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1.
目的 探讨接纳与承诺疗法(acceptance and commitment therapy,ACT)对食管癌术后患者负性情绪及生活质量的影响。方法 选取2019年4月—2020年3月收治的100例食管癌术后患者为研究对象,采用随机数字表法将其分为对照组和观察组,各50例。对照组采用常规护理方法,观察组在常规护理的基础上实施ACT疗法。比较2组心理灵活性、焦虑抑郁情绪及生活质量的变化。结果 干预后观察组接纳和行动问卷(acceptance and acton questionnaire-2nd edition,AAQ-Ⅱ)、焦虑自评量表(self-rating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)得分均低于对照组(t=6.04,P<0.01;t=2.25,P=0.03;t=4.39,P<0.01),生命质量核心量表(quality of life questionnaire-core 30,QLQ-C30)评分高于对照组(t=3.71,P<0.01)。结论 接纳与承诺疗法能提高食管癌术后患者的心理灵活性,缓解焦虑、抑郁情绪,进而提高其生活质量。  相似文献   
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IntroductionDuring the COVID-19 pandemic, emergency nurses have been adversely affected physically, socially, and psychologically by factors such as increased workload, longer working hours, isolation from family, and limited resources. This study aimed to investigate the effect of motivational messages sent to emergency nurses during the COVID-19 pandemic on their job satisfaction, compassion fatigue, and communication skills.MethodsThis was a randomized controlled experimental study. The study was conducted with 60 emergency nurses in 2 training and research hospitals in Istanbul between July 31 and August 31, 2021. The participants were randomly assigned to the intervention and control groups. Participants in the intervention group (n = 30) received daily motivational messages to their mobile phones by short message service for 21 days; those in the control group (n = 30) received no motivational messages. The Job Satisfaction Scale, Compassion Fatigue Scale, and Communication Skills Scale were administered before and after the intervention.ResultsThe mean age was 29.8 (SD = 7.5) and 28.7 years (SD = 6.9) in the intervention and control groups, respectively. Before the intervention, there were no significant differences in the groups’ scores for job satisfaction (P = .561), compassion fatigue (P = .687), or communication skills (P = .355). After the intervention, the intervention group had significantly higher scores for job satisfaction (P < .001) and communication skills (P < .001) and significantly lower compassion fatigue scores than the control group (P < .001).DiscussionOur results suggest that motivational messages sent to emergency nurses during the COVID-19 pandemic increase job satisfaction and improve communication skills while reducing compassion fatigue.  相似文献   
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目的 探讨八段锦运动对腹膜透析患者透析充分性、营养状况以及生活质量的影响。方法2019年6月至2020年6月,采用方便抽样方法选取在上海中医药大学附属龙华医院肾内科接受腹膜透析治疗的70例患者作为研究对象。采用随机数字表法将患者分为观察组(n=35)和对照组(n=35),对照组接受常规生活方式指导及腹膜透析相关并发症处理,观察组在此基础上增加八段锦运动。比较两组患者干预前、干预12周后的透析充分性、营养状况以及生活质量。结果 与干预前比,干预12周后两组患者透析充分性均无明显变化(P>0.05);前白蛋白与血红蛋白均升高(P<0.05),白蛋白无明显变化(P>0.05);观察组患者肾脏病影响维度得分提高(P<0.05)。干预12周后,观察组患者躯体健康综合评分、心理健康综合评分、肾脏病影响维度得分均高于对照组(P<0.05)。结论 八段锦运动能有效提高腹膜透析患者的生活质量。  相似文献   
5.
Introduction and objectivesLiver cirrhosis is a major public health issue associated with high morbidity and mortality. The ANSWER trial showed that long-term human albumin (LTA) infusions led to significant reduction of complications and mortality in patients with uncomplicated ascites. The present study aimed to assess the incremental cost of cirrhosis patients treated with LTA plus standard medical treatment (SMT) versus those treated with SMT from the perspective of the Mexican Social Security Institute (IMSS).Material and methodsCost of illness for patients with cirrhosis and grade 2-3 ascites treated with SMT or with SMT and LTA (following the treatment regimen from ANSWER) over a one-year period was estimated according to the IMSS perspective. Rates of treatments, complications and hospitalizations were based on results from the ANSWER trial. Unit costs from IMSS were gathered from public sources and transformed to 2020 Mexican $ (Mex$).ResultsThe use of LTA is estimated to require additional annual expenditure derived from the pharmacological cost of human albumin and by the follow up visits required for LTA administration (Mex$28,128). However, this cost may potentially be counterbalanced by the reduction in paracentesis, cirrhosis-related complications and hospitalizations which would lead to cost savings of Mex$33,417 per patient/year.ConclusionsBased on the ANSWER trial results, our study suggests that LTA may result in improved clinical outcomes and reduced costs for the IMSS when administered to cirrhosis patients with uncomplicated ascites.  相似文献   
6.
The burden of autism spectrum disorder (ASD) in Saudi Arabia remains unclear with a dearth of literature, which focus on risk factors, prevalence, or interventions. This study is a review of the published literature related to dental experiences of children with ASD in Saudi Arabia. Twenty-two studies were included in this review, based on the predefined inclusion criteria which examined dental disease prevalence in children with ASD, identified the risk factors and the potential barriers to oral care. Results uncovered a lack of systematically published studies from Saudi Arabia which might have led to the limited development of effective oral health policies in the Kingdom. Identification of research gaps and potential intervention policies are needed to improve the oral health and quality of life of children with ASD in Saudi Arabia.  相似文献   
7.
目的 调查乳腺癌患者配偶夫妻疾病沟通现状及其影响因素,为临床开展针对性配偶或夫妻干预提供参考。方法 采用一般资料问卷、夫妻癌症沟通问题量表配偶部分、二元应对量表、洛克-华莱氏婚姻调适量表及癌症自我效能量表-配偶版对278名中青年乳腺癌患者配偶进行调查。结果 中青年乳腺癌患者配偶的夫妻疾病沟通问题总分为15.66±2.27,自我效能、二元应对、婚龄及累计照顾时长是中青年乳腺癌患者配偶夫妻疾病沟通问题的影响因素(均P<0.05),可解释总变异的40.1%。结论 中青年乳腺癌患者配偶夫妻疾病沟通问题处于中等偏低水平,自我效能低、二元应对水平低、婚龄短及累计照顾时间短的配偶与患者间更易出现沟通问题。医护人员应重视婚龄短、照护时间较短的夫妻,可以自我效能及二元应对为切入点制订配偶及夫妻相关护理措施,改善夫妻疾病沟通问题。  相似文献   
8.
《Sexologies》2022,31(3):215-225
Increased life expectancy creates the prospect of prolonged marital intimacy. However, mature couples face many challenges — physiological, cultural, and familial — and they must be able to mobilize their individual and relational resources to maintain good levels of marital and sexual satisfaction. The aim of this study is to highlight various factors that contribute to the conjugal and sexual satisfaction of older couples, and to discuss the stressing of these factors in a crisis context. 534 participants aged between 18 and 74 years old answered several questionnaires measuring their degree of sexual and conjugal satisfaction as well as the areas of strength and fragility in the relational dynamics of their couple. In addition, five couples also accepted a semi-structured interview on their relationship dynamics and their vision of the ageing couple. The results highlight the major impact of several variables contributing to an increase in relational and sexual satisfaction within couples (e.g. health concerns, conflict management, fondness…). Furthermore, a comparison between the scores of the over-51s and the younger ones highlights the areas of strength of older partners. These different factors will be discussed. Finally, we will propone therapeutic advices aimed at supporting the areas of strength of mature couples in order to accompany them towards long-term relational and sexual fulfillment.  相似文献   
9.
目的:调查心脏机械瓣膜置换术(mechanical heart valve replacement,MHVR)术后长期抗凝治疗病人的满意度,并分析其影响因素,为临床治疗提供依据。方法:采用方便抽样的方法选取贵州省某三级甲等医院MHVR术后146例病人为研究对象,采用中文版抗凝治疗满意度量表(Anti-Clot Treatment Scale,ACTS)对其抗凝治疗满意度进行调查,采用单因素、多元逐步回归分析对抗凝治疗满意度的影响因素进行分析。结果:多元逐步回归分析结果显示,影响MHVR术后病人抗凝治疗满意度的因素从大到小依次为出院后并发症发生情况、出院时长、医生能否调华法林剂量、出院后是否再次住院以及每次复查费用,可以解释满意度总变异的58.7%。标准化回归方程为满意度得分=0.262×出院时长-0.347×出院后并发症发生情况+0.239×医生能否调华法林剂量-0.219×出院后是否再次住院-0.130×每次复查费用。结论:对MHVR术后病人进行延续性护理时,应重点加强华法林用药的教育,提高用药依从性,严禁病人随意加量或减量,指导病人观察出血、血栓形成的信号,学会应对措施,同时及时告知医生,减少并发症的发生。  相似文献   
10.
BackgroundA randomized controlled study was conducted on the effects of laughter yoga in reducing the perceived stress and burnout levels in nurses during the pandemic and in increasing their life satisfaction.Materials and methodsThe study was conducted with 101 (51 in the experimental group, and 50 in the control group) nurses providing care for patients with COVID-19. A total of eight sessions of laughter yoga were applied to the nurses in the experimental group for four weeks, twice a week. The Introductory Information Form, Perceived Stress Scale, Maslach Burnout Inventory, and Life Satisfaction Scale were used during data collection.ResultsThe difference between the pre- and posttest Perceived Stress Scale, Maslach Burnout Inventory, and Life Satisfaction Scale score averages of the nurses in the experimental group were found to be statistically significant (p < 0.05), whereas the difference between the pre- and posttest score averages of the nurses in the control group was not significant (p > 0.05).ConclusionLaughter yoga is an effective method to reduce perceived stress and burnout while also increasing life satisfaction.Clinicaltrials.gov idNCT05317091.  相似文献   
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