Search

Starting from the Status quo and research progress of Traditional Chinese Medicine professional training, this paper reviews studies on training pattern, training content and methods, training quality evaluation, training institutions and teaching staff construction, specialist Training and clinical practice in the Traditional Chinese Medicine nursing training base, and provides reference for training management of Traditional Chinese Medicine nursing training base and domestic policy making of Traditional Chinese Medicine nursing specialists training. (本文从中医护理专业化培训现状和研究进展方面切入, 梳理以中医护士培训基地为依托的中医护理专业化培训模式、培训内容和方法、培训质量评价、培训机构和师资队伍建设、专科培训与临床实践结合五个方面的现状与发展, 为国内中医护士培训基地的培训管理和中医护理专业化培训政策及方法制定提供参考。)

Objective To investigate the effect of FOCUS-PDCA management mode in standardizing medication of ophthalmic drugs in patients undergoing ambulatory eye surgery, and provide reference for continuous improvement of the nursing quality of ambulatory eye surgery. Methods A non-concurrent control trial was conducted, and patients undergoing ambulatory eye surgery were assigned to the control group (n=146)and the observation group (n=154). The control group received routing nursing management during operation period. The FOCUS-PDCA management mode was adopted in standardizing medication of ophthalmic drugs for patients in the observation group. The rate of qualified self-medication of ophthalmic drugs, awareness and knowledge about ophthalmic drugs and patient satisfaction were measured and compared between groups. Results The rates of proper storage of ophthalmic drugs, proper administration time of ophthalmic drugs and qualified self-medication of ophthalmic drugs in the observation group were higher than those in the control group (P

This paper summarized the experience of using Sherlock 3CG tip confirmation system for bilaterally placement of peripherally inserted central catheters (PICC) and related nursing countermeasures in a patient with double superior vena cava. In order to meet the treatment needs, PICC catheters were placed on both sides twice, with the catheter tips located in the right and left superior vena cava. The patient's first choice of the right upper arm for catheterization was smooth, and the second choice of the left side for catheterization was smooth. The Sherlock 3CG tip confirmation system was used for positioning. The P wave of the catheter sent to the reserved length continued to be negative. The results of computer tomography (CT) showed that the patient had permanent left superior vena cava. The X-ray positioning was performed to confirm that the tip of the catheter was located in the left superior vena cava. After comprehensive evaluation by the multidisciplinary team, the catheter indwelling length was adjusted, The patient's condition was closely observed, and health education was strengthened in many aspects. Indwelling catheter was successfully placement without complications. (本文总结了应用Sherlock 3CG尖端定位技术为1例急性髓系白血病伴有双侧上腔静脉患者双侧置入经外周静脉穿刺中心静脉导管(PICC)的护理对策。本例患者为满足治疗需求分别于两次经两侧置入PICC导管, 导管尖端分别位于右、左两侧上腔静脉。患者首次选择右侧上臂置管过程顺利, 再次置管选择左侧置入过程顺利, 应用Sherlock 3CG技术定位, 导管送至预留长度范围P波持续呈负波, 查看计算机断层扫描(CT)结果提示患者存在永存左上腔静脉, 行X光定位确认导管尖端位于左侧上腔静脉。经多学科团队综合评估, 调整导管留置长度, 密切观察患者情况, 加强多方面健康宣教, 导管留置成功, 无并发症发生。)

To investigate the safety and nursing measures of peripherally inserted central catheter (PICC) implantation in a young child with hemophilia A accompanied with inhibitors, using painless techniques and various ways to prevent bleeding. Before PICC implantation, child with hemophilia was comprehensively evaluated in terms of condition, age and degree of cooperation, and scientific and reasonable pain interventions were carried out to select the optimal anesthesia scheme. The minimum size catheter that met the treatment plan was selected for the inserted venous catheter. Before surgery or invasive treatment, the level of coagulation factors was measured, and alternative treatment according to the test results were taken. Passively separating catheter instead of traditional skin expanding method could reduce the amount of bleeding during catheter insertion. Compared with conventional local anesthesia, the amount of blood loss was significantly reduced, and the comfort and safety of catheterization were significantly increased. For children with low age or low degree of cooperation, especially those with hemophilia with coagulation disorder, the application of painless techniques and multiple ways of bleeding prevention can significantly improve the success rate of PICC catheterization and reduce the amount of bleeding during catheterization. (本文总结1例血友病甲伴抑制物的低龄患儿应用无痛技术行经外周静脉穿刺中心静脉导管(PICC)置管的护理体会。血友病患儿置入PICC术前需综合评估患儿病情、年龄、配合程度等方面, 对患儿进行科学合理的疼痛干预, 选择最优的麻醉方案; 置入的静脉导管应选择满足治疗方案的最小规格导管; 手术或有创治疗前需检验凝血因子水平, 根据检测结果行替代治疗; 采用钝性分离方式送入导管替代传统扩皮方式, 有助于提高置管成功率, 减少出血量, 提高患儿舒适度。)

Objective To investigate the effect of external application of Traditional Chinese Medicine compound Baiyu powder in treating cracked nipples during lactation period, and summarized related nursing measures during treatment. Methods A total of 120 women with cracked nipples during lactation period were randomly divided into group A, group B and control group, with 40 cases in each group. The group A received external application of compound Baiyu powder, group B received external application of protective cream, and the control group received routine care during lactation period. The healing conditions of cracked nipples 5 days after intervention and breastfeeding rate were observed, and intervention effect was evaluated and compared among three groups. Results The total response rate was 97. 44%(38/39) in the group a, which was higher than 68. 42%(26/38) in group B and 40. 00% (16/40) in control group(P＜0. 05 respectively). A shorter time to pain relief and healing of cracked skin were observed in group A than those in group B and control group, respectively(P＜0. 01). The breastfeeding rate in the group A was higher than that in group B and control group, respectively (P

In order to meet the growing demand of lymphotherapists, training and patients, guidance, a specific model was designed for training manual lymphatic drainage therapy. The design and application effect of this model is described and discussed in this study. The model can easily let the operator know whether the manipulation is accurate, whether the operation pressure is stable and whether the drainage effect is satisfactory for further adjustments. The design is very close to the clinical practice and the operation of the model is simple and convenient. Preliminary application of this training model showed good effect in better understanding and mastering manipulation technique both in therapists and the patients, as well as their family members. (本研究针对当前淋巴治疗师培训及患者指导上的缺陷, 设计了一种淋巴水肿手法淋巴引流培训教具装置, 并对设计思路及使用效果加以分析。通过使用手法淋巴引流培训教具装置进行操作练习, 可以直观的感受到操作手法的准确性、操作压力的稳定性及引流操作的效果, 增强治疗师的培训成效, 提高患者或者家属掌握的可控性, 进而提升淋巴水肿治疗师培训及患者指导的应用效果。该手法淋巴引流培训教具装置操作简单方便, 应用效果显著。)