目的 讨论甲状腺患者围手术期护理措施及经验。 方法 对2004年6月－2012年12月收治的171例甲状腺手术患者的围手术期护理方法进行回顾性分析，并就护理要点进行经验总结。 结果 171例甲状腺手术患者均获治愈。术后并发症发生率1.8%～9.9%，包括切口内出血16例（9.9%），甲状腺机能减退11例（6.4%），单侧喉返神经损伤5例（2.9%），术后呼吸困难和窒息4例（2.3%），甲状腺危象4例（2.3%），喉上神经损伤3例（1.8%）。经及时对症处理，并发症得到有效控制，预后良好。 结论 术前细致的准备、术中积极的配合、术后密切观察并及早发现并发症、恰当处置，同时强化对患者的健康教育，对提高甲状腺围手术期护理质量与改善患者预后具有重要意义。
【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.
目的 探讨优质护理服务在妇科临床护理路径（CNP）实施中的应用效果。 方法 2010年4月－2011年4月纳入妇科CNP的住院患者中随机抽取150例，并选择同期病区全部17名护士作为对照组；在2011年5月－12月纳入妇科CNP并实施优质护理服务的住院患者中随机抽取150例，并选择同期病区全部22名护士作为试验组。比较两组患者疾病相关知识知晓率、患者及护士工作满意率、平均住院日的差异。 结果 试验组患者疾病相关知识知晓率、患者及护士满意率优于对照组，且平均住院日明显缩短。 结论 优质护理服务应用于改进CNP管理质量，可提高患者疾病相关知识知晓率和护患满意率，缩短住院时间，减轻医疗负担，有利于CNP的实施。
Objective To explore the application effects of nursing quality control mode based on nurse satisfaction. Methods A total of 226 nurses in 12 nursing units were selected from December 2013 to June in 2014 as the study subjects. Then, we compared the nurse satisfaction, patient satisfaction, and the effect of nursing quality control before and after the implementation of quality control mode in which nurses participated actively. Results After a half-year practice of nursing quality mode, all the investigation items of the project were significantly different from those before the mode application (P>0.05), except Q1, Q2, Q8, and Q10 in the nurse satisfaction questionnaire, q1, q2, q3, q4, and q14 in the patient satisfaction questionnaire, and quality of emergency management in the nursing quality control section. Conclusion Application of nursing quality control mode can fully mobilize the enthusiasm of nurses, improve nurse satisfaction and the effect of nursing quality management, which has a high value of application in clinical nursing management.
【摘要】 目的 总结开展“优质护理服务示范工程活动”以来，护士满意度提高的原因与经验。 方法 分别于2010年1月和11月采用一般情况调查表及明尼苏达工作满意度问卷短式量表调查干部/老年科的护士在开展“优质护理服务示范工程活动”前后的工作满意度。 结果 开展“优质护理服务示范工程活动”1年以来，护士的内在满意度上升了35.27%，外在满意度上升了29.25%，一般满意度上升了27%。 结论 干部/老年科通过提高护士对各岗位的价值与责任的认可，科学规划护士的职业生涯，完善科室文化建设、薪酬与激励机制使护士的职业成就感、自身价值满意度均有不同程度提高。【Abstract】 Objective To summarize the reasons and experience of enhancing nurse′s satisfaction after improving the “high-quality nursing services”. Methods A general questionnaire and Minnesota Satisfaction Questionnaire (MSQ) were used to investigate satisfactions of nurses working at the senior leader/ person′s wards before and after improving the activity on “high-quality nursing service”. Results One year later, the inner satisfactions of participates increased 35.27%, the outer satisfactions increased 29.25%, and the general satisfactions increased 27%. Conclusion Nurse′s professional achievability and the satisfaction on self-value increase after enhancing professional value and responsibility of nurse, planning reasonably professional career of nurse, and perfecting culture construction, and the salary and encourage mechanism.