通過分析護理研究生在我院近5年撰寫的科研項目申報書、中標與參與課題研究、在國內外學術期刊論文的發表、協助指導論文和參與國內外學術交流活動的情況,從而探討護理研究生在醫院臨床科研工作中的角色和作用。
Periwound skin, as an indicator of the wound healing monitoring process, is one of the most important components of wound management. Effective management of periwound skin is a major professional challenge. In practice, healthcare professionals usually focus on the wound site and pay little attention to the periwound skin. Inappropriate management of periwound skin will delay the wound healing process, increase the economic costs of the patients, and decrease the patients’ satisfaction with medical care. This article summarizes the clinical symptoms, assessment tools, and management strategies of periwound skin, aiming to provide new ideas and references for clinical wound management.
In recent years, the widespread use of medical devices has led to the increasing frequency of device related pressure injuries (DRPI), which seriously affects the quality of life of patients and increases the burden on the healthcare system. The management model of DRPI has become an effective means of coping. This article reviews the application status of the care bundles model, SSKIN clinical management model, SECURE clinical management model in the prevention of DRPI. According to the characteristics of different management models, the key steps of implementation are given, aiming to provide a reference for exploring the prevention and management model of DRPI suitable for China’s national conditions.
目的 提高胸心血管外科患者ICU轉出交接班質量，避免護理差錯和糾紛。 方法 2010年1月－6月，針對患者轉運出現的問題，在查閱文獻及專家咨詢的情況下，設計制定胸心血管外科ICU患者轉出交接單，對患者轉出ICU時的病情、用藥、并發癥等信息進行完善，同時規范交接班簽字手續。采用調查問卷方式，對交接單運用效果進行評價。 結果 轉出交接單的應用，提高了病房護士對ICU護士交接班質量滿意度，除“醫囑單正確執行”、“簽字和藥物交接班清楚”與運用前滿意程度無差異外，其余條目滿意程度均有所增加，增加率波動在3.7%～33.4%。 結論 轉出交接單使用能夠提高ICU患者術后轉運交接質量，預防護理差錯和糾紛，確保證患者安全。
In recent years, the rapid development of information and communication technology, big data, and artificial intelligence has provided technical support for exploring new medical methods, leading to the emergence of digital therapeutics (DTx). At present, the application of DTx in orthopedics is still in the preliminary exploration stage. Therefore, based on the authors’ experience of applying DTx, this article summarizes the definition and formation process of DTx, as well as the relationship among digital health, digital medicine, and DTx, evaluates the working principles and application effects of existing orthopedic related DTx products, analyzes their shortcomings in the application process, and looks forward to their future development trends, aiming to lay a foundation for the comprehensive development and application of DTx in orthopedics.
Enhanced recovery after surgery (ERAS) has been carried out in many surgical fields such as orthopedics, galactophore, cardiothoracic surgery, gastrointestinal surgery, and obstetrics due to its standardized perioperative management process to reduce surgical stress and reduce surgical complications. After more than a decade of development, ERAS has achieved initial results. However, in China, the development of ERAS in orthopedic is still in its infancy. Most of the researches focus on the multidisciplinary management path of perioperative period. How to break through the existing bottlenecks is the key to accelerate the further development of rehabilitation. Therefore, this paper introduces the origin and development of ERAS, analyzes the challenges and opportunities of orthopedic ERAS in clinical advancement, proposes the important measures to promote the accelerated development of orthopedics, and provides new ideas for promoting the in-depth development of orthopedics accelerated rehabilitation.
目的 探討心臟機械瓣膜置換術后患者出院指導的綜合方法，評價其效果。 方法 將2010年9月－2011年1月242例心臟機械瓣膜置換術患者按入院先后順序隨機分成試驗組和對照組。試驗組患者采用綜合出院指導方案，對照組采用常規宣教方法，在6個月后對兩組患者進行調查，評價綜合指導方案的效果，并進行統計學分析。 結果 試驗組患者均未出現不良并發癥，對照組有1例出院后未遵醫囑服藥及定期復查，死于血管栓塞；有2例出現血管栓塞，2例牙齦出血，經及時治療后好轉。 結論 對心臟機械瓣膜置換術患者出院時，發放健康教育資料及定期隨訪指導的綜合出院指導方案，可以降低術后并發癥，提高患者認知水平和滿意度，幫助患者提高依從性，提高生存質量。
目的:了解汶川地震老年傷員存在的身體結構與功能受損程度及活動、參與能力受限程度,明確其康復護理需求。方法:方便抽樣的方法選取研究對象,采用自行設計的調查表由康復醫師在征得其同意后對其完成資料的收集。結果:共選取研究對象40名。傷員存在多系統多器官的結構和功能受損,存在呼吸道感染者4例(10%),截肢者2例(5%),顱腦損傷導致癱瘓者1例(2.5%),骨折者28例(70%)。傷后早期即出現運動功能的下降,26例(65%)患者存在關節活動受限,26例(65%)肌力下降。疼痛是需要解決的一個重要問題,19例(47.5%)患者存在不同程度的疼痛問題。傷后老年傷員日常活動生活能力下降,生活能基本自理者僅13例(32.5%);參與能力受限也是一個不容忽視的問題,職業能力受限者36例(90%),休閑娛樂能力受限者33例(82.5%),社交能力受限者25例(62.5%)。結論:老年傷員的康復現狀不容樂觀,應該引起重視,康復治療需要及早進行。
Objective To summarize the application progress of surface electromyography (sEMG) and surface electromygraphic biofeedback (sEMGBF) in low back pain (LBP). Methods The related literature about the application of sEMG and sEMGBF in diagnosis and therapy of LBP was summarized and analyzed. Results As a auxiliary diagnostic technique, lumbar muscle fatigue, lumbar muscle activity disorder, flexion-relaxation phenomenon, and asymmetry of the paravertebral muscle electromygraphic activity were found in patients with LBP by sEMG. For treatment, sEMG combined with sEMGBF technology to form sEMGBF training. sEMGBF training include sEMGBF training and sEMGBF stretching exercise. sEMGBF training can improve lumbar muscle activity disorder, recover muscle function, and relieve back pain. Conclusion sEMG can monitor the electromyographic signal and sEMGBF biofeedback information can relax or strengthen the muscle. It is very meaningful for diagnosis and therapy of LBP.
Cancer is a disease that incidence rate, disability rate and mortality rate are high all over the world. It brings great physical and mental pain to patients. Cancer patients are in a life-threatening state of disease for a long time, which will produce fear of progression (FoP). FoP is a psychological state in which fear of disease may recur or progress. As early as the 1980s, foreign countries began the psychological research on the FoP of cancer patients. They found that this fear really exists in cancer patients and is affected by many factors. This paper reviews the concept of FoP and the related factors affecting FoP in cancer patients. The purpose is to provide reference for clinical early evaluation and reducing the FoP of cancer patients and formulating corresponding nursing measures.