目的 探讨预见性护理干预对ICU脑出血患者肺部感染预防的临床效果.方法 从2017年3月～2019年3月本院重症加强护理病房收治的患者当中选取85例脑出血患者,并通过患者就诊的先后顺序,将其分为研究组(n=44例)和对照组(n=41例).给予对照组患者常规护理干预,给予研究组患者预见性护理干预,分别比较两组患者的肺部感染发生率及其他不良反应发生率.结果 观察组肺部感染发生率(9.09％)明显小于对照组(26.83％)(P＜0.05);研究组不良反应发生率(4.55％)明显低于对照组(19.51％)(P＜0.05).结论 对ICU脑出血患者采取预见性护理干预,能够有效预防肺部感染,减少其他不良反应的发生,安全性较高,值得在临床上广泛应用.

目的 研究创新型护理流程模式在综合ICU中的应用效果.方法 选取2018年3月～2019年3月我院综合ICU病房患者为本次研究对象,将其随机分为实验组和对照组,各39例,其中对照组采取常规护理方式,实验组在其基础上采取创新型护理流程模式,对护理效果分别进行观察.结果 实验组护理效果明显优于对照组,差异有统计学意义(P<0.05).结论 创新型护理流程模式是有效的综合ICU护理方式,此方式有明显效果,值得推广.

Objective To explore the effect of hospital health management mode in patients with prediabetes.Methods Eighty pre-diabetes patients who were randomly chosen from physical examination people in the physical examination center of our hospital from April 2011 to June 2011 were divided into the observation group and the control group.The observation group received the hospital health management mode of pre diabetes designed by ourselves,and the control group received the traditional management mode.The awareness rate of diabetes in patients with pre-diabetes,the fasting plasma glucose (FPG),2 h postprandial plasma glucose (2 h PG),systolic blood pressure (SBP),diastolic blood pressure (DBP),low-density lipoprotein (LDL),body mass index (BMI) were evaluated at the beginning of the study,six month after the study and one year after the study.The conversion rate of diabetes was compared one year after the study.Results The awareness rate of diabetes in patients with pre-diabetes,the levels of FPG,2 h PG,SBP and DBP were respectively(5.68 ± 0.43) mmol/L,(9.63 ± 0.67) mmol/L,(117.40 ± 7.40) mmHg,(72.90 ± 5.10) mmHg in the observation group,and were (6.84 ± 1.32) mmol/L,(10.75 ±0.91) mmol/L,(125.60 ± 10.20) mmHg,(77.30 ±6.91) mmHg in the control group,and the differences were statistically significant (x2 =19.156,t =5.030 6,2.285 2,3.955 4,2.615 2,respectively; P ＜ 0.05).The levels of LDL and BMI in the observation group showed a downward trend,but no differences were found in two groups (P ＞ 0.05).One year after the study,the levels of FPG,2 h PG,SBP,DBP,LDL and BMI in the observation group were respectively (5.57 ± 0.38) mmol/L,(9.51 ±0.47) mmol/L,(116.23±7.93) mmHg,(70.4±4.3) mmHg,(3.00±0.37) mmol/L and (23.4 ±2.48)kg/m2,and were lower than (6.91 ±1.15) mmol/L,(10.86±3.21) mmol/L,(128.3± 12.14) mmHg,(79.2 ±9.56) mmHg,(3.6 ±0.41) mmol/L and (27 ±5.41) kg/m2 in the control group,and the differences were statistically significant (P ＜0.05) ; the conversion rate of diabetes was 2.7％ (1/37)in the observation group,and was lower than the 15.8％ (6/38) in the control group,and the difference was statistically significant (x2 =2.405 1,P ＜ 0.05).Conclusions The hospital health management mode of pre diabetes designed by ourselves can improve the awareness rate of diabetes in patients with pre-diabetes,decrease the level of FPG,2hPG,SBP,DBP,LDL and BMI,and reduce the conversion rate of diabetes.