人文关怀在重症手足口病护理中的应用

目的 探讨人文关怀在重症手足口病护理中的效果及护理措施.方法 选取2009年1月～2010年1月在我院接受诊治的重症手足口病患儿60例,进行实施人文关怀护理措施.结果 经积极的治疗及系统的护理,所有患儿均进人恢复期,平均住院(13.53±1.80)d.其中48例患儿获得临床治愈,9例患儿遗留脑电图轻度异常,3例脑脊髓炎患儿遗留轻度右下肢功能障碍,无死亡病例.结论 人文关怀在重症手足口病护理中的应用效果明显,值得应用.     

肠内营养对重型破伤风患者营养支持的探讨

Objective To study the effect of enteral nutrition on patients with severe tetanus. Methods The patients totaled 60 cases were divided into two groups with 30 cases in each. The patients in EN group were treated with enteral nutrition on basis of routine treatment, control group was treated with total parenteral nutrition (TPN). The indicators values of BMI, TSF, MAMC, TP, PAm, m, ALB and Hb were tested on the day before nutrition supports and after nutrition supports 10 days later in two groups. Adverse reaction and the treatment effect were observed simultaneously. Results With nutritional supports 10 days later, two groups had no obvious decline in BMI, TSF and MAMC. TP, PA, ALB and Hb of EN group were higher than those of control group (P＜0.05) . Complication rate of EN group was lower than that of control group, there was significant differences (P＜0.05) . Conclusions Early EN may improve protein metabo lism in patients with severe tetanus and nutritional status.     

心理护理干预对艾滋病患者抑郁及依从性的影响

目的 观察心理护理干预对艾滋病患者治疗的影响.方法 将108例艾滋病患者随机分为两组,干预组和对照组,对照组采用常规护理,干预组在此基础上运用心理护理干预方法,采用抑郁自评量表比较两组抑郁发生率,并于治疗结束后对患者进行依从性行为调查.结果 干预前,两组的抑郁发生率无明显差异;干预后,干预组抑郁发生率显著低于对照组(P<0.05),治疗依从性明显高于对照组(P<0.01).结论 心理护理干预可提高艾滋病患者治疗的依从性行为,降低抑郁发生率,有利于患者完成治疗,提高其生活质量.     

情志护理路径联合耳穴压贴对中风抑郁患者影响

目的:探讨中医特色护理中情志护理路径联合耳穴压贴疗法对中风后抑郁患者的康复疗效及负性情绪的影响。方法:将我科收治的60例患者按照入院先后顺序随机分为对照组和实验组,对照组患者在常规治疗的基础上进行中风常规护理,实验组患者在常规护理的基础上实施中医情志护理路径联合耳穴压贴疗法。观察两组汉密顿抑郁量表(HAMD)的评分情况,并对不良反应发生情况进行分析。结果:两组患者经过护理治疗后HAMD评分有所下降,实验组患者HAMD评分下降幅度显著优于对照组(P0.05)。结论:中医特色护理中情志护理路径联合耳穴压贴疗法能够显著改善中风后抑郁患者的抑郁状态,提高患者基本生活能力以及生活质量,有效降低神经功能缺损程度以及抑郁程度,对于患者康复具有重要的实用价值。     

肠内营养对重型破伤风患者营养支持的探讨

Objective To study the effect of enteral nutrition on patients with severe tetanus. Methods The patients totaled 60 cases were divided into two groups with 30 cases in each. The patients in EN group were treated with enteral nutrition on basis of routine treatment, control group was treated with total parenteral nutrition (TPN). The indicators values of BMI, TSF, MAMC, TP, PAm, m, ALB and Hb were tested on the day before nutrition supports and after nutrition supports 10 days later in two groups. Adverse reaction and the treatment effect were observed simultaneously. Results With nutritional supports 10 days later, two groups had no obvious decline in BMI, TSF and MAMC. TP, PA, ALB and Hb of EN group were higher than those of control group (P＜0.05) . Complication rate of EN group was lower than that of control group, there was significant differences (P＜0.05) . Conclusions Early EN may improve protein metabo lism in patients with severe tetanus and nutritional status.     

手足口病80例临床护理

目的：探讨小儿手足口病（HFMD）的护理方法。方法：对80例HFMD患儿除实施常规护理外,重点在常见并发症及危重先兆征象的观察和出院指导。结果：及时发现HFMD并发症的先兆征象并给予及时处理,病情未加重,80例均痊愈出院。结论：护士掌握HFMD发生发展的规律,加强常见并发症及危重先兆征象的观察、预防与护理,及时采取积极的处理措施,可有效地预防手口足病并发症的发生,提高治愈率。     

舒适护理在破伤风患者中应用的效果评价

目的 探讨舒适护理在破伤风患者中应用的效果.方法 将65例患者随机分为观察组和对照组.对照组33例采用传统护理模式,观察组32例采用舒适的护理模式.结果 两组患者主观舒适度比较有统计学意义(P＜0.05).结论 运用舒适护理模式对破伤风患者实施护理,能提高患者的舒适度,充分体现了"以人为本、以病人为中心"的整体护理内涵.     

护理干预对艾滋病患者亲属照顾者不良心理行为表现的影响

Objective To investigate mining intervention's influence on relative caregivers of AIDS patients with adverse psychological reactions and behavior. Methods Sixty five cases with advene psychological reactions and behavior of the relative caregivers of AIDS patients in hospital were selected and randomly divided into control group 30 cases and observation group 35 cases. Relative caregivers of patients in control group were given routine nursing care, while nursing interventions were added in observation group, the two groups of caregivera' adverse psychological reactions and behavior were observed. Results The patients relative caregiven in observation group with advene psychological reactions and behavior were significantly reduced compared with the control group. The difference was statistically significant (P＜0.01) . Conclusions Nursing intervention can reduce advene psychological reactions and behavior of relative caregivers of AIDS patients, and play a active role to them.     

不同严重程度高胆红素血症新生儿血清AST、CKMB、LDH及BUN水平的表达及临床意义

目的研究不同严重程度高胆红素血症新生儿血清谷草转氨酶(AST)、肌酸激酶同工酶(CKMB)、乳酸脱氢酶(LDH)及尿素氮(BUN)水平的表达及临床意义,为临床治疗提供指导作用。方法选取2014年1月-2017年10月安徽省第二人民医院分娩的高胆红素血症新生儿100例作为观察组,另取同期健康新生儿100例作为对照组。分别比较观察组和对照组血清AST、CKMB、LDH、BUN以及总胆红素(TBi L)水平。此外,根据病情严重程度将观察组分为轻度组51例、中度组36例以及重度组13例,比较不同严重程度新生儿血清AST、CKMB、LDH、BUN以及TBi L水平。采用Pearson相关性分析血清AST、CKMB、LDH、BUN与TBi L的关系。结果观察组AST、CKMB、LDH以及TBi L水平均明显高于对照组,两组比较,差异有统计学意义(P0.05),而观察组和对照组BUN水平相比,差异无统计学意义(P0.05)。不同严重程度新生儿血清AST、CKMB、LDH以及TBi L水平整体比较,差异有统计学意义(P0.05),不同严重程度新生儿血清BUN水平比较,差异无统计学意义(P0.05),重度组患者AST、CKMB、LDH以及TBi L水平均明显高于轻度组与中度组,而中度组上述指标水平均明显高于轻度组(P0.05)。经Pearson相关性分析显示,观察组血清AST、CKMB、LDH与TBi L均呈正相关关系(P0.05),血清BUN与TBi L无明显相关性(P0.05)。结论血清AST、CKMB、LDH在新生儿高胆红素血症的发生、发展过程中发挥着至关重要的作用,临床工作中可通过对上述指标水平进行检测,从而有效判断高胆红素血症新生儿的疾病严重程度,为临床治疗提供指导作用。