舒适护理在子宫切除手术患者护理中的应用效果评价

目的探讨舒适护理应用于手术室护理工作中的效果。方法选取我院2010年1月-2010年6月实施开腹子宫切除术的患者250例,依据护理方式不同分为舒适护理组和常规护理组。结果舒适护理组平均手术时间、术中出血量、开始下床活动时间、住院时间均明显低于常规护理组,舒适护理组术后并发症、舒适度、满意度均明显优于常规护理组,P〈O．05,差异有统计学意义。结论舒适护理调动护患双方的主动性,改善护患关系,提高手术室护理质量,值得临床推广应用。     

Tear film,contact lenses and tear biomarkers

This article summarises research undertaken since 1993 in the Willcox laboratory at the University of New South Wales, Sydney on the tear film, its interactions with contact lenses, and the use of tears as a source of biomarkers for ocular and non‐ocular diseases. The proteome, lipidome and glycome of tears all contribute to important aspects of the tear film, including its structure, its ability to defend the ocular surface against microbes and to help heal ocular surface injuries. The tear film interacts with contact lenses in vivo and interactions between tears and lenses can affect the biocompatibility of lenses, and may be important in mediating discomfort responses during lens wear. Suggestions are made for follow‐up research.     

舒适性护理在手术室工作中的应用

目的探讨舒适性护理对手术室患者术中应激和满意度的影响。方法将本院行择期手术75例患者根据入院顺序分为观察组(n=38)和对照组(n=37)。观察组实施舒适性护理,对照组给予常规护理,评价患者手术前后焦虑程度、术前24 h、术后48 h的血清皮质醇(Cor)和超敏C反应蛋白(hs-CRP)、护理服务满意度。结果 2组患者的术后焦虑程度、术前24 h、术后48 h Cor和hs-CRP、护理服务满意度差异有统计学意义(P0.05)。结论舒适性护理可降低患者的围术期应激程度和术后焦虑程度,提升患者对手术室服务的满意度。     

舒适护理在外科无陪病房的应用

目的通过在外科无陪病房开展舒适护理，达到提高护理质量，促进患者早日康复。方法以人为本，提供温馨舒适的环境，护士热情接待。对一般患者、手术患者每天评估，针对性地对每位患者制订计划并予以实施。出院患者电话联系，了解患者住院期间的满意度，对患者存在的问题及功能锻炼继续指导。体现对患者的关爱和重视，使患者得到生理、心理、社会、精神的舒适。结果在外科无陪病房开展舒适护理，患者的平均住院日、住院费用显著低于开展前（P〈0．01），而综合满意度显著高于开展前（P〈0．01）。结论开展无陪病房舒适护理，缩短了患者平均住院日，降低了住院费用，提高了患者满意度，深化了整体护理的内涵，创造了良好的社会效益。     

The Therapeutic Aspects of Acceptance

problem : What does acceptance mean to hospitalized adolescents? methods : Using a phenomenological research approach, the authors asked hospitalized adolescents (N = 6) on a psychiatric unit to describe how acceptance from psychiatric-mental health nurses was experienced by them. findings : Three essential themes emerged: (a) the nurse who shows acceptance is seen as a friend, (b) acceptance generates a sense of well-being, and (c) acceptance produces feelings of comfort with the nurse. conclusions : In acceptance, adolescents experience nurses as unique individuals who provide comfort and nurturing. This relationship connection helps adolescent clients to use their inner strength to gain a sense of well-being.     

Use of the Vector scaling unit in supportive periodontal therapy: a subjective patient evaluation

BACKGROUND: Patient discomfort is one reason for poor compliance with supportive periodontal therapy (SPT). The aim of this study was to compare the levels of discomfort during SPT, using the Vector system and treatment with a conventional ultrasonic scaler. METHODS: Forty-six patients with an SPT programme were debrided using both the Vector system and a conventional piezo-electric scaler (Sirona) in a split mouth design. A visual analogue scale was used to evaluate of pain scores upon completion of treatment. A verbal response scale(VRS) was used to assess discomfort, vibration and noise associated with the scaling system, as well as the volume and taste of the coolant used by these systems. RESULTS: Patients instrumented with the Vector system experienced approximately half the amount of pain compared with the conventional ultrasonic scaling system. The VRS showed that the Vector system caused less discomfort than the conventional ultrasonic scaling system when assessed for pain, vibration, noise and volume of coolant. These findings were all statistically significant. There was, however, no statistically significant difference between the two systems when assessed for taste. CONCLUSION: During SPT the Vector system caused reduced discomforting sensations compared with conventional methods and may be useful in improving compliance with SPT programmes.     

预防性护理对全麻下留置导尿管患者苏醒时舒适度的影响

目的探讨预防性护理对全麻下留置导尿管患者苏醒时舒适度的影响。方法选择2008年1月～2009年6月拟择期行食道癌根治术的90例男性老年患者为对照组,2009年7月～2010年12月拟择期行食道癌根治术的90例男性老年患者为实验组。对照组全麻下采用常规方法留置导尿管,实验组在留置导尿管的过程中实施预防性护理,减少导尿管对尿道的刺激及损伤,比较两组患者苏醒时舒适度的差异。结果两组患者苏醒时及术后2d的尿道刺激反应比较,均P<0.001,差异具有统计学意义,实验组患者尿道刺激反应轻于对照组。结论对全麻下留置尿管的患者实施预防性护理,能减少导尿管对尿道的刺激及损伤,提高患者苏醒时的舒适度,有利于加强对患者的人性化护理。     

曲马多在缓解神经外科男性患者术后留置尿管不适中的作用

目的探讨曲马多在缓解神经外科男性患者术后留置尿管不适中的作用。方法选择本院神经外科手术后留置尿管不适的男性患者138例,随机分为观察组和对照组,每组名69例。观察组给予曲马多1mg/kg缓慢静脉注射,对照组给予常规护理。观察两组患者留置尿管不适情况和并发症发生情况。结果观察组患者有21例(30.4%)主诉不适,对照组有59例(85.5%),两组比较,χ2=42.95,P<0.01,差异具有统计学意义。两组患者并发症发生情况比较,χ2=0.87,P>0.05,差异无统计学意义。结论曲马多可以有效缓解神经外科患者术后留置尿管出现的不适症状。     

影响人工气道患者吸痰时舒适度的相关因素以及护理对策

目的提高人工气道患者吸痰时的舒适度。方法通过对50例人工气道患者的调查分析,找出影响其吸痰时舒适度的相关因素并制定相应的护理对策,对后续77例患者采用相应的护理对策后评价效果。结果经实践后发现提高人工气道患者吸痰时舒适度的有效护理对策为:严格把握吸痰指征,吸痰压力执行三基吸痰标准,选用合适的吸痰管和合适的吸痰深度和时间,改良吸痰手法,操作熟练,吸痰过程中的有效沟通等。结论通过找出影响人工气道患者接受吸痰时舒适度的相关因素,采取相应护理对策,对患者进行舒适护理,可得满意效果。