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find Author "秦俊春" 4 results
  • 快速康复法在胆道结石患者术后早期进食中的运用及效果

    目的 探讨快速康复对胆道结石(除单纯胆囊结石外) 患者术后早期进食的安全性和可行性。 方法 将2010年12月-2011年3月86例行胆道结石摘除术患者纳入对照组,术后按照常规专科护理待患者肛门排气后指导进食;将2011年4月-6月77例行胆道结石摘除术患者纳入观察组,指导患者术后早期进食。观察两组患者术后肠鸣音恢复正常的时间,肛门排气时间的差异;比较两组患者发生恶心、呕吐、腹胀等并发症的差异;观察两组术后住院天数及术后输液总量的差异。 结果 与对照组相比,观察组患者肠鸣音恢复正常时间、肛门排气时间均提前,术后总输入液量减少、住院天数缩短,两组比较差异有统计学意义(P<0.05);两组术后发生恶心、呕吐等并发症的差异无统计学意义(P>0.05)。 结论 胆道结石患者术后早期进食安全可行、效果好,有利于患者的早期康复。

    Release date:2016-09-07 02:34 Export PDF Favorites Scan
  • 急诊科护士分诊时初筛胸痛患者心电图在诊断急性冠状动脉综合征的作用

    目的 探讨护士在急诊科分诊时,针对胸痛患者进行心电图筛查在诊断急性冠状动脉综合征(ACS)的作用。 方法 回顾性分析实施分诊心电图筛查前(2013年1月-6月)和实施分诊心电图筛查后(2014年1月-6月)分诊至普通诊断室的胸痛患者中确诊为ACS的例数。对两组ACS患者检出率进行比较分析。 结果 护士在分诊时对胸痛患者进行心电图初筛后,分诊至普通诊断室的患者中ACS检出率低于未使用心电图初筛前,分别为1.74%和3.51%,差异有统计学意义(χ2=3.849,P<0.05)。 结论 在急诊科分诊对胸痛患者进行心电图初筛能降低分诊至普通诊断室的患者ACS检出率,降低了ACS患者在急诊滞留的风险,减少了医疗纠纷的发生,值得在临床推广使用。

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  • 某三级甲等医院院内出诊的现状调查及分析

    目的 对四川大学华西医院院内出诊的现状进行调查分析,以总结院内出诊经验及不足,对其他医院建立院内出诊起到指导作用。 方法 对四川大学华西医院 2015 年 7 月—2016 年 7 月共 252 次院内出诊呼救事由、呼救人身份、呼救地点、现场处理措施及患者分流去向进行统计分析。 结果 院内出诊呼救事由排前 3 位的依次为不明原因的晕倒(83 次)、心肺事件(43 次)和对比剂过敏(26 次)。呼救人多为医务工作者(175 次)。呼救地点最多依次是检查室 94 次,住院部 85 次,门诊 58 次。患者分流去向最多的是急诊抢救室(138 次),其次为空返(73 次)和急诊普通诊断室(41 次)。 结论 三级甲等医院由于人口流动量大,院内急救及心肺事件发生次数多,存在较多医疗风险及隐患,建立专门的院内出诊团队能保证医院内人员的生命安全,减少医疗风险和隐患的发生,及时挽救患者的生命,值得在各医院推广。

    Release date:2017-12-25 06:02 Export PDF Favorites Scan
  • Investigation and analysis of pain management of medical staff in Emergency Department

    Objective To investigate the status quo of knowledge and attitude towards pain among medical staff in West China Hospital of Sichuan University. Methods The medical staff in Emergency Department of West China Hospital of Sichuan University were investigated by the Chinese version of Knowledge and Attitudes Survey Regarding Pain (2008) questionnaire, the contents of which related to pain assessment, pain related knowledge, analgesic related knowledge, and comprehensive application, etc. And the questionnaire scores were compared among medical workers with different background. Results A total of 156 questionnaires were sent out and 130 valid ones were taken back, with an effective recovery rate of 83.3%. There was no statistically significant difference in questionnaire scores among the medical workers with different education background or different professional titles (P>0.05). The questionnaire scores were significantly different among nurses with different seniority (F=3.785, P=0.035), and the mean score of the nurses with more than 10 years of seniority was the highest (22.78±7.11). The questionnaire scores were significantly different among nurses working in different areas (F=3.043, P=0.033), and the mean score of the nurses working in rescue room was the highest (24.53±7.84).The erroneous items were concentrated on item 5, 17, 19. In the answers to the open questions, 97.7% (127/130) thought that the existing pain knowledge could not satisfy the needs of clinical work; 100.0% (130/130) believed that it was necessary to study pain related knowledge; 80.0% (104/130) acquired pain related knowledge from clinical experience, 40.0% (52/130) from books, 15.4% (20/130) from the network; 90% ( 117/130) commonly used numeric rating scale to evaluate the patients’ pain degree, 20.0% (26/130) evaluated the patients’ pain degree through facial expressions. Conclusions The overall level of pain management knowledge and attitude in medical staff in Emergency Department is low. The continuing education on pain knowledge should be strengthened, the attitude towards pain treatment and the importance of pain management should be paid more attention, and the standardized training and supervision should be enhanced.

    Release date:2017-11-24 10:58 Export PDF Favorites Scan
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