ABSTRACT
In the COVID-19 epidemic prevention and control work, not only the safety management of in-hospital organ transplantation is facing severe challenges, but also a large number of patients at home after transplantation are in immunosuppressive state, and professional protection management is urgently needed. Since the outbreak of the epidemic, Shulan(Hangzhou)hospital fully identified the risks of transplant patients, established a special team, and formulated and implemented the control management plan for organ transplant patients based on the crisis leadership model. The control management plan has achieved staged results.From January 15 to March 2, 2020, 29 liver transplants and 31 kidney transplants were performed in our hospital. The remote health education of 1 002 patients after liver and kidney transplantation was completed. The goal of " zero infection" was achieved, and the protection management quality indicators were ideal.
ABSTRACT
Objective To build a scientific, practical and sensitive index for liver transplantation perioperative nursing quality, and to provide reference for liver transplantation perioperative nursing evaluation and monitoring. Methods Based on the"structure-process-result"three dimensional quality evaluation model, the methods of literature review and evidence based analysis were adopted to summarize the sensitive index for perioperative nursing quality in liver transplantation, including name, connotation, calculation formula and data collection methods. The indicators were discussed and adjusted using Delphi method. Results Nineteen liver transplantation perioperative nursing quality sensitivity indexes were established, including the correct use of immunosuppressive agents, the qualified rate of transplanted liver function monitoring method, nutritional risk screening ration, incidence of low body temperature, etc. For the two rounds of questionnaire, the valid rate was 88.89％and 91.67％, the authority score was 0.88 and 0.89, coefficient of variation of the importance of index was 0.06-0.28. Conclusion The liver transplantation perioperative nursing quality sensitivity indexes based on Delphi method are scientific and practical,which could be applied to clinical utilization.
ABSTRACT
The building and operation of the evidence-based nursing team of the hospital follow the elite,task-oriented,and team-based model,which is promoted from points to area.This paper described the organizational framework,selection of training contents and training methods of the team in the hospital.It also covered the outcomes achieved for the past year, and analyzed the focal points, difficulties and future emphasis during the team's construction and operation.
ABSTRACT
Objective To investigate the effect of ventricle-peritoneal (V-P) shunt in treatment of patients who developed post-traumatic hydrocephalus (PTH) with no symptoms or with atypical symptoms due to an excessively severe traumatic brain injury (TBI).Methods A retrospective study was performed in patients who developed PTH with atypical symptoms undergone V-P shunt from January 2004 to June 2007.Patients' general information,TBI data,PTH severity and postoperative follow-up data were collected and applied to assay the improvement rate in prognosis and its associated factors.Results Thirty-one patients were involved in this study.After 12 months of follow-up,20 (65％) patients revealed significant improvements in clinical symptoms.Among 10 patients who developed PTH after decompressive craniectomy,cranioplasty was performed following V-P shunt and significant improvements were observed in nine patients.Patients' age and severity of PTH based on CT evaluation before shunt placement were strongly correlated with the surgical outcome.Conclusions Most PTH patients with atypical symptoms can benefit from V-P shunt.Additionally,younger patients and those with less severe PTH before V-P shunt are expected a better outcome.