目的:探讨快速康复联合集束干预在胃癌外科患者围术期的护理应用及对患者生活质量的影响。方法:选取2016年1月至2018年1月在广州医科大学附属第三医院进行手术治疗的胃癌患者90例，按随机数字表法分为观察组和对照组，各45例。两组患者均进行胃部肿瘤的外科根治术治疗，对照组在围术期进行集束干预护理，观察组采用快速康复联合集束干预护理。对两组患者术后康复指标、并发症发生率、术后生活质量评分、患者护理满意度进行比较。结果:观察组患者手术时间、术后首次肛门排气时间、首次经口进食时间、首次下床活动时间、住院时间、住院费用均低于对照组，差异均有统计学意义( P<0.05)。观察组术后并发症发生率低于对照组，差异有统计学意义( P<0.05)。观察组患者护理满意度高于对照组，差异有统计学意义( P<0.05)。观察组生活质量评分均高于对照组，差异有统计学意义(均 P<0.05)。 结论:快速康复联合集束干预在胃癌外科患者围术期的护理效果良好，加速患者康复进程，降低其并发症发生率，提高患者术后生活质量和满意度。
目的 观察中医综合护理干预肝性脑病的临床疗效, 总结肝性脑病相关的中医护理经验. 方法 肝性脑病患者64例按随机数字表法分为两组,对照组给予常规护理,观察组在对照组常规护理的基础上给予中医综合护理. 比较两组的疗效、护理满意度、精神障碍病程,治疗前后血氨、总胆红素、谷丙转氨酶变化情况. 结果 中医综合护理后,观察组疗效、护理满意度明显高于对照组,＜24 h精神病程人数低于对照组(P＜0.05);护理后,两组血氨、总胆红素、谷丙转氨酶均较护理前降低,且观察组降低幅度优于对照组(P＜0.05).结论 中医综合护理可以提高肝性脑病患者的疗效,促进患者意识恢复,降低血氨、总胆红素、谷丙转氨酶,提高护理满意度.
For the safety problems of internal medicine intravenous infusion,we carry out meticulous management,establish quality control system of intravenous infusion safety management,and formulate quality control plan.We collect and analyse the potential unsafety factors in the various departments of internal medicine.We have revised the intravenous infusion system and procedures,formulated standards for safety inspection of intravenous fluids,and standardized the admission system for nurses.We carry out training on intravenous infusion related knowledge for nursing staff,carry out meticulous management of venous transfusion links,and actively carry out learning and communication.All these measures have greatly enhanced the safety awareness of the nursing staff.The safety index of intravenous infusion for liver diseases was preliminarily summarized.The use rate of the safe indwelling needle was increased from 30.60％ to 92.30％,the rate of appropriate rate of drop speed increased from 68.45％ to 93.20％,the three sign standard rate rose from 75.20％ to 95.10％,and the patient's satisfaction with infusion increased from 85.60％ to 96.82％.Meticulous management can improve the safety of the internal medicine intravenous infusion as a whole.
目的 观察腹部穴位按摩对治疗乙肝肝硬化患者腹胀症状疗效.方法 将120例住院乙肝肝硬化腹胀患者随机分为治疗组与对照组各60例,两组均采用抗病毒、保肝、抗肝纤维化等常规治疗,治疗组在对照组常规治疗的基础上予腹部穴位按摩治疗.结果 治疗组的总有效率为95％;对照组总有效为75％,治疗组疗效优于对照组,两组比较,差异有统计学意义(P＜0.05);两组治疗前后在腹围及平均24h尿量均变化明显,统计分析均有显著性差异.结论 腹部穴位按摩具有缓解乙肝肝硬化患者腹胀的临床疗效,而且本法安全实用,操作简便,经济实惠,值得临床推广应用.
