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长跑致横纹肌溶解症护理一例

肺癌手术焦虑患者术前指导护理的作用

摘要 目的 探讨对肺癌手术焦虑患者术前指导护理的作用,以期提高患者对围手术期的耐受力,有效降低术后并发症,缩短术后康复时间。方法 将2008年1月-2009年1月拟行肺叶切除的180例患者(男132例,女48例)分为干预组和对照组进行观察比较,并对干预组患者进行多项心理疏导、术前训练,提供舒适、轻松的休眠环境。结果 对照组术晨血压偏高17例,焦虑症状68例,术前睡眠时间8～10 h的23例,lt;6 h的28例;干预组分别为0、5、73和7例。术后首次排痰时间对照组1023 h,首次下床时间52.8 h,住院天数1567 d;而干预组分别为352 h、463 h和1209 d。结论 术前指导护理能缓解和消除患者术前的焦虑情绪,增强患者对手术的心理应对能力,使之在心理和行为上适应手术带来的诸多问题。

电话指导现场心肺复苏临床效果观察

目的　急救队员在接到呼吸心跳骤停的求救电话后，在赶往现场的途中给予目击人电话指导如何立即心肺复苏抢救，分析其对急救效果的影响。 方法　回顾性分析2008年12月－2010年12月，经120呼救的呼吸心跳骤停患者108例，按目击者是否接受电话指导分为未指导组（n=61）和指导组（n=47），观察两组在复苏成功率及出院（患者）存活率等方面的差异。 结果　指导组47例患者中，呼吸心跳恢复12例，复苏成功率25.5%，其中7例存活，5例未留任何后遗症；而未指导组61例中，呼吸心跳恢复4例，成功率6.6%，1例植物状态出院；两组在复苏成功率及出院存活率上有明显差异，且是否参加过心肺复苏术培训也有差异。 结论　现场第一目击者在等待专业救护人员到来之前，接受电话指导后，能完成初级生命支持，为后续复苏赢得宝贵时间，大大提高了复苏成功率。

Status quo and correlation between readiness for discharge and quality of discharge teaching in lung cancer patients based on enhanced recovery after surgery

ObjectiveTo explore the current situation of the readiness for hospital discharge and the quality of discharge teaching in lung cancer patients based on enhanced recovery after surgery, and to analyze their correlation.MethodsWe conducted a cross-sectional study and 141 postoperative patients with lung cancer in our hospital from July to August 2018 were investigated by general information questionnaire, readiness for hospital discharge scale and quality of discharge teaching scale. There were 65 males and 76 females at age of 18-85 (55.35±12.15) years.ResultsTotally 88.65% of postoperative patients with lung cancer reported that they were ready for discharge, and the total score of readiness for hospital discharge was 78.36±16.48, and the total score of quality of discharge teaching was 90.94±18.62. There was a positive correlation between the readiness for hospital discharge and the quality of discharge teaching in postoperative patients with lung cancer (r=0.57, P<0.01).ConclusionThe readiness for hospital discharge of postoperative patients with lung cancer keeps in medium level, while the quality of discharge teaching is good, and the readiness for hospital discharge is positively correlated with the quality of discharge teaching. Medical staff should pay more attention to the cognitive level of lung cancer patients' disease-related information and their physical function recovery, and enrich the discharge guidance content, in order to improve the readiness of postoperative patients with lung cancer.

Guideline for multi-dimensional and multi-criteria comprehensive evaluation of Chinese patent medicine

Comprehensive evaluation research of Chinese patent medicine (CPM) is performed to demonstrate the comprehensive value of CPM from multiple dimensions and to clarify the clinical value and positioning, so as to provide references for decision-making in health or drug policies. Therefore, to standardize and promote comprehensive evaluation studies on CPM, the current guideline introduced the specific requirements on the applicable subject, basic principles, and major evaluation content, thereby providing guidance for researchers in the future.

经食道超声心动图检查患者的护理干预

【摘要】　目的　总结经食道超声心动图（TEE）检查患者的护理干预及方法。　方法　对2004年1月-2009年12月行TEE检查的1 988例患者进行回顾分析。　结果　术前充分准备，术中配合及良好的术后护理，无医疗事故发生，取得了良好效果。　　结论　对行TEE检查的患者在不同的检查阶段进行不同的护理干预，有助于提高患者对检查的正确认识及减少并发症的出现。

患儿髋关节开放复位术后家庭护理指导

【摘要】　目的　总结家庭护理指导对降低髋关节开放复位术后患儿康复期间常见并发症及关节僵硬发生率的效果。　方法　对2007年6月-2009年12月收治的218例行髋关节开放复位术患儿及家属进行系统家庭护理指导。　结果　家属熟练掌握家庭护理方法；218例患儿患肢石膏清洁干燥，受压皮肤完整，无关节僵硬等并发症发生；护理满意度达98.5%以上。　结论　系统的向患儿及家属予以心理干预、生活护理指导、康复训练计划，以及相关护理技巧指导，是提高发育性髋关节脱位手术疗效，提高家庭护理质量，促进患儿早日康复，最大限度恢复关节功能的重要保障。

Bedside Accompany Behavior Affecting Video-electroencephalography Monitoring

【摘要】　目的　分析床旁陪护行为对视频脑电图的影响，总结护理指导的意义。　方法　2008年7-9月对214例患者行24 h视频脑电图监测（video EEG，VEEG）监测，每例患者留一床旁陪护。重点观察坐床沿或同睡、用手机、拍打及按摩行为，并比较初次及再次护理指导后上述行为发生情况。　结果　坐床沿或同睡、用手机、拍打、按摩均可影响VEEG，初次指导后以上行为出现率分别为62.6%、55.1%、30.4%、20.1%；再次指导后以上行为分别减少78.4%、75.4%、78.5%、79.1%，VEEG监测质量均有提高。　结论　应将规范床旁陪护行为的指导贯穿于VEEG监测的全过程。【Abstract】　Objective　To assess the impacts of bedside accompany behavior on the quality of video-electroencephalography (VEEG).　Methods　A total of 214 patients underwent 24-hour VEEG monitoring from July to September 2008. Each patient had a bedside-accompany family member. The behaviors of accompany included sitting at the bed, using mobile phone, clapping, and kneading the patients, which were evaluated after the first and second nursing education.　Results　Sitting at the bed, using mobile phone, clapping, and kneading the patients influenced the quality of VEEG. After the first education, the occurrences of the above unfavorable behaviors were 62.3%, 55.1%, 30.4%, and 20.1%. After the second education, the unfavorable behaviors reduced 78.4%, 75.4%, 78.5%, and 79.1% respectively; the VEEG quality improved.　Conclusion　Proper bedside accompany behavior may improve the quality of VEEG monitoring.

Observation of the Effect of Synthesized Physical Nursing Care on the Treatment of Meibomian Gland Dysfunction in Outpatients

ObjectiveTo discuss the effect of synthesized physical nursing care on the treatment of meibomian gland dysfunction (MGD) patients. MethodWe collected 100 MGD patients between March and September 2014, and randomized them into conventional and synthesized physical nursing care groups with 50 patients in each. We evaluated the subjective symptoms, the break-up time of tear-film and the function of lacrimal gland secretion before and after treatment. We surveyed the satisfaction of these patients during the follow-up. ResultsCompared with the conventional nursing care group, the synthesized group had less clinical symptoms, longer break-up times of tear-film and better lacrimal gland secretion function. The results showed remarkable statistical significance (P<0.05). ConclusionsSynthesized nursing care has significant effect on the treatment efficacy of MGD outpatients.

呼出气一氧化氮检测在支气管哮喘中的应用

【摘要】 呼出气一氧化氮（FeNO）作为一项无创、便捷的监测技术，能够测定气道炎症，特别对于重症哮喘不能行肺功能检测的患者，具有较高的临床可行性。其在支气管哮喘的诊断、评价严重程度、控制水平、指导用药和预测预后等方面有独特的临床价值，特别是FeNO在诊断支气管哮喘有较高的敏感性和特异性己基本达成共识，但各个研究设定的阈值不尽相同，还需要进一步研究；在评价哮喘的严重程度及控制水平方面价值是有限的；对指导用药的价值是临床争论最多的领域；预测（哮喘发作）预后，FeNO升高对预测哮喘患者病情发展均有所帮助，可使患者得到早期预防、治疗。但如何利用其更好的管理和监测哮喘还有待进一步探讨。