②Author;
③Abstract (overview summary, about 100 words);
④Keywords;
⑤English summary.
(2) Text 1. Preface (<300 words)
(1) Basis of case selection Describe whether the selected case is a rare and special case, and what are its special characteristics.
(2) Purpose and significance of case writing 2. Case description or clinical information (<500 words) The case focuses on nursing-related content, not on the doctor's diagnostic and therapeutic measures. The case introduction includes:
① general condition of the patient;
② medical history;
③ process and effect of medical care;
④ regression and so on.
3. Nursing (2000 words)
This part is the focus of the writing of the case of nursing care, should be detailed according to the nursing category of nursing methods, nursing measures and specific practices, especially according to the individual situation of some of the innovative attempts to take and unique practices, should be detailed and specific, in order to reflect the characteristics of the article. The nursing category can be roughly summarized into the following categories:
(1) therapeutic nursing ① doctor's orders nursing (implementation of doctor's orders): such as medication nursing, infusion nursing, oxygen nursing, catheter nursing, etc.;
② symptomatic nursing: such as fever nursing, pain nursing, coughing nursing, diarrhea nursing, etc.
(2) the nursing care, the nursing care of the patient is the same as the nursing care of the patient, the nursing care of the patient is the same as the nursing care of the patient.
(2) Observation nursing ① Observation and treatment of the condition;
② Intensive care and resuscitation;
③ Functional monitoring and guidance;
④ Wound observation and care;
⑤ Observation and care of complications;
⑥ Prevention and control of infections and so on.
(3) Life care ① Diet care;
② Excretion care;
③ Skin care and so on.
(4) Rehabilitation care functional training and so on.
(5) disinfection and isolation ① Disinfection at any time, terminal disinfection;
② Infectious disease isolation, protective isolation.
(6) Psychological care Psychological support (listening explanation, support and encouragement, assurance and guidance).
(7) health education ① admission education;
② hospitalization education;
③ discharge education.
4. Discharge guidance or home rehabilitation guidance This part can be integrated into the "nursing" project writing, or not write this content.
5. Discussion, experience or summary (<300 words)
(1) The characteristics of the care of special cases, and the differences with routine care.
(2) The main nursing problems, nursing with the focus of treatment.
(3) Important or key nursing measures, unique nursing innovation attempts, new insights, new practices.
(4) Nursing effect evaluation, can compare the results of nursing care and evaluation of the expected goals of care, but also available to the patient's reflection on the evaluation of the nursing effect.
(5) Nursing experience, seriously summarize the success of the nursing experience or failure of the lessons learned, as well as can leave the reader a profound enlightenment.
(6) overview summary, the main nursing problems, nursing measures, nursing effect of a high degree of summary (summary).
(3) the latter part of the reference. Third, the writing requirements 1. special disease case nursing report of the case selection, the main principle is that the case is rare special, with new, rare, strange, special and other characteristics.
(1) complex cases of nursing clinically rare, the patient's condition is complex and variable, the difficulty of treatment and care, but through careful treatment and care, to become a successful cure case.
Such as "a case of hand-foot-mouth disease complicating the care of children with multiple organ failure", "a case of hip joint disarticulation surgery after the incision and half of the pelvis of the patient's care of serious infections" and so on.
(2) the monitoring of critical cases, such as "a case of myocardial infarction patient care".
(3) Care of rare cases.
(4) Nursing care of uncommon manifestations of common diseases.
(5) Nursing care of cases with rare adverse drug reactions.
(6) Application of new technologies, new therapies, new measures of care.
(7) Misdiagnosis and misdiagnosis of cases of care.
(8) the first case of nursing care for the first time found cases, due to the lack of theoretical guidance and practical experience, there is no ready routine nursing measures, so to explore the nursing method has an important practical significance.
Such as November 16, 2002, Foshan City, Guangdong Province, China, the world's first SARS patients (China referred to as "SARS") care, the first case of avian influenza in 2003, the first case of influenza A (H1N1) in 2009, the first case of influenza A patient care, in 2008, China's Anhui Province, the first case of hand-wringing in Fuyang City, the first case of hand-wringing in Fuyang City, the first case of hand-wringing in Fuyang City. In 2008, the first case of hand-foot-mouth disease occurred in Fuyang City, China, the care of people.
2. Pro-care cases case nursing report cases should come from the nurses themselves personally involved in the care of the case. Because of personal care, personal records of nursing history, very familiar with the case, writing will be comfortable.
3. Complete information on the selection of cases should not only be characterized, but also requires a complete record of nursing information. From the admission assessment to the daily assessment, as well as the daily nursing measures and nursing results have a complete record. Because writing not only need to use the doctor's records of diagnosis and treatment information, but also need to use the nurse's records of nursing information. 4. Familiarize yourself with the format and requirements of case writing, and read case reports in authoritative journals as a model for your own imitation writing. 5. Show unique case nursing report should be used "how to do" tone of voice to introduce their own unique practices, not just limited to the introduction of conventional nursing methods. Because the case is special, so need to use some special care measures, only with conventional care often can not solve the problem. Unique care for special cases, is an innovative attempt to introduce unique new care methods, can highlight the characteristics of the article. 6. Evaluation of the effect of nursing results can be compared with the expected goals of care, in order to evaluate the effectiveness of care; can also be used to evaluate the patient's response to the effect of care, which needs to strengthen the interaction between the patient and the nurse and communication. 7. Revise carefully, "the text is not tired of changing", "the more jade is cut, the more beautiful, the more the article is changed, the more refined". A good article is the result of repeated revisions. In order to improve the quality of the paper, not only to repeat the modification of their own, but also should be modest to ask experts to guide the serious modification, in order to continue to improve.