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find Author "冯黎维" 13 results
  • 新生儿外周静脉置入中心静脉导管堵管原因分析

    目的探讨新生儿经外周静脉置入中心静脉导管(PICC)堵塞原因,寻求措施以减少堵管发生率。 方法对2010年1月-2013年3月97例留置PICC发生管道堵塞的患儿资料进行分析,总结堵管原因并提出护理对策。 结果97例PICC置管患儿中,17例发生堵管,发生率17.5%,堵管后再通成功12例。低年资护士维护者堵管发生较多;夜间堵管较多。 结论针对新生儿PICC堵管的主要原因给予相应护理干预能降低PICC堵管率。

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  • 项目管理在提高小儿外科血标本合格率中的应用及效果

    目的 讨论项目管理在提高小儿外科血标本合格率中的作用。 方法 2011年2月-12月,针对小儿外科血标本不合格率的影响因素,采用项目管理方式,有针对性的分阶段对护士进行血标本采集知识和操作培训与考核。 结果 项目实施后,护士血液标本采集知识和穿刺成功率大为提高,标本不合格率得到有效控制,患儿家长对穿刺的满意度提高。 结论 项目管理形式能促使护理管理者主动发现问题、解决问题,有效提高病房管理质量。

    Release date:2016-09-07 02:34 Export PDF Favorites Scan
  • 红外线治疗在尿道下裂术后的应用

    【摘要】 目的 观察红外线治疗对预防患儿尿道下裂术后切口感染、尿瘘等并发症的影响。 方法 2009年2月-2010年3月将104例尿道下裂术后的患儿随机分为两组,对照组给予常规治疗和护理,治疗组在常规治疗和护理的基础上加用红外线治疗仪局部照射,2次/d,20~30 min/次,至拔除尿管。 结果 治疗组伤口循环良好,龟头水肿、伤口渗出及尿瘘发生率明显低于对照组(Plt;0.05)。 结论 应用红外线治疗预防患儿尿道下裂术后切口感染、尿瘘等并发症,疗效满意,操作简便,经济实惠。

    Release date:2016-09-08 09:25 Export PDF Favorites Scan
  • 患儿髋关节开放复位术后家庭护理指导

    【摘要】 目的 总结家庭护理指导对降低髋关节开放复位术后患儿康复期间常见并发症及关节僵硬发生率的效果。 方法 对2007年6月-2009年12月收治的218例行髋关节开放复位术患儿及家属进行系统家庭护理指导。 结果 家属熟练掌握家庭护理方法;218例患儿患肢石膏清洁干燥,受压皮肤完整,无关节僵硬等并发症发生;护理满意度达98.5%以上。 结论 系统的向患儿及家属予以心理干预、生活护理指导、康复训练计划,以及相关护理技巧指导,是提高发育性髋关节脱位手术疗效,提高家庭护理质量,促进患儿早日康复,最大限度恢复关节功能的重要保障。

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  • 对电视胸腔镜下行脓胸纤维板剥脱术患儿的护理

    目的总结慢性脓胸患儿电视胸腔镜下行脓胸纤维板剥脱术的护理方法及体会。 方法对2010年8月-2011年10月36例行电视胸腔镜脓胸纤维板剥脱术的慢性脓胸患儿,术前进行规范的呼吸道管理、准确的呼吸功能评估、有效的心理支持及营养支持,术后加强病情观察、做好管道管理及各种并发症的预防等,使患儿顺利完成手术并安全渡过愈合期。 结果术后患儿住院9~15 d,出院时胸部X线片提示患侧脓腔消失,肺脏膨胀良好,均无感染及术后并发症发生。36例患儿门诊随访6~18个月,均无复发,恢复良好。 结论对脓胸患儿进行术前及术后心理、疼痛、呼吸道及康复等综合护理干预,利于其术后康复。这对安全有效地开展胸腔镜手术具有重要的临床意义。

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  • Experience in Nursing of Congenital Intestinal Atresia in Neonates

    目的:探讨新生儿先天性肠闭锁患儿在围手术期间的护理措施。方法:分析26例新生儿先天性肠闭锁患儿术前、术后护理措施。结果:本组患儿除1例术后放弃治疗,5例术后因新生儿肺炎转入新生儿科继续治疗外,其余20例均痊愈,平均住院日为10天。结论:对本组患儿通过术前积极保暖,有效的胃肠减压,静脉补液,纠正水、电解质紊乱;术后采取加强气道湿化,胸部物理疗法等措施进行呼吸道管理,严格执行消毒隔离制度,预防感染,合理肠内联合肠外营养支持等护理措施,减少并发症的发生,提高了患儿的生存质量。

    Release date:2016-09-08 10:14 Export PDF Favorites Scan
  • 教学进度计划表在儿外科规范化护士培训中的应用

    【摘要】 目的 讨论提高规范化护士专科知识与技能的教学培训方法。 方法 2008年1月-2011年3月采用自制教学进度调查表,对在入科轮转的69名规范化护士进行儿外科护理知识技能了解,并制定个体化教学计划,提高教学培训质量。 结果 学员满意度达91.4%、下一轮转科室老师对学员工作质量满意度达84.9%,规范化培训满意度明显提高。 结论 有计划、有针对性的培训方案可为临床培养出具有较强实际工作能力、扎实专业知识和过硬技术水平的护理人才。

    Release date:2016-09-08 09:26 Export PDF Favorites Scan
  • Perioperative Nursing for Children with Extensive Skin Avulsion Injury in Lower Limbs Treated by Vacuum Sealing Drainage

    ObjectiveTo discuss nursing measures and experiences for children with extensive skin avulsion injury of lower limbs treated by vacuum sealing drainage (VSD). MethodsWe reviewed the perioperative nursing data of 48 child patients with extensive skin avulsion injury in lower limbs who underwent VSD treatment between December 2010 to October 2012. And the data were compared with those for 56 children with the same disease and treatment between January 2007 and November 2010. ResultsIn these 48 children, 19 received once, 23 received twice, and 6 received 3 times of vacuum sealing drainage. During the treatment, 5 drainage tubes were blocked and were solved with normal saline, and 3 drainage tubes had leakage and two of them were reconnected and the other one became normal after changing the dressing. For VSD, the time between being wounded and skin-grafting was 13.6 days, and the average hospitalization time was 24.3 days. Compared with the traditional method group, children in the VSD group had fewer drug changes during hospitalization, lower infection rate, and shorter hospitalization stay, and the differences were significant (P<0.05). ConclusionKeeping drainage tube airtight, normal and effective is as important as nutrition and mental nursing in the treatment of children's extensive skin avulsion injury in lower limbs, which can decrease infection rate, reduce average hospitalization time, and increase operative efficacy.

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  • Investigation of Caregivers' Self-nursing Ability for Children with Peripherally Inserted Central Catheter

    ObjectiveTo investigate the knowledge and need of caregivers who perform self-nursing for children with peripherally inserted central catheter (PICC), in order to provide evidence for health education for children in-patients and children discharged from hospital with central venous catheter. MethodsSelf-designed questionnaire was used to investigate 364 caregivers who performed nursing for 162 PICC pediatric in-patients bwtween December 2013 and July 2015. The investigation was carried out on the general information, nursing knowledge, and the acquisition approach of caregivers' existing nursing knowledge. ResultsThe majority of indwelling PICC pediatric caregivers were elderly people, and the common care model was alternate caring carried out by core family members. The children were cared by the elderly in 59 families (36.42%). Twenty-one families had the parents of the children as the major caregivers (12.96%), and alternate caring by parents and the elderly happened in 82 families (50.62%). The total score of the investigation was ranged from 5 to 29 with an average of 11.37±5.68. Nineteen children were discharged with catheter, whose caregivers got a score from 6 to 11, averaging 8.41±4.33. ConclusionThe ratio of self-nursing knowledge in caregivers for pediatric PICC patients is generally low, especially in those caregivers for patients discharged with central venous catheter. Nursing administrators should pay attention to training of the nurses, trying to improve the knowledge of nurses on PICC health education. Different forms of health education should be carried out for different caregivers. Finally, health education model should also be continuously improved to raise the quality of PICC pediatric nursing.

    Release date:2016-11-23 05:46 Export PDF Favorites Scan
  • 小儿尿道下裂术后疼痛护理的研究现状

    尿道下裂是男性泌尿生殖系统常见的畸形之一,而手术是目前治疗先天性尿道下裂唯一有效的方法,但手术在治疗患儿尿道下裂的同时也带来了疼痛问题,给患儿带来极大的痛苦。为提高护理人员对小儿尿道下裂术后疼痛现状的认知,针对性地开展护理、科研工作,该文从小儿尿道下裂术后疼痛调查现状、影响因素、导致的后果、治疗护理现状及存在的问题、家长参与疼痛管理等方面作一综述。

    Release date:2017-12-25 06:02 Export PDF Favorites Scan
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