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find Author "梁园园" 3 results
  • Practice and effect of the Handbook for the Training Nurses in the standardized training for nurses in pediatric surgery

    Objective To explore the application of the Handbook for the Training Nurses in the standardized training for nurses in pediatric surgery. Methods Twenty-four training nurses trained under the instruction of the Handbook for the Training Nurses in Department of Pediatric Surgery from July 2014 to December 2015 were included as the observation group. Their training effects were compared historically with those of twenty-four training nurses who were trained without the help of the handbook from January 2013 to June 2014 (the control group). Results After the completion of the half-year training, theoretical score of training nurses in the observation group was better than that in the control group, and the difference was significant (87.16±4.18 vs. 83.71±5.46; t=2.492, P=0.016). Meanwhile, the specialist practical skill examination of training nurses in the observation group, such as femoral vein blood collection, replacement of drainage bag and indwelling needle infusion in children, and emergency practical skill examination such as cardiopulmonary resuscitation and the use of simple respirator were higher than those in the control group; and the working performance scores of training nurses in the observation group, such as the ability to adapt to the environment, patient satisfaction, nursing document writing, work efficiency and morning questions were better than those in the control group; the differences were significant (P< 0.05). Conclusion The Handbook for the Training Nurses can help the training nurses to adjust their working environment, master the practical skills and nursing knowledge in pediatric surgery.

    Release date:2017-09-22 03:44 Export PDF Favorites Scan
  • 对电视胸腔镜下行脓胸纤维板剥脱术患儿的护理

    目的总结慢性脓胸患儿电视胸腔镜下行脓胸纤维板剥脱术的护理方法及体会。 方法对2010年8月-2011年10月36例行电视胸腔镜脓胸纤维板剥脱术的慢性脓胸患儿,术前进行规范的呼吸道管理、准确的呼吸功能评估、有效的心理支持及营养支持,术后加强病情观察、做好管道管理及各种并发症的预防等,使患儿顺利完成手术并安全渡过愈合期。 结果术后患儿住院9~15 d,出院时胸部X线片提示患侧脓腔消失,肺脏膨胀良好,均无感染及术后并发症发生。36例患儿门诊随访6~18个月,均无复发,恢复良好。 结论对脓胸患儿进行术前及术后心理、疼痛、呼吸道及康复等综合护理干预,利于其术后康复。这对安全有效地开展胸腔镜手术具有重要的临床意义。

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  • Validation of European System for Cardiac Operative Risk Evaluation in Heart Valve Surgery of Uyghur Patients and Han Nationality Patients

    ObjectiveTo assess the accuracy of European System for Cardiac Operative Risk Evaluation (EuroSCORE) model in predicting the in-hospital mortality of Uyghur patients and Han nationality patients undergoing heart valve surgery. MethodsClinical data of 361 consecutive patients who underwent heart valve surgery at our center from September 2012 to December 2013 were collected, including 209 Uyghur patients and 152 Han nationality patients. According to the score for additive and logistic EuroSCORE models, the patients were divided into 3 subgroups including a low risk subgroup, a moderate risk subgroup, and a high risk subgroup. The actual and predicted mortality of each risk subgroup were studied and compared. Calibration of the EuroSCORE model was assessed by the test of goodness of fit, discrimination was tested by calculating the area under the receiver operating characteristic (ROC) curve. ResultsThe actual mortality was 8.03% for overall patients, 6.70% for Uyghur patients,and 9.87% for Han nationality patients. The predicted mortality by additive EuroSCORE and logistic EuroSCORE for Uyghur patients were 4.03% and 3.37%,for Han nationality patients were 4.43% and 3.77%, significantly lower than actual mortality (P<0.01). The area under the ROC curve of additive EuroSCORE and logistic EuroSCORE for overall patients were 0.606 and 0.598, for Han nationality patients were 0.574 and 0.553,and for Uyghur patients were 0.609 and 0.610. ConclusionThe additive and logistic EuroSCORE are unable to predict the in-hospital mortality accurately for Uyghur and Han nationality patients undergoing heart valve surgery. Clinical use of these model should be considered cautiously.

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