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临床护理路径在脑卒中患者中的应用及效果评价

摘要:目的:采用一种新的护理模式减少脑卒中患者住院天数,医疗费用和压疮等并发症的发生率,并最大限度地减轻其致残程度。方法:临床路径组和非临床路径组选取我院2007年6月至2008年7月135例患者,按照随机数字法分为临床路径组和非临床路径组,临床路径组根据专家组制定的护理路径,采取流程图的形式开展护理工作,非临床路径组则根据医嘱开展护理工作。结:两组脑卒中患者在住院天数、医疗费、压疮发生率和康复效果方面的比较,差异有统计学意义(Plt;0.05)。临床路径组在这些方面明显比非临床路径组低,而且满意率也明显高于对照组。结论:临床护理路径使护理工作有计划的进行,提高了护士工作的主动性,缩短了患者的病程,减少了费用,提高了护理质量。得到了患者的认可。

混合痔外剥内扎术后坐浴方法与切口愈合的相关性研究

摘要:目的:研究中药苦参汤与高锰酸钾溶液坐浴在混合痔外剥内扎术后的疗效。方法:选择2008年7月至11月符合纳入标准的60例患者,按照随机化方法分为治疗组与对照组,治疗组(30例)予以中药方剂坐浴,对照组(30例)予以高锰酸钾溶液坐浴。记录两者患者疼痛、水肿、出血等症状变化情况、切口愈合天数以及不良反应情况,进行统计学分析,比较两组患者各项症状改善情况。结果:治疗组疼痛、水肿、出血等症状缓解程度优于对照组,切口愈合天数短于对照组,均存在统计学差异(Plt;0.05)。两组患者均未出现不良反应。结论:苦参汤坐浴较高锰酸钾溶液坐浴,能更有效地改善术后疼痛、水肿、出血等常见临床症状,缩短切口愈合时间。

Constructing an Evaluation Model for Core Competence of Clinical Nursing Teachers

Objective　To construct a framework and relevant evaluation items for evaluating the core competence of clinical nursing teachers. Methods　We explored the whole frame of competence structure and established behavior items for evaluating competences with corresponding level-marking standards through theory analysis, literature study, expert consultation and a small sample test. We also investigated 237 nursing managers, teachers, and students from six medical schools in China using a 5-point Likert-type scale. Item analysis and factor analysis were performed to reveal competence construction and connotation, and the evaluation model for core competence of clinical nursing teachers were constructed. Results　Content, structure and internal consistency coefficient were checked for validity. Cronbach＇s alpha of the total system was 0. 9109 and of each domain ranged from 0. 6064 to 0. 8474. Results of Split-half Reliability demonstrated that of total system was 0. 8765 and of each domain ranged from 0. 634 2 to 0. 8369. Conclusions　The evaluation model for core competence of clinical nursing teachers is composed of three parts： competence domains, behavior items and their corresponding grade standards. Core competence of clinical nursing teachers consist of four domains：leadership ability, problem-solving ability, teaching ability and nursing ability, each of which contains several behavior items and corresponding four grades standards reflecting different abilities.

临床护理路径在脑卒中患者康复中的应用

目的　讨论临床护理路径（CNP）在脑卒中患者康复中的应用。 方法　将2010年1月－12月收治的80例脑卒中患者随机分为对照组和试验组，对照组采用功能制护理方法，试验组按照设计的CNP图实施护理。对两组患者住院期间健康知识掌握程度、护理工作满意度和住院天数进行比较。 结果　试验组对健康知识的掌握程度和满意度明显高于对照组，住院时间明显缩短，两组比较差异有统计学意义。 结论　CNP的应用可以提高脑卒中患者对疾病和康复知识的认识与掌握程度，提高患者对护理工作的满意度，有效缩短患者的住院时间，值得推广。

Application of High-quality Nursing Services and Its Effects in Gynecologic Clinical Nursing Pathway Implementation

目的　探讨优质护理服务在妇科临床护理路径（CNP）实施中的应用效果。 方法　2010年4月－2011年4月纳入妇科CNP的住院患者中随机抽取150例，并选择同期病区全部17名护士作为对照组；在2011年5月－12月纳入妇科CNP并实施优质护理服务的住院患者中随机抽取150例，并选择同期病区全部22名护士作为试验组。比较两组患者疾病相关知识知晓率、患者及护士工作满意率、平均住院日的差异。 结果　试验组患者疾病相关知识知晓率、患者及护士满意率优于对照组，且平均住院日明显缩短。 结论　优质护理服务应用于改进CNP管理质量，可提高患者疾病相关知识知晓率和护患满意率，缩短住院时间，减轻医疗负担，有利于CNP的实施。

Clinical Nursing Path of Health Education for Patients with Gout

ObjectiveTo investigate the clinical nursing path of health education in patients with gout. MethodsA total of 220 patients with gout treated in People's Hospital of Jiangyou from September 2010 to November 2011 were randomly divided into observation group and control group with 110 patients in each.After routine health education for the control group and clinical nursing path health education for the observation group,we compared patients'compliance with doctors,gout-related indicators and health education satisfaction degree between the two groups of patients. ResultsThere was no statistically significant difference in compliance with doctors between the two groups before health education (P>0.05).After health education,the score of five single items on compliance with doctors and the total score for patients in the observation group were all significantly improved (P<0.05).For patients in the control group,the scores of each item and the total score were also significantly improved (P<0.05) except the item of regular drug-taking and regular health examination (P>0.05).After health education,all scores and the total score of the observation group were higher than those of the control group (P<0.05). ConclusionFor health education for gout patients,clinical nursing path is better than routine health education in scores of compliance with doctors,improvements of symptoms,and health education satisfaction degree of the patients.

临床护理路径在手术室实习带教中的应用与效果

目的探讨临床护理教学路径在手术室实习带教中的应用效果。 方法将2010年5月－2011年1月在手术室实习的60名护理实习生（护生）分为对照组和试验组，对照组采用传统方法带教，试验组采用临床护理教学路径带教。 结果试验组护生的理论、操作技能考试成绩明显优于对照组，其对带教老师的满意度也较对照组高（P＜0.05）。 结论采用临床护理教学路径予以带教，不仅提高了整体带教能力，使护理带教质量得以持续改进，而且护生的理论知识和操作技能获得全面提升。

临床护理人员参加继续护理学教育现状及影响因素研究

目的了解临床护理人员继续护理学教育（CNE）现状及影响因素，为相关部门制定改进措施提供参考。 方法2013年11月采用问卷调查十堰市某三级甲等医院205名临床护理人员。 结果145人（70.7%）认为有必要开展CNE；165人（80.5%）在过去的1年里有参加CNE活动的经历；35人（21.2%）认为参加的CNE对所从事的工作很有帮助。影响参加CNE的因素依次为：费用问题、时间安排、单位是否要求、交通情况等。 结论临床护理人员对CNE的理解和认识较高。CNE活动内容丰富，形式多样；CNE质量和效果评价较高。但学习机会不均等、考核方式单一、活动经费缺乏、时间安排欠合理，是制约护理人员参加CNE的问题所在。

Effect of Clinical Nursing Pathway on Rehabilitation of Patients after Prostate Resection

ObjectiveTo explore the effect of clinical nursing pathway on rehabilitation indicators in patients who had undergone transurethral resection of prostate (TURP). MethodsA total of 241 patients underwent TURP between July 2010 and March 2014 were randomly divided into path group (121 cases) and control group (120 cases). The nursing results of the two groups were observed. ResultsThe complication rate of bladder spasm, secondary hemorrhage, urethral stricture in path group were lower than those in the control group with significant differences (P<0.05). ConclusionThe performance of clinical nursing pathway on TURP patients may reduce the complications rate, and promote the health economics indicators and quality of care.

“互联网+”下中国伤口专科护理的发展