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国际护理学杂志
吉林省医学期刊社
国际护理学杂志

吉林省医学期刊社

刘万车

月刊

1673-4351

gjhlxzz@126.com

0431-88920584

130061

吉林省长春市建政路971号

国际护理学杂志/Journal International Journal of NursingCSTPCD
查看更多>>中华人民共和国卫生部主管，中华医学会、吉林省医学期刊社主办。本刊是国家级杂志，目前已经入选“中国科技核心期刊”、“RCCSE中国核心学术期刊”、“中国北方优秀期刊”。本刊主要以国内外从事临床护理工作及从事护理临床教学研究者为对象，重点报道我国基础与临床护理的最新研究成果、临床护理经验，以及新技术、新方法在临床的应用与发展，介绍国际护理领域的最新发展动态。主要栏目有：综述、论著、护理研究、护理管理、临床护理、健康教育、护理教育、社区护理、文摘等。
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    综合训练干预对恢复期精神分裂症患者生活质量、社会功能的影响

    杨国芳李玉帅杨荣荣张芳...
    709-713页
    查看更多>>摘要：目的 分析综合训练干预对恢复期精神分裂症患者生活质量、社会功能的影响。 方法 选取2020年1月至2022年2月聊城市第四人民医院接收的85例恢复期精神分裂症患者，根据不同干预方法分为观察组(综合训练干预，45例)和对照组(常规干预，40例)。比较两组患者日常生活活动能力量表(Barthel指数)、社会功能缺陷筛选量表(SDSS)及生活质量综合评定问卷(GQOLI-74)评分，并详细记录比较患者服药依从性。 结果 干预后各时间段两组Barthel指数评分均上升，且观察组高于对照组，差异有统计学意义(P<0。05)。干预后各时间段两组SDSS评分均下降，且观察组明显低于对照组，差异有统计学意义(P<0。05)。干预后2个月两组GQOLI-74量表的躯体、心理健康及社会功能、物质生活评分均升高，且观察组高于对照组，差异有统计学意义(P<0。05)。观察组服药依从率(93。33%)高于对照组(77。50%)，差异有统计学意义(P<0。05)。 结论 综合训练干预在恢复期精神分裂症患者中的应用效果显著，可对提高患者的生活质量产生积极影响，能有效帮助精神分裂症患者早日回归社会，值得临床推广应用。 Objective To analyze the effects of comprehensive training intervention on quality of life and social function in convalescent schizophrenia patients。 Methods A total of 85 patients with convalescent schizophrenia admitted to the hospital from January 2020 to February 2022 were selected and divided into observation group (comprehensive training intervention， 45 cases) and control group (conventional intervention， 40 cases) according to different intervention methods。The scores of the activities of daily living scale (Barthel index)， Social Dysfunction Screening Scale (SDSS) and Generic Quality of Life Inventory-74 (GQOLI-74) were compared between the two groups， and the medication compliance was recorded in detail。 Results After intervention， the Barthel index score of both groups increased at all time periods， and the Barthel index score of the observation group was higher than that of the control group， and the difference was statistically significant(P<0。05)。 After intervention， the SDSS score of both groups decreased at all time periods， and the SDSS score of the observation group was significantly lower than that of the control group， and the difference was statistically significant(P<0。05)。 After 2 months of intervention， the physical， mental health， social function and material life scores of GQOLI-74 scale increased in both groups， and the physical， mental health， social function and material life scores of observation group were higher than those of control group， and the differences were statistically significant(P<0。05)。 The medication compliance rate of observation group (93。33%) was higher than that of control group (77。50%)， and the difference was statistically significant(P<0。05)。 Conclusions The application effect of comprehensive training intervention in convalescent schizophrenia patients is remarkable， can have a positive impact on improving the quality of life of patients， and can effectively help patients with schizophrenia return to society as soon as possible， which is worthy of clinical application。

    综合训练干预精神分裂症生活质量社会功能

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    双C疗法联合循证护理对妊娠期糖尿病合并高血压患者心理应激、并发症及母婴结局的影响

    李沛琪王恩惠张晓俊倪鹏...
    713-718页
    查看更多>>摘要：目的 分析双C疗法联合循证护理对妊娠期糖尿病(GDM)合并妊娠期高血压患者心理应激、并发症及母婴结局的影响。 方法 选取2020年1月至2022年5月复旦大学附属妇产科医院接收的176例GDM合并妊娠期高血压患者，根据不同护理方法分为观察组(循证护理，n＝91)和对照组(常规护理，n＝85)，两组患者均采用双C疗法进行治疗。比较两组治疗前后血糖水平〔空腹血糖(FPG)、餐后2 h血糖(2hPG)及糖化血红蛋白(HbA1c)〕，对比两组情绪状态〔抑郁自评量表(SDS)、焦虑自评量表(SAS)〕、心理应激反应(收缩压、舒张压及心率)，并统计两组产后并发症情况与母婴结局。 结果 干预后两组HbA1c、FPG及2hPG水平明显下降，且观察组低于对照组，差异有统计学意义(P<0。05)。干预后两组SDS和SAS评分均下降，且观察组低于对照组，差异有统计学意义(P<0。05)。干预后两组收缩压、舒张压及心率均降低，且观察组低于对照组，差异有统计学意义(P<0。05)。观察组患者产后出血、胎盘早剥、新生儿窒息及胎儿窘迫发生率均低于对照组，早产率、剖宫产率及并发症发生率均低于对照组，差异有统计学意义(P<0。05)。观察组并发症总发生率低于对照组，差异有统计学意义(P<0。05)。 结论 双C疗法联合循证护理能有效控制GDM合并妊娠期高血压患者的血糖、血压水平，缓解患者负性情绪，更有助于获得满意的母婴结局，临床应用价值更高。 Objective To analyze the effects of Continuous Subcutaneous Insulin Infusion and Continuous Glucose Monitoring System(double-C) therapy combined with evidence-based nursing on psychological stress， complications and maternal and infant outcomes in patients with Gestational Diabetes Mellitus (GDM) complicated with gestational hypertension。 Methods A total of 176 patients with GDM complicated with gestational hypertension admitted to the hospital from January 2020 to May 2022 were selected， and divided into observation group (evidence-based nursing， n=91) and control group (conventional nursing， n=85) according to different nursing methods。Both groups were treated with double C therapy。The blood glucose levels 〔Fasting Plasma Glucose (FPG)， Two Hours Postprandial Blood Glucose (2hPG) and Glycosylated Hemoglobin A1c (HbA1c)〕 of the two groups before and after treatment were compared， and the emotional state 〔Self-rating Depression Scale (SDS)， Self-rating Anxiety Scale(SAS)〕， psychological stress response (systolic blood pressure， diastolic blood pressure and heart rate) of the two groups were compared。 The postpartum complications and maternal and infant outcomes of the two groups were analyzed。 Results After intervention， the levels of HbA1c， FPG and 2hPG in the two groups were significantly decreased， and the observation group was lower than the control group， the difference was statistically significant(P<0。05)。 Compared with before intervention， the SDS and SAS scores of the two groups decreased after intervention， and the SDS and SAS scores of the observation group were lower than those of the control group， the differences were statistically significant (P<0。05)。 Compared with before intervention， the systolic blood pressure， diastolic blood pressure and heart rate of the two groups were reduced after intervention， and the systolic blood pressure， diastolic blood pressure and heart rate of the observation group were lower than the control group， and the differences were statistically significant (P<0。05)。 The rates of postpartum hemorrhage， placental abruption， neonatal asphyxia and fetal distress in observation group were lower than those in control group， and the rates of premature delivery， cesarean section and complications in observation group were lower than those in control group， and the differences were statistically significant(P<0。05)。 The total incidence of complications in the observation group was lower than that in the control group， and the difference was statistically significant(P<0。05)。 Conclusions Double-C therapy combined with evidence-based nursing can effectively control the blood sugar and blood pressure levels of GDM patients with pregnancy-induced hypertension， relieve the negative emotions of patients， and contribute to satisfactory maternal and infant outcomes， with higher clinical application value。

    双C疗法循证护理妊娠期高血压心理应激

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    舒适护理结合静态进展性牵伸在改善上肢骨折术后早期肘关节功能障碍中的应用

    苏颖施晶晶黄燕鹏胡洁晶...
    718-722页
    查看更多>>摘要：目的 探讨舒适护理结合静态进展性牵伸在改善上肢骨折术后早期肘关节功能障碍中的应用效果。 方法 选取2021年3月至2022年10月在厦门大学附属成功医院接受治疗的122例早期肘关节功能障碍患者作为研究对象，按照护理模式的不同分为66例观察组(舒适护理＋静态进展性牵伸)和56例对照组(常规护理＋静态进展性牵伸)。使用MEPS评估肘关节功能、VAS评估疼痛程度、Barthel指数评估日常生活活动能力、GQOLI-74评估生活质量。 结果 两组护理后MEPS各维度评分均高于护理前，且观察组高于对照组，差异有统计学意义(P<0。05)。两组护理后各时间点VAS评分均较护理前降低，且观察组低于对照组，差异有统计学意义(P<0。05)。两组护理后1、3个月的Barthel指数评分均上升，且观察组高于对照组，差异有统计学意义(P<0。05)。两组护理后躯体、心理、社会与物质生活等4个维度的评估结果均较护理前上升，且观察组高于对照组，差异有统计学意义(P<0。05)。 结论 将舒适护理结合静态进展性牵伸应用于上肢骨折术后早期肘关节功能障碍的患者中，能有效改善肘关节功能，缓解疼痛度，对提高患者生活能力以及生活质量均有着积极的作用和影响。 Objective To explore the application effect of comfort nursing combined with static progressive draft in improving early elbow joint dysfunction after upper limb fracture surgery。 Methods A total of 122 patients with early elbow joint dysfunction who received treatment in this hospital from March 2021 to October 2022 were selected as research objects， and according to different nursing modes， the patients were divided into 66 cases of observation group (comfort nursing + static progressive draft) and 56 cases of control group (routine nursing+ static progressive draft)。 Elbow function was assessed by Mayo Elbow Performance Score(MEPS)， pain was assessed by Visual Analogue Scale (VAS)， ability to perform activities of daily living was assessed by Barthel index， and quality of life was assessed by Generic Quality of Life Inventory-74(GQOLI)-74。 Results The score of MEPS in all dimensions after nursing was higher in both groups than before nursing， and the score of MEPS in observation group was higher than that in control group， and the difference was statistically significant (P<0。05)。 VAS scores of both groups after nursing were lower than those before nursing， and VAS scores of observation group were lower than those of control group at all time points， and the difference was statistically significant (P<0。05)。 The Barthel index score of 2 groups increased 1 and 3 months after nursing， and the Barthel index score of observation group was higher than that of control group， and the difference was statistically significant(P<0。05)。 The two groups of physical， psychological， social and physical life were increased before nursing， and the physical， psychological， social and physical life scores of the observation group were higher than the control group， and the difference was statistically significant(P<0。05)。 Conclusions The application of comfort care combined with static progressive draft in early elbow joint dysfunction patients after upper limb fracture surgery can effectively improve elbow joint function， relieve pain， and have a positive effect on improving patients' life ability and quality of life。

    舒适护理静态进展性牵伸上肢骨折术后肘关节功能障碍

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    下肢主动康复训练装置对老年髋关节置换术患者下肢深静脉血栓的预防效果

    王睿魏道琳施茹萍贾金丽...
    722-726页
    查看更多>>摘要：目的 探讨下肢主动康复训练装置应用于老年髋关节置换术患者术后康复护理中的效果。 方法 选取2019年6月至2022年6月在合肥市第一人民医院接受髋关节置换术治疗的56例老年患者作为研究对象，根据随机数字表法将其分为对照组和研究组，每组28例。对照组行常规康复训练，研究组在常规康复训练的基础上使用下肢主动康复训练装置，对比两组患者术后次日、出院前日凝血酶时间(TT)、活化部分凝血活酶时间(APTT)及D-二聚体(D-D)等凝血指标水平，住院期间下肢肿胀、下肢深静脉血栓发生率。 结果 术后次日，两组患者TT、APTT等凝血功能指标水平对比无显著差异(P>0。05)；出院前日，两组患者凝血功能指标均有改善，与术后次日相比，差异有统计学意义(P<0。05)，且研究组优于对照组(P<0。05)。两组患者下肢肿胀、下肢深静脉血栓发生率对比无显著差异(P>0。05)。 结论 下肢主动康复训练装置可有效改善老年髋关节置换术患者凝血相关指标，但对下肢肿胀及下肢深静脉血栓发生率的影响有待进一步研究。

    下肢主动康复训练装置髋关节置换术下肢深静脉血栓

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    基于循证证据的神经外科手术患者下肢深静脉血栓预防方案构建及效果评价

    田杏音郭新影朱颖洁萧蕊英...
    726-731页
    查看更多>>摘要：目的 运用证据构建神经外科手术患者下肢深静脉血栓(DVT)预防的全程管理模式并评价其应用效果。 方法 建立循证团队，通过证据资源检索和评价获取循证证据，构建神经外科手术患者术前-术中-术后-出院后下肢DVT预防的全程管理模式并应用。比较实施前(2020年1～6月，94例)与实施后(2021年9月至2022年3月，79例)神经外科全麻手术患者审查指标执行率和下肢DVT发生率。 结果 实施后12项审查指标中10项达到目标值，9项执行率与实施前相比有明显提高(P<0。05)，术后下肢DVT发生率由10。6%降至1。8%(P<0。05)。 结论 基于循证证据构建了神经外科手术患者下肢DVT预防全程管理模式，进一步完善了神经外科手术患者下肢DVT预防管理系统，规范了临床工作，加强了多学科合作，提高了审查指标执行率并有效降低了神经外科手术患者下肢DVT发生率。

    神经外科下肢深静脉血栓预防

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    基于多纳贝丁模型的质量反馈及甘特图在护理质量改进中的应用

    张亚函沈明晓王溪婷
    732-737页
    查看更多>>摘要：目的 探究基于多纳贝丁模型的质量反馈及甘特图在护理质量改进中的应用成效。 方法 选取2020年11月至2021年11月聊城市第三人民医院消化内科、呼吸内科及神经内科的护士102名作为研究对象，随机分为两组，各51名，将2020年11月至2021年5月列为传统组(管理前)，将2021年5～11月列为观察组(管理后)。传统组实施传统管理方法，观察组基于多纳贝丁模型的质量反馈实施甘特图管理方法，对比两组护理工作质量、患者护理满意度及不良事件发生率。 结果 观察组不良事件发生率显著低于传统组(χ2＝7。843，P＝0。005)，观察组护理满意度总分显著高于传统组(t＝21。075，P<0。05)，观察组护理质量评分显著高于传统组(t＝15。491，P<0。05)。 结论 基于多纳贝丁模型的质量反馈及甘特图的应用能有效降低护理不良事件发生情况，提升患者护理满意度，促进护理质量的持续改进，值得临床运用和推广。

    多纳贝丁模型质量反馈甘特图护理质量

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    风险评估应用于医院感染控制的效果

    孙惠隋少蕾倪鹏
    737-740页
    查看更多>>摘要：目的 以改善医院感染控制质量为切入点，分析、规范、管控整体操作流程，促进感染科工作人员工作质量及感染控制效果。 方法 选取12名烟台市莱阳中心医院感染科工作人员，在2020年1月至2021年12月接受管理培训，根据时间节点分为常规管理(2020年1～12月，实施常规管理)和风险评估管理后(2021年1～12月，实施风险评估管理方案)。对比工作人员感染管理效果、工作质量及知识掌握度。 结果 实施风险评估管理后30 d，工作人员感染控制效果、工作质量及知识掌握度均优于实施常规管理30 d后及实施常规管理前；实施常规管理30 d后各项指标优于常规管理前，差异有统计学意义(均P<0。05)。 结论 实施风险评估管理方案能够有效改善感染科工作人员工作质量和感染管理效果，提升其知识掌握程度。

    风险评估医院感染控制感染管理效果工作质量知识掌握度

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    结直肠病变行内镜黏膜下剥离术患者心理应激水平影响因素及护理策略

    惠丽代梦男朱颖炜陆健...
    741-745页
    查看更多>>摘要：目的 调查结直肠病变行内镜黏膜下剥离术患者心理应激水平，分析其相关影响因素，探讨其护理策略。 方法 选取无锡市第二人民医院在2019年7月至2022年8月期间消化内镜中心接收的98例结直肠病变采取内镜黏膜下剥离术治疗患者作为观察对象。依据心理应激程度的不同将其分为每组49例的心理应激障碍组和正常组，并对其进行单因素分析、Logistic多因素分析。 结果 两组年龄、性别、麻醉方式、手术时长、病变范围、病变位置、止血夹使用数量、文化水平、糖尿病史、病程、白细胞计数(WBC)、婚姻状况等差异不具有统计学意义(P>0。05)；视觉模拟量表(VAS)、疾病认知度、社会支持评定量表(SSRS)等具有统计学意义(P<0。05)；Logistic回归分析结果显示，疾病认知<75分、VAS≥4分、SSRS<33分等均为结直肠病变内镜黏膜下剥离术患者心理应激障碍的危险因素(P<0。05)。 结论 结直肠病变采取内镜黏膜下剥离手术治疗患者心理应激障碍影响因素众多，其中疾病认知差、疼痛、社会支持等为主要影响因素，应对其开展疾病知识健康宣教、疼痛管理及同伴支持等护理干预，以此促进患者早期康复。 Objective To investigate the psychological stress level of patients with colorectal lesions undergoing endoscopic submucosal dissection， analyze its related influencing factors， and discuss the nursing strategy。 Methods A total of 98 patients with colorectal lesions received by the hospital from July 2019 to August 2022 who underwent endoscopic submucosal dissection were selected as the observation objects。According to the different degree of psychological stress， they were divided into psychological stress disorder group and normal group， 49 cases in each group， and carry on single factor analysis， Logistic multi-factor analysis。 Results There were no statistically significant differences between the two groups in age， gender， anesthesia method， operation duration， lesion scope， lesion location， number of hemostatic clips used， educational level， history of diabetes， course of disease， White Blood Cell Count (WBC) and marital status(P>0。05)。 Visual Analogue Scale (VAS)， disease awareness scale and Social Support Rating Scale (SSRS) were statistically significant(P<0。05)。 Logistic regression analysis showed that， disease recognition <75 points， VAS≥4 points and SSRS<33 points were risk factors for psychological stress disorder in patients undergoing endoscopic submucosal dissection for colorectal lesions(P<0。05)。 Conclusions There are many influencing factors for psychological stress disorder in patients with colorectal lesions treated by endoscopic submucosal dissection， among which poor disease cognition， pain and social support are the main influencing factors。Nursing interventions such as health education， pain management and peer support should be carried out to promote early recovery of patients。

    内镜黏膜下剥离术结直肠病变心理应激水平健康宣教疼痛护理社会支持

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    达芬奇机器人辅助下肺癌根治术患者术后尿潴留的影响因素

    吴欢董灿灿李红迪倪鹏...
    746-750页
    查看更多>>摘要：目的 探讨达芬奇机器人辅助下肺癌根治术患者术后尿潴留的影响因素。 方法 选取2019年3月至2021年11月在徐州医科大学附属医院接受达芬奇机器人辅助肺癌根治术的102例患者作为研究对象，根据是否发生尿潴留分为两组(发生组和未发生组)。收集患者的临床资料，行单因素和Logistic多因素分析。 结果 单因素分析结果显示，年龄、性别、手术时间、术中输液量、腹部手术史、泌尿系统病史、慢性基础疾病史、国际前列腺症状评分(IPSS)、术后使用阿片类镇痛药是影响达芬奇辅助下肺癌根治术患者术后发生尿潴留的因素；Logistic多因素分析结果显示年龄>60岁、有泌尿系疾病史、有腹部手术史、术后使用阿片类镇痛药是行达芬奇辅助肺癌根治术患者尿潴留的高危因素。 结论 达芬奇机器辅助下肺癌根治术患者术后尿潴留的影响因素众多，其中年龄≥60岁、有泌尿系病史、有腹部手术史、术后使用阿片类镇痛药是影响患者尿潴留的独立危险因素。 Objective To study the influencing factors of urinary retention after radical operation for lung cancer assisted by Da Vinci robot。 Methods A total of 102 patients who received Da Vinci robot-assisted radical resection for lung cancer in this hospital from March 2019 to November 2021 were selected as the study objects and divided into two groups (occurrence group and non-occurrence group) according to whether urine retention occurred。 Clinical data of the patients were collected and univariate and Logistic multivariate analysis were performed。 Results Univariate analysis showed that age， gender， time of operation， intraoperative infusion volume， history of abdominal surgery， history of urinary system， history of chronic underlying diseases， International Prostate Symptom Score (IPSS)， and postoperative use of opioid analgesics were factors influencing urinary retention in patients undergoing Da Vinci assisted radical lung cancer surgery。Logistic multivariate analysis results showed that age over 60 years old， history of urinary diseases， history of abdominal surgery， and postoperative use of opioid analgesics were high risk factors for urinary retention in patients undergoing Da Vinci assisted radical resection for lung cancer。 Conclusions There are many factors affecting urinary retention in patients with radical lung cancer assisted by Da Vinci machine。 Among them， age greater than or equal to 60 years old， history of urinary system， history of abdominal surgery， and postoperative use of opioid analgesics are independent risk factors for urinary retention。

    达芬奇机器辅助肺癌根治术尿潴留前列腺增生影响因素

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    初产妇分娩控制感影响因素及全程陪伴式分娩护理干预效果

    周园刘倩张举王溪婷...
    750-753页
    查看更多>>摘要：目的 探讨初产妇分娩控制感影响因素及全程陪伴式分娩护理干预效果分析。 方法 选择2021年3月至2022年3月间于南阳医学高等专科学校第一附属医院分娩102例初产妇，根据入院顺序以随机数字表法随机分为研究组、对照组，各51例。对照组予以常规分娩护理，研究组予以全程陪伴式分娩护理，采用多元线性回归分析干预前初产妇控制感影响因素，并比较两组初产妇干预前后(Labour agentry scale，LAS)评分差异。 结果 多元线性回归分析结果显示，干预前初产妇分娩控制感的影响因素为文化程度、会阴侧切、产钳助产，共同解释干预前初产妇分娩控制感总变异55。1%。干预前，两组LAS评分比较差异无统计学意义(P>0。05)；干预后，两组LAS评分均较干预前提升，研究组高于对照组(P<0。05)。 结论 文化程度、会阴侧切、产钳助产等为影响初产妇分娩控制感的主要因素，临床中需针对以上因素进行针对性干预，而全程陪伴式分娩护理可提升初产妇分娩控制感，值得临床推广。

    初产妇分娩控制感影响因素全程陪伴式分娩护理

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