公共场所火灾伤员转运护理应急资源评估

为保障伤员生命与健康,提升火灾伤员救治率,该文研究公共场所火灾伤员转运护理应急资源评估方法.以火灾伤员转运护理应急资源需求分析为基础,从应急人员、应急设备、应急环境信息与应急管理四个方面出发,共选取15个评估指标,构建公共场所火灾伤员转运护理应急资源评估指标体系,根据各指标采集相关数据并对数据实施量纲标准化处理.构建基...     

Effectiveness of a physical activity program on weight,physical fitness,occupational stress,job satisfaction and quality of life of overweight employees in high-tech industries: a randomized controlled study

Introduction. This study aimed to examine the effectiveness of a physical activity (PA) program on weight control, physical fitness, occupational stress, job satisfaction and quality of life of overweight and sedentary employees in high-tech industries. Methods. Participants in the intervention group (n?=?37) were instructed to carry out a PA program at moderate intensity for 60?min/session, 3 sessions/week for 12 weeks. Those in the control group (n?=?38) received no PA program and were asked to continue their routine lifestyle. Evaluations were performed at baseline and at the end of the intervention. Results of structured questionnaires and blood biochemistry tests and evaluations of physical fitness were analyzed. Results. The PA program effectively reduced the number of risk factors for metabolic syndrome and body fat percentage, and improved physical fitness such as flexibility, muscular strength and endurance and cardiorespiratory endurance. The intervention also significantly decreased levels of serum triglyceride, total cholesterol and low-density lipoprotein cholesterol. Significant positive effects on work control, interpersonal relationships at work, global job satisfaction and quality of life were also demonstrated. Conclusion. This study showed that a PA program can be helpful in improving physical, physiological and psychological outcomes for overweight and sedentary employees in high-tech industries.     

上消化道出血的常见诱因分析及护理对策

本文对上消化道出血的常见诱因进行了分析,并对临床护理方法进行了实践探讨,以求对上消化道出血的护理工作提供参考.     

Electric Versus Hydraulic Hospital Beds: Differences in Use During Basic Nursing Tasks

Biomechanical, postural and ergonomic aspects during real patient-assisting tasks performed by nurses using an electric versus a hydraulic hospital bed were observed. While there were no differences in the flexed postures the nurses adopted, longer performance times were recorded when electric beds were used. Subjective effort, force exertion and lumbar shear forces exceeding safety limits proved electric beds were superior. Patients’ dependency level seemed to influence the type of nurses’ intervention (duration and force actions), irrespective of the bed used. The nurses greatly appreciated the electric bed. Its use seemed to reduce the level of effort perceived during care giving and the postural load during critical subtasks. Ergonomics and organizational problems related to adopting electric beds in hospital wards should be addressed further to make their use more efficient.     

重症胰腺炎手术治疗的护理

本文对我院2001年以来收治的54例重症胰腺炎患者手术治疗的护理进行总结，以求对重症胰腺炎患者手术治疗中的护理工作提供参考．     

Development of PAOT Tool Kit for Work Improvements in Clinical Nursing

The aim of this study was to develop an action checklist for educational training of clinical nurses. The study used qualitative and quantitative methods. Questionnaire items were extracted through in-depth interviews and a questionnaire survey. PASW version 19 and AMOS version 19 were used for data analyses. Reliability and validity were tested with both exploratory and confirmative factor analysis. The levels of the indicators related to goodness-of-fit were acceptable. Thus, a model kit of work improvements in clinical nursing was developed. It comprises 5 domains (16 action points): health promotion (5 action points), work management (3 action points), ergonomic work methods (3 action points), managerial policies and mutual support among staff members (3 action points), and welfare in the work area (2 action points).     

胰十二指肠切除术患者的心理干预等个性化护理效果分析

目的:对胰十二指肠切除术抑郁症患者住院期间实施包括心理干预在内的个性化护理并评价其效果.方法:将我院2009年3月至2012年3月收治胰十二指肠切除术患者56例后随机分成对照组和干预组各28例,对照组接受常规护理,干预组住院期间接受心理干预在内的个性化护理.在入院当天、术前天和出院前1天对两组患者进行抑郁自评量表(SDS)并比较两组患者的SDS和分值,统计两组患者住院时间和并发症.结果:干预组患者SDS分值的降低幅度较对照组明显;差异有统计学意义(P<0.05)前者住院时间、并发症要少于后者,且满意率高.结论:心理干预等个性化护理能有效改善患者围手术期的抑郁情绪,减少并发症,有助于早期康复.表2,参10.     

母乳中全氟化合物的污染水平与婴儿暴露评估

为探索北京市产妇母乳中典型全氟化合物的污染水平及婴儿经母乳的外暴露水平及风险.于2011~2012年通过征集母乳捐献志愿者方式采集95份母乳样本,并填写调查表,记录母乳捐献者的人口学特征及居住环境等信息.采用固相萃取结合超高效液相色谱-串联质谱法测定母乳中全氟辛酸及全氟辛烷磺酸的含量,估算婴儿经母乳的每日摄入量并与参考剂量进行比较.结果显示北京市产妇母乳中全氟辛酸含量均值和中位数分别为42和37.4pg/m L,范围在13.4~181.3pg/m L之间.全氟辛烷磺酸含量高于全氟辛酸,均值、中位数和范围分别为66.6、54.5和14~390.3pg/m L,统计分析发现全氟辛酸与体重指数呈正相关但与母乳产出时间呈负相关,而全氟辛烷磺酸则与产妇年龄呈正相关.婴儿经母乳全氟辛酸和全氟辛烷磺酸每日摄入量中值分别为4.67和6.81ng/(kg bw·d),最高值分别为22.66和48.79ng/(kg bw·d),显示部分婴儿经母乳摄入的全氟辛烷磺酸水平超过了参考剂量,健康风险值得关注.     

Importance of patient education on home medical care waste disposal in Japan

To determine current practices in the disposal and handling of home medical care (HMC) waste, a questionnaire was mailed to 1965 offices nationwide. Of the office that responded, 1283 offices were analyzed. Offices were classified by management configuration: those attached to hospitals were classified as ”attached offices” and others as “independent offices”. More nurses from attached offices recovered medical waste from patients’ homes than those from independent offices. Most nurses educated their patients on how to store HMC waste in their homes (79.3% of total) and on how to separate HMC waste (76.5% of total). On the other hand, only around half of nurses (47.3% from attached offices and 53.2% from independent offices) educated their patients on where to dispose of their HMC waste. 66.0% of offices replied that patients had separated their waste appropriately. The need for patient education has emerged in recent years, with education for nurses under the diverse conditions of HMC being a key factor in patient education.     

刍议护理临床教师理想的角色模式

通过对162名实习护生问卷调查对临床带教老师的评价,14.2%的护生认为带教老师的自身素质有待提高;19.3%的护生评价带教老师在指导护生应用护理程序方面存在不足;13.4%的护生认为临床教师对待护生态度方面很一般,缺乏耐心.从而得出树立理想的带教老师角色模式,有利于融洽师生关系,促进职业情感化,激发护生的主动性,增强自信心,提高教学效果和实习质量.以达到从护生角度探讨护理临床教师的理想角色模式得目的.