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安全护理在肿瘤化疗中的应用

目的:探讨安全护理在肿瘤化疗中应用的效果。方法:将安全护理运用于我科200名化疗患者,以患者和护士的安全程度来评价安全护理的应用效果。结果:安全护理应用于肿瘤化疗,既能促进患者的身心安全又能保证护士的职业安全。结论:在肿瘤化疗中应合理应用安全护理,以保证患者和护士的安全。

肾移植术后并发下肢结核性脓肿护理一例

康惠尔溃疡贴的特性和临床应用

肾移植术后发生并发症患者的焦虑情况调查

目的　调查肾移植术后发生并发症患者的焦虑情况，探讨其影响因素。 方法　采用方便抽样法选择2011年1月－6月肾移植术后发生并发症的71例住院患者为调查对象，采用焦虑自评量表进行问卷调查。将结果与常模比较，并探索性别、年龄、文化程度、供肾来源、婚姻状况、费用报销等情况对患者焦虑水平的影响。 结果　71例患者的焦虑得分（44.21 ± 10.76）分，与常模（29.78 ± 10.07）分比较，差异有统计学意义（P＜0.05）。焦虑程度与患者的学历、移植肾来源、术后入院次数及医疗费用报销情况有关，P值依次为0.004、0.013、0.001、0.033，与年龄、性别和婚姻无关（P＞0.05）。 结论　肾移植术后发生并发症患者较常人更焦虑，护士应重视患者的焦虑情绪。

后腹腔镜肾囊肿去顶减压术患者围手术期的护理

目的 探讨后腹腔镜肾囊肿去顶减压术围手术期的护理要点。 方法 2004年4月-2008年4月，对468例接受后腹腔镜肾囊肿去顶减压术患者实施全面的围手术期护理。 结果 468例经后腹腔镜去顶减压术患者术中平均出血量6.28 mL，术后平均下床时间28.07 h，肛门平均排气时间25.18 h，平均引流管拔除时间27.15 h，平均住院8.97 d，平均术后住院天数4.90 d。术后未发生出血，无气胸发生。皮下气肿3例。 结论 后腹腔镜肾囊肿去顶减压术围手术期的全面护理可以提高手术成功率，预防术后并发症，缩短住院时间，促进术后康复。

肾移植术后患者睡眠紊乱的原因及护理

目的:探讨肾移植术后患者睡眠紊乱的原因,以期提出改善肾移植患者睡眠质量的措施。方法:观察四川大学华西医院第三综合病房61例肾移植术后患者睡眠紊乱的特征,分析引起睡眠紊乱的原因。结果:61例肾移植患者术后有56例患者出现不同程度的睡眠紊乱,占总数的91.8%。护理:通过采取心理护理、缓解疼痛、用药及活动指导,纠正睡眠紊乱。结论:肾移植术后患者容易发生睡眠紊乱,护士应采取有效措施纠正睡眠紊乱,促进患者早日康复。

常用药物的配伍禁忌及预防措施

较大肾上腺肿瘤后腹腔镜术围手术期的护理

摘要:目的: 探讨直径＞6.0cm的肾上腺肿瘤患者经后腹腔镜手术围手术期的护理策略。 方法 :对我院近5年收治的27例肾上腺肿瘤(直径＞6.0cm)患者经后腹腔镜手术围手术期间实施同步护理,并将护理措施进行回顾性总结。 结果 :24例患者通过后腹腔镜术顺利切除肿瘤,术中术后未出现并发症,痊愈出院,3例患者中转为开放手术。 结论 :做好直径＞6.0cm的肾上腺肿瘤患者经后腹腔镜手术术前术后的护理配合,对促进伤口愈合,防止并发症发生起到佷重要的作用。

Analysis of Nutritional Status in Patients with Chronic Kidney Disease from Stage 1 to 4

ObjectiveTo collect the nutrition data in patients with chronic kidney disease (CKD) from stage 1 to 4 and provide the basis for further intervention by analyzing the specific problems of the patients. MethodsA total of 132 CKD patients from stage 1 to 4 were enrolled between December 2012 and December 2013. Nutritionists used inbodyS10ww as a body composition analyzer to test the patients. The data from inbodyS10ww and laboratory indexes were analyzed on marasmus, overweight and obesity, risk of malnutrition, malnutrition, anemia and hypoalbuminemia. ResultsThe percentage of marasmus in those CKD patients was 3.0%, overweight and obesity was 39.4%, the risk of malnutrition was 22.7%, malnutrition was 19.7%, anemia was 34.1%, and hypoalbuminemia was 9.8%. ConclusionOur search shows that combining the application of anthropometry and laboratory indexes can evaluate the nutritional status of patients with CKD. The most common nutritional problems in CKD patients include malnutrition, overweight and obesity, risk of malnutrition, and anemia. As for hypoalbuminemia, it is low in early CKD patients.

Analysis of the current status and influencing factors of self-care behavior of non-dialysis patients with chronic kidney disease

ObjectiveTo investigate the current status and influencing factors of self-care behavior of non-dialysis patients with chronic kidney disease (CKD).MethodsA total of 336 patients with CKD were investigated by a general data questionnaire, the CKD Self-care Behavior Scale, Social Support Scale, Generalized Anxiety Self-assessment Scale, and 9-item Patients Health Questionnaire through WeChat platform, and the influencing factors of self-care behavior were explored by binary logistic regression analysis.ResultsThe median score of self-care behavior of CKD patients without dialysis was 60, and the patients with median and high level of self-care behavior accounted for 97.6%. The score of self-care behavior of CKD patients without dialysis was positively correlated with the total score of social support (r=0.210, P<0.001), objective support score (r=0.127, P=0.020), subjective support score (r=0.195, P<0.001), and social support utilization score (r=0.164, P=0.002), and negatively correlated with the anxiety score (r=–0.132, P=0.015), depression score (r=–0.230, P<0.001), body mass index (r=–0.181, P=0.001), and systolic blood pressure (r=–0.168, P<0.001). The results of binary logistic regression analysis showed that the influencing factors of non-dialysis CKD patients’ self-care behavior were gender [(odds ratio, OR)=2.179, 95% confidence interval, CI (1.134, 4.187), P=0.019], systolic blood pressure [OR=0.967, 95%CI (0.947, 0.987), P=0.002], and depression score [OR=0.844, 95%CI (0.765, 0.931), P=0.001].ConclusionsThe self-care behavior of CKD patients without dialysis is at the median and high level. Healthcare workers can improve the self-care behavior of CKD patients by reducing their negative emotions such as depression, and guiding patients to carry out blood pressure management, to delay the progress of the disease.