.
• ? The case is made to support the view that change in nursing has been driven forward by the evangelical zeal of opinion leaders rather than evidence.
• ? It is suggested that holistic care as embodied in new nursing is no longer affordable. Market pressures have precipitated a revisiting of the task basis of nursing. An effective anchor would have been a solid body of research evidence pointing up the value new nursing may have. Regrettably not enough research was done prior to the diffusion of new nursing. What was done was not always adequate, and what was adequate was not effectively deployed by nurse leaders.
• ? Nursing is the largest workforce in the NHS and has attracted a great deal of policy interest. It is suggested that it will become increasingly important for nursing to be more strategic, and develop its own professionally driven research agenda.
• ? The future of the nursing profession is uncertain. It is clear that evidence-based practice is centre stage, and there is a need for nursing to re-negotiate its professional boundaries and to develop intellectual partnerships in order to move the knowledge base of practice forward.

     

我国护理行业的改革与发展

从我国护理行业的现状、卫生体制改革以及基本国情出发 ,着重探讨护理管理、护理教育、护理环境、护理经济与管理体系、护理立法等方面的发展途径     

Innovations in United States genetics nursing: Practice and research

Aim: Clinical and research applications from human genome discoveries are growing and creating both opportunities and challenges to the integration of genetic concepts into practice and research. Nurses have a long history of caring for individuals, families, and groups with genetic conditions. In the past two decades, a small group of nurses in the USA have used a variety of strategies to further develop the field of genetics nursing. In this paper we identify innovative approaches to identifying genetics‐related nursing roles and opportunities, as well as successful collaborative efforts beyond nursing to address the emerging health and societal challenges related to human genetics discoveries. Methods: The information presented here comes from a variety of sources where the authors or genetics nurses directly participated, including: (i) a systematic literature review of genetics nursing; (ii) a comprehensive research study of models of delivering clinical genetics services and the roles of health professionals; and (iii) participation in numerous national research, planning, programmatic, and advisory groups involved with clinical genetics‐related health services, research, education, and public policy. Results: Genetics nurses in the US have developed innovative responses to genetics‐related challenges within and beyond the profession of nursing. These include: (i) establishing an organization for nurses in genetics and gaining formal recognition of genetics as a specialty of nursing; (ii) defining the scope of genetics nursing practice and developing a new genetics nursing credential; (iii) establishing a multiprofessional genetics education coalition and defining genetic competency for health‐care practice; (iv) creating new clinical practice roles for nurses that integrate emerging genetics concepts and skills into diverse clinical practice areas; (v) expanding nursing involvement in genetics‐related research; and (vi) participation in high‐level genetics advisory groups. Conclusions: The US experience shows that nurses have made substantial progress in expanding their involvement in genetic services through visionary leadership, innovative approaches to challenges, establishing support with nurse colleagues, and engaging in multiprofessional efforts. The most important first step is developing a supportive environment for nurse advancement. In the US, the genetics nurses’ organization known as the International Society of Nurses in Genetics (ISONG) has provided this base.     

整体护理病房三级护理查房的体会

我院自1999年7月开始在整体护理模式病房中实施三级护理查房。1年多来,对800例危重病人进行了护理查房,查房的形式为责任护士每天查,主管护师或护士长每周查,副主任护师以上或科护士长每月抽查,护理部主任每季抽查。通过查房,明显提高了危重病人的护理质量,病人得到了更为优质的服务,护理服务满意率提高;对护理人员来说,提高了业务水平,锻炼了口头表达能力;对护理管理来说,及时了解护士对护理程序的应用情况,掌握危重病人的护理质量,对护理中存在的不足及时提出指导意见。     

基层医院整体护理的实施与对策

目的:总结实施整体护理的经验,提高护理质量。方法:全面综合分析实施整体护理的对策和措施。结果:经验:领导的高度重视和大力支持,是实现整体护理模式转变的坚实基础;提高人员整体素质,确保整体护理的有效开展;多做少写,以点带面,实行非模式病房开展整体护理工作;积极开展健康教育,巩固整体护理效果;实施整体护理质量管理的措施。体会:领导的重视和支持,是开展整体护理工作的根本保证;提高了社会公众对护理工作的认可程度和护士的社会地位;显示了护士的自身价值;改善了护患关系,提高了病人满意度,同时也密切了医护关系;护理队伍整体素质提高,敬业精神增强。结论:实施整体护理,促进了护理学科的发展。     

Towards an aesthetics of nursing

Towards an aesthetics of nursing This paper re-appraises the work of Barbara Carper on aesthetics and the art of nursing. It identifies serious flaws in Carper's original arguments and the way in which she and subsequent authors have conflated the concepts of art and aesthetics in nursing. The paper explores a broader approach to aesthetics and proposes a way in which a theoretical approach to nursing aesthetics could be developed. The paper concludes that nursing is a fit object of aesthetic appreciation and that aesthetic quality is a necessary attribute of good nursing practice.     

晨间护理缺陷分析及对策

目的提高晨间护理质量。方法通过向住院病人和护士发放问卷调查及每周不定期检查各病区晨间护理质量,了解晨间护理工作中存在的缺陷,提出整改的措施。结果晨间护理工作中存在的主要缺陷:51.8%的病人认为护士与病人的沟通少,进病房时未向病人问好,整理病房时未向病人解释,口腔清洁率70.3%,头发清洁率45.3%,皮肤清洁率69.5%,病房安静整洁率67.3%,床单位整洁率86.5%,病情关注情况67.9%,健康教育执行情况48.6%,协助生活不能自理的病人进食、入厕、更衣、床上排便等占75.4%,时间安排满意度75.6%,护士认为晨间护理重要的占30%,晨间护理内容知晓率占60.9%,认为工作量大来不及做的占56.7%。结论提高护士对晨间护理的认识,规范晨间护理内容和程序,加强与病人的沟通,提供符合个体化需要的晨间护理,合理安排护理人员、工作重点和时间,持续质量改进,有助于提高晨间护理质量。