探讨舒适护理在手术室护理中的应用效果

目的分析研究舒适护理在手术室护理中的应用效果方式。方法我院收治的300例患者随机分为实验组和对照组,每组150例,对照组患者进行简单的日常护理,实验组患者在日常护理上增加全方面的舒适护理项。结果通过两组的比较,实验组患者无论是心理还是精神上取得的评价都高于对照组,同时患者的血压和紧张度有了很大的改变。结论舒适护理不仅缓解了患者的应激反应也增强了患者承受能力,有利于提高手术的成功率。     

舒适护理在手术室患者护理中的应用价值

目的：探讨舒适护理在手术室患者护理中的应用价值。方法选取2013年5月至2014年6月进行手术治疗的患者资料122例,将其采用随机数字表法分为两组,对照组61例患者在手术室护理中采用常规护理,试验组61例患者在手术室护理中采用舒适护理。比较两组患者的护理满意度和不良反应发生情况。结果护理后,试验组患者总满意度为98.4%,对照组患者总满意度为75.4%,差异有统计学意义（P＜0.05）;试验组无1例患者发生不良反应,对照组患者发生呕吐3例,头疼2例,乏力1例,不良反应发生率为9.8%,差异有统计学意义（P＜0.05）。结论在手术室护理中给予舒适护理可明显提高手术患者的护理满意度,并提高其生活质量。     

人性化护理在手术室护理中的应用及效果分析

手术室护理是指在围手术期为减少患者紧张、焦虑、恐惧等不良心理以及生理功能紊乱对疾病治疗造成的不良影响,而采取的一种综合护理措施[1]。医学模式的改变和社会的发展促使人们对健康、保健、护理等各方面的要求越来越高,人性化护理更注重以患者为中心,更贴切患者的生命保障和需求,在手术室护理中逐渐广泛开展。     

优质护理在手术室全程护理中的运用效果探讨

目的探讨优质护理措施在手术室全程护理当中的临床效果。方法选取我院于2011年9月至2012年6月手术治疗的68例患者,采用数字单双号的模式将其随机分为两组,对照组采取常规护理措施,治疗组实施优质护理措施,手术后,比较两组抑郁自评量表、焦虑自评量表的评分。结果治疗组患者的抑郁评分与焦虑评分均显著低于对照组患者(P<0.05),差异具有统计学意义。结论在手术的护理工作当中融入优质护理措施,可以显著减缓患者及家属的焦虑、恐惧情绪,从而有效提升患者在手术进程当中的依从性,保障手术成功完成,从而降低并发症的发生率,具有十分重要的现实意义。     

安全管理在手术室护理中的应用与效果评估

目的：探讨手术室护理中安全管理的应用和效果评估。方法我院自2011年起对手术室安全管理进行不断完善,对安全管理完善前后的临床效果进行分析,并对其实施前后的护理缺陷、患者满意度等进行对比。结果安全管理实施后护理缺陷发生率为2.3%,患者满意度为97.7%,综合管理质量达标率为98.8%,与实施前相比,效果明显,差异有统计学意义（P＜0.05）。结论安全管理在手术室护理中具有明显的应用价值,可最大限度地保证患者及医护人员的安全,减少护理缺陷,提高患者满意度。     

舒适护理在剖宫术护理中的应用体会

目的探讨舒适护理在剖宫术护理中的应用。方法选取我院2012年4月至2013年6月在本院行剖宫术的产妇134例,随机分为对照组与试验组,各67例,对比分析两组患者康复情况和护理满意度。结果试验组患者心理状态评分、乳汁分泌充足率、术后疼痛率、护理满意度,分别为(8.3±1.1)分、91.0%、11.9%、97.0%均优于对照组,差异有统计学意义(P<0.05)。结论在剖宫术中采用舒适护理措施可提高产妇满意度和安全感,为手术的顺利进行创造了良好条件。     

舒适护理在掌骨骨折护理中的应用

目的探讨舒适护理在老年掌骨骨折患者中的应用效果。方法选取2012年1月至2013年6月在我院住院治疗的被诊断为掌骨骨折老年患者共有172例,依照患者住院期间接受护理方式不同分成两组。对照组患者实施常规护理,观察组患者实施舒适护理。对比两组患者术后护理效果。结果经过不同的护理后,观察组患者的创口感染率低于对照组患者,经过问卷调查显示,患者及其家属总满意率为98.8%,明显高于对照组患者的满意率,差异有统计学意义(P均<0.05)。结论对于老年掌骨骨折患者在手术后使用舒适护理的方法,不仅能够有效降低并发症的发生率,而且还能更好地提高患者的治愈率和满意程度。     

舒适护理在儿科发热患儿中的应用

目的探讨舒适护理在儿科发热患儿中的应用效果。方法将2011年1月至2012年7月在我科住院的发热患儿随机分为试验组和对照组。对照组采用常规护理,试验组采用舒适护理,观察并比较两组患儿的哭闹情况、体温下降情况、住院时间、静脉穿刺成功率及家属满意度等指标差异。结果试验组患儿主动配合情况、发热持续天数、静脉穿刺成功率及家属满意度与对照组比较,差异有统计学意义(P<0.05),住院时时间比较,差异无统计学意义(P>0.05)。结论发热患儿在临床护理中应用舒适护理效果满意。     

优质护理服务在手术室护理中的效果

目的探讨手术室开展优质护理服务的临床效果。方法随机选取2012年8月至2013年10月于我院手术治疗的患者32例为观察组,并开展手术室优质护理服务;选取同期手术患者32例为对照组,采用常规护理模式,观察比较两组患者手术前后焦虑状况。结果观察组术前有焦虑情绪者28例(87.5%),术后降至17例(53.1%),术前、术后相比差异有统计学意义(P<0.01);两组术后焦虑情绪比较差异有统计学意义(P<0.05)。结论手术室优质护理服务的开展可有效缓解患者术前焦虑,有利于手术室患者手术的顺利进行。     

人性化护理在手术室中的应用

目的分析人性化护理在手术室中的应用效果。方法随机选取我院2012年1月~2013年1月收治的46例手术患者,随机分为观察组23例和对照组23例,对照组实施常规护理,观察组在其基础上实施人性化护理。结果观察组患者的焦虑、抑郁程度明显低于对照组,两组患者并发症发生率分别为0.0%、13.0%,护理满意率分别为91.3%、78.3%,两组对比有明显差异(P<0.05)。结论对手术患者进行人性化护理干预,可有效提高护理满意率,防止并发症的发生。     

Cost of operating room time for endovascular transcatheter aortic valve replacement

Abstract

Background: Procedural efficiencies can contribute to cost reductions in transcatheter aortic valve replacement procedures (TAVR). The objective of this study is to determine operating room (OR) variable cost per minute in endovascular TAVR procedures, in a real-world hospital setting.

Methods: Using Premier data from January 2015–June 2016 for patients undergoing a primary endovascular TAVR (primary ICD-9 code of 35.05, ICD-10 code of 02RF37Z, 02RF38Z, 02RF3JZ, or 02RF3KZ) procedure, the OR cost per minute was calculated for each patient by dividing the total hospital OR variable cost by the OR time (minutes).

Results: Of the 4,573 patients in the cohort, the average age was 80 years, 77% were admitted electively, and the vast majority were discharged home with (30%) or without (45%) home care. Median OR time for endovascular TAVR procedures was 180?min. The trimmed mean OR cost per minute was $43.59 (SD = $28.68). When stratified by Elixhauser Risk score and Charlson comorbidity index, OR cost per minute increased with higher risk and comorbidity (p?<?0.0001 and p?<?0.041, respectively).

Conclusions: This contemporary estimate of the real-world variable OR cost per minute provides researchers with a critical parameter to refine economic models of TAVR and aid clinical program directors in resource planning according to a priori risk and comorbidity.     

Redesigning nursing work in long-term care environments

The authors present a highly statistically oriented argument for examining work attitudes and activities among three groups of caregivers [RNs, RPNs, and HCAs] working in long-term care. The investigators used both work sampling, written surveys, and interviews with a sample of 46 caregivers in a large university-affiliated LTC facility in Toronto, Canada. While RNs stated their strong affinity for direct patient care activities, they perform the lowest percentage of direct care, chiefly due to their accountability for planning and coordinating the care provided by others. The HCAs who provided the bulk of direct patient care "valued it the least," apparently finding little gratification with this aspect of their role. This study suggests that there is a need to examine and clarify work roles and perceptions for all caregivers as part of any work redesign process. A higher level of RN involvement in direct patient care activities, along with "attention to enhancing the importance" of these activities for staff employed in the HCA role, could be beneficial.     

Defining quality of nursing work life

As the largest single employee component of hospitals, nurses are critical to the functioning of the organization, and improving employee productivity continues to be a common theme in the health care literature. However, any increased productivity will be transitory if achieved at the expense of the quality of nurses' work life (QNWL), since improvement in the QNWL is prerequisite to improved productivity. The conceptual components of the concept of QNWL that differentiate QNWL from the concept job satisfaction are explored.     

Breaking the burnout barrier: resurrecting work excitement in nursing

An exploratory study of 168 nurses has yielded a new dimension of practice patterns, work excitement, a prerequisite to effective practice and quality care. Four reasonable and attainable factors were found to be significant predictors of work excitement: work arrangements; a learning environment that fosters individual growth and development; variety of experiences; and positive working conditions.     

RS、GIS在土地整理工作中的应用

随着计算机技术的发展与应用,遥感技术和地理信息系统技术凭借着强大的空间分析功能和地理信息数据管理功能,已经广泛应用于国土资源开发管理领域。结合RS、GIS在土地整理工作中的作用和特点,对其在土地整理工作中的应用进行了初步的探讨。     

Factors influencing work productivity and intent to stay in nursing

The researchers document the individual and workplace characteristics associated with decreased work productivity and intent to stay in nursing for nurses employed in direct patient care in the hospital setting. Factors associated with decreased work productivity were age, total years worked as a RN, quality of care provided, job stress score, having had a job injury, and having a health problem. Nurse leaders must place additional efforts on changes needed to improve the hospital workplace environment to decrease job stress, improve RNs' ability to provide quality care, and to assure the health and safety of nurses. Reducing job stress and providing adequate staffing so quality of care can be provided will enhance job satisfaction which will also encourage RNs to stay at the bedside. Improved work environments may delay older RNs' retirement from the workforce.     

全面建设小康社会的关键在农村

改革实践证明,“三农”问题的解决,必须打破城乡二元结构,实行城乡统筹发展。逐步取消农业税,加快农村剩余劳动力转移,深化农村土地制度改革等,应作为中国农业未来发展中优先选择的战略措施。     

Work excitement in nursing: an examination of the relationship between work excitement and burnout

The results of this study found a significant relationship between burnout and the Work Excitement Model. This suggests that utilization of the Work Excitement Model by health care organizations may reduce nursing burnout and improve productivity and quality of care.     

An analysis of non-insurance work incentives

The paper analyzes work incentives which may be competitive, individualistic, or collective and where the firm does not insure worker income. Although competitive schemes reduce shirking, the collective scheme is shown to be optimal for sufficiently small workgroups.