目的 研究对心血管疾病患者实施人性化护理干预的临床效果.方法 选取2016年1月～2018年2月我院接收的心血管疾病患者56例展开研究,按护理措施差异分为2组,对照组常规护理,观察组实施人性化护理干预,对比分析患者护理满意度、护理前后睡眠质量和日常生活能力改善情况以及生活质量改善情况.结果 对照组护理满意度71.4％,观察组为92.8％.观察组PSQI(6.33±1.22)分,ADL(79.33±3.22)分,观察组睡眠质量评分较对照组低,日常生活能力评分高.观察组患者生活质量各项评分高于对照组,上述指标对比,差异有统计学意义(P<0.05).结论 对心血管疾病患者实施人性化护理干预效果显著,临床应用价值较高,值得推广.

目的 探讨老年2型糖尿病初始胰岛素治疗患者腹部定位注射对远期血糖管理的影响.方法 选取我院内分泌科收治的初始胰岛素治疗老年2型糖尿病患者80例,按照入院顺序选取40例为对照组,另外40例为观察组.对照组前期由护士进行注射,出院前指导患者掌握各部位轮换注射方法.观察组前期同对照组,出院前指导患者学习使用腹部注射部位轮换卡,直至患者熟练掌握腹部定位选择和注射方法.出院后随访6个月,对比两组患者胰岛素注射相关并发症和血糖控制水平.结果 随访6个月,观察组胰岛素注射相关并发症发生率明显低于对照组,观察组平均血糖控制水平明显优于对照组,差异均有统计学意义(P＜0.05).结论 腹部定位轮换注射能显著减少老年2型糖尿病患者胰岛素注射相关并发症,患者出院后远期血糖控制效果更为显著.

Objective To assess the clinical value of compression-braking pants in preventing postoperative bleeding and pressure sore after transcatheter arterial chemoembolization (TACE).Methods A total of 50 patients with liver cancer,who received interventional treatment via femoral artery route at authors' hospital during the period from May 2015 to May 2016,were enrolled in this study.The patients were randomly divided into observation group and control group with 25 patients in each group.In the observation group,the patients were asked to put on the compression-braking pants after TACE procedure and routine postoperative nursing care was executed as usual.In the control group,routine postoperative nursing care and compression of puncture point with sandbag were carried out.After TACE,the conditions of local congestion,local hematoma,formation of pseudoaneurysm at the puncture site,etc.in both groups were recorded.The local skin conditions,including skin moist feeling,burning sensation,feeling of numbness and rubefaction were determined.Results The postoperative bleeding incidence in the observation group was 4％,which was obviously lower than 32％ in the control group.No pressure sore occurred in both groups.In aspect of skin moist feeling,burning sensation,feeling of numbness and rubefaction,the observation group was significantly superior to the control group (P＜0.05).Conclusion The use of compression-braking pants after TACE can effectively prevent the occurrence of postoperative bleeding and pressure sore.The compression-braking pants have reasonable design and simple structure,and it is easy to put on and take off the pants.The use of the pants can improve patient's comfort and satisfaction.Therefore,it is worth promoting its use in clinical practice.

Objective To explore the application effects of pressure brake pants on patients with liver cancer after transarterial chemoembolization (TACE).Methods The study recruited 50 liver cancer patients who were admitted to Lianyungang No.2 people's hospital from May 2015 to May 2016 to receive TACE. The participants were randomly divided into the intervention group (n=25) and the control group (n=25). Based on the routine nursing care,patients in the intervention group also had to wear the pressure brake pants. The general comfort questionnaire (GCQ) was applied to assess the comfort level. Comparing the comfort and satisfaction between the two groups.Results The intervention group had higher GCQ score six hours after the operation compared with the control group (P<0.05). Besides,patients of the intervention group were much more satisfied with the nursing care compared with the patients in control group (92% vs. 64%,P<0.05).Conclusions The pressure brake pants can effectively improve patients' comfort level and prevent the incidence of pressure sores. Moreover,they are good for privacy protection and high quality of nursing care.

目的 探讨与分析叙事护理对老年冠心病便秘合并焦虑患者的影响.方法 选择2016年5月~2017年4月我院收治的80例老年冠心病患者为研究对象,采用信封法将其随机分为对照组和干预组,各40例.对照组予以常规护理,干预组予以叙事护理,比较两组护理后的心理及便秘变化情况.结果 护理后,两组SAS评分较护理前均降低,差异有统计学意义(P<0.05),其中干预组护理后SAS评分明显低于对照组,差异有统计学意义(P<0.05);护理后,两组每周大便次数、大便性状均明显改善,差异有统计学意义(P<0.05),其中干预组护理后每周大便次数、大便性状改善情况明显优于对照组,差异有统计学意义(P<0.05).结论 叙事护理能改善老年冠心病患者焦虑心理状态,缓解便秘情况,利于患者预后.

目的 探讨个案护理考评法在护士临床护理能力培养中的应用效果.方法 以在内科临床工作3～10年的49名护士为考评对象,组建护士长考评团队,调研护士护理能力现状,制定考评方法,采取情景模拟答辩、床边考核等方法实施现场考评,结束后采用自制满意度调查表对各专科同一工作场所的医生和护士(共68人)进行调查.结果 培养责任护士护理能力方面,满意率达95.59％,培养护士长管理能力方面,满意率达91.18％.结论 基于个案护理的考评方法,可以激发护士的学习热情和兴趣,提高年轻护士的临床护理综合能力,培养护士长以问题为本的管理理念,提高护士长现场管理水平,在一定程度上促进了优质护理的发展.

目的提高非内分泌科护士胰岛素笔注射知识技能的规范率。方法由内分泌科护士3名与糖尿病小组网络成员8名,自发组成品管圈,从胰岛素注射知识知晓率、胰岛素注射行为规范率、胰岛素注射相关信念3方面进行现状调查,针对存在的原因如:①护士专科知识缺乏。②护士认知有误。③护士责任心不强。④培训不足。⑤排班欠合理。⑥教育流程和工具缺乏等方面进行分析,设定目标,制定对策,组织实施,效果确认及措施巩固等活动。结果非内分泌科护士胰岛素笔注射技能的规范率由活动前的45%提高到活动后的83%。胰岛素注射知识由30%上升到70%。认知行为从60%~90%,达到了活动目标。结论品管圈活动显著提高非内分泌科护士胰岛素笔注射技能的规范率,同时也提高了圈员的参与意识,团队协作精神及分析问题解决问题的能力,值得临床推广。

目的探索追踪方法学在提升内科个案护理查房内涵中的作用。方法采用由大内科组织主持各专科病区个案护理查房的方法,根据病人具体情况成立跨专业团队并责任分工,负责对个案实施护理服务及质量跟踪督导,并参与查房讨论。结果病人得到了跨专科护理照护,疑难问题得到了专业指导,护士的临床护理能力显著提高,专业水平得到了扩展,各专科护士能力得到了发挥与应用,团队协作精神得到体现。结论追踪方法学应用于个案护理查房,可使病人获得跨专业优质护理照护,是培养与提高护士临床护理综合能力的有效手段。

目的提高有口腔感染危险患者护理的效果.方法近3年来口腔科住院患者中有感染危险的患者526例,应用护理程序进行护理,通过对患者相关因素进行全面的评估和分析,制订出相应的护理目标和计划,并严格按要求执行.结果 526例患者经严格按护理程序护理,无1例发生继发性感染.结论对于有口腔感染危险的患者采用护理程序进行护理,可有效地预防感染的发生,值得在临床工作中推广应用.