【摘要】 目的 探討125I粒子植入治療中晚期胰腺癌的臨床并發癥及相關護理措施。 方法 回顧分析2006年10月-2010年4月121例行125I粒子植入治療的胰腺癌患者的臨床治療及護理，采取積極有效的護理措施，預防及處理并發癥，促進患者康復。 結果 121例患者接受放射性125I粒子植入治療后，7例出現胰瘺，13例出現胃腸道反應，經對癥處理和精心護理后均治愈。 結論 125I粒子組織間植入近距離治療中晚期胰腺癌近期療效好、安全、副反應少，良好的護理對改善中晚期胰腺癌患者預后具有重要意義。【Abstract】 Objective To observe the complications in patients with middle and advanced pancreatic carcinoma due to treatment of 125I particle implantation, and the investigate the proper nursing methods. Methods The clinical data including the therapy and nursing methods for the complications in 121 patients with middle and advanced pancreatic carcinoma due to treatment of 125I particle implantation from October 2006 to October 2010 were retrospectively analyzed. The treatment and care for complication were analyzed. Results In the 121 patients who had been treated by 125I particle, pancreatic fistula occurred in seven, and severe gastrointestinal upset was found in 13. The patients with the complications recovered after postoperative treatment and nursing. Conclusion 125I particle implantation for patients with middle and advanced pancreatic carcinoma is effective and safe with a few side reactions; proper nursing is important to improve the prognosis.
ObjectiveTo explore the model of sharing appointments between medical inspection resources in medical alliance hospitals in the medical profession, in order to improve the utilization efficiency of medical inspection resources and patient satisfaction, and to promote the effective implementation of intelligent services in medical alliance hospitals. MethodsBy analyzing the medical process of medical inspection appointments, and organizing the inspection appointment resources of each hospital according to the actual business characteristics of each hospital of the medical alliance by the unified medical inspection appointment platform. Through the unified big data platform, the business collaboration between the medical alliance hospitals and the sharing and scheduling of medical inspection resources among the hospitals of the medical alliance are realized. ResultsThe construction and use of the medical alliance unified inspection platform has realized the sharing and utilization of inspection resources between hospitals in the medical alliance, which is convenient for patients to choose their own inspection resources across hospitals when making an appointment for inspection, and further improves patient satisfaction. ConclusionThe unified medical appointment platform unifies the management of the medical alliance's appointment examination resources, which can not only effectively improve the utilization efficiency of medical inspection appointment resources, but also expand the effective scope of patients' choice of medical inspection appointments, and at the same time improve patient satisfaction and promote the construction of hospital intelligent services.
ObjectivesTo survey the features of reservation bed and investigate the factors of hospital operation which may affect the patient loyalty of reservation bed in large general hospital. MethodsAll patients who reserved bed before July 2013 in hospital service center of a large general hospital were investigated by questionnaire in telephone and collected the basic data. Measurement index was designed to conclude the characteristics of patient loyalty of reservation bed in different departments. Multivariate statistical analysis was used to analyze the influence factors of patient loyalty. ResultsIn the large general hospital, significant difference was found in patient loyalty of reservation bed in different departments. The diversity was mainly impacted by average waiting time of admission, cancelling waiting length, loyalty of patient inside the province, average length of stay, readmission rate on the day of discharge. ConclusionLarge general hospital should pay more attention to dynamic monitoring and disclosure of supply and demand information of bed resources, to improve the management of beds resources and optimize reservation system, to elevate patient's loyalty of reservation bed in hospital.
Objective To probe into the influence of hospital-community seamless recovery mode on quality of life in schizophrenia patients. Methods Fifty-six patients with stable condition discharged from hospital in 2011 were recruited. All the patients accepted hospital-community seamless recovery mode based on rehabilitation inside the hospital. Personal and social performance scale (PSP) and family APGAR (adaptability, partnership, growth, affection, resolve) index were used to evaluate the change of social function and family APGAR index at the beginning of the study, 3 months and 6 months after this research. All the data were analyzed by SPSS 16.0 software. Results Scores of APGAR scale and PSP scale of patients 3 months and 6 months after rehabilitation training were significantly higher than those before the training (P<0.05). APGAR scale and PSP scale had positive correlation. As APGAR score increased, PSP score also increased (P<0.05). Conclusion Hospital-community seamless recovery mode can improve the quality of life and promote rehabilitation positively in patients with schizophrenia.
目的：調查規范化護士培訓質量，了解受訓護士對培訓工作的感受及需求。方法：采取自制問卷，分20個條目對接受規范化培訓的320名護士進行問卷調查。采用5級評分法進行質量評價。結果：醫院30個科室培訓質量平均得分為82.9分，在調查條目中得分最高的前三位分別是：科室護士長支持、臨床護理老師的專業基礎理論和專科護理理論方面(得分：4.48、4.44、4.34)。得分最低的后三位分別是：培訓科室其他護理老師的教學意識、臨床護理老師因材施教和帶教老師對學員工作的及時肯定(得分：3.55、3.75、3.88)。結論：醫院護士規范化培訓管理工作有待進一步完善和加強，護士規范化培訓對新進護理人員專業能力培養具有積極的促進作用。加強護理部對臨床科室護士培訓的規范化管理，強化科室護理人員教育意識和教學能力是保證科室規范化護士培訓質量的關鍵。