简介:摘要目的探讨急性左心衰的有效护理措施。方法对40例急性左心衰竭患者进行急救护理、用药护理、心理护理、饮食护理、出院指导综合护理方法,出院时对患者满意度进行问卷调查。结果治疗后有效38例,死亡1例,放弃治疗1例,患者满意39例,满意度975%。结论对急性左心衰患者进行熟练、争分夺秒的抢救,能及时缓解病情,并严密观察病情和生命体征的变化,能提高治愈率,改善预后。
简介:Inthecurrenteraofcardiovasculardisease,thediagnosisofheartfailurewithpreservedejectionfraction(HFpEF)isawell-recognizedclinicalentitythatisequallyprevalentbutdistinctlydifferentfromheartfailurewithreducedejectionfraction(HFrEF).DespitenormalEFpatientswiththisdiseasehavesimilarmorbidityandmortalityratescomparedwithHFrEF,aswellasarisingrateofhospitalizations.ThepathophysiologyofHFpEFisincompletelyunderstood.Thenumberoftherapieswithprovenefficacyatimprovinglongtermcardiovascularoutcomesislimited.Womenwithheartfailuresyndromes,particularlytheelderly,aremuchmorelikelytohaveaHFpEFphenotypeatthetimeoftheirdiagnosis.Thepurposeofthispaperistoreviewtheepidemiology,pathophysiology,clinicalfeatures,andcurrentmanagementstrategiesinHFpEF,especiallyasitpertainstowomen.
简介: 摘要:目的:运用互联网信息化方式,建立护工数据库,使护工服务在收费标准、服务内容、服务方式、员工情况、满意度等方面更加透明化、公开化、便捷化;为医院后勤服务在信息化建设方面提供可借鉴的依据,并达到在重庆市区内各医院推广应用;为患者或家属提供更便捷、及时的全程在线评价服务,实现对护工服务的监督和管理,实现医疗护工行业在今后可以得到良性发展。方法:信息科、护理部、临床科室通过操作流程演示和专家论证,建立护工服务信息化系统,实现数据的共享与传送。结果:请护工需要时间由24小时—48小时(即1-2天)变为24小时内;“护工服务”预约服务人数达护工服务总人数的比例基本为0变为护工服务总人数的50%及以上;对患者或家属提出的意见及及建议处理由3-4小时缩短至30分钟;患者就医感受及服务满意度为85.3%变为94.5%。
简介:TheannualmeetingoftheHeartFailureAssociationofESCinLisbon,inJune2005,wasexceptionallysuccessful.Thereweremanyveryinterestingpresentationsandworkshopswiththeuniquetitle:StatinsinheartfailureCholesterol-loweringisnottheonlygoalHeartfailure(HF)isaprogressivediseasewithcoronaryarterydisease(CAD)asthemostoftenunderlyingetiology.TreatmenttopreventprogressionofheartfailurehasbeentargetedtoreversetheconsequencesofHFandtoalessextentthecause-theatheroscleroticplaqueitself.Ontheaverage50%ofpatientswithheartfailurearetreatedwithlipidintervention.Lipid-loweringtreatmentwithstatinsclearlyreducesmorbidityandmortalityofpatientswithdocumentedCAD.SincetheprevalentetiologyofheartfailureisCAD,itspreventionmayreduceheartfailureprogression.However,recentstudiessuggestthatpleiotropiceffectsofstatinsaremoreimportantthantheinfluencerelatedtotheircholesterolloweringmechanism.Furthermoreitissuggestedthatlowlevelsofcirculatinglipoproteinsandcholesterolmaybeindependentpredictorsofimpairedoutcomeinpatientswithheartfailure.Therearesomepossibleexplanationsforthisfinding.Highlevelsofcholesterolcanbebeneficialtoheartfailurepatients;cholesterol-richserumlipoproteinsareabletomodulateinflammatoryimmunefunctionbecausetheybindanddetoxifybacteriallipopolysaccharide,averystrongstimulatorofthereleaseofproinflammatorycytokinesthatpromoteheartfailureprogressionanddeath.SocurrentrecommendationsstronglyemphasizethattheaimoftreatmentofHFisnottolowercholesterol.