Objective To explore the current township hospitals medical work, and to propose the strategies to medical education for contributing to health labor resources in rural China. Methods The random sampling and field investigation was conducted with questionnaires to 598 medical staff among 9 township hospitals. Results Responsibility, dedication spirit, and service consciousness are the top three of the five possessed essential criteria; Clinical competence, professional operation ability, and analytic ability are the three of the six possessed key capability. To ensure safety and fulfill disease-related tasks are done for more than 80% patients among doctors’ work content and execution frequency; The top ten is all common disease, when surveying the sequence of common disease among all departments. Conclusions Nursing education should identify the special field of nursing in rural area;The curriculum should focus on community nursing; Nursing students’ career planning education should be strengthened; Rural nurses’ standardized training strategies should be established, and a team of nursing education professionals work for rural nursing improvement should be built. Fostering rural basic health humanity resources should be strengthened, medical education system needs to be perfect, practicing qualification should be strict, changing medical concept should be highlighted, and general practitioners’ training system should be estab-lished.
1 供应室的管理要求 1.1 供应室是为医院提供消毒灭菌服务的社会化消毒灭菌机构. 1.1.1 应建立健全岗位职责,操作规程,消毒隔离,质量管理,设备管理,器械管理及职业安全防护等管理制度,完善质量控制过程的相关记录,保证供应的物品安全.医院应根据供应室的工作量及各岗位需求,科学、合理配置具有执行资格的护士、消毒员和其他员工.
护理科研是护士高层次的心理活动,也是提高护理质量,促进护理学科不断发展的需求.然而,由于护士的知识文化层次偏低,缺少自信心,以及思维的局限性,使护士本身的思维处于劣势,加之护理工作的超负荷运转,导致无暇思考问题.护理科研成果较少,层次偏低.对此,要培养护士思维敏的感性,提高护理科研成果的质和量,就要改善护士的工作、学习、生活环境,建立健全护理科研管理制度,提高护士的综合素质,拓宽视野,扩展兴趣,培养思维的多面性.从而使护理科研具有科学性、先进性,并获得高水平的护理科研成果.
随着生活水平的不断提高,医疗卫生条件的改革,老年人在全国人口中所占比例逐渐增加,同时由于麻醉、手术技术的发展,老年人的手术范围也逐渐扩大.
老年人各种生理功能衰退.当下肢突然扭转、跌倒时,直接或间接的暴力易引起骨折.一般多发生在股骨颈、股骨粗隆,男性多于女性.骨折后主要表现为髋部疼痛,不能站立或行走.患肢呈短缩、外旋、屈曲畸形.腹股沟韧带下或大粗隆部肿胀、瘀斑,且局部压痛明显.一般采用皮牵引及手术治疗,由于病人卧床时间较长加之高龄易发生并发症.针对老年人的特点,我院2003-01～2004-12共收治病人34例,现报告如下.
脂肪栓塞综合征是因骨折,尤其是管状长骨骨折及多发骨折所致的严重并发症.骨折后,骨髓脂肪滴进入血流引起脏器和组织栓塞.有的病例发病时没有明显的临床症状,只表现为骨折后1～6d内轻度发热,心动过速,呼吸加快,同时出现低氧血症,大多可自愈;暴发型脂肪栓塞,往往伤后24 h内发病,表现为伤后短期清醒,很快又出现类似急性右心衰竭或肺梗死的表现.一般临床上根据骨折受伤史,临床表现,脂肪球血症即可确定诊断.
