缩宫素引产中应用心理护理干预的临床效果分析

目的：分析研究缩宫素引产中采用心理护理干预的临床效果。方法按照盲选方法抽取该院收治的82例接受缩宫素引产的初产妇，回顾性分析两组患者护理实施效果。结果实施护理后，观察组的第1、2、3产程时间以及总产程时间显著低于对照组，观察组新生儿Apgar评分明显高于对照组，观察组的窒息发生率显著低于对照组，差异有统计学意义（P〈0.05）。结论在缩宫素引产中实施心理护理干预，在缩宫素引产中实施心理护理干预，可有助于顺利分娩，减少并发症的出现，有助于产妇分娩后早日康复，提高母婴生命质量。     

Diagnosing restless legs syndrome (RLS) in primary care

SUMMARY

This paper represents a review of current opinion and information on the effective diagnosis of restless legs syndrome (RLS) in a primary care setting. RLS can be a distressing condition - it can cause serious sleep disturbance and has a significant impact on quality of life comparable to that of depression or type 2 diabetes. The prevalence of adults whose RLS is severe enough to warrant medical advice has been estimated to be approximately 3%, but only a small proportion of these patients currently report having been diagnosed in primary care, despite stating that they have presented to their GP. The benefits of increased understanding of the symptoms of RLS and how patients present in primary care are discussed, with emphasis on how this will help GPs more effectively diagnose and manage the patients affected. Guidelines on how to diagnose RLS in a primary care setting are given - when a patient presents with sleep disturbance, RLS should be routinely considered and, where existing, be readily diagnosed in a primary care setting on the basis of the patient's clinical history, a physical examination and with the aid of four questions based on the International RLS Study Group (IRLSSG) four essential diagnostic criteria.     

Balancing Resources and Risk: Selecting Home Care Clients in Florida's CARES Program

ABSTRACT

Selecting home care patients who would otherwise go into a nursing home always involves error: serving too many or too few. To clarify the choices program and case managers must make, we propose a risk-based alternative to current selection methods that involves scientifically-derived variable weighting and conscious choice of cut-off score for bestowing home care eligibility. We illustrate our proposal with data from Florida's Comprehensive Assessment and Review of Long-term Care Services (CARES) program. Using logistic regression we identify characteristics that distinguish clients recommended for nursing home placement from those referred to the community and use these results to estimate the risk of nursing home recommendation for each client. An approach to using these risk scores to determine eligibility is demonstrated along with assessment of the impact of alternative risk score cut-offs on denying care to as many as half or as few as 5% of clients served.     

护理安全标识在临床应用中存在的问题分析及对策

目的分析护理安全标识在临床应用中存在的问题及对策。方法对2008年6月实施护理安全标识以来发生的与护理安全标识相关的问题进行分析，针对问题实施质量改进。结果护理不良事件发生率逐年下降。结论通过实施有效管理，护理安全标识在临床应用形成了持续改进的循环管理系统，可以有效降低护理不良事件的发生率。     

食管癌木后并发乳糜胸的护理干预

目的：探讨29例食管癌根治术后患者并发乳糜胸的护理方法。方法：给予29例患者生长抑素治疗，同时加强对胸腔引流液的观察，做好呼吸道管理、营养支持、饮食宣教等一系列护理干预措施。结果：除2例经生长抑素治疗无效、行再次开胸结扎胸导管治愈外，其他27例患者应用生长抑素保守治疗均治愈，治愈时间8～21天。结论：应用生长抑素保守治疗食管癌根治术后并发乳糜胸患者，同时配合一系列精心的护理干预措施可以提高乳糜胸的治疗效果。     

神经外科失血性休克患者的临床护理效果分析

目的探讨神经外科失血性休克患者的临床护理效果及护理的可行性、安全性。方法回顾性、有目的地收集我院2010年10月～2013年4月60例不同程度的神经外科血性休克患者的临床资料。组间分析采用方差分析，以P〈0．05为差异有显著意义。结果60例患者中，休克前期者22例，轻度休克者18例，中度休克者13例，重度休克者7例。所有患者均被治愈，治愈率100％。结论通过密切关注神经外科失血性休克患者的各项生命指征资料，对患者采取合理、有效的临床护理，能有效提高治愈率。     

神经外科开展优质护理服务的实践和体会

探讨优质护理服务在神经外科护理管理中的应用效果。方法：2010年1~12月随机抽取100名住院患者为对照组,自从实施优质护理服务后,2011年1~12月随机抽取100名住院患者为研究组,两组都采用自制的满意度调查表和健康教育知晓率调查表进行调查。结果：研究组满意度为95%,健康教育知晓率94%,对照组满意度为76%,健康教育知晓率为74%。结论：优质护理服务在神经外科护理中得到了患者的普遍认同。进一步强化了护士对优质护理内容的了解,使住院患者满意度明显提高。     

安全护理在全身麻醉术后的应用效果

目的 探讨安全护理在全身麻醉术后的应用效果.方法 将200例全身麻醉手术患者随机分成实验组及对照组,实验组采用安全护理,对照组采用传统方法进行护理,观察两组的躁动、疼痛、低氧血症、低温、恶心呕吐的发生率.结果 实验组的躁动、疼痛、低氧血症、低温、恶心呕吐发生率低于对照组,护理满意率显著高于对照组（P＜0.05）.结论 重视术后恢复室护理安全,并采取恰当防护措施,是确保患者安全的关键.