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Effect of Precise Management on Life-saving Equipment Management in Surgical Intensive Care Unit

ObjectiveTo explore the effect of precise management on life-saving equipment management in Surgical Intensive Care Unit (SICU). MethodsWe actualized precise management in the life-saving equipment management process in March 2014, including precise management control system, precise personnel training, and precise process management. ResultsAfter precise management, the knowledgement of life-saving equipment of the nurses increased from 90.2% (May, 2014) to 98.5%. The number of equipments repaired before (March-May, 2014) and after the management (June-August, 2014) was 65 and 47, respectively; the number of nonstandard management times in nurses after the equipments were used was 98 and 10, respectively. ConclusionPrecise management can drastically improve management efficiency, serviceability rate and service efficiency of life-saving equipment, obviously enhancing the degree of familiarity and using skills of clinical nurses, and ensuring quick and smooth emergency work. It plays an active role in securing severe patients' life.

弹力胶布联合透明敷贴二次固定对鼻饲管固定效果的影响

目的探讨弹力胶布联合透明敷贴二次固定对于强化鼻饲管固定效果的影响。 方法选取2014年5月－9月符合纳入标准的120例患者，按照入院的先后顺序依次分入对照组和试验组，每组各60例。对照组鼻饲管采用普通医用粘性胶布固定；试验组鼻饲管采用弹力胶布联合透明敷贴二次固定。比较两组患者鼻饲管脱管情况，以及两组患者对于不同鼻饲管固定方法的满意度。 结果试验组鼻饲管脱管例数明显少于对照组，差异有统计学意义（P＜0.05）。试验组患者对于鼻饲管固定方法的满意度明显高于对照组，差异有统计学意义（P＜0.05）。 结论危重症患者使用弹力胶布联合透明敷贴二次固定可大大降低鼻饲管脱落率，有利于保证肠内营养的安全，其次；弹力胶布联合透明敷贴二次固定鼻饲管的方法舒适美观大方，患者满意度大大提高，值得临床推广应用。

Present Situation of Psychological Pressure in Intensive Care Unit Nurses

ObjectiveTo explore the psychological pressure in Intensive Care Unit (ICU) nurses and the sources of their pressure. MethodWe investigated the ICU nurses in West China Hospital with a self-designed psychological pressure questionnaire from March to September 2013. ResultsThe total stress level of ICU nurses was 2.89±0.86. The top five sources were low salaries and welfare benefits (3.37±0.61), high frequency of night work (3.31±0.88), wide need of knowledge (3.22±0.41), heavy workload (3.20±0.80) and chronic fatigue syndrome (3.19±0.75). ConclusionsGreat psychological pressure exists in ICU nurses. We urgently need effective approaches to relieve the stress of ICU nurses in order to improve the efficiency and quality of nursing service.

钠钾镁钙葡葡糖注射液与埃索美拉唑钠存在配伍禁忌

Effects of Comprehensive Nursing Intervention to Prevent Multi-drug Resistant Infections of Patients in Intensive Care Unit

ObjectiveTo confirm the effect of comprehensive prevention and care measures in reducing the incidence of multi-drug resistance in Intensive Care Unit (ICU) patients. MethodFrom March 1 to August 31 in 2014, we took routine measures to prevent multi-drug-resistant infections in ICU patients, and from September 1 in 2014 to February 28 in 2015, We added a series of comprehensive prevention measures to prevent multi-drug resistant infections including focus on isolation, temperature control of the ward, ward disinfection, quality improvement of basic care, standardized management and disinfection of equipments in ICU. Finally, we compared the detection rate of multi-drug resistant patients before and after the comprehensive nursing intervention. ResultsAfter taking comprehensive care interventions and a six-month monitoring, the detection rate of multi-resistant bacteria occurred in 11.87‰ of the patients. Compared with the previous six months, the detection rate dropped from 16.64‰ to 11.87‰ with a significant difference (χ2=6.346,P=0.012). ConclusionsComprehensive nursing intervention measures taken by the ICU department can effectively reduce multi-drug resistant infections in ICU patients.

信息化管理在优质护理服务中的应用效果分析

目的 探讨信息化管理在护理服务中的应用效果，为临床护理信息化管理提供参考。 方法 分析2012年1月－12月（采用信息化管理前）与2013年1月－12月（采用信息化管理后）护理服务质量的变化情况。 结果 采用信息化管理后基础护理操作合格率、护理文书书写合格率、专科专项技术操作合格率均明显升高，差异有统计学意义（P＜0.05）；实施信息化管理后患者对住院病房、护理服务技术、护理服务态度、健康宣传教育等满意度也明显提高，差异有统计学意义（P＜0.05）。 结论 采用信息化管理能明显提高护理服务质量，有利于为患者提供更好地护理服务。

多功能肠内营养泵用于重症监护病房危重患者鼻饲的临床效果观察

目的探讨多功能肠内营养泵对鼻饲管堵管率以及冲洗鼻饲管护理时间的影响。 方法将2013年7月－12月收治的危重症并行肠内营养患者100例按入重症监护病房的先后顺序依次分入试验组和对照组，对照组选取普通输液泵鼻饲，试验组选取多功能肠内营养泵鼻饲，比较两组患者鼻饲管堵管率、鼻饲管冲洗花费的护理时间。 结果试验组与对照组分别发生鼻饲管堵管2例（4%）和14例（28%），两组比较差异有统计学意义（χ2=10.714，P=0.001）；试验组冲洗鼻饲管无需占用护理人员时间，而对照组则需花费（20.78±1.88）s。 结论多功能肠内营养泵能降低鼻饲管堵管率，可减少冲洗鼻饲管的护理时间。

品管圈活动在降低外科重症监护高危患者压疮发生率中的作用

目的　探讨品管圈活动在降低外科重症监护（SICU）高危患者压疮发生率中的作用。 方法　2011年11月起成立品管圈小组，确立以“降低SICU高危患者压疮发生率”为活动主题，通过制定相关制度和改进护理措施，加大对压疮高危患者的护理预防力度，并对活动前后A、B两组共100例患者的压疮发生情况进行对比分析。 结果　高危患者压疮发生率由7.6%下降到2.0%。 结论　品管圈活动在降低SICU高危患者压疮发生率中的效果明显，值得推广。

经口气管插管固定器的设计

超声电导透皮给药对结肠癌患者术后肠功能恢复的影响研究

目的　观察比较超声电导药物透入治疗对结肠癌患者术后肠道功能恢复的影响。 方法　对2010年10月－2011年10月择期行结肠癌根治术的患者100例，按照手术的先后顺序，分为试验组和对照组各50例，对照组行常规治疗和早期康复锻炼，试验组在行常规治疗和早期常规康复锻炼的基础上使用超声电导药物透入治疗2次/d，每次30 min。观察两组患者术后肠鸣音恢复时间、肛门排气时间、排便时间及术后住院天数。 结果　试验组患者术后首次肛门排气、排便时间早于对照组，术后住院天数短于对照组，差异均有统计学意义（P＜0.05）。 结论　结肠癌患者术后采用超声电导药物透入治疗，可促进患者肠道功能的恢复，加速患者康复。