Objective To analyze the effect of midwife psychological nursing in promoting natural childbirth. Methods 120 pregnant women admitted to our hospital from December 2021 to May 2022 were divided into control group and observation group by random number table method. 60 cases in each group. The control group carried out routine nursing, the observation group carried out routine nursing measures + midwife psychological nursing. The pregnant women emotional status, puerpera delivery time, nursing satisfaction rate and natural delivery rate were observed. Results The psychological status index score and nursing satisfaction rate of pregnant women in the observation group were significantly higher than those in the control group (P<0.05). The puerpera time of the observation group was significantly shorter than that of the control group (P<0.05). The rate of natural delivery in the observation group (95.00％) was higher than that in the control group (81.67％) (P<0.05). Conclusion In the nursing of pregnant women, psychological nursing by midwives on the basis of routine nursing can improve negative emotions, shorten the time of delivery and improve the satisfaction degree.

Objective To analyze the effect of midwife group providing continuous nursing for pregnant women. Methods 102 pregnant women admitted to our hospital from December 2021 to May 2022 were enrolled as subjects and randomly divided into control group and continuous group, with 51 cases in each group. The control group carried out routine nursing, and the continuous group carried out continuous nursing measures on the basis of the control group. The psychological mood, maternal and infant outcomes, nursing quality and nursing satisfaction rate were compared between the two groups before and after nursing. Results There were no significant differences in anxiety and depression scores between the two groups before nursing (P＞0.05). The scores of anxiety and depression after nursing in both groups were decreased, and those in continuous group were lower than those in control group (P＜0.05). All maternal and infant outcomes in continuous group were significantly better than those in control group (P＜0.05). Nursing quality scores and nursing satisfaction rate in continuous group were higher than those in control group (P＜0.05). Conclusion In the nursing of pregnant women, midwife group provides continuous nursing interventions, which can improve the physical and mental state of pregnant women and enhance the overall quality of nursing.

目的：对胃肠镜神经官能症患者进行护理，分析其常见的心理问题，并采取一系列护理措施。方法对我院2010年5月～2012年6月收治的62例胃肠神经官能症患者进行治疗，并随机分成对照组和观察组，对照组使用常规护理方法，观察组则根据患者情况进行分析，并采取针对性的护理。对两组患者的情况进行对比分析。结果观察组患者经过精心护理后，患者的心理状况有所改善，提高了患者对疾病的认和水平，并能以积极的心态面对疾病，护理效果明显高于对照组患者。结论对胃肠神经官能症患者采取药物治疗和心理护理，能有效改善患者的情况，值得在临床上推广应用。

在我国医疗事故中，手术失误占据主要地位，例如接错患者、将患者送进错误的手术间、手术时混淆手术部位等，由此看来术前护理尤为重要。文中笔者针对手术常见的一些错误进行分析，为今后防止此类事件的发生并针对这些错误提出了改进办法。

笔者首先分析了医保管理的工作现状和医保定点单位对医保基金使用现状，最后针对现状提出医疗保险管理工作有效措施，为今后医疗保险管理工作奠定了基础。

医疗保险基金关系到参保人员切身利益，也是医疗保险制度正常实行的必要条件，目前，医疗保险开始走进每家每户，涉及到的人员也越来越多。伴随着基金管理使用信息的大众化，合理的进行医疗保险基金管理，保证保险基金的规范运用，已成为一个值得研究的问题。

Objective:To discuss the appliaion value of performance appraisal in nursing management.Methods:analysis of 18 nursing personnel of the surgical department of our hospital,to carry out the observation of job quality,nursing quality,teaching indicators and patient satisfaction of nursing personnel before and after introducing performance appraisal system.Results:job quality,nursing quality,teaching indicators and patient satisfaction of nursing personnel hae been significantly improved after the introduction of performance management.Conclusion:The performance appraisal system can effectively improve the level of hospital care management,promote the improvemnt of own quality,nursing professional skills and knowledge of nursing personnel,improve continuous learning for em and improve patient satisfaction,reduce occurrence rate of doctor-patient disputes.

目前人们越来越重视医疗保险,而人们要获得医疗保险的理赔就必须出示真实有效的证据,病案就是非常重要的证据之一。病案是由医院来管理的,病案管理是否规范化对于医疗保险理赔来说具有直接的影响。本文针对病案规范化管理对医疗保险的作用进行细致的分析,并就加强病案规范化管理提出建议。

医疗保险是构建和谐社会、促进安定团结的重要手段,也是解除国民后顾之忧从而扩大内需的重要机制。当前我国医疗保险制度虽然不断得到改进和完善,但是,在实际实施过程中还是存在着一些问题。本文介绍了对国内外医疗保险历史和现状,分析了我国医疗保险制度存在的问题,并提出未来发展的修改意见。

在"新农合"实施过程中,存在资金投入,资金管理、服务流程、医疗资源配置、医疗成本过高等突出问题,直接影响"新农合"地运行。文章根据本地区"新农合"试点的实际情况,初步分析了影响"新农合"医疗费用变化的几种主要因素,并提出了解决意见和建议。

目的:观察部分拔甲术结合电离子治疗嵌甲的临床效果。;方法:将93例嵌甲患者随机分为观察组和对照组,两组均行部分拔甲术,对照组采用锐性切除嵌甲下甲母组织,观察组行高频电离子治疗探头汽化破坏嵌甲下甲母组织。结果:观察组与对照组比较,甲床干燥时间有明显改善,经统计学检验差异有显著意义(P<0.05)。两组治愈率及复发率对比差异无显著意义。结论:部分拔甲术结合电离子治疗嵌甲比传统手术恢复时间段,塑型美观,保证甲沟正常形态。

<正>静脉留置针又称套管针,是头皮针的换代产品,多年前亚洲一些较发达的国家和地区早已用它取代了头皮针,静脉留置针具有减少血管穿刺次数,对血管的刺激性小,减少液体外渗,不易脱出血管,有利于临床用药和紧急抢救,随时进行输液治疗,同时有减轻护士的工作量等优点,另外3天的留置时间也减少反复穿刺的痛苦和对静脉带来的伤害,同时保证合理用药时间,并且患者在点滴过程

Bennett骨折是第一掌骨基底部骨折合并第一腕掌关节脱位或半脱位,Bemett骨折属不稳定性关节内骨折,复位固定比较困难,治疗不当会导致关节畸形及功能障碍[1].2001年1月至2010年6月,我院选择性地对21例Bennett骨折患者行切开复位、可吸收缝线钻孔环扎内固定治疗,取得了满意的疗效.

经皮肾镜治疗肾结石安全、创伤小,完善的术前护理,术后有针对性的护理措施和细致周到的病情观察是预防术后并发症、迅速恢复健康的关键,合理的护理干预可以有效的提高肾结石的治疗效果。

目的了解护士的素质对病人健康教育效果的影响。方法通过临床经验总结,判断健康教育中护士的素质对病人健康教育的影响程度,以进一步提高健康教育质量。结果多种方式、多种途径指导护士开展健康教育工作,提高了护士健康教育素质及工作的责任感,提高了病人健康教育效果。结论提高护士健康教育素质,可以有效地提高病人健康教育效果及满意度。

语言是护士与患者进行信息传递和思想情感交流的主要工具,也是心理治疗与心理护理的重要手段之一,笔者通过多年的临床经验总结出语言交流和沟通技巧在护士与患者沟通中对疾病的发展方向起着至关重要的作用。

<正>以往供应室器械在执行清洗及保养程序后直接将器械摆放在专用篮筐内放入干燥箱内干燥。由于每天手术器械较多,每次摆放量少,影响工作效率,因此我们对器械在干燥箱内的放置方法进行了改进,大大提高了工作效率。1方法将若干根适当长度(视干燥箱内架大小而定)的钢丝两

目的探讨经尿道膀胱肿瘤切除术后膀胱痉挛的护理措施。方法对156例膀胱痉挛的患者进行分析,在临床观察过程中开展护理工作,给予对症处理,观察护理效果。结果通过细致的观察与护理可以早期发现膀胱痉挛及有效的预防膀胱痉挛的发生。结论给予细致的术前术后疾病指导是预防术后膀胱痉挛的关键。

高钾血症是终末期肾病(ESRD)患者的常见并发症,易引起多种心律失常,若治疗不及时,可随时出现心跳骤停,危及患者的生命.当血钾水平大于5.5mmol/L时,即诊断为高钾血症[1].当血钾大于6.5mmol/L时即要急诊血液透析.血液透析是治疗高钾血症最为直接、有效的手段.本文回顾2009-03～2010年-03月我院收治了34例维持性血液透析并发高钾血症的患者,现将护理对策分析报告如下.

健康教育是通过有计划、有组织的系统的教育活动,促使人们自愿地采纳有利健康的行为和生活方式或减少影响健康的危险因素,从而预防疾病、促进健康,提高生活质量.本病的治疗仍是以切除患侧的肿瘤和乳房为主.手术对于病人及家属的各方面影响都是很大的,因此为围手术期的患者及家属提供优良的护理是保证手术成功的重要环节,而健康教育则是提优良护理的重要措施.通过对乳腺癌围手术期病人的健康教育,密切了护患关系,加强了医护合作,加深了病人对医护人员的了解,产生安全感,使病人及家属对乳腺癌的相关知识有了一定的了解和认识,能积极地配合医疗护理,并参与管理,建立起治疗的信心,提高了生活质量.