目的 探究品管圈在提高体护士采血管理的效果研究.方法 选取我院2015年10月~2016年6月住院部、检验科的护士30名作为研究对象,随机分为两组,每组各15例,观察组釆用品管圈方法 开展釆血质量管理,对照组通过设立奖惩制度幵展釆血质量管理,并将调查活动前后两组满意度及血液标本返回情况的结果 进行对比.结果 本研究中选取应用品管圈之前后各1000例采血患者进行满意度及采血返回情况评价,由表中数据可知,应用品管圈之后,体检者静脉采血满意度是97.6%,而没有用之前的满意度是73.3%,应用品管圈之后,体检者的静脉采血满意度显著提高,差异有统计学意义(P<0.05);应用品管圈之后,体检者静脉采血返回率为0,而没有用之前的满意度是1.1%(11/1000),应用品管圈之后,体检者的静脉采血返回率显著降低,差异有统计学意义(P<0.05);通过本次品管圈活动,全体圈员进行自评打分,最高项5分,最低1分,并计算出平均分与整改前比较,结果 显示全体圈员在各方面的能力均有所提高.结论 将品管圈运用到体检者的静脉采血实践中,可以显著改善体检静脉采血服务质量,极大的提高体检者的满意度,在临床上值得推广.

目的 探讨品管圈活动在降低静脉采血后皮下淤血发生率的应用效果.方法 成立"降低静脉采血后皮下淤血发生率"品管圈,通过现况调查,制定目标,提出整改措施,按品管圈程序开展实施前后分析效果.结果 针对主要原因,采取相应措施后,出现瘀血人数6例,其中,护理技术操作问题造成的瘀血人数为1例;患者因素造成瘀血人数为5例;其中按压时间不够的有3例;按压位置不正确的有2例.静脉瘀血率由4.58%降至1.26%达到预期目标,有统计学差异(P<0.05).品管圈活动实施前护理满意度为79.17%,品管圈活动实施后护理满意度明显提高为97.47%,且两组比较差异有统计学意义(P<0.05);品管圈活动实施前后共出现皮下瘀血者28例,其中止血带使用时间>1分钟、抽血管数≥5管、同一部位反复穿刺等因素作组间比较,差异有统计学意义(P<0.05).结论 开展品管圈活动不仅降低了静脉采血后皮下淤血发生率,提高了患者静脉采血成功率,而且还促进了品管圈成员自身素质的提高以及建立和谐的护患关系.

目的 观察心理护理干预在门诊妇科阴道炎护理中的应用效果.方法 选取2014年8月~2016年1月我院妇科门诊收治的100例阴道炎患者作为本次的研究对象,随机分为观察组和对照组,每组各50例.对照组50例患者予以常规护理.观察组在常规护理基础上予以针对性的心理护理干预,根据患者的康复情况对护理效果进行评估,对100例参与研究的患者或家属进行问卷调查,统计调查患者掌握用药知识、遵医行为、负性心理控制及护理满意度等指标,并进行统计学分析.结果 观察组患者遵医行为、掌握用药知识、负性心理控制等均明显高与对照组,且比较差异有统计学意义(P<0.05);对照组患者的总有效率为82.0%,观察组患者的总有效率为96.0%,两组患者的总有效率比较,差异具有统计学意义(P<0.05);予以针对性心理护理干预的观察组50例患者总满意度为98.0%.予以常规护理的对照组50例患者总满意度为80.0%.结论 采用全面细致的针对性心理护理干预模式对阴道炎患者进行护理,能有效加强治疗效果,提高患者满意度.

Objective:To investigate the effect of community nursing process on the quality control of community nursing in stroke patients.Method:100 stroke patients who received treatment in our hospital from January 2013 to December 2013 were selected as research objects,they were randomly divided into the observation group and the control group,50 cases in each group.The two groups of patients were given symptomatic treatment,on this basis,the control group was given routine nursing,and the observation group was given nursing according to community nursing process.The knowledge awareness of disease,satisfaction of community nursing service and Activities of Daily Living (ADL scores) before and after nursing between the two groups were compared.Result:After nursing,the total understanding rate of disease knowledge in the observation group was 80.0%,which was significantly higher than 44.0% in the control group, the community nursing service satisfaction of the observation group was 90.0%,which was significantly higher than 72.0% of the control group,the differences were statistically significant(P<0.05).There was no statistically significant difference in the ADL scores of the two groups before nursing(P>0.05),the ADL scores of the observation group after nursing were significantly higher than those of the control group,the differences were statistically significant(P<0.05). Conclusion:For stroke patients with nursing according to community nursing process,can effectively improve the quality of patient care,and promote physical and psychological recovery of the patient.This kind of care model is feasible and effective,should be popularized in clinical practice,in order to help more patients benefit.

Objective:To discuss the effect of community nursing services on the patients with type 2 diabetes by analysis and comparison.Method:Community health service centers as the community service mode, 68 patients with type 2 diabetes were divided into the experimental group and control group,34 cases in each group.The patients of control group were provided with routine nursing while the patients of experimental group were provided community medical service in addition to routine nursing.The nursing effects of two groups were analyzed and discussed.Result:After 3 and 6 months,the knowledge of prevention and treatment of diabetes, self-management ability, compliance behavior and adherence to regular exercise of experimental group were significantly better than those of control group,the value of glycosylated hemoglobin and fasting blood glucose of experimental group were lower than those of control group,the differences were statistically significant(P<0.05).Conclusion: The community nursing mode has a positive effect on the patients with type 2 diabetes, enhancing the self-management of patients and promoting the living quality of the patients, it plays a positive role in alleviating and treating the type 2 diabetes.It is worth to promote in clinical.

通过数据库文献检索显示,我国在出院患者延续性护理及老年病的居家护理服务方面尚未形成一个可持续性发展的长期性护理服务模式,目前社区护理服务的领域窄,不能满足居民对健康的需求。因此,有必要在护理循证理论指导下进行延续性护理服务模式研究,构建多学科参与的延续性护理服务团队,多方位探索社区护理发展方向,有助于推动社区卫生事业的发展。

Objective:To investigate the pressure sores professional team bedridden patients with pressure ulcers observation of the degree of risk to the community and its effect an extension of community care services.Methods:For the establishment of hospital and community pressure sores professional group at high risk of pressure sores on the community,families and patients with health education,knowledge,training,guidance on tracking long-term bedridden patients.60 cases of community use of the Norton pressure ulcer risk score sheet score and level of risk classification.Results:The degree classification of the results of the community bedridden patients Norton pressure sore risk score is the smaller,the occurrence of pressure ulcer risk the higher the greater the degree of risk(P0.05).Conclusion:Full effective nursing intervention,the application of the Norton score assessment community bedridden patients with pressure ulcers degree of risk,reduce community pressure ulcer,the effective pressure ulcer prevention community incidence.

压疮是临床昏迷、瘫痪、老年患者常见的并发症之一,也是临床护理最为棘手的难题,不仅给患者增加痛苦,加重病情,延长病程,严重时可应继发感染、全身衰竭而危及生命,同时也增加了患者的医疗费用支出[1].