ICS 11.020 CCS C 50 DB4403 深圳市 地方标准 DB4403/T 332—2023 医疗机构安宁疗护护理技术规范 Specification of nursing techniques of hospice care in medical institution 2023-05-08发布 2023-06-01实施 深圳市市场监督管理局 发布 DB4403/T 332 —2023 I 目次 前言 ................................ ................................ ................ III 引言 ................................ ................................ ................. IV 1 范围 ................................ ................................ ............... 1 2 规范性引用文件 ................................ ................................ ..... 1 3 术语和定义 ................................ ................................ ......... 1 4 服务对象 ................................ ................................ ........... 1 5 护理分类 ................................ ................................ ........... 1 6 舒适照护 ................................ ................................ ........... 2 6.1 协助进食和饮水 ................................ ................................ . 2 6.2 排尿异常护理 ................................ ................................ ... 4 6.3 排便异常护理 ................................ ................................ ... 6 6.4 会阴护理 ................................ ................................ ....... 8 6.5 协助沐浴 ................................ ................................ ....... 9 6.6 床上擦浴 ................................ ................................ ....... 9 6.7 床上洗头 ................................ ................................ ...... 10 6.8 体位转换 ................................ ................................ ...... 11 6.9 卧位护理 ................................ ................................ ...... 12 6.10 轮椅与平车使用 ................................ ............................... 13 6.11 口腔护理 ................................ ................................ ..... 14 6.12 氧气吸入 ................................ ................................ ..... 14 6.13 胃肠减压护理 ................................ ................................ . 15 6.14 伤口换药 ................................ ................................ ..... 16 6.15 造口换药 ................................ ................................ ..... 16 6.16 淋巴水肿按摩 ................................ ................................ . 16 6.17 气管切开护理 ................................ ................................ . 16 6.18 压力性损伤预防 ................................ ............................... 16 6.19 深静脉导管维护 ................................ ............................... 16 6.20 芳香疗法 ................................ ................................ ..... 17 6.21 中医适宜技术 ................................ ................................ . 17 6.22 尸体料理 ................................ ................................ ..... 18 7 症状护理 ................................ ................................ .......... 18 7.1 疼痛 ................................ ................................ .......... 18 7.2 呼吸困难 ................................ ................................ ...... 18 7.3 咳嗽、咳痰 ................................ ................................ .... 19 7.4 咯血 ................................ ................................ .......... 20 DB4403/T 332 —2023 II 7.5 恶心、呕吐 ................................ ................................ ..... 21 7.6 呕血、便血 ................................ ................................ ..... 21 7.7 腹胀 ................................ ................................ ........... 22 7.8 水肿 ................................ ................................ ........... 23 7.9 发热 ................................ ................................ ........... 24 7.10 厌食和恶病质 ................................ ................................ .. 25 7.11 口干 ................................ ................................ .......... 26 7.12 睡眠与觉醒障碍 ........