目的:探讨中西医结合护理干预对脊柱骨折术后患者生活质量及临床疗效的影响.方法:将82例患者随机分为2组,每组41例,对照组给予常规护理,观察组给予中西医结合护理干预,比较2组临床疗效、术后并发症发生情况及生活质量评分.结果:总有效率观察组为95.12％,对照组为75.61％,2组比较差异有统计学意义(P<0.05).术后并发症发生率观察组为4.88％,对照组为17.07％,2组比较差异有统计学意义(P<0.05).2组治疗前后生理功能、心理功能、社会功能、总体健康评分组内比较,差异有统计学意义(P<0.05);治疗后组间比较差异也有统计学意义(P<0.05).结论:给予脊柱骨折术后患者中西医结合护理干预措施,有助于提高临床疗效,减少并发症发生率,改善生活质量.

Objective:To observe clinical effects of propolis liquid,rifampin powder and sterilized petrolatum gauze for external use in treating pressure sore at stage Ⅱ. Methods: All 76 patients were randomzed into three groups:26 cases of propolis liquid group,25 cases of rifampin group and 25 cases of petrolatum group,the wounds of three groups were flushed with physiological saline from 35 to 36 degrees celsius, the surrounding skin of the wound were applied with propolis liquid,rifampin powder and sterilized petrolatum gauze soaking after convention-al sterilization respectively,wound complete healing of the patients was chosen as observation cut-off time,wound healing time,pain scores when changing the dressing, therapeutic effects of both groups were compared. Results:The effective rate of propolis liquid group was 92.3%,higher than those of the other two groups (P<0.01);pain scores were(0.56±1.54)points,lower than these of the other two groups(P<0.01);healing time was(11.38±8.21) days,shorter than that of the other two groups(P<0.01).Conclusion:Propolis liquid is effective in treating pressure sore at stageⅡ compared with rifampin and petrol latum,with low pain scores when chaning the dressings.

Objective:To explore the effects of root cause analysis (RCA) combined with Plan-do-check-ac-tion (PDCA) cycle in preventing the potential nursing safety hazards. Methods:With the PDCA cyclic management law executed in 2012, the RCA was performed in 2013 and the improvement measures or modification processes were put forward to establish a sound prevention system and processes of managing evaluations. Results:By trans-verse observation, compared with 2012, the number of the potential nursing safety hazards reported in 2013 in-creased, so that the number of nursing errors decreased and the incidence of the same error reduced;through longitu-dinal observation, the number of nursing errors in 2013 showed the tendency of declining in comparison of that in 2012. Conclusion:Since the qualities of continued nursing are improved in a cycle to analyze and define the radical reasons, the combination of RCA and PDCA management can effectively improve the nursing quality and prevent the occurrence of similar adverse events to obtain the management effects of not only temporarily treating but also treating root causes.

目的：探讨蜂胶结合冰硼散治疗Ⅱ期压疮的临床疗效。方法将65例Ⅱ期压疮患者随机分为观察组33例和对照组32例，观察组除常规压疮干预外，给予蜂胶结合冰硼散治疗，对照组予常规压疮护理。治疗7 d后，观察创面的大小、深度、色泽、表面有无结痂、渗出、脓腐及肉芽组织生长情况。结果观察组的治愈率及有效率均明显优于对照组（P＜0．01）。结论蜂胶结合冰硼散治疗Ⅱ期压疮疗效肯定、方法简便、费用低廉，值得推广应用。

<正>儿童股骨头缺血性坏死是一种儿童发育期特有的缺血性骨病,它是一种自限性疾病,病程2～3年,其病理过程包括骨细胞死亡、骨坏死、血管再形成和骨化、股骨头修复四个阶段。临床以髋关节疼痛和跛行为特征,发病年龄3～9岁,男孩多于女孩[1]。我院2012年1月至2012年12月共收治20例股骨头缺血性坏死患儿,在做好常规护理的基础上,分别辅以不同的健康教育方法,对患儿的康复过程进行跟踪,总结出了有效的健康教育措施,现介绍如下。

目的:探讨中医护理对腰椎间盘突出症保守治疗患者的干预。方法:使用拔罐疗法、中药熏蒸、中药塌渍、艾灸、蜡疗等中医护理操作对194例腰椎间盘突出症保守治疗的患者进行干预治疗,观察疗效。结果:本组194例患者中痊愈56例占28.8%,有效129例占66.4%,无效9例占4.6%,总有效率为95.4%。结论:中医护理对腰椎间盘突出症患者的干预治疗疗效肯定、方法简便、费用低廉、效果显著值得推广应用。

规范化护士礼仪服务是护理工作者须长期坚持的一项工作,只有做到仪表、形体语言及职业用语等的规范和专业技术的娴熟,才能够提高护理质量。