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find Author "何琳" 5 results
  • Exploration and Practice of Competency-based Training for New Nurses

    ObjectiveTo investigate the effect of constructing new nurse training system on the competency of the nurses. MethodsA total of 192 new nurses who started their career in 2012 and 2013 were divided into two groups based on the time. Ninety-six of them who became nurses in 2012 were regarded as controls, and they received traditional training, while the other 96 new nurses of 2013 were chosen to be the experimental group, and they accepted the new training model for all-round training. Then, we compared the two groups of nurses in terms of their theoretical knowledge, operative skills and comprehensive ability. ResultsThe theoretical knowledge, operative skills and comprehensive ability scores of nurses in the experimental group were all significantly higher than the control group, while the error rate of the experimental group was significantly lower, and the differences were statistically significant (P<0.05). ConclusionThe new nurse training system can improve the nurses' competency, which can provide a reference for standardized training of nurses.

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  • 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。

    Release date:2016-09-08 09:16 Export PDF Favorites Scan
  • 未规范使用舒利迭致霉菌性食管炎一例临床分析

    支气管哮喘是一种常见的慢性呼吸道疾病, 其本质是气道的慢性炎症。糖皮质激素是抗炎治疗的首选药物, 尤其是吸入性糖皮质激素( ICS) 加长效β2 受体激动剂( LABA) 联合治疗已被全球哮喘创议( GINA) 作为中重度哮喘的首选治疗方案。沙美特罗替卡松粉吸入剂( 舒利迭) 也已被广泛使用于哮喘患者的临床治疗中, 而且取得了非常良好的临床效果。但长期使用舒利迭, 部分患者会出现咽干、咽痒、声音嘶哑, 甚至口咽部真菌感染等并发症, 出现霉菌性食管炎的病例尚未见报道。

    Release date:2016-08-30 11:53 Export PDF Favorites Scan
  • Fundamental theory and clinical application of central pathway and postural control technique

    Central pathway and postural control (CPPC) technique is a neurorehabilitation physiotherapy technique developed by the Department of Rehabilitation Medicine of West China Hospital of Sichuan University. The technique focuses on the internal mechanism and external manifestation of the central nervous conduction pathway of postural control, and uses neuroscience theory to explain and analyze the dysfunction of patients. Clinical practice and research results show that CPPC technique has good curative effect and application prospect. This paper mainly introduces the basic principles and core concepts of CPPC technique, commonly used evaluation and treatment methods, achievements and application promotion in recent years, and aims to provide a theoretical reference and guidance for further application and in-depth research of this technique.

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  • 硫酸气雾吸入中毒性肺水肿四例报告并文献复习

    目的总结硫酸气雾吸入中毒性肺水肿患者的临床特点、救治方法及转归。 方法对4例硫酸气雾吸入中毒性肺水肿患者的临床表现、胸部CT表现、抢救措施及转归进行回顾性分析。 结果4例硫酸气雾吸入中毒性肺水肿患者中重度中毒2例, 中度中毒2例。患者均有咳嗽、咳痰、胸闷、呼吸困难、咽痛、流涕、结膜充血, 双肺听诊呼吸音粗糙, 其中2例闻及干、湿啰音。心率53~103次/min, 未闻及明显病理性杂音。2例患者动脉血氧分压(PaO2)<60 mm Hg, 氧合指数<200 mm Hg。胸部CT检查示双肺弥漫性磨玻璃影2例, 双肺散在絮状密度增高影及小结节影2例。2例行肺功能检查者中1例肺功能下降, 1例肺功能基本正常。1例患者谷丙转氨酶、谷草转氨酶增高。入院后均给予雾化吸入、支气管舒张剂、氧疗、适当控制液体入量及糖皮质激素等综合治疗, 其中2例重度中毒患者气道分泌物较多, 予以反复拍背、气道雾化及支气管舒张剂。治疗后患者症状均改善, 行PaO2、肝功能、胸部CT、肺功能检查均未见异常后出院。 结论硫酸气雾吸入中毒性肺水肿患者均有咳嗽、咳痰、胸闷、呼吸困难、咽痛、流涕、结膜充血, 双肺呼吸音粗糙。胸部CT检查可有弥漫性磨玻璃影或散在絮状密度增高影及小结节影。中度中毒者肺功能可基本正常。重度中毒者谷丙转氨酶、谷草转氨酶可增高。给予保持呼吸道通畅、合理氧疗、糖皮质激素、雾化吸入等综合治疗措施后预后良好。

    Release date:2016-10-02 04:55 Export PDF Favorites Scan
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