Search

Newly graduated nurses suffer from occupational stress during the transition from school to employment, leading to the negative emotion, job burnout and increased turnover rate. This article aims to give a general picture of the pressures and coping styles faced by newly graduated nurses, identifies gaps in existing stress-reducing interventions for newly graduated nurses with a view to facilitating the transition of newly graduate nurses and preventing the loss of nursing human resources. (新毕业护士会面临各种压力, 导致出现负面情绪、职业倦怠, 增加离职率。本文综述新毕业护士的压力源及其应对方式, 指出现存减轻新毕业护士压力干预的不足, 以期促进新毕业护士的转型, 防止护理人力资源流失。)

Weight management is considered as an important contributor of healthcare during pregnancy and the postnatal period. Mobile health (mHealth) technology has the potential to play a key role in improving the health of patients with chronic diseases. This article provides an overview of the current status of mHealth applications in maternal weight management, lists the advantages and limitations of mHealth tools, and provides a reference for the development of mHealth tools in China and for the promotion of maternal weight management. (孕妇的体质量管理是妊娠期重要的环节。移动医疗(mHealth)技术作为治疗许多慢性病的辅助手段正变得越来越普遍。本研究综述mHealth在孕产妇体质量管理中的应用现状, 以期为国内开发移动医疗工具并为促进孕产妇体质量管理提供参考。)

This paper summarized the experience of using Sherlock 3CG tip confirmation system for bilaterally placement of peripherally inserted central catheters (PICC) and related nursing countermeasures in a patient with double superior vena cava. In order to meet the treatment needs, PICC catheters were placed on both sides twice, with the catheter tips located in the right and left superior vena cava. The patient's first choice of the right upper arm for catheterization was smooth, and the second choice of the left side for catheterization was smooth. The Sherlock 3CG tip confirmation system was used for positioning. The P wave of the catheter sent to the reserved length continued to be negative. The results of computer tomography (CT) showed that the patient had permanent left superior vena cava. The X-ray positioning was performed to confirm that the tip of the catheter was located in the left superior vena cava. After comprehensive evaluation by the multidisciplinary team, the catheter indwelling length was adjusted, The patient's condition was closely observed, and health education was strengthened in many aspects. Indwelling catheter was successfully placement without complications. (本文总结了应用Sherlock 3CG尖端定位技术为1例急性髓系白血病伴有双侧上腔静脉患者双侧置入经外周静脉穿刺中心静脉导管(PICC)的护理对策。本例患者为满足治疗需求分别于两次经两侧置入PICC导管, 导管尖端分别位于右、左两侧上腔静脉。患者首次选择右侧上臂置管过程顺利, 再次置管选择左侧置入过程顺利, 应用Sherlock 3CG技术定位, 导管送至预留长度范围P波持续呈负波, 查看计算机断层扫描(CT)结果提示患者存在永存左上腔静脉, 行X光定位确认导管尖端位于左侧上腔静脉。经多学科团队综合评估, 调整导管留置长度, 密切观察患者情况, 加强多方面健康宣教, 导管留置成功, 无并发症发生。)

To investigate the safety and nursing measures of peripherally inserted central catheter (PICC) implantation in a young child with hemophilia A accompanied with inhibitors, using painless techniques and various ways to prevent bleeding. Before PICC implantation, child with hemophilia was comprehensively evaluated in terms of condition, age and degree of cooperation, and scientific and reasonable pain interventions were carried out to select the optimal anesthesia scheme. The minimum size catheter that met the treatment plan was selected for the inserted venous catheter. Before surgery or invasive treatment, the level of coagulation factors was measured, and alternative treatment according to the test results were taken. Passively separating catheter instead of traditional skin expanding method could reduce the amount of bleeding during catheter insertion. Compared with conventional local anesthesia, the amount of blood loss was significantly reduced, and the comfort and safety of catheterization were significantly increased. For children with low age or low degree of cooperation, especially those with hemophilia with coagulation disorder, the application of painless techniques and multiple ways of bleeding prevention can significantly improve the success rate of PICC catheterization and reduce the amount of bleeding during catheterization. (本文总结1例血友病甲伴抑制物的低龄患儿应用无痛技术行经外周静脉穿刺中心静脉导管(PICC)置管的护理体会。血友病患儿置入PICC术前需综合评估患儿病情、年龄、配合程度等方面, 对患儿进行科学合理的疼痛干预, 选择最优的麻醉方案; 置入的静脉导管应选择满足治疗方案的最小规格导管; 手术或有创治疗前需检验凝血因子水平, 根据检测结果行替代治疗; 采用钝性分离方式送入导管替代传统扩皮方式, 有助于提高置管成功率, 减少出血量, 提高患儿舒适度。)