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Objective To discuss the effects of a leg positioning straps in painless induced abortion. Methods This study selected a total of 210 cases with unintended pregnant women who volunteered to perform the painless induced abortion from August to December in 2016. Patients were divided into control group(105 cases,taking the traditional leg fixing way)and experimental group(105 cases,fixing knee with leg positioning straps)by random digits table method.Two groups were performed by the same anesthetist and doctor. The operation time, intraoperative blood loss, intraoperative adverse reactions and satisfaction were observed and compared between the 2 groups. Results The operation time and hemorrhage was(8.07±1.80)min,(12.23±5.97)ml in experimental group,and (11.01±2.63)min, (20.03 ± 8.85)ml in control group, and there was significant difference(t=7.491, 9.451, all P=0.000).The incidence of leg moves, equipment moves, leg discomfortable was 0, 1.0%(1/105), 1.9%(2/105) in experimental group and 28.6%(30/105), 8.6%(9/105), 12.4%(13/105)in control group, and there was significant difference (χ2=35.00, 6.72, 8.69, all P<0.05). In experimental group, 68 cases was very satisfied,35 cases were satisfied,2 cases were not satisfied,the control group was 39,52,14,respectively, and the satisfaction between the 2 groups was statistically significant(χ2=20.182,P=0.000). Conclusions The leg positioning straps is not only convenient, safe, steady, humanistic but also decreasing the incidence of adverse reaction and enhancing the medical staff's working efficiency. It is worth of more popular application in clinical operation.
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Objective To explore the methods for quality management and continuous improvement of nursing care quality in the orthopedic demonstration ward by taking the hospital accreditation as an opportunity. Methods From July 2012 to June 2013, the continuous care quality improvement in the ward was carried out to find out the problems with PDCA (plan, do, check, action) cycle method, including enhancing the function of orthopedic nursing quality management groups, conducting all-staff training and improving the knowing rate by referring to the standards of hospital assessment standards. Results After the performance of whole-process quality management, the percentage of indexes assessed at level A, B and C was increased from 42.2%to 50.0%, 17.2%to 14.7%and 40.2%to 35.3%, respectively. The score of nurses' responsibility accreditation was increased from 92 to 95. The rates of patient and nursing staff satisfaction were increased from 91.8%to 98.9%and 92.57%to 97.7%, respectively. Conclusion In accordance with the standards for hospital accreditation, the continuous improvement of nursing quality in the orthopedic demonstration wards can improve the specialist care of orthopedic care, improve patients' and nurses' satisfaction, thus making the daily work more scientific and standardized.
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Objective To analyze the effect of duodenal endoscopy in the treatment of common bile duct stones.Methods 70 patients with common bile duct stones in our hospital were randomly divided into the observation group (35 cases) and the control group (35 cases) by the random number table method.All the patients were treated with the treatment of duodenal endoscopy, and the perioperative clinical nursing, the control group was nursed by conventional nursing,the observation group was nursed by quality care.The surgical effect of the two groups was evaluated,the incidence of postoperative complications was analyzed,and the nursing satisfaction of the two groups was investigated.Results The average operation time, postoperative anal exhaust time, out of bed activity time and hospitalization time of the observation group were shorter than the control group (t=6.535,7.884,10.228,12.192, all P<0.05),and average intraoperative bleeding volume was less than that of the control group (t=5.984,P<0.05).The total incidence rate of biliary tract infection,bleeding,bile leakage,bile leakage,bile duct stricture and complication was 8.58%in the observation group,which was lower than 22.85%in the control group (χ2 =7.464, P<0.05).In the observation group,the patients′satisfaction to the comprehensive nursing,humanized nursing and nursing quality were 94.29%,91.43% and 94.29%, which in the control group were 80.00%,77.14% and 77.14%,the differences between the two group were statistically significant (χ2 =7.435,8.245,7.446, all P<0.05).Conclusion High quality nursing care to patients with common bile duct stones who received endoscopic therapy perioperatively is helpful to improve the effect of operation,prevent postoperative complications and improve the patients'satisfaction.
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Objective To explore the advantages and disadvantages of high quality care in clinical care. Methods 2000 cases of hospitalized patients from August 2010 to August 2011 in department of neurology were selected as research subject.The 2000 hospitalized patients were divided into the control group and the research group with 1000 cases in each group.The control group was given routine care,the research group selected high quality care.General activity of daily living (ADL) assessment and satisfaction degree of patients was surveyed at discharge for two groups and the results were compared. Results When patients were discharged,ADL scores and satisfaction degree of patients in the research group were higher than those of the control group. Conclusions Application of high quality care for patients can promote the improvement of activity of daily living and satisfaction degree of patients.
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Objective To carry out high-quality nursing services demonstration project, fully fulfill duties of nursing staff to provide quality care. Methods The high-quality nursing services demonstration project was first carried out in 4 pilot ward. The pilot ward studied and discussed carefully, receiving standard training, changing concepts, reasonable adjusting schedule mode, carrying out level use of nurses,responsibility to the group and responsibility to the people, and using nursing records in table format, freeing nurses from complex care record, returning the time to nurses and to patients. Results Nursing quality dramatically improved than before. Conclusions To strengthen basic nursing, make nurses change ideas,improve service consciousness, enhance the sense of responsibility, so that the nursing measures can be put in place to promote nurse-patient communication and improve patient satisfaction significantly.