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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.

DEVELOPMENT OF AMNIOTIC FLUID-DERIVED STEM CELL

To review the latest development of amniotic fluid-derived stem cell(AFS) and to predict its future appl ication. Methods The recent articles about AFS were extensively reviewed. The origin, culture, identification, and directional differentiation as well as future appl ication of AFS were summarized and discussed. Results In 1993, AFS were thought to be exist possibly, and it was confirmed in recent years. AFS have some surface markers l ike other stem cells, and has multi-differentiated potential and extensive future appl ication in cell therapy and tissue engineering approaches. Conclusion As a new stem cell, AFS remains to be further researched.

Investigation on the Knowledge Demand among Family Caregivers for the Elderly

ObjectiveTo discuss the demands for nursing knowledge among family caregivers for elderly people, in order to provide a basis for nurses to provide effective education for these people. MethodsBetween May and June 2012, a questionnaire which contained the condition of demands for nursing knowledge and the burden of care was used to investigate 1 600 family caregivers for the elderly people. ResultsThe caregivers had a demand for nursing knowledge, which may include the knowledge on medicine, disease and caregiving. The demand for knowledge was correlated with relationship between the caregivers and care recipients, health condition of the caregivers and care burden. ConclusionThe demands for nursing knowledge are higher in those who have spouse and high burden of care, without disease and symptom; we should pay more attention on them and take measures to reduce their burden of care.

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。

i-STAT便携式血气分析仪在连续性肾脏替代治疗中的应用

目的　讨论i-STAT便携式血气分析仪在连续性肾脏替代治疗（CRRT）中的应用。 方法　2012年2月－5月，对92例行CRRT治疗患者采用i-STAT便携式血气分析仪监测分析治疗中各参数变化并及时予以调整。 结果　92例患者治疗中酸碱及电解质的失衡得到及时调整，无意外情况发生。 结论　i-STAT便携式血气分析仪在CRRT治疗中能较好的监测患者的血气及电解质，确保CRRT的安全完成。

一种多腔气管导管介绍

门诊乳腺科患者知识问卷调查分析及对策

目的:了解门诊乳腺科患者对乳腺疾病相关知识的知晓率及心理状态,以便在护理工作中为患者做针对性的护理指导。方法:面对面调查法,患者自愿的方式。结果:428例患者中,272例(63%)不知道乳腺疾病相关知识,377例(88%)患者不知道乳腺自我保健,355例(83%)患者不知道乳腺自查的方法及时间;正常心态仅63例(15%),85%的患者存在焦虑、烦躁、恐惧等负性心理,且多数为复合心态。结论:在门诊护理工作中,对门诊乳腺科患者进行乳腺疾病预防保健指导,以提高患者其知识知晓率,减轻患者的负性心理十分必要。

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。