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自制护理标识在老年病房中的应用

【摘要】　目的　探讨护理标识在老年病房安全管理中的应用。　方法　自行设计、制作护理标识并在临床中应用，对比使用前后护理不良事件发生率、检查延误率并进行统计学分析。　结果　使用护理标识后护理不良事件发生率、检查延误率明显降低，有统计学意义（Plt;0.05）。　结论　在老年病房应用护理标识，可以预防护理不良事件发生，减少延误检查，提高工作效率，增强安全防范意识，为患者提供安全护理。

Applying Good Care Service via Risk Management to Improve the Safety of Elder In-patients

【摘要】　目的　探讨优质护理活动中应用风险管理措施提高住院老年患者安全的作用和意义。　方法　对2010年2月-2011年3月开展优质护理活动实施风险管理后，其老年住院患者安全事件预防控制情况进行回顾分析。　结果　应用风险管理措施后老年住院患者的护理不良事件发生减少，患者对护理工作的满意度提高。　结论　加强风险管理有助于保障患者安全，提高患者满意度，构建和谐护患关系。【Abstract】　Objective　To investigate the role and the effect of risk management in good care service on the safety of elder in-patients.　Methods　From February 2010 to March 2011, the risk management was carried out during applying good care service. The prevention and control of the poor nursing events for the elder in-patients were retrospectively analyzed.　Results　The poor nursing events for the elder in-patients decreased obviously after the application of risk management, and the patients were pleased with the service of nurses.　Conclusion　Risk management is conducive to prove the safety of the in-patients, improve the degree of satisfaction of the patients, and make the harmonious relations between the nurses and the patients.

A multicenter survey on the current status of delirium knowledge among geriatric nurses in Sichuan province

Methods To explore the level of delirium knowledge of geriatric nurses in Sichuan province and analyze the factors, so as to provide the basis for systematic and targeted knowledge training on delirium and clinical management. Methods Using the self-designed “the Questionnaire of Elderly Delirium Knowledge”, geriatric nurses from 22 hospitals in Sichuan province were investigated through a convenient sampling method from September 2018 to February 2019. Results A total of 475 geriatric nurses were investigated. The average delirium knowledge score of the 475 geriatric nurses was 69.51±12.42. Multiple linear regression analysis showed that the main factors affecting the score of delirium-related knowledge were the education of nurses (P=0.037), technical title (P<0.001), years of working in the geriatric department (P=0.001), and the level of working hospital (P=0.001). Conclusions The level of delirium knowledge of geriatric nurses is low and can not meet the needs of clinical work. Nursing managers should carry out delirium knowledge training according to the different characteristics of nurses.

门诊乳腺科患者知识问卷调查分析及对策

目的:了解门诊乳腺科患者对乳腺疾病相关知识的知晓率及心理状态,以便在护理工作中为患者做针对性的护理指导。方法:面对面调查法,患者自愿的方式。结果:428例患者中,272例(63%)不知道乳腺疾病相关知识,377例(88%)患者不知道乳腺自我保健,355例(83%)患者不知道乳腺自查的方法及时间;正常心态仅63例(15%),85%的患者存在焦虑、烦躁、恐惧等负性心理,且多数为复合心态。结论:在门诊护理工作中,对门诊乳腺科患者进行乳腺疾病预防保健指导,以提高患者其知识知晓率,减轻患者的负性心理十分必要。

一种多腔气管导管介绍

加强分诊队伍建设，持续提升门诊患者就医体验

【摘要】　总结加强分诊队伍建设，提高门诊医疗护理质量，持续提升门诊患者的就医体验的方法与经验。通过建立管理机制、加强分诊队伍人才培养、优化分诊队伍结构、完善考核体制、评价体系，提高分诊护士综合素质等措施，提高了门诊医疗护理质量及患者满意度及分诊护士的自身价值感和自信心。实践表明，加强分诊队伍建设，提高分诊护士整体素质结构是持续提升门诊患者就医体验至关重要的环节。

Research on the Reformation of Undergraduate Course of Geriatric Nursing

ObjectiveTo analyze the methods and effects of the reformation of undergraduate course of geriatric nursing in China. MethodsIn the spring semester of 2012 and 2013, we implemented the experiential scenario teaching and autonomous group learning with simulation and heuristic teaching method, and the nursing undergraduates were given scale of Kogan's attitude toward older people and Palmore's Facts on Aging Quiz 1 for investigation. The attitude to and knowledge on the elderly were compared before and after the study. Meanwhile, we also surveyed the interest in geriatric nursing among the students. ResultsThe interest in, attitude to and knowledge on the elderly among the students increased considerably after the teaching reformation. ConclusionThe undergraduate course teaching reformation of geriatric nursing with the simulation and heuristic teaching method has achieved good effects, and it can be widely used in geriatric nursing teaching in China. In the future, the reformation should focus on improving the students' professional interests and career choice.

体验式教学结合案例教学法在老年专科护士培训中的应用研究

目的研究应用体验式教学结合案例教学法进行老年专科护士培训的效果。 方法对2013年9月－2015年4月参加四川省老年专科护士培训的110名学员应用体验式教学结合案例教学法进行培训，分别于培训前后采用老年知识问卷（FAQ1）和老年人态度量表（KAOP）来调查学员老化知识水平和对老年人的态度。同时在培训结束后采用四川大学临床医学院课堂教学质量学生评价表评价教学效果，并与2012年首届专科护士培训学员评教水平进行比较。 结果培训后学员的老化知识得分和对老年人的态度得分均较培训前提高，差异有统计学意义（P＜0.05），且教学效果高于2012年首届专科护士培训学员评教水平。 结论应用体验式教学结合案例教学法进行老年专科护士培训，可有效提高学员老化知识水平，改善学员对老年人的态度，提高学习积极性，提高教学质量。

Evidence-based care of an oldman’s bedsore

Objective　To seek evidence based methods to treat bedsore of aged patients. Methods　We raised clinical questions according to the condition of an eighty-year old male patient, and then, with "bedsore" (treatment or prevention) as key words we searched evidences from Cochrane Library (2nd edition 2002), Medline (1996-2002.4), and Sumsearch. Results　We found 3 SR (systematic review) from Cochrane Library, 3 Meta-analyse and 38 RCT (randomized controlled trial) from medline, and 3 SR and 9 RCT from Sumsearch. Conclusion　1 Various types of mattress are useful in prevention the bedsore. 2 There is still not enough evidences of electromagnetic therapy. 3 In state II bedsore, healing is faster in using collagen Dressing than using water-glue Dressing. 4 Local application of antibiotics and Phenytoin sodium can accelerate the growth of new granulation tissue. 5 Nutritional support is necessary for bedsore prevention and healing. According to these evidence, we make the best care plan for this patient. After our treatment, the wound healed 10 days later, and he doesn’t occur bedsore any more.

i-STAT便携式血气分析仪在连续性肾脏替代治疗中的应用

目的　讨论i-STAT便携式血气分析仪在连续性肾脏替代治疗（CRRT）中的应用。 方法　2012年2月－5月，对92例行CRRT治疗患者采用i-STAT便携式血气分析仪监测分析治疗中各参数变化并及时予以调整。 结果　92例患者治疗中酸碱及电解质的失衡得到及时调整，无意外情况发生。 结论　i-STAT便携式血气分析仪在CRRT治疗中能较好的监测患者的血气及电解质，确保CRRT的安全完成。