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Attribution Analysis and Management of Nursing Quality Control

目的　探讨提高临床护理质量的管理方法。 方法　利用归因理论，对2009年12月－2010年11月护理部3级综合质量检查、午夜间及节假日2级护理质量检查、科室1级护理质量自查存在的128项问题进行回顾性归因分析。 结果　危重患者护理、病房规范化管理、5年内护士、午间时段为扣分项目多发点。 结论　护理人力资源合理配置、质控归因分析会、低年资护士培训、抓重点时间段、注重人性化管理等有望改变现状。

膝关节镜手术后的功能康复护理

【摘要】目的 探讨膝关节镜手术后的康复治疗计划及其在临床康复中的可行性。方法 对2007年11月-2008年11月收治的450例行膝关节镜手术患者,实施针对性的康复功能训练计划,并辅之心理护理和疾病知识宣教。结果 平均随访10个月,术前症状消失,关节稳定性明显改善,关节活动度正常。结论 膝关节镜术后康复护理可有效地防止术后并发症,临床效果满意，是保证膝关节功能康复的重要措施。

全髋关节置换术后急性假性结肠梗阻一例护理

目的 探讨妥善处理人工全髋关节置换术后急性假性结肠梗阻的护理经验。 方法 2009年6月25日收治左侧人工全髋关节置换术后并发急性假性结肠梗阻的患者一例。结合患者自身情况，注重个体化护理要求，针对患者术后并发急性假性结肠梗阻给予特殊护理。 结果 通过及时妥善的病情观察、对症治疗和精心护理，确保了人工全髋关节置换术后的患者全身状况的平稳恢复，避免了不良后果的发生。 结论 正确及时地处理人工全髋关节置换术后急性假性结肠梗阻，精心细致的护理是防止患者发生不良后果、确保手术成功和患者顺利恢复的关键。

警惕长程视频脑电监测中的安全问题　　—附 4 例病例

Study on the Fixation Methods of Scalp Electrodes for Long-range Video Electroencephalogram in Female Patients with Epilepsy

ObjectiveTo find out the most appropriate way to fix scalp electrodes for long-range video electroencephalogram on female patients. MethodsA total of 50 female patients with epilepsy who underment video electroencephalogram between May 2011 and May 2013 were divided into tonsure group, collodion group, and improvement group, with 40 patients in each group. Differences among three methods of fixation were observed and a questionnaire survey on satisfaction of patients and medical staff was conducted. ResultsWe found that the modified-method cost less time, caused less pain during electrode removal, required fewer procedures for nurses and was more acceptable by patients. ConclusionWe recommend the modified-method for female patients unless they are limited by some special conditions.

Quality management of long-term video-EEG monitoring process

ObjectiveTo summarize the method of quality management in long term video electroencephalogram (VEEG) monitoring process.MethodsTo summarize the VEEG monitoring process in 4 935 patients, the following methods were adopted: adequate preparation before examination, selection of suitable electrode wearing methods, regular inspection of the quality of the lead wire, inspection and observation of whether the electrodes have fallen off, process inspection, behavioral intervention guidance, timely manage the artifacts, pay more attention to the inducted experimental, timely identification of paroxysmal events, standardize the procedures for the management of seizures, standardize the processing of electrode cleaning and disinfection, continuously improve the quality.ResultsFour hundred and tworoy are paroxysmal events of various types occurred during the monitoring period. All of them were handled in time and the patients were all safe. Among these events, 4 children ended the examination in ahead of the normal procedure due to fever, crying or other reasons. two patients were transferred to intensive care unit due to changes in patients ’conditions such as hypopnea and decreased oxygen saturation of artery blood of finger. The remaining 4 829 patients completed VEEG detection for 8 ~ 24 h. and got good quality images.ConclusionsQuality management is a guarantee of qualified, high quality, low artifact EEG reports.