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        west china medical publishers
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        find Author "耿丹" 7 results
        • 腦卒中患者并發下肢動脈栓塞及經股動脈切開取栓的護理一例

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        • 醫護一體化模式在神經內科收治急診患者中的應用效果評價

          目的探討醫護一體化模式運用在神經內科收治急診患者中的效果。 方法對于 2012 年 1 月-12月由急診收入院的 1 533 例患者實行醫護一體化模式,比較與實施前(2011 年 1 月-12 月)1 407 例患者的護理滿意度、入院等待時間和入院環節滿意度的差異。 結果醫護一體化模式實施 12 個月后,急診患者入院等候時間由(6.23±2.12)h 縮短至(4.14±1.27)h,患者對就診及入院環節的滿意度評分由實施前的(94.45±2.98)分上升至(96.19±3.25)分,差異均有統計學意義(P<0.05);護士工作滿意度量表評分由實施前(3.16±0.54)分,提高到實施后的(3.90±0.64)分,差異有統計學意義(P<0.01)。 結論醫護一體化模式可以顯著提高患者的護理滿意度及入院環節滿意度,縮短患者入院等待時間,值得臨床推廣。

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        • 腦卒中患者居家照顧者負擔現狀的研究進展

          腦卒中具有高發病率、高致殘率、高死亡率、高復發率的特點,疾病負擔嚴重。目前國內外腦卒中患者出院后大多數返回家中進行長期康復,家庭成員成為提供日常照顧的主要人員。但由于居家照顧者缺乏疾病知識、社會支持和專業的照顧技能,同時照顧患者耗費大量時間和精力,疾病復診、用藥昂貴等原因,給非專業的居家照顧者帶來了沉重負擔。該文綜述了腦卒中居家照顧者概念、國內外腦卒中居家照顧者負擔現狀和測評方法,以期為制定減輕腦卒中患者居家照顧者負擔的干預措施提供參考,從而探索出一種適合我國國情的居家照顧者負擔干預模式。

          Release date:2017-07-21 03:43 Export PDF Favorites Scan
        • The association between burden and quality of life among caregivers of stroke survivors

          Objective To explore the burden situation among caregivers of stroke survivors, and analyze the association between burden and the quality of life among caregivers. Method In this cross-sectional study, a total of 230 stroke survivor-caregivers were investigated with basic demographic information, Zarit Burden Interview (ZBI) and the World Health Organization Quality of Life Instrument-Short Form (WHOQOL-BREF) from May 2015 to November 2015. Results The mean age of the caregivers of stroke survivors was (66.7±11.7) years, and the caregiver burden was in the mild level with the mean ZBI score of 21.11±6.96. The multiple linear regression analysis showed that the influencing factors of caregiver burden were the complications, self-care ability, residence of stroke survivors, and the self-rating health status of caregivers (P<0.05). And the total ZBI score was negatively correlated with the total WHOQOL-BREF scores (P<0.01), physiological dimensional scores (P<0.01), social dimensional scores (P<0.01), and environmental dimensional scores of caregivers (P<0.01). Conclusions The caregivers of stroke survivors suffer from general caregiver burden, and the heavier caregiver burden is, the poorer the quality of life of the caregivers is. According to the different conditions between urban and rural areas of China, it is reasonable to formulate a targeted program with the consideration of requirements referring to stroke survivors and their caregivers. It should involve physiological, psychological, social, environmental factors and so on to improve the caregivers’ quality of life finally.

          Release date:2018-06-26 08:57 Export PDF Favorites Scan
        • Effectiveness evaluation of systematic clinical management for femoral pseudoaneurysm after interventional treatment under doctor-nurse integration mode

          Objective To carry out the systematic clinical management to reduce the incidence of femoral pseudoaneurysm after interventional treatment. Methods A historical controlled study was used to compare the management effect before (from October 2012 to October 2013) and after (from March 2014 to March 2015) the application of doctor-nurse integrated systematic clinical management mode. This work mode enhanced cooperation between doctors and nurses, formed the clinical path for nursing workflows and contingency plans, and strengthened specialized education and training for nurses. Results After the implementation of systematic clinical management, the incidence of femoral pseudoaneurysm was significantly lower than before (1.0% vs. 2.7%), and the difference was statistically significant (P<0.05). Conclusions The systematic clinical management, carrying out in the doctor-nurse integration mode, can improve the quality of nursing and reduce the incidence of femoral pseudoaneurysm. And the management model has achieved remarkable results. So it is worth to be applied in the clinical practices.

          Release date:2017-09-22 03:44 Export PDF Favorites Scan
        • Investigation and analysis of research capacity and demand of neurological nurses in Sichuan Province

          Objective To investigate the ways of scientific research knowledge acquirement, and the situation of research capacity and demand of neurological nurses in Sichuan Province. Methods From May to June 2015, 153 neurological nurses from 7 hospitals of Sichuan Province were enrolled by convenient stratified sampling method. The ways of acquiring scientific research knowledge, research capacity, and research demand of the nurses were investigated by questionnaire. Results Among the 153 nurses, there were 50.3% with low level, 47.7% with moderate level, and 2.0% with high level of scientific research capacity, respectively. The total scores of nursing research capacity ranged from 4 to 101. The dimension of " capacity of generating the research ideas” was the highest, and the dimensions of " capacity of designing research protocol” and " capacity of analyzing research data and material” were the lowest. Of the respondents, 66.2% had never attended any research training program, 51.3% acquired scientific research knowledge by themselves, and 65.6% were willing to participate research training courses. The respondents tended to study on their own by internet. There were significant differences in scientific research capacity among neurological nurses with different initial education, attending the college entrance examination or not, having attended research training and self-study or not (P<0.05). Conclusions Most nurses acquire scientific research knowledge by themselves, and insufficient research training couldn’t satisfy the research demand of neurological nurses. The initial education degree and research study intention are related to research capacity. However, due to the limited amount of samples, the positive influence of self-study and research training on the research capacity still need to be further explored.

          Release date:2018-06-26 08:57 Export PDF Favorites Scan
        • Incidence Trend of Female Breast Cancer in Urban Shenyang from 2000 to 2009

          Objective To explore the incidence, age distribution and change tendency of female breast cancer in urban Shenyang from 2000 to 2009. Methods The incidence data of female breast cancer recorded in Shenyang Center for Disease Control and Prevention from 2000 to 2009 were collected, and the incidence and standardized incidence of breast cancer were analyzed by using SPSS 16.0 software. The incidence trend was analyzed by means of χ2 trend test and linear regression. Results The annual average crude incidence rate of female breast cancer in urban Shenyang from 2000 to 2009 was 46.03/100 000, while the annual average standardized incidence rate was 35.63/100 000, increased by 160.41% and 109.39% respectively during past 10 years, and the annual average increase was 11.22% and 8.56%, respectively. Both crude incidence rate and standardized incidence rate were in increasing trends with statistical significance (Plt;0.001). The crude incidence rate of the female at age of 50-64 showed a perpendicular rise trend, increased by 271.97%, and the annual average increase was 15.72%. The χ2 trend test and linear regression showed a significant difference (χ2=276.743, P=0.000; y= –22 355.560+11.205x, P=0.000). Conclusion The incidence of female breast cancer in urban Shenyang tends to rise with a younger-aged trend, and the female at age of 50-64 are commonly affected.

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