目的 探讨ICU老年患者术后负面情绪障碍的集束化综合护理效果.方法 选择2016年1月～2017年9月在雅安市人民医院ICU住院治疗的80倒手术外科老年患者为研究对象,用随机数字表法将患者分成观察组和对照组各40例.两组均行手术治疗并入住ICU,其中对照组患者给予常规护理;观察组患者在常规护理的基础上给予集束化综合护理.护理结束后对比两组患者护理满意度、护理舒适度评分、焦虑及抑郁评分差异.结果 观察组对护理工作的满意度高于对照组(P＜0.05),观察组护理后焦虑及抑郁评分均优于对照组(P＜0.05),在病情保证、获取信息、被接纳、支持、舒适5个方面的护理舒适度评分观察组均高于对照组(P＜0.05).结论 集束化综合护理能提高患者的满意度,降低患者的负面情绪,具有临床应用价值.

目的：探讨早期心理干预对地震伤员心理康复的影响。方法：干预前后采用症状自评量表（SCL-90）和总体幸福感量表（GWB）测试并作统计比较。结果：早期心理干预后，地震伤员的症状自评量表（SCL-90）得分显著降低，总体幸福感量表（GWB）得分显著增加（ P＜00．5）。结论：早期心理干预对地震伤员心理康复有显著效果。

After 4.20 Ya'an Lushan strong earthquake, as a front-line medical relief hospital ,we achieve a orderly,effective post-earthquake medical relief work hrough rapid response, organization and coordination, division of labor, timely diversion, ful integration of resources and a series of initiatives . So we sort out series of initiatives of Ya'an People's Hospital in the earthquake relief, formed the formation medical rescue Ya'an modes of a front-line municipal hospital for use of similar disasters after the accident, in order to achieve optimal treatment goal, maximum degree of reduction in mortality and disability rates.

随着静脉输液的广泛应用,静脉输液实践的风险性也在增加。如何认识和防范静脉输液中存在的护理风险事件,有效降低输液相关的护理差错与纠纷的发生,提高输液安全与质量,已成为护理管理人员关注和亟待解决的问题。我院通过从严格依法行医,完善相关管理制度,成立静脉输液安全管理小组,加强静脉输液质量管理,建立完善的风险报告、反馈系统等方面加强静脉输液风险与安全管理,取得了比较理想的效果。

Objective To investigate two different methods of pressure sore prevention and care and treatment. Methods 289 cases will be inevitable pressure sore monitoring score ≤ 12 hours were randomly divided into the traditional group and the control group. Group to use the traditional balloon under pressure to protect the site,in the process of bone or skin pressure to give red site massage,took place ￠ò-￠ó pressure sore with a view to clean the skin disinfectant,use of local anti-infectives,and keep skin exposure to light roast Dry. In the control group every 4 hours MEBO evenly coated parts of the pressure,massage the palm of your hand to absorb the drug,the use of air-cushion bed,took place more than ￠ò pressure sore with a clean saline pressure sore wounds,local non-use of anti-infectives ,And the use of MEBO treatment of wounds,q8h replacement,to keep the wound moist appropriate,in order to promote healing. Result The results of pressure sores in the control group were significantly lower than the traditional group,Ⅱ-Ⅲ a view to the use of pressure sore MEBO dressing change in the control group therapy is more effective than the traditional group,P<0.05. Conclusion The control group pressure sore care effective Reduce the incidence of pressure sores,for Ⅱ-Ⅲ period of pressure sores using MEBO dressing treatment,a significant effect.

Objective:To study the breath training method for patients after pulmonary lobe resection,and try to find out a simple safe and effective way of breath training.Methods:120 patients with lung partial resection were randomly divided into group A and group B.Lip contyact breath method and blow ball breath method were selected as training method for the two groups.The following indicator were observed and compared,such as Pulmonary recepansion.blood and breath air analysis,lung puff,self-aware symptom.and complications.Results:The are is significant difference in observed indications between two groups,group B was better than group A.Conclusion:Blow ball breath training method is effective in improving breath function,enhancing lung puff,reducing complication and improving living quality for patients after pulmonary lobe resection.It's worth for clinical application.

颅脑损伤昏迷患者伤后呈高分解代谢状态,能量消耗急增,尤其是蛋白质高分解代谢使患者处于负氮平衡状态,肠内营养支持可改善机体营养,保持胃肠功能,减少并发症,为疾病恢复创造条件.早期进行肠内营养支持,做好效果监测和相应护理,有利于损伤后脑组织的修复,降低病死率和致残率.笔者就我院从2005年1月～2007年6月对56例颅脑损伤昏迷患者进行肠内营养的方法、饮食种类、并发症及其预防介绍如下.