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find Author "左建容" 14 results
  • 护患沟通的研究现状和进展

    Release date:2016-08-26 03:57 Export PDF Favorites Scan
  • Observation of Combined Rehabilitation Intervention in Preventing Deep Venous Thrombosis in Hip Fracture Patients Owing to Earthquake

    目的:评价综合康复措施对预防地震髋部骨折伤员深静脉血栓形成的作用。方法:按深静脉血栓形成的高危因素对195例地震髋部骨折伤员进行分级评估,并针对性实施综合康复措施,观察深静脉血栓的症状和体征,了解深静脉血栓的发生情况。结果:地震髋部骨折伤员应用综合康复措施后,尚未发现下肢深静脉血栓形成的病例。结论:综合康复措施能有效地预防地震髋部骨折伤员深静脉血栓的形成。

    Release date:2016-08-26 03:57 Export PDF Favorites Scan
  • Effect of Affected Limb’s Function Caused by Postoperative Early Rehabilitative Nursing after Implanting Modular Hemipelvic Prosthesis

    目的:探讨术后早期康复护理干预对骨盆恶性肿瘤半骨盆切除、组合式半骨盆+全髋关节置换术后的患肢功能的影响。方法:从2004年9月至2007年5月采用半骨盆切除、组合式半骨盆假体+全髋关节置换术治疗骨盆恶性骨肿瘤8例。其中软骨肉瘤4例,平滑肌肉瘤2例,骨肉瘤1例,恶性骨巨细胞瘤1例。外科分期:ⅠB期6例,ⅡB期2例。术后根据肿瘤切除范围、人工假体置换术后稳定性和骨盆髋周动力肌修复后的平衡程度,决定术后患肢体位、患髋活动范围、是否使用髋部支具;同时指导患者分阶段、渐进地进行患肢足踝、膝、髋关节的主被动训练,以及下床负重时间和步态调整。结果:随访10~32个月,平均15月。1例术后16个月死于恶性肿瘤扩散转移,7例存活。术后8个月患肢功能评定:优2例,良6例。ISOLS评分:15~26分,平均19.47分。结论:①对骨盆恶性骨肿瘤患者积极进行术后早期康复护理干预能有效的防止人工髋关节早期脱位;②患肢各关节分阶段有序的主动康复护理训练能提高骨盆和髋周肌肉肌力及其平衡度,对维持术后患者行走和步态的稳定有重要意义。

    Release date:2016-08-26 03:57 Export PDF Favorites Scan
  • 肘关节恐怖三联征的术后护理

    目的:探索肘关节恐怖三联征的术后护理要点。方法:对我科收治的15名肘关节恐怖三联征行手术治疗的患者施行全面的术后护理,并进行6个月~ 4年的随访。结果:患者骨折均愈合,肘关节稳定,功能恢复满意,患者生活质量满意度高。结论:肘关节恐怖三联征患者经过手术治疗和术后的全面护理,对促进患者的肘关节功能康复、提高患者术后生活质量具有重要意义。

    Release date:2016-09-08 09:54 Export PDF Favorites Scan
  • 片状水凝胶治疗输液性静脉炎的效果观察

    目的探讨片状水凝胶敷料治疗输液性静脉炎的临床效果。 方法选择2012年3月-7月43例发生输液性静脉炎患者,局部使用德湿舒片状水凝胶敷料(德国保赫曼公司生产)治疗,观察使用敷料后12、24、48、72 h患者疼痛评分和局部静脉炎分级情况。 结果患者使用片状水凝胶敷料后,随时间推移其疼痛评分从治疗前的(7.20±1.34)分逐渐降低至72 h时的(2.10±0.44)分,静脉炎分级改善明显,差异均有统计学意义(P<0.05)。 结论片状水凝胶敷料能够缓解患者疼痛,有效治疗静脉炎,值得在临床推广应用。

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  • 疼痛关爱在膝关节周围骨肉瘤患者术后护理中的应用

    目的 探讨疼痛关爱对膝关节周围骨肉瘤关节置换患者的影响。 方法 将2010年3月-2012年6月收治的30例行膝关节置换术术后患者,随机分成对照组和试验组各15例,对照组采用常规止痛方法,而试验组采用疼痛关爱护理,观察比较两种护理方法的效果。 结果 试验组患者术后疼痛级别下降,住院治疗时间少于对照组,两组各项指标比较差异有统计学意义(P<0.05),疼痛关爱护理效果较好。 结论 实施疼痛关爱护理,可缓解患者疼痛,缩短平均住院日,值得临床推广。

    Release date:2016-09-07 02:33 Export PDF Favorites Scan
  • 骨科老年患者术后尿潴留护理干预及原因分析

    目的探讨骨科老年患者术后发生尿潴留的护理方法及原因。 方法对2012年3月-8月收治的314例老年患者,在围手术期采用各种针对性的干预措施,积极预防及减少术后尿潴留的发生,对术后发生尿潴留的老年患者,分别采用个体化的心理诱导、音乐诱导、热敷法、灌肠法等手段予以导尿护理。 结果34例患者术后发生尿潴留,发生率为10.83%。经各种护理措施干预,33例患者症状较快缓解,可自行排尿,另1例采用不保留导尿也逐渐恢复排尿功能。 结论对骨科老年患者采取针对性的护理干预措施,能有效降低术后尿潴留的发生。

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  • 大面积撕脱伤患者负压封闭引流效果的影响因素

    目的探讨影响负压封闭引流(VSD)治疗大面积皮肤撕脱伤患者效果的影响因素。 方法对2009年10月-2012年10月使用VSD治疗的大面积撕脱伤的120例患者进行分析,并讨论在引流过程中影响护理效果的因素。根据患者的临床治疗效果分为愈合组和不愈合组。由护士收集患者负压是否调节适当、引流装置是否漏气、引流是否通畅、引流管是否选择适当、分泌物是否堵塞、敷料是否干结变硬、创面局部是否感染、是否吸烟、有无全身基础疾病(如高血压、糖尿病、心肌梗死)、健康宣教的情况。通过相关分析和回归分析两种方法分析影响VSD效果的因素。 结果愈合组(痊愈+显效)88例(73.33%),不愈合组(好转+无效)32例(36.36%)。负压调节适当、引流装置不漏气、引流通畅、引流管选择适当、分泌物未堵塞、健康宣教与VSD效果有相关性(P<0.05)。 结论对于大面积撕脱伤患者负压调节是否适当作为一个独立的因素对VSD的疗效有决定性的作用;在护理过程中护理人员应密切观察装置是否漏气、分泌物是否堵塞和引流是否通畅、创面局部是否感染、敷料是否干结变硬等情况。

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  • Nursing of Non-healing Incision due to Allograft Rejection after Osteosarcoma Surgery

    ObjectiveTo reporte the nursing experience of non-healing incision due to allograft rejection after osteosarcoma surgery. MethodsOne patient with non-healing incision due to allograft rejection after osteosarcoma surgery treated in September 2013 was selected. The suitable moist healing dressings was chosen to control inflammation, prevent infection, manage exudation, promote the growth of granulation, protect the surrounding skin, shorten the dressing time and reduce the suffering of patients. ResultThe wound healed well after 65 days of dressing with the function of the right upper limb recovered. ConclusionThe moist healing dressing not only improved the quality of patient's life and increased the patient's confidence of overcoming the disease, but also made the patients more active to cooperate in the next treatment.

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  • Level Management Model in the Application of Nursing for Pressure Ulcers after Spinal Surgery

    ObjectiveTo explore the effect of level management model in the application of nursing for pressure ulcers after spinal surgery. MethodA total of 3 558 patients underwent spinal surgeries between January 2014 and September 2015 were selected. We established a level management model, confirmed the personnel responsibilities, strengthened the pressure ulcers risk assessment of new inpatients, and standardized the processes of reporting pressure sores. We carried out the level management model between January and June 2014, summarized experience and formed a system file between July and December 2014, applied to the clinical work after continuous improvement between January and September 2015. High risk of pressure ulcers reporting rate, incidence of high-risk pressure ulcers, and healing rate of pressure ulcers were compared at the various stages. ResultsThe reporting rate of pressure ulcers raised, the incidence of pressure ulcers increased and the curing rate decreased after continuous improvement (P<0.05). ConclusionsLevel management model may effectively improve the quality of the nursing for spinal pressure ulcers.

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