1.Diagnosis and treatment of diffuse alveolar hemorrhage
Yushan ZHANG ; Ziwen ZHAO ; Zhike LIANG ; Yujun LI ; Weinong ZHONG
The Journal of Practical Medicine 2016;32(19):3200-3204
Objective To investigate the clinical characteristics of diffuse alveolar hemorrhage. Methods 12 patients with diffuse alveolar hemorrhage hospitalized in Guangzhou NO.1 Hospital were included in the research, whose clinical characteristics were analyzed. Results 7 cases of the 12 diffuse alveolar hemorrhage cases were male and 5 cases were female. 8 cases were caused by ANCA associated vasculitis , 1 cases by connective tissue disease, 1 cases by poisoning, and 2 cases of unknown etiology (medication could be considered). The clinical manifestations were fever (91.67%), hemoptysis (100%), anemia (100%), and dyspnea (3.33%). Conclusion Diffuse alveolar hemorrhage is a life-threatening clinical syndrome. It can be caused by many causes. It should be considered if there is the presence of hemoptysis, dyspnea, anemia, etc. Timely examination and early intervention can effectively improve the prognosis of the disease.
2.Application effect of workshop nursing ward rounds on specialist training for nurse of Neurology Department
Yongmei DENG ; Xiulan HU ; Meiru WU ; Jianshu LIANG ; Zhike YIN
Chinese Journal of Modern Nursing 2017;23(29):3784-3787
Objective To explore effect of workshop nursing ward rounds on specialist training for nurse of Neurology Department.Methods Totals of 134 nurses of Neurology Department were randomly divided in two groups, 71 nurses in the intervention group and 63 nurses in the control group. The nurses of intervention group received specialist training based on workshop nursing ward rounds, while the nurse of control group received specialist training of traditional mode. We compared two groups of nurses about disease-related knowledge and patient satisfaction with nursing work.Results The nurses of intervention group have higher scores than the nurses of control group in following aspects: patient's condition (80.8±9.2), implementation of nursing measures (85.9±8.4), and implementation of health education (86.3±8.1) (t=4.015, 7.075, 9.319;P<0.01). The patient's satisfaction in the intervention group was higher than that in the control group (P<0.05).Conclusions Workshop nursing ward rounds in neurology specialist training can make the responsibility system nursing effectively implemented and improve the patient satisfaction.