目的 观察SBAR标准化沟通模式在门诊造口患者中的应用效果.方法 将80例门诊造口患者按照随机数字表法分成观察组与对照组,各40例.对照组采用常规方式接诊、护理,观察组采用SBAR标准化沟通模式.观察2组6个月后造口皮肤DET评分、患者自我护理能力评分、患者满意度、造口及造口周围并发症发生率.结果 观察组DET评分低于对照组,自我护理能力测定量表(ESCA)、患者满意度评分高于对照组,差异有统计学意义(P＜0.05).观察组并发症发生率12.50％ (5/40),低于对照组的37.50％ (15/40),差异有统计学意义(P＜0.05).结论 SBAR标准化沟通模式在门诊造口患者应用过程中,能确保沟通的有效性,有效提高造口患者自我护理水平,减少造口并发症的发生.

目的探讨通过造口护理门诊实施多渠道个体化健康教育的应用与效果。方法实施多渠道个体化健康教育，注重施教者培训，通过各种渠道的健康教育树立以人为中心的服务理念。结果接受多渠道个体化健康教育1年后，患者造口相关知识知晓率明显提高(各项值<0.05)，造口并发症低于出院前，造口护理门诊满意度达97%。结论多渠道个体化健康教育能降低造口并发症发生率、有效改善护患关系，促进患者的全面康复和建立起健康的生活行为。多渠道个体化健康教育更是优质护理延伸服务的重要体现，真正彰显优质护理延伸服务的内涵。

目的：探讨临床护理路径( CNP)在支气管哮喘患者急性发作中的应用效果。方法：选择哮喘患者88例，按随机原则分为对照组和观察组各44例，对照组采用传统护理方法，观察组采用CNP进行护理。比较2组患者对哮喘疾病知识掌握程度和护理质量满意度评分以及平均住院时间。结果：观察组对哮喘病知识掌握程度和护理满意度评分均明显优于对照组(P<0.01)。观察组患者住院时间显著短于对照组(P<0.01)。结论：CNP能提高健康教育效果及护理质量，缩短患者住院时间，是一种有效、先进的护理模式。

<正>从肝论治骨伤疾病临床均能获得较好疗效,见于诸多文献。现就相关的文献予以综述如下。1资料与方法1.1资料来源资料来自书籍、期刊、中国知网及万方数据等媒体,在1999年1月～2011年4月之间,从肝论治骨伤疾病的相关文献。1.2方法方法是对以上从肝论治骨伤疾病的相关文献,进行类比筛选,从中选取其立论、治疗效验及临床研究,具有代表性的文献予以摘录,汇集成文。2结果骨伤初期、陈伤、躯干疾病(颈椎病、腰椎间盘突出症)、骨关节疾病(肩关节周围炎、骨关节退行性变、骨质

Objective To explore the effect of fenofibrate(FEN) and pioglitazone(PIO) on rats with metabolic syndrome(MS).Methods A rat model with metabolic syndrome was established by treating the SD rats with high-fructose diets.The rats were then separately treated with PPAR-α or-γ agonists FEN,PIO,or the combination of both.The expression indexes of PPAR-α and PPAR-γ in those MS rats were compared.Results The expression levels of PPAR-α mRNA,PPAR-γ mRNA and their proteins in the aorta from FEN and PIO intervention groups were lower than the MC group.The combined treatment with FEN and PIO could greatly reduce the expression levels of PPAR-α mRNA and the protein.However,the expression levels of PPAR-γ mRNA and protein were similar to the PIO intervention group.Conclusion FEN or PIO alone can suppress the expression of PPAR-α / γ in the MS rat model.The combined treatment with FEN and PIO has a greater effect than the application of either FEN or PIO in the suppression of the expression of PPAR-α.

目的:探讨护理干预对数字减影全脑血管造影术中患者心率及平均动脉压的影响。方法:将100例行全脑血管造影检查的病人随机分成干预组和常规组各50例,干预组在术前和术中介入护理干预措施,常规组按常规方法进行检查。结果:干预组与常规组比较,术后半小时平均动脉压和心率差异有统计学意义(P<0.05)。结论:全脑血管造影术患者在护理干预下,术中和术后平均动脉压及心率维持较稳定,值得临床推广应用。

Objective To investigate the effect of community follow-up intervention in hypertensive patients.Methods 210 patients were randomly divided into intervention group(IG) and control group(CG).The instruction in first return visit of both groups were the same.IG was given follow-up intervention in addition.The blood pressure in two groups were compared after intervetion.Results The systolic pressure after 9 and 18 months in IG were both lower than that in CG.There was no difference of diastolic pressure in both groups.Conclusion The effect of community follow-up intervention on long-term control of hypertension is significant and worth to further extend.

目的:探讨采用多爱肤标准敷料治疗浅Ⅱ度烫伤的效果。方法:将102例浅Ⅱ度烫伤患者随机分为试验组和对照组各51例。试验组采用多爱肤标准敷料治疗创面,对照组采用磺胺嘧啶银霜,比较两组患者渗液明显减少的天数、换药频率及创面愈合天数。结果:试验组患者渗液明显减少的天数、换药频率及创面愈合天数明显少于对照组,两组比较差异具有统计学意义(P<0.05)。结论:多爱肤标准敷料治疗浅Ⅱ度烫伤患者,能有效减少渗液、换药频率,降低患者对疼痛的不适感,加速创面愈合。

Objective: To access the compliance with long-term domiciliary oxygen therapy of patients with chronic respiratory failure,and analyze the influential factors of compliance.Methods: Conducted a questionnaire survey and 12 months of follow-up on 120 patients with chronic respiratory failure.Analyzed the impact of compliance on the patients.Results:Among the 120 cases,44 cases of good compliance,76 patients with poor compliance.Oxygen therapy time,education level and noise were the influence factors.Conclusion:Long-term oxygen therapy could relieved patients′ carbon dioxide retention and lung hyper inflation improved respiratory function in patients.

<正>先天性无阴道、阴道横隔、阴道纵膈、阴道斜隔均是女性生殖器官畸形疾病,它严重影响了患者生理、心理健康[1]。人工阴道整形术,也称阴道再造术、人工阴道术,是妇科生殖道整形手术的一种。为了降低手术的并发症发生率,提高患者生活质量,提高手术成功率,本文针对人工阴道成形手术、阴道纵、横、斜隔切除术等阴道整形手术的整体护理方法进行

<正>患者,女,28岁,病案号055230。因"停经36周、浮肿1月、咳嗽1天、发热6小时"于2009年11月22日12:40入院。入院时体征:T 38.5℃,P 112次/分,R 32次/分,BP 176/108 mmHg,神志清楚,浮肿(+++),咽充血,双侧扁桃腺Ⅰ°;双肺呼吸音粗,左肺可闻及少量哮鸣音,心脏听诊正常,腹软。产

Objective:To study the application effect of vibration expectoration machine in neurosurgery in critically ill patients.Methods:79 cases of neurosurgery critical patients were randomly divided into artificial percussion the expectoration group(control group) 39 cases and the vibration the expectoration unit(experimental group) 40 cases assisted expectoration,compared between two groups of patients with hypoxemia,exclusive sputum volume and lung images to change the situation.Results:Two groups of patients after a 7 d treatment,hypoxemia,sputum volume,lung imaging results,and pulmonary rales were improved;experimental group daily sputum volume,hypoxemia,pulmonary imaging results to improve and pulmonary rales disappeared proportion was significantly higher.Conclusion:Vibration the expectoration machine expectoration better than purely artificial percussion expectoration effect can be carried out as a routine care program in neurosurgery in critically ill patients.

目的了解外来工流动子女保健情况,找出存在问题,分析原因,提出相应解决办法。方法对我区6所小学及2所幼儿园820名外来工子女及300名本地儿童的保健情况进行分层抽样调查。结果外来工流动子女在正规医院出生、体检率、保健建卡率、接种建证率,疫苗接种率、患病后就医等情况均与本地的儿童比较,分别经χ2,有显著性差异,P均<0.01。患病后就诊于私人诊所与本地儿童比较经χ2检验,有显著性差异,P<0.01。流动子女的家长对保健知识知晓率、文化程度、家庭月均收入均较低。结论加强对外来工流动人口的管理,逐步把流动子女纳入儿童保健网,建立体检、保健卡,提高接种建证、疫苗接种率,建立贫困流动人口的妇幼保健扶贫基金,加强流动人口的健康教育,改变就医私人诊所的习惯是保障外来工流动子女健康的有效措施。

Objective To know the cognitive situations and present conditions of breast self examination in female workers.Method Qestionnaires were used with,210 female workers of 18 to 55 years old.197 valid questionnaires were got,with an effective rate of 93 %.The data were analyzed by Excel2000.Result 64% of the female workers performed breast self examination,including19.3% of them did it periodically,The knowledge degree of important items of breast self examination and clinical examinations was 73.1%.In Female workers whose education background were higher,the rat of breast self examination was higher than that in common female workers.Conclusion It is necessary for female workers to carry out education about knowledge of breast care and breast cancer and improve recognition of importance of breast self examination.

<正>2009年1月~2010年5月,我科开展电解可脱性弹簧圈(GDC)介入治疗颅内动脉瘤40例,围手术期护理体会报告如下。1临床资料本组40例中,男24例,女16例,年龄26~76岁,平均年龄58岁。所有病例中以自发性蛛网膜下腔出血(SAH)为首发35

[目的]寻求需时短、简便、效果可靠的肠道准备方法。[方法]按贯序法将160例病人随机分为观察组及对照1组、对照2组、对照3组,各40例。观察组病人术前1 d 14:00给予用1 000 mL开水焗番泻叶10 g、木香3 g、碳酸氢钠2 g 10 min~15 min,分次1h内服完。对照1组于术前1d20:00及术日晨用0.1%肥皂水清洁灌肠,每次灌入500 mL~1000 mL。对照2组于手术前1d14:00口服经加温至37℃的20%甘露醇注射液250 mL,1 h内喝完。对照3组于手术前1 d 14:00给予番泻叶10 g,用开水1 000mL加盖浸泡10 min~15 min,1 h内饮入。观察并比较4组病人的排便次数、术后排气时间、肠道清洁度、不良反应等。[结果]观察组总有效率与其他3组的总有效率比较无明显差异,在观察组病人中未发现明显不良反应。[结论]对于妇科手术,尤其是老年阴式全子宫切除手术病人,口服番泻叶、木香、碳酸氢钠进行术前肠道准备的方法是一种安全、有效、经济、方便的方法。

<正>妊娠剧吐是一种病理情况,能够导致机体发生酸碱平衡和电解质紊乱,新陈代谢障碍,常需住院治疗,以纠正体内代谢紊乱和水电解质失衡,否则不仅影响孕妇身体健康,甚至造成胎儿生长发育不良。它的病因可能与妊娠期HCG升高,精神、神经因素导致自主神经(植物神经)系统敏感性改变以及心理障碍有关[1]。针对我院2007年12月～2009年4月收治的86例妊娠剧吐病例在治疗的同时进行了心理干预,分析如下。

根据新生儿啼哭声以及收集的有关资料,通过分析、综合、概括、判断,辨别疾病发生的原因、性质、部位以及邪正之间的关系,辨别阴阳缓急寒热虚实,在辨证的基础上确立啼哭声的施护原则和方法。使闻诊中的听觉在中医护理中充分发挥其重要的作用。

目的探讨社区护理干预工厂劳务工高血压患者遵医行为的影响。方法社区护理干预:为高血压患者建立个人健康档案,定期通知患者免费体检,进行健康知识宣传及心理铺导。发放问卷调查干预前后的效果。结果干预前后患者在服药遵从、定期复查、合理饮食、健康知识知晓率和健康行为形成率、血压方面,分别经χ2检验,P<0.01,有显著性差异。结论社区护理干预能提高高血压患者的遵医行为、掌握正确测量和控制血压的方法 ,维持血压稳定。

目的 探讨番泻叶、木香、碳酸氢钠联合用药在妇科老年阴式手术前肠道准备清洁中的应用效果.方法 按照贯序法将160例患者随机分为观察组与对照Ⅰ组、对照Ⅱ组及对照Ⅲ组,每组各40例.观察组患者在术前1 d,14:00用温开水1000 ml口服番泻叶10 g、木香3 g、碳酸氢钠2 g,分次口服,1 h内喝完;对照I组于术前1 d,20:00及术日晨用0.1%肥皂水清洁灌肠,灌入500-1000ml/次;对照Ⅱ组于手术前1 d.14:00口服经加温至37 ℃的20%甘露醇注射液250ml,于1 h内喝完;对照Ⅲ组于手术前1 d,14:00口服番泻叶10 g,用开水1000 ml加盖浸泡10-15 min后1h内饮入.观察并比较4组患者的排便次数、术后排气时间和肠道清洁度及其不良反应等.结果 观察组总有效率与对照Ⅰ组、对照Ⅱ组及对照Ⅲ组的总有效率比较无明显差异,但观察组有效率明显高于对照组.观察组与对照Ⅰ组、对照Ⅱ组及对照Ⅲ组比较,排便次数和术后排气时间比较无明显差异.在所有观察组患者中未发现明显不良反应.结论 番泻叶、木香、碳酸氢钠联合用药用于妇科老年阴式手术前肠道准备,是一种安全、有效、感染率低、接受度高、经济、方便的方法,可提高护理工作效率.