目的 将新的教学方法运用于新护士的护理操作技能培训中,提高护理操作技能能力.方法 将微格教学的理念和方法运用于噎食急救操作中,将2013年8月招聘的新护士37人作为观察组,将2012年8月招聘的新护士32人作为对照组,对照组采用传统培训方法,观察组运用微格教学方法进行培训,比较应用效果.结果 观察组护士噎食急救技能考核成绩和课堂满意度明显高于对照组差异有统计学意义(P＜0.05).结论 微格教学能提高训练效果,提升教学质量.

目的：探讨早期康复护理对脑血管病所致精神障碍患者的临床护理效果。方法回顾性总结我院收治的脑血管病所致精神障碍患者相关治疗与护理资料。结果实行康复护理的观察组患者NOISE表评分为(90.2±5.7)分，明显高于实行基础护理的对照组患者NOISE表评分(75.3±6.0)分，数据差异具有统计学意义( P<0.05)，在护理满意度方面，观察组患者经过护理后，非常满意者19例，满意者10例，一般者5例，不满意者1例，总体满意度(包括非常满意者、满意者和一般者)为97.14%，明显高于对照组患者满意度结果(88.57%)( P<0.05)。结论早期康复护理对脑血管病所致精神障碍患者具有更好的护理效果。

Objective:To probe into the application of scene simulation training in the communication ability training of new nurses in psychiatric department.Methods:Totally 37 new nurses recruited in August 2013 were selected as the observation group.And 32 new nurses recruited in August 2012 were as the control group.The control group nurse received the traditional lecture method.Nurses of the observation group received traditional lectures and scene simulation training.After 3 months training,the training effects of the two groups of new nurses were evaluated by using the self made communication skills assessment scale.Results:The communica-tion skills score in the observation group(87.41±6.53)was higher than that of the control group(73.75±7.19) (P<0.01).Conclusion:The scene simulation training can help to improve the communication ability of new nur-ses in psychiatric department.

Objective:To explore the effect of "Handover Sheet of Checking and Treatment outside"in reducing adverse events in psychiatric patients.Methods:174 patients were splitted into control group and intervention group by their admitting time.January-June 2013 was control group(83 cases) ,July-December 2013 the intervention group(91 cases).For control group,the verbal handover was used.For intervention group,on the base of oral handover, the "Handover Sheet of Checking and Treatment out-side"was used,in which escorting by someone was written.The rate of adverse event was compared be-tween the two groups.Results:There were six adverse cases(6.6%) in the intervention group,17 cases (20.5%)in the control group.There was a significant difference between the two groups( P<0.01). Conclusion:"Handover Sheet of Checking and Treatment outside"can effectively reduce the occurrence of adverse events.

<正>头部受到直接或间接作用造成的脑部组织损伤,在急性或慢性期,可能出现精神活动的失调及缺陷[1]。脑外伤并发精神障碍护理难点较多,如能采取正确护理,有利于疾病治疗与恢复。现将相关护理报告如下:

精神分裂症是一种高患病率、高复发率、高致残率的慢性迁延性疾病,复发率的高低受多种因素的影响.现选取从我院出院的精神分裂症患者为对象,分析其复发的有关因素: