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内科疾病临床护理路径

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内科疾病临床护理路径

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作为国家卫生和计划生育委员会指定的“优质护理服务示范T程”活动重点联系医院和首批国家“临床护理”重点专科建设项目单位,大连医科大学附属第一医院护理部认真贯彻落实《关于开展临床路径试点工作通知》等相关文件精神,借鉴国内外的先进经验,结合临床实际,逐步建立并完善了一系列临床常见疾病的护理路径,创新性地制订了临床路径的“护理篇”和“病友篇”,在临床推广使用,取得了满意的效果,得到了医、护、患三方一致好评及国内同行的高度认可。
在临床护理路径的实施过程中,我们发现求知若渴的护士们很难在目前的图书市场中寻觅到临床护理路径相关的参考书籍。为了避免护理同行在今后的工作中遇到同样的问题,我院的护理专家和临床一线护士认真总结经验、记录和整理相关资料,撰写出一套《内(外)科疾病临床护理路径》和《内(外)科护理健康教育路径》,将我院的临床护理路径实施经验与全国护理同仁共享。
《内科疾病临床护理路径》共八章。第一章是临床护理路径的总论;第二~八章,以节为单位叙述了71种内科疾病的临床护理路径。每节独具特色地分为“临床护理路径表”和“实施规范”两个部分,“临床护理路径表”以病人人院至出院的全程护理为主线.以简洁、明了的形式突出每一疾病整个护理过程中各个时段的护理重点,便于护士掌握;而在“实施规范”中,详尽地叙述了临床护理实施流程与方案,使护士在临床护理实践中有章可循。
Author Description

尹安春,教授,主任护师、硕士研究生导师。现任大连医科大学护理学院副院长,大连医科大学附属第一医院护理教研室主任、护理部主任。从事临床护理、护理管理工作30年,在临床护理、护理管理、护理教学及科研方面颇有造诣。带领护理团队获批原卫生部首批“临床护理”重点专科、辽宁省“急症护理培训中心”。撰写了核心期刊护理论文四十余篇,主编、参编全国规划教材及专著十余部,主持、参与国家、省、市科研项目十余项,多次获得了省、市级“科技进步奖”,主持的“自体外周血干细胞移植治疗脊髓损伤的整体方案与方法”2013年获辽宁省科学技术进步一等奖。多次被评为省、市级“优秀护理管理者”、“优秀共产党员”,2010年被卫生部授予“优质护理服务”考核先进个人。兼任中华护理学会理事、辽宁省护理学会常务理事、大连市护理学会副理事长,中华护理学会、辽宁省护理学会多个专科委员会的副主任委员,中华护理学会、辽宁省护理学会专家库成员,辽宁省卫生系列高级专业技术资格评审委员会专家。

史铁英,硕士、主任护师、硕士研究生导师。现任大连医科大学附属第一医院护理教研室副主任、护理部副主任。从事护理工作二十余年,主要专业方向为临床护理学和护理心理学,始终围绕着个体创伤后心理变化及护理干预方式进行探索与研究。发表论文二十余篇,主持、参与10项省、市级课题研究,主编、副主编、参编国家级规划教材及著作11部。兼任辽宁省护理学会护理管理专业委员会委员、辽宁省护理学会专家库成员、辽宁省卫生系列高级专业技术资格评审委员会委员,大连市护理学会副秘书长。
Catalogue

第一章 临床护理路径总论
第一节 临床护理路径的现状
一、临床护理路径产生的背景
二、临床护理路径的应用现状、效果与评价
三、临床护理路径的发展与展望
第二节 临床护理路径概述
一、临床护理路径的定义
二、临床护理路径的目的与意义
第三节 临床护理路径的制订
第四节 临床护理路径的变异
一、临床护理路径变异的分类
二、临床护理路径变异的分析与处理

第二章 呼吸内科常见疾病的临床护理路径
第一节 社区获得性肺炎的临床护理路径
第二节 肺脓肿的临床护理路径
第三节 支气管扩张症的临床护理路径
第四节 慢性支气管炎的临床护理路径
第五节 慢性阻塞性肺疾病的临床护理路径
第六节 支气管哮喘的临床护理路径
第七节 肺血栓栓塞症的临床护理路径
第八节 慢性肺源性心脏病的临床护理路径
第九节 急性肺间质纤维化的临床护理路径
第十节 结核性胸膜炎的临床护理路径
第十一节 自发性气胸的临床护理路径
第十二节 原发性支气管肺癌的临床护理路径
第十三节 急性呼吸窘迫综合征的临床护理路径

第三章 循环内科常见疾病的临床护理路径
第一节 急性左心功能衰竭的临床护理路径
第二节 病态窦房结综合征介入治疗的临床护理路径
第三节 持续性室性心动过速(RFCA)的临床护理路径
第四节 风湿性二尖瓣狭窄(内科)的临床护理路径
第五节 急性ST段抬高性心肌梗死的临床护理路径
第六节 肾血管性高血压介入治疗的临床护理路径
第七节 原发性醛固酮增多症的临床护理路径
第八节 主动脉夹层的临床护理路径
第九节 原发性肺动脉高压的临床护理路径
第十节 心房颤动介入治疗的临床护理路径
第十一节 阵发性室上性心动过速介入治疗的临床护理路径
第十二节 不稳定性心绞痛介入治疗的临床护理路径
第十三节 急性非ST段抬高性心肌梗死介入治疗的临床护理路径

第四章 消化内科常见疾病的临床护理路径
第一节 胃、十二指肠溃疡的临床护理路径
第二节 中度溃疡性结肠炎的临床护理路径
第三节 肝硬化腹水的临床护理路径
第四节 肝硬化合并肝性脑病的临床护理路径
第五节 轻症急性胰腺炎的临床护理路径
第六节 胃溃疡合并出血(药物治疗)的临床护理路径
第七节 十二指肠溃疡出血的临床护理路径
第八节 肝硬化合并食管静脉曲张出血的临床护理路径
第九节 内镜下胃息肉切除术的临床护理路径
第十节 贲门失弛缓症内镜下气囊扩张术的临床护理路径
第十一节 经内镜胆管支架置人术的临床护理路径

第五章 血液内科常见疾病的临床护理路径
第一节 自身免疫性溶血性贫血的临床护理路径
第二节 骨髓增生异常综合征的临床护理路径
第三节 初治急性早幼粒细胞白血病(APL)的临床护理路径
第四节 完全缓解急性早幼粒细胞白血病(APL)的临床护理路径
第五节 慢性淋巴细胞白血病的临床护理路径
第六节 弥漫大B细胞淋巴瘤的临床护理路径
第七节 特发性血小板减少性紫癜的临床护理路径

第六章 肾脏内科常见疾病的临床护理路径
第一节 慢性肾脏病贫血的临床护理路径
第二节 急性肾盂肾炎的临床护理路径
第三节 急性肾损伤的临床护理路径
第四节 终末期肾脏病行动静脉内瘘成形术的临床护理路径
第五节 终末期肾脏病常规血液透析治疗的临床护理路径
第六节 血浆置换治疗的临床护理路径
第七节 腹膜透析并发腹膜炎的临床护理路径
第八节 行肾穿刺活检术的临床护理路径

第七章 内分泌科常见疾病的临床护理路径
第一节 催乳素瘤的临床护理路径
第二节 尿崩症的临床护理路径
第三节 嗜铬细胞瘤的临床护理路径
第四节 Graves病的临床护理路径
第五节 原发性甲状腺功能减退症的临床护理路径
第六节 库欣综合征的临床护理路径
第七节 原发性甲状旁腺功能亢进症的临床护理路径
第八节 1型糖尿病的临床护理路径
第九节 2型糖尿病的临床护理路径
第十节 原发性骨质疏松症的临床护理路径

第八章 神经内科常见疾病的临床护理路径
第一节 急性横贯性脊髓炎的临床护理路径
第二节 脊髓亚急性联合变性的临床护理路径
第三节 短暂性脑缺血发作的临床护理路径
第四节 脑出血的临床护理路径
第五节 病毒性脑炎的临床护理路径
第六节 多发性硬化的临床护理路径
第七节 视神经脊髓炎的临床护理路径
第八节 吉兰一巴雷综合征的临床护理路径
第九节 癫痫的临床护理路径
第十节 成人全面惊厥性癫痫持续状态的临床护理路径
第十一节 肌萎缩侧索硬化的临床护理路径
第十二节 重症肌无力的临床护理路径
Book Abstract

3.健康教育
(1)指导病人进无渣全流质食物或少渣半流质食物。
(2)指导病人保留灌肠的配合方法。
(3)指导病人保护肛门皮肤的方法,防止感染。
4.做好生活护理及安全防护
(1)指导病人注意休息,病室内活动,活动时以不疲劳为宜。
(2)做好跌倒或坠床的预防,及时评估并在预防跌倒或坠床风险评估单上做好记录。
(3)做好生活护理,协助病人完成各种生活需求。
5.卧床病人加强皮肤护理,保持床单位清洁、平整,定时按摩受压部位皮肤,或软垫抬高保护,防止发生压疮。
6.心理支持教育了解病人的心理状态,向病人讲解疾病的相关知识,增强病人治疗信心,减轻焦虑、恐惧心理。
【住院第6日~第9日】
1.每1~2小时巡视病人,密切观察腹痛的性质、部位及持续时间,观察大便的颜色、性状、次数和量,监测体温变化,及时通知医生。
2.完成医嘱相关的治疗、处置,观察用药后反应,指导各项治疗、处置的配合要点及注意事项,药物治疗有效的表现是腹痛减轻或消失,排便次数减少,便常规连续3次正常。
3.指导病人进食质软、易消化、少纤维素、富营养、足够热量的食物,以减少对肠黏膜的刺激、利于吸收并提供足够的能量。注意饮食卫生,避免肠道感染诱发或加重病情。同时注意给病人提供良好的进食环境,避免不良刺激,增进病人的食欲。
4.指导病人离床活动时,动作要缓慢,防止跌倒。
5.按病人需求做好生活护理及心理护理。
【住院第10日~出院前1日】
1.每1~2小时巡视病人,密切观察病人腹痛有无缓解,观察大便的颜色、性状、次数和量是否正常。
2.完成医嘱相关的治疗、处置,观察用药后反应,指导各项治疗、处置的配合要点及注意事项。
3.落实病人各种检查检验回报是否完善,及时与医生沟通。
4.做好病人的心理护理,由于病程长、病变反复发作、多次住院,病人往往会对治疗失去信心,产生绝望、悲观等消极心理,因此要尽量为病人创造宽松愉快的环境,鼓励病人倾诉内心的感受,并用温和的言语与病人交流,使病人产生信任与安全感。同时要做好家属的思想工作,使他们关心体贴病人,让病人感受到家人和社会对他们的关心而积极配合治疗,避免病人出现因病情好转急于出院的心理,鼓励其安心治疗。
5.指导病人病区内活动,实施安全有效的防跌倒措施,保证病人安全。
6.按病人需求做好生活护理及心理护理。
……

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Sellers in China will ship their orders within 1-2 business days once the order is placed. Packages are sent to our consolidation warehouse in China and combined there. Our Yami consolidation warehouse will directly ship the packages to you via UPS. The average time for UPS to ship from China to the United States is about 10 working days and it can be traced using the tracking number. Due to the pandemic, the delivery time may be delayed by about 5 days. The package needs to be signed by the guest. If the receipt is not signed, the customer shall bear the risk of loss of the package.

Sold by JD@CHINA

Service Guarantee

Free shipping over 69
Genuine guarantee

Shipping

Yami Consolidated Shipping $9.99(Free shipping over $69)


Seller will ship the orders within 1-2 business days. The logistics time limit is expected to be 7-15 working days. In case of customs clearance, the delivery time will be extended by 3-7 days. The final receipt date is subject to the information of the postal company.

Yami Points information

All items are excluding from any promotion or points events on Yamibuy.com

Return Policy

You may return product within 30 days upon receiving the product. Items returned must be new in it's original packing, including the original invoice for the purchase. Customer return product at their own expense.

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About the brand

Jingdong book

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About the brand

Jingdong book