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Exercise rehabilitation has been proven as a promising intervention for recovery of patients after percutaneous coronary intervention for acute myocardial infarction. Based on the analysis of individual’s condition, early exercise rehabilitation plan should be designed systematically and logically to reduce the mortality due to acute myocardial infarction, prevent complications, promote the early rehabilitation and improve the exercise tolerance and quality of life of the patient. This paper summarized the status quo of exercise rehabilitation and its research status, potential problems and clinical practice in patients with acute myocardial infarction after percutaneous coronary intervention, and provided reference for the establishment of exercise rehabilitation plan after percutaneous coronary intervention. (运动康复是急性心肌梗死患者经皮冠状动脉介入(PCI)术恢复行之有效的方法。早期运动康复应该基于个体的特殊状况, 有层次有逻辑设计并推进活动方案, 降低因急性心肌梗死而造成的死亡率, 规避其他症状并发, 压缩患者的治疗康复周期, 优化患者的运动耐量与生活水平。本研究针对运动康复疗法在国内外的发展、研究应用、存在的问题及其用于急性心肌梗死PCI术后的展望进行综述, 旨在为制定更完善的PCI术后运动康复方案提高可靠参考。)

This paper summarized the effect of prone position ventilation and nursing management for a patient with respiratory distress syndrome caused by COVID-19. The compressive nursing assessment, airway management and tube fixation were conducted before using prone position ventilation for therapy. After implementation of prone position ventilation for therapy, efforts had been made to enhance the vital signs monitoring, tube maintenance, airway management, nutrition support and prevention of pressure injuries. (本文总结1例新型冠状病毒感染致呼吸窘迫综合征患者俯卧位通气法的应用效果及护理体会。操作前系统评估患者和完善物品准备, 保持气道通畅和妥善固定管道; 操作后密切监测患者生命体征, 加强导管维护、呼吸道护理和营养支持, 积极预防压力性损伤。)

to summarize a case of acute myocardial infarction (Ami) who was treated with emergency PCI after intravenous thrombolytic therapy. During the treatment, nursing intervention was carried out for the patients with severe pain due to myocardial ischemia, to enhance the patient’s own comfort. And the implementation of patients with cardiac rehabilitation care, so as to ease the patients during the treatment of excessive reaction to improve the treatment effect. This article reviews the first aid measures and nursing measures of 1 patient with acute myocardial infarction, and summarizes the relevant nursing experience (本文总结1例急性心肌梗死(AMI)静脉溶栓患者的护理经验, 包括饮食干预、健康宣教等常规护理以及疼痛干预、溶栓治疗不同阶段的护理措施, 通过快速正确诊断、密切观察病情变化、及时治疗和精心护理, 提高AMI患者生存率和生命质量。)

The risk of medical disputes is relatively high in the Emergency Department. Issues of nurse-patient communication, triage, nursing records, quality of care are influencing factors of nursing risk. Identification of high-risk patients, high-risk nurses, high-risk working periods and optimizing the hospital visiting constitute the precondition of reducing risk in emergency care. By implementing risk management, improving nursing level and social positive interaction, the incidence of nursing risk events can be reduced and the safety of patients, medical staff and family members can be ensured. (急诊科是医疗纠纷的高风险科室。护患沟通、分诊、护理记录、护理质量是引发护理风险的相关因素, 准确识别高危患者、高危护士、高危时段, 优化就诊环节是降低急诊护理风险的前提。通过实施纠纷风险管理、提高护理水平、社会良性互动, 有助于降低护理风险事件的发生率, 保证患者及医护等人员的安全。)

This paper summarized the promotion and application experience of appropriate health technology of Traditional Chinese Medicine(TCM)in general hospitals. A carefully designed organizational structure was established, and TCM knowledge and skills training was carried out to liaison nurses in the TCM nursing group. A doctor-nurse team model was adopted in promotion of appropriate health technology of TCM in general hospitals, and great efforts were made to improve the development of TCM nursing. (本文总结了综合医院推广中医适宜技术的相关经验, 通过组建中医护理小组的组织体系, 以“知信行”模式为理论框架, 对中医护理小组联络护士进行中医知识技能培训, 以“医护团队会诊”的模式推广中医适宜技术, 打开了中医适宜技术在综合医院广泛应用的新局面, 促进中医护理的发展。)

Objective To investigate the effect of integrated traditional Chinese and western medicine nursing in rehabilitation of patients with hemiplegic patients after ischemic stroke. Methods A total of 126 patients with hemiplegia after ischemic stroke were selected. According to the method of random number table, they were divided into control group and observation group, with 63 cases in each group. All patients received conventional drug treatment, routine care and rehabilitation training, and those in the observation group were given integrated traditional Chinese and western medicine nursing interventions. The Fugl-Meyer Assessment (FMA) scale and Brathel Index were measured and compared between two groups. The effect of rehabilitation nursing was evaluated by self-made rating scale. Results The scores of FMA and BI increased in both two groups after intervention, and scores of FMA and BI in the observation group were higher than those in the control group (P＜0. 01). The score for effect evaluation of nursing intervention in the observation group was higher than that in the control group (P＜0. 01). Conclusion In the early rehabilitation of hemiplegic patients after ischemic stroke, the use of integrated traditional Chinese and Western medicine nursing can improve the recovery and quality of life of patients. (目的 观察中西医结合护理干预在缺血性脑卒中偏瘫患者康复中的应用的效果。方法 选取126例缺血性脑卒中偏瘫患者为研究对象, 按照随机数字表分为对照组和观察组, 各63例。2组均接受药物治疗, 对照组接受常规护理和康复训练指导, 观察组在对照组的基础上实施早期中西医结合护理干预。对比干预前和干预后2组Fugl-Meyer运动功能量表(FMA)评分和Barthel指数(BI)评定结果, 评价护理效果。结果 干预后, 2组FMA量表评分和BI评分均较干预前上升, 且观察组FMA量表评分和BI评分高于对照组, 差异有统计学意义(P＜0. 01)。观察组护理效果评价得分高于对照组, 差异有统计学意义(P＜0. 01)。结论 缺血性脑卒中偏瘫患者早期康复中实施中西医结合护理干预, 可以促进患者运动功能康复, 提高患者生活质量。)

This paper summarized the Implementation and practice of "double-sided control point" emergency drill in epidemic prevention and control management in the Emergency Department. Nursing managers had implemented the four-party responsibility for epidemic prevention and control, and carried out the "double-sided control point" mechanism by region and classification. Based on the six key points of the epidemic prevention and control including personnel, risk, nosocomial infection, scene, operation and training, nursing team had improved the exercise scheme, built a set of standard drill implementation in emergency exercise program. The "double-sided control point" emergency drill showed efficacy in regulating the process of "suspected" cases and improving the ability of medical staff emergency. (常态化疫情防控下, 急诊科严格落实疫情防控四方责任, 实施分区分类双面控点机制, 基于疫情防控六大关键点: 人员、风险、院感、场景、操作、培训, 通过应急演练设计、完善演练方案、演练实施等方面构建一套规范的应急演练程序, 并在急诊科实践, 规范了应急处理流程, 提高了医务人员应急能力。)

Constipation is a common complication after stroke, affecting the prognosis and patient’s quality of life. Cupping therapy is guided by the meridian syndrome differentiation along the du-meridian and Shu-acupoints of the bladder meridian of Foot-Taiyang. Cupping therapy along meridians is an effective Traditional Chinese Medicine nursing technique for regulating heart, liver, spleen and lung function, dredging the channel, regulating the qi-blood, balancing Yin and Yang, and improing the symptoms of constipation. (便秘是中风患者常见并发症, 严重影响患者预后和生活质量。循经拔罐作用于督脉和足太阳膀胱经上对应五脏六腑的俞穴, 可调节心、肝、脾、肺、肾等脏腑功能, 疏通经络, 调节气血, 平衡阴阳, 以改善便秘。)