目的 探讨急救护理对急诊创伤休克患者的干预效果.方法 选择2019年11月—2021年1月樟树市人民医院治疗的急诊创伤休克患者60例,采取随机数字表法分为对照组(30例)和观察组(30例).对照组患者给予常规护理,观察组患者在对照组基础上给予急救护理,比较2组护理效果、并发症发生情况及护理满意度.结果 观察组患者分诊用时、采血用时、抢救用时均少于对照组,抢救成功率高于对照组(P<0.05);观察组患者的并发症总发生率为6.67％,低于对照组的30.00％(P<0.05);观察组患者健康宣教、护理态度、病房管理、护患关系评分均高于对照组(P<0.05).结论 急救护理用于急诊创伤休克患者,能够显著提高抢救成功率,有效减少并发症的发生,提升护理满意度,值得推广.

目的 探讨颈动脉加压灌注联合针灸治疗脑梗死的疗效.方法 前瞻性选取2017年4月至2020年9月在我院就诊的90例脑梗死(CI)后遗症期患者,按随机数字表法分为对照组(45例)、联合组(45例).对照组采取常规治疗,联合组采取颈动脉加压灌注联合针灸治疗,均治疗1个月.比较两组出院前、出院3个月的疗效及治疗前、出院3个月的改良巴塞尔(BI)日常生活能力指数.结果 出院前、出院3个月,联合组的疗效优于对照组,总有效率高于对照组,差异具有统计学意义(P＜0.05).出院3个月,两组患者BI指数高于治疗前,且观察组高于对照组,差异有统计学意义(P＜0.05).结论 颈动脉加压灌注联合针灸治疗CI后遗症期患者可以增强疗效,提高患者日常生活活动能力.

目的:观察手术室护理干预对Ⅰ类手术切口感染的预防效果分析.方法:将近期收治的100例Ⅰ类手术患者,根据先入院的50例实施常规手术室护理设置为对照组,后入院的50例患者实施优质手术室护理设置为试验组.对照两组患者术后不同时间切口疼痛评分,切口愈合情况与切口感染率及患者对护理的满意评价.结果:在术后的24 h、2 d、5 d、7 d时相比,试验组低于对照组.试验组切口甲级愈合率(100.00％)高于对照组(84.00％),而试验组切口乙级愈合率(0.00％)、丙级愈合率(0.00％)及切口感染率(2.00％)均低于对照组(8.00％、8.00％、14.00％),试验组患者对护理的总满意率(100.00％)高于对照组(90.00％),试验组纠纷率(0.00％)低于对照组(8.00％),差异具有统计学意义(P<0.05).结论:在Ⅰ类手术患者中,实施手术室护理干预可明显的减轻患者术后切口疼痛感,提升甲级愈合率,降低术后切口感染的发生,减少术后纠纷,提升满意率,效果理想.

目的 探究前瞻性护理对慢性心力衰竭患者的应用情况.方法 选取广东省佛山市第二人民医院2020年1—6月收治的慢性心力衰竭患者100例,随机分为对照组(n=50)与观察组(n=50),对照组予常规护理,观察组在对照组的基础上给予前瞻性护理.比较两组干预前及干预后的B型钠尿肽(BNP)、射血数值(EF)、6分钟行走试验(6MWT)、明尼苏达心力衰竭生活质量问卷、自护分数及护理满意度.结果 干预后观察组的BNP低于对照组,差异有统计学意义(P<0.05);干预后观察组的EF升高,对照组的EF降低,差异具有统计学意义(P<0.05);干预后两组的6MWT均升高,且观察组高于对照组,差异有统计学意义(P<0.05);干预后两组的生活质量分数均降低,自护分数均升高,且观察组的生活质量分数低于对照组,自护分数高于对照组,差异均具有统计学意义(P均<0.05);观察组的护理满意度高于对照组,差异有统计学意义(P<0.05).结论 前瞻性护理干预可提高慢性心力衰竭患者的生活质量,并提高患者心脏功能、护理满意度及自我护理能力.

目的 探究基于SMART原则的针对性护理对患者经桡动脉行冠脉造影术后并发症的影响.方法 选取2019年3月-2019年9月本院收治的经桡动脉行冠脉造影术的患者190例,根据护理方案不同分为观察组和对照组各95例,对照组给予常规护理,观察组在对照组基础上给予基于SMART原则的针对性护理.观察对比两组患者的自我护理能力、并发症发生情况及护理满意度.结果 观察组患者自我监测、饮食管理、运动管理及遵医嘱服药评分均显著高于对照组,差异有统计学意义(P<0.05);观察组患者并发症发生率明显低于对照组,差异有统计学意义(P<0.05);观察组患者护理满意度明显高于对照组,差异有统计学意义(P<0.05).结论 基于SMART原则的针对性护理可有效提高经桡动脉行冠脉造影术后患者的自我护理能力,减少并发症,提高患者的护理满意度.

目的:探讨心脏康复指导联合舒适护理对急性心肌梗死经皮冠状动脉介入治疗(PCI)术后患者的影响.方法:选取2017年1月1日～2019年10月31日收治的急性心肌梗死PCI术后患者200例作为研究对象,按住院号的单双号分为对照组和观察组各100例,对照组给予常规护理干预,观察组给予心脏康复指导联合舒适护理干预;比较两组干预前后心理状态[采用汉密顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)]、6 min步行试验(6MWT)、心脏功能[包括左心室射血分数(LVEF)、左心室舒张末期内径(LVEDD)、左心室收缩末期内径(LVESD)]、生活质量[采用世界卫生组织生活质量测量量表简表(WHOQOL-BREF)],比较两组心血管不良事件发生情况和满意度.结果:干预后,观察组HAMA、HAMD评分低于对照组(P<0.01);干预后,两组6MWT、LVEF、LVESD、LVEDD均优于干预前(P<0.05),且观察组优于对照组(P<0.01);干预后,两组WHOQOL-BREF中生理、心理、社会关系、环境评分均高于干预前(P<0.05),且观察组高于对照组(P<0.01);观察组不良心血管事件发生率低于对照组(P<0.05),满意度高于对照组(P<0.01).结论:心脏康复指导联合舒适护理可改善急性心肌梗死PCI术后患者不良情绪和心脏功能,提高生活质量,降低不良事件发生率.

目的 探讨改良穿刺护理法在婴儿头皮静脉穿刺中的应用效果.方法 将2017年12月～2018年3月我院儿科接诊的80例需行头皮静脉穿刺治疗的婴儿纳入本研究,按照随机数字表法均分为观察组和对照组各40例,对照组采取常规头皮静脉穿刺法,观察组采取改良穿刺护理法,比较两组穿刺情况、患儿穿刺依从性、留置针保留时间以及家属护理满意度、两组穿刺后CHEOPS评分.结果 观察组一次穿刺成功率显著高于对照组(P＜0.05);观察组患儿穿刺依从优良率均显著高于对照组(P＜0.05);观察组患儿留置针保留时间、操作水平评分以及穿刺效果评分均显著高于对照组(P＜0.05).观察组穿刺后CHEOPS评分低于对照组(t=6.124,P=0.041＜0.05).结论 改良穿刺护理法在婴儿头皮静脉穿刺中应用效果良好,可有效提升一次穿刺成功率和患儿穿刺依从性,延长留置针保留时间,提高护理服务质量,值得临床推荐.

目的:探讨自我效能干预对首次经皮冠状动脉内介入治疗(PCI)术后患者出院后健康增进行为的影响.方法:将200例冠心病患者随机分为观察组和对照组各100例,两组住院期间均给予PCI术治疗及术后常规护理,对照组出院后实施常规复诊和电话回访,观察组实施延续性自我效能干预.随访1年后,采用抑郁自评量表(SDS)、慢性病自我效能量表、健康促进生活方式量表(HPLP)评价两组患者的心理状况、自我效能及健康促进生活方式水平,比较心血管意外事件发生情况及再住院情况.结果:干预后,观察组SDS评分、自我效能评分、HPLP评分改善程度均显著优于对照组(P<0.05),心血管意外事件发生率及再住院率均低于对照组(P<0.05).结论:自我效能干预能提高首次PCI术后患者的自我效能水平,促进患者出院后建立健康增进行为,改善患者的生活质量,值得临床推广应用.

目的 对经桡动脉穿刺行冠状动脉介入术(PCI)围手术期护理方法及临床效果进行评析.方法 回顾性分析2016年2月至2017年2月在该院接受经桡动脉穿刺行PCI治疗的75例冠心病患者的临床资料,按照围手术术期不同的护理方法将其分为观察组(40例)和对照组(35例);对照组实施常规护理,观察组在对照组护理的基础上开展循证护理,应用舒适状况量表(GCQ)评测术后1、2、3 d患者的舒适度,同时掌握两组并发症发生情况和护理满意度.结果 观察组患者术后1、2、3 d的GCQ评分均显著优于对照组,差异均有统计学意义(P<0.05);观察组术后并发症率为7.5％,对照组为17.2％,两组比较,差异有统计学意义(χ2=4.152,P=0.029);观察组患者满意度为97.5％,高于对照组的85.71％,差异有统计学意义(P<0.05).结论 在经桡动脉穿刺PCI围手术期实施循证护理,可有效改善患者术后舒适度,减少并发症的发生,促进患者康复,且可提升护理满意度,值得临床推广应用.

目的 观察自我效能干预对经皮冠状动脉介入治疗(PCI)术后患者自我管理能力和生活质量的影响.方法 选取2015年7-12月在该院心脏中心行PCI治疗的72例患者作为研究对象,按照随机数字表法将其分为观察组和对照组,各36例.所有患者在住院期间均行PCI,并给予常规术后护理.对照组患者出院后进行常规复诊,并给予定期随访或电话回访;观察组患者实施自我效能干预.随访1年后采用慢性病自我效能量表、冠心病自我管理行为量表、简明健康状况调查表(SF-36量表)评价两组患者的自我效能、自我管理能力水平及生活质量.结果 经自我效能干预12个月后,观察组患者自我效能评分、自我管理行为量表评分及SF-36量表各维度评分均显著高于对照组,差异均有统计学意义(P<0.05).结论 自我效能干预能显著提高冠心病PCI术后患者的自我效能水平,从而提高其自我管理能力和生活质量,值得临床推广应用.

Objective To explore the effect of project management by specialized nurses on the continuous quality control of intravenous therapy.Methods To set up the project management team by the specialized nurses,determine the quality of intravenous treatment monitoring indicators,formulate the project management plan,revise the system standard and implement the project management.Results After implementing project management,high-risk drug leakage rate decreased (P ＜ 0.01),venous catheter-related complications decreased (P ＜ 0.01 or P ＜ 0.05),the correct rate of transfusion tool selection and the qualified rate of venous catheter maintenance were improved (P ＜ 0.01).Conclusion The project management led by specialized nurses on the continuous quality control of intravenous therapy,which can effectively promote the quality of intravenous infusion therapy,improve the correctness of transfusion tool selection and improve the qualified rate of vein catheterization.

Objective To study the current situation of nosocomial infection and relevant risk factors in patients after hip replacement,to provide theoretical evidence for nosocomial infection prevention.Method Retrospective investigation was used to analyze nosocomial infection,distribution of infection site and relevant risk factors and pathogenic bacteria of 312 in-patients who underwent hip replacement surgery in orthopedic surgery from January 2011 to December 2013.Results 13 cases had postoperative infection in 312 patients who underwent hip replacement surgery,with the infection rate of 4.17％.The common infection site was respiratory tract (46.15％),followed by urinary tract (23.07％),operative incision (15.39％)and soft tissue (15.39％).Single factor analysis showed that age over 60 years old,chronic disease history,operation time over 1.5 hours,indwelling catheter time over 3 days had obvious effects on infection (P＜0.05).Most of the detected pathogens were gram-negative bacteria (66.67％),followed by gram-positive bacteria (33.33％).Conclusion It has great significance for improving healthcare's quality and ensuring safety to analyze drug resistance,monitor relevant risk factors of postoperative nosocomial infection and pathogens,and take scientific prevention to reduce the occurrence of nosocomial infection effectively.

目的 探讨新鲜马铃薯浆汁外敷治疗因高压注射器静脉注射碘海醇外渗所致局部刺激性反应的效果.方法 将经外周静脉高压推注碘海醇注射液外渗所致穿刺部位刺激性反应患者100例,按照发生时间分为对照组和观察组各50例.对照组采用50％硫酸镁局部湿敷的方法,观察组采用马铃薯浆汁外敷的方法,观察比较两种不同外敷方法的疗效和各时间段治愈例数.结果 两组患者外渗治疗72h内,观察组患者在治愈与好转例数明显多于对照组,治疗总有效率明显高于对照组,各时间段≤36 h和≤72 h治愈例数明显多于对照组,＞72 h治愈例数明显少于对照组,两组比较差异均有统计学意义(均P＜0.01).结论 马铃薯浆汁外敷治疗碘海醇静脉高压注射所致的刺激性损伤疗效确切,效果好,能明显缩短治疗时间,观察组马铃薯浆汁外敷法优于对照组50％硫酸镁湿敷的方法.

OBJECTIVE To explore the effect of pressurized eddy current douche plus expanding aseptic covering surface on promotion of healing of surgical incision and reduction of incidence of surgical incision infections . METHODS A total of 600 patients who underwent the elective surgeries and emergency surgeries from Jan 2013 to Apr 2014 were recruited as the study objects and were divided into the control group with 304 cases and the obser‐vation group with 296 cases according to the odd and even month to admit to the hospital ;the observation group was treated with 37℃ normal saline pressurized eddy current douche for surgical incision after the peritoneal su‐ture ,and the control group was given the conventional isothermal saline to douche the surgical incision ;the class‐A healing rate of incisions ,incidence of infections ,time of incision healing ,frequency of drug dressing ,dressing time ,and cost were observed and compared between the two groups .RESULTS As compared with the two groups , the class‐A healing rate of incision was 98 .31% in the observation group ,95 .07% in the control group ;the inci‐dence of infections was 1 .69% in the observation group ,significantly lower than 4 .93% in the control group ;the time of incision healing ,frequency of dressing ,drug dressing time ,and dressing cost of the observation group were significantly less than those of the control group ,there were statistically significant differences between the two groups (P<0 .05) .CONCLUSION The 37℃ normal saline pressurized eddy current douche plus expanding a‐septic covering surface can promote the incision healing ,shorten the healing time ,reduce the incidence of surgical incision infections ,and alleviate the postoperative suffering as well as economic burden ;it is simple and worthy to be promoted .

Objective To explore the efficacy of intravenous injection through axillary vein for reducing newborn' s blood and skin injuries and ensure medical safety.Methods 100 neonates having to be treated with dopamine were selected from the department of pediatrics and then were divided into an observation group and a control group according to the odd or even month of being hospitalized,50 for each group.The observation group were injected through axillary vein,and the control group through acral vein.The incidences of irritant lesion of the injected area,how many cases were injected successfully by 1 or 2 times,and mean retention time of both groups were observed and compared.Results The incidence of irritant lesion of the injected area was markedly lower in the observation group than in the control group (10％ vs.42％,).39 cases were injected successfully by 1 time,and 11 cases by 2 times in the observation group,while 26 cases by 1 time and 24 cases by 2 times in the control group.The mean retention time was (73.22 ± 30.461) h in the observation group and was (59.01 ± 25.972) h in the control group,with statistical differences(P ＜ 0.01).Conclusions Intravenous injection through axillary vein for reducing newborn's blood and skin injuries is effective,can prolong the retention time and make sure that drug use is continuous,in time,and safe,and is clinically meaningful.

目的 探讨早期食用新鲜火龙果蜜浆配穴按摩刺激法预防骨折患者术后便秘的效果.方法 选择骨外科手术患者120例,随机分为对照组和观察组各60例.对照组采用常规护理及饮食指导的方法;观察组在对照组的基础上,术后采用食用新鲜火龙果蜜浆配穴按摩法.比较两组患者术后首次排大便时间、排便过程时间、术后便秘发生率.结果 两组患者术后首次排大便开始时间、排便过程时间、术后便秘发生率比较差异有统计学意义(P＜0.01).观察组患者术后首次排大便时间与对照组比较明显提前,排便过程时间明显短于对照组,便秘发生率明显低于对照组.结论 食用新鲜火龙果蜜浆配穴按摩刺激法能有效润滑肠道,促进胃肠蠕动,调整术后胃肠功能的早恢复、早排便,预防术后便秘的发生效果确切,并发症少,可减轻患者的痛苦和医疗负担。

目的 探讨口服萝卜汤联合新斯的明足三里穴位注射预防妇科术后腹胀的效果观察.方法 将148例妇科手术患者随机分为观察组(78例)和对照组(70例).对照组采用新斯的明足三里穴位注射治疗的方法.观察组采用口服萝卜汤联合新斯的明足三里注射治疗的方法.比较观察两组患者术后肛门排气、腹胀的情况.结果 观察组患者在术后24 h内及36 h内排气例数明显多于对照组,在腹胀、胃肠道反应方面发生率明显低于对照组,两组比较差异具有统计学意义(P＜ 0.001).结论 通过口服萝卜汤联合新斯的明足三里注射预防妇科术后腹胀、促进肛门排气的效果显著,并提高了病人术后舒适感,有利于术后的康复.

目的：探讨护理人员分层管理模式在儿科病房中的应用效果。方法：分别选取我院儿科实施护理人员分层管理模式前后的各100例患儿、家长为对照组和观察组。观察两组患儿家长健康知识知晓率以及对护理工作的满意度，并比较护理分层管理前后护士的护理质量达标率。结果：护理分层管理前后护士的护理质量达标率及两组患儿家长的健康知识知晓率、对护理工作满意度比较，均有统计学意义(P<0.05)。结论：护理人员分层管理能更好地落实对患者的基础护理，可以提高护理人员护理质量，并且提高患儿家长的满意度，具有积极的临床价值，值得推广。

目的 了解心血管内科心血管病患者介入治疗后医院感染发生情况,分析医院感染的相关因素,为改进预防与控制医院感染的措施提供科学依据,达到有效预防、控制医院感染发生的目的.方法 采取同顾性调查的方法,对2011年1月至2013年12月于我院心血管内科住院行介入治疗的906例心血管病患者的临床资料及每年医院感染病例监测资料进行系统的调查与分析.结果 906例心血管病介入治疗患者术后发生医院感染38例,感染率4.19％; 2011年、2012年、2013年每年医院感染发生率分别为5.15％、4.25％、3.35％,显示心血管内科介入治疗后每年医院感染发生率逐步降低;38例医院感染部位分布上以下呼吸道感染为主,占47.37％,其次依次为泌尿系统(23.69％)、胃肠道(13.16％)、穿刺部位及口腔(均为5.26％);对906例介入治疗手术患者进行单因素分析比较,发现患者的年龄＞ 60岁、有长期吸烟史、合并慢性疾病史、侵入性操作、介入术程时间长、住院时间长等因素与介入治疗术后医院感染发生有明显相关性,差异有统计学意义(P＜0.05),说明患者的年龄偏高、长期吸烟史、合并慢性疾病史等是医院感染的相关危险因素.结论 通过了解心血管内科介入治疗患者术后发生医院感染的相关危险因素,针对性采取有效的防控措施,以减少医院感染的发生,促进医疗质量的提高,确保医疗安全,缩短住院时间,减少患者的医疗费用。

Objective To investigate the feasibility of warm paste heating method in the dissolution of mannitol crystallization.Methods 400 bags of mannitol which crystallized during October 2012 to Apirl 2013 were selected and then were randomly divided into a control group and an experimental group according to the even and odd numbers,200 for each group.The control group used warm-water soak to dissolve mannitol crystallization,while the experimental group used warm paste heating method.The dissolution time of mannitol crystallization,the number of recrystallization during infusion process,and the situation of local pain or phlebitis were observed and compared between the two groups.Results The dissolution time of mannitol crystallization was shorter,the temperature holding time was longer,fewer bags recrystallized during the infusion process,and the incidence of local irritation pain or phlebitis was lower in the experimental group than in the control group,with statistical differences (P ＜ 0.05).Conclusions Warm paste heating method for dissolving mannitol crystallization is simple to operate,convenient,fast,safe,feasible,and effective and has fewer complications.It is worth being clinically generalized.