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        west china medical publishers
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        find Author "MA Houzhi" 2 results
        • Nursing Care in Hemodialysis for Pregnant Women with Uremia

          目的 總結妊娠合并尿毒癥患者血液透析的護理措施。 方法 回顧性分析2001年3月-2012年6月收治的15例妊娠合并尿毒癥患者行血液透析的臨床資料。患者年齡平均30.5歲;2例為早期妊娠,孕13周,其中1例伴有尿毒癥急性發作,其余均為中晚期妊娠,孕24+周,均血清肌酐>445 μmol/L(5 mg/dL),尿氮素>20 mmol/L。15例患者入院后即刻行血液透析治療,治療過程中進行必要的心理干預,在透析前、中、后護理中,密切觀察患者心理狀況,孕婦各項生命體征及胎兒胎心胎動等,擇期終止妊娠。 結果 9例經維持性血液透析治療后,病情穩定,順利產下胎兒;另外3例患者經血液透析治療后病情穩定,其中1例產下一死嬰,另2例行人工鉗取術終止妊娠;還有3例患者由于經濟條件限制而中途退出治療。 結論 適時的干預和加強妊娠合并尿毒癥患者血液透析的護理,可取得很好的治療效果,有可能改變妊娠的結果。

          Release date:2016-09-08 09:18 Export PDF Favorites Scan
        • Analysis on influencing factors and improving measures of hand hygiene implementation among healthcare workers based on the Grounded Theory

          Objective To explore the influencing factors and improving measures of hand hygiene among healthcare workers. Methods From June to August 2016, several healthcare workers from clinical departments and nosocomial infection control department in Chengdu were selected by purposive sampling method. Data was collected by individual in-depth interviews, and was three-rank coded by Nvivo 8 software based on Grounded Theory. Results After three-rank coding, 6 important influencing factors were generalized which were re-categorized into 3 levels: personal cognition, behavior capacity and social support. At the last, the whole framework of the theory was constructed through core coding. Conclusion In clinical practice, we should take reasonable measures to strengthen the training of hand hygiene, improve the hand hygiene facilities, strengthen supervision and management, and effectively improve the implementation rate of hand hygiene.

          Release date:2017-08-22 11:25 Export PDF Favorites Scan
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