在康复医学发展的同时,康复护理正在成为护士职能扩展的一个重要方面,随着整体护理模式的提出,康复与护理这两门学科将有越来越多的联系和相关.目前,康复护士已经成为了我国各大医疗机构的重要组成部分,且其在临床工作中所起到的作用也是不可忽视的.而社区医疗卫生部门作为基层医疗机构,更是关系着我国众多百姓的健康.故,我们急需找到突破口,为提高社区康复护理的整体水平做出贡献.

目的：探讨系统科学有效的健康教教育对行数字减影血管造影（DSA）的蛛网膜下腔出血（SAH）患者术后康复的影响。方法：本科室2010年5月至2013年5月SAH病例256例，其中行DSA手术的有156列；将156例患者随机分成对照组78例实验组78例，对照组实行普通的术前健康宣教，实验组根据手术要求进行一系列术前科学有效系统的的健康教育等，对两组患者术后并发症发生率进行统计比较。结果：对照组有18例患者术后出现并发症，实验组只有3例发生了并发症，两组间并发症发生率有统计学差异（P＜0．05）。结论：系统的术前健康教育能够降低蛛网膜下腔出血患者DSA术后并发症的发生。

我国已迈入老年型社会，老年疾病脑血管意外发病率呈逐年明显上升趋势，随着空巢老人的比例增多，脑血管意外康复病人的心理健康已显得尤为重要。通过有效的心理护理及护理干预措施能明显消除和改善患者的心理障碍，使其树立战胜疾病积极乐观的人生观，并主动配合治疗，促进疾病的康复，最大可能恢复自理能力，提高其生活质量。[1]

Objective To develop learning organisation culture as a nursing managing method,and to improve the effect of high quality nursing service.Methods We constructed learning organisation culture which covered renawal of thinking,taking hierarchical management,running surveys on hospital grass-roots,toning up training programs,and setting incentive policies.Then we applied the learning organisation concepts in nursing administration.Later,we selected 300 nurses through stratified sampling,to fill out a self-designed satisfaction questionnaire,and 3 of the patients cared by each nurse were selected respectively before and after building learning organisation culture,totaling 1 800 patients,to complete a satisfaction survey.Results Before and after the intervention,nurses′ overall satisfaction and satisfaction with management,workload,relationship with colleagues,personal growth and development,and recognition of excellent work had significant differences(P<0.01 for all);patients′ satisfaction with excellence-creating services,initiative service,fundamental nursing,out-of-hospital experience,nursing management,nurse call-light response,in-hospital sitter services also presented significant differences(P<0.01,P<0.05).Conclusion Development of learning organisation culture can enhance the quality of hospital excellence-creating services and it is also an effective way for nursing management.

目的了解社区老年患者尿失禁症状体验的现状,为提高我国社区老年护理服务提供参考。方法采用莱斯特郡泌尿系症状调查问卷对城乡社区的120名老年尿失禁患者进行调查。结果社区老年患者最近1个月内发生过尿失禁占65.83%,夜尿≥3次者占46.67%,74.17%患者对伴随尿失禁症状度过余生表示"非常不满意"。结论社区老年患者尿失禁症状较严重,其生活体验和获得的支持体验不理想;应加强健康教育和提供社会支持系统,以积极改善患者尿失禁症状的体验,提高生活质量。

Objective To explore the effect of Interests-Coordination Soft System Methodology(ISSM) on the construction of safe medication system for nurses.Method After the defects in system's construction in the settings of clinical medication,the structure of safe medication system for nurses was designed and analyzed using ISSM.Result ISSM made up for the defects of Hard System Methodology so that the "invisible" problems were resolved in time and the defects in the designs of traditional safety management were corrected so as to ensure the quality and efficiency of medication.Conclusions The ISSM medication system is effective for medication safety.It is sustainable and contributive for the development of nursing discipline.