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180例血液科住院患者护理满意度调查分析及对策

目的：通过调查找出护理工作的薄弱环节，分析原因提出对策，提高护理服务质量。方法：对2007年1~12月血液科住院患者的护理满意度进行调查，选择住院3天以上、神志清楚、能阅读文字或可以正确回答问题的患者，每月10日发放调查表15份，调查内容包括护士长接待、服务态度、巡视病房、指导服药、护理技术、入院宣教、健康教育、病房环境及护理总体评价。结果：病房环境满意度为88.7%；其他项目满意度均在96.0%以上。结论：随着我国医疗体制改革的不断深入，患者对住院环境、疾病知识介绍、护理技术等要求也在不断提高。

The Development of Rehabilitation Medicine Education and Countermeasures in Sichuan

By reviewing and analyzing the domestic and international rehabilitation medicine education, we try to forecast the development of rehabilitation medicine of Sichuan, and moreover, to summarize and analyze the problems and difficulties of rehabilitation medicine education in this province. Then, we put forward the development countermeasures of Sichuan rehabilitation medicine education from the aspect of talent training object and mode, in order to gradually establish and improve a rehabilitation medicine education system that can adapt to the training requirements of modern medicine, to cultivate talents of rehabilitation medicine suitable for national construction needs at every level, and to improve the overall quality of Sichuan rehabilitation medicine education and build a medical rehabilitation highland in West China.

急诊科护士的现状、面临的问题及对策

本文通过对近20年来急诊科护士的工作现状、面临的问题包括业务素质、护士的心理、生理问题及社会问题等进行综述，并提出了一系列可行性建议，为急诊护理工作可持续发展提供一些思路。分析急诊科护士具有很强的政治素质、较高的专业素质、较强的应急应变能力、过硬的心理素质。但面临的问题也令人担忧，需要加以改变，才能推动护理事业的快速发展。

原发性肝癌面临的难点与对策

Current Situation of Hospital Infection Management in the Delivery Room in A Hospital

ObjectiveTo understand the current situation of hospital infection management related to the hospital maternity ward, learn the risks of infection, discover problems existing in hospital infection management, and seek appropriate solutions for hospital infection. MethodsBetween January 2011 and December 2012, using uniform questionnaire for prospective survey and field interviews, we investigated the hospital infection situation in medical health care workers, pregnant women, and live newborns. ResultsA total of 2 225 questionnaires were retreated with a retreat rate of 100%. Hospital infection occurred in 23 cases, of which 15 cases were maternal infection (1.35%) and 8 cases were neonate infection (0.72%). Maternal infection was mainly focused on reproductive tract, surgery incision and urinary tract. Neonate infection was mainly focused on lower respiratory tract and skin. The management system of hospital infection in the maternity ward was basically strengthened, but the infection monitoring work was still not timely, and staff training in infection control knowledge was not in place. The overall environment, sterilization, disinfection and isolation should be strengthened, and there were also some other safety hazards. ConclusionThe management of infection in hospital maternity ward is the key to control the infection in maternity ward. The infection management seems perfect, but there are still some hidden dangers. The management system needs to be improved and the management should be implemented strictly according to the system, in order to avoid the occurrence of infection in maternity ward and ensure the safety of patients.

民营医院应对新医改的对策探讨

2009年事关全民就医这一大事的新医改方案中关于民营医院发展的规定引人注目。这些规定充分体现了国家积极鼓励社会办医,打破公立医院一统天下的格局,给整个医疗行业带来了竞争和活力。本文结合新医改中关于民营医院的相关规定、民营医院的发展现状,初步探讨在社会主义市场经济下的民营医院的应对之策。

Exploration and Strategy of Strengthening Emergency Response Capacitybuilding for Outpatient Department

总结华西医院门诊部在2008年反“藏独”,“5·12”汶川大地震,保“奥运”期间有效的应急措施。回顾性分析了在突发事件发生时实施应急管理、常规管理双轨运作的对策,探讨用科学发展观加强区域性综合医院门诊部应急能力建设的策略,为日后门诊应急工作的组织和实施提供参考。

The Investigation and Analysis of Laparoscopic Puncture-Related Hemorrhage

目的探讨腹腔镜手术中穿刺相关出血的常见原因及相应的对策。 方法对2000年5月至2010年10月期间我院腹腔镜手术中发生与穿刺相关出血的16例患者的资料进行回顾性分析。 结果16例患者中腹壁穿刺孔腹膜层出血7例，肌层出血5例，误伤大网膜血管3例，误伤后腹膜血管1例，均在术中及时发现。误伤大网膜血管病例予镜下止血，误伤后腹膜血管病例及时中转开腹手术，腹膜层及肌层出血病例分别给予电灼或缝扎止血。 患者均康复出院。 结论直视进腹、规范操作和抽吸滴水试验是避免腹腔镜手术穿刺时血管误伤及出血遗漏的有效方法。

护士职业风险与管理对策初探

【摘要】 目的 探讨护士职业风险的原因及管理对策。 方法 结合护理管理实践，针对可能发生护理职业风险的原因进行分析。利用相关文献，总结、制定对策措施。 结果 降低了护士职业风险发生率。 结论 保障患者及护士安全。

Depression in Geratic Malignant Tumor Patient: the State and Nursing Management

【摘要】　目的　了解老年恶性肿瘤患者的抑郁状况及引起抑郁的因素，并针对抑郁的主要因素制定多层次、全方位、科学的护理干预措施，改善老年恶性肿瘤患者的抑郁心理，提高其生活质量。　方法　对2009年12月-2010年4月183例老年恶性肿瘤患者分别应用一般资料调查表和 Brink的老年抑郁量表（GDS）进行调查。从文化程度，疾病认识程度，对社会、家庭支持的满意度，付费方式等方面进行了比较和分析。　结果　老年恶性肿瘤患者的抑郁患病率为80.87%。明显高于一般老年人及老年慢性病患者；而不同文化程度、对疾病认知程度、患者对社会、家庭支持的满意度与抑郁情绪的发生有一定的关系（Plt;0.05）。　结论　护理人员需加强对患者的疾病知识的健康教育，努力提高患者的社会支持满意度，以减轻患者的抑郁情绪。【Abstract】　Objective　To explore the state and the etiology of depression in patients with geratic malignant tumor, and to develop the global and scientific nursing management for patient with geratic malignant tumor, and improve the patients′ depression and life quality.　Methods　A total of 183 patients with geratic malignant tumor from December 2009 to April 2010 were investigated by questionnaire survey with Brink′s geratic-depression-scale (GDS). The education level, disease′s awareness level, satisfaction level for family and scocial supports, and the payment mode were analyzed.　Results　Depressive prevalence in malignant tumor patients (80.87%) was much higher than that in the normal elder people (10%-15%) and in the patients with chronic disease (31.0%). Different education level, disease′s awareness level, satisfaction level for family and social supports were related to the depressive prevalence (Plt;0.05). 　Conclusion　Nursing faculty should enhance the health education to the patients with geratic malignant tumor, increase the satisfaction for social support and decrease their depression.