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护理关顾及关顾实践 预览
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作者 陈胡安琪 《护士进修杂志》 2019年第14期1295-1297,共3页
身体和心理社会关顾的相互作用与患者健康息息相关,然而关顾的概念通常被认为是抽象和模糊的。有护士视心理社会关顾为常规工作的一部分,也有护士认为在时间紧迫的工作环境中,要在时间许可的情况下才会照顾患者的心理社会需要。
关键词 关顾 护理关顾 慈爱 正念沟通
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Preliminary psychometric evidence of the Greek adaptation to the EC-CC HOME scale for use in institutional environments 预览
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作者 Anna Touloumakos Alexia Barrable Kalomoira Tsantila 《发展与教育心理学进展(英文)》 2019年第1期18-22,共5页
Although lacking in official figures,latest reports from NGOs highlight that Greece has over 85 institutional settings that house more than 2,500 children,excluding unaccompanied minors entering the system continuousl... Although lacking in official figures,latest reports from NGOs highlight that Greece has over 85 institutional settings that house more than 2,500 children,excluding unaccompanied minors entering the system continuously for the past few years. Given the impact that institutional care has been found to have on psychological and cognitive outcomes,the authors make the case for the adaptation of Early Childhood Child Care HOME (EC-CC-HOME) a world-renowned instrument that assesses children’s child-care environment. In this instance,we have adapted the child-care version of HOME to assess the physical and organisations aspects of the residential environment,following the permission and through collaboration with the developer. This brief report presents some of the preliminary evidence of the first step undertaken towards the full adaptation of EC-CC-HOME in Greek and for use in institutional environments;participants were 29 children residing in such environments. Preliminary results on the psychometric characteristics of the measure,especially in relation to the learning aspect of the environment presented here,hold promise. This is an especially important first indication of how the measure works in view of the imminent adaptation of the scale to be used with institutional environments where children can benefit greatly from such a measure. Issues in relation to good practices in providing evidence for the psychometric characteristics of measures are briefly discussed as part of this investigation. 展开更多
关键词 Early Childhood Child CARE HOME HLE institutional CARE reliability CONVERGENT validity
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全程康复护理在抑郁症患者护理中的应用 预览
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作者 许秀宾 《中国卫生标准管理》 2019年第9期157-159,共3页
目的评价全程康复护理对改善抑郁症患者心理状态的效果。方法选入2017年12月22日—2018年12月31日我院收治的抑郁症患者150例,采用抽签法的分组形式将其平均分成两组,即试验组与对照组,每组各75例,对照组实施基础护理,试验组实施全程康... 目的评价全程康复护理对改善抑郁症患者心理状态的效果。方法选入2017年12月22日—2018年12月31日我院收治的抑郁症患者150例,采用抽签法的分组形式将其平均分成两组,即试验组与对照组,每组各75例,对照组实施基础护理,试验组实施全程康复护理,分析抑郁症康复效果、护理之前与护理之后的焦虑、抑郁评分。结果试验组抑郁症康复效果、护理之后的焦虑、抑郁评分优于对照组,数据之间的对比存在统计学差异(P<0.05)。结论在抑郁症实际护理的过程中,采用全程康复护理法,有助于改善心理状态,具有较高的推广优势。 展开更多
关键词 全程康复 护理 抑郁症 心理状态 焦虑 基础护理
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产后康复在促进产后子宫复旧的临床效果研究 预览
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作者 袁爱萍 《中外医疗》 2019年第11期87-89,共3页
目的通过对产妇实施不同的护理措施,观察其效果,探究不同护理措施的临床应用特点。方法从来该院诊治的2016年1月—2018年10月的足月剖宫产分娩产妇中随机抽取82例,采用随机数字法随机分为对照组41例:实施常规护理,观察组41例:实施常规护... 目的通过对产妇实施不同的护理措施,观察其效果,探究不同护理措施的临床应用特点。方法从来该院诊治的2016年1月—2018年10月的足月剖宫产分娩产妇中随机抽取82例,采用随机数字法随机分为对照组41例:实施常规护理,观察组41例:实施常规护理+产后康复护理。比较两种护理方式的临床效果。结果观察组宫底下降(1.27±0.69)cm/d低于对照组(2.69±0.97)cm/d(t=10.385,P<0.05),产后子宫宫底高度为(10.98±2.31)cm低于对照组(14.61±2.13)cm(t=11.031,P<0.05),恶露量为(545.25±213.14)mL少于对照组(838.56±243.28)mL(t=9.094,P<0.05);观察组晚期产后出血率为2.44%,低于对照组14.63%(χ^2=14.235,P<0.05),宫腔积血发生率为7.32%,低于对照组17.07%(χ^2=12.864,P<0.05),血性恶露发生率为2.44%,低于对照组9.76%(χ^2=11.539,P<0.05)。结论产后康复有助于降低产妇产后子宫宫底高度、恶露量、晚期产后出血率、宫腔积血发生率、血性恶露发生率,提高产妇产后子宫复旧,是一项值得广泛应用的产科护理方案。 展开更多
关键词 产后康复 护理 产后子宫复旧常规
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Diabetes self-care in primary health facilities in India - challenges and the way forward 预览
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作者 Saurav Basu Nandini Sharma 《世界糖尿病杂志:英文版(电子版)》 2019年第6期341-349,共9页
India has approximately 73 million people living with diabetes and another 37 million with prediabetes while nearly 47% of the diabetes cases are undiagnosed. The high burden of poor glycemic control and early onset o... India has approximately 73 million people living with diabetes and another 37 million with prediabetes while nearly 47% of the diabetes cases are undiagnosed. The high burden of poor glycemic control and early onset of complications with associated economic costs indicates a high prevalence of poor self-management practices. It is well-established that achieving patient-centered primary care consistent with a chronic care model ensures optimum diabetes self-management support and improves long-term clinical and health outcomes in diabetes patients. The public sector primary care system in India provides services free of cost to beneficiaries but lacks patient-centered care that undermines diabetes selfmanagement education and support. Furthermore, factors like poor patient knowledge of diabetes, suboptimal medication adherence, persistent clinical inertia, lack of data for monitoring and evaluation through clinical audit worsens the standards of diabetes care in primary care settings of India. There is a need for government initiatives to be directed towards the provision of comprehensive outpatient care that is inclusive of uninterrupted supply of drugs, provision of essential laboratory investigators, training and availability of qualified diabetes educators and availability of specialist support when required. Furthermore, the integration of depression screening and smoking cessation services at the primary care level is warranted. 展开更多
关键词 Primary care DIABETES SELF-CARE ADHERENCE INDIA
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Transitions of care across hospital settings in patients with inflammatory bowel disease 预览
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作者 Leigh R Warren Jonathan M Clarke +3 位作者 Sonal Arora Mauricio Barahona Naila Arebi Ara Darzi 《世界胃肠病学杂志:英文版》 SCIE CAS 2019年第17期2122-2132,共11页
BACKGROUND Inflammatory bowel disease (IBD) is a chronic, inflammatory disorder characterised by both intestinal and extra-intestinal pathology. Patients may receive both emergency and elective care from several provi... BACKGROUND Inflammatory bowel disease (IBD) is a chronic, inflammatory disorder characterised by both intestinal and extra-intestinal pathology. Patients may receive both emergency and elective care from several providers, often in different hospital settings. Poorly managed transitions of care between providers can lead to inefficiencies in care and patient safety issues. To ensure that the sharing of patient information between providers is appropriate, timely, accurate and secure, effective data-sharing infrastructure needs to be developed. To optimise inter-hospital data-sharing for IBD patients, we need to better understand patterns of hospital encounters in this group. AIM To determine the type and location of hospital services accessed by IBD patients in England. METHODS This was a retrospective observational study using Hospital Episode Statistics, a large administrative patient data set from the National Health Service in England. Adult patients with a diagnosis of IBD following admission to hospital were followed over a 2-year period to determine the proportion of care accessed at the same hospital providing their outpatient IBD care, defined as their ‘home provider’. Secondary outcome measures included the geographic distribution of patient-sharing, regional and age-related differences in accessing services, and type and frequency of outpatient encounters. RESULTS 95055 patients accessed hospital services on 1760156 occasions over a 2-year follow-up period. The proportion of these encounters with their identified IBD ‘home provider’ was 73.3%, 87.8% and 83.1% for accident and emergency, inpatient and outpatient encounters respectively. Patients living in metropolitan centres and younger patients were less likely to attend their ‘home provider’ for hospital services. The most commonly attended specialty services were gastroenterology, general surgery and ophthalmology. CONCLUSION Transitions of care between secondary care settings are common for patients with IBD. Effective systems of data-s 展开更多
关键词 Inflammatory bowel DISEASE Crohn's DISEASE ULCERATIVE colitis TRANSITIONS of CARE Continuity of CARE Fragmentation Multi-morbidity
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Damage control orthopaedics:State of the art 预览
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作者 Enrique Guerado Maria Luisa Bertrand +2 位作者 Juan Ramon Cano Ana María Cerván Adolfo Galán 《世界骨科杂志(英文版)》 2019年第1期1-13,共13页
Damage control orthopaedics(DCO)originally consisted of the provisional immobilisation of long bone-mainly femur-fractures in order to achieve the advantages of early treatment and to minimise the risk of complication... Damage control orthopaedics(DCO)originally consisted of the provisional immobilisation of long bone-mainly femur-fractures in order to achieve the advantages of early treatment and to minimise the risk of complications,such as major pain,fat embolism,clotting,pathological inflammatory response,severe haemorrhage triggering the lethal triad,and the traumatic effects of major surgery on a patient who is already traumatised(the“second hit”effect).In recent years,new locations have been added to the DCO concept,such as injuries to the pelvis,spine and upper limbs.Nonetheless,this concept has not yet been validated in well-designed prospective studies,and much controversy remains.Indeed,some researchers believe the indiscriminate application of DCO might be harmful and produce substantial and unnecessary expense.In this respect,too,normalised parameters associated with the acid-base system have been proposed,under a concept termed early appropriate care,in the view that this would enable patients to receive major surgical procedures in an approach offering the advantages of early total care together with the apparent safety of DCO.This paper discusses the diagnosis and treatment of severely traumatised patients managed in accordance with DCO and highlights the possible drawbacks of this treatment principle. 展开更多
关键词 Damage control ORTHOPAEDICS EARLY total CARE EARLY appropriate CARE POLYTRAUMA RESUSCITATION External fixation Packing EMBOLISATION Compartment syndrome
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Blood glucose control in the intensive care unit: Where is the data? 预览
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作者 Sebastian Casillas Edgar Jauregui +1 位作者 Salim Surani Joseph Varon 《世界荟萃分析杂志》 2019年第8期399-405,共7页
Blood glucose control, including hyperglycemia correction, maintaining glucose at optimal level and avoiding hypoglycemia, is a challenge clinicians face every day in intensive care units (ICUs). If managed inadequate... Blood glucose control, including hyperglycemia correction, maintaining glucose at optimal level and avoiding hypoglycemia, is a challenge clinicians face every day in intensive care units (ICUs). If managed inadequately, its related mortality can increase. Prior to 2001, no relevant data from randomized, controlled studies assessing glucose control in the ICU were available. In the past 18 years, however, many clinical trials have defined criteria for managing abnormal blood glucose levels, as well as provided suggestions for glycemic monitoring. Point-ofcare blood glucose monitors have become the preferred bedside technology to aid in glycemic management. In addition, in some institutions, continuous glucose monitoring is now available. Cost-effectiveness of adequate glycemic control in the ICU must be taken into consideration when addressing this complex issue. Newer types of glycemic monitoring may reduce nursing staff fatigue and shorten times for the treatment of hyperglycemia or hypoglycemia. There are a variety of glycemic care protocols available. However, not all ICU clinicians are aware of them. The following minireview describes some of these concepts. 展开更多
关键词 Blood GLUCOSE control CRITICAL illness INTENSIVE CARE unit INSULIN therapy CRITICAL CARE
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探讨中药足浴联合开塞露治疗产后尿潴留的治疗效果与护理措施
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作者 陈萍虞 《智慧健康》 2019年第5期69-70,共2页
目的探析对产后尿潴留患者用中药足浴、开塞露联合治疗的临床效果及对应护理干预措施。方法取笔者所在产科产后出现尿潴留患者为分析对象,诊疗时间为2015年3月至2017年2月,从该群体中随机抽取160例,根据对产妇尿潴留治疗方案差异将其进... 目的探析对产后尿潴留患者用中药足浴、开塞露联合治疗的临床效果及对应护理干预措施。方法取笔者所在产科产后出现尿潴留患者为分析对象,诊疗时间为2015年3月至2017年2月,从该群体中随机抽取160例,根据对产妇尿潴留治疗方案差异将其进行分组,对照组单纯用开塞露塞肛门治疗,观察组在开塞露塞肛的基础上联合中药足浴,对患者临床数据归纳后比较联合治疗对产后尿潴留的治疗效果及相关护理措施。结果相对于对照组患者,观察组尿潴留治疗总有效率显著更高且有统计学意义(P<0.05);观察组对产后尿潴留10min、30min、60min排尿有效率等数据相对于对照组产妇有显著优越性且存在统计学意义(P<0.05)。结论对产后尿潴留患者采取中药足浴、开塞露联合以护理为主的治疗手段和护理措施对病情有良好的干预效果,同时配合针对性护理措施对于产妇的舒适感以及满意度均有积极影响,值得临床推广。 展开更多
关键词 中药足浴 开塞露 产后尿潴留 护理
Advancing the quality of care and nursing practice through emancipatory reflection 预览
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作者 Hong-Jing Yu Dong-Lan Ling Jia-Le Hu 《护理前沿(英文)》 CAS 2019年第1期1-4,共4页
Reflection is a fundamental skill of health-care professionals and plays an important role in ensuring the quality of care in health-care practice.It is believed that undertaking reflection in practice can help nurses... Reflection is a fundamental skill of health-care professionals and plays an important role in ensuring the quality of care in health-care practice.It is believed that undertaking reflection in practice can help nurses develop an awareness of a sense of personal power and agency,cultivate their critical thinking ability and help them promote their professional development.However,reflection has not been introduced widely as a nursing curriculum in China,and literature shows that some clinical nurses lack critical thinking skills and critical reflective practice skills by reason of not receiving systematic education on reflection when they were at nursing college.Therefore,we present a series of seven articles focused on prevalent and interesting practice-based events to reflect on in this special issue.The main aim is to disseminate reflective methodology and techniques and present examples of reflective writing for nurses.It is expected that these articles will help to lead Chinese nurses to adopt critical emancipatory reflective processes to bring about transformative actions. 展开更多
关键词 Smyth’s FRAMEWORK CRITICAL emancipatory REFLECTION QUALITY of CARE NURSING practice
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Critical reflection on the role of theater nurses in a multidisciplinary team for perioperative care in China 预览
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作者 Xiao Xiao She-Ning Zhu 《护理前沿(英文)》 CAS 2019年第1期27-33,共7页
Objective:The aim of this article is to reflect on the role of theater nurses in a multidisciplinary team,understand the factors that have influenced theater nurses’practice,and improve the authors’clinical practice... Objective:The aim of this article is to reflect on the role of theater nurses in a multidisciplinary team,understand the factors that have influenced theater nurses’practice,and improve the authors’clinical practice ultimately.Methods:The author used Smyth’s model to guide the process of reflection on the practice issue.Critical reflection,critical emancipatory theory,reflexivity,and critical social theory were used to help the author analyze the factors that have affected theater nurses’practice in the organization.Results:There are gaps between the espoused and enacted theories.A theater nurse’s practice is determined by multiple factors,such as political,structural,social,historical,cultural issues,and so on.The hierarchy of the health context could hinder possible changes in theater nurses’practice.To better understand our practice and implement transformation,we should shape a supportive environment,bear in mind the practice motto of“patient-centered”care,and improve our knowledge and reflection skills.Conclusions:Reflection plays a significant role in the advancing of practice among theater nurses and needs to be combined with clinical practice.To provide the best service of care to perioperative patients,a theater nurse should have an insightful understanding of the factors that have influenced her/his behaviors historically,socially,and culturally.By improving their critical reflection skills,practitioners could gain knowledge from experience. 展开更多
关键词 MULTIDISCIPLINARY team Smyth’s reflective framework REFLEXIVITY CRITICAL reflection CRITICAL emancipatory THEORY CRITICAL social THEORY task-oriented PERSON-CENTERED care
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农村小学班级管理探索 预览
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作者 刘彩容 《科教导刊》 2019年第14期173-174,共2页
班主任是班级的管理者,班级管理是班主任的基本职能,在现代教育背景下,农村小学要想获得卓有成效的发展,就必须要立足班级管理进行去那么的开拓和深化.作为班主任需要有高度的责任心对班级进行管理,需要在管理中运用一些对策与措施对学... 班主任是班级的管理者,班级管理是班主任的基本职能,在现代教育背景下,农村小学要想获得卓有成效的发展,就必须要立足班级管理进行去那么的开拓和深化.作为班主任需要有高度的责任心对班级进行管理,需要在管理中运用一些对策与措施对学生进行引导,让学生养成良好的学习、行为习惯. 展开更多
关键词 农村小学 班级管理 班主任 尊重 关爱
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Listen and talk to the older patients:a critical emancipatory reflection on the practice of communication issues 预览
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作者 Qiao-Miao Zeng Lian-Xiang He 《护理前沿(英文)》 CAS 2019年第1期35-40,共6页
Objective:Reflection is a process of deliberating thinking and examining one’s practice in the past and thereby encouraging nurses to make improvements in future care delivery.This work outlines a piece of reflection... Objective:Reflection is a process of deliberating thinking and examining one’s practice in the past and thereby encouraging nurses to make improvements in future care delivery.This work outlines a piece of reflection involving the practice of communication between nurses and the elderly,to emancipate the authors from their constraints,help to find values as practitioners,and gain a greater understanding of the nurse-patient relationship.Methods:Using Smyth’s four-stage model as a guide,as well as empirical and theoretical knowledge on nurse-patient relationships,this paper presents a deep reflection on the relationship that the authors developed with elderly patients and their families,encountered during the practice as a nurse.By applying the four main stages consisting of describe,inform,confront,and reconstruct,this model enabled the authors to frame,describe the practice issue,and explore the meaning behind it,which helps to facilitate a structured reflection.Results:Critical emancipatory reflection,in association with the Espoused theory and Theory-in-use,as well as reflexivity,critical social theory,and hegemony,was applied to uncover the various power relationships and constraining forces in the authors’practice involved in communicating with the elderly,such as the underlying false consciousness,hegemony,hidden assumptions,influential values,and dominant power structure,which are subtle and persuasive.By applying this process of critical reflection,transformative practice could be achieved.Conclusions:The process of critical reflection facilitated the development of the abilities required to develop and maintain the nursepatient relationship.It helps to enhance the care of old patients and their families,which illuminates the future nursing practice. 展开更多
关键词 emancipatory REFLECTION OLDER patients communication nurse-patient relationship PERSON-CENTERED care
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基于预警理念的照护策略对支原体肺炎患儿临床疗效及不良反应的影响探究 预览
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作者 朱彩勤 龚蕾 刘莉娜 《当代护士:下旬刊》 2019年第9期1-4,共4页
目的 探究基于预警理念的照护策略对支原体肺炎患儿的临床疗效及不良反应的影响。方法 选取本院2015年6月—2016年5月收治的46例支原体肺炎患儿,设为对照组,实施传统的护理干预模式;选取本院2016年6月—2017年5月收治的48例支原体肺炎患... 目的 探究基于预警理念的照护策略对支原体肺炎患儿的临床疗效及不良反应的影响。方法 选取本院2015年6月—2016年5月收治的46例支原体肺炎患儿,设为对照组,实施传统的护理干预模式;选取本院2016年6月—2017年5月收治的48例支原体肺炎患儿,设为研究组,采取基于预警理念的照护策略。根据两组患者临床症状改善情况评价临床疗效,记录两组患儿临床症状消失时间,记录两组患儿并发症发生率,比较两组患儿护理满意度情况。结果 研究组患者的治疗有效率为97.6%,高于对照组的86.9%,差异有统计学意义(P<0.05)。研究组患者发热消失时间、咳嗽消失时间、肺罗音消失时间及住院时间均短于对照组,差异有统计学意义(P<0.05)。研究组心损伤、肾损伤、肝损伤、肺损伤及其他等并发症发生率均低于对照组,差异有统计学意义(P<0.05)。研究组护理满意度高于对照组,差异有统计学意义(P<0.05)。结论 对于肺炎支原体患儿而言,引入基于预警理念为导向的照护策略,能提高其临床疗效,且能降低不良事件发生率,值得在临床上做进一步推广。 展开更多
关键词 支原体肺炎 预警理念 照护 临床疗效 不良反应
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放疗期间对早中期食管癌患者进行自我饮食护理的有效性分析 预览
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作者 唐娟 《中外医疗》 2019年第25期141-143,147共4页
目的探究处于放疗期间的早中期食管癌患者给予自我饮食护理方案的有效性。方法方便选取2017年11月-2018年10月期间该院诊治的62例进行放疗的早中期食管癌患者,随机双盲法分为常规组(n=30)和研究组(n=33)。常规组接受传统饮食护理方案,... 目的探究处于放疗期间的早中期食管癌患者给予自我饮食护理方案的有效性。方法方便选取2017年11月-2018年10月期间该院诊治的62例进行放疗的早中期食管癌患者,随机双盲法分为常规组(n=30)和研究组(n=33)。常规组接受传统饮食护理方案,研究组根据自理能力和营养评估结果,接受自我饮食护理方案。对比分析两组患者的营养水平指标和FILC的评分。结果研究组放疗后血清白蛋白、淋巴细胞量两项指标和常规组相比无明显变化(36.8±8.2)g/L vs (37.8±8.1)g/L和(2.31±0.52)g/Lvs(2.24±0.66)g/L,差异无统计学意义(t=0.483、0.465,P>0.05);体重、前白蛋白两项指标和常规组相比得到明显改善(58.8±10.2)kg vs (52.7±10.7)kg和(0.27±0.05)g/Lvs(0.18±0.03)g/L差异有统计学意义(t=2.298、8.655,P<0.05)。研究组患者的感染率显著低于常规组患者,25.00%vs 56.67%,差异有统计学意义(χ2=6.45,P=0.011 1 <0.05)。研究组患者FILC评分结果发现总生命质量评分优于常规组(121.0±11.5)分vs(110.6±16.6)分,差异有统计学意义(t=2.850,P=0.006 <0.05)。结论对处于放疗期间的早中期食管癌患者给予自我饮食护理方案能够有效的帮助患者满足自理需求,改善营养状况及生活功能指标,缓减患者的焦虑情绪,在生理和心理上提升患者的治疗效果,值得在临床上广泛推广。 展开更多
关键词 放疗 早中期食管癌 自我饮食 护理
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Effect of Emergency Care Process Optimization on Rescue Efficiency of Emergency Patients 预览
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作者 Huifei Wang 《医学科学进展杂志(英文)》 2019年第1期16-19,共4页
Objective: This paper discusses the impact of emergency care process optimization on the rescue efficiency of emergency patients. Methods: 102 cases of emergency patients received from January 2017 to February 2018 in... Objective: This paper discusses the impact of emergency care process optimization on the rescue efficiency of emergency patients. Methods: 102 cases of emergency patients received from January 2017 to February 2018 in our hospital were selected as research objects. According to the order of treatment, they were divided into control group and observation group. The routine nursing process was given to the control group, and the observation group was given an optimized nursing process to compare the rescue efficiency and nursing satisfaction of the two groups. Results: According to the results of the study, the nursing satisfaction of the two groups was compared. Among them, the total satisfaction of the observation group was 49, accounting for 96.07%;the control group was very satisfied with the nursing work, accounting for 82.35%. There was a significant difference in nursing satisfaction between the two groups, which was statistically significant (P<0.05). Comparing the rescue efficiency of the two groups of patients, the observation time, rescue time, infusion time and disease remission time were significantly lower than the control group, the rescue success rate was 94.11%, and the rescue success rate of the control group was 78.43%. The results have statistical significance (P < 0.05). Conclusion: The optimization of emergency nursing process can greatly improve the rescue efficiency of emergency patients, reduce the disability rate and mortality, improve the quality of nursing, and enhance the satisfaction of nursing. It is worthy of clinical promotion practice. 展开更多
关键词 EMERGENCY CARE process optimization EMERGENCY patients RESCUE EFFICIENCY NURSING SATISFACTION
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医院感染管理风险评估工具管理新生儿重症监护病房院内感染的体会 预览
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作者 李颖 朱镭 +1 位作者 邓丽霞 苏亚梅 《中国药物与临床》 CAS 2019年第13期2288-2290,共3页
院内感染(health care association infection,HAI)是指在医疗保健机构获得的感染,包括住院后48h之后获得的和在院内获得出院后48h内发病的感染。医疗质量和患者的安全与医院感染管理密切相关,在目前医疗资源有限的情况下,如何运用有效... 院内感染(health care association infection,HAI)是指在医疗保健机构获得的感染,包括住院后48h之后获得的和在院内获得出院后48h内发病的感染。医疗质量和患者的安全与医院感染管理密切相关,在目前医疗资源有限的情况下,如何运用有效的资源来解决医院感染管理问题,成为了我们目前亟待解决的问题。 展开更多
关键词 医院感染管理 新生儿重症监护病房 院内感染 评估工具 风险 医疗保健机构 医疗资源 CARE
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Point of care renal ultrasonography for the busy nephrologist: A pictorial review 预览
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作者 Abhilash Koratala Deepti Bhattacharya Amir Kazory 《世界肾病学杂志:英文版》 2019年第3期44-58,共15页
The application of bedside ultrasonography in routine clinical practice has dramatically evolved over the last few decades and will likely continue to grow as technological advances lead to enhanced portability and af... The application of bedside ultrasonography in routine clinical practice has dramatically evolved over the last few decades and will likely continue to grow as technological advances lead to enhanced portability and affordability of the equipment. Despite mounting interest, most nephrology fellowship training programs do not offer formal training in renal ultrasonography and there is inertia among practicing nephrologists to adopt this skill as a practice-changing advancement. Lack of familiarity with the topic is considered a key reason for this inertia. Understanding of basic ultrasound physics, instrumentation, principles of optimal image acquisition and interpretation is critical for enhanced efficiency and patient safety while using this tool. Herein, we provide a brief overview of the basic principles of diagnostic renal ultrasonography as well as introduction to common sonographic pathologies encountered in day-to-day nephrology practice with illustrative images. 展开更多
关键词 Ultrasound Kidney CYST HYDRONEPHROSIS STONE Point of care
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Systemic analysis of pre-hospital trauma emergency treatment in Zhengzhou
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作者 Xiao-Peng Shi Li-Jie Qin +2 位作者 Yu-Xia Chang Fa-Liang Li Peng Wang 《急性病杂志(英文版)》 2019年第1期34-37,共4页
Objective: To analyze the data of pre-hospital emergency treatment in zhengzhou from 2007 to 2016, and evaluate the current situation of pre-hospital trauma emergency treatment, in order to provide a scientific basis ... Objective: To analyze the data of pre-hospital emergency treatment in zhengzhou from 2007 to 2016, and evaluate the current situation of pre-hospital trauma emergency treatment, in order to provide a scientific basis for effective use of first aid resources and enhance success rate of trauma emergency treatment. Methods: Retrospective analysis was conducted based on pre-hospital emergency resources of Zhengzhou Emergency Medical Rescue Center from 2007 to 2016. Results: The total number of pre-hospital emergency treatment cases was 9305687 from 2007 to 2016 in Zhengzhou, of which 418882 were trauma cases. The top five causes of injury were traffic accident injury, cutting injury, beating injury, crushing injury and falling injury. The top five emergency treatments used were oxygen, hemostasis, dressing and fixation, fluid supplementation, analgesics and sputum aspiration. According to different directions of diagnosis, the pre-hospital emergency patients were divided into four groups:emergency treatment group, emergency observation group, admission to general ward group and admission to ICU group. There was no statistical difference in the ages among the four groups (P>0.05). There were significantly statistical differences in gender composition among the four groups, with more males than females (P<0.01). Significant statistical differences also showed in CRAMS scores among the four groups (P<0.01). Before and after the training of primary trauma care, there was no significant difference in the constituent ratio of the trauma (P>0.05), but the mortality of the trauma, the average arrival time, and the mean treatment time were significantly different (P<0.01). Conclusions: The number of pre-hospital emergency trauma patients increased year by year, but the constituent ratio changed little. CRAMS score is important for the patients triage. Through the training of primary trauma care, the constituent ratio of death was reduced, and the average treatment time was shortened. 展开更多
关键词 PRE-HOSPITAL FIRST AID TRAUMA CRAMS PRIMARY TRAUMA CARE
Diagnosis and Treatment of a Case of Femoral Fracture in Dog 预览
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作者 Lijun DING Shasha ZHAO 《农业生物技术:英文版》 CAS 2019年第2期122-123,164共3页
Femoral fracture of dogs is common in daily life. This paper introduced the diagnosis and treatment of a case of femoral fracture in dog, providing reference for clinical practice.
关键词 FEMORAL FRACTURE DIAGNOSIS Treatment POSTOPERATIVE CARE
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