Search

Applying Good Care Service via Risk Management to Improve the Safety of Elder In-patients

【摘要】　目的　探讨优质护理活动中应用风险管理措施提高住院老年患者安全的作用和意义。　方法　对2010年2月-2011年3月开展优质护理活动实施风险管理后，其老年住院患者安全事件预防控制情况进行回顾分析。　结果　应用风险管理措施后老年住院患者的护理不良事件发生减少，患者对护理工作的满意度提高。　结论　加强风险管理有助于保障患者安全，提高患者满意度，构建和谐护患关系。【Abstract】　Objective　To investigate the role and the effect of risk management in good care service on the safety of elder in-patients.　Methods　From February 2010 to March 2011, the risk management was carried out during applying good care service. The prevention and control of the poor nursing events for the elder in-patients were retrospectively analyzed.　Results　The poor nursing events for the elder in-patients decreased obviously after the application of risk management, and the patients were pleased with the service of nurses.　Conclusion　Risk management is conducive to prove the safety of the in-patients, improve the degree of satisfaction of the patients, and make the harmonious relations between the nurses and the patients.

自制护理标识在老年病房中的应用

【摘要】　目的　探讨护理标识在老年病房安全管理中的应用。　方法　自行设计、制作护理标识并在临床中应用，对比使用前后护理不良事件发生率、检查延误率并进行统计学分析。　结果　使用护理标识后护理不良事件发生率、检查延误率明显降低，有统计学意义（Plt;0.05）。　结论　在老年病房应用护理标识，可以预防护理不良事件发生，减少延误检查，提高工作效率，增强安全防范意识，为患者提供安全护理。

Research on the Reformation of Undergraduate Course of Geriatric Nursing

ObjectiveTo analyze the methods and effects of the reformation of undergraduate course of geriatric nursing in China. MethodsIn the spring semester of 2012 and 2013, we implemented the experiential scenario teaching and autonomous group learning with simulation and heuristic teaching method, and the nursing undergraduates were given scale of Kogan's attitude toward older people and Palmore's Facts on Aging Quiz 1 for investigation. The attitude to and knowledge on the elderly were compared before and after the study. Meanwhile, we also surveyed the interest in geriatric nursing among the students. ResultsThe interest in, attitude to and knowledge on the elderly among the students increased considerably after the teaching reformation. ConclusionThe undergraduate course teaching reformation of geriatric nursing with the simulation and heuristic teaching method has achieved good effects, and it can be widely used in geriatric nursing teaching in China. In the future, the reformation should focus on improving the students' professional interests and career choice.

一种多腔气管导管介绍

拓展门诊分诊工作，提高门诊医疗服务质量

【摘要】 目的 总结门诊分诊工作模式，以解决患者就诊前挂号咨询、导向服务方式问题，提高患者挂号就诊的准确性，提升医疗服务品质。 方法 于2009年6月成立门诊分诊服务中心，实现分诊、挂号一站式服务。指导患者分层次就诊，合理使用医疗资源，有效遏制“号贩子”、“医托”，保证患者就诊安全和就诊的对症性。 结果 明显提高患者挂号的准确性，实现医疗资源的合理利用，拓展了分诊服务工作内涵，达到了患者、医院双赢的效果。 结论 门诊分诊工作不仅满足患者需求，同时提升了门诊医疗服务质量，是医院门诊工作不可缺少的组成部份。

老年慢性阻塞性肺疾病患者使用干粉吸入器相关因素分析

【摘要】　目的　探讨影响老年慢性阻塞性肺疾病患者正确熟练使用干粉吸入器的相关因素。　方法　2010年5-12月通过调查问卷方式收集患者基本资料，包括年龄、文化程度、照护者情况及照护者的文化程度等信息；调查患者从初次接触到能独立熟练使用干粉吸入器所需的练习次数，并就相关因素进行分组分析。　结果　患者的年龄、文化程度、照护者情况及照护者的文化程度，对患者熟练掌握干粉吸入器的使用方法有一定影响，其差异有统计学意义（Plt;0.05）。　结论　80岁以下、高中以上学历患者，大专以上学历照护者能较快熟练掌握干粉吸入器的使用方法。指导患者接受吸入治疗需要同时考虑患者及照护者的情况，有针对性的进行指导。

加强分诊队伍建设，持续提升门诊患者就医体验

【摘要】　总结加强分诊队伍建设，提高门诊医疗护理质量，持续提升门诊患者的就医体验的方法与经验。通过建立管理机制、加强分诊队伍人才培养、优化分诊队伍结构、完善考核体制、评价体系，提高分诊护士综合素质等措施，提高了门诊医疗护理质量及患者满意度及分诊护士的自身价值感和自信心。实践表明，加强分诊队伍建设，提高分诊护士整体素质结构是持续提升门诊患者就医体验至关重要的环节。

Evidence-based care of an oldman’s bedsore

Objective　To seek evidence based methods to treat bedsore of aged patients. Methods　We raised clinical questions according to the condition of an eighty-year old male patient, and then, with "bedsore" (treatment or prevention) as key words we searched evidences from Cochrane Library (2nd edition 2002), Medline (1996-2002.4), and Sumsearch. Results　We found 3 SR (systematic review) from Cochrane Library, 3 Meta-analyse and 38 RCT (randomized controlled trial) from medline, and 3 SR and 9 RCT from Sumsearch. Conclusion　1 Various types of mattress are useful in prevention the bedsore. 2 There is still not enough evidences of electromagnetic therapy. 3 In state II bedsore, healing is faster in using collagen Dressing than using water-glue Dressing. 4 Local application of antibiotics and Phenytoin sodium can accelerate the growth of new granulation tissue. 5 Nutritional support is necessary for bedsore prevention and healing. According to these evidence, we make the best care plan for this patient. After our treatment, the wound healed 10 days later, and he doesn’t occur bedsore any more.

老年丧偶住院患者抑郁状况调查及护理干预

目的调查老年丧偶住院患者的抑郁状况，探讨护理干预在改善丧偶老人抑郁状况中的效果。 方法选择2011年8月－2013年8月住院治疗的97例丧偶老年患者，通过老年专用抑郁量表（GDS-30），调查其抑郁状态，提出并实施护理干预措施，3个月后复查DGS-30评分评估护理干预效果。 结果共发放问卷97份，回收97份，回收率100%。97例丧偶住院患者入院时初评，有抑郁症状者82例，占84.5%。有人陪护者抑郁症发生率低于无人陪护的患者；社会支持好的患者抑郁症发生率低于社会支持差者；与家人居住的患者抑郁发生率低于独居的患者，差异均有统计学意义（P＜0.05）。经3个月护理干预后，再次评估GDS-30评分，患者抑郁情况有明显改善（P＜0.05）。 结论老年丧偶住院患者抑郁发生率高，有人陪护、社会支持好、与家人居住的患者抑郁发生率低。而采取积极的心理护理，以及专业的饮食、睡眠指导、加强患者陪护等护理干预措施，可以有效的改善丧偶患者的抑郁状况。

中、晚期老年性痴呆伴肺部感染患者的护理