磁性医院(Magnet Hospital)是由美国护士资格认证中心(ANCC)所授予的一种称号,磁性医院管理模式是指在护士严重紧缺的状况下,医院依旧像磁铁一样拥有很强的吸引力,吸纳优秀专业性强的护士,并且为其创造出能够体现个人和职业双重价值的工作平台的一种护理管理模式.这种管理模式不仅提高了护士的职业满意度,而且成就了护理人员的职业梦想 [1].

目的:探讨全程优质护理服务在呼吸内科病房中的应用及临床效果. 方法:将200例住院患者随机分为观察组和对照组各100例,对照组实施常规护理,观察组在此基础上给予全程优质护理服务,比较两组出院时护理评价与满意率. 结果:观察组出院时护理态度、护理技能及基础护理质量评分均明显高于对照组(P<0. 05),护理满意度高于对照组(P<0. 05). 结论:全程优质护理服务能有效提高呼吸内科病房的护理质量,提升护理人员的服务态度与技能,同时提高患者满意度,值得推广应用.

目的 探讨老年糖尿病护理中个性化护理模式对血糖与治疗依从性的影响.方法 住院治疗的老年糖尿病患者80例,按照平行分组法随机分为观察组与对照组各40例,分别给予常规化护理与个性化护理,对比两组患者的血糖与治疗依从性.所获数据采用方差分析、t检验和2检验.结果 观察组患者护理干预后空腹血糖与餐后血糖值改善均显著优于对照组(P<0.05),出院随访3个月后观察组患者治疗依从性评价明显优于对照组(P<0.05).结论 个性化护理能够有效改善老年糖尿病患者的血糖控制情况,有效提高患者治疗依从性,值得推广.

Objective To observe the influence of predictive nursing intervention on elderly patients with chronic ob-structive pulmonary disease (COPD). Methods 110 patients with COPD in our hospital from January 2013 to December 2014 were were selected and divided into control group and research group by different nursing plan.In the control group,conventional nursing was applied.While in the research group,on the basis of the control group,predictive nursing intervention was added.The pulmonary function,6 minute walk distance(6 MWD),improvement of quality of life,and inci-dence of complications in two groups was observed and compared. Results After nursing,the pulmonary function,6MWD and quality of life in two groups were greatly improved,the improvement in research group was better than that of con-trol group,there was significant difference after intra-group and inter-group comparisons(P<0.05,P<0.01).The total inci-dence of complications in the research group was 9.09%,which was lower than that in the control group (27.27%),the difference was significant (P<0.05). Conclusion Application of predictive nursing intervention on elderly patients with COPD can effectively improve pulmonary function and quality of life,and reduce the incidence of complications simulta-neously.

目的在没有电子喉镜的情况下,利用电子胃镜,对咽喉部疾病进行检查。方法 1%丁卡因(Tetracaine)行咽喉部喷雾表面麻醉后,患者取端坐位,张口、伸舌,借鉴间接喉镜的检查方法,对咽喉部疾病进行检查。结果患者一般无明显呛咳及恶心,可持续观察咽喉部有利于诊断,并利用电子胃镜成像系统将检查结果保存于电脑。结论利用电子胃镜,对咽喉部疾病患者进行检查效果良好。拓宽了胃镜的应用范围,提高了其应用价值。

<正>腭裂整复术后,仔细的护理和取得病员的合作与创口的 良好愈合有很大关系。 ①病儿自手术室送回病房,在麻醉未清醒前应将头偏向 一侧,以便口腔内的分泌物容易流出,以防止窒息或吸入性 肺炎,病房内应备有氧气和吸引器,以便在口内的分泌物积 聚时进行吸引和在发生轻度缺氧时给予氧气吸入。对年幼体 弱的病儿,因其内肌肉力弱,在半清醒状态下,也容易发生 舌后坠导致发生窒息,因而,在病人尚未完全清醒之前应密 切观察床头应备有的舌钳,以便出现窒息情况时及时将舌牵 出,清醒后还应注意,有无喉头水肿及创口有无出血情况。

新生儿硬肿症是由于受寒、早产(低体质量)、感染、窒息等多种因素引起的皮肤和皮下脂肪硬化与水肿的一种疾病. 近年来, 随着早产儿及低体质量儿的增加, 新生儿硬肿症的发病率与死亡率均相应增加. 我科于2000年1月-2002年1月共收治极低体质量早产儿患新生儿硬肿症者13例. 此病治疗及转归与护理是否得当有很大关系, 现将观察与护理体会总结如下.

Objective To study the inducing factors and preventive measures of status asthmaticus. Methods The comprehensive therapeutic measures including aminophylline,hormone( intravenous drip)and spray inhalation of β 2- receptor excitant were given to the patients after admission. Results The remission rate was 100 % within 24 hours. The hospitalization time was from 2 days to 14 days,and the average time was 8.5 days. Conclusion During the status asthmaticus the bronchi were severely blocked, and the comprehensive treatment of the patients with aminophycline,hormone and β 2-receptor excitant could not only have good antispastic and antiasthmatic actions but also relieve status asthmaticus rapidly.