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1.
【摘要】 目的 通过对老年前列腺动脉栓塞术患者护理措施的探索,以利于患者抑郁、焦虑情绪的改善和生活质量的提高。方法 选取我院51例住院动脉栓塞术的老年前列腺增生患者为研究对象,按入院治疗的时间先后顺序将其随机分为观察组26例、对照组25例。对照组患者给予常规对症治疗及护理措施。观察组患者在此基础上依据老年综合评估的结果给予综合护理干预,比较两组患者治疗依从性、护理满意度、生活质量及抑郁、焦虑情绪改善情况。结果 观察组患者干预后SDS及SAS评分降幅显著优于对照组(P<0.05);观察组患者干预后生活质量、护理满意度及治疗依从性均优于对照组(P<0.05)。结论 综合评估干预不仅可明显改善老年前列腺动脉栓塞术患者的抑郁和焦虑情绪,还可提高患者生活质量、治疗依从性和护理满意度,促进患者康复。  相似文献   

2.
目的观察集束化护理在预防老年患者术后负面情绪护理中所发挥的护理效果。方法选择我院在2015年3月至10月诊治的普外科手术治疗老年患者68例进行护理分析,根据护理方法差异将患者分为干预组和对照组患者各34例,研究组患者采用集束化护理干预,对照组患者进行常规术后护理,比较两组老年患者术后的焦虑程度和抑郁程度。结果研究组患者的术后负面情绪评分均低于对照组,表明集束化护理在预防术后负面情绪护理中发挥了非常好的效果。结论在老年患者术后情绪护理中,选择集束化护理发挥了非常好的效果,能够减少老年患者焦虑、抑郁等负面情绪,促进术后恢复,临床护理意义积极。  相似文献   

3.
目的:分析心理护理在 ICU 重症护理中对护理质量的影响效果。方法:选取2015年1月至2016年2月期间该院 ICU 重症患者87例,将其按照抽签法分为对照组(n =41)和研究组(n =46),对照组行常规护理,研究组在常规护理基础上行心理护理,对比2组患者的护理效果。结果:对照组患者的护理满意度为78%,明显低于研究组患者的护理满意度(93%,χ2=4.340,P <0.05),护理前,两组患者的焦虑、抑郁评分比较(P >0.05),护理后,研究组患者的焦虑、抑郁评分低于观察组(P <0.05)。结论:心理护理在 ICU 重症护理中应用,缓解了患者的焦虑、抑郁情绪,提高了整体的护理满意度,具有重要的应用价值。  相似文献   

4.
莫小娟 《大家健康》2014,(9):101-101
目的:探讨ICU患者发生焦虑的相关因素以及有效的护理方法。方法:选取2013年1月至2014年1月在我院ICU病房住院的患者60例,采用双盲法分为观察组和对照组,对两组患者均采用问卷调查的方法研究焦虑产生相关因素,对照组给予常规护理,观察组采用集束干预策略给予护理,并比较两组护理效果。结果:社会支持系统、睡眠、家庭经济状况、是否行机械通气等均是导致ICU患者产生焦虑的相关因素;观察组干预后的SAS评分明显小于对照组(P<0.05)。结论:焦虑情绪在ICU患者中普遍存在,集束干预策略可显著降低ICU患者焦虑情绪。  相似文献   

5.
冯百宁  韩静  闫慧霞 《西部医学》2019,31(2):307-310
【摘要】 目的 探讨引发经桡动脉穿刺心脏介入术后穿刺部位并发症的风险因素,评价有效的护理防范措施。方法 回顾性分析2014年6月~2015年7月本院收治的经桡动脉穿刺心脏介入术患者228例,根据护理方式不同将2014年6~12月收治的103例患者作为对照组,2015年1月~7月收治的125例患者作为观察组。对照组给予常规护理,观察组在此基础上再行专科护理。比较两组患者在介入术后穿刺部位并发症发生率、术后穿刺侧疼痛评分和治疗依从性、护理满意度评分等情况。结果 对照组患者穿刺部位并发症发生率明显高于观察组(P<005);观察组患者疼痛程度明显低于对照组(P<005);观察组患者治疗依从性评分与护理满意度评分均明显高于对照组(P<005)。结论 实施专科护理能有效降低经桡动脉穿刺心脏介入术后穿刺部位并发症发生率,减轻患者疼痛,提高患者的治疗依从性和护理满意度。  相似文献   

6.
樊元利  孙国红 《西部医学》2019,31(2):315-317+321
【摘要】 目的 探讨临床护理路径在重症肺炎合并心衰护理中的应用效果。方法 选取2017年1~12月榆林市星元第四医院收治的98例重症肺炎合并心衰患者为研究对象,采用随机数字表法分为对照组和观察组,每组各49例。对照组实施常规护理干预,观察组实施临床护理路径模式干预,比较两组血气分析指标、体征恢复情况及心理状况变化的干预效果。结果 干预前两组心率、PaO2、PaCO2、SAS、SDS评分相比较无明显差异(P>005);干预后观察组心率、PaCO2明显低于对照组,PaO2明显高于对照组(P<005);观察组干预后退热时间、气促消失时间、心衰消失时间明显短于对照组(P<005);观察组护理满意度明显高于对照组(P<005);干预后观察组SAS、SDS评分明显低于对照组(P<005)。结论 临床护理路径模式干预在重症肺炎合并心衰患者中应用效果明显,不仅可有效改善患者血气指标、临床症状,且明显改善患者心理状态,从而提高患者护理满意度。  相似文献   

7.
【摘要】 目的 探讨SMART护理原则对预防老年患者经桡动脉行冠脉造影后发生迟发性术肢血肿的价值。方法 选择2013年8月~2017年1月来院诊治的急性冠脉综合征患者120例作为研究对象,根据随机信封抽签原则分为观察组与对照组各60例,两组都给予经桡动脉径路冠状动脉介入术治疗,对照组在围手术期给予常规护理;观察组在对照组护理的基础上给予SMART护理原则干预,两组护理观察时间为1个月。结果 观察组与对照组的迟发性术肢血肿发生率分别为17%和133%,观察组明显低于对照组(P<005)。观察组护理后遵医嘱用药、自我监测、运动管理以及饮食管理的评分分别是(1235±209)分、(2184±283)分、(1152±198)分和(1543±237)分,而对照组的评分分别是(974±179)分、(1749±221)分、(824±174)分和(1321±214)分,观察组评分均明显高于对照组(P<005)。观察组护理满意度(100%)明显高于对照组(883%)(P<005)。两组护理后的疼痛评分分别为(212±038)分和(272±045)分,都明显低于护理前的(488±052)分和(481±051)分(P<005),且观察组评分明显低于对照组(P<005)。结论 SMART护理原则能有效预防老年患者经桡动脉行冠脉造影后发生迟发性术肢血肿的发生,提高自我护理能力,缓解疼痛,改善护患关系。  相似文献   

8.
申妮  张永利  薛顺和  乔丽娜 《西部医学》2017,29(11):1537-1539+1546
【摘要】〓目的〓观察兰索拉唑联合文拉法辛心身同治难治性消化性溃疡的临床疗效。方法〓选取难治性消化性溃疡患者120例,按照随机抽签法分为对照组和观察组各60例。对照组患者实施兰索拉唑联合赛乐特治疗,观察组患者实施兰索拉唑联合文拉法辛心身同治。观察两组患者的临床疗效、心理状态和不良反应发生率并进行分析比较。结果〓观察组和对照组患者的临床治疗有效率分别为9667%和8167%,两组间差异有统计学意义(P<005)。观察组患者的焦虑、抑郁评分与治疗前比较,差异有统计学意义(P<005);治疗后观察组与对照组患者的焦虑、抑郁评分比较,差异有统计学意义(P<005)。观察组与对照组患者治疗中的不良反应发生率分别为500%和2000%,差异有统计学意义(P<005)。结论〓在难治性消化性溃疡患者治疗的过程中,对其实施兰索拉唑联合文拉法辛心身同治,可以有效提高患者的临床治疗效果,改善患者的心理状态,提高患者治疗的依从性,降低不良反应的发生率,疗效显著。  相似文献   

9.
目的:探讨优质护理对心律失常患者负面情绪的影响,为临床护理积累经验。方法选择我科收治的68例心律失常患者为研究对象,随机分为观察组和对照组各34例,治疗过程中对照组患者实施常规护理,观察组患者实施优质护理干预,应用焦虑自评量表(SAS)和抑郁自评量表(SDS)测量对比两组患者护理前后焦虑和抑郁评分及临床护理满意度情况。结果实施优质护理干预的观察组患者焦虑和抑郁状态缓解状况明显优于对照组,临床护理满意度显著高于对照组,两组比较有统计学意义(P <0.05)。结论对心律失常患者实施细致有效的优质护理干预,能显著缓解患者的焦虑、抑郁情绪,提高患者治疗的信心,值得临床推广应用。  相似文献   

10.
目的:探讨舒适护理对结肠镜检查患者的影响。方法:将100例结肠镜检查患者随机分为观察组和对照组各50例。对照组给予常规护理干预,观察组除此外实施舒适护理干预。结果:观察组患者的Zung焦虑自评量表(SAS)评分、疼痛评分和插镜时间明显低于对照组,其舒适度和满意度明显优于对照组,差异均有统计学意义,P<0.01或<0.05。结论:舒适护理干预能够明显缓解结肠镜患者的焦虑情绪和疼痛程度,缩短操作时间,提高患者舒适度和满意度。  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.
FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…  相似文献   

19.
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   

20.
目的:评价使用安心颗粒对急诊经皮冠状动脉介入术(PPCI)术后生活质量的影响.方法:将160例接受PPCI的急性ST段抬高型心肌梗死患者随机分为安心颗粒组(术前顿服安心颗粒8.8g,术后安心颗粒4.4 g/次,每日2次)和对照组(仅接受基础药物治疗).所有患者均服用阿司匹林、氯吡格雷和阿托伐他汀.分别在入院时、出院前1d、出院后180 d时,应用心肌梗死多维度量表(MIDAS)、中文版SF-36评价量表对患者生活质量评分.并观察术后30 d以内的出血并发症、血小板减少症发生情况.结果:入院时和出院前1d,两组患者的心肌梗死MIDAS、SF-36量表评分比较无差异(P>0.05);出院后180 d时,与对照组比较,安心颗粒组MIDAS、SF-36评分明显减低(P<0.05);组内与入院时比较,两组出院前1d、出院后180 d时,MIDAS、SF-36评分均降低(P<0.05).两组患者在随访期间均无大量出血、少量出血、重度和极重度血小板减少症发生,安心颗粒组有4例、对照组有7例发生不明显出血(P>0.05).两组发生轻度血小板减少症的患者数比较无差异(P>0.05).结论:PPCI使用安心颗粒,能改善急性ST段抬高型心肌梗死患者的生活质量,且不增加出血风险.  相似文献   

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