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Jingdong book

儿科护理

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儿科护理

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《儿科护理》内容主要涉及儿科护理的基本理论和知识及全国执业护士资格考试儿科护理涉及的内容,包括绪论、生长发育、小儿营养与喂养、儿童保健与疾病预防、住院患儿的护理、小儿常用护理技术、新生儿及患病新生儿的护理、营养性疾病患儿的护理、消化系统疾病患儿的护理、呼吸系统疾病患儿的护理、循环系统疾病患儿的护理、造血系统疾病患儿的护理、泌尿系统疾病患儿的护理、神经系统疾病患儿的护理、传染病患儿的护理、结核病患儿的护理和小儿急症的护理共十七章。
Catalogue

第一章 绪论
第一节 儿科护理的任务和范围
第二节 儿科护理的特点与理念
第三节 儿科护士的角色与素质要求
第四节 小儿年龄分期及各期特点

第二章 生长发育
第一节 生长发育规律
第二节 生长发育的影响因素
第三节 体格发育
第四节 小儿感觉、运动及语言的发育
实践一 小儿体格测量方法

第三章 小儿营养与喂养
第一节 能量与营养素的需要
第二节 婴儿喂养
第三节 幼儿、少年的膳食安排
实践二 小儿营养与婴幼儿喂养

第四章 儿童保健与疾病预防
第一节 不同年龄期小儿的保健特点
第二节 小儿计划免疫

第五章 住院患儿的护理
第一节 儿科医疗机构设置与护理管理
第二节 住院护理常规
第三节 住院小儿及其家庭的心理护理
第四节 小儿用药护理

第六章 小儿常用护理技术
第一节 一般护理法
第二节 协助检查诊断的操作
第三节 协助治疗的操作
实践三 儿科常用护理技术操作

第七章 新生儿及患病新生儿的护理
第一节 概述
第二节 正常足月新生儿的特点及护理
第三节 早产儿的特点及护理
第四节 新生儿颅内出血患儿的护理
第五节 新生儿败血症患儿的护理
第六节 新生儿破伤风患儿的护理
第七节 新生儿寒冷损伤综合征患儿的护理
第八节 新生儿黄疸患儿的护理
实践四 新生儿及患病新生儿的护理

第八章 营养性疾病患儿的护理
第一节 营养不良患儿的护理
第二节 小儿肥胖症患儿的护理
第三节 维生素D缺乏性佝偻病患儿的护理
第四节 维生素D缺乏性手足搐搦症患儿的护理
实践五 维生素D缺乏性佝偻病患儿的护理

第九章 消化系统疾病患儿护理
第一节 小儿消化系统解剖生理特点
第二节 口腔炎患儿的护理
第三节 腹泻患儿的护理
第四节 小儿液体疗法及护理
实践六 腹泻患儿的护理

第十章 呼吸系统疾病患儿的护理
第一节 小儿呼吸系统解剖生理特点
第二节 急性上呼吸道感染患儿的护理
第三节 急性支气管炎患儿的护理
第四节 肺炎患儿的护理
实践七 呼吸道感染患儿的护理

第十一章 循环系统疾病患儿的护理
第一节 概述
第二节 先天性心脏病患儿的护理
第三节 病毒性心肌炎患儿的护理

第十二章 造血系统疾病患儿的护理
第一节 概述
第二节 营养性缺铁性贫血患儿的护理
第三节 营养性巨幼红细胞性贫血患儿的护理
实践八 营养性贫血患儿的护理

第十三章 泌尿系统疾病患儿的护理
第一节 小儿泌尿系统解剖、生理特点
第二节 急性肾小球肾炎患儿的护理
第三节 肾病综合征患儿的护理
第四节 泌尿道感染患儿的护理
实践九 泌尿系统疾病患儿的护理

第十四章 神经系统疾病患儿的护理
第一节 小儿神经系统解剖生理特点
第二节 化脓性脑膜炎患儿的护理
第三节 病毒性脑膜炎、脑炎患儿的护理

第十五章 传染病患儿的护理
第一节 小儿传染病的护理管理
第二节 麻疹患儿的护理
第三节 水痘患儿的护理
第四节 猩红热患儿的护理
第五节 流行性腮腺炎患儿的护理
第六节 中毒型细菌性痢疾患儿的护理
第七节 手足口病患儿的护理

第十六章 结核病患儿的护理
第一节 总论
第二节 原发型肺结核患儿的护理
第三节 急性粟粒型肺结核患儿的护理
第四节 结核性脑膜炎患儿的护理

第十七章 小儿急症的护理
第一节 小儿惊厥的护理
第二节 急性颅内压增高症患儿的护理
第三节 急性呼吸衰竭患儿的护理
第四节 充血性心力衰竭患儿的护理
第五节 心跳呼吸骤停患儿的护理
第六节 急性肾功能衰竭患儿的护理
参考文献
Book Abstract

(八)预防特点
加强预防工作是降低小儿发病率和死亡率的重要环节。近年来我国广泛开展计划免疫和加强传染病管理,已使许多小儿传染病的发病率和死亡率大大下降。由于重视儿童保健工作,也使营养不良、贫血、腹泻、肺炎等常见病、多发病的发病率和死亡率明显降低。及早筛查和发现先天性、遗传性疾病以及视觉、听觉障碍等,积极防治,可防止发展为严重伤残。
(九)护理特点
1.评估难度大如健康史采集时,因患儿不能准确描述或故意隐瞒、夸大病情等,使健康史的可靠性受到影响;体格检查和标本采集时因患儿常不配合而较成人困难。
2.观察任务重 由于患儿不会或不能及时、准确地表达自己的病痛及病情变化,且小儿患病时病情变化快,处理不及时易恶化甚至危及生命。因此,护理人员必须要有高度责任心和敏锐的观察力,进行细致观察。
3.护理内容多 由于小儿生活自理能力不足,在护理过程中,有大量的生活护理和教养工作,如饮食、睡眠、个人卫生等。同时,由于小儿好奇、好动、缺乏经验,容易发生意外伤害。因此,还要加强安全教育和管理,防止发生意外事故。
4.操作要求高 由于小儿的解剖生理特点与成人不同,再加上护理操作时常不能配合,增加了操作难度,对护理人员的操作技术提出了更高的要求。如头皮静脉穿刺时,穿刺难度比成人大;在口服给药时,患儿不会吞服或不愿意服用,需要护理人员喂服等。
二、儿科护理的理念
(一)以家庭为中心的护理
家庭是小儿生活的中心,儿科工作者必须鼓励、支持、尊重并提高家庭的功能,应关注小儿家庭成员的心理感受与服务需求,与小儿及其家长建立伙伴关系,为小儿及其家庭提供预防保健、健康指导、疾病护理和家庭支持等服务,让他们把健康信念和健康行为的重点放在疾病预防和健康促进上。
(二)实施身心整体护理
护理工作不应仅限于满足小儿的生理需求或维持正常的体格生长,还应包括维护和促进小儿心理行为的发展和心理的健康。护理过程中应考虑到小儿的文化背景、宗教信仰、社会价值观、对待疾病和死亡的观念不同等,对每个小儿及家庭实施个性化的身心整体护理。
(三)减少创伤和疼痛
有些治疗和护理手段是有创的、致痛的,令小儿害怕。儿科护理人员必须充分认识到疾病及其治疗和护理过程对小儿及其家庭带来的压力,安全有效地执行各项护理操作,防止或减少小儿的创伤和疼痛。
(四)遵守法律和伦理道德规范
儿科护士应自觉遵守法律和伦理道德规范,尊重小儿的人格,保障小儿的权利,促进小儿健康的成长。
Introduction

为了推动中等卫生职业教育的发展,加强中等卫生职业教育教材的建设,保证教学资源基本质量,根据中等职业教育培养目标要求,依据卫生职业教育教学指导委员会2007年编写的《全国中等卫生职业教育教学计划和教学大纲》的基本要求,我们编写了此教材。
本教材在编写过程中,力求反映当代科学技术、文化的新成就,适应我国国情,遵循中等职业教育教学规律,体现中等职业教育教学改革方向,符合学生身心和学习特点,体现职业教育特色。根据专业需要,突出基本理论、基本技能、基本知识的原则,注重内容的科学性、系统性、逻辑性和实用性。
本教材内容主要涉及儿科护理的基本理论和知识及全国执业护士资格考试儿科护理涉及的内容,包括绪论、生长发育、小儿营养与喂养、儿童保健与疾病预防、住院患儿的护理、小儿常用护理技术、新生儿及患病新生儿的护理、营养性疾病患儿的护理、消化系统疾病患儿的护理、呼吸系统疾病患儿的护理、循环系统疾病患儿的护理、造血系统疾病患儿的护理、泌尿系统疾病患儿的护理、神经系统疾病患儿的护理、传染病患儿的护理、结核病患儿的护理和小儿急症的护理共十七章。
本教材适用于中等职业教育护理、助产相关专业学生、老师及有意参加执业护士资格考试的临床护理人员,也可作为其他医疗人员的参考资料。
在编写过程中,得到了参编人员所在学校领导和同行的大力支持,在此致以诚挚的谢意。由于编者水平和时间有限,书中不妥之处,恳请读者批评、指正。

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Jingdong book