简介:摘要:目的:分析药学干预对临床抗生素合理用药的干预效果。方法:抽取医院应用抗生素类药物进行治疗的患者190例做为研究对象,未经药学干预的95例患者做为对照组,接受药学干预的95例患者做为研究组。结果:研究组患者抗生素使用排名前三位的依次为阿奇霉素(21.05%)、头孢他啶(16.84%)、头孢哌酮/舒巴坦(13.68%),对照组患者抗生素使用排名前三位的依次为头孢哌酮/舒巴坦(25.26%)、头孢他啶(20.00%)、哌拉西林/他唑巴坦(12.63%)。研究组患者联合用药率、不合理用药率均明显低于对照组,病原学检测率明显上升,(P<0.05)。研究组患者住院时间和抗生素使用时间明显比对照组短,使用抗生素药物花费的金额明显比对照组低,(P<0.05)。结论:药学干预应用于临床抗生素的使用中可促进抗生素类药物的合理使用、减轻不合理用药风险、提升临床疗效、缩短患者住院时间、减轻患者经济方面的压力。
简介:目的:分析早期康复护理训练在老年脑卒中患者中的影响。方法:纳入2022年1月-2022年12月期间于无锡市康复医院治疗的128例老年脑卒中患者作为研究主体,分为对照组与实验组,各64例。对照组实施常规护理,实验组在常规护理基础上增加早期康复护理训练。对两组护理后的肢体功能恢复情况及日常生活能力等进行观察,并于出院后1周随访统计患者对护理的满意度。结果:护理干预后,实验组患者的FMA、BI评分均明显较对照组改善更明显(P<0.05),差异有统计学意义;且实验组患者对护理的总满意率高于对照组(P<0.05),差异有统计学意义。结论:早期康复护理训练可促进老年脑卒中患者的肢体功能恢复,帮助更快恢复生活自理能力,患者的满意度高。
简介: 【摘要】 目的 探讨临床路径在猩红热患儿诊疗护理中的应用价值。方法 60例猩红热患儿, 随机分为对照组和临床路径组, 每组 30例。对照组患儿给予一般护理, 临床路径组患儿给予临床护理路径。比较两组患儿家属护理满意度 ;猩红热诊疗总时间、猩红热病情改善时间、治疗费用 ;护理前后生命质量指标以及心理健康指标 ;不良反应发生情况。结果 临床路径组患儿家属护理满意度为 100.00%( 30/30), 显著高于对照组的 70.00%( 21/30), 差异具有统计学意义( P<0.05)。护理前, 两组患儿生理职能、社会功能、躯体功能、整体健康以及焦虑、抑郁评分比较, 差异均无统计学意义( P>0.05)。护理后, 两组患儿的生理职能、社会功能、躯体功能及整体健康评分均明显高于护理前, 焦虑、抑郁评分均明显低于护理前, 且临床路径组患儿的生理职能、社会功能、躯体功能及整体健康评分均明显高于对照组, 焦虑、抑郁评分均明显低于对照组, 差异均具有统计学意义( P<0.05)。临床路径组患儿猩红热诊疗总时间、猩红热病情改善时间分别为( 8.41±3.12)、( 3.41±1.34) d, 均明显短于对照组的( 10.41±3.16)、( 6.24±1.01) d, 治疗费用( 5436.42±1343.22)元明显少于对照组的( 7636.86±1367.22)元, 差异均具有统计学意义( P<0.05)。临床路径组患儿不良反应发生率为 3.33%( 1/30), 明显低于对照组的 20.00%( 6/30), 差异具有统计学意义( P<0.05)。结论 猩红热患儿实施临床护理路径可获得良好效果, 能够显著提高患儿的生命质量, 减轻焦虑、抑郁情绪, 缩短治疗时间, 减少治疗费用, 提高患儿家属护理满意度。 【关键词】 临床路径 ;猩红热 ;诊疗护理 ;应用价值 [Abstract] Objective To explore the application value of clinical pathway in the diagnosis, treatment and nursing of scarlet fever children. Methods 60 children with scarlet fever were randomly divided into control group and clinical pathway group, 30 cases in each group. The control group was given general nursing, the clinical pathway group was given clinical nursing pathway. The nursing satisfaction, the total time of diagnosis and treatment, the time of improvement of scarlet fever, the cost of treatment, the indicators of life quality and mental health before and after nursing, and the occurrence of adverse reactions were compared between the two groups. Results the nursing satisfaction of family members in clinical pathway group was 100.00% (30 / 30), significantly higher than that in control group (70.00% (21 / 30), the difference was statistically significant (P < 0.05). Before nursing, there was no significant difference in the scores of physiological function, social function, physical function, overall health, anxiety and depression between the two groups (P > 0.05). After nursing, the scores of physiological function, social function, physical function and overall health of children in the two groups were significantly higher than those before nursing, and the scores of anxiety and depression were significantly lower than those before nursing. The scores of physiological function, social function, physical function and overall health of children in the clinical pathway group were significantly higher than those in the control group, and the scores of anxiety and depression were significantly lower than those in the control group, The difference was statistically significant (P < 0.05). The total diagnosis and treatment time and the improvement time of scarlet fever in clinical pathway group were (8.41 ± 3.12), (3.41 ± 1.34) days, respectively, which were significantly shorter than those in control group (10.41 ± 3.16), (6.24 ± 1.01) days, and the treatment cost (5436.42 ± 1343.22) yuan was significantly lower than those in control group (7636.86 ± 1367.22), with statistical significance (P < 0.05). The incidence of adverse reactions in the clinical pathway group was 3.33% (1 / 30), which was significantly lower than that in the control group (20.00% (6 / 30). The difference was statistically significant (P < 0.05). Conclusion the implementation of clinical nursing pathway for children with scarlet fever can achieve good results, can significantly improve the quality of life of children, reduce anxiety and depression, shorten the treatment time, reduce the cost of treatment, and improve the nursing satisfaction of children's families.
简介:摘要:目的 探讨翻转课堂教学模式在临床护理人员分层级培训中的应用价值。方法 选取 2017年我院 33名 N1层级护士的培训为对照组,采用传统护理培训方法,另选 2018年我院 33名 N1层级护士的培训为观察组,在对照组基础上采取翻转课堂模式进行培训,观察培训开始前、培训结束后两组护理人员的考核成绩及培训质量评价情况。结果 两组护理人员在培训开始前考核成绩差异无统计学意义,培训结束后,观察组理论、操作考核成绩显著高于对照组,差异有统计学意义( P< 0.00 1);观察组培训模式满意、学习积极性 提高、实践 操作能力 增强、解决问题能力 增强 、 自主 学习 能力增强均明显高于对照组,差异有统计学意义( P< 0.05 )。 结论 翻转课堂能显著提高临床护理人员培训质量,提高护理人员学习积极性,值得推广。
简介:【 摘要 】 目的 :分析医学图像融合技术在肿瘤放射科中肿瘤放射治疗的临床作用。 方法: 选取自 2018 年 1 月至 2019 年 12 月于本院进行癌症治疗的患者 100 例,按照患者采用的医学图像技术不同分为观察组和对照组,对比两组患者分别采用医学图像检查后显示出的肿瘤靶区体积以及照射剂量。 结果: 实验数据表明,观察组患者显示出的肿瘤靶区体积明显低于对照组患者肿瘤靶区体积;观察组患者照射剂量明显低于对照组患者照射剂量,两组患者之间数据经统计学分析后存在显著差距,对比有统计学意义( P < 0.05 )。 结论: 对肿瘤放射患者采用医学图像融合技术的方式对患者肿瘤靶区体积进行定位效果显著,同时可有效减少放疗照射剂量的使用,节约医疗资源,具有较高的临床应用价值。