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Effects of Centralized Management of Bed Use in a Large-Scale Integrated Hospital

Objective　To explore the effects of the centralized management of bed use in a large-scale integrated hospital. Methods　We selected the staff with good quality for centre work after setting up the bed use centralized management centre in the West China Hospital. Then, we formulated unified an admission principle and incorporated it into the systematic management and control, made a short instructional video for rolling show in the centre so as to let the patient know basic conditions of this hospital before admission; and regulated the admission process for patients’ convenience. Results　After more than one year, the centre simplified the in-patient admission procedures, regulated the process, saved nursing manpower (24 persons), and increased patients’ satisfaction (from 89.30% to 93.25%). Meanwhile, the bed use rate was increased and the average length of stay was shortened the to some extent, which improved the order in wards. Conclusion　Unified bed use management centre established in large-scale integrated hospitals, can save nursing manpower, simplify the admission process of patients, and meet the need for the development of hospitals, which is worthy of promoting application.

34例双镜联合胃间质瘤切除手术的护理体会

目的:总结腹腔镜联合胃镜切除胃间质瘤的手术配合要点,提高手术配合质量。方法：回顾分析本院34例腹腔镜联合内镜胃间质瘤切除术的临床资料,着重对术前准备、巡回护士和器械护士的术中配合进行总结。结果：34例手术顺利完成,无一例中转开腹,患者治疗效果良好。结论：术前充分的准备,术中手术室护士、外科医生、与胃镜医生的娴熟配合,是手术成功的保障。

Analysis of Outpatients’ Service Needs

目的：为了在门诊“一切以病人为中心”的服务理念中体现人性化护理服务，为病人提供优质护理。方法：通过自行设计的问卷调查门诊病人的需求。针对这些需求及门诊护理工作的特点，提出作为门诊护士长及护士的管理要求。结果：病人需求最高的是高操的医疗技术和早就诊，早明确诊断，尽早治疗的迫切心理，各占95.18%、94.68%；其次是希望能有一简便、快捷、明了的就诊流程占88.59%，再其次为希望得到医护人员关注，对医护人员态度的要求比例也较高各占调查的85.17%和83.36%。结论：通过了解病人的需求，从护理的角度有针对性的实行有序管理，改善就诊流程，简化就诊手续，最终赢得病人的认可，使病人满意度提高至95%以上。

肝移植手术静脉通道的建立及其用药

超声引导下老年单纯性肾囊肿穿刺的护理配合

目的　讨论超声引导下单纯性肾囊肿穿刺治疗术的护理配合措施。 方法　对2009年6月－2010年6月120例单纯性肾囊肿老年患者行超声引导下穿刺治疗的方法及护理配合措施进行回顾性分析。 结果　120例患者全部手术成功，无并发症发生，经6个月随访，无效1例，显效7例，效果明显112例。 结论　单纯性肾囊肿老年患者行超声引导下穿刺治疗术，其护理配合是顺利完成治疗，避免并发症发生的关键。

社区老年慢性阻塞性肺疾病综合护理干预效果

【摘要】　目的　了解成都市青羊社区卫生中心已建立健康档案的60岁以上老年慢性阻塞性肺疾病（chronic obstructive pulmonary disease，COPD）患者综合护理干预的效果。　方法　将2008年11月－2009年11月根据《中国COPD诊断指南》的诊断和严重程度分级标准确诊为COPD的老年患者100例（排除心脏并发症、肝肾功能不全者）纳入研究对象，作基线调查后随机分为试验组与对照组，每组各50例。对试验组患者通过定期家庭随访，针对性地作健康宣教、心理护理、营养指导，督导其参加定期举办的专题讲座，制订心肺功能康复训练计划，提倡戒烟，免费发放健康教育资料等综合护理；对照组患者主要沿袭以往的生活习惯，根据其病情需要作治疗。干预时间为1年。　结果　1年后，两组患者长期家庭氧疗的人数、COPD疾病急性发作次数、住院次数等差异均有统计学意义（P值lt;0.05）。　结论　坚持正确的综合护理干预，可明显减少老年COPD疾病急性发作次数、住院次数，提高生活质量。

Nursing Management of Outpatient Department in West China Hospital During the Rescue Period of Wenchuan Earthquake

摘要:在汶川地震救援中,华西医院门诊部作为医院的窗口、形象,地震发生当天迅速组织人员,沉着、冷静地疏散门诊附近万名患者及家属,无一例踩伤、摔伤;随着各种渠道转来医院的患者增多,为利于有效的管理与护理人力安排,在保证门诊正常工作开展的前提下,服从医院大局安排,抽调护理人员承担起每日到机场接送患者的任务及急诊注射室的工作,为地震伤员的及时转送与救治、处理作出了应有的贡献。

Application of PDCA in Basic Life Support Technique Training among Non-medical Personnel in Hospitals

ObjectiveTo explore the application of PDCA (plan, do, check, action) circulation method in basic life support (BLS) technique training among non-medical personnel in hospitals. MethodsIn a third-level grade-A hospital, BLS technique training was carried out for 66 non-medical personnel of various working categories between July and September 2011. During the training process, PDCA circulation method was applied to each step. The existing problems were searched and causes of the problems were found. Improving strategies were made and carried out, and finally, the effect of training was statistically analyzed. ResultsAfter the application of PDCA circulation method, the test scores in the three training stages were significantly different (P ＜ 0.05) . ConclusionPDCA circulation method can help non-medical personnel to master the operation process and the technique points of BLS quickly, and it also can improve the quality of BLS technique training for non-medical personnel in hospitals.

根本原因分析在降低门诊采血护患纠纷中的应用

目的用根本原因分析法（RCA）分析门诊采血工作中不断增多的护患纠纷的原因，并采取相应的对策，减少护患纠纷的发生。 方法整理分析2014年某院门诊采血室护患纠纷案例发生情况，采用RCA法分析发生原因，得出其原因主要为护患沟通不良、护理人员主动服务意识不强、护理人员操作欠规范、护理人力资源不足、环境因素等，针对各原因于2015年采取综合整改措施。比较分析实施相应防范措施前后的护患纠纷发生情况。 结果2014年护士总数18人，抽血患者总数约为87万例次，发生护患纠纷72例次，护均纠纷发生率为4.0例次/护，患均纠纷发生率约为8.28/10万；2015年护士总数32人，抽血患者总数约为88万例次，发生护患纠纷20例次，护均纠纷发生率为0.6例/护，患均纠纷发生率约为2.27/10万。 结论RCA法能够找出引起护患纠纷的根本原因，优化护理环节，有效降低门诊采血室护患纠纷发生率，提高患者满意度。

Application of multi-disciplinary team model led by enterostomal therapist in the diagnosis and treatment of chronic wounds

Objective To explore the clinical practice effects of multi-disciplinary team (MDT) model led by enterostomal therapist in the diagnosis and treatment of chronic wounds. Methods Three types of subspecialty patients diagnosed and treated by the MDT team for chronic wounds in the Wound Care Center of West China Hospital of Sichuan University between January 2020 and December 2022, including MDT for diabetes feet, MDT for immune ulcer and MDT for other refractory wounds, were retrospectively included. The clinical data, healing rate, healing time, and satisfaction rate of patients were analyzed. Results A total of 176 patients were included, including 103 cases of diabetes foot, 31 cases of immune ulcer, and 42 cases of other refractory wounds. The healing rate was 71.84% in patients with MDT of diabetes foot, 74.19% in patients with MDT of immune ulcer and 78.57% in patients with MDT of other refractory wound. The average healing time was 18.10 weeks for patients with diabetes foot, 19.69 weeks for patients with immune ulcer, and 20.53 weeks for patients with other refractory wounds. The satisfaction rates of patients in the three groups were relatively high (>95%). Conclusion The MDT model led by enterostomal therapist can provide comprehensive treatment plans for difficult and complex chronic wound patients, improve the treatment outcomes of chronic wounds, and is worthy of further promotion and application in the clinical diagnosis and treatment of chronic wounds.