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find Author "武仁华" 6 results
  • Application of Nursing Grading in Basic Nursing for the Patients

    目的 讨论生活护理级别对临床基础护理的指导作用和意义。 方法 2010年3月-2011年12月,由亚专业护理组长每日根据病情制定或修改患者生活护理级别,指导责任护士落实各级基础护理措施,用生活护理级别指导基础护理。 结果 采用生活护理级别指导基础护理,护士的工作量明显下降,患者满意度、护士满意度、基础护理、一级生活护理和整体护理水平明显提高。 结论 按生活护理级别实施基础护理不仅可以提高责任护士对基础护理的认知和实践能力,还能提高基础护理水平,提高护士的工作满意度。

    Release date:2016-09-07 02:34 Export PDF Favorites Scan
  • 预防住院患者跌倒事件发生的管理与措施

    【摘要】 针对内分泌科住院患者易发生跌倒事件的现象,讨论其预防的方法与途径。通过强化管理和制定、落实各项防范措施,有效地控制了住院患者跌倒事件的发生,使跌倒率较2009年下降70%,患者满意度提高了2.3%。只要加强管理,跌倒事件的发生是可以预防和控制的。

    Release date:2016-09-08 09:27 Export PDF Favorites Scan
  • Effect of PBL Teaching Method in Clinical Practice of Diabetes Nursing

    Objective To study the effect of PBL teaching method which was applied in the clinical practice of diabetes nursing, and to analyze its advantages and shortages. Methods Seventy-seven undergraduates in major of nursing were randomly grouped into two: one as an experimental group was taught with PBL teaching method, while the other as a control group was taught with traditional teaching method. The questionnaire and final examination were adopted to analyze the teaching effect. Results The effect of PBL teaching method was better in the experimental group for stimulating learning motivation, helping students to closely combine the theory and practice, and promoting communication ability. However, there was no statistical difference in final examination between the two groups (Pgt;0.05). Conclusion PBL teaching method is much better than traditional teaching method in clinical nursing practice of internal medicine, for it can guide students to get the approaches for solving problems and cultivate their integrated diathesis and other abilities.

    Release date:2016-09-07 11:09 Export PDF Favorites Scan
  • Survey and Analysis of Insulin-treated Type 2 Diabetes Patients’ Self-monitoring of Blood Glucose

    目的 了解接受胰岛素治疗的糖化血红蛋白>7.5%的2型糖尿病患者自我血糖监测现状及存在的问题,为帮助患者建立健康行为提供理论依据。 方法 对2008年12月-2011年2月住院治疗的128例符合纳入标准的患者进行问卷调查。调查内容包括患者一般资料、血糖控制情况、自我监测相关知识及技能等内容。 结果 共发放问卷128份,收回128份,其中有效问卷122份。糖尿病患者血糖自我监测知识获取渠道单一,且相关知识匮乏;不能制定正确血糖自我监测方案,不能对检测结果进行正确记录和汇报;血糖检测操作不正确,检测频率达不到标准要求。 结论 接受胰岛素治疗的2型糖尿病患者自我监测现状并不容乐观,患者自我监测行为缺乏。为此,提高糖尿病患者健康教育水平,帮助其建立并维持健康行为,是糖尿病教育工作的重点和挑战。

    Release date:2016-09-08 09:16 Export PDF Favorites Scan
  • Effects of Venlafaxine and Carbamazepine for Painful Peripheral Diabetic Neuropathy: A Randomized, Double-blind and Double-dummy, Controlled Multi-center Trial

    Objective To evaluate the safety and efficacy of venlafaxine and carbamazepine on painful peripheral diabetic neuropathy. Methods This was a randomized, parallel-group, double-blind, double-dummy clinical trial. 132 patients a venlafaxine group (n=66) and a carbamazepine group (n=66) with painful peripheral diabetic neuropathy were recruited from 3 clinical centers. The venlafaxine group took venlafaxine 25 mg plus one dummy carbamazepine tablet twice a day and the carbamazepine group took carbamazepine 0.1 g plus one dummy venlafaxine tablet twice a day both for 2 weeks. The primary efficacy measurement consisted of a numeric pain intensity scale and the secondary measurement assessed quality of life. Results One hundred and nineteen patients completed the trial. Venlafaxine was superior to carbamazepine in improving mean pain intensity scores at 5,7,10 and 14 days by per-protocol analysis (P=0.02, P=0.03, P=0.003 and P=0.001 respectively). The effects of venlafaxine on the improvement in the total quality of life scores were better than those of carbamazepine at 10 and 14 days (P=0.02 and P=0.01 respectively). Sleep interference and mood were improved by both venlafaxine and carbamazepine, but the efficacy of venlafaxine was superior to that of carbamazepine. The common adverse events of venlafaxine included mild gastrointestinal discomfort, dizziness and somnolence. The frequency of adverse events in the venlafaxine group was about 43.9% (4 patients withdrew because of adverse events) and in the carbamazepine group about 25.76% (2 patients withdrew because of adverse events) (P =0.06). Conclusions Venlafaxine and carbamazepine are effective in the treatment of painful diabetic neuropathy, venlafaxine is superior to carbamazepine in improving pain and quality of life. Both drugs may be safe and well tolerated.

    Release date:2016-09-07 02:18 Export PDF Favorites Scan
  • 实施持续质量改进减少内分泌代谢科电子医嘱错计费的发生率

    目的 探讨持续质量改进模式在内分泌代谢科电子医嘱错计费中的方法和应用价值。 方法 调查分析某三级甲等医院内分泌代谢科 2015 年 1 月—6 月电子医嘱错计费的情况(实施前),2015 年 7 月—12 月采用持续质量改进的方法管理医嘱(实施后),比较改进前后电子医嘱错计费发生率及总费用。 结果 实行持续质量改进前后电子医嘱合计错计费分别是 71 102.53 、6 300.00 元,其中治疗费、检查费和材料费错计费发生率比较差异均有统计学意义(P<0.05),护理费错计费发生率比较差异无统计学意义(P>0.05)。 结论 持续质量改进在控制电子医嘱错计费管理中发挥了积极作用,减少了错计费的发生。

    Release date:2017-08-22 11:25 Export PDF Favorites Scan
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