家庭康复护理对截瘫患者生活质量的影响

目的探讨家庭康复护理对截瘫患者生活质量的影响。方法将64例外伤性截瘫患者随机分为对照组(30例)和观察组(34例)。对照组常规进行出院指导,观察组增加家庭康复护理。采用FIM量表对患者的日常生活活动能力和改良式Fugl-Meyer量表对肢体运动功能进行评分;观察并发症的发生情况。分别于出院时、1个月、3个月进行评定。结果观察组出院1个月和3个月FIM和Fugl-Meyer评分显著优于对照组(P<0.05、P<0.01);关节僵硬、肌肉萎缩、骨质疏松发生率显著低于对照组(P<0.05、P<0.01)。结论针对性的家庭康复护理能明显改善截瘫患者的肢体运动功能,增强其日常生活活动能力,降低并发症;有效地促进截瘫患者的康复,提高其生活质量。     

早期康复护理对改善脑卒中患者生活质量的影响

目的观察早期康复护理在改善脑卒中患者生活质量方面的影响。方法选择2009年7月～2011年5月来笔者所在医院就诊的脑卒中患者98例,随机分为观察组和对照组,每组各49例,所有患者均采用相同的药物治疗。观察组在药物治疗的基础上给予早期康复护理,对照组只给予药物治疗,用ADL评定患者的日常生活能力。结果治疗前两组的ADL评分比较差异无统计学意义;治疗后两组患者的ADL评分均明显增加,且观察组的增加幅度明显大于对照组,两组比较差异具有统计学意义（P〈0.05）。结论早期康复护理能够明显提高患者的生活质量,促进患者神经功能的改善,使其生活能力和躯体运动能力尽快地恢复。     

截瘫康复中的心理护理

截瘫康复中的心理护理贾勤随着医学模式的转变，心理护理已越来越受到重视。人们深切认识到人的健康是受生理、心理、社会环境等各种因素的影响。做好心理护理，对截瘫患者预防并发症，减少致残率，促进早日康复，具有十分重要的意义。１心理康复护理方法１．１否定沮丧期...     

心理康复护理对脑卒中后偏瘫患者生活质量的影响

目的:探讨心理康复护理对脑卒中后偏瘫患者生活质量的影响.方法:将80例脑卒中后偏瘫患者分为康复护理组和对照组,两组患者均接受常规治疗和护理,康复护理组患者在此基础上增加心理康复护理干预措施,在干预前和干预后30天对患者的生活质量进行评分.结果:两组患者生活质量于干预后30天均获得提高,但是康复护理组改善的更明显,与对熙组比较差异有显著性(P＜0.01).结论:心理康复护理可以提高脑卒中后偏瘫患者的生活质量,促进疾病的康复.     

心理康复护理对脑卒中后抑郁患者生活质量的影响

目的:探讨心理康复护理时脑卒中后抑郁(PSD)患者生活质量的影响.方法:将80例PSD患者分为实验组组和对照组,两组患者均接受常规的治疗和护理,实验组患者在此基础上增加心理康复护理干预措施,在干预前和干预后30天对患者的抑郁状态和生活质量进行评分.结果:两组患者抑郁状态和生活质量于干预后30天统计学比较差异有显著性(P<0.01).结论:心理康复护理可以改善抑郁状态,提高生活质量,促进疾病的康复.     

阶段性康复护理对心脏瓣膜置换患者术后生活质量的影响

目的探讨阶段性康复护理对心脏瓣膜置换患者术后生活质量的影响。方法选择2016-02—2018-01间在郑州大学第二附属医院行瓣膜置换术的90例患者,随机分为2组。对照组给予常规护理,观察组在对照组基础上给予阶段性康复护理。比较2组患者的术后生活质量。结果观察组患者卧床时间、ICU住院时间、总住院时间均低于对照组;生活质量评分和护理满意度均高于对照组。差异均有统计学意义(P0.05)。结论阶段性康复护理可有效改善心脏瓣膜置换术患者的术后生活质量,提高护理满意度。     

外伤性截瘫患者配偶生活质量影响因素调查

目的探讨影响外伤性截瘫患者配偶生活质量的因素。方法将106名外伤性截瘫患者配偶作为观察组，同期四肢骨折住院患者配偶97名为对照组，采用问卷调查法对其生活质量进行调查，比较两组生活质量并探究影响观察组生活质量的因素。结果观察组生活质量显著低于对照组（P〈0.01）；配偶的性别、文化程度、职业及患者的截瘫类型、损伤部位、受伤原因等与配偶生活质量密切相关（均P〈0.01）。结论应提供多维度的护理干预帮助外伤性截瘫患者配偶改善和提高生活质量。     

脑卒中病人的康复护理和生活质量研究

为探讨康复护理对脑座病人神经功能恢复和生活质量改善的意义,将96例脑卒中病随机分为康复组和对照组各48例。对照组予一般护理,康复组实施康复护理。3个月后对两组治疗前后进行神经功能及生活质量评价并比较。结果康复组在神经功能缺损程度恢复和生活质量指数改善方面均明显优于对照组,两组比较,差异有显著性意义（P＜0．05）。提示脑卒中病人的康复护理对神经功能的恢复和生活质量的改善具有一定效果。     

39例外伤性截瘫患者并发抑郁症的康复护理体会

目的探讨外伤性截瘫并发抑郁症的康复护理。方法通过对39例外伤性截瘫并发抑郁症的临床资料进行回顾性分析。结果经过有效的康复护理,患者抑郁症均有好转。结论以心理康复为核心,辅以其他康复护理措施,外伤性截瘫并发抑郁症康复才能收到良好的效果。     

The comparison between experimental nursing and routine nursing interventions on the quality of life of stoma patients: A systematic review and meta-analysis

The advance in nursing care for stoma patients is a challenging issue, which will influence the life quality. The quality of life is a major issue in the recovery of stoma patients. The evidence of experimental nursing has not been explored enough. A systematic search and a meta-analysis were performed for the studies of experimental nursing interventions versus routine warming interventions on patients with a stoma. The comparisons between nursing interventions were performed to find which kind of intervention will be superior in improving life quality. After a restricted selection, 10 studies, 460 subjects with experimental nursing intervention, and 478 controls with the routine nursing intervention were enrolled in a variety of causes of the stoma. The focused outcome was the quality of life. The meta-analysis was performed by Review Manager 5.4. Among the stoma patients, the meta-analysis favours the experimental nursing intervention group with higher scores of life quality when compared to the routine nursing intervention group. The meta-analysis results were with positive mean differences, significant tests for overall effect, and significant heterogeneities in the random-effects model. The experimental nursing intervention showed higher positive effects on the quality of life when compared to routine nursing intervention for stoma patients. Experimental nursing intervention might be an option for stoma nursing practitioners to improve stoma care.     

付出-获得不平衡对护士工作生活质量的影响

目的探讨付出-获得不平衡对护士工作生活质量的影响,为医院管理者提供参考。方法采用付出-获得不平衡量表（ERI）和护士工作生活质量（QNWL）量表对荆州市8所医院589名护士进行调查。结果护士ERI比值为1．41,处于付出-获得不平衡状态的护士411名（69．78％）,超负荷状态护士430名（73．00％）;护士工作生活质量总分为（3．47±1．04）分。付出-获得不平衡组与平衡组、超负荷组与未超负荷组之间的工作生活质量得分比较,差异有统计学意义（均P〈0．01）。护龄、用工形式、轮值夜班、家庭照护任务、付出-获得不平衡及超负荷是影响护士工作生活质量的主要因素。结论护士付出-获得不平衡状态及超负荷状况突出,工作生活质量处于中等水平。丰富护士的获得,平衡其付出-获得状况及减轻超负荷状况能提高护士的工作生活质量,有利于稳定护士队伍,提高护理质量。     

The comparison between experimental nursing and routine nursing interventions on the quality of life of stoma patients: A systematic review and meta‐analysis

The advance in nursing care for stoma patients is a challenging issue, which will influence the life quality. The quality of life is a major issue in the recovery of stoma patients. The evidence of experimental nursing has not been explored enough. A systematic search and a meta‐analysis were performed for the studies of experimental nursing interventions versus routine warming interventions on patients with a stoma. The comparisons between nursing interventions were performed to find which kind of intervention will be superior in improving life quality. After a restricted selection, 10 studies, 460 subjects with experimental nursing intervention, and 478 controls with the routine nursing intervention were enrolled in a variety of causes of the stoma. The focused outcome was the quality of life. The meta‐analysis was performed by Review Manager 5.4. Among the stoma patients, the meta‐analysis favours the experimental nursing intervention group with higher scores of life quality when compared to the routine nursing intervention group. The meta‐analysis results were with positive mean differences, significant tests for overall effect, and significant heterogeneities in the random‐effects model. The experimental nursing intervention showed higher positive effects on the quality of life when compared to routine nursing intervention for stoma patients. Experimental nursing intervention might be an option for stoma nursing practitioners to improve stoma care.     

The influence of clinical course after lung transplantation on rehabilitation success

Pulmonary rehabilitation (PR) is a cornerstone of treatment following lung transplantation (LTx). The aim of this study was to observe the influence of a prolonged postsurgical clinical course on success of a 3‐week inpatient PR. LTx recipients were divided according to their clinical course defined by their individual length of stay (LOS) in the transplant center (cohort 1: LOS >; cohort 2: ≤42 days). Peak work rate (PWR), maximum oxygen uptake (VO_2max), 6‐min walk distance (6‐MWD), vital capacity (VC), forced expiratory volume in one second (FEV1), physical activity of daily life (ADL), and health‐related quality of life (HRQoL) measured using Short Form 36 questionnaire (SF36) were assessed at beginning and completion of PR. A total of 138 patients were included (LOS >42 days: 30; LOS ≤42 days: 108). At completion, physical functioning (VC, FEV1, PWR, VO_2max, 6‐MWD, ADL), and HRQoL (all SF36 domains) improved in each cohort (P < 0.05). No differences were found in between both cohorts in VC, FEV1, and ADL (n.s.), but in PWR, 6‐MWD, and the SF36 domain ‘physical functioning’ (P < 0.05). A 3‐week inpatient PR improves physical functioning despite prolonged hospitalization. HRQoL is close to normal. (ClinicalTrials.gov. identifier: NCT00759538)     

全程护理对腹股沟疝修补术患者心理状态与生活质量的影响

目的研究全程护理对腹股沟疝修补术患者心理状态与生活质量的影响。 方法选择2015年6月至2017年6月,湖北文理学院附属医院收治的腹腔镜腹股沟疝修补术患者64例,以随机数字表法分为观察组及对照组,每组32例。对照组给予常规护理,观察组给予全程护理。比较2组患者护理前后的心理状态与生活质量情况。 结果护理前2组SAS评分与SDS评分比较,差异无统计学意义（P>0.05）;护理后2组SAS评分与SDS评分均有所下降,虽然观察组下降程度较对照组明显,但差异均有统计学意义（P均<0.05）。护理前2组生活质量评分比较,差异无统计学意义（P>0.05）;术后首次随访时2组生活质量评分较前均升高,但观察组改善程度优于对照组,差异有统计学意义（P<0.05）。 结论在腹股沟疝修补术的患者应用全程护理可显著改善患者心理状态,并提高生活质量,值得借鉴。     

慢性呼吸系统疾病肺康复护理质量评价体系的构建

目的构建慢性呼吸系统疾病肺康复护理质量评价体系,为评价肺康复护理质量提供工具。方法以结构-过程-结果三维结构模型为依据,通过文献回顾、结构式访谈、专家函询,确定慢性呼吸系统疾病肺康复护理质量评价指标的内容,采用专家重要性评价及优序图法确定各指标权重。结果 27名护理专家参与2轮函询,专家积极性均为100%,权威系数(Cr)为0.889,Kendall和谐系数分别为0.284和0.311,差异有统计学意义(均P0.05);形成的指标体系包括一级指标3个,二级指标17个,三级指标114个。结论慢性呼吸系统疾病肺康复护理质量评价体系具有较好的可靠性,进一步验证后可用于慢性呼吸系统疾病肺康复护理质量评价。     

护理干预对农民大棚肺患者生活质量的影响

目的探讨护理干预对农民大棚肺患者生活质量的影响。方法对54例农民大棚肺患者于住院期间在常规护理的基础上,开展讲座、有氧训练、呼吸训练、营养指导、心理支持等,出院时确保掌握相关疾病知识和自护技能,嘱患者自行坚持锻炼,指导预防疾病复发措施。于患者出院6个月后评价其生活质量。结果干预后患者生活质量显著提高(均P<0.01)。结论综合护理干预可有效提高农民大棚肺患者的生活质量。     

糖尿病生活日记对患者自我管理及生活质量的影响

目的 提高糖尿病患者的自理管理能力,有效控制血糖,实现高质量的带病生活.方法 将100例糖尿病患者随机分为观察组和对照组各50例.对照组采用常规健康教育和出院随访,观察组在此基础上,责任护士指导患者每天书写糖尿病日记,根据日记反映的问题,及时进行针对性的护理干预.结果 干预6个月后,观察组空腹血糖、餐后2h血糖、糖化血红蛋白、三酰甘油检查结果显著低于对照组,自我管理各单项得分显著高于对照组,生活质量显著优于对照组(均P＜0.05).结论 书写糖尿病生活日记能使患者及医护人员及时了解现存问题,有助于采取个性化干预措施,从而提高糖尿病患者自我管理能力,改变不良生活习惯,提高生存质量.     

肠造口患者延续性护理需求与生活质量的纵向研究

目的 调查肠造口患者出院后不同测评时间点延续性护理需求及生活质量现状,并探讨其相关性。方法 采用便利抽样法选取永久性肠造口患者89例,应用一般资料调查表、肠造口患者延续性护理需求量表、肠造口患者生活质量量表分别于患者出院后1、3、6、12个月进行调查。结果 患者延续性护理需求总分与生活质量总分在不同测评时间点差异有统计学意义,且二者呈负相关（P＜0.05,P＜0.01）。结论 肠造口患者出院后不同时间其生活质量及护理需求呈动态变化,护理需求越高生活质量越低。医务人员需科学评估各时间点患者未满足的需求,有针对性地进行护理干预,以提高患者生活质量。