理念渗透式管理在老年天疱疮患者中护理的临床实践.docVIP

精品论文 参考文献 理念渗透式管理在老年天疱疮患者中护理的临床实践 1．贵州医科大学第二附属医院护理质量管理科；2．整形皮肤科 贵州凯里 556000 摘要：目的 加强对老年天疱疮疾病的认识，探讨专科护理理念在老年天疱疮患者中的渗透及有效管理方法。 方法 通过专科护理理念在26例老年天疱疮患者中的渗透，提出环境管理、创面管理、心理管理、饮食管理、抗感染管理、安全用药管理及出院宣教管理等措施的有效落实。 结果 理念渗透式管理是专科护理质量的细节落实与延伸，持续互动式的沟通与交流，不断增强老年天疱疮患者主动参与临床实践的健康管理意识。 结论 理念渗透式管理是专科护理质量的持续改进和有效落实，其专科理念渗透式目标管理易被患者及家属接受和理解，持续互动式沟通与交流不断构建和谐医患关系。 关键词：理念渗透；老年天疱疮；临床实践 [Abstract ] Objective: strengthen awareness on the diseases of the old with pemphigus, explore the penetration of the concept of specialist care in elderly pemphigoid patients and the effective management methods.Methods: through penetrating the concept of specialist care in 26 cases of elderly patients with pemphigus, the author presented environmental management, wound management, psychological management, dietary management, anti-infection control, medication safety management and discharge from the effective implementation of the mission management measurements.Results: the concept of penetration management is the implementation and extension of the details of specialist care quality, continuous interactive communication and exchange, and constantly enhancing the awareness of the elderly pemphigoid patients to take the active participation in clinical practice of health management. Conclusion: the concept of penetration management is the continuous improvement and effective implementation of specialist care, specialist concept of immersion objective management apt for patients and their families to accept and understand. The author tried to build a harmonious doctor-patient relationship through continuous interactive communication and the exchange. [Key words] the penetration of concept ; the elderly patient with pemphigoid ; the clinical practice 天疱疮是以表皮内棘细胞松懈为特点的重症大疱性皮肤病，由于疱壁薄很容易破裂而成为一片糜烂面，甚至继发严重的感染。而老年患者因其年龄大、皮肤症状明显、且不善于表达和沟通等特点，常为临床治疗和护理带来很大的困难。我院整形皮肤科于2011年5月～2014年2月共收治26例老年天疱疮患者，经过专科理念渗透式管理均取得较好的临床效果，现将方法介绍如下。 1 临床资料 本组26例，其中男性10例，女性16例，