Nonverbal communication of caregivers in Slovenian nursing homes

This study aimed at determining the characteristics of nonverbal communication (NVC) of caregivers in Slovene nursing homes. The cross-sectional study was performed on 267 randomly selected caregivers from 27 randomly selected nursing homes. Facial expressions/head movements, hand gestures/trunk movements, and modes of speaking/paralinguistic signals were observed. The caregivers manifested altogether 11,324 NVC expressions. Those definitely reflecting positive attitude prevailed and accounted for 59.3% of all expressions, whereas those definitely reflecting negative attitude were very rare and accounted for 9.1% of all expressions, at a ratio of 6.5:1 (p < 0.001). Differences were statistically highly significant between genders (men manifested negative attitude expressions significantly more frequently, 11.8%) and professions (social helpers manifested positive attitude expressions significantly less frequently, 56.4%; other professionals manifested negative attitude expressions significantly less frequently, 5.4%) (p < 0.001). The results were similar within groups of NVC expressions. Although our study showed that caregivers in Slovene nursing homes use positive attitude expressions much more frequently than negative there is a reason for concern due to a general decline in positive values and beliefs in Slovene society. Promoting positive attitude NVC among new generations of caregivers in nursing homes need to become one of the most important contents of their life-long learning and training.     

A Panel Interview on the Ethical Practice of Neuropsychology

Neuropsychologists who have considerable experience reflecting, presenting, publishing, and advising on ethical matters are a rich resource for clinicians who have ethics questions. Consultation with such colleagues can be an important part of the ethical decision-making process. The purpose of the present article is to provide the opinions and perspectives of three neuropsychologists who, based on their experience and scholarly activities, served as panelists regarding ethical matters. Although the advice and opinions of colleagues are not a substitute for familiarity with relevant ethical requirements, guidelines, and professional literature, they offer valuable information that enhances the ethical decision-making process.     

Dental auscultation for nursing personnel as a model of oral health care education: development,baseline, and 6-month follow-up assessments

Oral health care has been shown to have low priority in nursing and has been only partly successful. To create more positive effects than those achieved through traditional oral health care education, this project tested an educational model for nursing staff personnel. In addition to traditional oral health care education, some of the nursing staff members passed an additional dental auscultation period and served as oral care aides. The aides were responsible for the oral health care of the residents at their nursing facilities (intervention group). The intervention nursing facilities were compared with facilities where nursing personnel only received a traditional oral health care education program. Assessments were made at baseline and at a 6-month follow-up. At follow-up it was shown that the nursing staff in the intervention group gave higher priority to the oral health care work than the nursing staff in the control group.     

超声骨刀联合高速涡轮钻拔除复杂下颌阻生智齿的临床护理

目的探讨超声骨刀拔除复杂下颌阻生智齿的效果及护理经验。方法选择90例下颌阻生智齿患者,随机平均分为三组：（1）A组,采用涡轮钻法拔除;（2）B组,采用超声骨刀法拔除：（3）C组,采用超声骨刀结合涡轮钻法除。观察三组患者手术时间、术后疼痛、肿胀程度等情况。采用SPSS13．0软件包进行统计学分析。结果C组拔牙时间低于A、B组。差异有统计学意义（tA=25．49,tB=9．44,P均〈0．05）,且并发症较低（3％）。结论超声骨刀结合涡轮钻法的应用,可明显提高工作效率,减少术后并发症．降低手术风险．优质的护理配合及熟练的“六手操作”是超声骨刀结合涡轮钻法微创、高效拔除复杂下颌阻生智齿的重要保障。     

Factors associated with polypharmacy in nursing home residents

The prevalence of polypharmacy is very high in the nursing home setting. In this comprehensive review, we describe the many demographic, functional status, chronic disease, and healthcare financing factors associated with polypharmacy in nursing home patients. Recognition of the factors associated with polypharmacy is the first step for practitioners. A quality improvement intervention study previously conducted by the authors of this paper demonstrated that polypharmacy can be reduced in the nursing setting as a result of systematic review of medications by physicians.     

心脏介入治疗患者并发心脏压塞的早期识别抢救及护理

目的探讨心脏介入治疗患者并发心脏压塞的早期识别抢救与护理。方法我院收治的心脏介入治疗并发心脏压塞患者20例,对其临床资料进行回顾性分析。结果经过早期识别与抢救护理,救治成功17例,死亡3例。结论对心脏介入治疗并发心脏压塞的患者,进行早期有效识别和实施积极抢救是非常重要的。完善的术前指导和术中、术后对病情的密切观察为挽救生命赢得了宝贵时间。     

猪尾巴导管持续引流心包积液的护理研究

目的探讨经皮猪尾巴导管持续引流心包积液的护理措施。方法 36例大量心包积液患者,经皮成功放置猪尾巴导管并持续引流,回顾分析护理措施与患者临床效果。结果 36例患者中31例症状完全缓解,4例部分缓解,1例死亡;均无脏器损伤、感染及导管堵塞等并发症发生。结论对经皮心包穿刺留置导管引流的患者要加强心理护理,注意术前准备、指导术中配合、密切观察术后病情变化,防止导管堵塞、脱落是保证引流成功,防止并发症发生的关键。     

肺癌合并肝硬化患者术后胸腔闭式引流观察和护理特点

目的通过对我科近4年中18例肺癌合并肝硬化患者术后胸腔闭式引流进行观察,探讨此类患者的护理特点。方法 18例患者术后3d每天均有500ml以上引流胸腔积液,有10例(A组)在术后3d仍有800ml胸腔积液,给予自体血胸膜固定术,8例(B组)仍予常规支持对症治疗,比较两组术后恢复时间和住院费用。结果 A组平均住院时间为26d,平均住院费用为4.1万元;B组平均住院时间为19d,平均住院费用为3.2万元,差异均有统计学意义(P<0.05)。结论肺癌合并肝硬化患者术后需加强观察胸腔积液的变化,及时的自体血胸膜固定术并加强指导翻身护理,可在临床上加快此类患者的康复,同时减少住院费用。