"全景式"案例教学法在气道管理规范化培训中的应用效果

[目的]探讨"全景式"案例教学法在气道管理规范化培训中的应用效果。[方法]选择2017年在医院重症监护室接受气道管理培训的22名护士设为对照组,采用传统的气道管理培训方法;选择2018年在医院重症监护室接受气道管理培训的25名护士设为观察组,通过成立气道管理培训小组,采用"全景式"案例教学法开展气道管理规范化培训。比较两组护士培训后的气道管理理论知识和实践能力水平及对培训的满意度。[结果]对照组护士培训后理论知识得分(69.27±9.19)分、实践能力得分(79.09±7.01)分,均低于观察组得分(85.44±9.72)分、(90.84±4.83)分,差异有统计学意义(P0.05);观察组护士对培训课程设置、内容、方式、时间安排、管理的满意度和总体满意度高于对照组,差异有统计学意义(P0.05)。[结论]"全景式"案例教学法能有效提高气道管理培训效果,且获得较好评价。     

护理干预对糖尿病患者心理状态的影响

目的:探讨护理干预对糖尿患者心理的影响。方法:用焦虑抑郁自评量表评估糖尿患者的精神状况,并给予护理干预,包括糖尿病宣教、药物干预、心理护理、感觉护理,然后比较干预前后的分值。结果:糖尿病患者存在明显的紧张焦虑心理,护理干预后症状明显改善。结论:对糖尿病患者进行及时有效、多层次的护理干预,有助于控制疾病及早康复。     

186例中心静脉置管的并发症及护理体会

通过对186例中心静脉置管患者所出现的19例并发症的分析及护理过程的探讨,认为在应用中心静脉置管的患者中,正确的操作和严格的护理及密切的观察是减少并发症的关键因素。     

近似人病理生理过程动物脂肪肝模型的综合建立方法

Objective To establish animal model of fatty liver similar with human pathophysiology used for the study of imaging quantitative diagnosis or verification of medicine curative effect. Methods Forty-five New Zealand white rabbits were used in this study. They were divided randomly into five groups : 10 rabbits in normal control group, 10 rabbits in experiment group 1,10 rabbits in experiment group 2,10 rabbits in experi-ment group 3,and remaining 5 rabbits were in a supplement group. Rabbits in normal control group were given free access to normal food and water for 9 weeks. Rabbits in the experimental groups were fed a high-fat and high-sucrose diet for 3,6,and 12 weeks,respectively. Rabbits in the supplement group were fed the same diet as the experimental groups. Liver specimen stained with HE and Sudan Ⅳ was examined histological. Results The success rate of hepatic steatotie models was 87 % (39 of 45 ) ;mortality was 13 % (6 of 45 ). There were 10 nor-mal livers, 10 mildly fatty livers, 9 moderately fatty livers, and 10 severely fatty livers in results (stained with HE), and the rate of conforming to Sudan Ⅳ was 75%. Conclusion The animal model of fatty liver with differ-ent severity can be established by being fed a high fat, high sucrose and alcohol diet.     

近似人病理生理过程动物脂肪肝模型的综合建立方法

Objective To establish animal model of fatty liver similar with human pathophysiology used for the study of imaging quantitative diagnosis or verification of medicine curative effect. Methods Forty-five New Zealand white rabbits were used in this study. They were divided randomly into five groups : 10 rabbits in normal control group, 10 rabbits in experiment group 1,10 rabbits in experiment group 2,10 rabbits in experi-ment group 3,and remaining 5 rabbits were in a supplement group. Rabbits in normal control group were given free access to normal food and water for 9 weeks. Rabbits in the experimental groups were fed a high-fat and high-sucrose diet for 3,6,and 12 weeks,respectively. Rabbits in the supplement group were fed the same diet as the experimental groups. Liver specimen stained with HE and Sudan Ⅳ was examined histological. Results The success rate of hepatic steatotie models was 87 % (39 of 45 ) ;mortality was 13 % (6 of 45 ). There were 10 nor-mal livers, 10 mildly fatty livers, 9 moderately fatty livers, and 10 severely fatty livers in results (stained with HE), and the rate of conforming to Sudan Ⅳ was 75%. Conclusion The animal model of fatty liver with differ-ent severity can be established by being fed a high fat, high sucrose and alcohol diet.     

助产士到ICU进行急救技能培训的成效分析

目的:探讨助产士到ICU进行急救技能培训的成效。方法:产房所有助产士轮流到ICU进行2周的急救技能培训。根据助产士的培训需求制定培训计划,吸痰、动脉血气分析、中心静脉压测定为本次培训的重点项目。培训结束前由ICU老师组织操作考核,结束后完成一份总结。结果:问卷调查显示,92.3%的助产士认为ICU培训对提高自身的急救技能非常有帮助。培训后助产士的急救技能操作考核成绩较培训前有明显的提高,差异有统计学意义(P<0.05)。结论:结果表明,助产士到ICU进行急救技能培训,是一种成效显著,简单易行的急救技能培训方式。     

经皮经肝门静脉自体骨髓干细胞移植患者的护理

目的 总结自体骨髓干细胞经皮经肝门静脉移植治疗慢性肝衰竭的护理体会.方法 对19例确诊为慢性肝衰竭的患者,经门静脉植入自体骨髓干细胞,在手术不同时期实施针对性的护理.结果 19例患者均安全度过围手术期,未出现不良反应及并发症.结论 在自体骨髓干细胞移植治疗慢性肝衰竭过程中,术前的充分准备,术中医护患的良好沟通及密切配合,术后的精心护理和康复指导,是自体骨髓干细胞移植得以顺利进行的重要保证.

Abstract：

Objective To summarize the nursing experience of treatment of percutaneous and transhepatic portal venous autologous bone marrow stem cell transplantation for chronic hepatic failure.Methods 19 patients who were definitely diagnosed as chronic liver failure received pertinent nursing in different perioperative period of transhepatic portal venous autologous bone marrow stem cell transplantation.Results All of the 19 patients went through perioperative period safely without any adverse reactions or complications.Conclusions In the process of treatment of autologous bone marrow stem cell transplantation for chronic hepatic failure,sufficient preoperative preparation,good communication and close cooperation among doctors,nurses and patients during operation,careful nursing and rehabilitation instruction after operation,are important assurances for autologous bone marrow stem cell transplantation to run smoothly.     

45例系统性红斑狼疮合并神经精神狼疮病人急性期的安全护理

[目的]总结系统性红斑狼疮合并神经精神狼疮病人的临床症状及个体特点,探讨其相应的护理对策,对临床护理工作提供指导,保证神经精神狼疮病人的安全。[方法]收集临床资料,结合临床经验,对神经精神狼疮病人进行安全护理。[结果]通过对45例神经精神狼疮病人急性期的临床症状分析,并对其进行针对性的安全护理,消除安全隐患,提高治疗的有效性,保证病人的安全,促进疾病早日康复。[结论]应对神经精神狼疮病人进行多方位的安全护理。     

近似人病理生理过程动物脂肪肝模型的综合建立方法

Objective To establish animal model of fatty liver similar with human pathophysiology used for the study of imaging quantitative diagnosis or verification of medicine curative effect. Methods Forty-five New Zealand white rabbits were used in this study. They were divided randomly into five groups : 10 rabbits in normal control group, 10 rabbits in experiment group 1,10 rabbits in experiment group 2,10 rabbits in experi-ment group 3,and remaining 5 rabbits were in a supplement group. Rabbits in normal control group were given free access to normal food and water for 9 weeks. Rabbits in the experimental groups were fed a high-fat and high-sucrose diet for 3,6,and 12 weeks,respectively. Rabbits in the supplement group were fed the same diet as the experimental groups. Liver specimen stained with HE and Sudan Ⅳ was examined histological. Results The success rate of hepatic steatotie models was 87 % (39 of 45 ) ;mortality was 13 % (6 of 45 ). There were 10 nor-mal livers, 10 mildly fatty livers, 9 moderately fatty livers, and 10 severely fatty livers in results (stained with HE), and the rate of conforming to Sudan Ⅳ was 75%. Conclusion The animal model of fatty liver with differ-ent severity can be established by being fed a high fat, high sucrose and alcohol diet.     

近似人病理生理过程动物脂肪肝模型的综合建立方法

目的建立近似人病理生理过程的动物脂肪肝模型,使之适用于影像学定量诊断或药物疗效的验证研究。方法健康新西兰大白兔45只,随机分为四组：正常对照组10只,普通饲料及水喂养9周;实验1、2、3组,各10只,采用高脂高糖饲料＋酒精饮料分别喂养3周、6周和12周;补充组5只,给予实验组相同的喂养和处理。采用HE染色和苏丹Ⅳ染色对动物肝脏进行组织学检查。结果实验成模率为87％（39／45）,死亡率为13％（6／45）,出现正常肝10只,轻度脂肪肝10只,中度脂肪肝9只,重度脂肪肝10只（HE染色）,与苏丹Ⅳ染色Vv值分级的诊断符合率约为75％。结论综合运用高脂高糖饲料＋酒精饮料可成功建立近似人病理生理过程的动物脂肪肝模型。