深圳市三级医院临床护士组织承诺及影响因素调查分析

Objective To study the organizational commitment and influencing factors of clinical nurses at tertiary hospital in Shenzhen. Methods 347 clinical nurses from a tertiary hospital were select-ed by stratified random sampling and investigated and analyzed for organizational commitment with ques-tionnaires. Results Total score for organizational commitment of clinical nurses was (60.45±9.99),in which, from the highest to the lowest, the scores for five aspects were normative commitment (14.49±2.97), affective commitment (13.50±3.57), ideal commitment (11.69±3.20), economic commitment (11.27±3.23), opportunity commitment (9.50±3.30),respectively, their influencing factors included age, nursing age, mari-tal status, professional tide. Conclusions The organizational commitment of clinical nurses is at higher-middle level, their influencing factors are multi-dimensional, demographic characteristics have different im-pact on five aspects of organizational commitment.     

深圳市三级医院临床护士组织承诺及影响因素调查分析

Objective To study the organizational commitment and influencing factors of clinical nurses at tertiary hospital in Shenzhen. Methods 347 clinical nurses from a tertiary hospital were select-ed by stratified random sampling and investigated and analyzed for organizational commitment with ques-tionnaires. Results Total score for organizational commitment of clinical nurses was (60.45±9.99),in which, from the highest to the lowest, the scores for five aspects were normative commitment (14.49±2.97), affective commitment (13.50±3.57), ideal commitment (11.69±3.20), economic commitment (11.27±3.23), opportunity commitment (9.50±3.30),respectively, their influencing factors included age, nursing age, mari-tal status, professional tide. Conclusions The organizational commitment of clinical nurses is at higher-middle level, their influencing factors are multi-dimensional, demographic characteristics have different im-pact on five aspects of organizational commitment.     

CT引导下肝肿瘤酒精注射患者的手术配合和护理

目的探讨CT引导下肝肿瘤经皮穿刺酒精注射（PEI）治疗患者的护理。方法对19例原发或继发肝肿瘤惠者实施在CT引导下行PEI，手术前予心理护理。讲解手术过程，减轻患者焦虑恐惧心理；指导术中配合方法，术中密切观察病情变化．配合处理患者术中不适；术后根据病人情况予以监测生命体征、吸氧、输液、护肝、止痛等对症治疗。结果19倒患者术中情绪稳定，配合得当，治疗过程顺利，酒精弥散良好，复查显示肿瘤均有不同程度缩小，治疗效果满意。结论PEI治疗肝肿瘤。具有创伤小、适用范围广、疗效确切等优点。术前心理护理，术中密切观察病情变化，正确引导使患者掌握恰当的配合方法，厦时处理术中患者不适是使治疗成功的有力保证。     

CT引导下肺癌射频消融术的护理配合

目的探讨CT引导下经皮穿刺多电极射频消融治疗肺癌患者的护理配合要点。方法对54例肺癌行射频消融术的患者术前做好心理护理,准备好术中所需仪器设备,术中密切观察生命体征,配合术者定位、布针及穿刺,术后密切观察病情、正确处理并发症。结果 54例患者行射频消融术后,病灶均呈低密度改变,治疗效果良好,无一例出现与手术相关的严重并发症。结论术前做好充分的准备,术中密切配合、准确定位,术后加强病情观察及对并发症的处理是射频消融术成功的重要保障。     

强直性脊柱炎患者治疗依从性的研究进展

强直性脊柱炎(ankylosing spondylitis,AS)是一种慢性进行性疾病,主要侵犯骶髂关节、脊柱骨突、脊柱旁软组织及外周关节,并可伴发关节外表现.最终可发生脊柱强直、关节畸形,导致残疾[1].目前强直性脊柱炎尚无根治方法,如能积极配合治疗,就可以控制症状,降低致残率,提高生活质量.因此,加强患者对疾病的认知,提高治疗依从性,已成为治疗该病的重要环节.     

深圳市三级医院临床护士组织承诺及影响因素调查分析

Objective To study the organizational commitment and influencing factors of clinical nurses at tertiary hospital in Shenzhen. Methods 347 clinical nurses from a tertiary hospital were select-ed by stratified random sampling and investigated and analyzed for organizational commitment with ques-tionnaires. Results Total score for organizational commitment of clinical nurses was (60.45±9.99),in which, from the highest to the lowest, the scores for five aspects were normative commitment (14.49±2.97), affective commitment (13.50±3.57), ideal commitment (11.69±3.20), economic commitment (11.27±3.23), opportunity commitment (9.50±3.30),respectively, their influencing factors included age, nursing age, mari-tal status, professional tide. Conclusions The organizational commitment of clinical nurses is at higher-middle level, their influencing factors are multi-dimensional, demographic characteristics have different im-pact on five aspects of organizational commitment.     

深圳市三级医院临床护士组织承诺及影响因素调查分析

Objective To study the organizational commitment and influencing factors of clinical nurses at tertiary hospital in Shenzhen. Methods 347 clinical nurses from a tertiary hospital were select-ed by stratified random sampling and investigated and analyzed for organizational commitment with ques-tionnaires. Results Total score for organizational commitment of clinical nurses was (60.45±9.99),in which, from the highest to the lowest, the scores for five aspects were normative commitment (14.49±2.97), affective commitment (13.50±3.57), ideal commitment (11.69±3.20), economic commitment (11.27±3.23), opportunity commitment (9.50±3.30),respectively, their influencing factors included age, nursing age, mari-tal status, professional tide. Conclusions The organizational commitment of clinical nurses is at higher-middle level, their influencing factors are multi-dimensional, demographic characteristics have different im-pact on five aspects of organizational commitment.     

冠心病合并糖尿病及糖耐量减低患者冠状动脉病变的临床观察

糖尿病作为冠心病的高危因素日益受到重视,它使冠心病的发病率和死亡率均明显增高,有文献报道,糖尿病患者有70％～80％死于心血管系统的并发症或伴随症。本文旨在研究不同血糖水平的冠心病患者的冠脉造影特点供参考。     

腹腔镜胆总管切开取石内置管引流术的护理

为探讨腹腔镜胆总管切开探查、取石后既能一期缝合胆总管又能解除因术后Ｏｄｄｉ’ｓ括约肌痉挛、水肿而致胆管高压的有效引流方法 ,自 1999年 12月开始我们对 2 1例腹腔镜胆总管切开取石病人采用内置管引流并一期缝合胆总管 ,取得满意的临床效果 ,护理如下。1　临床资料1.1　一般资料　　 1999年 12月至 2 0 0 0年 12月收治慢性胆囊炎、胆囊结石合并胆总管结石病人 2 1例 ,男 8例、女13例 ,年龄 2 4～ 6 5岁。均有反复右上腹疼痛史 2～10年 ,其中 11例有黄疸病史 ,3例入院时伴有胆管梗阻症状及皮肤、巩膜或尿黄染。术前均经Ｂ超检查 ,2 0例…     

门诊手术室消毒灭菌质量监测与管理

目的 加强门诊手术室管理,预防与控制医院感染的发生.方法 2003～2007 年每月定期对门诊手术室的空气、物体表面、工作人员手、使用中的消毒液及无菌包进行抽样检测,采用检测-反馈-教育-整改-检测的管理方法对消毒灭菌工作进行系统管理.结果 物体表面、使用中的消毒液和灭菌物品5年监测均达100%,空气与工作人员手2005～2007年合格率均达100%.结论 门诊手术室消毒灭茵质量整体情况较好,且有逐年改善趋势.科学合理的监控操作和管理手段,是保证消毒灭菌质量的关键,是预防和控制医院感染的重要措施.