Objective:To explore the clinical applicability of fall risk level warning system. Methods:The 1000 cases of hospitalized patients from January to December in 2014 were selected and randomly divided into experimental group and the control group. The control group is used with conventional fall pre-vention measures,and the experimental group with uses the patients fall risk level warning system. The objective evaluation index is applied to evaluate in different both of them at different time points. Results:The implementation of fall risk early warning system helped patients with fall preventionawareness, whose difference had statistically significant incidence(P ﹤ 0. 05). Conclusion:The early warning system for the risk of fall had an obvious effect on preven-ting the patient fall.

目的:探讨对护士实施分层级绩效考核,调动护士工作积极性和主动性,建立优质护理服务的长效机制.方法:选择我院实行“优质护理服务”的5个病区作实验组,5个病区在推行分层级绩效考核前的护理综合目标考核结果作为对照组.实验组对护士实施分层级使用,分别设计各层级绩效考核量表、岗位系数和层级系数以及岗位考核标准和评价标准,成立绩效考核小组,全科医护人员参与考评.结果:实验组的护理综合目标管理考核结果与对照组比较,实验组在护理服务、危重症护理、护理安全、患者满意度等方面均优于对照组,具有统计学意义(P＜0.05).结论:护士分层级绩效考核明显提高护理质量和患者的满意度,对推进优质护理服务的深化发展具有重要意义.

Objective To investigate the correlated between disease cognition and uncertainty of family members and recurrence risk in patients with ischemic stroke. Methods From January 2013 to February 2014,389 patients with ischemic stroke and their family members were chosen by convenience sampling method admitted in 3 secondary hospitals of Shenzhen,and they were divided into control group ( n =288 ) and recurrence group ( n =101 ) according to the recurrence of ischemic stroke. Then investigated the disease cognition and uncertainty of family members by self-made general information questionnaire, stroke knowledge questionnaire and disease uncertainty scale. Results The score of disease cognition of family members of re-currence group was higher than that of control group,while the scores of disease uncertainty dimension,lack of information di-mension and the total dimensions of disease uncertainty were lower than those of control group(P﹤0. 05). Linear correlation a-nalysis showed that,the score of disease cognition of family members of recurrence group was negatively correlated with the recur-rence frequency of ischemic stroke(r= -0. 245,P=0. 014),while the score of disease uncertainty was positively correlated with the recurrence frequency of ischemic stroke(r=0. 220,P=0. 010). Conclusion Disease cognition and uncertainty of family members are influencing factors of recurrence of ischemic stroke,thus measures should be take to improve the disease cog-nition of family members,reduce disease uncertainty,to reduce the recurrence of ischemic stroke.

目的 探讨分层级绩效考核对开展“优质护理服务”的积极推进作用,建立优质护理的长效机制,充分发挥护理工作在增进医疗效果、促进患者康复、提高医疗质量和效率方面的作用.方法 选择我院实行“优质护理服务”的5个病区作实验组(实施后).5个病区在推行分层级绩效考核前的护理综合目标考核结果作为对照组(实施前).实验组对护士实施分层级使用,建立岗位工作职责,实行分层级绩效考核方案,绩效与评优、晋升、工资挂钩.结果 实验组实行分层级绩效考核方案后,护理综合目标管理考核结果与对照组进行比较差异有统计学意义,主要表现在基础护理、护理质量、消毒隔离、安全管理方面的评分高于对照组(P＜0.05),护士对本职工作的满意度、岗位满意度均有提高(P＜0.05),病人满意度调查结果与对照组比较更是有大幅度提高(P＜0.01).结论 分层级绩效考核可强力推进“优质护理服务”活动,明显提高护理质量。

Objective To investigate the post-stroke patients with hemiplegia of hospital care and community integration,self-care ability of everyday life.Methods 98 cases of patients with hemiplegia after stroke is divided into the observation group and control group 49 cases,conventional treatment control group to take care to observe the group in the conventional treatment based on the nursing care given to early intervention and rehabilitation training,at the same time,such as acts of community visits intervention.Results The results of 2 groups at different stages of the ability of daily living (ADL) compared to the observation group were better than the control group (P＜0.05).Conclusion Application of stroke patients with hemiplegia integrated community hospital care,can effectively improve the daily life of self-care ability and improve the quality of life of patients.

Objective: To understand the need of health education for stroke patients' families.Methods: Designed questionnaire to investigate 160 stroke patients' families.Results: Over 87.0% of 160 stroke patients' families showed the desire for health education,including treatment effect,therapeutic plan,phone consulting,guide after discharge,prevention and so on.Conclusion: Stroke patients' families have strong desire for relative health knowledge,so nursing staff should perform corresponding education for these families.

目的:总结对上消化道出血并发急性脑血管病患者的护理体会.方法:对10例确诊患者采取综合护理措施,包括病情观察、一般护理、药物治疗护理、并发症护理、康复锻炼、心理护理等.结果:经有效的护理和康复训练,其中痊愈6例,不同程度恢复3例,1例死于多器官功能衰竭.结论:此类患者护理难度大,恢复周期长,需要专科护理经验.

Objective:To investigate the effect of continuous health education for diabetic patients in hospitals and communities and improve quality of patients' life.Methods:One hundred and twenty-six patients were randomly divided into intervention group(63 cases)and control group(63 cases).Patients in control group received diabetic knowledge education only when they were in hospital,while patients in intervention group were under two-way referral management and health intervention based on their conditions,which can help patients to master correct medication,reasonably control diet,monitor blood glucose in time,keep adequate physical exercise,prevent complication,then raised patients'compliance to treatment.Results:Compared with control group,patients' self-management ability in intervention group incresed,their medical compliance behavior was markedly improved,besides,average cost in outpatient decresased and complication incidence declined.Conclusion:Two-way referral management and continuous health education can boost diabetic patients' cognity level and self-management ability,decrease average cost in outpatient,and improve patients' life quality.