Objective To investigate the quality of life of patients with acute stroke and its influen- cing factors.Methods World Health Organisation Quality of Life Assessment-Bref(WHO QOL- Bref)questionnaire was used to investigate the quality of life of 100 stroke patients from 3 hospi- tals.The influences of age,sex,stroke type,and marital status on the quality of life were as- sessed.Results Patients with age over 70 years had lower total score and scores in the physical areas(PHYS),psychological areas(PHS),independence of the field(IND)than those less than 70 years old(P0.05,P0.01).Male stroke patients had higher scores in the physical areas (PHYS)and psychological areas(PHS)than female patients(P0.05).Cerebral infarction pa- tients had higher total score and scores in PHYS,PHS,and IND than cerebral hemorrhage pa- tients(P0.05,P0.01).Multiple regression analysis showed that age,stroke type,etc. were the main factors influencing the quality of life of stroke patients.Conclusion Age,the type of stroke and other complications are the main factors influencing the quality of life of stroke pa- tients.More attention on elderly and female patients and prevention of hemorrhagic stroke can im- prove the survival of stroke patients.

Objective To explore the effective approaches for construction of nursing team in the emergency Intensive Care Unit (ICU).Methods To strengthen the nurses' service consciousness and skills,adopt multiple approaches to improve the professional quality of nurses and practice humanistic management.Results As a result,the level of nursing service and the quality of nursing staff was improved significantly.Conclusion It is the effective way to apply multiple training methods flexibly consummate the employment system to strengthen the construction of emergency ICU nursing team.

当前医疗市场竞争日趋激烈,医院要想永立潮头,不仅要着眼于加强硬件建设,更需要优化就医流程的软环境.而病人在就医过程中,能否感到安全、便利、舒适,则有赖于医院能否提供一套全方位的规范化标识系统.因此,医院标志应用规范与否也是衡量病人对就医环境满意度的决定因素之一,应引起医院管理者的高度重视.

Objective To explore the changes of nursing quality management ideas from the comparison of different editions of standards for nursing quality management.Method To compare the different editions of standards for nursing quality assessment established in different period.Results Current assessment standard reflects more ideas that quality management should center on the patients’ needs,and the management method seems more scientific and standard.Conclusion Current nursing quality assessment standard reflects the progress on the thoughts of nursing management.But it still needs (further improvement.)

目的探讨规范护理科研管理的方法,加快护理学科的发展.方法成立护理科研管理小组,建立健全护理科研管理制度.结果我院自2001年对护理科研工作进行规范化管理以来,极大的激发了护理人员学科学、研究科学的创新意识和科研积极性,论文见刊数量逐年上升.2003年发表论文总数是2000年的3.3倍;先后有5项护理成果获得军队系统、中华护理学会、上海护理学会的科技进步奖;主编、出版专著6部.结论规范化的护理科研管理,是提升护理质量、推动护理学科发展的重要手段.

目的短期内使临床护士基本掌握呼吸机的使用和监护技能.方法选择18位护理骨干分3组进行为期5 d的理论培训和操作技术的训练.结果受训护士技术操作合格率达100%,成绩优异者占50%;结论短期集训可以使临床护士掌握呼吸机使用及监护的基本技能.

目的:探讨医院文化建设导入法人(或团体)个性(CI)的必要性.方法:介绍医院文化建设导入CI的主要内容:①医院理念设计;②医院行为设计;③医院的视觉设计以及实施的可行性.结果:提示要塑造有鲜明个性、特色的医院文化氛围,只有引进CI战略现代化的管理手段,才能完善医院整体形象,扩大医院的影响力,增强市场竞争力,从而提高社会效益和经济效益.结论:医院文化建设应尽快导入CI战略性管理手段.

Objective To study the monitoring and nursing management of postoperative kidney transplantation patients with Adult Respiratory Distress Syndrome (ARDS) on air inflator therapy. Method Nineteen postoperative kidney transplantation patients with ARDS induced by severe pulmontary infection were monitored and given nursing care while on air inflator. Results Among the nineteen patients, 10 (52.6%) were saved and 9 were lost. Conclusion Meticulous effort should be paid to the rescue of postoperative kidney transplantation patients with ARDS. Besides treatment for the control of infection, proper oxygen therapy, use of air inflator and effective nursing intervention are all key points for a successful rescue.

Objective To study the effect of brain trauma and moderate hypothermia on intestinal absorptive function in rats. Methods After gastrostomy, 60 Spregue Dawley (SD) rats were divided into 3 groups, normal rats treated with ordinary temperature as the normal control group, rats with brain injury treated with ordinary temperature as Group Ⅰ, and rats with brain injury treated with hypothermia as Group Ⅱ. At 6 hours, 1, 3 and 7 days after brain injury (drilling for the normal control group), 15 N glycine ( 15 N GLY) solution was injected into the small intestine through a fistula, and the abundance of 15 N GLY in plasma was measured to observe the change of intestinal absorptive function. Results The intestinal absorptive function decreased obviously in Group Ⅰand it reached the lowest point on the first day after injury. And the abundance of 15 N GLY in plasma was (1.03 ± 0.10)%, which was significantly lower than that of the normal control group ( P 0.01). The intestinal absorptive function in Group Ⅱ had the same tendency as that in Group Ⅰ, and the abundance of 15 N GLY in plasma was (0.86±0.13)% at 6 hours, which was lower than that of Group Ⅰ( P 0.05). Conclusions Brain injury leads to an obvious descent of intestinal absorptive function, and hypothermia can inhibit the intestinal absorptive function further.

目的探讨对恶性肿瘤患者实行保护性医疗制度有无必要性.方法选择30例患有血液系统恶性肿瘤的住院患者作为研究对象,按性格分为3组,采取问答式随机调查方法进行心理调查.结果外向型和综合型患者愿意接受疾病的真实情况,内向型则有部分不愿意接受疾病的真实情况,需要实行保护性医疗制度.结论应满足患者了解自身疾病的需要,因人而异地实行公开护理与保护性护理的结合,以利于疾病的治疗和护理.

Objective To investigate the training methods in the ICU training base. Method A two -week training plan was set for eight students, teachers were full time. Students were surveyed about their knowlede of ICU before after the study. Their opinion about the training was also collected. Results The eight students was all made substatial progress, and all throught that the training contents were practical. Conclusion The eligibility training for ICU nurses is a new thing in our country. It has an important promoting effect on the development of the ICU nursing work in the hospitals in our city. The training contents and methods should befurther investigated.

通过胃造瘘-脑创伤模型,采用15氮-甘氨酸(15N-GLY)肠道示踪法,研究脑创伤及亚低温干预后肠道吸收功能的改变.结果:①常温脑创伤组伤后一周内肠道吸收功能明显下降,伤后当天最低,血浆15N-GLY APE为1.03%±0.1%,明显低于正常对照组(P＜0.01);②亚低温干预后肠道吸收功能呈现与常温脑伤组相似的改变趋势,伤后当天血浆15N-GLY APE为0.86%±0.13%,比常温脑伤组更低(P＜0.05).结论:脑创伤可使肠道吸收功能明显降低,亚低温可进一步抑制肠道吸收功能.