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。
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.
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。
目的 调查规范化培训护士的职业自我概念现状,以期为其培训方案提供参考依据。 方法 2010年10月-11月采用护理专业自我概念量表对某三甲综合医院2009级、2010级175名规范化培训护士进行面对面问卷调查。 结果 88.37%规范化培训护士职业自我概念积极,5个维度得分从高到低分别是沟通交流、技能、灵活性、领导、满意度。2010级规范化培训护士职业自我概念总得分(t=?2.027,P=0.044)及领导维度得分(t=?3.258,P=0.001)高于2009级者,而技能(t=2.120,P=0.036)、灵活性(t=2.054,P=0.042)维度得分低于2009级;有职业兴趣的规范化培训护士其领导维度得分高于无职业兴趣的规范化培训护士(t=2.063,P=0.043)。 结论 护士规范化培训中除注重技能培训外还应加入情感教育课程,建立领导能力评价体系等。