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find Author "刁永书" 36 results
  • 连续性肾脏替代治疗护士交接班特点与方法

    【摘要】 目的 总结连续性肾脏替代治疗(continuous renal replacement therapy,CRRT)专业护士交接班的特点及重要性,以规范交接班制度,完善交接班内容。 方法 针对CRRT治疗地点的分散性、治疗时间及患者人数不确定性等因素,建立起符合CRRT专业护士的交接班内容与方法。 结果 交接班方法推行以来,从未发生过因交接班不规范而导致治疗事故和护理差错,有效的保证了CRRT的护理质量及工作连续性。 结论 严谨细致的CRRT专业护士交接班方法是患者治疗安全的可靠保证。

    Release date:2016-09-08 09:24 Export PDF Favorites Scan
  • 常用药物的配伍禁忌及预防措施

    Release date:2016-09-08 09:56 Export PDF Favorites Scan
  • 两种健康教育方式对肾穿刺活体组织检查术后患者的影响

    目的探讨两种健康教育方式对接受肾穿刺活体组织检查(活检)术患者术后康复及并发症预防的影响。 方法将2013年1月-8月的100例行肾穿刺活检患者随机分为2组,干预组采用以人为本、因人施教的健康教育方式,对照组采用集体授课式的健康教育方式。比较两组患者肾穿刺术后肉眼血尿和尿潴留发生率、穿刺配合度、穿刺成功率和患者满意度。 结果干预组肉眼血尿及尿潴留的发生率分别为2.0%和4.0%,低于对照组的8.0%和16.0%,尿潴留发生率差异有统计学意义(P<0.05)。干预组的穿刺配合度、穿刺成功率和患者满意度均高于对照组,差异有统计学意义(P<0.05)。 结论科学的个体化实施健康教育对促进患者的康复及预防并发症起到了积极的促进作用,达到了良好的教育效果,提高了护理质量。

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  • 肾移植术后患者睡眠紊乱的原因及护理

    目的:探讨肾移植术后患者睡眠紊乱的原因,以期提出改善肾移植患者睡眠质量的措施。方法:观察四川大学华西医院第三综合病房61例肾移植术后患者睡眠紊乱的特征,分析引起睡眠紊乱的原因。结果:61例肾移植患者术后有56例患者出现不同程度的睡眠紊乱,占总数的91.8%。护理:通过采取心理护理、缓解疼痛、用药及活动指导,纠正睡眠紊乱。结论:肾移植术后患者容易发生睡眠紊乱,护士应采取有效措施纠正睡眠紊乱,促进患者早日康复。

    Release date:2016-09-08 09:56 Export PDF Favorites Scan
  • SELFRENEWAL SIGNALING PATHWAY AND CULTURE SYSTEM IN VITRO OF EMBRYONIC STEM CELLS

    Objective To review the latest development of the research on the selfrenwal signaling pathway and culture system in vitro of the embryonic stem cells(ESCs). Methods The recent articlesabout the selfrenewal signaling pathway and culture system in vitro of the ESCs were extensively reviewed. Results Understanding of the molecular mechanism of the selfrenewalin vitro and pluripotency of the ESCs was considered important for developing improved methods of deriving, culturing and differentiating these cells into the cells that could be successfully used in the clinical practice. Conclusion A further research is needed to elucidate the selfrenewal signaling pathway and the pluripotency of the ESCs and the culture systemin vitro forthe human ESCs remains to be further improved and developed.

    Release date:2016-09-01 09:22 Export PDF Favorites Scan
  • 内瘘切口脂肪液化致内瘘破裂出血、瘘闭一例

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  • Analysis of Nutritional Status in Patients with Chronic Kidney Disease from Stage 1 to 4

    ObjectiveTo collect the nutrition data in patients with chronic kidney disease (CKD) from stage 1 to 4 and provide the basis for further intervention by analyzing the specific problems of the patients. MethodsA total of 132 CKD patients from stage 1 to 4 were enrolled between December 2012 and December 2013. Nutritionists used inbodyS10ww as a body composition analyzer to test the patients. The data from inbodyS10ww and laboratory indexes were analyzed on marasmus, overweight and obesity, risk of malnutrition, malnutrition, anemia and hypoalbuminemia. ResultsThe percentage of marasmus in those CKD patients was 3.0%, overweight and obesity was 39.4%, the risk of malnutrition was 22.7%, malnutrition was 19.7%, anemia was 34.1%, and hypoalbuminemia was 9.8%. ConclusionOur search shows that combining the application of anthropometry and laboratory indexes can evaluate the nutritional status of patients with CKD. The most common nutritional problems in CKD patients include malnutrition, overweight and obesity, risk of malnutrition, and anemia. As for hypoalbuminemia, it is low in early CKD patients.

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  • Observation of the Effect of Quality Control Circle Activities on the Management of Ward Drugs

    ObjectiveTo explore the effect of quality control circle (QCC) on the management of hospital medication. MethodsAccording to the existing problems between December 2013 and January 2014, we put forward a series of continuous improvement plans, strengthened the nurses training, and intensified the supervision methods from February to May 2014. ResultsAfter the implementation of QCC, the incidence of leakage from drugs significantly decreased from 15.8% to 0.0%; the nurse-related drug management knowledge rate increased from 64.1% to 92.3%. Withdrawal process execution rate increased from 71.8% to 100.0%, and the difference was statistically significant (P<0.05) from February to May 2014. ConclusionQCC activity improves the hospital medication management, increases the nurses' sense of responsibility, and ensures the medical security of hospitalized patients.

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  • 肾移植患者术后感染带状疱疹病毒护理1例

    总结1例肾移植患者术后感染带状疱疹病毒的护理。采用以下护理措施:严格消毒隔离措施,密切观察疱疹变化情况以及有无排斥反应,保持皮肤清洁干燥,观察有无其它致命并发症和加强人文关怀等。经过精心的治疗和护理,患者病情好转,安全渡过肾移植术后危险期。

    Release date:2016-09-08 09:56 Export PDF Favorites Scan
  • 溃疡贴粉治疗急性放射性湿性皮炎的护理体会

    观察康惠尔溃疡贴、粉治疗急性放射性湿性皮炎的效果。方法:应用康惠尔溃疡贴、粉治疗急性放射性湿性皮肤炎,按严格无菌原则用消毒液消毒创面周围皮肤,用生理盐水清洗局部损伤创面,彻底清除局部坏死组织和脓性分泌物后,将康惠尔粉末薄薄地均匀地撒在局部创面上,选择大于创面的康惠尔溃疡贴外敷创面,通过观察溃疡贴的颜色决定换药次数。同时加强健康教育和护理。结果:本组病例10 例36 处创面均痊愈,最短时间为3 天,最长时间为21 天,平均愈合时间为13 天。结论:康惠尔溃疡贴、粉用于治疗急性放射性湿性皮炎,体现了伤口湿性愈合新理念,能有效治疗急性放射性湿性皮炎。比传统换药方法更方便,减轻了患者痛苦,缩短了伤口愈合的时间。

    Release date:2016-09-08 09:54 Export PDF Favorites Scan
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