Objective:To investigate the status quo of patient privacy protection behavior of clinical nurses and analyze its influencing factors.Methods:Using the convenient sampling method, clinical nurses from tertiary hospitals in China were selected to conduct a questionnaire survey on from March to April 2018. The Chinese version of Patient Privacy Scale (PPS) were used to conduct an investigation through Questionnaire Star electronic questionnaire. A total of 1, 043 valid questionnaires were collected, and the effective response rate was 100%.Results:The PPS total score of 1 043 clinical nurses was (124.86±12.16) . The item with the highest score was "You would use screens, curtains and sheets to protect patients' privacy when necessary" (4.89±0.39) , while the item with the lowest score was "You would knock on the door before entering the patient's room and enter after asking for the patient's consent" (4.11±1.14) . The results of multiple regression analysis showed that education level and department had effects on patients' privacy protection behavior ( P<0.05) . Conclusions:The patient privacy protection behavior of clinical nurses is generally at a good level, but there is still room for improvement in individual behaviors. Teaching hospitals should strengthen education related to patient privacy protection for nurses with higher education degree who undertake teaching tasks and nurses in surgical monitoring departments and formulate specific relevant teaching procedures and detailed rules.

当前,随着我国新型冠状病毒肺炎疫情防控工作向好态势的进一步巩固,如何在做好疫情常态化防控工作的前提下,顺利开展好非定点医院病房护理管理工作变得十分重要.通过分析复工复产时期病房护理工作面临的挑战,总结护理管理具体做法,对强化复工复产时期普通病房护理管理工作进行探索.

目的:探讨腹腔穿刺与腹腔输液港在卵巢癌患者腹腔化疗中的应用效果.方法:选择2017年1月至2018年12月住院行腹腔化疗的卵巢癌患者90例,其中腹腔穿刺组患者45例,腹腔输液港组患者45例.对比2组患者的治疗效果、导管相关并发症发生情况、穿刺时疼痛评分、一次性穿刺成功率以及疗程完成情况.结果:两组患者治疗效果比较差异无统计学意义(P>0.05);导管相关并发症发生情况,两组比较差异无统计学意义(P>0.05);腹腔输液港组患者穿刺疼痛评分低于腹腔穿刺组,两组M(P25,P75)评分分别为2.00(1.40,2.50)和5.33(5.00,5.67),差异具有统计学意义(P<0.05),腹腔输液港组患者有18例主诉在留置期间存在腹部异物感;腹腔穿刺组患者一次性穿刺成功率为87.44％(181/207),腹腔输液港组患者为95.04％(249/262),两组比较差异具有统计学意义(P<0.05);腹腔穿刺组患者疗程完成率为82.22％(37/45),腹腔输液港组为95.56％(43/45),差异具有统计学意义(P<0.05).结论:腹腔输液港相较于腹腔穿刺应用于腹腔化疗中,其一次性穿刺成功率更高,疗程完成度更好,故在经济条件允许且化疗周期较长、腹部穿刺困难或对疼痛不耐受的患者可考虑置入腹腔输液港.

大动脉炎是一种原因不明累及主动脉及其主要分支和肺动脉非特异性慢性炎性血管病,以相应血管狭窄或闭塞为主,造成一系列缺血及高血压的临床症状和体征[13]。疾病主要累及大、中血管,经典表现为外周脉搏搏动的不对称,即“无脉症”,其临床症状和体征取决于病变累及的部位。临床常分为4型：①头臂动脉型,症状为头晕、视力障碍、偏瘫、一侧或双侧上肢血压降低或未测出；②主、肾动脉型,症状为下肢无力、高血压、心力衰竭、上肢血压增高而下肢脉搏减弱或消失；③混合型,具有前两型的特点；④肺动脉型,大多症状不明显。妊娠合并大动脉炎在临床上比较少见。妊娠期,孕妇血容量增加,心搏出量也随之增加,同时由于妊娠子宫压迫下腔静脉,使回流血量减少,致使大动脉供血不足,大动脉炎的病情可能进一步加重。病人妊娠时发生充血性心力衰竭、脑血管意外、肾功能不全及子痫前期的发生率增高,尤其是孕前脏器受累的病人,易发生自然流产、早产、胎儿发育迟缓,甚至胎死官内[4,5]。大动脉炎合并妊娠为高危妊娠,妊娠并发症和不良妊娠结局的风险明显增加,密切监测病情变化,早期识别和正确的处理对于产妇预后及胎儿的妊娠结局非常重要。北京协和医院1991年—2014年共收治妊娠合并大动脉炎病人7例,现将其临床特点及护理重点报道如下。

新生儿重症监护室(Neonatal Intensive Care Unit，NICU)具有无家属陪护、工作强度大、高风险等特点，护理工作稍有不慎极易造成护理纠纷。一旦发生护理纠纷会给患儿、家属及护理人员都带来不同程度的伤害，对医院将会产生负面影响，因此加强护理纠纷的防范至关重要。护理管理者加强危机意识，积极采取相应危机管理对策，消除有可能促使护理纠纷发生的不利因素，从而提高护理质量，减少护理纠纷。现浅析新生儿重症监护室护理纠纷发生的原因，并基于危机管理理论提出防范对策。

在新生儿重症监护室(neonatal intensive care unit,NICU)中,以家庭为中心的护理(family-centered care,FCC)将关注的重点由疾病本身逐渐扩展至患儿及其家庭[1].在FCC模式中,医护人员与患儿家长能够开放坦诚地交流,并且根据患儿及其家庭的情况为其制定个性化的护理措施,同时,家长能积极有效地参与到医疗决策和患儿的康复中[2].此模式在新生儿重症监护室的推广使用,会对患儿及其家庭以及医护人员皆产生深远的影响.本文从FCC在NICU中应用的起源、实施要素、具体内容、运用效果等方面进行综述.

Objective To understand the feelings of mothers of children with congenital heart disease(CHD).Methods A semi-structured interview was conducted with 16 mothers of children with CHD.Data were analyzed based on Colaizzi phenomenotogical research method.Results The mothers’ feelings were classified into 5 themes,including heavy psychological burden,overload care tasks,distinction in coping styles,heavy economic burden,demands for social support.Conclusions Understanding the feelings of mothers caring for children with CHD can help nurses provide individualized nursing,improve mothers’ quality of life and promote the recovery after surgery.