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引流袋接头帽在封闭三腔尿管中的应用

腹腔镜摘取术与传统开放摘取术对肾供者术后康复的对比研究

目的　探讨腹腔镜摘取术与传统开放摘取术对肾供者术后康复的差异。 方法　2012年3月－6月按手术方式将供肾者分为腹腔镜组（腹腔镜摘取术） 和开放组（传统开放摘取术) , 分别比较两组供者术后进水、进食、下床活动、引流管拔出、住院、输液的时间以及切口长度、术后疼痛程度、肾功能、住院费用等指标。 结果　两组供者血肌酐值、开始进水时间以及住院时间差异无统计学意义（P＞0.05）；腹腔镜组术后进食时间、引流管拔出时间、下床活动时间均早于开放组，切口长度、疼痛程度及输液时间均低于开放组（P＜0.05）；但治疗费用高于开放组。 结论　腹腔镜摘取术优于传统开放摘取术，可广泛推广。

人文关怀护理在肾移植术围手术期的应用

目的:为了提高整体护理的质量,探讨人文关怀在肾移植术患者的护理效果。方法:按入院时间将100 例 准备做肾移植的患者分为观察组和对照组各50 例。对照组予常规护理;观察组在此基础上给予人文关怀护理,包括营造温馨的病房环境及和谐的人文环境,充分动员发挥家庭和社会支持系统的作用,实施多元化的健康教育和心理干预。结果:两组患者心理状态、遵医行为和护理满意度比较,差异有显著性意义(P lt; 0.05,P lt; 0.01) 。结论:开展以人文关怀为理念的护理活动,充实了以患者为中心的整体护理工作的内涵,肾移植手术患者实施护理人文关怀可提高患者满意度和遵医行为,减少护患纠纷,帮助患者掌握健康知识,利于患者康复。

肾移植术后钙调神经蛋白抑制剂相关可逆性后部脑病综合征护理二例

透明化计分竞争打造卓越护理团队

【摘要】　目的　探讨建设卓越护理团队，提高护理质量的方法与途径。　方法　在现有护理人力资源基础上，调整护理小组结构，实施透明化计分竞争制。　结果　护理人员积极性增加，实现了人人都管事，事事有人管，打造出高绩效、高凝聚力的卓越护理小组，护理质量大大提高。　结论　透明化计分竞争制具有较强的科学性和可行性。【Abstract】　Objective　To investigate methods and ways to establish excellent nursing teams and improve nursing quality.　Methods　Basing on the present available nursing human resources, we adjusted the structure of nursing teams and brought in the transparent competition system.　Results　Enthusiasm of the nurses was immensely encouraged. Nursing work was appropriately distributed to every nurse. Excellent nursing teams with brilliant performance and cohesion were created, which greatly improved our nursing quality.　Conclusion　Transparent competition system is a scientific and feasible way in creating excellent nursing teams.

A survey and analysis of the status quo of implementation of Intravenous Practice Standard in a tertiary A hospital

Objective To investigate the status quo of implementation ofIntravenous Practice Standard in a tertiary A hospital in Sichuan. Methods At 09:00-11:30 am, on March 16th, 2016, a questionnaire designed by intravenous team (IV Team) was used to conduct the investigation in all the inpatiets according to inclusion and exclusion criteria. The SPSS 17.0 software was used to perform all statistical analysis. Results The intravenous infusion rate in the hospital was 76.87%, while the rate in Emergency Department peaked up to 96.11%. Indwelling needle was the most common used device for intravenous therapy in clinical practice, which was used in 77.91% of the inpatients, and steel needle, peripherally inserted central catheter (PICC), central venous catheter, and implantable venous access port were also widely used. Peripheral intravenous catheter was used in 2 990 inpatients, and 78.12% of the puncture sites met the standard; PICC was used in 397 inpatients, and 90.17% of the puncture sites met the standard. The incidence of intravenous infusion related-complications was 15.08%, the incidence of drug exosmosis / exudation was 10.06%, and the incidence of catheter-related blood stream infection (CRBSI) was 2.89%. Conclusions On the whole, the intravenous infusion rate in this hospital accords with the national average level, but the rate in some departments should be controlled. The selection of device for intravenous therapy is reasonable, but the selection of intravenous site should be more standardized. The incidence of intravenous infusion related-complications is low, but the prevention and control of drug exosmosis / exudation and CRBSI should be reinforced. Health care organizations should pay more attention to enforce the Intravenous Practice Standard into practice to promote clinical medical service.

护理干预结合自我监测表提高肾移植患者疾病自我管理的研究

目的观察护理干预结合肾移植术后自我监测表对提高患者的自我管理能力的效果。 方法选取2012年8月-2013年8月符合纳入标准的120例肾移植患者，根据其手术的顺序分为干预组和对照组，每组各60例。干预组术后1周发放自我监测表并予以健康宣传教育，指导填写自我监测表，定期查看填写情况，并对相关内容进行口头考核。对照组予以常规围手术期健康宣传教育。采用问卷调查的形式，对患者日常生活管理、安全用药管理、饮食管理、定期门诊随访、生理排斥反应、生理指标检查内容进行分析比较。 结果两组患者生理排斥反应评分及生理指标检查评分比较差异无统计学意义（P＞0.05）。干预组的日常生活管理、安全用药管理、定期门诊随访管理及饮食管理方面的评分均高于对照组，差异有统计学意义（P＜0.05）。 结论通过护理干预结合肾移植术后自我监测表，促进了患者对疾病相关知识的掌握，对肾移植患者术后康复及自我健康管理的提高具有重要意义。

一例肾移植术后并发小腿肌间静脉血栓护理

Investigation on knowledge, attitude and practice of Standard Practice for Intravenous Nursing among nursing staff

Objective To investigate the status of knowledge, attitude and practice (KAP) of Standard Practice for Intravenous Nursing among nurses. Methods A total of 140 nurses were recruited and investigated with a self-designed questionnaire on March 16th, 2016. Results A total of 140 questionnaires were collected and 137 valid questionnaires were finally analyzed. Nurses’ KAP scores of Standard Practice for Intravenous Nursing were good. Hospital level, hospital characteristics, position and whether the nurses were specialized in intravenous nursing were influencing factors of the scores (P<0.05). Conclusions The general situation of KAP of Standard Practice for Intravenous Nursing is good, but nurses' knowledge on intravenous treatment is rather weak. Nurses should pay more attention to the knowledge of Standard Practice for Intravenous Nursing. Targeted education should be provided for nurses to promote the formation of positive attitude and healthy behaviors of clinical intravenous nursing practice.

肾移植患者术后感染带状疱疹病毒护理1例

总结1例肾移植患者术后感染带状疱疹病毒的护理。采用以下护理措施:严格消毒隔离措施,密切观察疱疹变化情况以及有无排斥反应,保持皮肤清洁干燥,观察有无其它致命并发症和加强人文关怀等。经过精心的治疗和护理,患者病情好转,安全渡过肾移植术后危险期。