目的:探讨整合式护理干预在门诊中老年骨质疏松症患者中应用效果.方法:选取在医院门诊就诊的85例中老年骨质疏松症患者,按照随机数表法将其分为对照组与观察组.对照组42例,进行常规护理干预;观察组43例,于常规护理基础上实施整合式护理干预,观察比较两组干预前后自我效能各维度(摄钙效能、运动效能)、健康信念各维度(骨质疏松症严重性、摄钙益处、易感性、运动益处、健康动机、运动障碍、摄钙障碍)、平衡功能的平衡量表(BBS)评分及骨密度变化情况,并统计两组生活质量各维度(心理、生理、独立性)评分及护理满意度.结果:干预后观察组摄钙效能及运动效能评分高于对照组,差异有统计学意义(t=6.361,t=5.326;P<0.05);干预后观察组骨质疏松症严重性、摄钙益处、易感性、运动益处、健康动机、运动障碍及摄钙障碍健康信念各维度评分高于对照组,差异有统计学意义(t=3.037,t=2.387,t=3.786,t=5.245,t=3.719,t=2.977,t=3.313;P<0.05);干预后观察组BBS评分及骨密度高于对照组,差异有统计学意义(t=6.798,t=2.429;P<0.05);观察组干预后心理、生理及独立性维度生活质量评分高于对照组,差异有统计学意义(t=4.863,t=7.129,t=5.591;P<0.05);观察组护理满意度为95.35％(41/43),高于对照组的78.57％(33/42),差异有统计学意义(x2=5.308,P<0.05).结论:整合式护理干预可提高社区中老年骨质疏松症患者健康信念与自我效能,有助于提高其骨密度及身体平衡能力,进而提高患者生活质量及护理满意度.

Objective:To evaluate the effect of integrated quality training mode in the military outpatient nurse training.Methods: According to the characteristics and current situation of military outpatient nursing, the training plan was made and centralized instruction was taken with one on one training, daily summary and monthly quality analysis. Standardized training for one month in 18 nurses in outpatient department was performed.Results: After the training, the examination results of nurses increased evidently. The nurse self-identity was obviously enhanced. The work enthusiasm, the initiative was obviously improved.Conclusion: The practice proves that the integrated quality training mode could help to improve the integrated quality of nurses and achieve the goal of improving technical skills, the strain capacity and nursing theory capacity. It is helpful to promote clinic work.

目的 探讨ICU护士掌握除颤术在室颤患者抢救过程中的作用及对抢救成功率的影响.方法 选择ICU病房97例室颤患者,其中具备除颤技术的护士组49例,医生组48例.分别统计除颤成功率、除颤后2 min内意识恢复率、耗费时间及除颤成功患者平均除颤次数,并进行比较.结果 护士组除颤成功率高于医生组,差异有统计学意义(P<0.05),除颤后2 min内患者意识恢复情况高于医生组,差异有统计学意义(P<0.05),护士组耗费时间明显少于医生组,差异有统计学意义(P<0.01),除颤成功患者平均除颤次数护士组少于医生组,差异有统计学意义(P<0.01).结论 ICU护士熟练掌握除颤技术,在发生室颤的第一时间完成除颤,可明显提高室颤患者抢救的成功率。