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1.
目的了解社区肢体残疾人群的健康状况,为提高肢残人群的生活质量提供依据。方法对上海市曾家渡街道14个居委的常住且具有残疾证的肢体残疾人进行问卷调查,包括一般情况、慢性病患病史和服用药物种类等项目,并集中对血压、心电图、胸片、肝肾功能、血脂、血糖等指标进行检测。结果本社区的肢残人群中除了运动系统患病率为100%外,心血管系统患病率最高为35.86%。在口服用药种类中,心血管类药物比例最高为36、68%,抗生素服用率位居第二为23、91%。在体检指标中,心电图与血压异常率比例最高,分别为38.12%和31、65%,在血脂中,甘油三酯指标异常人数也较高为20.86%。结论本社区肢体残疾人除了原有运动系统障碍外,还存在一定的健康缺陷,心血管系统患病率最高,需要加强对他们的医学照顾尤其是健康教育和健康促进活动。  相似文献   

2.
目的:了解社区老年人群心理健康状况及其影响因素,为制定社区心理护理措施提供科学依据。方法:自制一般情况调查表和采用SAS、SDS量表对某社区145名老年人进行入户调查。结果:有17.4%的社区老年人有心理问题.其中20.85%存在焦虑情绪,有12.4%存在抑郁情绪;婚姻状况、家庭关系、社交活动、业余爱好、子女交流等社会因素确实与老年人焦虑、抑郁情绪的发生和存在有关联。结论:及时提供健康教育和心理护理干预,提高老年人群的生活质量,将是社区护理工作的重点之重。  相似文献   

3.
[目的]通过对社区恶性肿瘤康复期病人进行心理健康测试,了解癌症康复期病人的心理健康状况。[方法]应用症状自评量表(SCL-90)对107例社区癌症康复期病人进行调查,比较不同种类癌症病人的心理健康水平的差异性。[结果]社区癌症康复期病人的心理健康状况明显低于健康人群(P〈0.01),其中乳腺癌病人整体健康水平高于其他癌症病人。[结论]社区恶性肿瘤康复期病人的心理健康状况较差,不同种类癌症病人的心理健康状况不同。应针对社区不同种类癌症康复期病人开展有针对性的心理干预,提高癌症病人的心理健康水平和生活质量。  相似文献   

4.
于美军  周郁秋  赵春艳  张慧 《护理研究》2008,22(31):2857-2858
[目的]通过对社区恶性肿瘤康复期病人进行心理健康测试,了解癌症康复期病人的心理健康状况.[方法]应用症状自评量表(SCL-90)对107例社区癌症康复期病人进行调查,比较不同种类癌症病人的心理健康水平的差异性.[结果]社区癌症康复期病人的心理健康状况明显低于健康人群(P<0.01),其中乳腺癌病人整体健康水平高于其他癌症病人.[结论]社区恶性肿瘤康复期病人的心理健康状况较差,不同种类癌症病人的心理健康状况不同.应针对社区不同种类癌症康复期病人开展有针对性的心理干预,提高癌症病人的心理健康水平和生活质量.  相似文献   

5.
在“9·7”彝良地震伤员集中救治的医院里,由国家卫生和计划生育委员会指派的彝良心理危机干预工作组发展了以支持性心理干预为核心的整体康复服务模式。该模式以病房心理护士作为联络者,立足于医学服务的整体性与连续性,在全面健康评估与重点评估心理创伤应激的基础上,以解决患者及照顾者的现实问题为重点,提供支持性心理干预,并借助社会心理支持服务内容量化的自评来激励心理护士对地震伤员提供的心理支持工作。在实践中,该模式能够得到医院管理者及医务工作者的积极配合,患者及家属普遍接受,具有连续心理服务的可操作性。  相似文献   

6.
目的了解社区肢体残疾人群对目前社区卫生服务的满意状况及卫生需求情况。方法对上海市曹家渡街道14个居委的常住且具有残疾证的肢体残疾人进行问卷调查,包括一般情况及医学照顾情况、服务质量和态度的满意情况进行打分(满意、一般、不满意),并做统计分析。结果在医学照顾调查中,对医疗服务、服务态度、仪表仪容这三项最满意,而解决就医困难和整体满意度较低。对医师及预检人员的服务态度最满意。各项医疗满意度测定中,满意与不满意情况均有显著性差异(P〈0.01)。结论本社区大部分的肢体残疾人对社区卫生服务中心的医学照顾是满意的,但还有一定比例的医疗服务需要改进。  相似文献   

7.
目的 探讨优质护理在脑卒中患者中的应用效果。方法 将2017年1月至2017年12月在我院接受治疗的首发脑卒中患者110例纳入课题研究,采用随机对照表法分为观察组(55例)和对照组(55例),分别接受优质护理干预和常规护理干预,比较两组患者的神经功能缺损程度、肢体运动功能、焦虑情况、自我护理能力、生活质量和护理满意度。结果 干预后,观察组患者的经功能缺损程度、肢体运动功能、焦虑情况、自我护理能力、生活质量和护理满意度均显著优于对照组患者(P<0.05)。结论 优质护理服务有助于降低脑卒中患者神经功能缺损程度,改善患者的焦虑情况和肢体运动功能,提高患者的自我护理能力和生活质量,值得临床推广。  相似文献   

8.
目的全面了解晚期癌痛患者及其家属的心理状况,采取有力干预措施,提高宁养服务的质量。方法选择2007年9月~2008年6月接受我院宁养服务的晚期癌痛患者50例,首诊评估患者及其家属的心理情况,了解其需要,采取相应干预措施,观察干预前后患者生活质量变化。结果本组50例通过心理干预,患者及家属情绪、行为及感知觉均有明显改善,其余各项生活质量亦有所提高。结论全面评估患者及其家属的心理状况,可有的放矢地实施心理干预措施,达到提高患者生活质量的目的。  相似文献   

9.
目的 探讨交通性颅脑损伤患者的心理健康状况评估及相关心理护理措施.方法 用心理健康自评问卷(SRQ)结合精神检查对我科收治的90例交通性颅脑损伤患者进行入院时与人院1个月后的心理评估.从环境设置、日常生活护理、心理社会支持等多方面进行心理护理干预.结果 人院时SRQ筛查出7分以上40例,阳性率44.4%,需重点干预人数28例,占31.1%.1个月后SRQ复测,阳性12例,阳性率13.3%,与干预前比较有统计学意义(χ2=5.3,P<0.05).SRQ评分与干预前比较亦有统计学意义(t=5.51,P<0.01).结论 交通外伤性颅脑损伤患者出现较为明显的心理生理反应,应该加强心理社会支持,帮助患者渡过心理危机,逐步适应新的生活状态.  相似文献   

10.
[目的]探讨协同护理模式对社区脑卒中高危人群健康行为和自我护理能力的影响。[方法]将80例社区脑卒中高危个体随机分为干预组(40例)和对照组(40例),干预组接受协同护理模式,对照组接受社区常规护理。以健康促进生活方式量表Ⅱ和自我护理能力测定量表评价干预前和干预6个月后高危个体的健康行为和自我护理能力。[结果]干预6个月后,干预组健康行为和自我护理能力得分与对照组相比,差异有统计学意义(P 〈0.05)。[结论]协同护理模式能提高社区脑卒中高危人群的健康行为和自我护理能力。  相似文献   

11.
Aims and objectives. To explore service user and community mental health nurses views on responses to voice hearing experiences. Background. People who hear distressing auditory hallucinations (voices) are often in contact with mental health services. Nursing responses to this experience have been limited, although emerging evidence suggests some utilitarian alternative interventions, such as discussing the content and meaning of the voices. Design. Using exploratory interviews, this study investigated the response to voice hearing, with a purposive sample of community mental health nurses (n = 20) and service users (n = 20). This paper reports on a thematic content analysis of transcribed interviews, which highlighted differences in perspectives of voice hearers and the nurses supporting them. Results. Voice hearers reported that interventions from community mental health nurses were limited to reviews of medication, access to the psychiatrist and non‐directive counselling. They identified alternative needs, which involved talking more about the content and meaning of their voices. Conversely, community mental health nurses regarded their responses to voice hearing as being considered, titrated and demonstrating an awareness of the personal contexts of service users. These responses were however restricted by their perception of skill limitations. Conclusions. The contrasting views of nurses and users of services demonstrated in this study, reveal multiple social realities that represent a challenge to accepted professional responses in the provision of mental health care. Relevance to practice. People who hear voices express an interest in more helpful responses from community mental health nurses. The findings of this study indicate that nurses must begin to orientate themselves towards a more critical practice stance that encompasses available knowledge on the voice hearing experience.  相似文献   

12.
Assertive outreach services have been central to community mental health policy within the UK. These multidisciplinary teams were established to engage with service users who have severe and enduring mental health problems and have found traditional community services unable to meet their needs. Mental health nurses have a pivotal role in these multidisciplinary teams, yet the nature of these relationships from the perspective of those who work in and receive care is poorly understood. This study set out to explore the nature and meaning of engagement for practitioners and service users within assertive outreach services. A qualitative approach, informed by philosophical hermeneutics, underpinned the study. Participants were recruited from a single assertive outreach team in the UK. To be eligible for the study, mental health practitioners needed to be employed within the assertive outreach team. All service users residing in the community and receiving care from the team were also eligible for inclusion. In total 14 interviews were conducted with mental health practitioners and 13 with service users. Data analysis was informed by Turner's method. Four themes emerged from the data; contact, dialogue, transformation and shared understanding. Meaningful engagement was found to manifest itself through experiences such as providing and receiving practical assistance, having a genuine two-way conversation and valuing the experiences and personal attributes of the other person. The findings indicate that engagement is an active, dynamic and skilled process, which leads practitioners and service users to transform together to create a new relationship.  相似文献   

13.
精神病人社区管理的探讨   总被引:4,自引:1,他引:3  
安士慧 《天津护理》2001,9(3):127-128
精神病人住院治疗症状缓解后,面临着出院继续康复的问题。社区防治尤为突出。笔者认为,要明显建立社区防治的重要性,服务的任务;建立由卫生、公安、民政等部门组成的服务体系。通过调查,提供有计划、有系统的服务;建立社区门诊咨询;开设日间病房;家庭病床;工娱疗站;重视家庭干预,把病人统一管理起来,使病人得到较好地治疗和管理。利用有限的卫生资源,达到最大可能的社区功能水平。  相似文献   

14.
How the principles of a recovery‐oriented mental health service are incorporated in the day‐to‐day nursing practice of mental health nurses in inpatient settings is unclear. In this study, we interviewed 21 mental health nurses working in acute inpatient mental health units about a range of recovery‐focused topics. Three overlapping themes were identified: (i) the perception of recovery; (ii) congruent humanistic approaches; and (iii) practical realities. Only four interviewees had some formal training about recovery. Most respondents recognize that positive attitudes, person‐centred care, hope, education about mental illness, medication and side‐effects, and the acknowledgement of individual recovery pathways are necessary to prevent readmission, and are central to a better life for people who live with a mental illness. This research supports the view that ideas and practices associated with the recovery movement have been adopted to some degree by nurses working at the acute end of the services continuum. However, most saw the recovery orientation as rhetoric rather than as an appropriately resourced, coordinated, and integrated program. These nurses, however, speak of much more detailed aspects of working with patients and being required to prepare them for the exigencies of living in the community post‐discharge.  相似文献   

15.
It is widely accepted that family and carer participation in adult mental health care is desirable. However, rarely is service development informed by representative opinions of both carers and service users. This study took place in the context of a larger project to introduce and evaluate practice standards relating to family participation. The aim of this paper is to explore the perceptions of service users and carers to carer participation in adult mental health services. One hundred and twenty-nine service users and 86 family members recruited via hospital and community settings completed a survey which addressed obstacles to family participation, perceived benefits of participation and areas for improvement. Many service users and family were entirely satisfied with existing levels of family participation. Different needs for information, support and the nature of participation in mental health care are highlighted in acute hospital and community settings. Across settings, the provision of support and accessing services were identified as the most useful aspects of family participation. Meaningful carer and family participation in mental health care should proceed from respectful connection with carers and be informed by need which will vary depending on setting and circumstances.  相似文献   

16.
This paper reviews the approach used by one automobile insurer to underwrite and to medically evaluate a handicapped driver. Significant factors which must be carefully developed for each application for automobile insurance are discussed. In the final analysis. The extent of any physical or mental impairment must be considered along with information verifying the capability of the handicapped person to safely operate an automobile. Cooperation in research programs among many disciplines, namely, state motor vehicle bureaus, insurers, product manufacturers, health professionals and driver educators as well as handicapped drivers, is clearly indicated.  相似文献   

17.
Aim.  This paper describes an effective community nursing role in which mental health care is brought to long-term care in a way that restores and promotes mental health wellbeing in the older person, builds understanding between clinicians, and develops staff confidence in attending to the whole needs of residents of nursing homes.
Background.  Mental health is a significant issue in the ageing population and there is much that mental health nurses as well as staff in long-term care can do to promote early detection of problems, facilitate effective treatment and build coping in the older person and family so that they recover from grief or depression issues and go on to make this stage of life satisfying and rewarding.
Conclusions.  The mental health nurse liaison role is a useful contribution to comprehensive aged care in the community. The role provides support to clinicians enabling them to develop skills and expand their area of practice, whilst creating an environment in which the needs of the client may also be better understood and thereby met.  相似文献   

18.
The focus for provision of mental health services is now the community in most developed countries. Different ways of organizing community mental health services are evident in the literature. Community psychiatric nurses (CPNs) have a key role to play in these services but the literature indicates that the CPN role varies from area to area within different models of service provision. This paper presents the findings of a study in which 13 service users and 15 CPNs in five focus groups discussed the effectiveness of mental health service. Selected staff and service users were chosen from a representative range of community mental health services across Northern Ireland. Service users expressed concern at the variety of CPN and other professional roles within multidisciplinary teams and some CPNs expressed dissatisfaction with their role and with role boundaries within teams. These findings suggest that further work is needed within community mental health services to ensure the role of the CPN remains effective and develops to meet the needs of service users.  相似文献   

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