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PD Combined with Autologous SIT and Resection of Hepatic Nodules—Nursing Care of a Case Who Had a History of Colon Cancer PD联合自体SIT及肝结节切除术- 1例结肠癌患者的护理
Q3 Nursing Pub Date : 2021-02-19 DOI: 10.18686/JN.V9I4.184
Yan Li, L-J Bian
A patient with duodenal and liver metastases was admitted to FAHZU in December, 2019, and was received pancreaticoduodenectomy (PD), autologous small intestine transplantation (SIT), and resection of hepatic nodules. It is notable that he had a history of colon cancer. This article summarizes experience of nursing care, including sufficient preoperative evaluation, professional nursing and psychological support, preventive nursing of postoperative complications, observation of blood supply of transplanted small intestine, nursing of pain, nursing of anticoagulation to prevent thrombosis. The patient recovered well and was discharged smoothly and seamlessly.
1例十二指肠、肝脏转移患者于2019年12月入院,行胰十二指肠切除术(PD)、自体小肠移植(SIT)、肝结节切除术。值得注意的是,他有结肠癌病史。本文总结了充分的术前评估、专业护理和心理支持、术后并发症的预防护理、移植小肠血供的观察、疼痛的护理、抗凝预防血栓形成的护理等护理经验。患者恢复良好,顺利出院。
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引用次数: 0
Nursing Management of General Ward under the COVID-19 Outbreak 新冠肺炎疫情下普通病房护理管理
Q3 Nursing Pub Date : 2021-02-19 DOI: 10.18686/JN.V9I4.185
Fang-yuan Yi, Shufang Xiao, Xiaofeng Wu, Haiyan Zhong
COVID-19 is complicated and is of high possibility of cross-infection. Patients should be isolated during treatment with a relatively long recovering period. Therefore, nursing management in general wards is critical in the prevention and control of the pandemic. This article summarizes the experience of nursing management and effective nursing strategies during outbreak of the pandemic, seeking to provide some references and suggestions to people who concerns.
新冠肺炎病情复杂,交叉感染可能性高。治疗期间应隔离,恢复期较长。因此,普通病房的护理管理对预防和控制大流行至关重要。本文总结了疫情期间的护理管理经验和有效的护理策略,以期为相关人员提供一些参考和建议。
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引用次数: 0
Developing a Conceptual Definition of the Successfully Transitioned Newly Licensed Registered Nurse (NLRN) 成功转职新注册护士(NLRN)的概念定义
Q3 Nursing Pub Date : 2021-01-01 DOI: 10.7243/2056-9157-8-1
Joset E. Brown, Jill M Nocella
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引用次数: 0
Talking about the Reference of the Characteristics of Nursing Education in France to China 论法国护理教育特点对中国的借鉴
Q3 Nursing Pub Date : 2020-10-21 DOI: 10.18686/JN.V9I3.183
Jiawen He
By introducing the current situation of nursing education in France, this article analyzes its characteristics in curriculum setting, teaching methods, teaching evaluation and practical teaching to learn from the advanced experience of nursing vocational education in France and provide reference for further improvement of nursing education in China.
本文通过介绍法国护理教育的现状,分析其在课程设置、教学方法、教学评价、实践教学等方面的特点,借鉴法国护理职业教育的先进经验,为中国护理教育的进一步完善提供参考。
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引用次数: 0
Analysis on Continuous Nursing Care of Children with Enterostomy 儿童肠造口术后的持续护理分析
Q3 Nursing Pub Date : 2020-10-21 DOI: 10.18686/JN.V9I3.181
Yong Xiao
This article summarizes the research progress of childrens continuous nursing care of enterostomy from the general situation of children’s enterostomy, and reviews and analyzes the development mode and main forms of children’s continuous nursing care of enterostomy at home and abroad, in order to provide reference for the development of children’s continuous nursing care of enterostomy in the future.
本文从儿童肠造口的概况出发,总结了儿童肠造口持续护理的研究进展,并对国内外儿童肠造口持续护理的发展模式和主要形式进行了回顾和分析,以期为今后儿童肠造口持续护理的发展提供参考。
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引用次数: 0
Talking about Prevention and Control Nursing of Ventilator-Associated Pneumonia 浅谈呼吸机相关性肺炎的防治护理
Q3 Nursing Pub Date : 2020-10-21 DOI: 10.18686/JN.V9I3.182
Zhen Liu
Ventilator-associated pneumonia (VAP) refers to the infection of lung parenchyma in patients undergoing endotracheal intubation or tracheotomy after receiving mechanical ventilation for 48 h, which is the most common complication of patients undergoing mechanical ventilation and has a high mortality rate (21.2%-43.2%). At present, the main measures to prevent and control VAP are to strictly implement hand hygiene, strengthen oral care, raise the bedside, effectively remove secretions from the airbag, implement airbag management and ventilator circuit management, carry out enteral nutrition and cluster intervention strategies according to the actual situation of hospitals. This article reviews the characteristics, diagnosis, prevention and control of VAP, aiming to provide reference for better prevention and control of VAP.
呼吸机相关性肺炎(VAP)是指气管插管或气管切开术患者在接受机械通气48 h后发生肺实质感染,是机械通气患者最常见的并发症,死亡率较高(21.2% ~ 43.2%)。目前,预防和控制VAP的主要措施是严格执行手卫生,加强口腔护理,提高床边,有效清除气囊分泌物,实施气囊管理和呼吸机回路管理,根据医院实际情况开展肠内营养和集群干预策略。本文就VAP的特点、诊断及防治进行综述,旨在为更好地防治VAP提供参考。
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引用次数: 0
Nursing Care of Patients with Severe Pemphigus 重度天疱疮患者的护理
Q3 Nursing Pub Date : 2020-10-21 DOI: 10.18686/JN.V9I3.175
Min-ying Li, Bi‐Yu Xu, Chunhong Li
Pemphigus is a stubborn and an autoimmune dermatology disease which causes skin erosion, with the characteristics of relapse chances, leading to a long-time suffers of patients. Currently, pemphigus is mainly treated by blood transfusion, and correction of water and electrolyte balance, etc. In treating process, non-expected conditions may occur, such as complications and uncontrollable illness. It would be difficult to achieve satisfactory curative effect only by such treatment. Therefore, it is critical to monitor and nurse patient’s clinical conditions. In view of this, this article explores the nursing methods of patients with severe pemphigus, hoping to improve the treatment effect through clinical observation and nursing intervention.
天疱疮是一种顽固性的自身免疫性皮肤病,主要引起皮肤糜烂,具有复发机会多的特点,导致患者长期患病。目前,天疱疮的治疗主要是输血、纠正水电解质平衡等。在治疗过程中,可能出现意想不到的情况,如并发症和无法控制的疾病。仅靠这种治疗方法很难达到满意的疗效。因此,对患者的临床状况进行监测和护理至关重要。鉴于此,本文探讨重度天疱疮患者的护理方法,希望通过临床观察和护理干预,提高治疗效果。
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引用次数: 0
Women's Decision-Making Process of Childbirth Methods 妇女分娩方式的决策过程
Q3 Nursing Pub Date : 2020-10-21 DOI: 10.18686/JN.V9I3.173
Leixi Li, Wenlin Wan
Background: At normal situation, vaginal delivery is recommended to pregnant females who are at low risk of complications. Recently, there is a widespread discussion about the right of the women in choosing their childbirth methods, specifically cesarean section. Aim: We designated to critically discuss the ethical argument on female’s choice of childbirth method as well as the influential factors involved in their decision-making process. Methods: A comprehensive discussion relying on systematic literature reviews was conducted to address the ethics, policies, safety, and suggestions for the choice of childbirth approach. Findings: Most women would like to have the freedom in selecting the delivery method, whereas the decision-making process is complicated and multifactorial and needs to coordinate with safety issues, opinions from family members, and recommendations from doctors. Discussion: No evidences could define the safest fetal delivery method. However, in consideration of both the equality and ethical principle, obstetricians should respect the women’s autonomy while obligate to refuse their requests to lower the risk of both the mother and infant. The establishment of trust, exchange of information, fully consideration of all factors, and legal protection can ensure doctors helping the mothers to make the best decision for childbirth approach. Conclusion: The decision-making process for determining the childbirth method depends on the balance among females’ autonomy, family’s suggestions, obstetrician’s obligation, and legal protection of the doctor.
背景:在正常情况下,对于并发症风险低的孕妇,建议阴道分娩。最近,关于妇女选择分娩方式的权利,特别是剖宫产,有一个广泛的讨论。目的:我们旨在批判性地讨论女性选择分娩方式的伦理争论及其决策过程中涉及的影响因素。方法:通过系统的文献综述,对分娩方式选择的伦理、政策、安全及建议进行全面讨论。结果:大多数妇女希望有选择分娩方式的自由,但决策过程复杂且多因素,需要与安全问题、家人意见和医生建议相协调。讨论:没有证据可以确定最安全的分娩方式。然而,考虑到平等和伦理原则,产科医生应尊重妇女的自主权,同时有义务拒绝其降低母婴风险的要求。建立信任,交流信息,充分考虑各因素,法律保障,可以确保医生帮助母亲做出最佳的分娩方式决定。结论:决定分娩方式的决策过程取决于妇女自主权、家庭建议、产科医生义务和医生法律保护之间的平衡。
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引用次数: 0
Nursing perspectives on their COVID-19 pandemic preparedness 护理对COVID-19大流行防范的看法
Q3 Nursing Pub Date : 2020-09-07 DOI: 10.7243/2056-9157-7-3
Jennifer M. Moseley, Dawn Burns, J. Heil, K. He, A. Stolarski, E. Whang, G. Kristo
Abstract Background: Nurses are essential for caring for patients during the global COVID-19 pandemic. Our objective was to explore the perspectives of nurses regarding their COVID-19 pandemic preparedness and determine
背景:在全球COVID-19大流行期间,护士在护理患者方面至关重要。我们的目标是探讨护士对COVID-19大流行防范的看法,并确定
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引用次数: 3
Observation on the Effect of Comfortable Nursing in ICU Patients with Severe Infection ICU重症感染患者舒适护理效果观察
Q3 Nursing Pub Date : 2020-06-30 DOI: 10.18686/jn.v9i2.171
Ye-Qiu Li
Objective: this article aims to explore the effect of comfortable nursing in ICU patients with severe infection. Methods: from January 2018 to January 2019, 44 patients with severe infection were selected as research objects. They were randomly divided into observation group (n=22) and control group (n=22). The control group was given routine nursing, while the observation group was given comfortable nursing on the basis of the control group. Pittsburgh Sleep Quality Index (PSQ1), Self-rating Anxiety Scale (SAS) and the incidence of adverse reactions were observed and compared between the two groups before and after intervention. Results: the PSQI score and SAS score of the patients in the observation group were lower than those in the control group. The incidence of adverse reactions in the observation group was 4.59%, which was significantly lower than that in the control group (27.27%), and the difference between the two groups was statistically significant (P<0.05). Conclusion: comfortable nursing intervention for ICU patients with severe infection can obviously improve their sleep quality and negative emotions, and reduce the incidence of adverse reactions during hospitalization, which has clinical application value.
目的:探讨舒适护理在重症感染ICU患者中的应用效果。方法:选取2018年1月~ 2019年1月收治的44例重症感染患者作为研究对象。随机分为观察组(n=22)和对照组(n=22)。对照组给予常规护理,观察组在对照组的基础上给予舒适护理。观察并比较干预前后两组患者匹兹堡睡眠质量指数(PSQ1)、焦虑自评量表(SAS)及不良反应发生率。结果:观察组患者PSQI评分、SAS评分均低于对照组。观察组不良反应发生率为4.59%,显著低于对照组(27.27%),两组比较差异有统计学意义(P<0.05)。结论:ICU重症感染患者的舒适护理干预可明显改善患者的睡眠质量和负面情绪,降低住院期间不良反应的发生率,具有临床应用价值。
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引用次数: 0
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Journal of Nursing
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