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61.
青年护理人员面对患者死亡心理应激状况的调查研究 总被引:1,自引:0,他引:1
目的 了解青年护理人员面对患者死亡的心理应激状况.方法 应用焦虑自评量表(SAS)、抑郁自评量表(SDS)对8所综合性医院急诊、ICU、临终关怀病房等96名青年护理人员(研究组),94名其他病房的青年护理人员(对照组)进行了调查,并进行对比分析.结果 研究组SAS及SDS评分、抑郁和焦虑的发生率均高于对照组,差异有统计学意义(P<0.05).结论 经常面对患者死亡的青年护理人员,应激障碍发生率高,心理健康水平较低,值得护理管理者密切关注. 相似文献
62.
以护理学基础为例浅谈青年专业教师在双语教学中的作用 总被引:1,自引:0,他引:1
双语教学在各高校陆续开展,其中师资问题一直是影响双语教学的关键因素。青年专业教师具有良好的英语基础和专业基础,有较高的内在因素和较强的创新能力,有助于高等院校双语教学快速开展。本文就以护理学基础为例对青年教师在双语教学中的作用进行了探讨。 相似文献
63.
Multiple Group Confirmatory Factor Analysis of the Young Schema-Questionnaire in a Dutch Clinical versus Non-clinical Population 总被引:1,自引:0,他引:1
So far, results on the dimensionality of the Young Schema-Questionnaire (YSQ) were based on exploratory factor analysis. In this study, confirmatory techniques were used to investigate the latent structure of the YSQ and its measurement invariance across a Dutch clinical (n = 172) and non-clinical (n = 162) sample. Data support the 16 factor structure as originally hypothesized by Young (Young, J. E. (1994). Cognitive therapy for personality disorders: A schema-focused approach (Rev. ed.). Sarasota, FL: Professional Resource Press), including Social Undesirability, which did not appear as a separate factor in earlier studies. Furthermore, results suggest factorial similarity across both samples. Best fit was found for a model in which inter-factor correlations and factor loadings were specified as invariant across samples while error variances were allowed to vary. An additional finding was that the YSQ can be split into two parallel parts. Parallel tests represent the same underlying constructs, and share identical psychometric properties, but contain different items. Their utilization could be highly profitable for research and clinical practice.
相似文献
Marleen M. RijkeboerEmail: Phone: +31-30-2531470Fax: +31-30-2534718 |
64.
目的:观察青壮年甲状腺功能亢进患者骨矿物质含量的变化.方法:采用双能X线吸收法测量84例青壮年甲亢患者(甲亢组)和84例与其年龄和性别匹配的正常健康者(对照组)的全身、正位腰椎(L2-4)和左侧股骨近端(包括股骨颈、大粗隆、髋关节)骨矿物质密度(BMD),并同时测量血清游离三碘甲状腺原氨酸(FT3)、游离甲状腺素(FT4)水平.结果:在未接受治疗的84例青壮年甲亢患者中,女性有51.7%(30/58)存在骨矿含量异常,其中骨量减少和骨质疏松的发生率分别为36.2%(21/58)和15.5%(9/58);男性有46.2%(12/26)存在骨矿含量异常,其中骨量减少和骨质疏松的发生率分别为15.4%(4/26)和30.8%(8/26).甲亢组的全身、L2-4和左侧股骨近端BMD(除外男性L2~4,P>0.05)低于对照组(P<0.01).甲亢组病程、血清FT3、FT4含量与全身、L2~4、左侧股骨近端BMD值呈负相关(除外男性L2~4,P>0.05).结论:甲亢是青壮年男、女性低骨量和骨质疏松的主要风险因素之一. 相似文献
65.
124例青年人大肠癌临床特征 总被引:8,自引:0,他引:8
目的:讨青年人大肠癌的临床特征。方法:总结分析复旦大学附属中山医院青年人大肠癌124例患者临床特点、病理特征和生存率。结果:124例青年人大肠癌,平均病程5.5个月,误诊97例,占78.2%,误诊以肠炎、痔疮、痢疾多见。Dukes分期C、D期共95例,占76.6%。病理类型以低分化腺癌、未分化癌、黏液腺癌、印戒细胞癌多见,共71例,占57.3%。124例中81例行根治性手术,根治组5年随访生存率28.4%。结论:青年人大肠癌误诊率高,恶性程度高,预后差。如何早诊和早治是提高生存率的关键。 相似文献
66.
Helena Dreber Anders Thorell Jarl Torgerson Signy Reynisdottir Erik Hemmingsson 《Surgery for obesity and related diseases》2018,14(9):1319-1326
Background
Young adults display particularly poor weight loss in behavioral obesity treatment; nonetheless, they have seldom been included in bariatric research.Objectives
To compare weight loss, adverse events, and loss to follow-up in young (18–25 yr) versus older (≥26 yr) adults up to 5 years after Roux-en-Y gastric bypass.Setting
Nationwide, register-based study, Sweden.Methods
Prospective registry data (Scandinavian Obesity Surgery Register) were analyzed in young (22.2 yr [standard deviation (SD): 2.1], 81.6% women, mean body mass index 43.7 kg/m2 [SD: 5.4]) and older (42.6 years [SD: 9.6], 82.0% women, mean body mass index 43.4 kg/m2 [SD: 5.0]) adults undergoing Roux-en-Y gastric bypass. Groups were matched for body mass index, sex, and year of surgery. Regression analyses and mixed models were used to compare outcomes between groups.Results
A total of 369 young (37.0% of eligible) and 2210 older (46.1%) adults attended the 5-year follow-up. At this time, weight loss was 31.8% in young and 28.2% in older adults (P < .001), with a serious adverse event (Clavien-Dindo ≥3b) being reported in 52 (14.1%) young and 153 (6.9%) older adults (odds ratio?=?2.06, 95% confidence interval: 1.45–2.92, P < .001). Loss to follow-up was higher in young versus older adults throughout the study period (range of relative risk?=?1.16–1.89, P < .001).Conclusions
While young adults displayed at least equal weight loss as older adults, rates of adverse events were approximately doubled, and loss to follow-up rates were higher. Future studies on the significance of and the etiology behind the higher incidence of serious adverse events are needed. Intensified clinical contact post Roux-en-Y gastric bypass should have the potential to further improve outcomes in young adults. 相似文献67.
Jae Myeong Lee Young Kwon Cho Han Myun Kim Myung Gyu Song Soon-Young Song Jae Woo Yeon Dae Young Yoon Sam Yeol Lee 《Journal of vascular surgery》2018,67(3):860-867
Objective
The objective of this study was to conduct a prospective clinical trial evaluating the technical feasibility and short-term clinical outcome of the blind pushing technique for placement of pretrimmed peripherally inserted central catheters (PICCs) through brachial vein access.Methods
Patients requiring PICC placement at any of the three participating institutions were prospectively enrolled between January and December 2016. The review boards of all participating institutions approved this study, and informed consent was obtained from all patients. PICC placement was performed using the blind pushing technique and primary brachial vein access. The following data were collected from unified case report forms: access vein, obstacles during PICC advancement, procedure time, and postprocedural complications.Results
During the 12-month study period, 1380 PICCs were placed in 1043 patients. Of these, 1092 PICCs placed in 837 patients were enrolled, with 834 PICCs (76%) and 258 PICCs (34%) placed through brachial vein and nonbrachial vein access, respectively. In both arms, obstacles were most commonly noted in the subclavian veins (n = 220) and axillary veins (n = 94). Successful puncture of the access vein was achieved at first try in 1028 PICCs (94%). The technical success rate was 99%, with 1055 PICCs (97%) placed within 120 seconds of procedure time and 1088 PICCs (99%) having the tip located at the ideal position. Follow-up Doppler ultrasound detected catheter-associated upper extremity deep venous thrombosis (UEDVT) for 18 PICCs in 16 patients and late symptomatic UEDVT for 16 PICCs in 16 patients (3.1%). Catheter-associated UEDVT was noted for 28 PICCs (82%) and 6 PICCs (18%) placed through brachial vein and nonbrachial vein access, respectively. The incidence of obstacles and the procedure time (<120 seconds) differed significantly between brachial vein and nonbrachial vein access (P = .001). There was no statistically significant difference between brachial vein and nonbrachial vein access in the incidence of UEDVT (odds ratio, 0.68; 95% confidence interval, 0.59-3.52; P = .22).Conclusions
The placement of pretrimmed PICCs by the blind pushing technique and primary brachial vein access is technically feasible and may represent an alternative to the conventional PICC placement technique, having low incidences of UEDVT and other complications, with no significant difference in outcomes between brachial vein and nonbrachial vein access. 相似文献68.
69.
《Urologic oncology》2015,33(6):265.e15-265.e21
BackgroundThe prognosis of younger patients with prostate cancer is unclear, and the very few studies assessing those with metastatic castration-resistant prostate cancer (mCRPC) have mainly involved patients treated with older therapies. The aim of this observational study was to evaluate the clinical outcomes of a contemporary series of docetaxel-treated patients with mCRPC who were 60 years and younger.Patients and methodsWe retrospectively identified 134 patients who were 60 years and younger who were treated with docetaxel in 25 Italian hospitals and recorded their predocetaxel history of prostate cancer, their characteristics at the start of chemotherapy, and their postdocetaxel treatment history and outcomes.ResultsMost of the 134 consecutive patients with mCRPC received the standard 3-week docetaxel schedule; median progression-free survival (PFS) was 7 months, and 90 patients underwent further therapies after progression. The median overall survival (OS) from the start of docetaxel treatment was 21 months, but OS was significantly prolonged by the postprogression treatments, particularly those based on the new agents such as cabazitaxel, abiraterone acetate, or enzalutamide. OS was significantly shorter in the patients with a shorter interval between the diagnosis of prostate cancer and the start of docetaxel treatment; those who received hormonal treatment for a shorter period; those with shorter prostate-specific antigen doubling times; and those with lower hemoglobin levels, a worse performance status, and higher lactate dehydrogenase levels before starting treatment with docetaxel.ConclusionsThe findings of this first study of clinical outcomes in a contemporary series of younger patients with mCRPC showed that their survival is similar to that expected in unselected patients with mCRPC who were of any age. 相似文献