Objective To investigate the objective factors of the quality of care patients bed unit.Methods Designed questionnaire,random QC checks each packet member ward bed unit the quality of care, improve specific impact before and after comparison of various factors. Results Improve quality of care bed unit was better than before improvement (P<0.05).Ward conditions improve before there was statisti?cally significant difference (P<0.05);no significant difference after improvement (P>0.05).Quality of care unit beds in different conditions before and after improvement were statistically significant (P<0.05).There was significant difference in inspection period between two groups before improvement(P<0.05);no significant difference after improvement(P>0.05).Conclusion Ward conditions directly affect the quality of care bed unit,but through the intervention of a larger room for improvement. The severity of the patient are important factors in whether or not the intervention factor bed care unit,severe illness of bed unit is better than the quality of care of the mild bed unit;for morning inspection time factor analysis shows that the quality of care is lower than in the afternoon.

Objective:To study effects of comprehensive nursing intervention on psychological state and quality of life in patients with nasopharyngeal carcinoma during radiotherapy.Methods:From March 2012 to May 2013 ,a total of 81 patients with nasopharyngeal carcinoma in our hospital were treated com-prehensive nursing intervention and patients were given full measurement and assessment respectively be-fore and after nursing intervention by using SAS,SDS and QLQ-C30 scales.Results:①After interven-tion,SAS and SDS scores of patients with nasopharyngeal carcinoma were significantly lower than those before intervention(t=5.564,4.663;P<0.05).②After intervention,the scores of physical function, role function,emotional function,cognitive function,social function and overall health status of patients with nasopharyngeal carcinoma were significantly higher than those before intervention ( t =-4.216,-3.652,-3.283,-3.878,-2.496,-4.315;P <0.05 ) .Conclusion:Comprehensive nursing intervention can effectively reduce the psychological stress and radiation adverse reaction of patients with nasopharyn-geal carcinoma,and improve their quality of life.

目的 探讨悬雍垂腭咽成形术后患者主要并发症的观察及有效处理措施,提高对其主要并发症的认识,以做到有效预防.方法 回顾性分析总结2011年1月-2013年4月140例行悬雍垂腭咽成形术后患者的主要并发症观察及处理措施.结果 2例(1.43％)出现急性呼吸道梗阻,经严密观察、使用糖皮质激素、取正确卧位、有效清除呼吸道分泌物等呼吸道梗阻解除;5例(3.57％)出现出血,经过冷敷、及时用止血药物或双极电凝止血后出血停止;1例(0.71％)出现心脑血管病,立即行心脑复苏后改善.结论 急性呼吸道梗阻、出血和心脑血管病等是阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者行悬雍垂腭咽成形术后主要的并发症,术后及时进行病情观察、主动防范、发现问题采取有效处理措施、床旁常规备好抢救用物等,是确保术后达到改善通气、提高血氧饱和度、减少全身并发症目标的重要保证.

我科从2007年8月至2009年2月在耳内镜或鼻内镜下置入T型鼓膜通气管治疗分泌性中耳炎44例,取得了满意疗效,现将护理总结如下. 资料与方法 1 一般资料 本组患者44例(67耳),男30例(41耳),女14例(26耳),年龄5～71岁,平均36.8岁.成人31例,儿童13例.本组病例均经2个月保守治疗后无效,临床表现为听力下降,耳闷胀、耳鸣等.

慢性鼻-鼻窦炎鼻息肉等鼻腔疾病的治疗采用鼻内镜手术越来越多,手术是治疗的第1步,围手术期鼻腔的护理与手术一样同等重要,是不可忽视的第2步,为了达到预期治疗目标,对患者围手术期的鼻腔护理提出了更高的要求.

目的:观察中西药并用治疗突发性耳聋的疗效和护理。方法:口服自拟固肾化瘀聪耳汤(熟地、山药、山茱萸、泽泻、茯苓、川芎、炒桃仁、香附、柴胡等)配合西药,并给予全面和针对性护理。结果:总有效率为95.2%。结论:中西药并用有固肾开窍,活血化瘀,改善内耳微循环的作用,使耳周经脉通畅,配合全面有针对性的护理措施,可提高疗效,增强机体的抗病能力,有效地减少诱发因素,预防此病的发生。

目的探讨患者比较满意且护生易接受和掌握的静脉穿刺持针柄法。方法选取我校2006、2007和20083级中职护理助产专业学生作为教学对象,调查在老师示教前学生持针柄法和讲明三种持针柄法优缺点和穿刺要领后,让学生用7号静脉穿刺针头在模型人身上用不同的持针柄法进行静脉穿刺,多次练习后从针头稳定性、穿刺力度把握情况、进针角度调整的灵活性进行比较。结果食指上、中指拇指前后持针柄法在静脉穿刺时针头稳定性好,穿刺力度易把握,进针角度调整灵活,学生易接受和掌握。结论食指上、中指拇指前后持针柄法在静脉穿刺教学中实用性和可行性更大。

如何构建和谐护患关系,减少和预防护理纠纷的发生,是护理管理者思考和面对的问题。本文通过对引起护理纠纷的原因分析,防范与管理方面认为要转变服务观念,增强主动服务意识;加强实习生管理,取得患者的信任;强化护理人员法制观念,着重做好护理过程记录;合理解释收费内容,使患者心中有数;有效利用护理人力资源,保证薄弱环节服务质量;对患者采取针对性健康教育,使其正确认识所患疾病和转归;加强质量管理,落实各项规章制度等是非常重要的。