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影响肝移植术后患者服用免疫抑制剂依从性的因素及对策

目的:探讨影响肝移植术后患者服用免疫抑制剂依从性的因素,及如何采取相应的对策,为门诊随访工作提供指导。方法:对我院2003年4月至2005年6月行肝移植术132例患者进行门诊随访调查。结果:所调查的患者有125例门诊随访依从性良好,其中10.4%存在服药不依从现象。结论:建立健全健康教育系统、纠正患者错误的认识和态度、促进家庭和社会的支持、建立良好的医患、护患关系,可以提高肝移植患者的依从性,提升患者生活质量,提高患者远期存活率。

优质护理服务在日间手术病房实践效果

目的　展示优质护理活动在日间手术病房临床实践的效果。 方法　依据“优质护理示范工程”活动要求，结合日间病房特点，创新护理工作模式。并采用第三方问卷调查方式，对2011年11月－12月225例日间手术出院患者进行优质护理工作效果调查。 结果　有218例患者在日间手术前得到护士的健康教育与指导，占术前护理指导的96.8%。患者对护士的主动介绍、操作技能及病室环境满意度均达到97.8%以上；对护士的咨询服务、服务态度、护理工作整体满意度达到100%，优质护理取得较好成效。 结论　创新日间护理模式，实施优质护理服务，不仅使护理的各项工作落实到位，护理质量得以提高，而且有助于实现优质护理服务示范工程目标。

护患沟通在门诊护理工作中的运用

【摘要】 目的 探讨门诊护理工作中增强护患问题的有效途径。 方法 提高门诊护理服务水平及就诊患者的满意度，创优质服务品牌，制定出一系列增强沟通改进服务措施。 结果 护理人员服务观念得以强化，为患者服务的意识明显增强，能正确进行护患沟通，就诊患者满意度提高。 结论 培养和提高护士护患沟通能力是促进医改护理服务品质的关键，有利于医院的发展和建设。

日间手术护理发展现状

Clinical Application of Doctor-nurse Collaboration Model for Patients Undergoing Day Surgery of Laparoscopic Cholecystectomy

ObjectiveTo investigate the application and effect of doctor-nurse collaboration model for patients undergoing day surgery of laparoscopic cholecystectomy. MethodsFrom April 2010 to October 2013, we established the day-case laparoscopic cholecystectomy rapid rehabilitation team by day-surgery ward nurses, anesthesiologists, and surgeons. Collaboration was practiced through preoperative health education for the 1 902 patients, perioperative nursing cooperation, postoperative early activity and feeding of the patients, and follow-up. ResultsAfter the operation, there were 8 cases of incision bleeding, 1 case of bile leakage, 8 cases of shoulder and back pain, and 12 cases of nausea and vomiting. All the patients' postoperitive complications were controlled after treatment. ConclusionThe doctor-nurse collaboration model can significantly ensure the medical quality and safety of day surgery and improve the patients' medical experience. All the Patients, hospital and society will benefit from the model.

Management and Nursing Pattern for Ambulatory Surgery Ward

Ambulatory surgery ward is a fast and effective way of treating, nursing and patients’ education. We report the practice of ambulatory surgery ward in West China Hospital of Sichuan University about patients’ reception, treatment and nursing, medical safety, health education and post-operative follow-up. Results show that ambulatory surgery ward would guarantee patients’ safety, shorten hospitalization days and decrease medical cost, with more than 98% of patients’ satisfaction.

Application of Clinical Nursing Path Improvement for Day Surgery of Laparoscopic Cholecystectomy

Objective To investigate the efficacy of improved clinical nursing path for day surgery of laparoscopic cholecystectomy (LC). Methods The clinical data of 3 274 patients who underwent day surgery of LC following the clinical pathway between January 2011 and December 2015 were collected. The rate of adverse events including pain, postoperative nausea and vomiting (PONV), retention of urine and staxis before and after the improvement of clinical nursing path was analyzed and compared. Results For adverse event rate before and after the improvement of clinical nursing path, the difference in the incidence of pain and PONV was statistically significant (P < 0.05), while the difference in retention of urine and staxis was not statistically significant (P > 0.05). Conclusions Through the improvement of clinical nursing path for LC during day time, the procedure of nursing becomes more standardized. It is more feasible for clinical work and postoperative adverse reactio n rate becomes lower. It can also help shorten postoperative rehabilitation time and ensure perioperative medical quality and safety.

快速康复理念在日间腹腔镜胆囊切除术中的应用

【摘要】　目的　总结快速外科康复理念在腹腔镜胆囊切除术（labaro cholecystectomy，LC）日间手术中的应用效果。　方法　2010年1－10月，通过对日间手术200例LC患者实施快速康复护理，并与同期常规住院LC患者比较两组间住院时间、费用及患者满意度的差异。　结果　实施快速康复护理可明显促进日间LC患者康复，减少住院时间，节省住院费用，满意度达99.5%。　结论　快速康复外科理念可提高对日间手术LC患者的护理质量，促进患者康复。

伤口治疗中心-社区一体化在日间手术术后伤口延续护理中的作用

目的探讨伤口治疗中心-社区一体化在保障日间手术术后伤口的延续护理中的作用。 方法2011年－2014年根据日间手术患者出院后延续护理中伤口照护的需求，在伤口治疗中心推广医院-社区一体化模式，为社区医院培训伤口换药医护人员，制定培训计划，评估培训效果。 结果经过培训后的社区医护人员100%掌握了换药、拆线的基本技能，回院后积极开展工作，完善日间手术术后伤口的延续护理，解决了日间手术患者的后顾之忧。 结论构建伤口治疗中心-社区一体化，为社区医院培训伤口照护专业人员，保障了日间手术患者返回社区后的伤口照护质量，对日间手术的发展有良好的推动作用。

日间手术病房预约处爽约原因分析及对策

目的 通过分析日间服务中心预约处爽约的原因，提出有效的应对措施。 方法 对2014年8月－2015年7月在日间服务中心预约处登记后爽约的173例患者进行回顾性的爽约原因分析，提出解决方案。 结果 173例爽约患者中，常见的爽约原因分别为感冒（占33.52%）、T管脱落（占13.87%）、月经来潮（占15.03%）、病情变化（占10.40%）、自动放弃（占5.78%）、电话错误或关机（占2.31%）、等待时间长（占7.51%）、其他原因（占11.56%）。 结论 结合工作实践，通过各个部门的协调配合，积极推行患者的术前健康宣教及规范患者的管理方法，降低日间手术患者的爽约率。