Objective To explore the effect of PDCA(Plan,Do,Check and Action) management in the chemotherapy safety management.Methods PDCA management was used in chemotherapy management.The main methods conclude: establishing nursing special management team about PDCA management,implementing the strict chemotherapy safety plan and chemotherapy management process,doing well the health education before chemotherapy,strengthening the monitoring and control of PDCA management,checking the plan making and consolidating the achievements.Results The nursing defects reduced by 13% after using PDCA(P<0.05).The patients improved by 35% about the disease knowledge and the satisfaction degree of nursing service reached 100%.There were significant differences before and after using PDCA(P<0.01).Conclusion The application of PDCA circulation management mode can reduce significantly medication errors;improve the safety quality of nursing care and the understanding ratio about the disease of the patients,and the nurses have a close relation with the patients.

Objective To explore comprehensive care intervention to reduce chemotherapy-induced gastrointestinal reaction in patients.Method 160 cases of hospitalized patients undergoing chemotherapy were randomly divided into control group(79 cases) and the observation group(81 cases).Control group given conventional care in general to observe the implementation of the comprehensive care intervention group.Results Observer group of nausea, vomiting incidence was signifi cantly lower than the control group, nausea, vomiting signifi cantly lighter than the control group(all P<0.05).Conclusions Based on the patient in different circumstances, the implementation of integrated care intervention can effectively reduce the incidence of gastrointestinal reactions and reduce the suffering of sick, so that the smooth progress of chemotherapy, improve their quality of life.

目的:确保化疗药液保留在膀胱内足够的时间,减轻化疗药物引起的膀胱刺激症状,以减轻患者的痛苦和提高治疗效果.方法:随机将40例膀胱癌部分切除术后的患者分为改良组20例和传统组20例,改良组在膀胱灌注化疗药液后注入5ml空气、保留尿管、夹紧尿管下端连接引流袋,将药液保留2h后,放开夹子把药液引流至引流袋,最后拔除尿管;传统组采用传统的膀胱灌注法;观察并比较两组化疗药液保留在膀胱内的时间及膀胱刺激症状的情况,进行统计分析.结果:以药液能保留在膀胱内2h为标准,改良组达标率为94.3%,传统组达标率为61.3%,两组药液保留在膀胱内时间的比较有显著意义(P<0.001);改良组发生膀胱刺激症状的情况比传统组轻.结论:采用改良膀胱灌注法进行膀胱灌注治疗使药液按要求保留在膀胱内的时间得到保证,并能减轻患者的膀胱刺激症状,对提高治疗效果和生活质量都有重要意义.

肾病综合征合并高度浮肿的患儿,由于皮肤变薄,张力增加,血液循环不足,容易发生皮肤受损与感染,从而加重病情.本科对31例肾病综合征并高度水肿的患儿通过加强皮肤护理、饮食护理、预防感染及心理护理,29例水肿完全消退,2例水肿减轻,31例患儿入院后未发生再感染,有效地提高了护理质量.

objective To explore the effect about nursing intervention on combined radiotherapy and chemotherapy of advanced Nasopharyngeal carcinoma.Methods 110 cases of stage Ⅲ nasopharyngeal carcinoma were randomly assigned to study group which was combined radiotherapy and chemotherapy and control group was subjected to radiotherapy simply . To study the therapeutic efficacy and toxic side effects .according to different toxic side effects we adopted corresponding nursing measures and observed the effects.Results All cases could smooth complete therapy according to plan but toxic side effects in the studying group were worse that of the control group .the patients can relieve their psychogyical press and toxic side effects when they were given the positive nursing measures short- term effects showed the same CR rate of the primary nasopharyngeal focus (p0.05 ).Long-term effects showed the CR rate of neck lymphatic metastasis focus and 5-year survival rate in the study group were higher than that of the control group.Conclusion Combined radiotherapy and chemotherapy could significantly increase the short-term effects and 5-year survival rate but the toxic side effects were severe .Nursing measures could mobilize the patients subjective positive factors and improve the patients who cooperated and received therapy. It was reduced radialized oral mucositis and skin reaction and prevented or decreased complication. It was an important action to smooth complete all therapy and improve the effect

目的探讨小儿肺动脉瓣狭窄经皮球囊成形术的护理.方法通过对7例先天性肺动脉瓣狭窄经皮球囊成形术(PBPV)的护理配合及加强生命体征与穿刺部位的观察,防止术后并发症的发生.结果7例患儿行PBPV术过程顺利,即时跨瓣压力差显著下降(＜20 mmHg),未出现并发症,患儿生长发育良好.结论做好全程护理是PBPV术成功的关键,并能有效防止并发症的发生.

Absrtact Objective To make eldly tumor patients compele chemotherapy successfully and improvelife of quality of those patients.Method Blood vessel nursing care,protective isolation,diet guidingand observing changes of state of illness intimately were strengthened in 126 eldly tumor patients.Result In 126 eldly tumor patients, 112 patients(88.9%) finished chemotherapy plan successfully.Conclusion To finish chemotherapy successfully,it is necessary to take effective nursing measuresaccording to physiological characteristic of eldly tumor patients.

新生儿肺透明膜病(HMD)又称新生儿呼吸窘迫综合征(NRDS),主要发生于早产儿,胎龄愈小发病率愈高,其发病原因与缺乏肺泡表面活性物质(PS)有关,临床上以进行性呼吸困难为主要表现[1].

目的研究应用国产磨菇伞堵闭器介入治疗动脉导管未闭的护理.消除或减少术中病人出现的不良反应,确保手术的顺利进行,避免术后并发症的发生.方法术前进行心理护理,饮食、皮肤准备、导管消毒、青霉素、碘过敏试验.术中配合、监护.术后穿刺局部、尿液颜色及量的观察,动脉压监测,基础护理,健康指导.结果手术顺利,无发生并发症,收到良好效果,治愈出院.

脑性瘫痪 (简称脑瘫 )患儿的全面康复是一个反复而艰苦的过程 , 它需要日复一日 , 月复一月 , 年复一年的不间断操作才能奏效 . 因而家长对患儿进行训练相当重要 , 他们本身就是最好的治疗师 . 因此医护人员有责任对家长进行相应的康复指导 .

有效的气道护理是机械通气成功与否的关键，如何有效地排痰和预防感染是当前早产儿机械通气气道护理中需要解决的主要问题。采用翻身、拍背、湿化气道、吸痰、使用一次性吸痰管、无菌钳、严格无菌操作等措施进行气道护理，可有效地排除气道分泌物，防止感染，提高抢救成功率。