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八十年代華西護理人的青春　—— 成長和歷練，從五個印象深刻的故事說起

Topical Phenytoin for Wound Healing: A Systematic Review

Objective　To explore the effectiveness and safety of topical phenytoin for wound healing. Methods　We searched MEDLINE (1966 to Oct. 2002), EMBASE (1984 to 2002), The Cochrane Library (Issue 4, 2002), Biological Abstracts (1993 to 1996), Cancerlit (1997 to Sept. 2002), Life Science Collection (1982 to Mar. 1995), International Pharmaceutical Abstracts (1970 to 2002), and CBMdisc (1978 to Jan. 2003). Controlled trials on topical phenytoin for wound healing were identified. The methodological quality of included studies was assessed, and a descriptive analysis was performed. Results　Nine studies (507 cases) including 1 randomized controlled trials (RCT) and 8 non-randomized controlled trials were included. These studies were of poor methodological quality. Because there were a variety of etiology of ulcers, differnet interventions in control groups, and different outcome measures, for which meta-analysis was difficult to perform, a descriptive analysis of the results was presented. Most studies showed that topical phenytoin had better effects on improving healthy granulation appearance, increasing complete recovery rate, reducing time for complete recovery, and positive cases of bacterial culture than those of control groups. Mild side effects were observed in only one study.Conclusions　The reviewers think that the inclusion studies less rigorous than randomized controlled trials could result in misleading findings.Some well designed randomized controlled trials of topical phenytoin for wound healing are warranted.

護理核心制度執行情況檢查與分析

目的　總結各護理單元貫徹衛生部“醫院質量管理年”核心制度執行情況的檢查考核方法。 方法　回顧性分析總結2006年1月起醫院各科室核心制度執行考核情況，既按照護理核心制度的內容要求，制定考核項目，并采用隨機抽樣的調查方法進行護理核心制度執行情況檢查，考核評價其執行落實狀況及效果。 結果　分極護理制度執行情況均達到100%正確率，但診斷卡、床頭標識的準確性完整性不高；查對制度執行情況：日查對、周查對正確率均為97.6%，查對后簽字正確率為100.0%；醫囑制度執行情況：各病房抗生素輸注間隔時間多為6～8 h，抗生素配置正確率97.6%，但藥液抽吸正確率不高。 結論　護士和臨床護理管理人員核心制度落實好，有效地促進了醫院質量管理長效機制的建立。

Organization and Management of Nursing in West China Hospital during Medical Rescue after Wenchuan Earthquake

During the medical rescue of Wenchuan earthquake, the Nursing Department of West China Hospital of Sichuan University immediately initiated the emergency response plan, reasonably dispatched nurses of the medical teams from West China Hospital, other provinces and foreign countries. Meanwhile, the Nursing Department set up the medical team for emergency treatment, provided the basic information of the wounded, established the flow of rapid registration and rapid preview, formulated and optimized the flow of the admission of the wounded, and improved the flow of information-collecting. What’s more, the nursing department adjusted the current work according to the situation of hospitalization of the wounded in different stages to ensure the efficient running of medical rescue. Moreover, the routine nursing practice was also maintained and none of the inpatients other than those from the disaster area got involved in any unexpected accident.

腎臟部分切除術患者快速康復護理與傳統護理的對照研究

目的評估快速康復護理在腎臟部分切除術患者圍手術期應用的可行性及安全性。 方法將2010年1月－2013年7月收治的144例腎臟部分切除患者，按住院號尾數的奇偶分為快速康復組（75例）和傳統護理組（69例），分別實施快速康復措施與傳統護理方法，觀察比較兩組患者圍手術期恢復的相關指標，評價快速康復護理的效果。 結果快速康復組術后恢復6個指標優于傳統護理組（P＜0.05），平均住院時間短于傳統護理組（P＜0.05），且兩組并發癥發生率差異無統計學意義（P＞0.05）。 結論運用縮短術前禁食時間、早期下床活動、早期由口進食、早期拔除引流管等快速康復措施是安全有效的，可加速患者術后康復，縮短術后住院時間，值得推廣應用。

參加地震災區板房居民健康調查的體會

醫學期刊發表災害護理文獻的分析

【摘要】 目的 分析國內醫學期刊發表的災害護理文獻，為災害護理證據的生產和傳播提供參考。 方法 檢索中國知網CNKI全文數據庫醫藥衛生專輯（1991~2010.01），收集災害護理相關文獻，進行分類和描述性統計分析。 結果 207篇文獻中，2008年前發表32篇（15.47%），2008年及以后發表175篇（85.53%）。文獻分布于67種醫學期刊，其中護理類17種98篇（47.34%），非護理類50種109篇（52.66%）。統計源期刊137篇（66.18%），其他期刊70篇（33.72%）。護理類統計源期刊收錄79篇，占護理類期刊刊發數的80.61%。以經驗類128篇（61.84%），理論類60篇（28.98%），研究類19篇（9.18%）；內容以醫療救護類94篇（61.84%），管理類 72篇（28.98%），教育類31篇（14.98%），其他類10篇（4.83%）；醫療救護類文獻中，未見慢性病相關文獻。 結論 2008年是災害護理文獻增長的分界點，統計源期刊是證據的主要來源。災害護理文獻以經驗類為主，涵蓋災害醫療救護、管理及教育，需要開發災害慢性病護理證據。【Abstract】 Objective To analyze the literature on disaster nursing published in medical journals and provide reference for the development and dissemination of evidence on disaster nursing. Methods Papers on disaster nursing were get from the CNKI database (1991 to January 2010). After classification, they were inputted to excel and descriptive analysis was applied. Results There were totally 207 papers, among which 32 (15.47%) were published before 2008 and 175 (85.53%) were published in and after 2008. Papers were published in 67 medical journals, for which 17 (98 papers, 47.34%) were nursing Journals, while 50 (109 papers, 52.66%)were not nursing. one hundred and thirty-seren papers (66.18%) were published in Source Journals for Chinese Scientific and Technical Papers and Citations, 70 (33.72%) were not. Seventy-nine papers were published in nursing journals for Chinese Scientific and Technical Papers and Citations. On the type, 128 papers (61.84%) were experience ones, 60 (28.98%) were theoretical papers and 19 (9.18%) were research papers. On the content, 94 (61.84%) were about nursing and rescue practice, 72 (28.98%) were about disaster nursing management, 31 (14.98%) were on disaster nursing education and 10 (4.83%) were others. No literature on chronic disease was found among papers on nursing and rescue practice. Conclusion The year 2008 is apoint for the development of disaster nursing evidence. The evidence were published in kinds of medical journals. The Source Journals for Chinese Scientific and Technical Papers and Citations were the main source for the evidence. The evidence were mainly experience ones. The evidence covered in the fields of nursing and rescue practice, disaster nursing management and disaster nursing education, literature on disaster amp; chronic disease was needed.

透明化計分競爭打造卓越護理團隊

【摘要】　目的　探討建設卓越護理團隊，提高護理質量的方法與途徑。　方法　在現有護理人力資源基礎上，調整護理小組結構，實施透明化計分競爭制。　結果　護理人員積極性增加，實現了人人都管事，事事有人管，打造出高績效、高凝聚力的卓越護理小組，護理質量大大提高。　結論　透明化計分競爭制具有較強的科學性和可行性。【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.

Administration of Medical Materials for the Daytime-sickroom During Wenchuan Earthquake

Objective　To summarize the experience of preparation and administration of medical materials for the daytime-sickroom during the treatment of patients who were injured during Wenchuan earthquake in order to supply management experience for future emergency situations. Methods　Data concerning the preparation and administration of medical materials and medical treatment for the daytime-sickroom were collected systematically. Results　The high level of activity and order during the rescue provided quality care to patients injured in the earthquake. All 224 patients were treated effectively from May 12-29.Conclusion　The daytime-sickroom acts as a combination sickroom, which allowed flexibility. The daytime-sickroom can manage medical materials and succesfully insure the treatement of patients when emergent events happen.

Effect of a Cardiac Rehabilitation Programme on the Quality of Life of Patients with Coronary Heart Disease

Objective　To evaluate the effect of a nurse-supported patient self-managed home-based cardiac rehabilitation programme for promoting quality of life of patients with coronary heart disease. Methods　167 eligible patients were randomly assigned to an intervention group (n=83) and a control group(n=84). Patients in the intervention group joined a 12-week nurse-supported patient self-managed cardiac rehabilitation programme that included medication management, angina management, physical exercise, smoking cessation, dietary management, and family support besides the conventional care. Chinese Version SF-36 was used to assess the quality of life. Data collection was conducted at programme entry, programme exit, and three months follow-up. Results　On completion of the programme, patients in the intervention group demonstrated significantly better improvements in six SF-36 quality of life domains, including general health, physical functioning, role-physical, bodily pain, mental health, and vitality. The effect on physical functioning and role-physical maintained at three months follow-up.Conclusions　A nurse-supported patient self-managed home-based cardiac rehabilitation intervention has a positive impact on the quality of life of patients with coronary heart disease.