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1.
[目的]了解来我院就诊病人时"治未病"中医健康知识认知和中医护理服务项目需求.[方法]选取来我院就诊病人200例进行问卷调查.[结果]就诊病人对"治未病"中医健康知识认知度低,饮食、生活起居、情志、按摩保健、中医中药为主要需求项目.[结论]应加强"治未病"中医健康知识的宣传,发挥中医护理特色优势,积极开展多样化的中医护理服务.  相似文献   

2.
李书芳 《全科护理》2009,7(27):2450-2450
[目的]了解来我院就诊病人对“治未病”中医健康知识认知和中医护理服务项目需求。[方法]选取来我院就诊病人200例进行问卷调查。[结果]就诊病人对“治未病”中医健康知识认知度低,饮食、生活起居、情志、按摩保健、中医中药为主要需求项目。[结论]应加强“治未病”中医健康知识的宣传,发挥中医护理特色优势,积极开展多样化的中医护理服务。  相似文献   

3.
[目的]探讨延续护理模式结合中医护理健康教育对出院后高血压病人慢性疾病管理自我效能的影响,以期为提升出院后高血压病人自我管理能力提供参考依据。[方法]将66例出院后高血压病人随机分为对照组和干预组各33例,干预组实施延续护理方案结合中医护理健康教育,对照组仅于出院当日给予中医护理健康教育,比较两组病人出院后慢性疾病管理自我效能。[结果]干预组病人于出院后8周、12周慢性疾病管理自我效能量表得分均高于对照组(P0.01)。[结论]延续护理模式结合中医护理健康教育可提升出院后高血压病人慢性疾病管理自我效能。  相似文献   

4.
[目的]通过对脑卒中急性期中医护理方案的临床验证,确定中医护理方案的临床疗效,为进一步优化中医护理方案奠定基础。[方法]选择脑卒中急性期病人216例,按照预先制定的中医护理方案进行辨证施护,并进行健康指导。在病人出院时进行临床疗效、病人满意度、方案实用性评价。[结果]216例病人总有效率达87.0%。病人对健康指导满意度为100.0%。91.2%的责任护士认为本护理方案的实用性较强。[结论]中医综合治疗方案介入脑卒中急性期康复治疗,能更有效地促进病人多方面能力的康复,提高病人的生存质量。  相似文献   

5.
目的 :对慢性乙型肝炎病人临床中医整体护理的效果做出评价 ,为中医整体护理的推广应用提供理论依据。方法 :采用问卷调查的形式 ,对实施功能制中西医结合护理及中医整体护理的慢性乙型肝炎病人在护理前后焦虑量值 (SAS)、抑郁量值 (SDS)及健康知识认知度进行评定。结果 :中医整体护理后病人的SAS值、SDS值比实施功能制中西医结合护理的病人明显降低 (P <0 0 0 1) ;中医整体护理后病人的健康知识认知度明显提高 (P <0 0 0 1)。结论 :中医整体护理比功能制中西医结合护理更有利于慢性乙型肝炎病人的治疗与康复  相似文献   

6.
高峰 《护理研究》2005,19(20):1819-1819
随着医学模式的转变,护理的功能从单纯护理转向护理、预防、康复和保健的综合型护理,以满足病人的需要、解决病人的健康问题为护士工作的行为准则.病人的健康教育是综合型护理的重要组成部分,做好病人的健康教育不是简单地向病人讲解一些医疗知识和保健知识,而是按照病人的健康教育程序,实施正规的健康教育.现就健康教育程序在中医内科病人中的应用体会介绍如下.……  相似文献   

7.
[目的]观察对0级糖尿病足病人实施中医护理健康教育的临床效果。[方法]将0级糖尿病足病人80例,随机分为干预组和对照组;对照组40例,采用常规护理及健康教育,包括口服降糖药、胰岛素注射、内服中药、健康教育大讲堂等;干预组40例,在对照组方法基础上,采用中医护理健康教育;两组均干预、随访至3个月。[结果]干预3个月后两组比较,病人的糖尿病足中医症候积分评价、代谢指标评价差异均有统计学意义(P0.05或P0.01),干预组疗效优于对照组。[结论]中医护理健康教育应用于0级糖尿病足病人,能够改善病人日常足部护理行为及代谢指标,提高疗效,延缓糖尿病足的进展。  相似文献   

8.
[目的]观察对0级糖尿病足病人实施中医护理健康教育的临床效果。[方法]将0级糖尿病足病人80例,随机分为干预组和对照组;对照组40例,采用常规护理及健康教育,包括口服降糖药、胰岛素注射、内服中药、健康教育大讲堂等;干预组40例,在对照组方法基础上,采用中医护理健康教育;两组均干预、随访至3个月。[结果]干预3个月后两组比较,病人的糖尿病足中医症候积分评价、代谢指标评价差异均有统计学意义(P〈0.05或P〈0.01),干预组疗效优于对照组。[结论]中医护理健康教育应用于0级糖尿病足病人,能够改善病人日常足部护理行为及代谢指标,提高疗效,延缓糖尿病足的进展。  相似文献   

9.
袁利玲  杨薇 《护理研究》2013,27(11):1005-1007
临床健康教育路径是护理路径的重要组成部分,是由医师、护士共同制订的,针对某种疾病最适当的具有顺序性和时间性的临床服务,能加快病人的康复,减少资源浪费,使病人获得最佳和持续改进的高品质的健康服务计划。中医护理是中医学的重要组成部分,中医内科护理的基本特点是整体观和辨证施护。现将中医整体辨证护理与西医常规对症护理相结合应用  相似文献   

10.
健康教育程序在中医内科病人中的应用   总被引:1,自引:0,他引:1  
高峰 《护理研究》2005,19(9):1819-1819
随着医学模式的转变,护理的功能从单纯护理转向护理、预防、康复和保健的综合型护理,以满足病人的需要、解决病人的健康问题为护士工作的行为准则。病人的健康教育是综合型护理的重要组成部分,做好病人的健康教育不是简单地向病人讲解一些医疗知识和保健知识,而是按照病人的健康教育程序,实施正规的健康教育。现就健康教育程序在中医内科病人中的应用体会介绍如下。  相似文献   

11.
Objective: To identify patterns of nonfatal and fatal penetrating trauma among children and adults in New Mexico using ED and medical examiner data.
Methods: The authors retrospectively sampled in 5-year intervals all victims of penetrating trauma who presented to either the state Level-1 trauma center or the state medical examiner from a 16-year period (1978–1993). Rates of nonfatal and fatal firearm and stabbing injury were compared for children and adults.
Results: Rates of nonfatal injury were similar (firearm, 34.3 per 100,000 person-years; stabbing, 35.1). However, rates of fatal injury were significantly different (firearm, 21.9; stabbing, 2.7; relative risk: 8.2; 95% confidence interval: 5.4, 12.5). From 1978 to 1993, nonfatal injury rates increased for children (p = 0.0043) and adults (p < 0.0001), while fatal penetrating injury remained constant. The increase in nonfatal injury in children resulted from increased firearm injury rates. In adults, both stabbing and firearm nonfatal injury rates increased.
Conclusions: Nonfatal injury data suggest that nonfatal violence has increased; fatal injury data suggest that violent death rates have remained constant. Injury patterns vary by age, mechanism of trauma, and data source. These results suggest that ED and medical examiner data differ and that both are needed to guide injury prevention programs.  相似文献   

12.
Three supplementary perspectives are presented arguing that interprofessional collaboration is both necessary and desirable. Nonetheless, there are often too many serious intra-professional barriers and obstacles to interprofessional collaboration to make it successful. Some of these barriers, it is argued and illustrated, are found in the multiple ways in which professional identity is tacitly acquired and embodied in the practitioners' habitual, everyday practice. The paper then explores ways in which reflection, especially Second order reflection, can help to elucidate and overcome these obstacles, as well as increasing professional adaptability and competence.  相似文献   

13.
ABSTRACT

The Cochrane Library of Systematic Reviews is published quarterly as a DVD and monthly online. The January 2011 issue (first quarterly DVD for 2011) contains 4515 complete reviews, 1985 protocols for reviews in production, and 13,521 one-page summaries of systematic reviews published in the general medical literature. In addition, there are citations of 641,000 randomized controlled trials, and 14,018 cited papers in the Cochrane methodology register. The health technology assessment database contains over 9300 citations. One hundred and seven new reviews have been published in the last 3 months, of which five have potential relevance for practitioners in pain and palliative medicine.  相似文献   

14.
The prospects for the control of neglected tropical diseases, including soil-transmitted helminthiasis, shistosomiasis, lymphatic filariasis, onchocerciasis and trachoma, through mass drug administration, are exemplified by the elimination of the trachoma as a public-health problem in Morocco. In spite of this and other striking successes, mass drug administration programs are faced with major challenges resulting from suboptimal coverage and lack of efficacy. At current suboptimal coverage rates, programs may need prolongation for an extended period, increasing costs and undermining sustainability. Community participation through health education and information appears to be crucial to improve coverage and to achieve sustainability. Implementation of complementary measures, such as vector control, improved hygiene and environmental sanitation, are important to further control transmission and to prevent re-emergence of the infection and, again, may only be achieved effectively through community-based initiatives. To reduce costs and to relieve pressure on the health system, combining neglected tropical disease programs in areas where diseases coexist and integration with existing control programs for malaria, tuberculosis and HIV/AIDS is advocated. The risk of developing drug resistance is of particular concern in view of the lack of alternative drugs, and reduced treatment efficacy due to emerging resistance is evident for the soil-transmitted helminths and onchocerciasis. Given the risk for the development of drug resistance and the need for a high degree of participation, close attention should be paid to the monitoring of the coverage and efficacy of the different program components.  相似文献   

15.
16.
The outcome of bacterial meningitis critically depends on the rapid initiation of bactericidal antibiotic therapy and adequate management of septic shock. In community-acquired meningitis, the choice of an optimum initial empirical antibiotic regimen depends on the regional resistance patterns. Pathogens resistant to antibacterials prevail in nosocomial bacterial meningitis. Dexamethasone is recommended as adjunctive therapy for community-acquired meningitis in developed countries. In comatose patients, aggressive measures to lower intracranial pressure <20 mmHg (in particular, external ventriculostomy, osmotherapy and temporary hyperventilation) were effective in a case–control study. Although many experimental approaches were protective in animal models, none of them has been proven effective in patients. Antibiotics, which are bactericidal but do not lyse bacteria, and inhibitors of matrix metalloproteinases or complement factor C5 appear the most promising therapeutic options. At present, vaccination is the most efficient method to reduce disease burden. Palmitoylethanolamide appears promising to enhance the resistance of the brain to infections.  相似文献   

17.
Ankle sprains are the most common injury of the musculoskeletal system and are associated with significant societal and economic impacts. It has been proven that classical therapeutic strategies may not be effective in preventing recurrent injuries: the recurrence rates reported in the literature can reach 73%. In order to provide an effective rehabilitation solution, a destabilizing orthosis was developed. This device is equipped with a mechanical articulator reproducing the subtalar mechanics and placed under the heel. In this paper, we present the main results of a preliminary clinical study conducted between 2004 and 2007. All subjects included in this study were treated with the abovementioned orthosis during 10 rehabilitation sessions of 30 minutes each. Data show a relatively low recurrence rate of 12% for the overall population. Moreover, it's of primary importance to note that this satisfactory ratio is largely reduced (3% of recurrence rate) for the 29 patients who performed one training session per month after the 10th initial rehabilitation sessions. Hence, the destabilizing orthosis appears to be an effective solution to prevent recurrent ankle sprains. However, joint protection requires long-term and regular training sessions. This result has motivated the development of a similar device allowing patients to perform training sessions at home. Finally, data obtained in this study are promising awaiting the final results of the comparative, multicentric and independent clinical trials currently managed by the Hospices Civils de Lyon.  相似文献   

18.
Background: Hip fracture is a common injury, with an incidence rate of > 250,000 per year in the United States. Diagnosis is particularly important due to the high dependence on the integrity of the hip in the daily life of most people. Objectives: In this article we review the literature focused on hip fracture detection and discuss advantages and limitations of each major imaging modality. Discussion: Plain radiographs are usually sufficient for diagnosis as they are at least 90% sensitive for hip fracture. However, in the 3–4% of Emergency Department (ED) patients having hip X-ray studies who harbor an occult hip fracture, the Emergency Physician must choose among several methods, each with intrinsic limitations, for further evaluation. These methods include computed tomography, scintigraphy, and magnetic resonance imaging. Conclusion: We present an evidence-based algorithm for the evaluation of a patient suspected to have an occult hip fracture in the ED. Also outlined are future directions for research to distinguish more effective techniques for identifying occult hip fractures.  相似文献   

19.
ABSTRACT

The Cochrane Library of Systematic Reviews is published quarterly as a DVD but monthly online. The April 2012 issue (second DVD for 2012) contains 5045 complete reviews, 2182 protocols for reviews in production, and 17,084 short summaries of systematic reviews published in the general medical literature. In addition, there are citations of 674,000 randomized controlled trials, and 15,400 cited papers in the Cochrane methodology register. The health technology assessment database contains just over 11,000 citations. One hundred and seventeen new reviews have been published in the last 3 months of which 12 have potential relevance for practitioners in pain and palliative medicine. The impact factor of the Cochrane Library stands at 6.186. Readers are encouraged to access the full report for any articles of interest as only a brief commentary is provided.  相似文献   

20.
When I first got the invitation to join a medical delegation going to Moldova, I thought for a moment that our destination was the fictional country in the old Marx Brothers movie Duck Soup. On further checking, it turns out that entertaining place was called Freedonia. I now know that Moldova is indeed a real country, bordered on the west by Romania and on the other three sides by the Ukraine. It is a proud country, rich with traditions, and its people are warm, giving, eager to learn ways to improve their healthcare system, and deeply appreciative of our attempts to help them in the task.  相似文献   

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