探讨人性化护理模式在手术室护理中的应用价值

目的 探讨人性化护理模式在手术室护理中的应用价值.方法 选取120例择期手术患者,随机分为对照组和观察组,各60例.对照组给予常规手术室护理,观察组则在常规手术护理的基础上给予人性化护理,对比两组患者手术前后焦虑自评量表(SAS)及抑郁自评量表(SDS)评分、护理质量评分.结果 比较术前两组患者SAS及SDS评分,差异无统计学意义;比较术后两组患者SAS及SDS评分,观察组明显低于对照组,差异具有统计学意义(P<0.05);观察组和对照组的护理质量评分分别为(90.2±5.0)分和(66.8±6.5)分,差异具有统计学意义(P<0.05).结论 在手术室护理中应用人性化护理模式能够有效缓解患者在术前术后的焦虑与抑郁等不良情绪,提高其心理舒适度,提高护理质量,值得应用及推广.     

优质护理对剖宫产产妇焦虑和抑郁情绪的影响探讨

目的 探讨优质护理对剖宫产产妇焦虑和抑郁情绪的影响.方法 选择2014年8月-2015年5月我院收治的106例剖宫产产妇,随机分为观察组(优质护理组)和对照组(常规护理组).观察和比较2组患者焦虑自评量表(SAS)和抑郁自评量表(SDS)评分结果.结果 观察组和对照组护理前SAS和SDS评分差异无统计学意义(P＞0.05);经护理后,观察组SAS和SDS评分显著低于对照组(P＜0.05).结论 优质护理可有效缓解剖宫产产妇的焦虑和抑郁心理,从而有利于产妇康复.     

强化护患沟通对创伤性脊髓损伤患者不良情绪及治疗依从性的影响

目的 探讨强化护患沟通对创伤性脊髓损伤患者不良情绪及治疗依从性的影响.方法 将86例创伤性脊髓损伤患者随机分成观察组和对照组,每组43例,对照组采取常规护理,观察组在此基础上强化护患沟通,比较干预后2组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)评分情况及治疗依从性.结果 2组患者干预后SAS、SDS评分均较干预前显著降低(P＜0.01),观察组降低程度明显优于对照组(P＜0.05);观察组治疗依从性为95.35％,明显优于对照组的81.40％(P＜0.05).结论 对创伤性脊髓损伤患者在常规护理基础上强化护患沟通,有助于缓解焦虑、抑郁等不良情绪,提高治疗依从性.     

眼科老年患者手术前心理护理的临床分析

目的:对心理护理在眼科老年患者术前中的应用效果进行分析.方法:选取医院收治的眼科老年患者162例,按照护理方法划分为对照组与观察组各18例,分别给予常规护理、心理护理措施,以焦虑自评量表(Self-Rating Anxiety Scale,SAS)与抑郁自评量表(Self-rating depression scale,SDS)对两组患者护理前、护理后心理状态进行评价.结果:观察组与对照组护理前SAS、SDS评分差异无统计学意义(P＞0.05),护理后观察组SAS、SDS评分均低于对照组(P＜0.05).结论:心理护理在眼科老年患者术前中的应用,有助于患者心理状态的改善,积极配合治疗与护理过程,应在临床实践中进一步加强.     

人性化护理在青光眼患者围术期的应用

目的 探讨人性化护理方式对青光眼患者围术期临床护理效果的影响.方法 选择2013年6月-2015年6月我院收治的青光眼手术治疗患者80例,采用随机数字表法分为对照组和观察组.对照组行常规护理,观察组接受人性化护理,比较2组患者护理前后的抑郁、焦虑程度和护理满意度.结果 观察组患者护理后的SDS评分为(35.4±5.7)分,SAS评分为(40.3±4.3)分,对照组患者SDS评分为(43.5±6.8)分,SAS评分为(49.1±4.6)分,组间比较差异有统计学意义(P＜0.05);观察组护理满意率为95.00％,显明高于对照组的67.50％,组间比较差异有统计学意义(P＜0.05).结论 人性化护理可有效改善患者的不良情绪,对于提高护理满意度、改善护患关系具有重要意义,是青光眼患者理想的临床护理方式,值得推广应用.     

人性化护理在尿毒症并发左心衰竭患者血液透析中的应用分析

目的：分析人性化护理在尿毒症并发左心衰竭患者血液透析中的应用效果。方法收集48例尿毒症并发左心衰竭患者为研究对象,将其随机分为对照组与观察组,各24例。在血液透析期间对照组给予常规护理,观察组给予人性化护理,对比分析2组患者护理前后焦虑、抑郁程度及治疗依从性。结果治疗前,2组患者SAS（Zung焦虑自评量表）评分、SDS（Zung抑郁自评量表）评分等方面对比,差异无统计学意义;治疗后,观察组患者SAS评分、SDS评分均明显低于对照组,差异有统计学意义（P＜0.05）。观察组治疗依从性优良率为91.67%,明显高于对照组的66.67%,差异有统计学意义（P＜0.05）。结论人性化护理在尿毒症并发左心衰竭患者血液透析中的应用效果显著,建议在临床上推广。     

健康教育对肝硬化患者情绪状况的影响

目的 探讨健康教育对肝硬化患者情绪状况的影响.方法 将64例肝硬化患者随机平分为对照组与研究组,对照组进行常规治疗及护理,研究组在常规治疗及护理基础上配合开展健康教育;健康教育前和健康教育4W后对两组患者进行焦虑自评量表(SAS)、抑郁自评量表(SDS)评定.结果 健康教育前,研究组和对照组SAS、SDS评分差异均无统计学意义(P＞0.05);干预4W后,研究组患者SAS、SDS评分较干预前显著下降,差异有统计学意义(P＜0.05),对照组SAS、SDS评分差异无统计学意义(P＞0.05).结论 在常规治疗和护理的基础上,积极开展健康教育,可明显改善肝硬化患者的焦虑、抑郁情绪.     

早期康复护理对急性心肌梗死患者介入治疗术后心理状况的影响

目的 研究早期康复护理对于急性心肌梗死(AMI)患者冠状动脉介入(PCI)术后心理状况的影响.方法 选取我院急性心肌梗死冠状动脉介入治疗术后患者60例,采用随机数字表法将其分为观察组和对照组,每组均为30例,观察组采用早期康复护理,对照组采用常规护理,采用焦虑自评量表(SAS)和抑郁自评量表(SDS)对2组患者术后1周的心理状态进行统计分析.结果 观察组SAS和SDS评分均显著优于对照组,差异具有统计学意义(P＜0.05).结论 对急性心肌梗死冠状动脉介入治疗术后患者进行早期康复护理有助于保持患者健康的心理状况.     

系统化护理联合心理护理对宫颈癌围手术期患者抑郁焦虑情绪及Cor,IL-2水平的影响

目的 探究系统化护理联合心理护理对宫颈癌围手术期患者抑郁焦虑情绪及血清皮质醇(Cor)、白细胞介素2(IL-2)水平的影响.方法 以2019年整年为病例收集时间段,纳入期间在我院接受治疗的宫颈癌患者200例作为研究对象.经数字随机表法分为观察组和对照组,各100例.对照组采用常规护理,观察组采用系统化护理联合心理护理.比较2组焦虑自评量表(SAS)和抑郁自评量表(SDS)评分,血清Cor和IL-2水平,以及护理满意度.结果 观察组护理后SAS评分和SDS评分低于护理前,同时也低于对照组(P＜ 0.05);观察组护理后血清Cor和IL-2水平均优于护理前,且血清Cor低于对照组,而IL-6高于对照组(P＜0.05).观察组护理总满意度为93.00％,对照组护理总满意度为82.00％,观察组明显高于对照组(P＜ 0.05).结论 系统化护理联合心理护理应用在宫颈癌围术期护理中,可缓解患者焦虑、抑郁情绪,改善血清Cor和IL-2水平,并获得患者的认可.     

不同宣教时机对甲状腺手术患者宣教效果的影响

目的 分析不同宣教时机及方式对甲状腺手术患者宣教效果和术后恢复的影响.方法 将首次行甲状腺择期手术的患者148例分成两组,每组各74例.对照组按临床路径进行健康宣教,观察组根据甲状腺手术患者需求改变宣教时机,将患者关注的术后宣教内容移至术前进行.对比观察两组患者对宣教内容掌握程度、护理满意度及宣教前后抑郁自评量表(SAS)和焦虑自评量表(SDS)评分情况.结果 观察组患者对宣教内容完全掌握率为87.8％,显著高于对照组(58.1％)(P＜0.05).观察组患者对护理工作非常满意率为97.3％,显著高于对照组(85.1％)(P＜0.05).观察组患者宣教后SAS评分[(23.13±2.91)分]及SDS评分[(29.46±2.64)分]均明显低于低于对照组[(36.42±2.18)分、(38.52±2.48)分],差异有统计学意义(P＜0.05).结论 对甲状腺手术患者选择合适时机进行健康宣教能获得更好效果,改善患者的焦虑抑郁状态,值得临床推广实施.     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

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…     

Acupuncture Treatment of Vomiting

CASE HISTORY A female patient, 46 years old, head of the foreign affairs department of a certain university in Beijing, paid her first visit on October 9, 2006, with the chief complaint of vomiting for one month. She got vomiting after meals in early September. Before that, she had discomfortable sensation in the stomach due to angry with others, but she didn't pay much attention. Later, it developed into vomiting after eating. After the vomiting, the discomfort would be relieved, but with slight hypodynamia. She was once diagnosed as having 'neurogenic vomiting'. Having taken some western and Chinese drugs, the above symptoms were a little bit improved, but she would have nausea upon eating and with regurgitation. Because of the fear for vomiting, she did not dare to have food intake, with body weight reduction of 6 kilos in one month.     

Qiu Baoguo''''s Experience in Treating Consumptive Syndromes after Radio-Chemotherapies

Radiotherapy and chemotherapy are the important modern medical therapies for malignant tumors,yet they can also bring about serious local and systemic toxic side reactions so to decrease the patient;'s life quality,manifested by a series of consumptive symptoms.Having engaged in the combined work of Chinese and western medicine for nearly 50 years,the research fellow Qiu Baoguo in Henan Provincial Academy of TCM has developed his unique views on the TCM study of consumptive syndromes.The author of this essay had once the fortune tO follow Dr.Qiu in clinic,and specially would like to introduce in the following Dr.Qiu's experience in treating consumptive syndromes after radio-chemotherapies for patients with malignant tumor.     

Insomnia Due to Deficiency of Both the Heart and Spleen Treated by Acupuncture-Moxibustion and Chinese Tuina

OBJECTIVE: To observe therapeutic effects of the comprehensive therapy of acupuncture-moxibustion and Chinese Tuina for treatment of insomnia due to deficiency of both the heart and spleen. METHODS: 92 cases were divided randomly into the treatment group (treated by acupuncture-moxibustion and Chinese Tuina) and the control group (treated by acupuncture-moxibustion). RESULTS: The therapeutic effect of the treatment group was obviously superior to that of the control group (the CHI2 test showed P < 0.01). CONCLUSIONS: The comprehensive therapy of acupuncture-moxibustion and Chinese Tuina can give marked therapeutic effects for treatment of insomnia due to deficiency of both the heart and spleen.     

Analysis of CK-19,PDX-1,Nestin,Ngn3 in different donor islet purity in rats

Objective: To investigate if there are the CK-19, PDX-1, Nestin, Ngn3 positive cells in the donor islets of different purity in rats. Methods: Thirty male adult SD rats were randomly divided into 3 groups. Islets were isolated using digestion by ductal injection of collagenase. Group Ⅰ (n=10): Separating cell preparations were not purified, Group Ⅱ(n=10): Islet sediment was purified with 25% Ficoll400 ,Group Ⅲ (n=10): Islet sediment was purified with 25% and 11% Ficoll-400. The levels of protein of CK-19, PDX-1, Nestin and Ngn3 were detected by immunohistochemistry and the mRNA of CK-19, PDX-1, Nestin, Ngn3 was amplified by RT-PCR. Results: After two different purification methods applied, three islet preparations of different purities were obtained. The difference of islet purity was significant among various groups (P＜0.05). Compared with group Ⅱ and group Ⅲ,the protein and mRNA of CK-19, PDX-1, Nestin,Ngn3 were both higher in group Ⅰ; group Ⅲ was poorly expressed. Conclusions: The three different islet purity donor islet have different CK-19, PDX-1, Nestin, Ngn3 positive cells within them, indicating that there are some islet stem cells in the purified donor islet.     

Dr.Zhang Ren''''s Experience in the Acupuncture Treatment of Different Diseases with the Same Therapeutic Principle

Dr.Zhang Ren,the chief physician,is the chairman of Shanghai Acupuncture and Moxibustion Association.Having been engaged in medicine for about 40 years,he is experienced in treating various intractable diseases.In his long years of clinical practice,he advocates taking the TCM differentiation as the basis to seek for the acupuncture method for treatment of modern intractable diseases.The author of this essay had the fortune to follow Dr.Zhang in study.The following is a summary of Dr.Zhang's experience in the acupuncture treatment for different intractable diseases with the same therapeutic principle.     

Luo Lingjie''''s Experience in Treating Chronic Nephropathy

In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects.     

Acupuncture Combined with Spinal Tui Na for Treatment of Primary Dysmenorrhea in 30 Cases

Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea.