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1.
王正香  李素  陈万流 《现代医学》2012,40(5):549-551
目的:调查了解脑性瘫痪(CP)患儿家长的心理健康状况,探讨综合性护理干预对CP患儿家长心理状态的影响.方法:对CP患儿家长给予综合性护理干预,在干预前后采用临床症状自评量表对患儿家长心理状态进行测评.结果:干预后观察组躯体化、强迫、人际关系、抑郁、焦虑、敌意、恐怖、偏执、精神病性及其它临床症状均明显好转,与对照组相比差异均有统计学意义(P <0.01或P<0.05).结论:综合性心理干预提高了CP患儿家长的应对能力,延长了其坚持治疗的恒心.  相似文献   

2.
目的探讨心理护理干预对重症手足口病合并脑炎患儿家长焦虑和抑郁情绪的影响.方法采用焦虑自评量表(SAS)和抑郁自评量表(SDS)作为测量工具,对护理干预前后患儿家长焦虑、抑郁量表测评结果进行统计学分析.结果心理干预前,所有患儿家长均存在一定程度的焦虑和抑郁.心理干预后,女性家长焦虑和抑郁程度明显减轻,男性与女性评分结果无显著性差异.结论重症手足口病合并脑炎患儿家长存在焦虑、抑郁、抵触、过分依赖等心理问题,适宜的心理干预和精细的护理能够有效地降低患儿家长负性情绪,有利于患儿治疗的顺利进行.  相似文献   

3.
目的:了解孤独症儿童家长的心理状态,探讨对其不良心理进行心理护理的必要性。方法选取天津市安定医院65例符合入组的孤独症儿童家属作为研究对象,分为干预组与对照组,干预组采用心理护理措施,对照组不做特殊处置,两组家长均在患者入院当天及住院治疗4周时进行抑郁自评量表(SDS)和焦虑自评量表(SAS)测查,对两组所得结果进行统计学分析。结果干预组经心理护理后SDS、SAS评分显著改善,明显低于对照组(P<0.01),且干预组在心理护理前后自身对照,差异具有统计学意义(P<0.01)。结论孤独症给患儿家长带来了沉重的经济压力和心理负担,因此研究孤独症儿童家长的心理状态并给予心理护理显得尤为重要。  相似文献   

4.
心理护理干预对老年手术患者心理影响研究   总被引:1,自引:0,他引:1  
童玲 《中国现代医生》2010,48(36):58-58,68
目的探讨心理干预对老年患者术前焦虑抑郁心理的影响。方法选择我院2008年2月~2010年2月老年手术患者121例,均为择期手术患者,随机分为观察组和对照组。对照组患者采用常规外科手术护理措施。观察组在常规外科手术护理基础上给予心理护理。心理护理干预在术前7d开始进行,每天两次,每次30min。心理干预手术前1d结束。两组患者在干预前和干预后采用焦虑自评量表(SAS)和抑郁自评量表(SDS)对患者进行焦虑抑郁评分。结果观察组干预后焦虑自评量表评分与对照组干预后比较,差异有统计学意义(P0.01);观察组干预后焦虑自评量表评分与对照组干预后比较,差异有统计学意义(P0.01)。结论心理护理干预有利于改善老年手术患者的心理状态,有利于消除老年手术患者的焦虑抑郁情绪,有利于手术进行。  相似文献   

5.
目的调查ICU患者家属心理健康状况,探讨心理干预对其心理状态及应对方式的影响。方法对入组80名ICU患者家属随机分为干预组和对照组各40例,采用抑郁自评量表(SDS)、焦虑自评量表(SAS)和特质应对方式问卷(TCSQ)评价干预前后的心理状态。结果干预后ICU患者家属抑郁自评量表(SDS)值和焦虑自评量表(SAS)值比较(P〈0.01),用TCSQ的PC评分(t=2.48,P〈0.05)和NC评分(t=3.20,P〈0.01)比较均有显著性差异,有统计学意义。结论心理干预措施可以明显改善ICU患者家属的不良心理反应,特别是减轻患者家属的抑郁和焦虑情绪。  相似文献   

6.
目的调查分析脑瘫儿童家长心理状况,分析对脑瘫患儿家长采取的干预措施及效果。方法对136例患儿家长进行分组对比,比较研究组脑瘫儿家长和对照组非脑瘫儿家长的心理状况;对研究组家长进行干预,比较干预前后研究组家长的心理状况。结果在SAS总分、SCL-90各因子评分上,研究组脑瘫患儿家长的评分明显不如对照组,差异具有明显的统计学意义(P0.05)。而在对研究组脑瘫患儿家长进行对应干预后,其SCL-90各因子评分降低,心理状况得到改善,干预前后差异具有统计学意义(P0.05)。结论对于脑瘫患儿家长的心理状态要高度重视,要加强相关干预,以引导其形成积极心态,增强其复原力。  相似文献   

7.
心理干预对妊娠糖尿病患者心理状态的影响   总被引:2,自引:0,他引:2  
目的:探讨妊娠糖尿病(GDM)患者的心理状态及心理干预对其影响。方法:68例GDM患者随机分为干预组(n=34)和对照组(n=33),对照组给予常规治疗和护理,干预组在此基础上给予心理干预。采用焦虑自评量表(SAS)、抑郁自评量表(SDS)分别于入院和出院时对两组患者进行心理测评,并进行统计学分析。结果:两组干预后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均比干预前明显降低,差异有显著性意义(P<0.01);干预组干预后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分明显低于对照组,差异有显著性意义(P<0.01)。结论:妊娠糖尿病患者存在不同程度的心理症状,实施心理干预能有效改善GDM患者的心理状态。  相似文献   

8.
目的探讨预见性护理干预对支气管哮喘患儿心理状态及生活质量的影响。方法选取2015年9月至2017年9月襄城县人民医院收治的74例支气管哮喘患儿,按随机数表法分为对照组和观察组,每组37例。对照组患儿接受常规护理干预,观察组患儿接受预见性护理干预。采用焦虑自评量表(SAS)和抑郁自评量表(SDS)比较干预前后两组患儿的心理状态;采用圣乔治呼吸疾病问卷(SGRQ)比较干预后两组患儿的生活质量。结果干预后,观察组患儿SAS、SDS评分均低于对照组,差异有统计学意义(均P<0.05)。干预后,观察组疾病影响、呼吸道症状、活动受限评分及SGRQ总评分均低于对照组,差异有统计学意义(均P<0.05)。结论在支气管哮喘患儿的治疗过程中,采用预见性护理干预能有效改善患儿的焦虑及抑郁等心理状态,提高生活质量。  相似文献   

9.
季青 《基层医学论坛》2016,(15):2108-2109
目的 探讨术前心理干预对宫颈癌患者心理的影响.方法 对26例宫颈癌患者术前进行心理干预护理,在心理干预前后采用症状自评量表SCL-90对患者进行检测,比较干预前后患者各种心理状态的变化.结果 实行心理干预护理后SCL-90量表总分从(180.29±21.46)分下降到(148.45±18.43)分,其中单因子得分中抑郁从(3.12±0.46)分下降到(2.37±0.41)分,焦虑得分从(2.94±037)分下降到(2.15±0.28)分差异均有统计学意义(P<0.05).结论 心理干预护理能明显降低宫颈癌患者症状自评量表SCL-90的总得分,有效减轻其焦虑和抑郁情绪.  相似文献   

10.
目的探讨合理情绪疗法对脑瘫患儿照料者心理干预效果的影响。方法对诊断为脑瘫并在门诊做康复训练患儿的照料者进行心理评估,将其中焦虑、抑郁等负性情绪明显的208例脑瘫患儿照料者随机分为两组,各104例。观察组在心理干预中应用合理情绪疗法,对照组进行常规心理护理干预。干预2周后对两组照料者再次进行心理评估。结果干预前两组脑瘫患儿照料者焦虑自评量表(SAS)和抑郁自评量表(SDS)评分差异均无统计学意义(P>0.05);干预后两组SAS和SDS评分均下降(P<0.01);观察组下降幅度大于对照组(P<0.01)。结论对脑瘫患儿照料者实施合理情绪疗法能明显减轻焦虑、抑郁等症状,提高其对医院的满意度和治疗依从性,有利于脑瘫患儿的康复。  相似文献   

11.
Objective To observe blood pressure change with age in salt-sensitive teenagers whose salt sensitivity were determined by repeated testing.Methods Salt sensitivity was determined through intravenous infusion of normal saline combined with volume-depletion by oral diuretic furosemide in 55 teenagers. After five years, salt sensitivity was re-examined and subject blood pressure was followed up. Blood pressure changes in salt-sensitive teenagers were compared to that of non-salt sensitive teenagers over five years.Results After 5 years, the repetition rate of salt sensitivity determined by intravenous saline loading is 92.7%. In teenagers with salt sensitivity on the baseline, both the systolic blood pressure increments and increment rates were much higher than non-salt sensitive teenagers (12.7±12.1 mmHg vs. 2.8±5.2 mmHg, P< 0.01; 12.2%± 12.0% vs. 2.5% ±4.4%, P< 0.001,respectively). There was a similar trend for diastolic blood pressure (8.4 ± 6.4 mmHg vs. 3.7 ± 6.4 mmHg, P = 0.052; 13.2% ±10.6 % vs. 6.8%± 10.1%, P = 0.053, respectively).Conclusions Salt sensitivity determined by intravenous saline loading showed good reproducibility. Blood pressure increments with age were much higher in salt-sensitive teenagers than non-salt sensitive teenagers, especially in terms of systolic blood pressure.  相似文献   

12.
Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P < 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (>0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P <0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P < 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.  相似文献   

13.
Objective: To set up a simple and reliable rat model of combined liver-kidney transplantation. Methods: SD rats served as both donors and recipients. 4℃ sodium lactate Ringer's was infused from portal veins to donated livers,and from abdominal aorta to donated kidneys, respectively. Anastomosis of the portal vein and the inferior vena cava (IVC) inferior to the right kidney between the graft and the recipient was performed by a double cuff method, then the superior hepatic vena cava with suture. A patch of donated renal artery was anastomosed to the recipient abdominal aorta. The urethra and bile duct were reconstructed with a simple inside bracket. Results: Among 65 cases of combined liver-kidney transplantation, the success rate in the late 40 cases was 77.5%. The function of the grafted liver and kidney remained normal. Conclusion: This rat model of combined liver-kidney transplantation can be established in common laboratory conditions with high success rate and meet the needs of renal transplantation experiment.  相似文献   

14.
Increasing maternal age is the only etiological factor unequivocally linked to Down's syndrome in humans. The occurrence rate of newborns with Down's syndrome is about 1/220 in women over 35 years old. However, the occurrence rate in embryos fertilized in vitro, of the elder woman is unclear. Using FISH we screened the number of chromosome 21 in preimplanted embryos of 5 elderly women (average age, 38.4 years) to study the feasibility and necessity of screening trisomy 21 in embryos in patients over 35 years old at the in vitro fertilization (IVF) center.  相似文献   

15.
Real-time three-dimensional echocardiography (RT3DE)is a new ultrasound technique that enables dynamic threedimensional visualization and quantification of the heart in real time. Investigation of feasibility and methodology of RT3DE in determining left ventricular (LV) and right ventricular (RV) volumes, RT3DE was performed in 35 normal adults using Philips SONOS 7500 system with a 2-4 MHz matrix array transducer. The 60°×60° "pyramid" volume database was obtained and analyzed on a TomTec echo workstation. Both LV and RV volumes were calculated with four 3DE methods (i.e. apical 2, 4, 8, and 16-plane) through manually tracing ventricular endocardial borders in end diastole and end systole. Stroke volumes were then calculated. LV volume was also measured by 2DE Simpson's rule using GE VIVID 7 ultrasound machine.  相似文献   

16.
A clinical guideline for the therapeutic interventions of integrative medicine may be defined as a written document which states a series of recommendations on therapeutic interventions of integrative medicine for a special disease or condition. The guideline may provide assistance to medical professionals in making clinical decisions aimed at improving the clinical outcome of patients and reducing the costs of medical care(~'4~. Recommendations issued by a guideline should be based on the best available evidence in both Western and Chinese medicine. For fulfilling this purpose, the development of clinical guidelines for therapeutic interventions in the field of integrative medicine should follow scientific principles and undergo a rigorous processes.  相似文献   

17.
Objective:To probe into the influence of changes of ovarian hormones on the pathogenesis of the specific sub-type premenstrual syndrome(PMS)and reveal partial microcosmic mechanisms of adverse flow of liver-qi.Methods:Estradiol(E2)and progesterone(P)levels in serum were determined at different phases of menstrual cycle by radioimmunoassay.Results:In the group of PMS with adverse flow of liver-qi.the secretive peak value Of E2 and P at the follicular phase significantly decreased,and the secretive peak value at the luteal phase did not come into being.Conclusions:Low E2 and P secretive peak at the follicular phase and absence of secretive peak at the luteal phase is one of the microcosmic mechanisms of PMS with adverse flow of liver-qi.One of the pathophysiologic mechanisms of specific sub-type PMS is probably the continuous low level of E2and P.  相似文献   

18.
Journal of Nanjing Medical University (English Edition) JNMU, sponsored by Nanjing Medical University, was established in 1987. It is a bimonthly comprehensive English medical journal published locally and abroad.Since 2007, Journal of Nanjing Medical University (English Edition )was granted Elsevier the full publishing and distribution rights worldwide for the Electronic Edition, excluding the People's Republic of China.  相似文献   

19.
Objective To measure Derpl and Blot5 allergen levels in asthmatics' homes in Hongkong.Methods Seventy houses were enrolled for a mite indoor environment study. Dust samples were obtained from two sites of each patients' house: bed and floor. Derpl and Blot5 levels were quantified by a two-site monoclonal antibody-based ELISA technique.Results The levels of Derpl allergens found in bed (geometric mean (GM) 3.43 μg/g of dust; 95%CI, 1.89-4.96 μg/g)and on the floor (GM 1.12 μg/g of dust; 95%CI, 0.71-1.53 μg/g) indicated significant differences (P=0.005). However, the levels of Blot5 allergens found in bed (GM 19.00 μg/g of dust; 95%CI, 0.89-38.90 μg/g) and on the floor (GM 6.14 μg/g of dust; 95%CI, 0.40-11.90 μg/g) showed no statistically significant difference. In addition, in regards to the exposure index for Derpl and Blot5 allergens found in bed and on the floor, 17.6% in bed and 8.6% on the floor had levels of Blot5 ≥ 10 μg/g of dust, higher than those obtained for Derp1 (7.2% and 0% in bed and on the floor respectively, P< 0.05); higher percentages in bed and on the floor (25.0% and 35.7%) were observed for levels of Blot5 =0 μg/g of dust as compared with Derpl in bed and on the floor (4.3% and 14.5% respectively, P< 0.05).Conclusions Derpl and Blot5 are the major allergens found in this regional study, Blot5 is a more potent allergen in Hongkong, probably reflecting the high level of exposure to Blomia tropicalis (Bt). Bt and Dermatophagoides pteronyssinus (Dp) allergens should be included for precise diagnosis and effective immuno-therapeutic treatment of mite allergy in Hongkong.  相似文献   

20.
ANTI-PROLIFERATION EFFECT OF ORIDONIN ON HL-60 CELLS AND ITS MECHANISM   总被引:4,自引:0,他引:4  
Objcetive To investigate the anti-proliferation effect of oridonin on leukemic HL-60 cells and its mechanism. Methods HL-60 cells in vitro in culture medium were given different concentrations of oridonin. The inhibitory rate of cells were measured by microculture tetrazolium (MTT) assay, cell apoptotic rate was detected by flow cytometry (FCM), morphology of cell apoptosis was observed by hoechst 33258 fluorescence staining, and the activity of telomerase was detected using telomere repeat amplification protocol (TRAP) PCR-ELISA before and after apoptosis occurred. Results Oridonin could decrease telomerase activity, inhibit growth of HL-60 cells, and cause apoptosis significantly. The suppression was both in time- and dose-dependent manner. Marked morphological changes of cell apoptosis including condensation of chromatin and nuclear fragmentation were observed clearly by hoechst 33258 fluorescence staining especially after cells were treated 48-60 hours by oridonin. Conclusions Oridonin has apparent anti-proliferation and apoptotic effects on HL-60 cells in vitro, decreasing telomerase activity of HL-60 cells may be one of its most important mechanisms. These results will provide strong laboratory evidence of oridonin for clinical treatment of acute leukemia.  相似文献   

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