Objective: To investigate clinical characteristics of elderly patients with cerebral hemorrhage and perioperative nursing methods, in order to improve clinical efficacy. Methods:169 cases with cerebral hemorrhage were randomly selected and di-vided to elderly group (n=169, age of 80-98 years old) and control group (n=64, age of 50-70 years old). All patients were given conventional medical treatment and surgery. 128 cases in elderly group and 43 cases in control group were randomly selected and given a holistic nursing intervention ( as comprehensive nursing group) , while other 41 cases in elderly group and 21 cases in control group were given the conventional nursing intervention ( as conventional nursing group) . The clinical symptoms, clinical signs, CT or MRI findings, clinical concomitant diseases and clinical efficacy outcomes of all patients were retrospectively analyzed. Results:Theclinical symptoms, such as headache, dizziness, visual disorders, nausea, vomiting, speech disorders, psychiatric symptoms and epileptic convulsions, were often seen in the two groups, and the clinical signs were movement disorders, sensory disorders, pathological reflex, meaning disorders, meningeal irritation and abnormal pupil. Bleeding sites of imaging by CT or MRI showed occurred in the putamen, caudate nucleus, thalamus, cerebellum, brain stem, brain leaves and ventricle. There were no significantly differences in the clinical manifestations and bleeding sites in two groups (P>0. 05). The clinical concomitant diseases, such as hyperlipidemia, coronary heart disease, high blood pressure, chronic bronchitis, emphysema, diabetes and lung infections, were often seen in the two groups ( ordered by incidence rate from high to low) . There were significant differences in the incidence rates of hyperlipidemia, hypertension, chronic bronchitis and emphysema, and lung infections between the two groups (P<0. 05). The effective rates and mortality rates were 104 ca-ses (61. 5%) and 65 cases (38. 5%) for elderly group and 52 cases (81. 2%) and 12 cases (18. 8%) for control group, and there were significant differences in the clinical effective rate and mortality between the two groups (P<0. 05). The effective rate (68. 8%, 93. 0%) and mortality rate (31. 2%, 7. 0%) of the patients with the holistic nursing intervention were better than those of (39. 0%, 57. 1 %) and (61. 0%, 42. 9%) of those with the conventional nursing intervention within the two groups (P<0. 05). Conclusions:The elderly patients with cerebral hemorrhage often suffer from hyperlipidemia, hypertension, chronic bronchitis, emphysema and lung infections. It is very important to carry out active medical treatment, intensive surgery and strength the perioperative systemic holistic nursing for improving the clinical efficacy of the elderly patients with cerebral hemorrhage.
【Objective】To summarize the effects and experiences of the implementation of quality nursing in patients with pituitary tumor.Method:Quality nursing services,including health education after admission,preoperative and postoperative nursing care,and rehabilitation guidance at discharge were implemented in the pituitary tumor patients.Results:The degree of satisfaction with quality nursing from the patients improved significantly.It shortened the hospitalization time,reduced the cost of hospitalization.Conclusion:Through the implementation of the quality nursing,the nurse-patient relationship is improved and the nurses'own value in nursing work as well.
目的:探讨强化护理操作考核对临床护理工作的影响.方法:对全院各级护理人员连绪两年加强考核,将考核成绩与护理差错、患者满意度加以对比.结果:临床护理质量明显提高,减少了护理纠纷,确保护理安全,患者满意度明显提高,充分体现了人文关怀.结论:随着医学模式的转变、护理学的发展和社会文明程度的提高,护士人性化服务的重要性日益彰显,加强护理操作考核,是提高护理技术的有力保障.
目的:通过对需要用胰岛素治疗的老年患者的健康教育及正规治疗,提高患者的住院适应能力和自我保健能力,从而提高患者的生活质量。方法:对住院患者2004~2006年我院就诊的老年患者320例,进行合适的健康教育。结果:97%的患者都能坚持正规应用胰岛素治疗,减少了并发症的发生,使患者医疗费用明显降低、住院日明显缩短,同时提高了患者治疗依从性。结论:糖尿病的治疗为一种综合治疗,注射胰岛素是药物治疗中重要的措施之一,教会患者及家属正规注射胰岛素,是糖尿病治疗的重要保证,加强对患者及家属的健康教育具有一定的临床意义。
胰岛素泵模拟人体胰腺,每数分钟就自动释放微量短效胰岛素,使血糖在餐间及夜间睡眠期间保持平稳.进餐时,通过设置泵的程序(按动泵上按钮)使泵迅速输出较大剂量胰岛素,它能对付食物中所含碳水化合物量,因而能有效降低餐后高血糖状态.
硫酸链霉素由于杀菌力强，临床上作为治疗各型结核病的首选药物，但由于毒副反应较大，易引起过敏。现报道１例发生严重过敏反应的病例，以引起同行们的注意。１病例介绍杨某，女，３５岁。于１９９７年１１月３日入院，主诉咳嗽、咳脓痰、胸部钝痛３月余，入院诊断为Ⅲ型...
