护理专业生理学实验教学的探索

护理专业生理学实验教学,要结合护理专业人才培养目标的特点,在生理学实验教学改革探索中,通过采用多种教学方法、改革实验教学内容、开展护理技能实训等提高实验教学效果,培养学生多种思维方法、专业能力和人文素质。     

胎儿成熟、分娩与婴幼儿心理形成浅论

胎儿的发育成熟,既是生理意义上的,也是心理的物质基础意义上的,是由胎儿自己来判定的;人的一生发展”程序“都是在胎儿阶段设定完成的;分娩与护理将影响新生命的一生。     

Ethno-national boundaries in the construction of “dirty-work” occupational identity: The case of nursing care workers in diversified workplaces

Diversified domains, such as workplaces, are suitable social fields for the study of ethnic identities, because identities are constructed through comparison and negation, that is, by identifying what or who the “other” is. In the present study I explore the talk of hands-on nursing care work, a stigmatized occupational field, to illuminate ethnic identities and the strategic boundary work that care workers conduct. The study is based on 14 months of field work and 51 interviews and observations at two Israeli geriatric wards with highly diverse staff. I show that actors negotiate their care worker identity by the opposite strategies of making and unmaking ethno-national boundaries. The first strategy denies and erases ethno-national boundaries by stressing universal professional values and individual virtues; the second one demarcates boundaries between ethno-national groups, using perceived cultural differences. The discussion addresses these antithetical evaluation frameworks in relation to theories of boundary making and unmaking.     

老年性抑郁症心理护理的探讨与对策

近年来,老年性抑郁症的患病率呈逐年上升趋势,已成为严重影响老年人精神健康的主要因素之一。对32例老年性抑郁症进行心理护理,提示正确的健康教育及心理护理是治疗成功的重要保证。     

护理药理学实训课程改革的体会

文章阐述了护理药理学实训课程教学改革的背景,以及进行教学改革的思路和方法。改革主要是将传统教学转变为"以学生为主体、以教师为主导"的理实一体化教学模式,应用了行动导向法、任务驱动法和竞赛式教学法等主流方法并介绍了应用实例,为其他教师的教学改革提供了参考。     

慢性皮肤溃疡中医特色护理研究概况

慢性皮肤溃疡是一种中医外科疑难病,病因复杂,现代医学尚缺乏疗效确切的治疗手段。中医药对该病有许多独特疗法,文章主要从中药膏外敷、中药熏洗与湿敷、按摩、针灸、情志饮食等各方面护理特色进行归纳、阐述,为本病的临床护理提供参考。     

初产妇产后抑郁的影响因素及护理的研究综述

产后抑郁的危害性已经受到了学术界和一线护理工作者的重视,并且已经取得了丰富的研究成果。通过对文献资料的梳理,可以将初产妇产后抑郁的影响因素归纳为社会因素、心理压力、身体因素、产科因素、角色转变,并分析目前的护理方向可以分为重视产妇保健、加强心理干预、积极寻找外部支持、探索与推广社区干预。     

Screening for potential child maltreatment in parents of a newborn baby: The predictive validity of an Instrument for early identification of Parents At Risk for child Abuse and Neglect (IPARAN)

For preventive purposes it is important to be able to identify families with a high risk of child maltreatment at an early stage. Therefore we developed an actuarial instrument for screening families with a newborn baby, the Instrument for identification of Parents At Risk for child Abuse and Neglect (IPARAN). The aim of this study was to assess the predictive validity of the IPARAN and to examine whether combining actuarial and clinical methods leads to an improvement of the predictive validity. We examined the predictive validity by calculating several performance indicators (i.e., sensitivity, specificity and the Area Under the receiver operating characteristic Curve [AUC]) in a sample of 4692 Dutch families with newborns. The outcome measure was a report of child maltreatment at Child Protection Services during a follow-up of 3 years. For 17 children (.4%) a report of maltreatment was registered. The predictive validity of the IPARAN was significantly better than chance (AUC = .700, 95% CI [.567–.832]), in contrast to a low value for clinical judgement of nurses of the Youth Health Care Centers (AUC = .591, 95% CI [.422–.759]). The combination of the IPARAN and clinical judgement resulted in the highest predictive validity (AUC = .720, 95% CI [.593–.847]), however, the difference between the methods did not reach statistical significance. The good predictive validity of the IPARAN in combination with clinical judgment of the nurse enables professionals to assess risks at an early stage and to make referrals to early intervention programs.     

How medical practice evolves: Learning to treat failing hearts with an implantable device

In this article we propose that medical practice evolves as a result of progress along three different pathways: improvement in the ability to develop effective medical technologies, learning in medical practice, and advances in biomedical scientific understanding of disease. The relative importance of these three pathways varies from case to case, and often they interact strongly. More specifically, we argue here that in cases of therapeutic innovation where a new medical technology is involved the advance in medical practice is driven largely by the ability to develop and use effective medical artifacts and the interactive sequence among these interdependent pathways often starts with what is learned in practice and not in science. While we state this argument in general, we develop it in detail in a longitudinal and contextual case study of the emergence and evolution of a treatment for advanced heart failure based on an implantable device, the Left Ventricular Assist Device (LVAD). Our findings show that an essential aspect of the evolution of the LVAD therapy is collective and cumulative learning that requires experience that only can be gained through the actual use of LVADs. We discuss the theoretical and policy implications that follow from our understanding of how medical practice evolves for research on the evolution of medical practices and new medical technologies, and policies about the evaluation of rapidly moving medical practices and clinical research involved in their advancement.     

复方过氧化氢手消毒液临床试验效果的分析

本复方过氧化氢手消毒液,经多年的实验观察,其杀菌效果与5.00g/l的络合碘基本一致,并具有较好的稳定性,通过加入侵蚀剂和润肤、保温剂等组分,较好地解决了过氧化氢对皮肤具有较强刺激性的技术难题,从而为过氧化氢消毒制剂在皮肤消毒领域的应用提供了技术支持.为验证该消毒剂临床实际应用效果,以5.00g/l的络合碘作为对照进行了临床试验.通过对医务人员手卫生消毒和外科手消毒的比对试验结果观察.该复方过氧化氢手消毒效果与5.00g/l的络合碘消毒效果基本一致.