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急性创伤患者心理危机综合护理干预的研究   总被引:3,自引:0,他引:3  
目的探讨综合护理干预对改善急性创伤患者心理危机的效果。方法将满足条件66例急性创伤患者应用汉密顿焦虑他评量表(HAMA)在入院3d内进行评估,焦虑分数均〉14分。随机分为观察组和对照组各33例,观察组采用综合护理干预方法,包括心理危机干预法和放松训练法等,对照组进行常规的心理支持,比较2组患者出院前2d的焦虑程度。结果对照组和观察组HAMA量表总分、躯体性焦虑因子得分和精神性焦虑因子得分在于预前差异无统计学意义(P〉0,05),干预后2组HAMA量表总分,躯体性焦虑因子和精神性焦虑因子得分差异均有统计学意义(P〈0.05)结论对急性创伤患者的心理危机进行综合护理干预效果优于常规心理支持。  相似文献
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We aimed to evaluate the effect of a Japanese herbal medicine,Hochu-ekki-to (TJ-41), on daily activity in a murine model ofchronic fatigue syndrome (CFS). CFS was induced by repeatedinjection of Brucella abortus (BA) antigen every 2 weeks. TJ-41was orally administered to mice in a dose of 500 mg/kg/day for1 week before injecting BA and for 4 weeks thereafter. We evaluateddaily running activity in mice receiving TJ-41 as compared withthat in untreated mice. Survival of both mouse groups was alsomonitored during the observation period. Body weight (BW), spleenweight (SW), SW/ BW ratio and expression levels of interleukin-10(IL-10) mRNA in spleen were determined in both groups at thetime of sacrifice. The daily activity was significantly higherin the treated group than in the control. Two mice in the untreatedgroup died 2 days after the second injection of BA, whereasno mice in the group treated with TJ-41 died. The SW and SW/BWratio were significantly lower in the treated mice than in thecontrol. Suppressed IL-10 mRNA levels were observed in the spleensof the mice treated with TJ-41. Our data suggest that Hochu-ekki-tomight possess an inhibitory effect on the marked decrease inrunning activity following BA injection.  相似文献
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The patient's daily activities in acute psychiatric care
This study is part of a research project entitled:'Towards patient-focused nursing on an acute psychiatric ward'. The aim of the project is to describe the changes taking place in nursing activities during a research project. This paper is a qualitative analysis of the patient's daily activities in acute psychiatric care. The data were collected by observing, selectively, seven patients for 61 h. The constant comparative method was used in data analysis. On the basis of the data analysis, the categories listed below were identified.
1 The core category of the patient's daily activities was'being a patient'.
2 Being a patient mainly consisted of being alone without meaningful activities.
3 Participating in the daily routines of the ward consisted of being alone while being together with others.
4 Being together was initiated by either the patient or the nurse. The aim of being together was to satisfy the acute basic needs of the patients.
5 Being together on the initiative of the nurse meant participating in the daily routines of the ward.
Because the data were collected by observation, no insight into the patients'desires, expectations and thoughts could be presented. The findings challenged the nursing staff to develop a more therapeutic daily routine in acute psychiatric care. It was also of importance to change the patients'meaningless existence into a meaningful participation in the daily activities on the ward.  相似文献
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OBJECTIVE: To evaluate the effect of acute treatment on ictal behavioral functioning of patients with migraine via ambulatory accelerometry. BACKGROUND: The inability to carry out daily activities often complicates migraine attacks. Research into the effects of pharmacological drugs on this outcome parameter in the acute treatment of migraine has been based on subjective reports only. METHODS: In a double-blind, double-dummy, crossover study, 12 patients with migraine treated 2 migraine attacks with the nonspecific antimigraine drug, naproxen (500-mg capsule) or the more specific antimigraine drug, naratriptan (2.5-mg tablet). The clinical symptoms of headache, nausea, vomiting, photophobia, and phonophobia, and the subjective symptoms reflecting mood, sleepiness, and level of functioning were measured by use of a daily log. RESULTS: During the first 6 hours after intake of the study medication, the objective behavioral parameters showed no significant effect of time and no significant differences between naproxen and naratriptan, but naratriptan was significantly more efficacious than naproxen in relieving headache, nausea, and vomiting; the interval between treatment and relief was significantly shorter after intake of naratriptan. CONCLUSIONS: Consciously perceived clinical and subjective symptoms do not necessarily run in parallel with their behavioral equivalents. It, thus, may be important to assess the effects of treatment on behavioral functioning in the evaluation of the general efficacy of antimigraine drugs in the acute treatment of a migraine attack.  相似文献
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Goals of work To determine which individual or groups of upper-body daily tasks are considered most burdensome to women following breast cancer treatment, and to assess whether certain patient or treatment characteristics influence task burden.Patients and methods A convenience sample of breast cancer survivors ( n =619) completed a self-administered questionnaire regarding 48 daily tasks requiring upper-body function. Women were asked to rate how frequent and physically demanding each task was using a five-point Likert scale, and the product of task frequency and physical demand determined overall task burden. Tasks were ranked to identify the most burdensome individual tasks, while a factor analysis was performed to define independent constructs (groupings) among the tasks. Multiple linear regression models were fitted to consider the independent influences on task groups of various participant characteristics.Main results Factor analysis identified seven distinct task groups and the individual tasks considered most burdensome fell in five of these groups, specifically whole body, flexibility, carrying/upper-body strength, hand and weighted flexion tasks. Having lymphoedema or poor fitness was associated with upper-body disability involving all seven task groups, whereas other patient and treatment characteristics were related only to certain types of activities.Conclusions Breast cancer survivors report difficulty with a range of upper-body tasks, particularly if they also have lymphoedema or poor fitness. Using all or some of the tasks within the reported constructs in a questionnaire format, or the functional requirements of the most burdensome tasks to develop more objective and quantitative measures, would provide a solid base for the measurement of upper-body function in women with breast cancer.  相似文献
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The aim of this study was to assess the effect of Brewers' yeast extract (BYE) on daily activity in a mouse model of chronic fatigue syndrome (CFS). CFS was induced by repeated injection of Brucella abortus (BA) antigen every 2 weeks. BYE was orally administered to mice in a dose of 2 g per kg per day for 2 weeks before injecting BA and for 4 weeks thereafter. We evaluated daily running activity in mice receiving BYE as compared with that in untreated mice. Weekly variation of body weight (BW) and survival in both groups was monitored during the observation period. Spleen weight (SW), SW/BW ratio, percent splenic follicular area and expression levels of interferon-gamma (IFN-gamma) and interleukin-10 (IL-10) mRNA in spleen were determined in both groups at the time of sacrifice. The daily activity during 2 weeks after the second BA injection was significantly higher in the treated group than in the control. There was no difference in BW between both groups through the experimental course. Two mice in the control died 2 and 7 days after the second injection, whereas no mice in the treated group died. Significantly decreased SW and SW/BW ratio were observed in the treated mice together with elevation of splenic follicular area. There were suppressed IFN-gamma and IL-10 mRNA levels in spleens from the treated mice. Our results suggest that BYE might have a protective effect on the marked reduction in activity following repeated BA injection via normalization of host immune responses.  相似文献
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