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The Clinical Effect of Glycerine Enema on Patients with Urinary Retention after Coronary Intervention

ObjectiveTo investigate the effect of Glycerine Enema on patients with urinary retention after coronary interventional procedures. MethodsBetween October 2011 and October 2012, 100 patients with urinary retention after coronary intervention were randomized into experimental group (enema group) and control group (conventional treatment group). The clinical effect of the two methods were compared between the two groups. ResultsThe effective rate in the experimental group was 88.0% while in the control group was 54.0%, and the difference between the two groups was statistically signifi cant (P<0.05). ConclusionThe effect of Glycerine Enema on patients with urinary retention after coronary intervention is obvious and signifi cant.

感染性心內膜炎臨床護理

【摘要】感染性心內膜炎（infective endoearditis，IE）是一種嚴重威脅人類健康及生命的疾病，可導致心力衰竭、栓塞及心律失常等并發癥，有較高的死亡率。對IE患者進行全面細致的護理及指導，強化健康教育，可減少相關并發癥的發生，縮短住院時間，降低死亡率，從而改善患者的預后。

Nursing Care of Acute Left Heart Failure Patients with Non-invasive Positive Pressure Ventilation

目的　加強對急性左心功能衰竭患者的無創呼吸護理，確保救治安全和提高治療效果。 方法　對2011年1月－9月收治的急性左心功能衰竭且應用無創呼吸機治療的57例患者，采取相關應對措施進行系統性護理干預。 結果　5例患者因病情加重改行氣管插管，52例經使用無創呼吸機治療后，其病情穩定轉出心臟病監護病房。治療中2例配合較差，7例出現腹脹，2例發生鼻面部壓迫性損傷。 結論　對癥有效的護理干預措施對救治急性左心功能衰竭患者生命，提升無創呼吸的舒適感和醫從性，降低相關并發癥有積極作用。

慢性心力衰竭患者雙心室起搏器植入術后的護理

【摘要】　目的　總結慢性心力衰竭（chronic heart failure，CHF）患者雙心室起搏器植入術后的護理要點，尤其是心理干預及患者教育的作用。　方法　對2009年3月-2010年5月收治的34例接受雙心室起搏治療的CHF患者進行觀察和全面護理，主要是進行心理干預及患者教育，并在出院后進行長時間隨訪。　結果　患者在雙心室起搏器植入術后的隨訪過程中，心力衰竭癥狀緩解，左心室射血分數、心輸出量、左心室充盈時間增加。　結論　雙心室起搏植入術后，輔以全面合理的護理措施，尤其是心理干預及患者教育可以進一步防止并發癥的發生，有利于患者改善預后，提高生活質量。

Application of Empathy Concept in Communication with Family Members of Patients in Coronary Care Unit

目的　總結同理心在冠心病重癥監護室（CCU）患者家屬溝通中的應用及效果。 方法　選擇2010年4月－5月入住CCU的患者100例，按入院先后順序前50例設定為對照組，后50例設定為觀察組；對照組采用傳統常規方法與患者家屬進行溝通，觀察組應用同理心理念與患者家屬溝通。觀察兩組患者家屬在非探視時間到訪次數、糾紛次數和CCU護理工作滿意度情況。 結果　觀察組患者家屬較對照組在非探視時間到訪次數、糾紛發生次數少，而滿意度較對照組高，兩組比較差異有統計學意義（P＜0.05）。 結論　應用同理心與CCU患者家屬進行溝通，可增加醫患間的理解和信任，減少非探視時間內家屬到訪次數，有利于維護醫院正常的工作秩序，同時減少糾紛的發生，提高了護理服務滿意度。

心力衰竭患者心臟再同步治療的圍手術期護理

經橈動脈穿刺行冠狀動脈介入治療圍手術期護理

【摘要】　目的　總結經橈動脈穿刺行冠狀動脈介入治療的圍手術期護理要點及并發癥預防。　方法　對2011年1-6月間226例經橈動脈穿刺行冠狀動脈介入治療患者，術前做好心理護理及橈動脈準備，術后做好生命體征監測，密切觀察術側肢體循環，預防各種并發癥的發生。　結果　226例患者經橈動脈穿刺行冠狀動脈介入治療術后未發生嚴重并發癥，治療和護理效果滿意。　結論　圍手術期實施有效的護理措施是保證治療成功的重要因素之一。

Investigation on the Quality of Life and Psychological Status among Patients after Cardiac Resynchronization Therapy

ObjectiveTo analyze the quality of life (QOL) and psychological status among patients having undergone cardiac resynchronization therapy (CRT). MethodsA total of 42 patients underwent CRT in our hospital during January 2011 to January 2014. All the patients were studied by MOS SF-36 scale and symptom checklist-90 (SCL-90) on overall QOL and psychological QOL, respectively. Another 42 healthy people in matched control group were also tested. ResultsThe QOL of patients after CRT was significantly lower than that of healthy subjects (P<0.05). The psychological status score, which was obtained by the examination of SCL-90, was significantly higher in patients after CRT than in the healthy population (P<0.05). The length of the disease course and leveling exercise tolerance are the influence factors for the QOL and psychological status in patients undergoing CRT. Gender does not make any difference between the two groups. ConclusionThe QOL of patients having undergone CRT is significantly lower than that of healthy people, and the psychological status score is higher. Medical staff need to pay attention to the mental illness (such as depression, anxiety and panic) of patients after CRT, especially in patients with long course of disease, and patients who fail to improve exercise tolerance or who are mateless. Psychological interventions can further improve the QOL of patients.

護理本科實習生臨床能力評價指標品質檢驗

【摘要】 目的 檢驗經三輪德爾菲專家咨詢法擬定的“護理本科實習生臨床能力評價指標體系”的品質。 方法 2007年7月-12月，采用擬定的指標體系對52名護理本科實習生進行臨床能力實測，采用克朗巴赫α系數進行信度檢驗，運用內容效度進行效度分析，并論證指標體系的區分度。 結果 指標體系整體的α系數為0.969 8，指標體系內部各構成要素的α系數介于0.831 6～0.942 3之間（gt;0.8）；邏輯分析表明指標體系內容效度較好；指標體系各維度與總指標體系評價結果的相關系數介于0.845 1～0.958 2之間，各維度與其內部各指標間的相關系數介于0.300 8～0.952 5，均有統計學意義（Plt;0.05）；指標體系的區分指數為0.518 3（gt;0.4）。 結論 指標體系品質較好。

心肌梗死后綜合征護理一例