分组负责制技能训练法在急诊护士在职培训中的应用

目的探讨分组负责制技能训练法在急诊护士在职培训中的应用与效果。方法将2008-2009年我科参与培训的护士随机分为两组，对照组采用的是传统培训法，实验组采用的是分组负责制技能训练法，比较两组受训者在培训普及率、达标率、教育与培训能力、专科技能掌握程度方面的差异。结果实验组人员在专科操作知识和技能掌握程度、教学能力方法均优于对照组，两者的差异均有统计学意义（P〈0．05或P〈0．01）。结论分组负责制技能训练法，针对急诊专科技能实践性强，弹性调节培训人员及时间，培训者根据受训者层级灵活调整训练重点，因人施教，符合在职培训按层级培训的要求，值得临床推广应用。     

"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。     

静电吸附式空气消毒机在产房中的应用

为了解静电吸附式空气消毒机对综合性医院产房Ⅱ类区域空气消毒净化效果能否达到卫生部要求消毒后的卫生学标准,在产房、隔离产房、候产室、医护办公室和配药室分别放置静电吸附式空气消毒机,采样时间均为开机消毒前和开机消毒后1 h.监测数据显示静电吸附式空气消毒机均能有效净化消毒产房内各房间的空气,达到卫生部规定的要求.     

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。     

产科护理人员工作前后手微生物污染情况的调查

<正>了解参与产科护理工作的护理人员在护理工作前后手细菌污染情况以及采用不同洗手方法后手部细菌清除的情况。分别于护理工作前、护理工作后未进行手卫生清洁时、采用     

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.     

妊娠合并重症肝炎患者产前的护理

目的总结妊娠合并重症肝炎患者产前的护理要点。方法对我院2000年1月～2004年10月收治的18例妊娠合并重症肝炎患者进行治疗护理,并统计患者并发症发生情况。结果18例患者出现消化道症状、黄疸、低蛋白血症;14例患者并发肝性脑病;10例患者并发肝肾综合征;15例患者并发感染;14例出现全身出血倾向。结论妊娠合并重症肝炎患者病情危重且变化快、并发症多,护理的关键在于密切观察病情、及早发现并发症及时处理,并注意做好患者心理护理、合理安排饮食,让患者得到充分休息,以降低孕产妇死亡率、提高围产儿存活率。     

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。