人性化护理在颅内动脉瘤血管内栓塞术围手术期的应用

目的探讨人性化护理在颅内动脉瘤血管内栓塞术围手术期应用效果。方法收集2016-01—2018-01入院的80例颅内动脉瘤血管内栓塞术患者,随机分为2组,对照组给予常规护理,观察组则加施人性化护理,比较2组患者心理状况、围手术期生理指标与远期生活质量。结果观察组干预后与出院前SAS评分与SDS评分组间比较均显著性低于对照组;术前30min收缩压、舒张压、呼吸频率与心率水平组间比较均显著低于对照组;术后1个月与末期随访疼痛、娱乐消遣与咀嚼维度评分组间比较均显著性低于对照组,差异有统计学意义(P0.01);术后总并发症发生率明显低于对照组,差异有统计学意义(P0.05)。结论人性化护理在颅内动脉瘤血管内栓塞术围手术期应用效果显著。     

优质护理模式在高血压脑出血患者术后再出血中的应用效果

目的探讨优质护理模式在高血压脑出血术后再出血患者中的构建及应用效果。方法选取56例高血压脑出血术后再出血患者,利用随机综合序贯法将所有患者分为优质组和对照组。对照组接受常规护理干预,优质组接受优质护理干预。对比干预前后2组心理状态、生活质量变化及预后成效。结果护理前2组心理状态评分及各维度生活质量评分差异均无显著性(P0.05),护理后2组心理状态评分均较护理前显著降低(P0.05),而2组各维度生活质量评分均较护理前显著升高(P0.05),且护理后2组间心理状态及各维度生活质量评分差异均有显著性(P0.05);优质组预后评分远高于对照组(P0.05)。结论在高血压脑出血患者术后再出血中实施优质护理模式对心理状态、生活质量及预后状况的改善作用均较为显著。     

颅内动脉瘤介入治疗的系统综合护理干预

目的探讨进行颅内动脉瘤介入治疗的护理干预。方法选择我院2012-06—2015-06颅内动脉瘤介入治疗60例患者,随机分为观察组及对照组,对照组采取常规护理,观察组给予以预见性护理为导向的系统综合护理。比较2组护理效果。结果观察组术后SAS评分、并发症发生率均显著低于对照组(P0.05)。结论对颅内动脉瘤介入治疗患者实施系统综合护理干预,可有效缓解患者焦虑状态并减少术后并发症发生,值得临床推广应用。     

人性化护理在颅内动脉瘤围手术期的应用观察

目的观察人性化护理在颅内动脉瘤围术期的临床应用效果。方法选取2010-01—2014-01我院收治的颅内动脉瘤手术患者152例,按入院顺序分成观察组和对照组,每组76例,对照组实施脑外科常规护理,观察组在此基础上实施人性化护理干预,观察比较2组术后生活质量评价、并发症发生率及护理满意度等指标。结果观察组生活质量SF-36各维度评分明显高于对照组;观察组并发症(10.38%)发生率明显低于对照组(28.57%);观察组护理满意度(97.37%)明显高于对照组(81.58%),差异均有统计学意义(P0.05)。结果对颅内动脉瘤患者实施围手术期人性化护理干预,可减少患者围术期并发症,提高术后生活质量和护理满意度,有效提升护理质量。     

老年患者颅内破裂动脉瘤血管内介入治疗的护理

目的研究早期护理干预在颅内破裂动脉瘤老年患者实施血管内介入治疗过程中的应用效果。方法将河南科技大学第二附属医院于2016-02-2017-01收治56例颅内动脉瘤破裂老年患者,按照入院先后顺序划分为对照组与观察组各28例,对照组接受常规术期护理服务,观察组接受临床提供的早期护理干预服务,总结2组术后并发症发生率,采用格拉斯哥预后量表(GOS)评估患者预后,评估患者生活质量评分。结果对照组术后并发症发生率28.57%,观察组为7.14%,观察组发生率低于对照组(P0.05)。对照组恢复乐观所占比例低于观察组,轻度及重度致残比例均高于观察组(P0.05)。对照组肢体功能、日常活动能力、家庭融入度及心理情绪等评分均低于观察组(P0.05)。结论科室为老年论颅内动脉瘤破裂患者提供早期护理干预,可有效降低术后并发症发生率,促进患者恢复,改善生活状态。     

循证护理对颅内动脉瘤介入治疗患者自理能力及预后的影响

目的探讨循证护理对颅内动脉瘤介入治疗患者自理能力及预后的影响。方法回顾性收集郑州市第九人民医院2018-03―2019-10行颅内动脉瘤介入治疗的93例颅内动脉瘤患者临床资料,将经常规护理干预的49例患者纳入A组,将经循证护理干预的44例患者资料纳入B组。比较2组自理能力、并发症总发生率、格拉斯哥预后量表(GOS)评定结果。结果 2组干预2周后Barthel指数均较干预前升高,B组评分显著高于A组,差异有统计学意义(P0.05);B组并发症发生率低于A组,GOS预后评定结果优于A组,差异有统计学意义(P0.05)。结论颅内动脉瘤介入治疗患者经循证护理干预可显著提高其自理能力,降低并发症发生率,改善预后。     

微创血管内介入栓塞术治疗颅脑动脉瘤临床研究

目的探讨微创血管内介入栓塞术对颅脑动脉瘤患者术后脑组织血流量及生存质量的影响。方法选取济源市人民医院81例颅脑动脉瘤患者,根据手术术式不同分为对照组40例,观察组41例,对照组予以开颅夹闭术治疗,观察组予以微创血管内介入栓塞术治疗,观察2组手术前后脑组织血流量(CBF)变化情况、并发症发生情况及手术前后生存质量评分。结果阻断颅内动脉瘤时及术后观察组CBF均低于对照组,且2组阻断颅内动脉瘤时、术后CBF均较术前有所变化,但观察组变化幅度小于对照组,差异具有统计学意义(P0.05);观察组并发症发生率为4.88%(2/41),低于对照组22.50%(9/40),差异具有统计学意义(P0.05);术后观察组生存质量各指标评分均高于对照组,差异具有统计学意义(P0.05)。结论微创血管内介入栓塞术对颅脑动脉瘤患者术后脑组织血流量影响小,可提高患者生存质量,降低并发症发生率。     

介入栓塞术与开颅夹闭术治疗颅内动脉瘤对照研究

目的探讨血管内介入栓塞术对颅内动脉瘤患者术后血清基质金属蛋白酶-9(MMP-9)、可溶性细胞间黏附分子-1(sICAM-1)水平变化及并发症发生率的影响。方法选取2013-07—2016-07郑州大学附属南阳医院颅内动脉瘤患者98例,依照术式不同分为观察组与对照组各49例。对照组予以开颅夹闭术,观察组采取血管内介入栓塞术。比较2组术前、术后4周神经功能缺损评分(NIHSS)、日常生活能力评分(BI)与血清MMP-9、sICAM-1水平,并观察2组术后并发症发生情况及术后1a预后情况。结果术前2组NIHSS与BI评分差异无统计学意义(P0.05),术后4周与对照组比较,观察组NIHSS评分降低,BI评分提高,差异有统计学意义(P0.05);术前2组血清MMP-9、sICAM-1水平差异无统计学意义(P0.05),术后4周与对照组比较,观察组血清MMP-9、sICAM-1水平均降低,差异有统计学意义(P0.05);观察组术后并发症发生率6.12%(3/49),低于对照组的22.45%(11/49),差异有统计学意义(P0.05);术后1a观察组预后情况优于对照组,差异有统计学意义(P0.05)。结论颅内动脉瘤予以血管内介入栓塞术可显著降低患者术后血清MMP-9、sICAM-1水平,减少并发症,减轻神经功能损伤,改善预后。     

临床护理路径预防颅内多发动脉瘤围手术期并发症的临床效果

目的探讨临床护理路径预防颅内多发动脉瘤围手术期并发症的效果。方法选择颅内多发动脉瘤患者100例,随机分为观察组和对照组各50例。对照组给予常规护理,观察组给予临床护理路径,比较护理干预后2组并发症发生率及护理满意度,并采用生活质量综合评估问卷(GQOL-74)评估患者生活质量。结果干预后观察组并发症的总发生率(10.0%)明显低于对照组(30.0%)(P0.05),GQOL-74评分明显优于对照组(P0.05),护理满意度(96.0%)明显高于对照组(80.0%)(P0.05)。结论临床护理路径可有效地减少颅内多发动脉瘤患者围手术期并发症的发生率,改善患者的生活质量,提高患者的护理满意度,值得临床推广与应用。     

伦理护理干预在颅内转移瘤患者围手术期中的应用

目的分析伦理护理干预在颅内转移瘤患者围手术期的应用效果。方法选取我院收治的100例颅内转移瘤患者为研究对象,按随机数字表法分为对照组与观察组各50例。对照组采用常规护理方案,观察组在对照组基础上加用伦理护理干预,采取生活质量评估量表统计干预前后患者生活质量的改善情况,观察2组术后并发症发生率,采取焦虑及抑郁评分表评估干预前后2组心理状况的改善情况。结果护理前2组不同维度生活质量评分、焦虑、抑郁量表评分比较无显著差异(P0.05),护理后,观察组精神状态、躯体功能、心理状态及整体健康评分分别上升至(55.8±4.7)分、(49.7±5.2)分、(60.4±2.6)分、(63.7±4.4)分,观察组焦虑、抑郁量表评分降低至(12.1±5.2)分、(11.7±6.4)分,与对照组相比差异有统计学意义(P0.05);观察组并发症发生率8.0%,与对照组的28.0%比较差异有统计学意义(P0.05)。结论在颅内转移癌患者围手术期护理干预中,贯彻伦理原则,尊重、关爱患者,对改善其生活质量、心理负性情绪有积极的价值,同时可降低术后并发症发生率,值得推广。     

Crisis intervention technic

Based on the various principles of crisis intervention, a model of it is designed which divides it into four phases: (1) beginning of intervention (established of a relationship, assessment of the client's condition, estimate of the gravity of the problem, and design of the plan of action along the lines of minimal difference); (2) actual intervention; (3) conclusion of the crisis intervention, and (4) follow-up. This system conveys a good insight into the activities of a crisis centre, and it can contribute to the diffcult and up to now unsolved problem of how such institutions can be evaluated.     

汶川地震现场心理干预技术的实施及影响因素

目的分析汶川地震后现场心理干预技术的应用情况,探讨其实施技巧与影响因素。方法对汶川地震后受灾群众87例运用早期现场心理干预的技术实施心理干预,选择SRQ量表对干预效果进行比较分析。结果87例被干预者干预前后sRQ分值比较,差异有统计学意义（P〈0．01）,同性别、同民族SRQ,和SRQ2比较,差异有统计学意义（P〈0．01）,放松技术与其他两种干预技术比较更适合于现场使用（P〈0．05）,汉族中使用认知治疗技术的比例最高（46％）,羌族中使用放松治疗技术的比例最高（54％）。结论早期现场心理干预的实施对被干预者效果显著。不同民族应使用不同的干预技术。     

Identity and intervention

The evidence, I thought, seemed clear enough. Frazier had claimed some innovations in behavioral techniques which I wanted to know more about, but I could imagine a potent technology composed of the principles already used by politicians, educators, priests, advertisers and psychologists. The techniques of controlling human behavior were obvious enough. The trouble was, they were in the hands of the wrong people--or of feeble repairmen.     

Contracting in crisis intervention

The use of contracts in the social services is an important area that needs to be looked at. This paper is concerned specifically with the use of contracts in one particular part of social services: crisis intervention. Contracts that define the working relationship between the client and mental health counselor can be beneficial for both when they attempt to solve the problems that contributed to the crisis situation. There are five benefits to be gained from the use of contracts in crisis intervention and they are briefly discussed.     

Autism: psychoeducational intervention

There is increasing recognition about the importance of taking into account both child and family needs when treating autism. However it has been a major debate about what intervention is the most appropriate. In this paper we will review the current literature on the different interventions that have been used in the treatment of autism with special attention to those that are empirically based. It is not our objective to discuss in detail any particular intervention. We intend to present an overview of both positive aspects and limitations of different interventions. The conclusion is that there is no single approach that is totally effective for all children the whole time. Instead, it is argued that families change their expectation and values regarding their children's treatment according to the child's development and the family context. In other words, a specific intervention that may work well in a certain period of time (e.g. pre-school years) may not work so well in the following years (e.g. adolescence). Finally the importance of early identification and treatment of autism is stressed.