隨著社會的不斷發展，護理在維護人類身心健康方面發揮了極其重要的作用。但是大量的調查發現臨床護士在工作中自我成長需求無法滿足，自身價值得不到體現，導致護理人才的流失，進而影響了護理隊伍的穩定，這對護理事業的發展十分不利。文章運用馬斯洛需要層次理論中的成長型需要分析臨床護士的自身發展需求，并針對其現狀為護理管理者提供相應的建議，以期更好地滿足臨床護士的成長需要。With the continuous development of society, nursing has been very important in maintaining the physiological and psychological health of human beings. But many surveys found that clinical nurses could not meet their growing demands in the work and their values could not get reflected, which led to a loss of nursing talents, and thus affected the stability of nursing teams. This is quite unfavorable for the cause of nursing. In this paper, growing needs in Maslow’s hierarchy theory of needs are used to analyze the needs of clinical nurses in their own development, and correspondent recommendations are proposed to nursing managers to better meet the growing needs of clinical nurses.
【摘要】 目的 探討腫瘤科護士銳器傷發生原因及預防管理對策。 方法 2006年6月-2008年5月，采用醫療銳器傷登記表收集護士銳器傷情況，并對相關數據資料進行統計分析。 結果 24名護士（5.71人次/100張床）發生銳器傷，主要發生于護齡≤1年的護士（66.67%）；發生時間多集中在上午8:30～11:00之間（41.67%）；地點多為病房床旁（70.83%）；銳器傷集中發生在操作后處理廢棄物過程中（50.00%）；而傷害發生率最高的器具為輸液器頭皮針（59.26%）；通過追蹤調查，發現所有銳器傷人員經處理后均未發生血源性感染。 結論 加強防范知訓培訓，提高護士自我防護意識；規范護理操作行為和廢棄銳器的處理等是預防或降低護士工作時段被感染的重要措施與方法。【Abstract】 Objective To discuss the causes and preventive measures of sharp instrument injuries among oncology nurses. Methods Sharp Instrument injuries were collected with the guide of Roll Call of Sharp Instrument Injuries in Medicine from June 2006 to May 2008. Related data were statistically analyzed. Results Sharp instrument injuries occurred to 24 nurses (5.71 per 100 beds), most of whom had just been in the post for less than one year (66.67%). Most injuries happened at 8:30 am-11:00 am during the morning (41.67%) and at, the bed side (70.83%). A half of the injuries occurred during medical waste disposal and most injuries were caused by scalp acupuncture (59.26%). No hematogenous infection occurred after proper treatment of the injuries. Conclusion Strengthening the knowledge of self-protection, stipulating and monitoring procedures of operating and disposing of sharp instruments are the most important measures to prevent the nurses from being injured during their working.
【摘要】 目的 探討一次性麻醉穿刺包與普通腹腔穿刺包在腹腔化療中應用效果。 方法 將2008年6月-2009年4月住院的胃癌和卵巢癌行腹腔化療的患者53例，隨機分為兩組。實驗組29例，用一次性麻醉穿刺包行腹腔穿刺化療；對照組24例，用普通腹腔穿刺包行腹腔穿刺化療；比較兩組患者應用不同穿刺包行腹腔穿刺化療的并發癥比較。 結果 實驗組并發癥發生率明顯低于對照組(Plt;0.05)。 結論 一次性麻醉穿刺包應用于腹腔化療中操作簡便、創傷小、并發癥少，患者樂于接受等優點，值得在臨床上推廣使用。【Abstract】 Objective To explore the effects of one-off anesthesia paracentesis kit and ordinary peritoneal paracentesis kit in intraperitoneal chemotherapy. Methods A total of 53 patients with gastric cancer or ovarian cancer from June 2008 to April 2009 were randomly divided into two groups: 29 patients in trial group underwent intra-peritoneal chemotherapy with one-off anesthesia paracentesis kit, and 24 patients in the control group underwent intra-peritoneal chemotherapy with ordinary peritoneal paracentesis kit. The complications in two groups were compared. Results The incidence of complications in trial group was much lower than that in the control group (Plt;0.05). Conclusion One-off anesthesia paracentesis kit in intra-peritoneal chemotherapy has several advantages including simple manipulation, small injuries, and few complications, which is well accepted by the patients.
