自我管理教育对下肢深静脉血栓形成患者生活质量的影响

目的 探讨自我管理教育对下肢深静脉血栓形成患者生活质量的影响.方法 将60例下肢深静脉血栓形成患者随机分成实验组和对照组各30例,2组患者药物治疗基本一致,对照组进行常规的健康教育,实验组实施自我管理教育.比较教育前及教育后3个月2组患者的生活质量.结果 干预前2组患者的生活质量评分比较无显著差异,教育后3个月随访观察,实验组患者生活质量的躯体功能、心理功能、社会功能和生活质量总分较对照组显著提高;物质生活状态2组患者教育后比较无显著差异.结论 自我管理教育能有效提高下肢深静脉血栓形成患者的生活质量.

Abstract：

Objective To explore the influence of self-management education on quality of life of patients with deep vein thrombosis. Methods 60 cases of deep vein thrombosis patients were randomly divided into the experimental group and the control group with 30 cases in each group, two groups basically received the same medication treatment, the control group held conventional health education, The experimental group implemented self-management education.Life quality was compared before education and 3 months after education was compared between the two groups. Results Before self-management education, the scores of quality of life of the two groups showed no difference; after three months of selfmanagement education, the score of body's function, psychological function, social function and total score of quality of life were obviouly different.However, there were no significant differences in material life. Conclusions Self-management education can improve the quality of life of patients with lower extremity deep vein thrombosis.     

心理干预改善老年女性压力性尿失禁患者负性情绪和生活质量的研究

Objective To evaluate the mental intervention to improve negative emotion and quality of life of elder women with stress urinary incontinence.Methods A total of 88 cases of older women with stress urinary incontinence were divided randomly into test group and control group,two groups were given symptomatic treatment and routine care,the test group was also given specific mental intervention.The mental state and quality of life were evaluated by GDS,SAS,I-QOL Results After a period of one month,there was significant difference between the scores of the two groups (both P ＜ 0.05),the negative emotion and quality of life of test group were improved markedly.Conclusions The targeted mental intervention can improve the patient s ' negative emotions,elevate quality of life and promote patients'quality of life.     

A preliminary trial of extracorporeal shock waves for the treatment of ⅢB chronic prostatitis

Objective To assess the effect of extracorporeal shock waves(ESWs)as a treatment for ⅢB chronic prostatitis(CP).Methods Forty-six men with ⅢB CP were randomly divided into an experimental group (n=34)and a control group(n=12).The patients in experimental group received low energy ESW treatment,20000 impulses in 10 sessions over 2 weeks.The patients in control group received sham ESW treatment without shock waves energy under the same other conditions as in experimental group.Pain,urination and quality of life/impact were assessed with National Institutes of Health-chronic prostatitis symptom index(NIH-CPSI).Both groups were assessed at baseline,post-treatment and at a 4-week follow-up.Resuits The total NIH-CPSI scores,pain scores and quality of life/impact scores in experimental group decreased significantly post-treatment(P＜0.01),but urination scores did not(P＞0.05).Similar decreases of these scores were also found in control group post-treatment.The total NIH-CPSl scores and pain scores maintained at a lower level at the 4-week follow-up in experimental group,but the scores returned to the level as pre-treatment in control group.The effectiveness rates and prominent effectiveness rates in experimental group were significantly higher than those in control group post-treatment and at the 4-week follow-up(all P＜0.05). Conclusions ESWs was effective in the treatment for ⅢB CP.After ESWs treatment pain alleviated,symptoms reducea and quality of life improved.     

身心综合疗法对2型糖尿病患者心理健康和生活质量及血糖的影响研究

Objective To investigate the impact of Psychotherapy and exercise therapy to Type 2 Diabetes Mellitus in life,psychology and blood glucose.Methods Adopt RCT (randomized controlled trial),60 patients in control group and 90 patients in intervention group,drug and alimentation were given to control group.Based on the drug and alimentation,Psychotherapy and exercise therapy were given to intervention group.observe variation in fasting blood glucose,blood glucose 2 h after meal,urine glucose during 24 h,glycosylated hemoglobin,mental state and life quality both intervention and control group after 8 weeks.Results Blood glucose 2h after meal and glycosylated hemoglobin were (7.54±1.19) mmol/L and (6.69±0.96)% in intervention group,tetal effective ratio was 98%;(7.62±0.80) mmol/L and (7.15±0.82)% in control group,total effective ratio is 76%.the outcomes of two groups were statistical significant (P＜0.05 ).The discrepancy in mental health factor and life quality dimension before and after the therapy inside the intervention group were also statistically significant.Conclusions Psychotherapy and exercise therapy can not only improve the level of mental healthy and life quality of Type 2 Diabetes MeUitus patients,but also control the blood glucose efficiently.     

身心综合疗法对2型糖尿病患者心理健康和生活质量及血糖的影响研究

Objective To investigate the impact of Psychotherapy and exercise therapy to Type 2 Diabetes Mellitus in life,psychology and blood glucose.Methods Adopt RCT (randomized controlled trial),60 patients in control group and 90 patients in intervention group,drug and alimentation were given to control group.Based on the drug and alimentation,Psychotherapy and exercise therapy were given to intervention group.observe variation in fasting blood glucose,blood glucose 2 h after meal,urine glucose during 24 h,glycosylated hemoglobin,mental state and life quality both intervention and control group after 8 weeks.Results Blood glucose 2h after meal and glycosylated hemoglobin were (7.54±1.19) mmol/L and (6.69±0.96)% in intervention group,tetal effective ratio was 98%;(7.62±0.80) mmol/L and (7.15±0.82)% in control group,total effective ratio is 76%.the outcomes of two groups were statistical significant (P＜0.05 ).The discrepancy in mental health factor and life quality dimension before and after the therapy inside the intervention group were also statistically significant.Conclusions Psychotherapy and exercise therapy can not only improve the level of mental healthy and life quality of Type 2 Diabetes MeUitus patients,but also control the blood glucose efficiently.     

身心综合疗法对2型糖尿病患者心理健康和生活质量及血糖的影响研究

Objective To investigate the impact of Psychotherapy and exercise therapy to Type 2 Diabetes Mellitus in life,psychology and blood glucose.Methods Adopt RCT (randomized controlled trial),60 patients in control group and 90 patients in intervention group,drug and alimentation were given to control group.Based on the drug and alimentation,Psychotherapy and exercise therapy were given to intervention group.observe variation in fasting blood glucose,blood glucose 2 h after meal,urine glucose during 24 h,glycosylated hemoglobin,mental state and life quality both intervention and control group after 8 weeks.Results Blood glucose 2h after meal and glycosylated hemoglobin were (7.54±1.19) mmol/L and (6.69±0.96)% in intervention group,tetal effective ratio was 98%;(7.62±0.80) mmol/L and (7.15±0.82)% in control group,total effective ratio is 76%.the outcomes of two groups were statistical significant (P＜0.05 ).The discrepancy in mental health factor and life quality dimension before and after the therapy inside the intervention group were also statistically significant.Conclusions Psychotherapy and exercise therapy can not only improve the level of mental healthy and life quality of Type 2 Diabetes MeUitus patients,but also control the blood glucose efficiently.     

应用健康信念模式对改善护士生活质量的研究

目的 调查分析护士健康水平对于其履行社会角色及个体的生活质量的影响,探讨应用健康信念模式教育对改善护士生命质量的效果.方法 将200名临床护士随机分为干预组和对照组各100名,应用健康信念模式对干预组护士进行一系列针对性的健康教育,对照组不做任何干预.应用自制调查表及世界卫生组织生活质量测定量表(WHOQOL-100)对两组护士的慢性病症、社会角色进行评估,比较教育前后两组护士生活质量的情况.结果 干预前两组护士评分差异无统计学意义,干预后干预组护士健康水平,其履行社会角色和个体的生活质量与对照组护士比较评分差异有统计学意义.结论 护士健康水平对其履行社会角色和个体生活质量有影响,应用健康信念模式可消除或减轻影响健康的危险因素,建立健康的生活、工作模式,从而改善护士的生活质量.

Abstract：

Objective To survey and analyze the influence of nurses' health level on performing the social role and their life quality, explore the effect of health concept on nurses' life quality.Methods A total of 200 clinic nurses were randomly divided into two groups: control group and intervention group. 100 cases were in each group. The nurses in intervention group were conducted with a series of targeted health education. Self-designed scale and WHOQOL-100 were used to assess nurses' chronic disease, social role etc. The situation of life quality was compared between two groups before and after education.Results There were statistical differences between two groups in performing social role and life quality after intervention.Conclusions The nurse's health level has an effect on performing the social role and their life quality. The application of health concept can eliminate or reduce the affection of the risk factor of health, set up health life and working manner to improve their life quality.     

Application of positive behavior management in patients after breast cancer surgery

BACKGROUND As a radical treatment,breast cancer surgery has a positive psychological impact on most patients.However,some patients do not have a clear understanding of the disease,which requires a more scientific and comprehensive consideration during clinical intervention and are based on cognition.The positive behavior management model is based on this kind of background-derived new interventions,which can better serve the clinical rehabilitation process of patients.The positive behavior management model based on cognitive architecture is a new type of intervention derived from this background,which can better serve the clinical rehabilitation process of patients.AIM To analyze the influence of a positive behavior management model based on cognitive framework on the degree of hope and self-efficacy of patients with breast cancer surgery.METHODS Eighty-four patients with breast cancer who underwent surgical treatment in our hospital from August 2016 to December 2018 were included in the study.The patients were divided into the experimental group(n=42)and control group(n=42)by random number table grouping.The control group received traditional nursing intervention,while the experimental group received a positive behavior management model based on cognitive framework based on the traditional intervention of the control group.General Self-efficacy Scale,Herth Hope Scale,Self-Rating Anxiety Scale,Self-Rating Depression Scale and Cancer Patient Specific Scale were used to evaluate the two groups before and 1 wk after intervention.RESULTS After the intervention,self-efficacy and hope level of the experimental group were significantly higher than those of the control group(P<0.05).The Self-Rating Anxiety Scale and Self-Rating Depression Scale scores in the experimental group were significantly lower than those in the control group(P<0.05).There was no significant difference in the quality of life scores between the two groups before intervention(P>0.05).The quality of life scores in all aspects in the experimental group after intervention were significantly higher than those in the control group(P<0.05).CONCLUSION The positive behavior management model based on cognitive framework applied to patients with breast cancer surgery improved hope for treatment and selfefficacy,reduced negative emotion,and improved quality of life.     

延续性护理模式对老年跌倒患者抑郁症状和生活质量的影响

Objective To explore the effect of Continuing care mode to depressive symptom and life quality in eld- erly fall-related patients. Method 180 elderly fall-related patients were randomly divided into 86 cases of experimen- tal group and 94 cases of control group by coin tossing. Two groups both received conventional care, fall assessment and prophylaxis care, instruction of discharge. Experimental group received continuing care within 1 years after dis- charge from hospital. Geriatric depressionscale was used to compare two groups of patients in 3 and 6 months after discharge from hospital and also SF-36 scale in 3, 6 and 12 months after discharge. Result Geriatric depression scale of experimental group in 3 and 6 months after discharge from hospital was significantly lower than control group（P 〈0. 001）, total and other 7 dimension score of SF-36 scale were significantly higher than control group except RE dimension score（P〈0.05）. Conclusion Continuing care mode can reduce depressive symptoms in elderly fall-related patients and improve quality of life.     

身心综合疗法对2型糖尿病患者心理健康和生活质量及血糖的影响研究

Objective To investigate the impact of Psychotherapy and exercise therapy to Type 2 Diabetes Mellitus in life,psychology and blood glucose.Methods Adopt RCT (randomized controlled trial),60 patients in control group and 90 patients in intervention group,drug and alimentation were given to control group.Based on the drug and alimentation,Psychotherapy and exercise therapy were given to intervention group.observe variation in fasting blood glucose,blood glucose 2 h after meal,urine glucose during 24 h,glycosylated hemoglobin,mental state and life quality both intervention and control group after 8 weeks.Results Blood glucose 2h after meal and glycosylated hemoglobin were (7.54±1.19) mmol/L and (6.69±0.96)% in intervention group,tetal effective ratio was 98%;(7.62±0.80) mmol/L and (7.15±0.82)% in control group,total effective ratio is 76%.the outcomes of two groups were statistical significant (P＜0.05 ).The discrepancy in mental health factor and life quality dimension before and after the therapy inside the intervention group were also statistically significant.Conclusions Psychotherapy and exercise therapy can not only improve the level of mental healthy and life quality of Type 2 Diabetes MeUitus patients,but also control the blood glucose efficiently.