重症蚕豆病患儿的观察及护理

总结8例蚕豆病患儿的观察及护理.护理重点为做好饮食护理、口腔护理、防感染护理,严密观察患儿病情,遵医嘱及时用药和输血,重视并发症的观察及护理,做好出院指导,对促进患儿早期康复具有积极意义.     

重症脑膜脑炎患儿的病情观察及护理

总结了83例重症脑膜脑炎患儿的病情观察及护理措施,主要包括严密动态观察患儿病情、一般护理、高热护理、呼吸道管理、惊厥护理以及康复指导等综合、系统措施.认为科学、精心、细致、系统的病情观察及护理可提高小儿重症脑膜脑炎的临床疗效,减少后遗症.     

重症手足口病患儿的病情观察与护理

[目的]总结重症手足口病患儿的病情观察与护理措施.[方法]对112例重症手足口病患儿精心治疗,同时加强病情观察与护理.[结果]本组病人均治愈出院.[结论]加强重症手足口病患儿的病情观察与护理有利于预后.     

重症手足口病患儿83例的观察与护理

目的 探讨手足口病重症患儿的临床护理.方法 对83例重症手足口病患儿严格执行消毒隔离制度,密切 观察病情,重视患儿皮肤、口腔、健康教育及并发症等综合护理.结果 83例手足口病重症患儿平均住院15 d,全部治愈.结论 消毒隔离、严密观察病情变化、注意严重并发症、尽早发现、及时处理是护理过程的关键.     

小儿重症硬膜外血肿术后观察与护理

目的:探讨小儿重症硬膜外血肿术后早期病情观察及护理要点.方法:对40例硬膜外血肿术后患儿给予严密观察与精心护理.结果:本组10例患儿术后出现意识障碍加深;16例术后高热,对症处理后病情缓解;死亡4例;其余患儿痊愈出院.结论:小儿重症硬膜外血肿术后严密观察病情变化,细心护理,可降低患儿病死率,提高治愈率.     

重症手足口病5例的早期观察与护理

目的 分析手足口病患儿重症早期的严密观察及护理要点.方法 对本组5例通过严密的病情观察和各项监测,及时发现病情变化,做好患儿高热、神经系统受累等并发症及基础护理,严格执行消毒隔离制度.结果 本组病例全部痊愈出院,无一例发展成重症脑膜脑炎及神经源性肺水肿.结论 重症早期的识别及早期护理干预颇有成效.     

108例重症手足口病患儿的观察与护理

[目的]总结108例重症手足口病患儿的观察及护理要点。[方法]回顾分析108例重症手足口病患儿的临床护理资料。[结果]108例重症手足口病患儿通过早期临床观察护理、积极治疗,106例治愈出院,2例死亡。[结论]对重症手足口病患儿,严密观察病情变化、尽早发现并发症、及时处理是护理过程的关键,可有效控制患儿的病情进展,提高治愈率。     

重症手足口病患儿的病情观察与护理

[目的]总结重症手足口病患儿的病情观察与护理措施。[方法]对112例重症手足口病患儿精心治疗,同时加强病情观察与护理。[结果]本组病人均治愈出院。[结论]加强重症手足口病患儿的病情观察与护理有利于预后。     

32例重症手足口病患儿的病情观察及护理

目的探讨重症手足口病患儿的病情观察及护理经验。方法回顾性分析32例重症手足口病患儿护理体会。结果 32例患儿均治愈,平均住院时间(8.2±1.6)d。结论做好严密病情观察、预防感染、皮肤和口腔的护理对改善疾病的预后,提高儿童重症手足口病治疗效果具有重要意义。     

重症肠道病毒71型感染患儿35例护理体会

对35例重症肠道病毒71型(EV71)病毒感染患儿进行严密观察病情变化,识别高危因素,采取相应的用药护理及对症护理措施.结果除2例因肺出血死亡外,其余33例均病情稳定后转出监护室.提示本病没有针对病因的治疗,但如果能够密切观察病情变化,及时发现导致肺水肿、肺出血的高危因素,做好对症护理,积极配合抢救,对提高重症患儿治愈率具有重要意义.     

Furthering the Understanding of Parent–Child Relationships: A Nursing Scholarship Review Series. Part 1: Introduction

PURPOSE.  Understanding the parent–child relationship is fundamental to nursing of children and families. The purpose of this integrative review is to explore nursing scholarship published from 1980–2008 concerning parent–child relationships. Study approaches are examined, critiqued, and future directions for research identified.
CONCLUSIONS.  A historical review of nursing research is presented and methods described as an introduction to a review series of the parent–child relationship.
IMPLICATIONS.  Definition and explication of the parent–child relationship is a first-step in understanding factors amenable to nursing intervention. A clear definition of the concept of parent–child relationship will support further study using appropriate theoretical frameworks, and enable development and testing of supportive nursing interventions.     

全麻患儿的恢复期护理

通过对143例全麻患儿术后恢复室的恢复期护理配合，针对小儿全麻后可能出现的并发症等问题，将小儿全麻术后恢复过程中护理的观察要点，处理方法，物品准备，与麻醉医生配合等方面进行了总结，提高了全麻患儿术后恢复的护理质量。     

PICU危重患儿家属心理反应及需求的调查研究

目的探讨儿科重症监护病房(PICU)危重患儿父母的心理反应及心理需求,为临床医疗护理工作提供有力的参考依据。方法采用随机抽样方法,对PICU100例危重患儿的父母进行心理反应测定及心理需求调查。结果患儿父母心理反应包括:担心患儿得不到很好的照顾、担心治疗失败、担心后遗症、对治疗方法不了解、担心经济问题、不了解疾病等出现焦虑,与常模比较,差异有显著意义(P<0.05)。心理需求包括:希望医护人员更好地关心和照顾小儿,希望医护人员发挥最好的医术将患儿疾病治好;希望医护人员多解释病情,及时通报病情变化。结论PICU抢救危重患儿的同时要注重患儿父母的心理反应以及心理需求,给予家属早期心理干预,积极沟通,加强业务学习和技能训练,为患儿提供精湛的技术,提供更加温馨的医疗护理及多形式的健康知识教育,使患儿父母了解PICU的管理模式及更多疾病的相关知识,消除紧张、焦虑、甚至抑郁等负性心理,提高护理工作效率,有利于患儿康复。     

Nursing and motherhood constructions: implications for practice

The present paper addresses the relationship between community based child health nursing services and social constructions of motherhood within Australia during the 1920s. Following the First World War, child health nursing services (then generally known as infant welfare or child welfare services) were established in all Australian states. The focus of the paper is mainly upon the development of the Tasmanian child health service, with some reference to similar services in other states. Within two decades of their establishment, most child-bearing women in Tasmania were in contact with child health services and this apparent success meant that, thereafter, women in Tasmania cared for their children under the 'expert' guidance of nurses. As the 1920s progressed, child health nurses increasingly promoted one particular, and ultimately extremely influential, construction of motherhood, 'scientific motherhood', based upon the philosophy of Dr Truby King. I argue that an understanding of how nursing services have historically reinforced and promoted ideological constructions of motherhood enhances the practice of present day nurses working with women. This argument is supported by reference to present day nursing practice in relation to postnatal depression.     

预见性护理干预对小儿输入钙剂引起皮肤症状相关因素的影响

目的通过预见性行为护理干预,分析小儿静脉应用钙剂引起皮肤症状相关因素并采取整改措施,提高小儿静脉应用钙剂的安全性。方法采取回顾性与前瞻性相结合的调查方法,比较2005—2008年间评价小儿静脉应用钙剂的情况。结果通过预见性护理干预及临床观察指标比较采用预见性护理模式较传统护理方法疗效显著,皮肤安全性高。结论预防性护理干预为提高小儿静脉应用钙剂的皮肤完好性方面有很高的临床意义,同时也是临床以经验为基础的传统护理向现代护理转变的依据。     

支气管哮喘患儿家庭护理现状调查

目的了解支气管哮喘患儿家庭护理现状。方法采用参照李淑霞报道的有关资料自行设计的问卷调查表对100例支气管哮喘患儿家长的健康知识、家庭护理实施现状进行调查。结果84%以上的患儿家长了解患儿疾病的诊断、疾病的常见临床症状、良好生活习惯可减少发病、日常生活护理措施、患儿发病时的先兆症状;60%的患儿家长掌握长期给药的重要性,74%的家长知道尽量避免患儿与过敏源接触。26%掌握正确使用峰流速仪器检测肺功能;60%掌握患儿哮喘发作时采取的体位;74%以上掌握其他6项家庭护理知识。结论支气管哮喘患儿家长掌握家庭护理有关知识和方法还存在一定差距,医护人员应重视支气管哮喘患儿家长的健康教育,帮助患儿家长掌握护理要点,提高护理水平,预防和减少哮喘的反复发作,对提高患儿的生存质量具有重要的作用。     

Definition and identification of child abuse by Finnish public health nurses

The purpose of this study was to determine how public health nurses in Finland defined child abuse and how they assessed their capability to identify child abuse in the family. Public health nurses described child abuse as consisting of physical and emotional abuse. They described physical abuse as consisting of two categories, direct physical abuse towards children and other acts causing children physical harm. Emotional abuse included neglect, teasing the child, frightening the child, rejecting the child in the family, and forcing the child to assume an adult role. The nurses divided the identification of child abuse into two categories: tools for identifying child abuse and markers indicating child abuse. The tools for identifying abuse included knowledge acquisition and interactive skills, intuition, and the capacity of the nurse to handle problematic situations. Public health nurses identified child abuse in the child's behavior and appearance and in family behaviors. Public health nurses seem to be aware of child abuse, but further research is needed if they need more-specific skills regarding how to apply their theoretical knowledge to nursing practice to provide nursing care for abused children and their families.     

重症监护病房患儿心理分析及护理

目的：分析重症监护病房患儿心理行为反应及实施心理护理后效果。方法：采用访谈、调查、心理行为观察法对102例患儿进行心理分析，发现分离性焦虑63例，控制感丧失39例，疼痛所致的恐惧102例。笔采取了针对性护理。结果：护理后分离性焦虑18例，控制感丧失10例，身体伤害及疼痛反应59例，与护理前比较，经χ^2检验有显性差异（P＜0．0001）。结论：根据患儿不同年龄，给予针对性护理，能减轻或避免住院引起的不良心理行为反应，促进患儿身心健康。     

母婴床旁护理对初产妇自我护理能力及护理满意度的影响

目的探讨母婴床旁护理模式在初产妇中的临床应用价值。方法选取2012年6～12月在我科进行分娩的初产妇268例,随机将其分为观察组和对照组,每组产妇134例。对照组初产妇施行传统的母婴同室护理干预模式;而观察组初产妇则施行母婴床旁护理干预模式,并分别对两组初产妇的自我护理能力和护理满意度进行比较和分析。结果观察组产妇自我护理能力显著高于对照组,且满意度显著提升（P〈0．05）。结论母婴床旁护理模式可改善初产妇自我护理能力,提高护理满意度。