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有利举证的护理措施记录单
引用本文:成守珍,张振路,谢文,郑淑君. 有利举证的护理措施记录单[J]. 中国护理管理, 2003, 3(5): 27-28
作者姓名:成守珍  张振路  谢文  郑淑君
作者单位:中山大学附属第一医院护理部,510080,广州市中山二路58号
摘    要:通过对护理措施实施与记录的探讨,提出表格式护理措施记录单,认为该记录单不仅可以节省护理人员书写时间,传达有关病人健康护理的信息,提供连续性护理,作为专科护理指引和促进护理科研发展,而且有利于举证。

关 键 词:护理措施  举证责任倒置  护理记录
修稿时间:2003-07-28

Nursing Records in Favor of Quoting
CHENG Shouzhen,ZHANG Zhenlu,XIE Wen,ZHENG Shujun Author's address Nursing. Nursing Records in Favor of Quoting[J]. Chinese Nursing Management, 2003, 3(5): 27-28
Authors:CHENG Shouzhen  ZHANG Zhenlu  XIE Wen  ZHENG Shujun Author's address Nursing
Affiliation:CHENG Shouzhen,ZHANG Zhenlu,XIE Wen,ZHENG Shujun Author's address Nursing Department of the First Hospital Affiliated to Sun Yat - sen University,No. 58 the second Zhongshan Road,Guangzhou,510080,PRC
Abstract:The authors explored the nursing interventions and records and brought forward recording nursing interventions in forms. It was suggested that the nursing intervention record forms not only can deliver informations about the patients' health status and the services given by nurses to assure the continuity of nursing care, but also can direct special clinic nursing and promote nursing researches in the article. Above all, the nursing intervention record forms are of great benefit to quoting.
Keywords:nursing intervention  inverted onus probandi  nursing records  
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