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        west china medical publishers
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        find Author "代黎" 4 results
        • Related Factors and Nursing Countermeasures for Psychonosema in Postoperative Laryngeal Cancer Patients

          ObjectiveTo explore the related factors and nursing countermeasures for psychonosema in postoperative laryngeal cancer patients. MethodsWe retrospectively analyzed the clinical data of eight patients who accepted laryngectomy and developed psychonosema from January 2008 to April 2013. The related factors for psychonosema in these patients were analyzed and nursing countermeasures were summarized. ResultsEight patients had different degree of psychonosema, and it was correlated with psychological factors, various channels of undesirable stimulation, sleep disorders, drug and other factors. After treatment and careful nursing, within three to seven days, all patients' abnormal mental symptoms were alleviated, and all of them were discharged. ConclusionThere are many factors which can cause psychonosema after laryngectomy for laryngeal carcinoma. Medical staff should try to reduce or avoid inducing factors. Once it happens, medical staff should carry out psychiatric treatment in time to avoid accidents and promote the rehabilitation of patients.

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        • 鼻內鏡檢查室工作流程再造及效果評價

          目的 對鼻內鏡檢查室流程再造的措施及效果進行總結交流。 方法 2010年10月起,科室成立流程改造小組,剖析原檢查流程中存在的不合理、不恰當環節,對檢查環境、儀器更新、人員配備、工作模式等方面進行流程的重新設計和改造,并對流程改造后的工作量、就診秩序、患者滿意度與改造前同期指標進行比較。 結果 流程再造后鼻內鏡室8個月總檢查人數5 187例次,較改造前的3 436例次明顯上升;患者之間的糾紛減少,就診秩序明顯改善;患者滿意度明顯提高。 結論 工作流程再造提高了鼻內鏡檢查的工作效率和患者滿意度,增強了對鼻腔、鼻竇患者的術腔處理能力,更好地滿足了患者的需求。

          Release date:2016-09-08 09:17 Export PDF Favorites Scan
        • 鼻咽部脊索瘤患者護理體會

          目的總結鼻咽部脊索瘤患者圍手術期的護理體會。 方法對2009年10月-2011年8月收治的經下唇正中-右側頜下-右耳垂弧形切口行腫瘤切除術的3例鼻咽部脊索瘤患者臨床資料及護理措施進行回顧性分析。 結果3例患者均安全渡過圍手術期,近期療效滿意,局部癥狀緩解,且完全恢復日常生活和工作。 結論對鼻咽部脊索瘤患者,圍手術期采取有效的護理干預,有利于穩定其情緒,早期預防并積極處理有關并發癥,可促進機體功能的恢復,縮短康復療程。

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        • 小兒氣道異物術后首次進食時間探討

          目的 探討小兒氣道異物在全身麻醉下行氣管、支氣管鏡檢術后首次進食時間,為臨床護理提供依據。 方法 2010年9月-2011年5月,將213例氣管異物患兒根據入院的先后順序編號分組,對照組患兒按常規在全身麻醉清醒后6 h首次進食流質,觀察組患兒在麻醉完全清醒、意識完全恢復后先給予20~30 mL溫開水飲用,30 min后即給予流質飲食。比較兩組患兒首次進食后嘔吐、誤吸的發生率,術后哭鬧或自訴口渴、饑餓感發生率的差異。 結果 兩組患兒首次進食后嗆咳、嘔吐的發生率無明顯差異(P>0.05),觀察組患兒術后哭鬧或自訴口渴、饑餓感的發生率明顯低于對照組。 結論 小兒氣道異物在全身麻醉下行氣管、支氣管鏡檢術后首次進食可在患兒麻醉完全清醒、意識恢復后半小時給予。

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