目的 研究基于"物联网"技术改良输液流程管理的临床应用.方法 将我科2019年6—8月实施改良输液流程前3个月的住院输液患者200例为对照组,采用传统输液流程,2019年9—11月实施改良输液流程的住院输液患者200例为观察组,采用改良输液流程,统计分析两组患者的红灯呼叫率、身份查对正确率、输液查对正确率、不良事件发生率、患者满意度、护士满意度.结果 观察组患者的红灯呼叫率、不良事件发生率为30.5％(61/200)、0.5％(1/200),均显著低于对照组的80.5％(161/200)、6.0％(12/200),差异有统计学意义(P<0.05);观察组患者的身份查对正确率、输液查对正确率为99.0％(198/200)、98.5％(197/200),均显著高于对照组的94.0％(188/200)、90.0％(180/200),差异有统计学意义(P<0.05).观察组患者满意度为98.5％(197/200),明显高于对照组的93.0％(186/200),差异有统计学意义.观察组护士满意度为99.5％(199/200),明显高于对照组的86.0％(172/200),差异有统计学意义(P<0.05).结论 基于"物联网"技术改良输液流程管理的临床应用效果好.

To observe and analyze the clinical effect of fractures patients with the implementation of nursing intervention.Method:64 fracture patients in our hospital in 2013 were selected as research objects,they were randomly divided into the control group and the intervention group according to the random number table method, 32 cases in each group.The control group was given routine nursing care,such as assisting patients with preoperative examination and other targeted therapy,etc.The observation group was given nursing intervention on the basis of routine nursing,such as psychological nursing,etc.The improvement of depression and anxiety in two groups with preoperative and postoperative were evaluated using self-reported depression scale(SDS)and anxiety self rating scale(SAS),at the same time the quality of life between the two groups were evaluated and compared using life quality comprehensive evaluation questionnaire(GQOLI-74).Result:There was no statistically significant difference in the depression and anxiety score before implementing nursing(P>0.05).After nursing intervention,the depression and anxiety score in observation group,respectively(37.23±6.30)score,(36.51±5.24)score,they were significantly lower than (47.25±6.39)score,(47.67±8.31)score in control group,the differences were statistically significant(P<0.05). There was no statistically significant difference in the quality of life before implementing nursing(P>0.05),After nursing intervention,the quality of life scores in two groups were significantly increased after nursing,but the quality of life score in observation group was significantly higher than the control group,the differences were statistically significant(P<0.05). Conclusion:Fracture patients with the implementation of psychological nursing intervention can improve the depression and anxiety,at the same time,improve the quality of life of patients,is worthy of clinical application.

Objective To discuss the application effect of medical morning rounds mode in high quality nursing service of the department of traumatology. Methods The hospitalized patients in our department from January 2012 to December 2012 were selected as the control group,and they were given the morning rounds of doctor and nurse separately,while the hospitalized patients in our department from January 2013 to December 2013 were selected as the observation group and they were given the morning rounds of doctor and nurse jointly mode(responsibility nurse and doctor administered together conducted morning rounds to discuss,exchange the diseaes of patients and investigate the next treatment and nursing plan).The patient was discharged 1 days ago,the effect of health education and satisfaction of patients questionnaire were issued,the survey results were compared between the two groups. Results Awareness rate of health education knowledge and nursing satisfaction in the observation group was significantly higher than those in the control group(P0.05). Conclusion Compare to traditional model,medical morning rounds can further enhance the connotation of high quality nursing service, and improve the nursing quality of nursing and the health education effect and satisfaction of patients.

目的探讨输液恒温器在肠内营养输注中的应用效果。方法对86例肠内营养患者在采用输液泵持续输注营养液的同时使用输液恒温器保持营养液温度在33~37℃。结果86例患者胃肠道功能紊乱症状仅占6.98%[1例出现腹胀(1.16%),2例发生返流(2.23%),3例腹泻(3.49%)],经过调慢输入速度后症状均缓解。结论输液恒温器能保证肠内营养的恒定温度,保证了肠内营养的有效实施,避免了因低温刺激引起的胃肠道反应,有效地减少了恶心、呕吐、腹痛、腹胀、返流、腹泻等胃肠道症状。提高了营养支持的效果。

目的:探讨气囊导管低负压引流在大便失禁中的有效控制方法。方法:将71例大便失禁患者随机分成两组。实验组36例,采用留置气囊导管低负压引流;对照组35例,采用留置普通橡胶肛管引流。观察两组引流效果、并发症、护理时间、物品用具消耗和专项护理费用情况。结果:实验组引流有效率显著高于对照组,并发症发生率明显低于对照组,护理时间、护垫消耗和专项护理费用明显低于对照组,统计学分析差异有显著意义。结论:气囊导管低负压引流在大便失禁患者中应用,能有效预防并发症,节省护理用品,减轻护士劳动强度,减少患者痛苦,降低患者医疗费用。

目的:探讨低张力型气囊气管导管留置引流在大便失禁患者中应用的临床意义。方法:将51例大便失禁患者随机分成2组。实验组26例,采用留置低张力型气囊气管导管引流;对照组25例,采用留置普通橡胶肛管引流。观察两组引流效果、并发症情况。结果:实验组引流有效率显著高于对照组(P<0.01),并发症发生率明显低于对照组(P<0.01),实验组无1例直肠肛管粘膜损伤。结论:大便失禁应用低张力型气囊气管导管留置引流能有效预防并发症,减少患者痛苦,提高护理工作效率,降低患者医疗费用。其效果优于普通橡胶肛管留置引流稀便。

目的:探讨腹水环注回输术对治疗顽固性腹水的疗效。方法:36例顽固性腹水的患者均采用腹水回输环注术,将腹水超滤浓缩后直接回输入腹腔,以有效清除腹水中的代谢产物及大量水分。结果:患者在短时间内胸腹压迫症状明显减轻,心肺功能和消化吸收功能得到改善,食欲及精神明显好转,同时保留了腹水中大量的蛋白质,有效地减少腹水再形成,治疗效果明显,患者满意。结论:本方法简单易行,安全可靠,患者易于接受,值得在临床广泛推广、应用。

目的观察PICC置管术在神经外科重症监护室的临床应用效果.方法回顾性分析采用PICC置管术后的临床资料.结果PICC组置管成功率高达98.3%,操作时间短,平均为7.5min,留置时间平均为33d,并发症5.25%.对照组成功率84.2%,操作时间平均22.3min,并发症发生率达22.8%.两组比较P＜0.01,有显著差异.结论PICC置管术可作为神经外科重症监护室抢救治疗、监测的常用输液、输药手段,该方法安全、快捷,可减少护士无效工作量,减轻病人痛苦,值得临床推广应用.