Nursing and psychological treatment during tension-free inguinal hernia repair under local nerve blocked anesthesia

Tension-free inguinal hernia repair under local nerve blocked anesthesia ia an up-to-date technology and is different from the traditional approach.The aim of this study isto evaluate the nursing and psychological treatment during operation under local nerve blocked anesthesia.

83% 的护士喜欢使用胰岛素笔而非安剖瓶和注射器

采用自我报告的调查方法，一项研究比较了139 位护士的胰岛素笔与小瓶注射器的使用情况。结果发现，83% 的护士更喜欢胰岛素笔。护士们感觉胰岛素笔可以更容易的定量，且更容易教会病人使用，从而实现药物的精准给药，节约时间，减低错误给药剂量和降低针头的风险。与胰岛素瓶和注射器相比，护士门认为胰岛素笔更安全。同时护士们也会觉得使用胰岛素笔更舒适和自信。

急性颈脊髓损伤行气管切开患者鼻饲并发症的观察与护理

目的 探讨急性颈脊髓损伤气管切开患者鼻饲行肠内营养时并发症的观察与护理.方法 对30例急性颈脊髓损伤气管切开患者鼻饲行肠内营养的并发症进行分析,给予针对性的护理措施并观察效果.结果 30例患者中,发生腹泻3例、便秘2例、返流2例.经过有针对性的护理,30例患者均无严重不良结果发生.结论 对于行鼻饲肠内营养支持的急性颈脊髓损伤并行气管切开术的患者,就鼻饲常见并发症的预防、出现原因应分析总结,采取适当的鼻饲护理方法,以预防和降低鼻饲肠内营养相关并发症.

100份护理病历中护理措施存在的问题及对策

随机抽取我科1997年3月-11月100份整体护理病历,对其中814个护理问题对应的4655条护理措施进行分析,结果陈述不清楚、欠条理的265条(5.7%),措施可行性差147条(3.2%),护理措施与护理问题不符107条(2.3%),措施缺乏科学依据88条(1.9%), 护理措施与医疗措施混淆201条(4.3%).提出:正确掌握护理措施意义及范畴,遵循护理措施与护理问题一致的原则,从实际出发,制定切实可行的有效的护理措施.

Critical Thinking Ⅱ:Teaching Strategies to Foster Critical Thinking in Undergraduate Nursing Students:A Case Analysis Approach

Purpose:To explore the nursing care following surgical treat-ment of fungal endophthalmitis in children. Methods:Thirty two children (32 eyes) with fungal endoph-thalmitis were enrolled in this study. After receiving antifungal medication,.the children underwent either intravitreal injec-tion,.intravitreal injection of medicine combined with vitrecto-my,.or intravitreal injection in combination with vitrectomy and intraocular C3F8 tamponade. Prior to surgery, psycholog-ical and quarantine nursing,.and medication use was properly prepared..After the surgery,.the changes in the severity of diseases were strictly observed..A suitable body posture was selected and the eyes were protected from infection. Results:.Among 32 patients with fungal endophthalmitis,.8 (25%).cases presented with alleviated inflammation and no changes in visual acuity. The visual acuity of 18 cases (56.25%). was improved to different extents postoperatively. The inflam-mation in 6 children (18.75%) was properly controlled and the visual acuity declined. No cross-infection was noted in any pa-tient. Conclusion: Prior to surgery, quarantine nursing and drug administration should be properly prepared. Postoperatively, the changes in the severity of diseases should be tightly moni-tored. The patients should be treated with effective therapies in a proper position,.aiming to enhance the surgical efficacy.

窒息新生儿行气管插管后两种置胃管洗胃方法的研究

重度窒息新生儿常并发咽下综合征,近年来学者多主张洗胃[1],而且早期洗胃效果较好[2],能清除胃内容物刺激反应,减少咽下综合征.但插胃管常常不顺利,为此,先行气管插管,吸净呼吸道内分泌物后,在保持呼吸道通畅的情况下再插胃管行洗胃,可提高机体的血氧饱和度,保证重要脏器的供氧.我院2006年1月～2009年7月对窒息新生儿40例行气管插管后置胃管洗胃抢救,对减少咽下综合症等并发症收到较好的效果,报告如下.

骨折患者并发症的护理

有句话叫“伤筋动骨100天”由于骨折患者往往需要长期卧床休息，再加上术中麻醉剂的应用及手术创伤而使机体很容易在术后发生多种并发症，因此我们应注意预防一些常见并发症的发生。目的：探讨新的护理措施能否降低骨折并发症的发生。方法：从一家三甲医院骨科里收集50例骨折病例，将其分为A 组和 B 组，对比其在采取护理措施前后的发生率。结果：在未做处理前，其并发症发生率明显高于用新的护理措施的患者。患者常见的并发症主要有：褥疮、泌尿系统感染、坠积性肺炎、关节僵硬和废用综合征等。