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find Author "杨小玲" 20 results
  • 胸腹主动脉瘤Ⅳ型行外科及腔内微创术围手术期护理

    【摘要】 目的 总结对胸腹主动脉瘤IV型行血管外科和腔内微创术治疗患者的护理要点及经验。 方法 2007年11月-2008年1月对收治的1例胸腹主动脉瘤IV型行血管外科和腔内微创术患者,术前做好心理护理,控制血压,完善术前相关检查等;术后做好生命体征的监测、预防术后吻合口出血、支架移位、内漏、肠坏死、肾功能衰竭等并发症发生的各项护理工作。 结果 患者无并发症发生,痊愈出院,治疗和护理效果满意。 结论 围手术期实施正确恰当的护理是保证手术和治疗效果的关键。

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  • Screening and Nursing Care of Diabetic Distal Symmetric Polyneuropathy

    目的 讨论糖尿病远端对称性多发性神经病变(DSPN)的筛查对减少糖尿病足溃疡发生的作用及护理方法。 方法 2011年5月-2012年2月对137例入选患者进行神经病变症状筛查和体征检查,并根据患者神经传导功能检查(NCS)结果作出最终诊断,由专职糖尿病足护士和健康教育护士给予患者针对性的预防教育和护理指导。 结果 根据神经病变症状、5项体征检查及NCS结果,确诊74例(54.01%),临床诊断4例(2.91%),疑似10例(7.30%),亚临床8例(5.84%),无41例(29.93%)。 结论 强调最好通过临床问诊和体格检查来达到早期筛查、早期发现,并由专科护士针对性地指导患者采取有效的足部管理和预防措施,从而预防糖尿病足部溃疡的发生。

    Release date:2016-09-07 02:34 Export PDF Favorites Scan
  • 胰岛素过敏伴脂肪萎缩治疗疗效观察及护理一例

    Release date:2016-09-08 09:12 Export PDF Favorites Scan
  • 心理护理和健康教育对减少糖尿病患者快速心律失常发作频率的作用

    目的 了解定期、规律的心理护理和健康教育对糖尿病患者快速性心律失常发作频次的减少是否有正向作用及其实际效益。 方法 收集2011年1月-6月30例有快速性心律失常发作史且无心脏器质性病变糖尿病患者,在其入院期间给以定期、规律的心理护理和健康教育,观察比较患者入院前后快速性心律失常发作次数及效果,并采用SPSS 13.0软件进行数据分析。 结果 经过积极、正确的心理护理,患者入院后15 d内再发心律失常次数减少,心理护理和健康教育前后心律失常发作次数的差异具有统计学意义(P<0.05)。 结论 心理护理和健康教育对于糖尿病患者的临床症状改善有积极意义,且强调正确、定期、规律的心理护理和健康教育而非仅限于入院宣教和临时心理安慰。

    Release date:2016-09-08 09:18 Export PDF Favorites Scan
  • Impact of Disposable Tissue on Blood Pressure Measurement

    ObjectiveTo investigate the impact of disposable tissue on blood pressure measurement, in order to prevent the sphygmomanometer cuff to be polluted. MethodsA total of 120 subjects including 60 patients with hypertension and 60 normal blood pressure subjects, treated between July 1 and July 31, 2012, were divided equally into two groups. Each group had 30 normal pressure and 30 high pressure subjects. Subjects in group A took blood pressure measurement without disposable tissue first, 1 to 2 minutes before another measurement with disposable tissue. Group B subjects took the measurement with disposable tissue at first, and then without it. We analyzed the influence of the use of disposable tissue and the sequence of tissue usage on the measurement result. ResultsNo significant difference was found in the systolic and diastolic blood pressure between measuring with and without tissue (P> 0.05). Diastolic blood pressure was not significantly influenced by the order of tissue usage (P>0.05), while systolic pressure was significantly influenced (P<0.05). Between the subjects with and without hypertension, the differences of systolic blood pressure and diastolic blood pressure measured with bare arms and disposable tissues were not statistically significant (P>0.05). ConclusionUsing disposable tissue or not does not affect blood pressure measurements whether the patient suffers from hypertension, but the order of disposable tissue usage may affect systolic blood pressure in non-hypertensive patients.

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  • 以酮症酸中毒为首发症状的初诊糖尿病患者的护理

    目的探讨以酮症酸中毒(DKA)为首发症状的初诊糖尿病的诱因、临床表现和护理。 方法2011年4月-2012年4月纳入以DKA为首发症状且初诊为糖尿病的17例患者,入院后积极补液、降糖,辅以饮食指导,预防感染及心理护理。 结果本组患者发病前均未行糖尿病筛查,治疗后空腹血糖控制在4.5~7.1 mmol/L,餐后2 h血糖控制在7.2~8.2 mmoL/L,无低血钾、肺水肿等并发症发生,全部好转出院,其中使用胰岛素皮下注射治疗14例,口服降糖药2例,仅1例通过饮食和运动控制血糖。 结论加强糖尿病的筛查和健康教育,避免医源性补充葡萄糖、感染、剧烈体力劳动等应激状态诱发DKA。

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  • 胰岛素注射笔存放架的设计与应用研究

    目的 设计一种新型的胰岛素注射笔存放架,并探讨其临床应用效果。 方法 2012 年 10 月使用治疗盘存放胰岛素注射笔作为对照组,2012 年 11 月使用存放架存放胰岛素注射笔作为观察组,比较两组注射胰岛素总人次(次/d)、准备胰岛素时间(s/支)、取错胰岛素注射笔的次数(次/d)的情况。 结果 两组注射胰岛素总人次分别为(262.9±8.1)、(263.8±5.6)次/d,差异无统计学意义(P>0.05);观察组准备胰岛素的时间 [(43.0±0.6)s/支] 比对照组 [(121.5±1.8)s/支] 短,取错胰岛素注射笔的次数 [(0.4±0.9)次/d] 比对照组 [(2.4±2.5)次/d] 少,两组差异有统计学意义(P<0.05)。 结论 胰岛素注射笔存放架可提高护士工作效率,还可保证患者的用药安全,减少不良事件的发生,值得临床推广。

    Release date:2017-05-18 01:09 Export PDF Favorites Scan
  • Bibliometric analysis of the use of midline catheters intravenous therapy in China

    ObjectiveTo analyze the relevant literatures on the use of midline catheters in China, and to provide references for further studies of midline catheters.MethodsAll literatures related to midline catheters from the date of database establishment to February 2019 were searched in the China National Knowledge Infrastructure (CNKI), VIP Database for Chinese Technical Periodicals (VIP), Wan-Fang Database, and China Biomedical Literature Database (CBM). Bibliometric analysis methods were used to analyze the search results.ResultsTotally 47 articles related to midline catheters were recruited and the number of publications increased in recent years. About 44.68% papers were focused on introducing experiences of the operation process, nursing points, prevention and treatment of complications, and about 38.30% papers were observational studies about indwelling time of midline catheters and complications rate.ConclusionsMore and more attention has been paid to the midline catheters, but further studies with large samples and high quality are still needed, in order to provide more evidence for the application and popularization of midline catheters in China, and choose a safe, comfortable, convenient, low-cost and high-benefit intravenous infusion device for patients.

    Release date:2019-06-26 03:20 Export PDF Favorites Scan
  • Study of readiness for hospital discharge and its influencing factors among patients with liver cancer after surgery

    ObjectiveTo investigate status of readiness for hospital discharge of patients with liver cancer after radical surgery and to explore its influencing factors.MethodsA cross-sectional survey was conducted, a total of 200 patients with liver cancer after the radical resection who were planned to discharge within 1 to 2 days in this hospital from January to April 2019 were selected as the study subjects. The general informations and informations relevant readiness for hospital discharge of patients were investigated and analyzed by the questionnaire.ResultsIn this study, 200 questionnaires were distributed, of which 195 were recovered, and 184 were valid, the final effective recovery rate was 92% (184/200). The scores of 4 dimensions of readiness for hospital discharge in 184 patients: The own status was 42.55±12.36, disease knowledge was 51.68±17.58, and response ability was 21.05±6.86, social support available was 31.85±7.56, and the total score of readiness for hospital discharge was 147.07±36.25. One hundred and eighty-four (80.4%) of 184 patients were prepared to discharge. The univariate analysis results showed that the readiness for hospital discharge score was related to the gender, monthly income per household, preoperative comorbidities, and time with tube after the operation (P<0.05); Further the multiple regression analysis showed that the monthly income per household and preoperative comorbidities were the important influencing factors for it (P<0.05).ConclusionsAccording to results of this study on readiness for hospital discharge of patients with liver cancer after operation in this hospital, readiness for hospital discharge is better, and gender, monthly income per household, preoperative comorbidities, and time with tube after operation are influence factors for it, of which monthly income per household and preoperative comorbidities are important influencing factors.

    Release date:2020-10-21 03:05 Export PDF Favorites Scan
  • 新型冠状病毒感染肺炎疫情下肝移植受者住院及居家防控策略

    Release date:2020-04-28 02:46 Export PDF Favorites Scan
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