The application of feedforward control in the nursing emergency management of COVID-19

Objective:To explore the application of feedforward control in the nursing emergency management of COVID-19.Methods:The feedforward control theory was applied to the emergency management of COVID-19 nursing,including grasping the latest epidemic information,preparing for the early stage,formulating nursing workflow,implementing flexible management,standardizing isolation and protection measures,unifying nursing document record format,and implementing humanistic care.Results:During the period of support to Wuhan,the nursing work in the isolated area was orderly,the nursing staff's job satisfaction was high,no nursing errors and hospital infections occurred.Conclusion:Efficient feedforward control in the nursing emergency management that could avoid work blindness to a certain extent and play a guiding role in maintaining the normal operation of treatment and nursing work and protecting the safety of patients and medical staff in the ward during the epidemic period of COVID-19.

The Application of Layered Progressive Teaching Method in Nursing Teaching of Health Management Centre

Objective:To explore the clinical effect of the layered progressive teaching method in the process of nursing teaching in the health management centre.Methods:100 nursing students in the health management centre of our hospital were randomly divided into two groups from April 2018 to April 2019,in which students of the control group were treated with routine teaching,while those of the experimental group were treated with layered progressive teaching.Then,the teaching effect of the two groups was compared and analysed.Results:The assessment results of nursing students in the two groups were compared,in which the theoretical knowledge scores and practical operation scores of nursing students in the experimental group were(94.34±2.33)and(90.45±2.20)respectively.By contrast,the score of students in the control group was lower and the difference between the two groups was not significant(P<0.50).The teaching effect of students in the experimental group is more significant.Conclusion:During the process of nursing teaching in the Health Management Centre,the progressive teaching method showed a significant clinical effect and could effectively enhance students’scores.Therefore,it is positively significant for clinical development.

Application of Seamless Nursing Management in Emergency-ICU Patient Safety Transfer and Handover

Objective: To analyze the application effect of seamless nursing management in the safe transfer and handover of emergency-ICU patients. Methods: A total of 160 patients admitted to the emergency department-ICU from November 2017 to July 2018 were randomly divided into the control group and the observation group, with 80 patients in each group. Among them, the patients in the control group underwent routine nursing management mode, and the patients in the observation group were treated with seamless nursing, comparing the transfer of the two groups of patients and the satisfaction score of the emergency-ICU nursing staff. Results: The transfer status of the observation group and the satisfaction score of the emergency-ICU nursing staff were significantly better than those of the control group.Conclusion: Seamless nursing management can improve the overall efficiency of transshipment.

Effect of the Application of Health Management in Nursing on Osteoarthropathy

Objective:To explore the effect of the application of health management in nursing on osteoarthropathy.Methods:Fifty patients with osteoarthropathy in our hospital were randomly selected and recruited for the current study from January 2018 to January 2020.They were divided into group A and group B according to the random number table method.group A(25 cases)received routine nursing,while group B(25 cases)received health management in nursing on the basis of the treatment given to group A.Joint function index,quality of life and nursing satisfaction were compared between the two groups.Results:The index of joint function in group B was higher than that in group A,the quality of life in group B was higher than that in group A,and the nursing satisfaction in group B was higher than that in group A(P<0.05).Conclusion:For patients with osteoarthropathy,the application of health management can effectively improve joint function and improve the quality of life.The effect is ideal and the method is worthy of wide application.

Application Effect of Feedforward Control in Outpatient Blood Specimen Management

Objective:To analyze the application effect of feedforward control in outpatient blood specimen management.Methods:1,200 patients who had their venous blood collected in outpatient phlebotomy room of our hospital's outpatient clinic from January 2021 to April 2021 were selected as study subjects and divided into 600 cases in the control group and 600 cases in the observation group.The two groups of patients were compared in terms of their satisfaction with the staff,the efficiency of the nurses and the quality of nursing care,turnaround time before specimen analysis,the rejection rate of the blood specimens,and the time of result reporting.Results:After the implementation of feedforward control,patients'satisfaction with staff,nurses work efficiency and quality of care,turnaround time before specimen analysis,specimen rejection rate,and result reporting time in the observation group were significantly higher than those in the control group(P<0.05).Conclusion:The application of feedforward control in the management of outpatient blood specimens has significant effect,which effectively improves patients'satisfaction,enhances the efficiency of nurses and the quality of nursing care,shortens the turnaround time of specimens before analysis and the reporting time of results,and reduces the rejection rate of specimens.

Application of Nursing Risk Management in Assisted Reproductive Nursing

Objective: discuss and analyze the application effects of nursing risk management in assisted reproductive nursing. Methodology: this research was carried out by selecting 384 IVF-ET (In-vitro fertilization and embryo transfer) patients admitted by certain hospital during February 2016 to February 2018 as research objects, who are classified into general group and research group at random by numbering all randomly, with 192 objects per group for comparing adverse event rate and nursing quality of patients in these two groups. Result: the adverse event rate of patients in research group is 4.17%, while that in general group is 10.94%, with the adverse event rate in research group lower than that in general group (P < 0.05);the overall scores of nursing quality in research group is (96.37±9.37), while that in general group is (79.34±8.25), with the overall score in research group significantly higher than that in general group (P < 0.05);the nursing satisfaction of research group and general group are 95.31% and 84.38% respectively, with the satisfaction in research group significantly higher than that in general group (P < 0.05). Conclusion: in assisted reproductive nursing, the application of nursing risk management plays a critical role, which can not only reduce the adverse event rate, but also effectively improve the nursing quality of patients, as well as improve the nursing satisfaction of patients, thus being proven that nursing risk management shall be widely applied in clinical nursing.

Emerging Flexible Thermally Conductive Films:Mechanism,Fabrication,Application

Effective thermal management is quite urgent for electronics owing to their ever-growing integration degree,operation frequency and power density,and the main strategy of thermal management is to remove excess energy from electronics to outside by thermal conductive materials.Compared to the conventional thermal management materials,flexible thermally conductive films with high in-plane thermal conductivity,as emerging candidates,have aroused greater interest in the last decade,which show great potential in thermal management applications of next-generation devices.However,a comprehensive review of flexible thermally conductive films is rarely reported.Thus,we review recent advances of both intrinsic polymer films and polymer-based composite films with ultrahigh in-plane thermal conductivity,with deep understandings of heat transfer mechanism,processing methods to enhance thermal conductivity,optimization strategies to reduce interface thermal resistance and their potential applications.Lastly,challenges and opportunities for the future development of flexible thermally conductive films are also discussed.

失效模式与效应分析提升手术室软式内镜清洗消毒质量的效果

目的探讨失效模式与效应分析(FMEA)在提升手术室软式内镜清洗流程风险管理中的应用效果。方法选择上海交通大学医学院附属瑞金医院2021年1月1日至12月1日自动内镜清洗消毒机(AER)清洗消毒后的内镜共827镜次设为FMEA实施前组,2022年1月1日至12月1日AER清洗消毒后的内镜共844镜次设为FMEA实施后组。运用FMEA对手术室软式内镜清洗操作程序中的各个环节进行分析,通过计算风险优先指数(RPN)查找每个环节中的高危因素,针对RPN>125的关键环节制订改进方案并予以实施。比较FMEA实施前后的失效模式RPN值、内镜消毒合格率、内镜故障维修率、手术患者等待时间、手术室护士AER操作熟练度以及医生满意度。结果FMEA实施后,经过筛选并整改的5个项目的RPN值均下降至<125分;总体的RPN值由1247.24分下降至475.05分,RPN值下降率为61.91%;FMEA实施前后内镜消毒合格率及内镜故障维修率差异均无统计学意义(P>0.05);FMEA实施后手术患者等待时间短于实施前[(10.35±1.57)min vs(12.38±1.91)min],手术室护士AER操作得分及医生满意度高于实施前[(92.50±3.92)分vs(80.49±5.64)分,(93.87±2.16)分vs(83.07±3.10)分],差异均有统计学意义(P<0.05)。结论通过应用FMEA针对性优化相关操作流程,使手术室护士对软式内镜的清洗操作更加熟练,有助于提高清洗效率与质量、减少手术患者的等待时间、提升医生满意度。

门诊护理人员应用柔性管理的效果分析

目的分析门诊护理人员应用柔性管理的效果。方法新疆医科大学附属肿瘤医院10名门诊护理人员于2023年1—5月应用常规管理,设为对照组,于2023年6—12月进行柔性管理,设为研究组。对比两组管理评价、护理工作能力评价、心理状态和管理满意度。结果研究组的交接班秩序和工作强度、工作反馈及沟通效率评分明显高于对照组,差异有统计学意义(P均<0.05);研究组的接诊态度、主动服务和健康教育、人文关怀和护理流程评分明显高于对照组,差异有统计学意义(P均<0.05);研究组心理状况各维度评分明显低于对照组,差异有统计学意义(P均<0.05);研究组的管理满意度(100.00%)略高于对照组(90.00%),但差异无统计学意义(P>0.05)。结论柔性管理可提高提供门诊护理人员管理评价,可改善其负面心理状态,具有较高的管理价值。

分级护理管理模式在肝胆外科护理中的价值

目的研讨分级护理管理模式在肝胆外科护理中的价值。方法选择200例在我院肝胆外科接受治疗的患者,入院时间为2022年1月至2023年12月,采用双盲法将其分成对照组与试验组,每组100例,两组患者分别采用常规护理管理以及分级护理管理,对比试验组与对照组护理质量(宣教评分、护理记录评分、病房评分及护理操作评分)、护理满意度、不良反应发生率。结果试验组患者宣教评分、护理记录评分、病房评分及护理操作评分数值比对照组数值更高(P<0.05);试验组总满意度数值比对照组数值更高,97.50%vs.80.00%(P<0.05);不良反应发生率比较,试验组数值比对照组数值更低,2.50%vs.15.00%(P<0.05)。结论将分级护理管理模式运用于肝胆外科护理,可改善护理质量及护理满意度,降低患者不良反应的发生率。

改良正念减压疗法在原发性肝癌切除术患者中的应用

目的探究改良正念减压疗法在原发性肝癌(primary liver cancer,PLC)切除术患者中的应用。方法选取2020年5月至2022年5月北京市和平里医院收治的160例PLC患者作为研究对象,按照随机数字表法分为对照组(n=80)和研究组(n=80)。对照组采用风险管理护理模式,研究组在对照组基础上联合改良正念减压疗法干预,比较两组患者干预前后癌症疲乏量表(cancer fatigue scale,CFS)评分、中文版压力知觉量表(Chinese perceived stress scale,CPSS)评分、心理弹性水平、疼痛程度、心理应激程度和满意度。结果研究组患者干预后躯体疲乏、情感疲乏、认知疲乏CPSS评分均显著低于对照组(均P<0.05),坚韧性、自强、乐观评分和疼痛改善程度均显著优于对照组(均P<0.05)。两组患者干预后焦虑自评量表(self-rating anxiety scale,SAS)和抑郁自评量表(self-rating depression scale,SDS)评分较干预前均显著降低(均P<0.05),且研究组患者干预后SAS和SDS评分均显著低于对照组(均P<0.05)。两组患者干预后CFS各项评分均较干预前显著降低(均P<0.05),且研究组降低幅度显著大于对照组(均P<0.05)。研究组患者的干预满意度显著高于对照组(P<0.05)。结论采取风险管理护理模式联合改良正念减压疗法干预PLC患者,能显著降低术后并发症发生率,缓解患者疼痛、疲乏感和心理应激反应,减轻患者的知觉压力并有效改善患者的心理弹性,提升生活质量。

急诊重症脑卒中病人应用加强急救护理管理的效果观察

目的 分析研究急诊重症脑卒中病人应用加强急救护理管理的效果。方法 随机抽选急诊重症脑卒中患者(90例)为研究观察对象,入院时间段:2020年11月—2022年11月。将患者划分为对照组(人员数量45例)、观察组(人员数量45例),两组均配合常规管理,观察组联合应用加强急救护理管理。以管理满意度、并发症发生率、管理质量、生活质量、血流动力学指标、临床指标作为观察指标开展细致对比分析。结果 观察组管理方式满意度高于对照组,组间差异有统计学意义(P<0.05)。观察组临床指标低于对照组,组间差异有统计学意义(P<0.05)。观察组管理质量指标高于对照组,组间差异有统计学意义(P<0.05)。观察组血流动力学指标优于对照组,组间差异有统计学意义(P<0.05)。观察组并发症发生率低于对照组,组间差异有统计学意义(P<0.05)。观察组生活质量水平高于对照组,组间差异有统计学意义(P<0.05)。结论 在急诊重症脑卒中患者护理管理期间通过予以加强急救护理管理方式具有明显优势,具有改善血流动力学、减少并发症、缩短急救时间的效果,且患者生活质量和管理方式满意度显著升高,很大程度上提高了护理管理质量。

全方位管理干预对行^(18)F-FDG PET/CT检查胃癌患者心理状态及满意度影响

目的:探讨全方位管理干预在进行^(18)F脱氧葡萄糖(FDG)正电子发射型计算机断层显像(PET)/CT检查胃癌患者中的应用效果.方法:选取2021年10月至2022年10月本院收治的123例胃癌患者为研究对象.根据干预方案将其分为研究组(n=64,采用全方位管理干预)和对照组(n=59,采用常规干预).采用统计学方法,比较两组患者图像合格率、患者心理状态和检查满意度.结果:研究组患者图像一次合格率高于对照组,差异有统计学意义(P<0.05).研究组患者情绪平稳度、依从性、生活习惯、沟通能力、自我约束评分高于对照组,差异均有统计学意义(P<0.05).研究组患者检查前、中、后检查满意度均高于对照组,差异均有统计学意义(P<0.05).结论:在胃癌患者^(18)F-FDG PET/CT检查中应用全方位管理干预,可改善患者心理状态及满意度,利于诊断检查工作的开展.

ICU护理亚专科管理模式的构建与应用

目的:探讨ICU护理亚专科管理模式在ICU患者临床救治中的应用效果。方法:基于当前ICU患者的实际需求,制定精准、系统的组织架构、工作流程、联动机制、质控体系、动态跟访、科研转化等管理方案,构建一套护理亚专科多元联动、多向补充、协同发展的双向反馈机制的工作模式。采取类实验方法,将ICU护理亚专科管理模式实施前(2021年1月1日至12月31日)的患者设为对照组,ICU护理亚专科管理模式实施后(2022年1月1日至12月31日)的患者设为干预组,比较实施前后护士的核心能力、专科业务、敏感指标、满意度以及实施前后对患者产生的影响。结果:ICU护理亚专科管理模式实施后提升了护士的核心能力,减少了患者住院时间和机械通气时间,降低患者再入ICU率、ICU获得性衰弱、ICU获得性吞咽障碍、失禁性皮炎的发生率,降低非计划性拔管占比,提高了患者、护士、医生以及学生的满意度,差异均有统计学意义。结论:ICU护理亚专科管理模式的构建,可有效促进ICU护理亚专科建设、护理人员核心能力提升、重塑护理内涵、改善患者预后,最终促进医院护理事业的良性、可持续的发展。

软式消化内镜再处理及其影响因素的研究进展

应用于消化系统疾病诊疗的软式内镜在操作中会接触消化道黏膜、进入血管和无菌组织,因此需要进行严格的再处理后才能重新用于患者,但因其具有材质特殊、管腔狭窄和结构复杂等特点,显著增加了再处理的难度。文章从护理管理的角度出发,对软式消化内镜再处理的定义、方案、影响因素进行综述,详细分析了影响再处理的多种因素并提出相应对策,以期为内镜再处理的管理提供借鉴和参考。

柔性相变材料的制备及应用研究进展

相变材料是进行热能储存和温度控制的理想材料,可以在近乎恒温的可逆相变过程中存储和释放大量热量,具有温度变化小、储能密度大等优势。传统相变材料通常刚性较强,与热源壁面的接触空隙增大了其传热热阻,使得热管理效率降低,限制了相变材料的进一步应用。随着相变材料在电子设备热管理、智能调温织物等领域应用的深入,提升相变材料的柔性至关重要。本文综述了近年来有关柔性相变材料的研究,并详细分析了其具体应用场景,以期为柔性相变材料的进一步发展提供参考。

影像护理一体化管理模式应用效果的meta分析

目的采用meta分析的方法探讨影像护理一体化管理的应用效果。方法计算机检索中国知网、维普数据库、万方数据库等,检索时间为建库至2022年7月,收集影像护理一体化管理应用于临床的相关研究,按一定标准筛选文献并完成偏倚风险评价及资料提取,采用Stata 15.0软件进行meta分析。结果共纳入19篇研究,包括3664例患者,其中影像护理一体化管理组1832例,常规管理组1832例。Meta分析结果显示,与常规管理组相比,影像护理一体化管理能有效提高影像检查准备完好率(OR=0.19,95%CI:0.11~0.33)、报告发放及时率(OR=0.08,95%CI:0.02~0.32)、穿刺成功率(OR=0.25,95%CI:0.14~0.44)、患者满意度(OR=0.10,95%CI:0.06~0.16),降低重复扫描率(OR=0.22,95%CI:0.15~0.32)、对比剂渗透率(OR=0.13,95%CI:0.08~0.22)、金属漏检率(OR=0.21,95%CI:0.07~0.60),缩短候诊时间(SMD=-0.66,95%CI:-0.84~-0.48)。结论护理一体化管理能有效提高影像科检查效率、护理质量及患者满意度。

柔性管理模式对年轻护士工作压力、应对方式及职业倦怠感的影响

目的探讨柔性管理模式对年轻护士工作压力应对方式及职业倦怠感的影响。方法随机选取2023年1—12月丹阳市云阳人民医院任职的72名年轻护士作为研究对象,于2023年6月开始对年轻护士实施柔性管理模式,采用问卷调查形式对柔性管理模式实施前(2023年1—5月,常规管理模式)、实施后(2023年6—12月,柔性管理模式)年轻护士的工作压力、应对方式、职业倦怠感、工作能力展开评价。结果与实施前比较,实施后年轻护士的护理专业及工作、工作环境及资源、工作量及时间分配、管理及人际关系、患者护理等方面的工作压力评分均更低,差异有统计学意义(P均<0.05);实施后年轻护士的积极应对评分更高、消极应对评分则更低,差异有统计学意义(P均<0.05);实施后年轻护士的个人成就感评分更高、情绪衰竭与去人格化评分则更低,差异有统计学意义(P均<0.05);实施后年轻护士的工作能力各项(基础护理、病房护理、健康宣教、护理文书)评分更高,差异有统计学意义(P均<0.05)。结论柔性管理模式应用于年轻护士的管理中,可减轻年轻护士的工作压力与职业倦怠感,提高其积极应对性与护理工作能力。

临床护理路径在HFNC标准化管理中的应用研究

目的:探究临床护理路径在经鼻高流量氧疗(HFNC)标准化管理中的应用。方法:选取甘肃省武威市凉州医院2022年7月至2024年3月期间收治的120例HFNC治疗患者,随机均分为对照组和观察组。两组患者均应用HFNC治疗手段,对照组患者采用常规护理方式,观察组患者应用标准化临床护理路径。结果:观察组患者HFNC治疗时间及ICU住院时间均低于对照组,观察组不良事件发生率(5%)低于对照组(11.67%)(P<0.05);观察组治疗依从性与护理满意度更高(P<0.05)。结论:为患者实施HFNC标准化管理时采取临床护理路径,可分别对照治疗前、治疗中和治疗后三个阶段,为患者进行护理干预,有利于缩短患者治疗时间,提升临床护理指标,降低不良事件发生率,患者治疗依从性及护理满意度更高,该治疗护理方法有临床推广应用价值。

柔性相变材料制备与封装技术的研究及应用

面对全球能源需求不断攀升和生态可持续性的挑战,寻找高效的能源转换方法和发展节能技术变得至关重要。相变材料因其在固液转换过程中可以吸收和释放大量的潜热,已成为能量存储、温度调控和高效热管理领域的重要创新材料。柔性复合相变材料由于其能在变形条件下保持性能,被认为在未来智能设备和系统中具有重要应用前景。文中对柔性相变材料的研究进展、合成策略和功能化发展进行了深入探讨和评估。通过分析柔性相变材料在实际生活中的应用,阐述了在实现高效热管理和适应复杂应用环境方面的潜力和可能性,为柔性相变材料的未来发展方向和进一步探索提供了系统的理论指导。