目的 探索在神经外科护理教学中使用周期目标教学模式对学生理论知识、护理技能的作用与意义。方法 采用统一标准百分制操作与理论考核,比较周期目标教学模式和一对一带教模式下护理学生护理理论与技能掌握、应用的差异。结果 实验组学生理论考核和操作考核成绩比一对一带教学生成绩高。结论 周期目标教学模式使学生的实习思路清晰,提高了学生实习的积极主动性;实习目标明确,促进了护生在专科技能操作上的提高。对提高我科护理教学质量起到积极的促进作用。

目的 探察老年冠心病无痛性心肌缺血的临床护理效果。方法 选取我院冠心病患者68例,按照护理方式的不同分为观察组与对照组,每组34例;对照组患者给予常规护理,观察组在对照组的基础上给予患者优质的临床护理;观察两组患者的临床护理效果。结果 临床护理后,两组患者的症状均有缓解,但观察组患者心肌缺血的发作次数、发作时间、ST段压低减少的次数及下移减少量显著优于对照组,结果差异有统计学意义(P＜0.05)。结论 对老年冠心病无痛性心肌缺血患者采用针对性合适的临床护理,缓解了患者的临床症状,减少了心肌缺血的发作次数,改善了患者的并发症,效果显著,值得推广。

目的 探讨延续性护理干预对癌痛患者服药依从性及疼痛治疗效果的影响。方法 选取105例住院治疗的中度至重度癌痛患者,均需服用阿片类药物止痛治疗,单日出院的患者(48例)设为对照组,双日出院的患者(57例)设为干预组。对照组在出院前由责任护士给予常规的用药指导;实验组则在此基础上,于出院后提供延续性护理干预,对患者每周进行电话回访1次,每个出院患者至少回访4次,比较两组患者出院4周后服药依从性及疼痛治疗效果的差异。结果 实验组服药依从性、疼痛治疗效果高于对照组(P＜0.05)。结论 延续性护理干预能提高出院癌痛患者服药依从性及疼痛治疗效果,改善患者的生存质量。

Objective To investigate the impact of continuing nursing on the medication compliance and effect of pain treatment in patients with cancer pain. Methods 105 cases of hospitalized patients with medium to severe cancer pain were selected,need to take opioid analgesic therapy,they were divided into the control group who were single-day discharged(n=48)and intervention group who were double-day discharged(n=57),when discharged,the control group was received conventional health education of medication by the specialized nurses;on this basis,the experimental group was received continuing nursing after discharge,the patients had a return visit by telephone once a week,each patient were visited 4 times at least. After 4 weeks,the medication compliance and effect of pain treatment in the two groups were compared. Results In the experimental group,the medication compliance of patients and effect of pain treatment were significantly higher than those of the control group(P＜0.05). Conclusion The continuing nursing intervention can significantly improve the medication compliance and effect of pain treatment for discharged patients with cancer pain,and improve the quality of life.

目的 探讨护理质量持续改进对康复医学科护理质量管理的影响。方法 制定康复医学科护理管理标准,比较改进前后护理专业基本技能评分和护患关系情况评分。结果 经过持续质量改进,康复医学科的护理质量显著提高。基础护理、护理文书和消毒隔离的评分显著提高,与改进前相比较,两组间的差异有统计学意义。护患关系融洽度和患者满意率提高,与改进前相比较,两组间差异有统计学意义;护理纠纷发生率降低,两组间差异有统计学意义。结论 在康复医学科护理管理中引进持续质量改进,可有效地提高护理质量,确保护理安全。

负压病房是救治呼吸道传染病病人的重要医疗设置,如何在短时间内完成负压病房的相关配置是考验护理组快速反应能力和有效组织能力。我院2014年收治了第一例人感染性H7N9禽流感合并ARDS和多器官功能衰竭病人,呼吸内科护理组在2小时内完成了负压病房的相关配置,包括抢救隔离设施、人员调配、医护协调、心理辅导等一系列工作,探索出一套应对爆发性呼吸道传染病的护理模式。

目的 探讨综合中医护理措施在无痛人工流产术后调复中的效果。方法 将100例无痛人流病人随机分为观察组和对照组各50例,对照组手术前后予常规护理。观察组在对照组的基础上,采取综合中医护理措施。结果 观察组术后阴道出血量、出血时间、腹痛持续时间等少于对照组,月经按时复潮率高于对照组(P<0.05)。结论 综合中医护理干预对无痛人工流产病人具有良好的调复作用,可以有效地提高患者术后舒适度,促进患者早日康复,值得临床推广应用。

目的 通过分析6例阴茎折断患者术后主要护理的要点,以提高阴茎折断患者术后的护理水平。方法 回顾性分析阴茎折断患者术后护理。对6例术后患者进行心理辅导,病情观察,正确体位的摆放,出院指导等护理干预。结果 6例患者在明确诊断后均急诊行阴茎血肿清除加白膜修补术,其中1例另外行尿道修补术。住院时间10~15天,平均9天,住院期间伤口愈合良好,无出现术后并发症。术后随访2~12个月,平均8个月。5例患者阴茎外观正常,性生活满意,无阴茎弯曲、痛性勃起、尿道狭窄等并发症。1例阴茎外观有轻度弯曲,但不影响性生活。结论 目前阴茎折断治疗的方法主要是手术治疗,护理人员帮助患者消除手术顾虑保持良好心态积极面对手术是手术成功的关键, 重视术后局部的护理以及病情观察,预防并发症的发生;指导患者积极进行功能锻炼和配合治疗,促进患者恢复。

Objective To summarize the experience of nursing intervention in diagnosis and treatment of penile fracture, and to improve the level of nursing of penile fracture. Methods The clinical data of 6 cases with penile fracture were retrospectively analyzed, the nursing intervention mode and significance in diagnosis and treatment were evaluated. 6 patients have emergency surgery after the diagnosis, and one patient urethra accepted surgical repair. Results The hospitalized period varied from 10 to15 days(average 9 days), and the patients were followed up for 2~12 months(average 8 months). 5 patients showed a very good outcome without complications, such as the penile deviation, pain, ED and urethral stricture, and 1 patient with penile deviation did not impede sexual activity. Conclusion Prompt surgical intervention of penile fracture showed a satisfied long-term outcome and get better therapeutic effects. Nursing intervention is important to improve the success rate of surgical, and targeted nursing after surgical can reduce complications.

目的 根据产后不同时期的乳房的生理特点,采用中医综合疗法及护理进行回乳,观察其疗效。方法 选取哺乳期断乳的妇女57例,随机分为治疗组30例及对照组27例,治疗组采用中医综合疗法回乳,对照组口服溴隐亭回乳。结果 治疗组回乳效果优于对照组,出现乳房胀痛及乳腺炎的发生率低于对照组,且无不良反应。结论 中医综合疗法回乳安全,效果显著,对回乳时出现的乳房胀痛等兼证有很好的改善,对乳腺炎的发生起了更好的预防作用。

Objective According to the physiological characteristics of postpartum breast, through the combined treatment of traditional Chinese medicine and nursing for delactation,and to observe the effects. Methods A total of 57 women who wanted for delactation, were selected and randomly divided into two groups, there are 30 cases in the treatment group and 27 cases in the control group, the treatment group were treated with traditional Chinese medicine and nursing, while the control group used oral bromocriptine for delactation. Results The treatment group is better than the control group, the incidence of mastitis and breast swelling in treatment group is lower than the control group, and there was no adverse reaction. Conclusion The treatment of delactation with combined treatment of traditional chinese medicine and nursing is safe and effective, it can reduce suffering of women and prevent the occurrence of mastitis.

目的 探讨优质护理对于提高白内障手术患者术后恢复的影响。方法 选取本院自2014年1月—2014年6月收治的56例实施白内障手术的患者,将患者平均分配为对照组和实验组,对照组实行常规护理服务,观察组实施优质护理服务,建立完善的护理人员工作机制,提高护理人员素质;加强对患者的健康教育和心理护理,及时给患者进行检查。统计两组患者的治疗效果,分析优质护理服务的效果。结果 在术后接受优质护理服务的实验组患者的恢复效果好于对照组患者,术后的不良事件发生率较对照组低,患者的疼痛程度低,二组数据差异具有统计学意义。结论 给白内障术后的患者以优质护理服务能提高护理质量,缩短患者恢复时间,提高患者恢复效果。

目的 探讨社区护理干预指导在糖尿病中的临床护理效果。方法 采取回顾分析法对我市3个街道的居民资料,选取其中有分析价值的100例糖尿病患者资料进行临床分析,根据不同护理方法将患者分为对照组和观察组,对照组实施常规护理,观察组进行社区护理干预指导,比较两组护理效果。结果 实验组体重指数为(22.9±2.48)kg/m²、FBG指标为(7.24±1.68)mmol/L、2hBG指标为(9.72±2.14)mmol/L、HbALc指标为(7.26±1.08)%,低于对照组(P<0.05);实验组96%合理饮食、98%生活具有规律性,92%患者能够定期运动,94%患者能够自我监测病情,高于对照组(P<0.05)。结论 对社区糖尿病患者进行护理指导时,常识性问题、危险性因素、并发症预防问题认识不足是护理督促的要点。因此应提升社区糖尿病患者的自我管理能力,对糖尿病患者进行心理护理、饮食治疗、运动养生、定期服药等方面的进行护理干预,提高社区居民的预防意识和督促指导。

Objective To investigate the guidance of community nursing intervention in diabetes clinical care effect. Methods A retrospective analysis of the city's three neighborhood offices resident data to be analyzed, select one of the analytical value of 100 patients with diabetes clinical data analysis, according to the different methods of care patients were divided into a control group and observation group.Control implementation of routine care group, observation group of community nursing intervention guidance, care and effect between the two groups. Results Body mass index in the experimental group (22.9±2.48) kg/m², FBG indicators (7.24±1.68) mmol/L, 2hBG indicators (9.72±2.14) mmol/L, HbALc indicators (7.26±1.08)%, significantly were lower than the control group (P<0.05); the experimental group, 96% of a reasonable diet, 98% had a regular life, 92% of patients can do exercise regularly, 94% of patients were able to self-monitoring disease.It was significantly higher (P<0.05). Conclusion Diabetic patients in community care and guidance, common sense, risk factors, lack of awareness of the issue of prevention of complications is the point of care supervise, and also one of the main problems exist. It should enhance self-management of diabetes, psychological care, diet therapy, exercise regimen, regular medication and other aspects of nursing intervention guidance. It should be increasing community awareness of prevention, improve supervision and guidance role.