社会支持对肝硬化患者生活质量的影响研究

Objective To discuss the effect of social support to the quality of life of the patients with hepatocirrhosis. Methods 98 hepatocirrhosis patients in our hospital were divided into observation and control groups. Both the groups were accepted routine therapy and nursing while striving for social support for the patients of observation group, then having a whole evaluation to the status of patients, in the study early interference and health education were important. SSRE (Social Support Rating Scale) and SF - 36QOL made by America medi-cine graduate school to research and survey the two patients. Results The whole mark of social support (46.33 ±3.78) and the whole health of QOL (78.86±11.31 ) and every dimensionality of observation group were all bet-ter than those of control group (P<0.01) . Conclusions The social support can infect directly the QOL of pa-tients with hepatocirrhosis, all the doctors and nurses should recognition the system of social support, in order to improve the QOL of the patients.     

社会支持对肝硬化患者生活质量的影响研究

Objective To discuss the effect of social support to the quality of life of the patients with hepatocirrhosis. Methods 98 hepatocirrhosis patients in our hospital were divided into observation and control groups. Both the groups were accepted routine therapy and nursing while striving for social support for the patients of observation group, then having a whole evaluation to the status of patients, in the study early interference and health education were important. SSRE (Social Support Rating Scale) and SF - 36QOL made by America medi-cine graduate school to research and survey the two patients. Results The whole mark of social support (46.33 ±3.78) and the whole health of QOL (78.86±11.31 ) and every dimensionality of observation group were all bet-ter than those of control group (P<0.01) . Conclusions The social support can infect directly the QOL of pa-tients with hepatocirrhosis, all the doctors and nurses should recognition the system of social support, in order to improve the QOL of the patients.     

社会支持对肝硬化患者生活质量的影响研究

Objective To discuss the effect of social support to the quality of life of the patients with hepatocirrhosis. Methods 98 hepatocirrhosis patients in our hospital were divided into observation and control groups. Both the groups were accepted routine therapy and nursing while striving for social support for the patients of observation group, then having a whole evaluation to the status of patients, in the study early interference and health education were important. SSRE (Social Support Rating Scale) and SF - 36QOL made by America medi-cine graduate school to research and survey the two patients. Results The whole mark of social support (46.33 ±3.78) and the whole health of QOL (78.86±11.31 ) and every dimensionality of observation group were all bet-ter than those of control group (P<0.01) . Conclusions The social support can infect directly the QOL of pa-tients with hepatocirrhosis, all the doctors and nurses should recognition the system of social support, in order to improve the QOL of the patients.     

社会支持对肝硬化患者生活质量的影响研究

Objective To discuss the effect of social support to the quality of life of the patients with hepatocirrhosis. Methods 98 hepatocirrhosis patients in our hospital were divided into observation and control groups. Both the groups were accepted routine therapy and nursing while striving for social support for the patients of observation group, then having a whole evaluation to the status of patients, in the study early interference and health education were important. SSRE (Social Support Rating Scale) and SF - 36QOL made by America medi-cine graduate school to research and survey the two patients. Results The whole mark of social support (46.33 ±3.78) and the whole health of QOL (78.86±11.31 ) and every dimensionality of observation group were all bet-ter than those of control group (P<0.01) . Conclusions The social support can infect directly the QOL of pa-tients with hepatocirrhosis, all the doctors and nurses should recognition the system of social support, in order to improve the QOL of the patients.     

社会支持对肝硬化患者生活质量的影响研究

Objective To discuss the effect of social support to the quality of life of the patients with hepatocirrhosis. Methods 98 hepatocirrhosis patients in our hospital were divided into observation and control groups. Both the groups were accepted routine therapy and nursing while striving for social support for the patients of observation group, then having a whole evaluation to the status of patients, in the study early interference and health education were important. SSRE (Social Support Rating Scale) and SF - 36QOL made by America medi-cine graduate school to research and survey the two patients. Results The whole mark of social support (46.33 ±3.78) and the whole health of QOL (78.86±11.31 ) and every dimensionality of observation group were all bet-ter than those of control group (P<0.01) . Conclusions The social support can infect directly the QOL of pa-tients with hepatocirrhosis, all the doctors and nurses should recognition the system of social support, in order to improve the QOL of the patients.     

社会支持对肝硬化患者生活质量的影响研究

Objective To discuss the effect of social support to the quality of life of the patients with hepatocirrhosis. Methods 98 hepatocirrhosis patients in our hospital were divided into observation and control groups. Both the groups were accepted routine therapy and nursing while striving for social support for the patients of observation group, then having a whole evaluation to the status of patients, in the study early interference and health education were important. SSRE (Social Support Rating Scale) and SF - 36QOL made by America medi-cine graduate school to research and survey the two patients. Results The whole mark of social support (46.33 ±3.78) and the whole health of QOL (78.86±11.31 ) and every dimensionality of observation group were all bet-ter than those of control group (P<0.01) . Conclusions The social support can infect directly the QOL of pa-tients with hepatocirrhosis, all the doctors and nurses should recognition the system of social support, in order to improve the QOL of the patients.     

社会支持对肝硬化患者生活质量的影响研究

Objective To discuss the effect of social support to the quality of life of the patients with hepatocirrhosis. Methods 98 hepatocirrhosis patients in our hospital were divided into observation and control groups. Both the groups were accepted routine therapy and nursing while striving for social support for the patients of observation group, then having a whole evaluation to the status of patients, in the study early interference and health education were important. SSRE (Social Support Rating Scale) and SF - 36QOL made by America medi-cine graduate school to research and survey the two patients. Results The whole mark of social support (46.33 ±3.78) and the whole health of QOL (78.86±11.31 ) and every dimensionality of observation group were all bet-ter than those of control group (P<0.01) . Conclusions The social support can infect directly the QOL of pa-tients with hepatocirrhosis, all the doctors and nurses should recognition the system of social support, in order to improve the QOL of the patients.     

社会支持对肝硬化患者生活质量的影响研究

Objective To discuss the effect of social support to the quality of life of the patients with hepatocirrhosis. Methods 98 hepatocirrhosis patients in our hospital were divided into observation and control groups. Both the groups were accepted routine therapy and nursing while striving for social support for the patients of observation group, then having a whole evaluation to the status of patients, in the study early interference and health education were important. SSRE (Social Support Rating Scale) and SF - 36QOL made by America medi-cine graduate school to research and survey the two patients. Results The whole mark of social support (46.33 ±3.78) and the whole health of QOL (78.86±11.31 ) and every dimensionality of observation group were all bet-ter than those of control group (P<0.01) . Conclusions The social support can infect directly the QOL of pa-tients with hepatocirrhosis, all the doctors and nurses should recognition the system of social support, in order to improve the QOL of the patients.     

社会支持对肝硬化患者生活质量的影响研究

Objective To discuss the effect of social support to the quality of life of the patients with hepatocirrhosis. Methods 98 hepatocirrhosis patients in our hospital were divided into observation and control groups. Both the groups were accepted routine therapy and nursing while striving for social support for the patients of observation group, then having a whole evaluation to the status of patients, in the study early interference and health education were important. SSRE (Social Support Rating Scale) and SF - 36QOL made by America medi-cine graduate school to research and survey the two patients. Results The whole mark of social support (46.33 ±3.78) and the whole health of QOL (78.86±11.31 ) and every dimensionality of observation group were all bet-ter than those of control group (P<0.01) . Conclusions The social support can infect directly the QOL of pa-tients with hepatocirrhosis, all the doctors and nurses should recognition the system of social support, in order to improve the QOL of the patients.     

Effect evaluation of health education in 80 cases of type 2 diabetes

To investigate the effect of health education on type 2 diabetes treatment.Main Prognosis indes:Self-made questinnaire,consisted of name,sex,age,education degree,course of disease,mental state,common problems and need of diabetes knowledge.Result:Before education,88.9% of diabetes patients didn‘t know the common problems,85% could‘t control diet,81% couldn‘t obey medical order,8 cases needing insulin injection get no suitable instruction,3 cases couldn‘t reach expected blood glucose level.All patients expect corresponding educatio.Trough 1 year of follow-up survey after education,95% of the patients got diabetes-related knowledge,100% could control diet,but 30% couldn‘t keep for long time,90% could stick to taking drugs on time and insulin user could grasp right dosage and method.Conclusion:health education to patients with type 2 diabetes can improve their self-protection.help them establish healthy life style,cooperate with doctors and improve their living quality.     

宫颈癌患者治疗后对性功能的影响及性康复指导

宫颈癌患者由于其发病部位特殊,疾病本身以及手术,放、化疗等引起生殖器官结构改变、性功能变化和多种躯体不适,生活质量受到严重影响,给患者及家属带来巨大危机。笔者从宫颈癌治疗对性功能的影响提出治疗后医护人员应常规对宫颈癌患者及其配偶进行必要的性教育及性生活指导,以帮助患者恢复正常人的生活和工作,从而保持心情愉快,使患者术后尽可能建立较高的生活质量。     

男性冠心病患者支架植入术后性生活状况的调查与护理

目的了解中青年男性冠心病患者支架植入术后的性生活状况，分析影响其性生活质量的因素，并提出护理对策。方法对114例中青年男性冠心病支架植入术后的患者进行电话访谈，了解其术后的性生活状况。结果患者术后6个月性生活频率明显低于患病前6个月，比较有统计学意义（P〈0.05）。48．9％的患者表示患病后性生活受到不同程度的影响。在影响患者性生活质量的因素中，术后对性生活的焦虑感、患病前6个月和术后的性欲强度、患病前6个月和术后性生活的频率、出现勃起功能障碍以及轻体力活动情况等均影响了性生活质量。结论医护人员应重视心脏病患者的性生活状况，将性教育列为疾病健康教育，给予患者及其配偶必要的性知识教育，帮助患者尽快恢复正常的性生活，提高其生活质量。     

维持性血液透析患者配偶应对方式的调查研究

目的:探讨维持性血液透析患者配偶的应对方式,提高维持性血液透析患者配偶的生活质量。方法:采用Jalowiec的应对量表(JCS),对46例维持性血液透析患者的配偶应对方式的采用及其效果进行调查。结果:维持性血液透析患者配偶最常采用的应对方式是勇敢面对,应对效果最好的方式是支持,最常采用的应对措施是试图一步一步处理问题,效果最好的应对措施是与专业人士讨论相关问题,如医师、护士。结论:护理人员应协助维持性血液透析患者配偶采取积极、有效的应对方式,缓解其心理应激程度。     

冠心病患者恢复性生活健康教育状况调查

目的:了解护士对冠心病患者恢复性生活的健康教育状况,分析护士对不同危险度冠心病患者进行健康教育的能力。方法:采用自行设计的问卷对88名心脏科护士进行有关冠心病患者恢复性生活的健康教育状况方面的调查。结果:虽然86.5%的护士认为为患者提供有关恢复性生活方面的健康教育很有意义,但只有8.6%的护士偶尔涉及有关恢复性生活方面的健康教育。相当一部分护士对于冠心病患者恢复性生活方面的知识很不了解。护士对不同危险度冠心病患者提供恢复性生活健康教育的能力也较差。结论:护士为冠心病患者提供恢复性生活健康教育的现状不容乐观,护士应掌握有关冠心病患者恢复性生活方面的知识,并且应具备其危险度识别及分层指导的能力,从而为不同危险度的冠心病患者提供恢复性生活方面的健康教育。     

血液透析患者对健康教育的认知及需求

目的探讨血液透析患者对健康教育的认知及需求。方法采用自制问卷对170例血液透析患者进行调查,调查内容包括患者的一般情况,对健康教育的态度、认知及需求情况,以及对血液透析相关知识的掌握情况。结果(1)不同学历及透析年限患者在健康教育的需求、要求护士掌握相关知识、了解透析相关知识和健康教育对生活质量影响的认识等方面均存在统计学差异(P<0.05);(2)在10项透析相关知识中,不同学历患者除尿毒症症状和血管通路自我护理2项内容外均有统计学差异,不同透析年限患者除尿毒症症状和营养饮食2项内容外均有统计学差异(P<0.05);(3)医护讲解、示范,听病友的经验介绍以及观看有关录像、光盘是不同文化程度患者均首选的需求方式;但对于图书、手册和宣传栏等健康教育方式,不同学历患者之间有统计学差异(P<0.05)。结论提高血液透析患者的生存质量必须注重健康教育,护理工作者作为患者健康教育的主要实施者,应根据患者的文化程度和病程等灵活采用不同的教育内容和方式。     

女性乳腺癌患者配偶心理体验的质性研究

目的:探讨女性乳腺癌患者综合治疗期间配偶的心理真实体验,为临床心理干预提供依据。方法:采用质性研究的现象学研究方法,对9例女性乳腺癌患者配偶进行深入访谈。结果:通过访谈归纳出5个主题:工作与家庭的冲突;疾病治疗信息的缺乏;出现了焦虑、抑郁情绪;性生活不和谐;对生活的前景和期望值降低。结论:医务人员应为乳腺癌患者和配偶构建交流平台,关注和缓解乳腺癌患者配偶的心理压力与痛苦,提高男性配偶的生活质量,改善乳腺癌患者和配偶的婚姻生活质量。     

上海市癌痛控制现况的调查

目的调查上海市癌痛控制的状况,了解目前存在的主要问题,为上海市癌痛管理的实施提供依据。方岳采用自行设计的患者疼痛认知及控制状况调查问卷,对上海市三甲医院746位癌症患者进行调查。结果患者对疼痛评估、药物成瘾性、耐受性等癌痛管理知识缺乏;52．9％的患者认为疼痛没有缓解,自评总体生活质量为5．75分（0～10分代表从极差到非常好）;患者希望通过“医护人员单独指导”和“参加医生、护士小讲课及咨询”等方式接受疼痛知识教育。结论上海市癌痛管理存在一定的问题,医护人员及患者均应加强疼痛知识的教育,提高疼痛治疗的有效性,改善癌症患者的生活质量。     

女性尖锐湿疣患者生活质量现状及影响因素调查

目的通过调查女性尖锐湿疣患者的生活质量现状及影响因素,为制订合理的整体护理措施提供理论依据。方法选择2011年1—9月在浙江省绍兴市7所医院门诊治疗的女性尖锐湿疣患者200例,采用一般情况调查表和尖锐湿疣生活质量评定量表(CECA10)进行调查。结果 200例患者的CECA10总分及情绪和性健康维度得分均较低;不同年龄、文化程度、职业和婚姻状况及皮损数量对患者的性健康的影响有统计学意义(P<0.05)。结论女性尖锐湿疣患者的生活状态堪忧,随着年龄增长以及婚姻状况、疾病程度的改变,患者的总体生活质量,尤其是情绪和性健康方面会受到较大的影响。医护人员应为患者提供适当的心理支持和健康教育,提高患者的生活质量,早日恢复身心健康。     

Knowledge of school nurses in the u.k. Regarding sexual health education.

In the U.K., a current government health strategy indicates that school nurses should be key contributors to sexual health education because they have access to the school-age population. However, there appears to be little research that investigates whether school nurses are the most appropriate health care professionals or indeed have sufficient knowledge to contribute to this topic in the schools. The purpose of this study was to examine the sexual health knowledge of school nurses, using a survey to assess school nurses employed in a large central region of the U.K. The results suggest that although their general knowledge of the topic was adequate, school nurses have insufficient knowledge to effectively teach about sexually transmitted infections or emergency contraception. This has implications for school nursing because it appears that school nurses may have inadequate knowledge about sexual health to contribute to sex education in schools.     

Sexual changes in hemiparetic patients

Eighty-six patients, each with hemiparesis caused by a single stroke, were studied to assess the changes in sexual life experienced after the onset of the illness. Clinical data were collected, and a questionnaire concerning both sexual behavior and feelings about sexuality was administered to the patients and their spouses. Twenty-four couples were eliminated from further analysis because of a discrepancy between husband and wife in the answers concerning sexual behavior after stroke. A marked decline in sexual activity after stroke was found in both genders; other aspects of sexual behavior underwent fewer changes. The feeling of an overall change in sexual life was reported more frequently by male patients. Most patients' spouses reported the feeling of an overall psychological change in their partners and the feeling of an overall change in sexual life after the onset of the illness. No significant associations were found between clinical features and changes in sexual life. This study confirms that cerebrovascular accidents are generally followed by some important alterations in sexual life. Clinical factors do not seem to play a crucial role in determining these changes, which may be better explained in terms of maladjustment attributable to psychologic and interpersonal factors.