论文部分内容阅读
目的:研究家庭病床鼻饲护理的特点和可操作性。方法:采取家庭护理、加强访视、密切观察、提高医务人员的专业素质、培训患者及患者家属操作能力等护理干预措施,发现家庭病床鼻饲治疗过程中存在的问题并及时处理。结果:50例鼻饲治疗病人中发生非正常拔管的7例、腹胀的4例、呕吐的3例、腹泻的3例,40例患者在45天内停用鼻饲由口进食。结论:家庭病床是卫生部门为解决“住院难”问题所采取的一项深受群众欢迎的措施。设立家庭病床有针对性地对鼻饲的护理干预,有效地避免了各种治疗的负面作用,缩短鼻饲治疗时间,减少不必要的痛苦,不仅减轻了病人经济负担,在不脱离家庭环境,在亲人的关怀下拥有个人的自由选择与尊严,并可学会自我护理同时得到适宜的、及时的医疗使治疗安全得到有力保障的同时患者得到更多亲情、人文关爱,。避免久留医院中造成交叉感染的机会;对于家庭,除了减少住院开支外,还可避免家属奔波于工作、医院、家庭三地之间;家庭病床鼻饲的护理有效地提高了鼻饲治疗病人的治愈率及生活质量。社会方面因住院天数的缩短,得以增加医院病床的利用率,使需要住院的急性病人可以尽快地得到所需要的治疗和护理同时增大了医院各项资源的有效利用。
Objective: To study the characteristics and maneuverability of nasal nursing in family beds. Methods: Nursing interventions such as home care, intensive visits, close observation, professional quality of medical staff, training of patients and family members’ ability were studied, and the problems existing in the treatment of nasal feeding in family beds were found and dealt with promptly. Results: Among the 50 cases of nasal feeding, 7 cases of abnormal extubation, 4 cases of abdominal distension, 3 cases of vomiting and 3 cases of diarrhea. Forty patients stopped using nasal feeding for 45 days. Conclusion: Family beds are a popular measure taken by the health sector to address the “difficult conditions of hospitalizations.” The establishment of family beds targeted nursing intervention, effectively avoiding the negative effects of various treatments, shorten the treatment time of nasal feeding, reduce unnecessary suffering, not only reduce the patient’s financial burden, without leaving the family environment, relatives Care and personal freedom of choice and dignity, and can learn self-care and get appropriate, timely medical treatment so that treatment can be effectively protected, while patients receive more affection, humanistic care. Avoid long-term hospital cross-infection opportunities; for families, in addition to reducing hospital expenses, but also to avoid the family run away from work, hospitals, families between the three places; nursing home bed feeding effectively improve the cure rate of nasal treatment patients And quality of life. In the community, the hospitalization days have been shortened to increase the utilization rate of hospital beds so that acute patients in need of hospitalization can get the needed treatment and care as soon as possible while increasing the effective utilization of hospital resources.