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悬浮超低压气垫床预防压疮评分高危患者压疮发生的效果观察

目的 观察悬浮超低压气垫床对预防压疮高危患者压疮发生的效果。 方法 将 2013 年 7 月—2014 年 8 月收治的压疮危险因素评分高危患者 60 例，随机分为研究组和对照组，每组各 30 例。对照组患者使用普通床，研究组患者使用悬浮超低压气垫床，研究两组患者在皮肤压疮发生率、皮肤潮湿感评分、舒适度方面的差异。 结果 研究组患者皮肤压疮发生率（10.0%）、皮肤潮湿感[（3.33±0.66）分]及舒适度（轻度不舒适 5 例、中度不舒适 3 例、重度不舒适 1 例）与对照组[33.3%，（2.57±0.94）分，轻度不舒适 6 例、中度不舒适 6 例、重度不舒适 4 例]比较，差异均有统计学意义（P<0.05）。 结论 压疮危险因素评分高危患者使用悬浮超低压气垫床可降低压疮发生率，且透气性较好，患者使用中无潮湿感，舒适度较高，值得临床推广使用。

抢救车规范化封条管理探讨

【摘要】　目的　针对抢救车现行管理模式，提出新的改进方法，以提高工作效率和管理质量。　方法　从2010年1月起，我们对抢救车实行规范化封条管理，并对改进前后抢救车交接班所需时间和抢救物资完好率进行比较分析。　结果　改进后抢救车交接班时间较改进前明显减少，有效地提高了交接班人员的工作效率，更好地保证抢救物资的完好性。　结论　抢救车采用规范化封条管理，值得在临床推广使用。

肛周皮肤重度糜烂护理一例

Characteristic Analysis, Management and Prevention of Patients with Acute Pancreatitis from Earthquake Area

目的:探讨地震灾区急性胰腺炎患者的疾病特征、治疗及预防。方法:回顾性分析“5·12”汶川大地震后一个月内从灾区转送到我科的14例急性胰腺炎患者的临床资料。结果:14例患者中轻症8例,重症6例;发病相关因素主要有:脂肪餐10例、胆囊结石6例、饮酒4例、高脂血症4例,其中合并两种因素者10例;经中西医结合非手术治疗尤其注重对患者的心理治疗和护理后,痊愈12例,好转2例。结论: 地震灾区急性胰腺炎的发生有其不同特征,饮食成为首发因素;心理因素可能影响疾病的发生和发展演变;防治方面应注重对患者的心理治疗和护理。这有助于今后对地震灾区急性胰腺炎的预防和处理。

中西医结合治疗有机磷农药中毒合并重症急性胰腺炎护理一例

芒硝外敷腹部治疗重症急性胰腺炎疼痛及腹腔积液的疗效观察

目的观察芒硝外敷腹部治疗重症急性胰腺炎（SAP）疼痛及腹腔积液的临床疗效。 方法将2013年2月－9月50例SAP患者随机分为对照组和芒硝组各25例，对照组采用中西医结合常规治疗加六合丹外敷腹部，芒硝组在对照组基础上加用芒硝外敷腹部，比较两组患者腹痛消除时间、腹腔积液消失时间及住院时间的差异。 结果芒硝组患者腹痛消除时间、腹腔积液消失时间和住院时间分别为（6.16±1.57）、（11.12±2.22）、（12.88±2.31）d，对照组分别为（10.36±2.38）、（17.36±4.89）、（20.80±4.04）d，芒硝组均短于对照组，两组比较差异有统计学意义（P＜0.001）。 结论芒硝外敷腹部治疗SAP疼痛及腹腔积液疗效显著，值得临床推广。

急性胰腺炎患者胃管留置中发生心搏骤停一例

Traditional Chinese and Western Medicine Based Nursing for Pregnancy with Acute Pancreatitis

ObjectiveSummary of Integrative traditional Chinese and Western medicine nursing management and their effects for acute pancreatitis in pregnancycare. MethodFrom January, 2010 to July, 2014, 17 patients of acute pancreatitis in pregnancy were retrospectively analyzed. The integrative traditional Chinese and Western medicine nursing management includes general nursing, critical care, Chinese medicine nursing [oral or nasogastric feeding of traditional Chinese medicine (TCM), TCM enema, Liuhedan abdominal external treatment, acupuncture care], puerperium care and discharge guidance. ResultsAll 17 patients using the integrative traditional Chinese and Western medicine nursing management were recovered from the attack of acute pancreatitis. Two out of 17 patients underwent cesarean delivery, 2 with natural birth during the course of acute pancreatitis and the rest 13 patients continued pregnancy. ConclusionsThe integrative traditional Chinese and Western medicine nursing management have certain advantages for managing acute pancreatitis in pregnancy, together with the maternal line puerperium care and healthy eating guidance can obtain satisfactory curative effects.

The application of case-based learning combined with scenario exercise in hospital infection prevention and control training for nursing students

ObjectiveTo explore the effect of case-based learning combined with scenario exercise on nosocomial infection prevention and control training.MethodsClinical nursing students who entered the Department of Western & Traditional Chinese Medicine between September 2018 and November 2019 were selected. These students entered in groups. According to the entry number, the groups were divided into trial group and control group by odd or even numbers. The two groups of nursing students were trained by the infection prevention and control nursing group of the department to prevent nosocomial infection on the first day of entering the department. The trial group adopted case-based learning combined with scenario exercise, while the control group adopted traditional lecture-based learning. The two groups were compared by hand hygiene compliance rate, hand hygiene accuracy rate, clinical waste classification and disposal accuracy rate, occupational exposure, nosocomial infection prevention and control assessment scores, and teaching method satisfaction.ResultsA total of 63 nursing students from 10 groups were enrolled. There were 32 students from 5 groups in the control group and 31 students from 5 groups in the trial group. The hand hygiene compliance rate (χ2=8.434, P=0.004), clinical waste classification and disposal accuracy rate (χ2=4.196, P=0.041), nosocomial infection prevention and control assessment scores (t=3.145, P=0.003) and satisfaction scores of teaching methods (t=2.446, P=0.017) in the trial group were all higher than those in the control group. There was no occupational exposure in the trial group, but 1 case in the control group. The correct hand hygiene rates of the two groups were both 100%.ConclusionCase-based learning combined with scenario exercise can effectively improve the awareness of nosocomial infection prevention and control, improve the knowledge and skills of nosocomial infection prevention and control, improve the effectiveness of nosocomial infection prevention and control training, and increase the satisfaction of clinical teaching.