调任通督针刺联合护理干预对失眠症的临床效果观察

目的探讨调任通督治疗并实施护理干预对失眠患者睡眠的影响.方法将57例失眠患者随机分为对照组28例和干预组29例,对照组给予调任通督针刺治疗,干预组在调任通督治疗基础上实施护理干预,观察2组患者心理健康状况、睡眠质量、临床疗效及治疗依从性,并进行比较.结果干预组患者治愈率明显高于对照组,心理健康状况、睡眠质量指标及对治疗的依从性亦明显优于对照组.结论调任通督针刺并实施护理干预是治疗失眠症的有效方法.     

护理干预对内科住院患者睡眠状况的影响

目的 探讨不同护理方法在改善内科住院患者睡眠障碍中的作用.方法 将325例内科住院患者随机分为干预组165例和对照组160例.对照组实施常规护理,干预组在此基础上针对性实施相应的护理干预措施.比较2组负性情绪和睡眠质量.结果 经过积极的护理干预后,干预组患者的焦虑、抑郁、睡眠质量、睡眠紊乱及日间功能等项目评分均明显低于本组干预前水平,亦低于对照组干预后水平.另外,对2组患者住院时间进行对比发现,干预组的住院时间(13.2±4.5)d,较对照组(20.6±5.2)d明显缩短.结论 通过实施心理干预、行为干预、治疗干预及饮食干预等护理干预措施,可以有效改善内科住院患者的睡眠状况.     

泌尿系手术后患者失眠的护理干预效果观察

目的:探讨护理干预对泌尿系手术后失眠患者睡眠质量的影响。方法:将86例泌尿系术后失眠患者随机分为干预组和对照组各43例,两组术后均给予术后常规护理,干预组在此基础上针对失眠原因进行分析并给予护理干预。观察并比较两组患者的睡眠质量及SAS评分。结果:干预组患者入睡潜伏期和觉醒次数均小于对照组(P<0.01),而睡眠时间长于对照组(P<0.05)。治疗后,两组的SAS得分均显著降低(P<0.05),但治疗后干预组的得分低于对照组(P<0.05)。结论:针对失眠原因对泌尿系术后失眠患者进行高质量护理干预,可有效提高患者的睡眠质量,改善患者心理状况。     

抑郁症70例整体护理干预

目的:探讨抑郁症患者的整体护理干预方法及效果.方法:将140例抑郁症患者随机分为对照组和观察组各70例,对照组给予常规药物治疗与护理,观察组在此基础上实施整体护理干预,比较两组患者干预后服药依从性、情绪好转及睡眠改善情况.结果:两组患者干预后服药依从性、情绪好转及睡眠改善情况比较差异均有统计学意义(P ＜0.01,P＜0.05).结论:整体护理干预可提高抑郁症患者的服药依从性,缓解抑郁情绪,改善睡眠.     

护理干预在老年失眠患者治疗中的应用

目的:探讨护理干预在老年失眠患者治疗中的应用效果.方法:按照随机单盲分组方法将120例老年失眠患者分为干预组和对照组各60例,对照组采用普通护理,干预组采用护理干预,比较两种护理方法下两组患者的平均入睡时间、平均夜间觉醒次数、睡眠时间、睡眠效率、日间残留效应发生率及患者对护理工作的满意度等.结果:干预组患者在1 h内入睡的人数多于对照组(P<0.05),干预组平均夜间觉醒次数少于对照组(P<0.05),睡眠时间及睡眠效率均高于对照组(P<0.05),日间残留效应发生率低于对照组(P<0.05),对护理的满意度高于对照组(P<0.05).结论:临床护理干预有助于老年失眠患者缩短入睡时间、提高睡眠质量、降低患者的日间残留效应发生率,并有助于提高患者对护理工作的满意度.     

人文关怀护理干预对肛周疾病患者治疗依从性的影响

目的探讨人文关怀护理干预对肛周疾病患者治疗依从性及生活质量的影响。方法 2017年3月—2018年3月本院收治的172例肛周疾病患者,按随机数字表法分为对照组和干预组,每组各86例。分析护理前后患者生活质量、治疗依从性、尿潴留发生情况等。结果护理后,干预组精力、情感状况、睡眠质量、社交功能、疼痛状况及躯体活动各方面评分均显著优于对照组(P 0. 05);干预组满意度评分、治疗依从性明显高于对照组,住院时间及尿潴留发生率均明显低于对照组,以上差异有统计学意义(P 0. 05)。结论肛周疾病患者给予人文关怀护理,更有利于改善其生活质量,提升治疗依从性,降低尿潴留的发生率。     

瑜伽放松训练对骨科手术后失眠患者睡眠质量的影响

目的 探讨瑜伽放松训练对改善骨科手术后失眠患者睡眠质量的效果.方法 将64例骨科手术后失眠患者随机分为干预组和对照组各32例.两组患者术后均进行骨科手术后常规护理,并针对失眠原因实施护理干预等对症治疗.干预组在此治疗基础上进行瑜伽放松洲练.结果 放松训练后,干预组在术后第4天,中、重度失眠显著降低.结论 瑜伽放松疗法可有效改善骨科手术后失眠患者的睡眠质量.     

肿瘤放疗患者失眠相关因素分析及护理对策

目的:探讨肿瘤患者放疗期间失眠的相关因素及护理对策.方法:采用问卷调查法对130例肿瘤放疗患者睡眠状况进行调查,分析其失眠相关因素.随机分为干预组68例和对照组62例,对照组进行常规护理;干预组在常规护理基础上针对失眠原因有针对性地进行全面评估,并给予相应的护理.结果:肿瘤放疗患者失眠的原因依次为负性情感因素(恐惧、焦虑、抑郁)、疼痛、放疗副作用、经济压力、医疗氛围、婚姻家庭关系等.干预组睡眠状况优于对照组,两组比较有显著性差异(P<0.05).结论:积极、有效的护理措施能提高肿瘤放疗患者的睡眠质量.     

实施护理干预改善骨折患者睡眠状况

目的 :探讨护理干预对骨折患者睡眠状态的影响。方法 :随机将180例骨折患者分为观察组和对照组 ,各 90例 ,对观察组患者实施睡眠护理干预 ,并与对照组比较。结果 :观察组实施睡眠护理干预后 ,失眠人数比对照组明显减少 ,两组差异有高度显著性 (P <0 0 1)。结论 :对骨折患者实施护理干预可有效改善患者睡眠状态。     

护理干预对急性脑卒中患者睡眠质量及治疗依从性的影响

目的:探讨护理干预对急性脑卒中患者睡眠及治疗依从性的影响。方法:选取我院2011年11月至2012年5月收治的78例急性脑卒中患者作为研究对象,按照随机的原则将其分为观察组40例与对照组38例,对照组采用常规神经内科护理方法进行护理,观察组患者在对照组常规护理的基础上再予睡眠相关的护理干预措施,比较2组患者入院24h及入院1周的睡眠质量评分(PSQI)及入院1周的治疗依从性。结果:2组患者入院24h的PSQI评分无明显差异,但入院1周的PSQI评分比较,对照组总分明显高于观察组,入院1周的治疗依从性,观察组完全依从率明显高于对照组,P0.05。结论:采取护理干预可以有效地提高患者睡眠质量及治疗依从性,有利于患者的康复,值得临床推广应用。     

探讨儿童慢性顽固性咳嗽与支原体感染的关系及临床治疗观察

Objective To explore the relation between chronic and persistent cough of children and MP infection and clinical observation and treatment.Methods Retrospective Study of the 55 children chronic and persistent cough cases, with a clinical features as pneumonia MP infection, in my hospital from March 2005 to March 2008.Results ①Clinical Feature:major symptom of these 55 children chronic cough cases is chronic and persistent cough.58%(32/55)of the cases showed no symptoms in their lungs.②Peripheral Blood:85％(47/55)cases showed no obvious changes in peripheral blood, with their WBC ranging from(4～10)×109/Land their eosinophile granulocyte increased.③Special Test:47.27%(26/55)IgM (MP-IgM)antibody positive,83.64%(46/55)cased showed pneumonia MP DNA specificity after PcR Test.④X-Rate Report:Results varied.Conclusion Pneumonia MP Infection is one of the pathogeny causing chronic and persistent cough of children.Treating the infection is a very important solution in curing chronic and persistent cough of children.     

Complementary and integrative medicine: An observational study on pediatric clinicians’ knowledge,beliefs and practices

ObjectiveComplementary and Integrative Medicine (CIM) is a group of diverse health care therapies that often serve as adjuncts to conventional medical treatments. Our aim for this study was to evaluate the current knowledge, beliefs and practices of pediatric clinicians regarding CIM.MethodsClinicians from the pediatric unit of a large US based teaching hospital in Connecticut were surveyed, through self-administered questionnaires.ResultsWe sampled 70 participants with a response rate of 99 %. Of the 70, 32 were Registered Nurses, 9 were Attendings, 7 were Fellows, 15 were Residents and 4 were Nurse Practitioners. Regarding use, 24 % had referred a patient to a CIM practitioner, 43 % reported using CIM while 47 % had a family member who had used CIM in the past year. Respondents were most familiar with massage (70 %) and yoga (69 %) least familiar with Ayurvedic medicine (20 %) and Qi Gong (24 %). Regarding attitude, 67 % believed that some CIM therapies hold promise for the treatment of symptoms while 59 % believed that incorporation of CIM would increase patient satisfaction. Most of the respondents indicated that they did not have easy access to clinical information on many CIM treatment modalities. Nurses were more familiar (p = 0.024), had more positive attitudes and beliefs (p = 0.001) and thought CIM therapies had a higher impact (p = 0.002) on patient care compared to physicians, even when controlled for gender.ConclusionThis study highlights the need to bridge the gap in evidence based medicine and clinician’s knowledge with the rise in CIM use. It also stresses the need for standardized learning competencies in the field of PIM.     

Primary and community care workforce planning and development

AIM: This article reports a study that provided primary and community care managers with information, allowing them to: (a) evaluate the size and mix of their workforce; and (b) develop knowledgeable and skilled teams to meet the demands of growing and changing services. BACKGROUND: Primary and community care services are growing in the United Kingdom, but workforce planning and development, despite their wide-ranging cost and quality implications, have not received the same attention. Indeed, most primary and community care workforce planning and development issues are universal. Demand 1-1 side workforce planning is concerned not only with the number, but also with staff mix; but how these autonomous and isolated practitioners spend their time is unique. The other side of the equation, workforce supply, raises many recruitment and retention challenges for managers in many countries. Any country's main workforce planning methods apply equally well to primary care, but each is flawed. A second, main problem is that the methods lead to fragmented services, whereas modern workforce planning methods should be multidisciplinary. Consequently, it has never been more important for managers to have data and algorithms to develop appropriate care teams. METHOD: A large and versatile workforce database, profiling 304 English primary care trusts using demographic, socio-economic, mortality, morbidity, staffing and performance workforce-related variables, compiled in 2002 and updated yearly, is described. Data were supplemented with a systematic literature review leading to a 340-item annotated bibliography; and qualitative interviews with managers. RESULTS: Workforce size and mix are historical and irrational at best. Moreover, the number of variables that influence staffing is growing, thereby complicating workforce planning. CONCLUSION: Evaluating and adjusting the size and mix of teams using empirically determined community demand and performance variables based on the area's socio-economic characteristics is feasible.     

加强对人类健康影响重大的内分泌代谢病防治

以联合国名义直接作出决议的疾病只有艾滋病和糖尿病,国际糖尿病联盟(IDF)发表的新的糖尿病防治指南,展现了在糖尿病预防与诊治方面的最新进展。甲状腺疾病流行病学、临床及实验室研究和长期随访,填补了我国在世界卫生保健数据库中的空白。     

头体针治疗脑卒中临床观察

目的观察头体针结合治疗脑卒中的临床疗效。方法 183例脑卒中患者分头针、体针、头体针 3组进行治疗 ,疗程满2个月后比较疗效。结果头针组与体针组之间、体针组与头体针组之间无显著性差异 ,但头体针组与头针组之间有显著性差异 (P<0 .0 5 )。结论头体针结合较单纯的头针或体针治疗能获得更好的临床疗效     

介入放射技术在妇产科临床运用探讨

目的探讨介入放射技术在妇产科临床诊断与治疗的应用可行性与安全性．方法临床34例患者，16例为剖宫产术后反复大出血者，3例为顽固性功能性子宫出血者，10例为晚期官颈癌者，5例为子宫肌瘤者。34例经Scldinger介入放射技术诊断与治疗。结果经介入放射技术诊断与治疗，34倒不同的患者得到及时、准确、有效的诊断与治疗，未见并发症和后遗症。结论介入放射技术在妇产科临床运用安全、有效。     

Drugs and Medical Devices: Adverse Events and the Impact on Women’s Health

A large number of medications and medical devices removed from the market by the US Food and Drug Administration over the past 4 decades specifically posed greater health risks to women. This article reviews the historical background of sex and gender in clinical research policy and describes several approved drugs and devices targeted for use in women that have caused major morbidity and mortality. The intended population for the medications and devices, population affected, approval process, and the basic and legal actions taken against the medication/drug company are also discussed. It is recognized that women are still at risk for harm from unsafe medications and devices, and continued improvements in legislation that promotes inclusion of sex and gender into the design and analysis of research will improve safety for both men and women.     

Molecular and point-of-care diagnostics for Ebola and new threats: National POCT policy and guidelines will stop epidemics

Introduction: US hospitals that admitted Ebola virus disease (EVD) patients mitigated risk by using point-or-care testing (POCT) for critical support in isolation units. Success proved unequivocally the need for POCT. Additionally, molecular diagnostics have been used to help stop new outbreaks, and even handheld diagnostic solutions are emerging.

Areas covered: This update of ‘Molecular detection and point-of-care testing in Ebola virus disease and other threats’ [Expert Reviews 2015;15(10):1249–1255], assesses the impact of EVD epidemics, documents insights from recent reviews, summarizes evolving POC molecular technologies, presents General Accountability Office (GAO) recommendations, identifies the role of POC Coordinators, and casts a vision for national POCT policies and guidelines. Factual updating comprised summarizing EVD outbreaks including 2017–2018, analyzing reviews and evidence-based publications since the 2014–2016 epidemic, and tabulating published technical and molecular diagnostics. New graphics illustrate POC error mitigation/risk reduction, a framework for national POCT policy and guidelines, modular adaptations for country-specific solutions, and a logic diagram for future progress embedding artificial intelligence.

Expert commentary: The USA is still not prepared for highly infectious diseases. Key is lack of community rapid response and resilience, which must be enhanced not via mechanisms distant, but instead by molecular diagnostics directly at critical points of need.     

婴幼儿流动注射车的研制与临床应用

目的 为了提高婴幼儿头皮静脉穿刺成功率，减轻护士的体力消耗。方法 根据儿科临床实际的需要，经过二年来的设计及二次改进，研制出实用新型的“婴幼儿流动注射车”，并应用于儿科临床操作过程中。结果 经统计学处理，表明应用“婴幼儿流动注射车”对提高婴幼儿头皮静脉穿刺成功率具有显著意义，对缩短婴幼儿头皮静脉注射时间具有非常显著的意义。结论 在流动车上实施头皮静脉穿刺，能充分利用自然光线，提高头皮静脉穿刺成功率并减轻护士体力消耗。