Search

腹腔鏡脾切除術治療特發性血小板減少性紫癜的護理

【摘要】 目的 〖JP2〗總結腹腔鏡脾切除術治療特發性血小板減少性紫癜患者圍手術期的護理。 方法 2005年11月-2008年6月，對40例行腹腔鏡脾切除術治療特發性血小板減少性紫癜患者，在術前、術后予以精心護理，并針對患者個體及各種征狀，采取積極有效的護理措施，防止各種并發癥發生。 結果 38例患者順利康復出院；1例術后出血，經積極治療后治愈出院；1例發生左下肢深靜脈血栓，經抗凝溶栓治療后好轉出院。 結論 有效的圍手術期護理能降低腹腔鏡脾切除術后并發癥的發生，減輕患者的痛苦，促進患者早期康復。

The influence of disaster preparedness education on college students’ awareness, actions and abilities of disaster prevention and preparedness

ObjectiveTo analyze the impact of disaster prevention and preparedness education courses on college students’ awareness, actions and abilities of disaster prevention and preparedness, so as to provide a reference for the establishment and optimization of disaster education-related courses in colleges.MethodsStudents who took the optional course “Disaster Preparedness Education” of Sichuan University in the fall semester of 2019 to 2020 were included. Questionnaires were issued before and after the course to compare the differences in awareness, actions and abilities of disaster prevention and preparedness of college students before and after the course. We also analyzed the differences between college students of different genders and college students of different grades.ResultsFinally, 148 college students were included. After the course, college students’ awareness scores (9.24±0.61 vs. 6.11±0.52), action scores (6.89±0.70 vs. 2.65±0.58) and ability scores (33.73±1.61 vs. 18.55±1.88) of disaster prevention and preparedness were improved compared to those before the course, and the differences were statistically significant (P<0.05). Before the course, boys’ disaster prevention and preparedness awareness score was higher than that of girls (6.48±0.56 vs. 5.23±0.44), the difference was statistically significant (P<0.05); there was no significant difference in the scores of actions or abilities of disaster prevention and preparedness between boys and girls (P>0.05). After the course, there was no statistically significant difference in any of the scores between boys and girls (P>0.05). Before and after the course, there was no statistically significant difference in any of the scores between the senior college students and the lower college students (P>0.05). College students’ overall satisfaction with disaster preparedness education was relatively high, with the highest scores for teaching methods and assessment methods.ConclusionDisaster preparedness education courses have a positive effect on improving the comprehensive qualities of college students’ disaster preparedness awareness, actions, and abilities, but it is necessary to attract more college students to participate and increase the scope of the course.

品質管理圈在提高胃腸減壓有效率中的應用

目的探討品質管理圈（品管圈）對提高胃腸減壓有效率的作用。 方法2013年5月－10月開展品管圈活動，確立“提高胃腸減壓有效率”為活動主題，對行胃腸減壓的患者實施以品管圈活動主題為導向的護理管理，比較實施品管圈前后患者胃腸減壓留置效果。 結果開展品管圈活動后胃腸減壓有效率提高22.61%，圈員的責任心、觀察力、觀察溝通協調能力等提高40%～75%，達到預期效果。 結論品管圈活動不僅提高了胃腸減壓有效率及臨床護理質量，也使護士學會用科學的方法解決臨床護理問題，增強了團隊的凝聚力、協作力，值得推廣。

惡性胰島素瘤患者護理一例

手助式腹腔鏡下肝切除術并發癥的觀察及護理

目的　探討手助式腹腔鏡下肝切除術的臨床并發癥及相關護理措施。 方法　回顧性分析2008年1月－2010年12月收治的24例原發性肝臟腫瘤行手助式腹腔鏡下肝切除術患者的病例資料、圍手術期數據、術后并發癥及恢復情況。 結果　24例患者腹腔鏡肝切除術均獲成功，其中左外葉切除13例，其余患者為不規則肝葉切除，無中轉開腹手術。3例患者出現術后并發癥，其中膽瘺1例，膈下膿腫1例，胸腔積液1例，經對癥處理和精心護理后均順利康復出院。 結論　手助式腹腔鏡肝切除術是一種安全有效的微創治療方法，通過嚴密觀察及精心護理能有效的預防及處理并發癥，提高其安全性和有效性。

腹主動脈瘤破裂患者的急救及護理對策

【摘要】 目的 總結對腹主動脈瘤破裂患者的急救措施及護理對策。 方法 回顧分析2004年1月-2008年2月收治的11例腹主動脈瘤破裂患者搶救及護理過程。 結果 6例患者治愈出院，5例死亡，其中術中失血性休克死亡1例，術后消化道大出血及多功能器官衰竭死亡2例，放棄治療出院后死亡2例，存活率為54.5%。 結論 通過對腹主動脈瘤破裂患者采取及時有效的搶救配合及護理措施，有效地提高了手術的成功率及生存率。