Effect of Bundle Care on Deep Venous Thrombosis in Patients Received Renal Biopsy

Objective: To explore the effect of bundle care on the incidence of venous thromboembolism (VTE) in patients who received renal biopsy, and provide reference for clinical care. Methods: 300 patients with nephrotic syndrome who received renal biopsy in our hospital from February 2018 to August 2020 were selected and randomly divided into the observation group and the control group, with 150 patients in each group. In the control group, patients were given routine care: informing the precautions before and after operation, observing the changes of vital signs and bleeding after operation, etc. In the observation group, patients were given bundle care intervention, including preoperative, intraoperative and postoperative routine care, ankle pump exercise, Intermittent Pneumatic Compression (IPC) treatment and psychological care. The incidence of lower-limb venous thrombosis was compared between the two groups. Results: The incidence of deep venous thrombosis in the observation group was lower than that in the control group (P < 0.05), 1 case (0.6%) in the observation group and 8 cases (5.3%) in the control group;the peak velocity and mean velocity of lower-limb venous blood flow in the observation group were higher than those in the control group;the average length of stay in the observation group was less than that in the control group, and the satisfaction degree in the observation group was higher than that in the control group. The differences were statistically significant (P < 0.05). Conclusion: For patients who received renal biopsy, bundle care can help improve the peak velocity and mean velocity of venous blood flow, reduce the incidence of VTE, the average length of stay, and social costs, relieve their pain, and improve satisfaction degree of care;moreover, it plays an important role in reducing the incidence of deep venous thrombosis.

Discharging patients home from the intensive care unit:A new trend

Discharging patients directly to home from the intensive care unit(ICU)is becoming a new trend.This review examines the feasibility,benefits,challenges,and considerations of directly discharging ICU patients.By analyzing available evidence and healthcare professionals'experiences,the review explores the potential impacts on patient outcomes and healthcare systems.The practice of direct discharge from the ICU presents both opportunities and complexities.While it can potentially reduce costs,enhance patient comfort,and mitigate complications linked to extended hospitalization,it necessitates meticulous patient selection and robust post-discharge support mechanisms.Implementing this strategy successfully mandates the availability of home-based care services and a careful assessment of the patient's readiness for the transition.Through critical evaluation of existing literature,this review underscores the significance of tailored patient selection criteria and comprehensive post-discharge support systems to ensure patient safety and optimal recovery.The insights provided contribute evidence-based recommendations for refining the direct discharge approach,fostering improved patient outcomes,heightened satisfaction,and streamlined healthcare processes.Ultimately,the review seeks to balance patientcentered care and effective resource utilization within ICU discharge strategies.

Effect of Training Nurses in ICU in Immediate Care Post Cardiac Surgery

The specialty of cardiovascular surgical nursing has advanced patient care significantly both before and after surgery, and it is now a well-established field. The primary goal of cardiovascular surgical nursing is to optimize the patient's recovery and prevent complications. Immediate nursing care for post-operative cardiac patients in a state of controlled shock due to fluid shift and varying vascular tone. Aim of the Study: Assessment of nurse’s knowledge and performance after the training program of nursing care immediately after a patient arrives from cardiac surgery. Methods: This pre and post-intervention study was conducted at cardiac centers in Sudan Alshaab and Ahmed Gasim Cardiac Center. The aim of the study was to evaluate the impact on nurses’ performance after training program post open-heart surgery. In the initial phase of the study, all 98 nurses working in the intensive care units at Alshaab and Ahmed Gasim cardiac centers were designated as the study group and evaluated before the intervention. Subsequently, the same group was reassessed after the intervention (phase 2), allowing for a comparison of the pre- and post-intervention results. The assessment involved the use of a specifically designed questionnaire and an observation checklist developed in accordance with the standards recommended by the American Nurses Association (phase 3). Result: Descriptive analysis was performed using the Chi-square test, the difference in the performance between the study group before intervention and after the intervention was assessed by the mean of chi-square significantly was taken as p < 0.05.

Towards an Effective Communication in the Care of Patients with Long Term Disease in Kenya via Cybernetic—A Systematic Review

In this paper, to effectively treat chronic disorders and improve the standard of care, effective communication between patients and healthcare professionals was essential. The aim of the study was to review the literature on how good communication might improve treatment outcomes for Kenyan patients with chronic and terminal illnesses and to determine whether Cybernetic electronic communication can improve those outcomes even more. We uncovered the history of treatment outcomes for chronic and terminal diseases in this research study, both with and without communication at the core of the patient’s care plan. We discussed the importance of good communication in the treatment of patients with chronic and terminal illnesses and why it is a momentous endeavor comparable to medical diagnosis and treatment for the long-term health of patients. To locate pertinent material for the background literature study, we carried out a comprehensive literature search. Although the preliminary literature review was a continuation of the introduction research, it also highlighted the paucity of local Kenyan literature and suggested that improved communication might help patients with chronic and terminal illnesses have better treatment outcome. Methodology maintained the literature search, as a systematic literature review focused on core of the study, making separate sections of the same body necessary. This ensured that a methodological literature search section is as comprehensive as possible. We used an integrated PRISM model to limit a comprehensive literature search and a systematic literature review design as part of the overall process. Non-probability sampling and snowball approaches on literary papers over the previous 17 years were used in this arrangement. Since this was a multidisciplinary study, the four experts who also serve as authors were chosen from within their respective fields of expertise to design the study. They created search strategies, generated key words, looked up keywords in database engines, assessed the results of the literature using the PRISMA logical model, looked over successful literature, and triangulated their findings. The conclusions of the experts individually revealed a convergence of thoughts, beliefs, and practices across. The study concluded that even though there isn’t much research done in Kenya on the same subject;what is available illustrates how crucial good communication is for patients with chronic illnesses. The study’s findings also highlighted the positive effects of effective communication between patients and healthcare professionals on treatment plan adherence, patient satisfaction, and overall health outcomes. The results also noted that in order to improve patient care and outcome, Kenyan healthcare workers should underscore developing their communication skills. The study also found that the incorporation of cybernetics is crucial if a truly effective communication is required so as to enable centered care for patients with long-term diseases in Kenya. The goal of the Cybernetics is to activate genuinely effective communication in the care of Patients with long-term disease in Kenya. This study is organized to begin with an abstract, followed by keywords, an introduction, literature review, methodology, findings, discussion, and finally conclusions.

Outcomes and Cost Effectiveness of a Respiratory Coordinated Care Program in Patients with Severe or Very Severe COPD

Multidisciplinary community coordinated care programs are widely adopted to optimise care of chronic disease patients, but there is a need for further evaluation in the setting of COPD. This observational study evaluated 147 patients with severe or very severe COPD who were enrolled in a multidisciplinary community respiratory coordinated care program (RCCP) from 2007 to 2012. Comparison was made of hospitalisation rates and length of stay for 12 months prior to joining the program, and the first 12 months after joining the program. This data was used to inform a cost analysis. Enrolment into RCCP halved the annual hospital admission rate from 1.18 to 0.57 admissions per year (relative risk reduction 51.4%, p < 0.001), and annual total length of stay was reduced from 8.06 to 3.59 days per patient per year (p < 0.001). Hospital admissions were reduced from 5.05 days to 2.00 days (p < 0.001). Accounting for the program’s costs, these changes resulted in a $US 906.94 ($AUD 972.80) cost saving per patient per year. A RCCP program can reduce patient hospitalisation and overall costs in the COPD setting.

数字健康背景下社区老年人家庭社会资本对健康自助行为影响的路径分析

目的探讨数字健康素养和技术焦虑在社区老年人家庭社会资本与健康自助行为之间的中介作用,为制订针对性的干预措施提供参考。方法2024年1-5月,便利选取延吉市2所社区卫生服务中心门诊的428名老年人作为研究对象,采用一般资料调查表、家庭社会资本量表、数字健康素养评估量表、技术焦虑量表、健康自助行为量表进行调查,并建立结构方程模型进行链式中介效应检验。结果社区老年人家庭社会资本得分为(33.56±7.57)分、数字健康素养得分为(44.25±10.50)分、技术焦虑得分为(36.72±9.05)分、健康自助行为得分为(78.63±16.81)分。家庭社会资本可以直接影响社区老年人健康自助行为,还可通过数字健康素养、技术焦虑的单独中介作用及链式中介作用间接影响健康自助行为(均P<0.05)。结论社区老年人健康自助行为处于中等水平,家庭社会资本可直接或间接通过数字健康素养和技术焦虑影响健康自助行为。应重视社区老年人的家庭社会资本作用,通过提高其数字健康素养,降低技术焦虑,以提升其健康自助行为。

家庭参与式护理在老年衰弱合并重症肺炎患者中的应用效果

目的:探讨家庭参与式护理(FICare)在老年衰弱合并重症肺炎患者中的应用效果。方法:选取2022年6月—2023年6月中国人民解放军联勤保障部队第九〇〇医院收治的113例老年衰弱合并重症肺炎患者。随机将其分为对照组(n=55)和观察组(n=58)。对照组采用常规护理,观察组在对照组基础上采用FICare。比较两组护理前、护理3个月肺功能、自我效能感、生活质量及家属满意度。结果:护理3个月,两组肺活量(FVC)、第1秒用力呼气容积占预计值百分比(FEV1%pred)、呼吸峰值流速(PEF)均升高,观察组FVC、FEV1%pred、PEF均高于对照组,差异有统计学意义(P<0.05)。护理3个月,两组一般自我效能量表(GSES)评分均升高,观察组GSES评分高于对照组,差异有统计学意义(P<0.05)。护理3个月,两组生理、心理、环境、社会评分均升高,观察组生理、心理、环境、社会评分均高于对照组,差异有统计学意义(P<0.05)。观察组家属总满意度高于对照组,差异有统计学意义(P<0.05)。结论:FICare能有效改善老年衰弱合并重症肺炎患者肺功能,提高自我效能感及生活质量,且家属护理满意度更高。

基于保护动机理论延续护理在胆囊切除术患者术后的应用效果

目的分析基于保护动机理论延续护理在胆囊切除术患者术后的运用效果。方法选取2022年4月至2023年4月在福建省立医院的86例胆囊切除术患者,随机数字表法分为试验组(43例,采用基于保护动机理论延续护理)和对照组(43例,采用常规护理),对比两组临床指标恢复时间、术后不同时间疼痛量表、不良心理评分以及并发症总发生率。结果试验组胆囊切除术患者首次排便时间、下床活动时间、首次排气时间、住院时间、肠鸣音恢复时间均短于对照组(均P<0.05);试验组胆囊切除术患者术后6 h、24 h视觉模拟量表(VAS)评分均低于对照组(均P<0.05);试验组护理后胆囊切除术患者抑郁自评量表(SDS)、焦虑自评量表(SAS)评分以及并发症总发生率均低于对照组(均P<0.05)。结论基于保护动机理论延续护理在胆囊切除术患者术后具有良好的运用效果,能有效缩短患者恢复时间,减轻胆囊切除术患者术后疼痛程度,改善患者不良心理,减少并发症情况的发生。

长期护理保险对家庭劳动力市场供给的影响

长期护理保险旨在解决失能家庭的照护问题,但还需深入研究长期护理保险对家庭劳动力市场供给的影响。因此,研究基于家庭生产最大化理论模型分析长期护理保险影响家庭劳动力市场供给的替代效应和收入效应,并利用CHARLS 2011—2018年四期数据,建立交错双重差分模型,检验受访者父辈居住城市试点长期护理保险后对受访者家庭劳动力市场供给的影响。研究发现:长期护理保险使家庭市场劳动参与率提高5.5个百分点,市场劳动时间延长6.6%,其替代效应大于收入效应。此外,长期护理保险主要通过机构照护替代家庭照护,减少家庭照护时间,从而促进家庭劳动力市场供给。政策效果在性别、教育及城乡间具有显著异质性。研究结论丰富了关于实施长期护理保险和健康中国战略的内涵,为扩大长期护理保险试点和促进中老年人再就业提供了经验证据。

内在能力在社区老年人外环境与生活空间移动性间的中介效应研究

目的探讨内在能力在社区老年人外环境与生活空间移动性间的中介效应,为制订针对性干预措施提供参考。方法2024年4-6月,采用整群随机抽样法选取延吉市12个社区的517名老年人作为研究对象,并采用一般资料调查表、生活空间评价量表、内在能力评估工具(康奈尔医学指数、简易精神状态评估量表、巴氏指数评定量表、简易营养评价精法、正性负性情绪量表)、外环境测评工具进行调查。结果社区老年人生活空间移动性受限发生率为61.51%,得分为(54.07±30.38)分,内在能力得分为(194.58±27.73)分,外环境得分为(80.60±11.69)分;生活空间移动性与外环境、内在能力呈正相关,外环境与内在能力呈正相关(均P<0.05);外环境可正向影响生活空间移动性,内在能力在外环境和生活空间移动性之间起部分中介作用,中介效应为0.240,占总效应的43.40%。结论社区老年人生活空间移动性处于中等偏低水平,内在能力在外环境和生活空间移动性之间发挥部分中介效应。社区医护人员可将内在能力作为靶点进行干预,结合外环境特点基于内在能力发展的不同时期因地制宜地制订个性化方案,促进老年人社会参与。

手术室路径化护理联合多模式疼痛护理对子宫肌瘤手术效果及疼痛程度的影响

目的 探究手术室路径化护理联合多模式疼痛护理对子宫肌瘤手术效果及疼痛程度的影响。方法 选取2019年7月至2024年7月期间于本院接受手术治疗的子宫肌瘤患者110例,按护理方案分为两组,对照组(n=60)患者接受常规护理,观察组(n=50)患者接受手术室路径化护理联合多模式疼痛护理。比较两组患者的围术期手术指标、疼痛程度、负性情绪、舒适度以及并发症发生情况。结果 干预前,两组SAS、SDS及GCQ评分差异均不显著(P>0.05)。干预后,观察组排气时间、排便时间、下床时间、住院时间、术后各时间点的VAS评分、SAS评分、SDS评分、并发症总发生率均显著低于对照组(P<0.05);GCQ评分显著高于对照组(P<0.05)。结论 在接受手术治疗的子宫肌瘤患者中,实施手术室路径化护理联合多模式疼痛护理,可有效改善患者的疼痛程度及负性情绪,显著提高患者的舒适度,明显减少并发症的发生,利于患者术后恢复。

青春期前痤疮的特点及护理与清洁

介绍了青春期前痤疮的特点、治疗手段及寻常痤疮治疗相关的清洁和护肤手段。综述了青春期前痤疮的生理学特征,并对治疗方法进行了归纳。重点综述了对青春期前痤疮的非药物处理方法,包括清洁、护肤和防晒。强调了引入正确的清洁、护肤和防晒产品的重要性。结果表明,与纯药物治疗相比,采用低剂量药物搭配清洁、治疗、保湿和防晒4步的整体痤疮联合治疗方案得到了广泛的认可。最后对青春期前痤疮儿童治疗中需要注意的事项进行了总结。

风湿性心脏病术后自护能力与生活质量的关系:基于心理弹性的中介效应分析

目的心理弹性在风湿性心脏病术后自护能力与生活质量间的中介效应分析。方法选取80例风湿性心脏病术后患者与80例健康志愿者,分为病例组和对照组。两组分别采用自我护理能力量表(ESCA)、简明生活质量量表-36项(SF-36)、中文版心理弹性量表(CD-RISC)评价自护能力、生活质量、心理弹性。Pearson法分析病例组三者中每两者间的相关性;基于中介效应模型分析心理弹性在自护能力与生活质量间的作用,并采用Bootstrap法验证。结果病例组自护技能、自护责任感、自我概念、健康知识水平评分与自护能力总分,躯体健康、心理健康评分与生活质量总分,坚韧性、力量性、乐观性评分与心理弹性总分均低于对照组(P<0.05);病例组自护能力各维度评分与总分、心理弹性各维度评分与总分均与生活质量各领域评分和总分呈正相关(P<0.05),且自护能力各维度评分与总分均与心理弹性各维度评分与总分呈正相关(P<0.05);自护能力可正向预测生活质量,自护能力可正向预测心理弹性,自护能力和心理弹性均可正向预测生活质量,且差异均有统计学意义(P<0.05);自护能力对生活质量的直接和间接效应分别为0.490、0.382,总效应为0.872,且经Bootstrap法验证心理弹性在自护能力与生活质量间有中介效应。结论风湿性心脏病术后自护能力低、心理弹性差、生活质量差,三者有相关性,且心理弹性在自护能力与生活质量间有中介效应。

Outcomes of Integrated Community Care Interventions for Frail Elderly People: A Literature Review

This study aimed to summarize the outcome measures and the significant outcome of effective integrated community care for frail elderly people through a literature review. A literature search was conducted using the Cochrane Library and PubMed for articles published up to November 2016 with the following search terms: Integrated community care, primary care, community, frail elderly, and effectiveness. A total of 106 articles were identified, of which eight with an interventional research design the inclusion criteria. All outcome measures were classified into the three categories: Functional abilities, quality of life, and health. As the significant effect, the physical function was perceived in four references, the quality of life in one reference, and the mental health in one reference. The evidence of the effectiveness of integrated community care seemed to be lacking. More studies will need to be conducted.

CICARE沟通模式的人性化护理在腹腔镜胆囊切除术中的效果

目的 应用基于六步标准沟通法(CICARE)的人性化护理干预后,对行腹腔镜胆囊切除术(LC)患者的干预效果进行评估。方法 在2019年5月至2022年5月将南阳医学高等专科学校第三附属医院行LC手术的70例患者纳入本次研究对象,入选患者分成两组,即观察组、对照组,分组工具为随机数表法。对照组(n=35)行应用常规护理,观察组(n=35)行基于CICARE沟通模式的人性化护理干预。对两组手术指标、护理满意度、并发症发生情况进行评价,干预前后,评估两组焦虑评分(SAS)、抑郁评分(SDS)、生活质量(SF-36)评分。结果 与对照组相比,观察组肛门排气时间、住院时间、胃肠道功能恢复时间更短,差异有统计学意义(P<0.05)。干预前,两组SAS、SDS、SF-36评分相较差异无统计学意义(P>0.05);干预后,两组患者SAS、SDS评分呈现降低趋势,SF-36评分呈现增高趋势,观察组优于对照组,差异有统计学意义(P<0.05)。与对照组相比,观察组的并发症总发生率更低,且护理满意度更高(P<0.05)。结论 基于CICARE沟通模式的人性化护理在LC围手术期中具有较高的应用价值,可改善患者的心理状态,促进患者术后恢复,提高患者生活质量,并发症少,护理满意度高,临床应用安全有效。

Team Effectiveness in Patient Health Management: An Overview of Reviews

Background: The desire to improve the quality of health care for an aging population with multiple chronic diseases is fostering a rapid growth in interprofessional team care, supported by health professionals, governments, businesses and public institutions. However, the weight of evidence measuring the impact of team care on patient and health system outcomes has not, heretofore, been clear. To address this deficiency, we evaluated published evidence for the clinical effectiveness of team care within a chronic disease management context in a systematic overview. Methods: A search strategy was built for Medline using medical subject headings and other relevant keywords. After testing for performance, the search strategy was adapted to other databases (Cinhal, Cochrane, Embase, PsychInfo) using their specific descriptors. The searches were limited to reviews published between 1996 and 2011, in English and French languages. The results were analyzed by the number of studies favouring team intervention, based on the direction of effect and statistical significance for all reported outcomes. Results: Sixteen systematic and 7 narrative reviews were included. Diseases most frequently targeted were depression, followed by heart failure, diabetes and mental disorders. Effectiveness outcome measures most commonly used were clinical endpoints, resource utilization (e.g., emergency room visits, hospital admissions), costs, quality of life and medication adherence. Briefly, while improved clinical and resource utilization endpoints were commonly reported as positive outcomes, mixed directional results were often found among costs, medication adherence, mortality and patient satisfaction outcomes. Conclusions: We conclude that, although suggestive of some specific benefits, the overall weight of evidence for team care efficacy remains equivocal. Further studies that examine the causal interactions between multidisciplinary team care and clinical and economic outcomes of disease management are needed to more accurately assess its net program efficacy and population effectiveness.

实习护生医学叙事和共情能力对人文关怀能力影响

目的:探究实习护生医学叙事能力、共情能力、人文关怀能力的路径关系,为实习护生能力的培养提供参考和借鉴。方法:使用医学叙事能力量表、人文关怀量表、杰弗逊共情量表(护生版)对山东省内5所三甲级医院的387名实习护生进行调查。结果:实习护生医学叙事能力、共情能力与人文关怀能力均呈正相关关系(r=0.799,0.623;P<0.01);医学叙事能力对人文关怀能力有直接正向预测作用(β=0.766,P<0.01),共情能力对人文关怀能力有直接正向预测作用(β=0.623,P<0.01),共情能力起中介作用,中介效应值为0.189,总效应值为0.955,中介效应占总效应之比为19.8%。结论:目前我国临床实习护生的人文关怀能力水平较低,共情能力在实习护生医学叙事能力与人文关怀能力之间起中介作用。

Newborn care practices: A case study of tribal women, Gujarat

Plateaued rate of decline in neonatal mortality rate is one of the major obstacles in achieving Millennium Development Goal 4 especially in developing countries. Even in India, nationwide interventions targeting safe mother and newborn care have not yielded the desired impact, indicating the necessity to combat neonatal mortality rate at population specific level. The objective of this study is to identify the newborn care practices and beliefs, analyze their harmful or beneficial characteristics, describe the deviations from the essential newborn care practices during hospital/home delivery, explain barriers to care seeking and identify areas of potential resistance for behavior change;and utilize study findings to tailor-make cost-effective essential newborn care package. The study uses qualitative data from in-depth interview of mothers who had experienced neonatal death and key-informant interviews with healthcare personnel and birth attendants. 33 cases were randomly selected from the registered neonatal deaths across Bharuch district of Gujarat, India. Key finding of this study is less prevalent practice of essential newborn care among all cases irrespective of place of delivery and the health-care personnel facilitating delivery. Habitual traditional/tribal newborn care methods challenge the practice of prescribed essential newborn care. Clustering of deaths in few households added significantly to the existing burden of neonatal deaths, attributed to superstition “Ratewa” by tribal. Study has concluded that the introduction and implementation of essential newborn care at hospital and community/ household level are the need of the hour. Quality home based neonatal care through cost effective interventions is deemed necessary where accessing institutional care is not possible in the immediate term. Community health workers can contribute to the eradication of harmful newborn care practices and the sustenance of essential practices through community education and behavior change communication.

A Study Protocol on the Evaluation of Referral Strategies for Inflammatory Arthritis in Primary Care Patients at the Level of Healthcare Organization, Patient Relevant Outcomes and Costs

Background: Considering the importance of getting the right patient at the right location to maintain and optimize quality of life of inflammatory arthritis patients, appropriate referral by general practitioners is essential. This study aims to assess the effect and cost effectiveness of different referral strategies for inflammatory arthritis in primary care patients. Methods: This study follows a cluster randomized controlled trial design. General practitioners from primary care centers in Southwest-The Netherlands are randomly assigned to either one of the two strategic interventions for referring adult patients who are in the opinion of the general practitioner suspected of inflammatory arthritis: 1) Standardized digital referral algorithm based on existing referral models PEST, CaFaSpA and CARE;2) Triage by a rheumatologist in the local primary care center. These interventions will be compared to a control group, e.g. usual care. The primary outcome is the percentage of patients diagnosed with inflammatory arthritis by the rheumatologist. Secondary outcomes are quality of life as a patient reported outcome, work participation and healthcare costs. These data, including demographic and clinical parameters, are prospectively collected at baseline, three, six, and twelve months. Discussion: If this study can demonstrate improvements in appropriate referrals to the rheumatologist, thereby improving cost-effectiveness, there is sufficient supporting evidence to implement one of the referral strategies as a standard of care. Finally, with these optimization strategies a higher quality of care can be achieved, that might be of value for all patients with arthralgia. Trial Registration: NCT03454438, date of registration: March 5, 2018. Retrospectively registered: https://clinicaltrials.gov/ct2/show/NCT03454438?term=NCT03454438&draw=1&rank=1.

超声模拟教学在重症护理教学中的应用及效果评价

目的:探讨超声模拟教学在重症护理教学中的应用效果。方法:选取2023年1-12月于中日友好医院重症医学科进修的40名护士,采用随机数表法将其分为观察组和对照组,每组20名,观察组以美国爱国者综合超声虚拟训练系统为平台,采取超声模拟教学方法,对照组采取传统超声教学方法。比较两种教学方法理论课教学、超声技术实践操作考核成绩和带教满意度。结果:观察组的操作考核、课后作业和考核总分分别为(27.9±1.91)分、(16.25±1.33)分和(77.75±4.12)分,均高于对照组,差异有统计学意义(t=13.375、3.635、8.814,P<0.05);观察组操作考核成绩中的肺部超声、胃残余量评估、皮肤压力性损伤评估和动静脉穿刺平均得分分别为(5.30±1.21)分、(5.85±0.81)分、(5.10±0.91)分和(6.05±0.89)分,均高于对照组,差异有统计学意义(t=5.792、5.264、5.832、5.620,P<0.05)。观察组进修护士对教学安排、教学效果、整体收获和满意度总分分别为(22.75±1.30)分、(23.90±1.02)分、(24.00±1.30)分和(93.05±3.66)分,均高于对照组,差异有统计学意义(t=6.564、8.860、6.694、7.441,P<0.05)。结论:超声模拟教学能够明显提高进修护士在重症护理教学中的操作能力,以及对教学内容的掌握情况和进修护士学习兴趣,提升护理临床教学质量及带教满意度。