目的 研究PDCA的管理模式结合鱼骨图分析法对提高血液净化室护理人员手卫生行为的影响.方法 选取护理人员8人,感染管理科4人,共12人成立PDCA质控小组,运用PDCA管理模式及鱼骨图分析法,比较干预前后护理人员手卫生依从率.结果 干预前、后护理人员手卫生依从率分别为67.6％、81.27％,高于干预前,差异具有统计学意义(P＜0.05).结论 PDCA的管理模式结合鱼骨图分析法,能够更生动的分析手卫生依从率低的原因,能够大大提高管理效率,值得推广应用.

目的 通过监测数据了解近3年榆林市三甲医院院内感染率,描述院内感染患者的感染特征,为榆林地区制定医院感染预防与控制措施提供决策依据.方法 对2014年1月至2016年12月榆林市3所三甲医院住院患者全院综合性监测数据进行统计分析.结果 2014-2016年,年度医院感染发病率(例次发病率)依次为0.93％(1.00％)、0.94％(1.02％)、0.75％(0.85％);各科室中医院感染率最高的为神外ICU室(6.79％～24.07％)和中心ICU室(5.49％～17.55％);医院感染者中男性所占比例较高,40岁以上各年龄段分布比较高,40岁以下年龄段中29天～1岁之间的分布较高;医院感染部位占比居首位的为下呼吸道,占比在50％左右,其次为上呼吸道、泌尿道、呼吸机相关等.结论 榆林市三甲医院近几年医院感染发病率有逐年下降的趋势.

Objective To investigate the clinical apply methods and effects of fracture care.Methods 160 distal radial fractures patients were equally divided into the control group and the treatment group under a hospital order,all cases were used AO external fixator combined with internal fixation,and the treatment group were added the positive nursing interventions that included create a comfortable environment,psychological interventions,psychological interventions and complications of care.Results The total efficiency were 66.7% and 90.0% respectively,(P0.05).The wrist extension,flexion,radial deviation of the scope of activities of the treatment group after 1 day and 7 days were significantly higher(P0.05).The nursing knowledge of the treatment group was 97.5%,so that was 81.3% in the control group(P0.05).Conclusion The application of the active nursing intervention in patients with distal radius fractures can further improve service quality,truly personalize service,and also in favor of treatment that should be widely applied.

Objective To investigate the effects of psychological nursing on depression and anxiety levels and quality of life in traumatic fracture patients.Methods 120 cases with traumatic fracture were randomly equally divided into two groups:the treatment group and control group with 60 cases of each group.The two groups were given general nursing measures and the treatment group were added the individual psychological nursing.Results The two groups of nursing anxiety depression score shown no significant statistical difference before nursing(P0.05),but the improvement of the treatment group were significantly better than the control group after nursing(P0.05).The two groups of physical domain,psychological domain,social relations and the total score showed no significant difference before nursing(P0.05),after nursing,the treatment group's scores were significantly higher(P0.05).Conclusions Psychological nursing for traumatic fractures patients can significant improve depression and anxiety levels.

目的:探讨和分析营养支持治疗在外科手术后的作用以及护理方法。方法:分析我院2007年1月～2009年12月445例外科手术后采用营养支持治疗的患者情况以及护理措施。结果:445例患者无一例发生手术并发症,疗效满意的达419例,疗效较差26例。术后随访6～12个月,优良率达94.16%。结论:在进行外科手术治疗后的早期,给予营养支持治疗对病人的康复有很大的作用。

<正> 高磷低钙血症是维持性血液透析患者常见的并发症,有研究表明,高磷血症是维持性血液透析患者的独立死亡危险因素。而积极降低钙磷乘积,可以逆转冠状动脉钙化,减少并发症,因此控制高磷低钙血症是透析患者的重要目标。2005年以来,我科对20例并发高磷、低钙血症的血透患者除了按医嘱给予充分的透析,

股骨干骨折通常可分为股骨的上1/3骨折,中1/3骨折和下1/3骨折,其中下1/3交界处骨折最为多见[1].股骨干骨折后疼痛和功能丧失均较明显,甚至导致休克以及危机生命的可能,因此在护理的过程中应密切观察患者的生命体征,如有异常现象及时抢救.

<正> 术后疼痛是人体对组织损伤和修复过程的一种复杂的生理以及心理反应,见于每一位术后病人,严重的术后疼痛常导致病人的睡眠不足,造成病人情绪低落、妨碍组织修复。所以有效地解除术后疼痛已经成为护理工作的一项重要内容。随着现代医学观念的不断进步,对术后疼痛的治疗和护理越来越受到关注。

2000-01-2008-06,我们采用中西医结合方法治疗扁平疣156例,并与单纯西医治疗92例对照观察,结果如下.1 资料与方法 1.1