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Objective@#To explore the effect of ISBAR communication mode on the bed shift in severe patients.@*Methods@#The "ISBAR Nursing Delivery Card near the Bed of Severe Diseases Medicine" was formulated. 100 cases of severe patients admitted from February 2018 to March 2018 were set up as control group by experimental research methods. 100 cases of severe patients admitted from April 2018 to May 2018 were set up as experimental group and non-random control was established. The patients in the experimental group were treated with ISBAR nursing shift card for bed shift, and the control group were treated with normal oral shift. Observe and compare the incidence of nurse shift problems, the score of nurse shift assessment scale and the nurse′s knowledge of the patient′s condition "ten know" score between the two groups.@*Results@#The incidence of nurse shift problems dropped from 39.50% (79/200) of control group to 16.50% (33/200) of experimental group, which had a significant difference (χ2=42.938, P<0.01). The score of the nurse′s succession assessment table was increased from (57.80 ± 3.61) points of control group to (73.96 ± 2.33) points of experimental group, which had a significant difference (t=-26.10, P<0.05). The nurse′s knowledge of the patient′s condition "ten know" had been increased from (72.14±4.13) points of control group to (87.75±2.54) points of experimental group, which had a significant difference (t=-32.01, P<0.05).@*Conclusion@#The use of ISBAR communication mode for serious patients in the severe medical department can effectively reduce the incidence of nurse shift problems, effectively improve nurses 'satisfaction with shift and the degree of mastery of patients′ conditions, and the effect of shift is better.
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Objective To explore the effect of ISBAR communication mode on the bed shift in severe patients. Methods The "ISBAR Nursing Delivery Card near the Bed of Severe Diseases Medicine" was formulated. 100 cases of severe patients admitted from February 2018 to March 2018 were set up as control group by experimental research methods. 100 cases of severe patients admitted from April 2018 to May 2018 were set up as experimental group and non-random control was established. The patients in the experimental group were treated with ISBAR nursing shift card for bed shift, and the control group were treated with normal oral shift. Observe and compare the incidence of nurse shift problems, the score of nurse shift assessment scale and the nurse′s knowledge of the patient′s condition "ten know"score between the two groups. Results The incidence of nurse shift problems dropped from 39.50 % (79/200) of control group to 16.50 % (33/200) of experimental group, which had a significant difference (χ2=42.938, P＜0.01). The score of the nurse′s succession assessment table was increased from (57.80 ± 3.61) points of control group to (73.96 ± 2.33) points of experimental group, which had a significant difference (t=-26.10, P＜0.05). The nurse′s knowledge of the patient′s condition "ten know" had been increased from (72.14 ± 4.13) points of control group to (87.75 ± 2.54) points of experimental group, which had a significant difference (t=-32.01, P＜0.05). Conclusion The use of ISBAR communication mode for serious patients in the severe medical department can effectively reduce the incidence of nurse shift problems, effectively improve nurses 'satisfaction with shift and the degree of mastery of patients′conditions, and the effect of shift is better.
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Objective To explore the better humidification oxygen therapy for patients with artificial airway from weaning to extubation, ensure the best humidification effect, keep airway unobstructed,shorten tubulization time and reduce the incidence of infection. Methods A total of 133 patients with artificial airway during weaning from ventilation admitted from March to December in 2016 in intensive care unit of the Second Affiliated Hospital of Chongqing Medical University were included in the study.They were divided into the experimental group(69 patients)and the control group(64 patients) by random lottery form.The experimental group was given improved combination device(venturi,heated humidifier and ventilator tube)during oxygen therapy for humidification and heating, while the control group was treated with oxygen therapy in endotracheal tube and continuous wet micro-injection pump 0.45% sodium chloride method.The heart rate,respiratory rate,blood oxygen saturation,offline time with tube,offline failure rate,sputum viscosity,sputum scab formation,irritant cough and pulmonary infection were compared between the two groups. Results The heart rate,respiratory rate,blood oxygen saturation and offline time with tube in the experimental group were(80.50±7.07)times/min,(17.38±1.92)times/min, 0.98±0.01,and(1.58±1.06)days,and which were(88.50±3.07)times/min,(21.38±1.51)times/min,0.96± 0.01 and(3.00±1.09)days in the control group.The differences were statistically significant(t=2.268-4.782,P<0.05 or 0.01).The offline failure(2 cases),sputum scab formation(3 cases),irritant cough(4 cases) and pulmonary infection(4 cases) were less than 8 cases, 12 cases, 20 cases,12 cases in control group. The differences were statistically significant (χ2=4.652-14.545, P < 0.05 or 0.01). The sputum viscosity ofⅠ,ⅡandⅢwere 5 cases,52 cases and 12 cases in the experimental group,which were better than 13 cases,11 cases and 40 cases in the control group.The difference was statistically significant(Z=3.385, P < 0.01). Conclusions The improved oxygen therapy heated humidify strategy can not only achieve satisfactory humidification effect, but also improve the success rate of offline machines, shorten tubulization time,promote the comfort and tolerance of patients,and reduce the occurrence of infection.
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In order to better fulfill the tasks of research,to turn out more quality papers,to produce outstanding results,and to further strengthen management and supervision of scientific research,the"quantitative economic management of scientific research quotas" was established in the hospital.Applying of the measure in scientific research management in the past eight years it was shown that the desired results were achieved,the academic advancement and the personnel growth were greatly promoted.
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Objective To evaluate the academic level and the popularity of Chinese Journal of Hepatobiliary Surgery.Method According to the information of Chinese Medical Citation Index(CMCI),I statistically analyzed the amount and distribution of the originals in Chinese Journal of Hepatobiliary Surgery cited by the journal included by CMCI.Result The average of original articles cited by other researchers is 2.93,and there are more articles cited than other journal.The authors of these articles are from the 30 province,Beijing Shanghai and Guangdong Province are in the front of Hepatobiliary Surgery research.There are 355 citing journals,and self-citing rate is 11.89%.Conclusion With the unique style and character Chinese Journal of Hepatobiliary Surgery is the main medical core periodical and one of the most important information resourses in the field of Medical Hepatobiliary Surgery in China.
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Objective To evaluate the academic quality and characteristics of edition of the Chinese Journal of Geriatrics. Methods Within the database of Chinese Medical Citation Index(CMCI), the citation analysis was used to analyze the number and its distribution of the cited original articles published in the Journal 1999-2004. Results The average freguency for a single article cited by other researchers was 2.82, and there were more articles cited than other journals. The authors of these articles were distributed in the 30 province and municipalities, among which Beijing, Guangdong Province, Shanghai were in the front of Geriatrics research. There were 514 cited journals, and self-citing rate was 6.07%. Conclusions The Chinese Journal of Geriatrics has published high quality articles, and has its own edition characteristics to keep its steady level of research. It is one of the most important information resources for the geriatrics researchers and one of the most important medical journal.