1 title; 2 the author; (3) abstract (abstract, about 100 words); 4 keywords; ⑤ English abstract.
(2) Body parts
1. Preface (
(1) Basis for case selection
Describe whether the selected case is rare and special, and what is its particularity.
Location.
(2) The purpose and significance of case writing.
2. Case introduction or clinical data (
The case focuses on nursing-related content, and does not talk too much about the doctor's diagnosis and treatment measures. situation
The introduction includes: ① patient profile; ② medical history; ③ The process and effect of medical care; 4 endings, etc.
3. Nursing (about 2000 words)
This part is the key content of nursing case writing, and nursing methods, nursing measures and specific practices should be introduced in detail according to nursing categories.
In particular, it is necessary to introduce in detail some innovative attempts and unique practices taken according to personal circumstances to reflect the characteristics of the article. Nursing categories can be roughly summarized into the following categories:
(1) treatment and nursing
① Doctor's advice nursing (implementing doctor's advice): such as medication nursing, infusion nursing, oxygen inhalation nursing, catheter nursing, etc.
② Symptomatic nursing: such as high fever nursing, pain nursing, cough nursing and diarrhea nursing.
(2) Observation and nursing
① Observation and treatment of the disease;
② Intensive care and rescue;
③ Functional monitoring and guidance;
④ Observation and nursing of wound; ⑤ Observation and nursing of complications; ⑥ Prevention and control of infection, etc.
(3) Life nursing
① diet care; ② Excretion nursing; 3 skin care, etc.
(4) Rehabilitation nursing function training.
(5) Disinfection and isolation
(1) Disinfect at any time and disinfect at the end; (2) Infectious disease isolation and protective isolation.
(6) Psychological nursing
Psychological support (listening to explanations, supporting and encouraging, and ensuring guidance).
(7) Health education
(1) entrance education; ② Hospitalization education; ③ Discharge education.
4. Discharge guidance or family rehabilitation guidance
This part can be included in the "nursing" project or not.
5. Discussion, experience or summary (
(1) The nursing characteristics of special cases are different from those of routine nursing.
(2) The main nursing problems, nursing cooperation and treatment points.
(3) Important or key nursing measures, innovative attempts, new ideas and new practices of unique nursing.
(4) The evaluation of nursing effect can be evaluated by comparing the nursing results with the expected nursing goals, or by the feedback from patients.
(5) Nursing experience, carefully summarizing the successful experience or failure lessons of nursing, and the profound enlightenment that can be left to readers.
(6) Summarize the main nursing problems, nursing measures and nursing effects.
(3) References in the later part.
Third, the writing requirements
1. The most important principle of case selection for special case nursing reports is that cases are rare and special, with the characteristics of novelty, rarity, singularity and uniqueness.
(1) The nursing of complicated cases is rare in clinic, and the patient's condition is complicated and changeable, so it is difficult to treat and care. But through careful treatment and nursing, it has become a successful case. Such as "1 case of hand, foot and mouth disease complicated with multiple organs"
Nursing care of children with functional failure ","1 Nursing care of patients with severe infection after hip amputation and hemiplegia ",etc.
(2) Monitoring of critical cases, such as "1 Nursing of patients with myocardial infarction". (3) Nursing care of rare cases.
(4) Nursing care of cases with uncommon manifestations of common diseases. (5) Nursing care of patients with rare adverse drug reactions.
(6) Nursing with new technology, new therapy and new measures. (7) Nursing care of misdiagnosed and mistreated cases.
(8) Nursing of the first case. Due to the lack of theoretical guidance and practical experience, there is no ready-made routine nursing measures, so it is of great practical significance to explore its nursing methods. For example, on June 6th, 2002 +065438+20021October 6th, 2002, the care of the world's first SARS patient (referred to as "SARS" in China), the care of the first avian influenza patient in 2003, the care of the first influenza A patient in 2009, and the care of the first influenza A patient in Fuyang City, Anhui Province in 2008.
2. The cases reported in case nursing should come from the cases in which nurses themselves participated in nursing. Because personally nursing, personally recording nursing medical records, familiar with cases, writing will be handy.
3. Complete data The selected cases should not only have characteristics, but also require complete nursing data records. There are complete records from admission evaluation to daily evaluation, as well as daily nursing measures and nursing results. Because writing needs not only medical information recorded by doctors, but also nursing information recorded by nurses.
4. Be familiar with the format. Be familiar with the format and requirements of case writing, and read the case report of authoritative magazines, which can be used as a model essay for your own imitation writing.
5. Highlight the unique case nursing report and introduce its unique practice in the tone of "how to do it", not just the introduction of routine nursing methods. Because of the special case, some special nursing measures are needed, and routine nursing alone can't solve the problem. The unique nursing of special cases is an innovative attempt. Introducing unique new nursing methods can highlight the characteristics of the article.
6. Effect evaluation can compare the nursing results with the expected nursing goals to evaluate the nursing effect; The effect of nursing can also be evaluated by the patient's response, so it is necessary to strengthen the interaction between nurses and patients.
7. Seriously revise "articles are never tired of changing" and "jade is uncut and abrasive". Good articles are revised repeatedly. In order to improve the quality of the paper, we should not only revise it repeatedly, but also consult experts humbly and then revise it carefully, so as to improve it continuously.