分层管理对大面积烧伤患者早期康复治疗的临床意义

目的：重度烧伤早期易合并多种并发症且病情复杂、死亡率高，严重影响患者的生存周期和生活质量。本研究分析并探讨不同干预措施对重度烧伤患者早期并发症的效果，为临床研究提供可借鉴的方法。方法：选取2011年1月．2012年11月我院收治的重度烧伤患者66例，随机分为常规护理组和分级管理组，每组各33例。常规组采取基本护理模式对患者进行康复期护理，分级管理组根据病情对患者进行分级，分配不同专业技能等级的护理人员进行护理。观察并比较两组患者的临床效果及对护理服务的满意度。结果：分层管理组患者并发症发生率为42.3％，明显低于常规护理组69．7％（P〈0．05）；分层管理组的护理质量、患者依从性及对护理服务的满意度均显著高于常规护理组，差异具有统计学意义（P〈0．05）。结论：对大面积烧伤患者实施分层管理的护理模式具有积极的作用，不仅有效降低并发症发生率，而且能够合理分配护理人员，优化服务质量，提高患者满意度，值得在临床护理实践中推广应用。

The Abnormal Expression Level of MicroRNA in Rpithelial-Mesenchymal Transition of Eritoneal Mesothelial Cells Induced by High Glucose

Objective： It is serious and cormnon that the multiple complication on the early stage of rehabilitation for patients with severe empyrosis that could influence the length and quality of patients＇ life with a high rate of mortality. This essay aims to explore different interventions to prevent the complications for patients with so as to provide a reference for clinical nursing. Methods： 66 patients with extensive empyrosis who were treated in our＇ hospital from January 2011 to November 2012 were selected and randomly divided into the conventional nursing group and the hierarchical management group with 33 cases in each one. The patients in the conventional group were served by the regular nursing methods, while the patients in the hierarchical group were classified on the basis of the conditions, and distributed to nursing staff with different levels of expertise. Then the clinical effects, the incidence of complications and the satisfaction about nursing of patients were observed and compared between two groups. Results： The incidence of complications of patients in the hierarchical group was 42.3% which was lower than 69.7% of the conventional one （P〈0.05）. The quality of nursing, the compliance of patients and the satisfaction on marsing service in the hierarchical group were significantly higher than those of the conventional group with statistically significant differences （P〈0.05）. Conclusions： It is suggested that the hierarchical management on nursing for patients with extensive empyrosis should be well promoted to the clinical nursing practice with the advantages of reducing the incidence of complications, modifying the distribution of nursing staff which helps to optimize the quality of nursing service and improve the satisfaction of patients.