<正>大手术患者术后带留置多根引流管[1]。腰腹部术后患者一般都留置尿管及腰部或腹部创区引流管,患者术后常因伤口疼痛、引流管牵制及穿脱不便等原因而不能穿内裤,只能裸身盖被躺在床上。当医生为患者查体、护士为患者做护理时,患者常感到难为情,且容易受凉感冒。鉴此,我们设计制作了

Objective To explore the needs of the flexible management for clinical practicing nurses so as to provide basis for improving the clinical teaching mode.Methods From June 2008 to March 2010,122 practicing nurses were investigated with the self-designed questionnaires.Results The student nurses' needs of the flexible management were varied,mainly in the emotional,psychological and incentives forms.The leading five needs were psychological communication and strengthened emotional support(91.8%),explanation of special knowledge and technical abilities(77.87%),respect and affection of the student nurses(71.31%),flexible arrangement for the student nurse(69.67%) and soliciting opinions and mutual appraisal between the teachers and the student nurses(67.21%).Conclusion The management of clinical teaching for the student nurses reflects five areas of the flexible management,including emotional management,democratic management,incentive management,human resources management and organizational behavior management.Implementation of the people-oriented flexible management can give full play to the enthusiasm and creativity of student nurses,which is necessary to improve the quality of clinical teaching.

Objective To understand the healthy psychogenic states of priapism and to explore the relative factors to provide the references for nursing intervention. Methods Twenty-five patients with priapism were selected and evaluated by using the self-report symptom inventory (Symptom checklist 90 or SCL-90 ) and self-designed scale. The results were analyzed. Results In somatization, interpersonal relationship,depression, phobic anxiety, anxiety, hostility, psychoticism, the factor score were higher than domestic norms.The patients in the different age and educational background were different in the level of the psychogenic health. The top ten symptoms of priapism among patients were penis swelling and pain, moving difficult, feeling of serious physical problems, too concern about, psychentonia, dysuria, sleeping disorder, worries about relatives' attitude, nervousness, anxiety, worries about prognosis, feeling of shame. Conclusions The patients with priapism have physical problems as well as psychological and social problems. It is important to enhance the psychological nursing for those patients.

Objective To explore the correlation between self-management condition and quality of life (QL) of the patients with total cystectomy and urinary diversion.Methods Ninety-two patients with total cystectomy and urinary diversion were studied with a descriptive correlational design and surveyed with a self-designed questionnaire of scales for self-management and QL.Results The levels of self-management condition and quality of life in most patients were at middle level.Self-management condition and quality of life were positively correlative(P0.01).Conclusion Medical care personnel should strength the health-education and raise the level of self-management for the patients with total cystectomy and urinary diversion and their families to improve the QL.

Objective To investigate the psychological demands of living relatives donors in renal transplantation in order to provide reference for medical staff to relieve the donors' psychological problems and promote the recovery of mental and physical health.Method Fifty living relatives donors were recruited by convenience sampling method in the study and were investigated with a self-designed questionnaire.Results Among the donors,64.00%and 52.00%required cordial service attitude of medical staff and comfortable environment,respectively.Most of them required the information about the influence of health to donors (96.00%),clinical outcomes of recipient(92.00%),health care of the remained kidney(90.00%),and labor capacity after kidney donation(96.00%). Moreover,94.00%of them hoped to get the support and understanding of relatives;66.00%reported demands on the rational medical charge.Conclusion The living relatives donors of renal transplantation have a strong psychological demands especially in the information of their own health conditions and labor capacity after kidney donation.The medical staff should take measures to meet their psychological needs and promote the recovery of mental and physical health of living donors.

泌尿外科留置导尿患者离床或户外活动常将尿袋通过前开口处将尿管引到裤外,然后用别针别在膝盖以下的裤子上,患者常感自我形象受损,尤其是年轻患者,担心受人歧视而将尿袋放在裤兜内,带来逆行感染的危险;有的患者不敢到户外活动,给患者心理及康复均造成负性影响.

目的探讨影响男性病患者入院评估的因素及护理措施,为临床护理提供参考。方法回顾总结160例在我科住院的男性患者,对其入院评估的影响因素进行分析,提出护理对策。结果影响男性病患者入院评估与护士职业道德素质、患者自身因素、家属因素、病区环境、入院评估的时间有关。结论全面正确的入院评估对男性病患者的早日康复极为重要。

对1例静脉输液致周围神经炎的发生原因进行分析,主要原因为在家自行输液、未执行无菌操作程序、不熟悉注射药物性能与用法、反复同一静脉穿刺使药液外渗而损伤周围神经发生感染。提出严格遵守无菌操作规程,熟练掌握静脉用药的基本知识和穿刺技术是防止并发症发生的关键。

褥疮是长期卧床患者的一种常见并发症,目前医院发生率为3%～14%[1],治疗褥疮的方法很多,我科在临床实践中,采用百多帮治疗褥疮13例,取得了显著效果,现报告如下.

慢性前列腺炎(CP)是中青年男性的多发病,目前各种治疗方法尚不能让人满意,电化学治疗慢性前列腺炎具有损伤小、操作简单、安全、恢复快,治疗后无并发症等优点,被认为是治疗CP的较好方法.我院自2004年10月～12月,应用DJZ-100A型电化学前列腺炎治疗仪治疗CP病人30例,取得了良好的效果,现报告如下.

健康教育是整体护理的重要组成部分,通过健康教育可使病人正确对待患病的现实,协调失衡的心理.但对外科病人进行健康教育还有其特殊性.谈及手术,无论手术的大小、疾病的良恶都会给病人带来不同程度的恐惧、紧张情绪.所以他们会以更迫切的心情想了解自己的病情、手术的方法、手术所能达到的预期效果.如护士的宣教有误或方法不当就有可能加重病人的紧张情绪使病情恶化或使病人误解.本文就容易发生的几个问题谈一下自己看法.