简介:摘要:目的:采用优质护理策略对产科患者进行护理,帮助其顺利度过分娩过程,提升整个过程的舒适度和满意度。方法:选取2019年1月至2019年10月于本院分娩的180例孕妇作为研究对象,根据护理方式的不同将其分成两组,每组90例,对照组采用常规护理措施,观察组则采用优质护理措施,比较两组产妇的护理效果[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、护理满意度。结果:观察组产妇的SAS、SDS评分分别为(29.15±2.27)分和(27.63±3.12)分,对照组分别为(33.25±2.44)分和(32.26±2.55)分,组间对比差异均有统计学意义(P
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简介:[摘要]目的: 探究分析膝关节半月板损伤患者个性化护理的应用有效性及作用研究。方法:选取2018年6月~2021年1月在本院进行治疗的膝关节半月板损伤患者80例进行研究分析,将患者分为两组,一组为实验组患者有40例,一组为对照组患者有40例。其中,对照组患者进行常规的护理,实验组在常规护理基础上进行个性化护理,对两组患者的恢复状况进行研究分析。结果 :护理后实验组膝关节半月板损伤患者的SAS、SDS评分低于对照组,p﹤0.05有统计学意义。实验组膝关节半月板损伤患者的满意度高于对照组,P<0.05有统计学意义。结论 :临床开展个性化护理管理质量可以缓解患者的身体状况,降低患者并发症概率,使得手术的安全性更高,进一步促进患者的身体康复,是值得临床进行推广的。
简介:AbstractPurpose:Venous thromboembolism (VTE) is a major health issue among hip fracture patients. This study aimed to develop an information platform based on a mobile application and then evaluate whether information platform-based nursing could improve patient's drug compliance and reduce the incidence of VTE in hip fracture patients.Methods:This study retrospectively analyzed hip fracture patients who were treated with conventional prevention and intervention methods for VTE (control group) between January 2008 and November 2012, and prospectively analyzed hip fracture patients who were treated with nursing intervention based on the information platform (study group) between January 2016 and September 2017. All the patients included in the both groups were hip fracture patients who had an age over 50 years, treated with surgery, and hospitalized ≥ 48 h. Patients were excluded if they admitted to hospital due to old fractures, had a severe bleeding after 72 h of admission, diagnosed with any type of VTE, or refused to participate in the study. The information platform was divided into medical, nursing, and patient interface. Based on the information platform, medical practitioners and nurses could perform risk assessments, monitoring management and early warnings, preventions and treatments, health educations, follow-up, and other aspects of nursing interventions for patients. This study compared essential characteristics, drug compliance, VTE occurrence, and mean length of hospitalization between the two groups. Besides, a subgroup analysis was performed in the study group according to different drug compliances. SPSS 18.0 software (IBM Corp., NY, and USA) was used for statistical analysis.Results:Altogether 1177 patients were included in the control group, and 491 patients in the study group. Regarding baseline data, patients in the study group had more morbidities than those in the control group (p < 0.05). The difference of drug compliance between the two groups was statistically significant (p < 0.001): 761 (64.7%) of the patients in the control group and only 30 (6.1%) patients in the study group had poor drug compliance. In terms of VTE, 10.7% patients (126/1177) in the control group had VTE, and the rate in the study group was 7.1% (35/491), showing a statistically significant difference (p = 0.02). Moreover, the average length of hospitalization in the study group was also significantly lower than that in the control group (10.4 days vs. 13.7 days, p < 0.001). Subgroup analyses of the study group showed that the incidence of VTE in patients with poor, partial, and good compliances were 56.7% (17/30), 5.8% (10/171), and 2.8% (8/290), respectively, revealing a significantly huge difference (p < 0.001).Conclusions:Poor drug compliance leads to higher VTE occurrence. The information platform-based nursing can effectively improve the compliance of hip fracture patients and thus considerably reduce the incidence of VTE. The mobile application may be an effective tool to prevent VTE in hip fracture patients.
简介:SincetheimplementationofthenewlyrevisedLawonProtectionoftheRightsandInterestsoftheElderly,thesocietyhasattachedcontinuousconcerntothefeasibility,andlegalandethicalboundariesoftheclauseofchildren'visitinghomeoften'.Howtosupportfamily-basedseniornursinghasbecomeanimportantareafordiscussion.
简介:INTRODUCTIONPulmonaryarteriovenousfistula(PAVF)isararecongenitalpulmonaryvascularmalformationwiththeincidenceof2-3/100,000.Itistheabnormalcommunicationbetweenthepulmonaryarteryandpulmonaryvein.Theclinicalmanifestationsofthisdiseasearevarioussothatitiseasytobemisdiagnosed1.Atpresent,DSAisthegoldstandardforthediagnosisof
简介:BackgroundThevideo-assistedthoracoscopicsurgicaltechniquesarewidelyusedinthetreatmentofpatientswithcongenitalheartdiseaseswithgoodoutcomes.However,thefeasibilityandsignificanceofnursebasedearlycardiacrehabilitationincardiacintensivecareunit(ICU)forpatientswithtotallythoracoscopiccardiacoperationhasbeenseldomstudied.MethodsThirty-sixpatientswithtotallythoracoscopiccardiacoperationundertheconditionofthecardiacICUinGuangdongGeneralHospitalwererandomallocatedtotheinterventiongroupandthecontrolgroupbetweenJanuary2012toDecember2014.Thecontrolgroupreceivedstandardnursingcare,andtheinterventiongroupreceivedearlycardiacrehabilitationnursingcareinadditiontostandardcare.Theoutcomemeasuresincludedtheoxygensaturation(SpO2%),vitalcapacity,forcedexpiratoryvolumein1second(FEV1),andpaininthethoracicwound(visualanaloguescale,VAS),whichweremeasuredatthebaselineandwithin2-dayafter4-weeknursingcare.Forsafetyreason,wealsomonitoredtherateofperceivedexertion(RPE),heartrate,systemicbloodpressure.ResultsTherewerenon-significantdifferencesbetweenthegroupsinage,sex,totalnumberofcomorbidconditions,totalnumberofmedications,surgicaltime,andanesthetictime(P>0.05).Following4weekstreatment,thecardiopulmonaryfunctionsandVASscorewereimproved(P<0.05)inallgroups.Inaddition,theimprovementsweremoreintheearlycardiacrehabilitationnursecaregroupthaninthecontrolgroup(P<0.05).ConclusionTheearlycardiacrehabilitationnursingcareincardiacICUissafe,feasibleandbeneficialforpatientswithtotallythoracoscopiccardiacoperation.
简介:OnMarch25,2014,thefirstplenarymeetingoftheLeadingGroupofHealth,FamilyPlanningandAgingWorkofNationalHealthandFamilyPlanningCommission(NHFPC)wasconvenedinBeijing.Mr.WangPei'an,ViceMinisterofNHFPCattendedthemeetingandmadeaspeech.WangpointedoutthatthePartyCentralCommitteeandtheStateCouncil
简介:Globally,around6,457weather-relateddisasters,suchasearthquakes,floods,cyclones,andlandslides,claimed606,000livesandaffectedmorethanfourbillionpeoplebetween1995and2015,accordingtoaninternationaldisasterdatabase.AccordingtotheCentreforResearchontheEpidemiologyofDisasters(CRED),since2015,when346weather-relateddisasterswerereported,thesefigureshavebeenincreasing,withapproximately205millionpeoplenowaffectedeachyear.Tragically,thestatisticextremelyelevatedin2017,inwhichcatastrophicnaturallosseswere93percenthigherthanthe2000-2016average(knowledgeplatformfordisasterriskreduction,2018).Thesestatisticsdonotincludecasualtiesarisingfromnon-natural,human-madedisasters,suchaswar,stampedes,terrorism,transportaccidents,andeveninfectiousoutbreaks.
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简介:BackgroundPoorwoundhealingorpostoperativeinfectionafteropen-heartsurgeryismostcommonlyseen.Ifnottreatedintimeortheinfectionprogresses,itcanleadtosternalinfection,evenmediastinalandpericardialinfection,causingahighermortalityrate.Vacuumsealingdrainage(VSD)isanewtechnologytopromotewoundhealing.WestudiedtheuseofVSDtechniqueinpoorwoundhealingafterheartvalvesurgerytoseeifitcouldachievegoodtherapeuticefficacy.MethodsFrom2013Octoberto2014OctoberinGuangdongGeneralHospital,86casesoftheapplicationofvacuumsealingdrainagetechniqueinthetreatmentofcardiacnonunionaftervalvereplacementinpatientswithnursingobservation.Thetreatmenttime,deathrateandinfectionrate,etcwerecompared.ResultsWoundhealingtimeof86patientsreceivingvacuumsealingdrainagewas14.6±3.6days,andnopatientdied.Twopatientscamebacktohospitalforrepairduetodehiscenceoftheincisionafterdischarge.ConclusionNursingobservationanddrainagemanagementwerethekeyofVSD.VSDtechniqueisworthytobepopularizedclinically.
简介:[摘要]目的:分析心内科护理风险因素及处理对策。方法:选取我院2018年11月~2020年8月期间心内科收治患者152例作为本文研究对象,将152例患者分为实验组和对照组,对照组采取常规护理干预,实验组实施风险因素针对性护理,对比两组患者护理效果、护理满意度以及不良事件发生率。结果:实验组患者护理有效率高于对照组,实施针对性护理能够提高心内科护理效果,两组对比具有差异表示统计学有意义。实验组患者采取对症护理后,护理满意度明显提升,对比对照组更高,对比两组患者护理满意度的对比具有差异表示统计学有意义(P〈0.05)。实验组患者护理后,出现1例用药错误,1例跌倒;对照组护理后,出现3例用药错误,3例坠床和4例跌倒,对比两组护理后的不良事件发生率对比就有差异,因此实施针对性护理能够提高护理质量,保证护理安全,两组对比具有统计学意义。结论:由于心内科患者的病情比较复杂,为患者实施的护理管理也存在很多的风险因素,分析心内科常见的护理风险制定针对性护理干预,能够提高护理质量,保证护理效果,改善患者对护理服务的满意度,降低不良事件发生率,改善患者预后。