引阳入阴推拿配合气息导引法对慢性肾脏病患者失眠的效果观察

目的 观察引阳入阴推拿配合气息导引法对慢性肾脏病患者失眠的效果.方法 80例患者按随机数字表分为对照组和观察组各40例.对照组予中西医综合治疗,辨证施护和情志指导;观察组在对照组基础上,予引阳入阴推拿配合气息导引法.比较两组干预前后匹兹堡睡眠质量指数总分及各因子评分和失眠治疗效果.结果 干预后观察组匹兹堡睡眠质量指数总分低于对照组(t=8.869,P<0.001),在睡眠质量、入睡时间、睡眠时间、睡眠障碍、催眠药物5个因子得分,观察组低于对照组,差异具有统计学意义(P<0.05);观察组失眠治疗总有效率95％,高于对照组的70％,差异有统计学意义(x2=8.658,P<0.05).结论 引阳入阴推拿配合气息导引法能有效改善慢性肾脏病患者失眠症状.     

引阳入阴推拿配合气息导引法治疗不寐症效果观察

[目的]探讨引阳入阴推拿配合气息导引法治疗不寐的效果。[方法]将50例不寐病人随机分为试验组与对照组各25例,试验组采用引阳入阴推拿配合气息导引法,对照组病人口服艾司唑仑1mg,比较两组总体临床疗效及匹兹堡睡眠质量指数(PSQI)总积分。[结果]治疗后两组总有效率及PSQI总积分比较差异有统计学意义(P<0.05)。[结论]引阳入阴推拿配合气息导引法可解除不寐病人失眠的临床症状、体征,疗效确切,方法安全。     

对老年失眠患者实施引阳入阴推拿配合气息导引干预的方法与效果

目的 探讨引阳入阴推拿配合气息导引干预老年失眠患者的方法与效果.方法 将60例老年失眠患者按照就诊先后顺序随机分成观察组和对照组,观察组采用引阳入阴推拿配合气息导引,对照组每晚口服1 mg舒乐安定,两组均连续治疗2周,治疗后随访2周,对患者的睡眠质量进行评估.结果 引阳入阴推拿配合气息导引较口服舒乐安定能够更好地维持失眠干预效果(P＜0.01).结论 引阳入阴推拿配合气息导引干预老年失眠患者的效果比药物干预失眠能更好地维持干预后效果.     

引阳入阴推拿配合气息导引法改善肝硬化患者失眠症状分析

目的探讨引阳入阴推拿配合气息导引法对肝硬化患者失眠症状的影响效果。方法选取60例肝硬化患者按随机数字表法分为对照组和观察组,各30例,对照组给予常规治疗和护理,观察组在对照组基础上给予"引阳入阴"推拿配合气息导引法干预,干预前后采用匹兹堡睡眠质量指数量表(PSQI)对2组患者进行调查。结果干预后,观察组匹兹堡睡眠质量总分为(7.60±1.65)分,低于对照组的(10.8±1.90)分(P0.05)。结论引阳入阴推拿配合气息导引法,可进一步提高肝硬化患者的睡眠质量和生活质量,方法安全,可操作性好,具有推广价值。     

“引阳入阴”推拿配合气息导引法对不寐症患者生活质量的影响

目的探讨"引阳入阴"推拿配合气息导引法对不寐症患者睡眠及生活质量的影响。方法将210例不寐症患者按照就诊先后顺序分为观察组和对照组,各105例。观察组给予"引阳入阴"推拿配合气息导引法干预,对照组给予口服舒乐安定1 mg,每天1次,分别在干预前、干预后1个月采用匹兹堡睡眠质量指数量表和SF-36健康调查量表对两组患者进行调查。结果干预后观察组匹兹堡睡眠质量总分为(9.33±1.95)分低于对照组匹兹堡睡眠质量总分(10.30±2.54)分,差异具有统计学意义(P0.01);干预后观察组生活质量各维度得分优于对照组,差异具有统计学意义(P0.01)。结论 "引阳入阴"推拿配合气息导引法,可以改善其睡眠质量,提高其生活质量,方法安全,具有可操作性和推广价值。     

精油芳香疗法联合引阳入阴推拿干预脑卒中后不寐的效果观察

目的 观察精油芳香疗法联合引阳入阴推拿对脑卒中后不寐的临床效果.方法 将88例患者采用随机数字表法分为对照组(30例)、观察组1(29例)和观察组2(29例).对照组予常规治疗护理,观察组1在常规治疗护理基础上给予精油芳香疗法联合引阳入阴推拿,观察组2在常规治疗护理基础上给予引阳入阴推拿.3组患者分别在干预前和干预30 d后采用匹兹堡睡眠质量指数、多导睡眠图监测进行疗效评价.结果 干预后匹兹堡睡眠质量指数评分观察组1、观察组2均较对照组低,差异有统计学意义,且观察组1与对照组及观察组2比较差异有统计学意义(P<0.05);干预后多导睡眠图监测睡眠潜伏期、总觉醒时间观察组1较对照组短,差异有统计学意义(P<0.05),观察组1与观察组2比较差异无统计学意义(P>0.05).结论 精油芳香疗法联合引阳入阴推拿改善脑卒中后不寐症状效果较好.     

复方精油穴位按摩改善围绝经期综合征患者睡眠质量的应用研究

目的评价复方精油穴位按摩改善围绝经期综合征患者睡眠质量的效果。方法将60例围绝经期综合征患者随机分为实验组和对照组,每组30例,实验组采用复方精油穴位按摩,对照组实施穴位按摩。两组在干预前、干预后4周、8周采用匹兹堡睡眠质量指数量表(PSQI)评价睡眠质量;干预前、干预后2周、4周、8周采用失眠严重程度指数量表(ISI)及Flinders疲劳量表(FFS)评价失眠严重程度及日间疲劳程度。结果 PSQI总分及睡眠质量、入睡时间、睡眠时间、睡眠障碍、日间功能障碍5个成分得分、ISI及FFS在干预后各时间点的得分均低于同期对照组,组间得分比较差异均具有统计学意义(P<0.05);PSQI睡眠效率成分得分比较,差异无统计学意义(P>0.05)。重复测量方差分析结果显示,ISI、FFS、PSQI总分及睡眠质量、入睡时间、睡眠时间、睡眠障碍、日间功能障碍5个成分的组间效应、时间效应、两者交互作用均有统计学意义(P<0.05)。对实验组干预前后各时间点的PSQI、ISI及FFS得分进一步两两比较,后一时间点得分均低于前一时间点,差异有统计学意义(P<0.05)。结论复方精油穴位按摩可有效改善围绝经期综合征患者睡眠质量,缓解日间疲劳程度,效果优于穴位按摩,且随时间增加疗效增强。     

赋能教育对围绝经期失眠症患者的效果观察

目的 探讨赋能教育在围绝经期失眠症患者中的应用效果.方法 选择我院妇科门诊诊治为围绝经期失眠症患者70例,按随机数字表分为观察组和对照组各35例.对照组采用常规健康教育,观察组采用赋能教育,观察比较2组患者干预前和干预12周末焦虑、抑郁评分、匹兹堡睡眠质量指数、围绝经期生存质量得分.结果 干预12周末观察组患者焦虑抑郁评分明显低于对照组(P<0.01);干预12周末观察组睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍和日间功能障碍评分及总分均明显优于对照组(P<0.01);干预12周末观察组患者血管舒缩状态、心理状态、生理状态3个维度评分及总分明显低于对照组(P<0.01).结论 赋能教育可有效改善围绝经期患者的负性情绪和睡眠质量,提高其生存质量.     

围绝经期失眠症患者耳穴贴压及辩证护理的效果观察

目的：观察耳穴贴压配合辩证护理对改善围绝经期失眠的疗效。方法选取我科围绝经期失眠症患者112例,辨证分型后以神门穴、垂前穴、交感穴和皮质下穴为主穴,以心、肝、脾、肾、胆、胃、大肠为配穴,进行耳穴贴压治疗和辩证护理,采用匹兹堡睡眠质量指数量表测评治疗前后睡眠状况。结果耳穴贴压配合辩证护理对围绝经期失眠的总有效率93.7%,与治疗前比较,睡眠质量、入睡时间、睡眠时间、睡眠效率、睡眠障碍、催眠药物、日间功能障碍评分及总分均有降低（P＜0.05或P＜0.01）。结论耳穴压豆配合辩证护理可有效改善围绝经期失眠症状,提高睡眠质量。     

引阳入阴推拿配合气息导引法对失眠患者的影响

目的 观察引阳入阴推拿配合气息导引法对失眠患者的影响.方法 选择2008年2月-2009年10月在我院门诊就诊的失眠患者60例,随机分为试验组和对照组各30例,在常规治疗和护理的基础上,试验组采用引阳入阴推拿法,同时配合气息导引,每日1次推拿,每次10 min,时间早晚不拘;对照组服用舒乐安定1 mg,每晚1次;连续观...     

鼻咽癌患者重返工作准备度及其影响因素分析

目的 调查鼻咽癌(nasopharyngeal carcinoma,NPC)患者重返工作准备度现状及其影响因素.方法 2020年7-10月,便利抽样法选择某院放疗科治疗结束后门诊复查的200例NPC患者为研究对象.采用重返工作准备度量表、自我感受负担量表、社会支持评定量表对其进行调查.结果 NPC患者重返工作率为66％...     

Satisfaction with Nurse Practitioners and Intent to Adhere to Plan

This study explored perceptions of satisfaction with care from nurse practitioners (NPs) and intent to adhere to health plan. A convenience sample of 118 participants was included. The Perception of Satisfaction with Care from NP instrument was used to measure components of satisfaction and overall satisfaction after the visit. Most participants intended to adhere to the plan by the NP. The clients’ perceptions of overall satisfaction with care and intent to adhere to health recommendations were high. Nursing implications include to develop benchmarks for quality of care and promote care provided by NPs. The adapted instrument, Perception of Satisfaction with Care from NP, is reliable and can be useful for students.     

Improving Access to Health Care for Uninsured Elderly Patients

ABSTRACT The purpose of this article is to explore the barriers that the uninsured elderly population encounter when accessing health care in the United States. These barriers include, but are not limited to lack of transportation, insurance, or family support; the daunting complexity of the health care system; poverty; culture; poor patient‐health care provider communications; race/ethnicity; and lack of health care professionals such as nurses and doctors with adequate geriatric preparation, or generalists who are undereducated in geriatrics. The number of health care professionals currently available to treat elderly persons in the United States is inadequate. The Federal government should take steps to develop solutions to improve access to health care and decrease health disparities for older adults. As a nation, we should be proactive in addressing these concerns instead of waiting for new barriers to arise that further limit access to health care for elderly patients and their families. In this article, we provide an assessment of the barriers that limit access to health care in the uninsured elderly population and suggest recommendations and possible solutions to eliminate or reduce these barriers.     

血清抗层粘连蛋白—IgG（LN—IgG）与心肌疾病的关系

为探讨心肌疾病与自身免疫性损伤的关系,本文对９８例临床诊断各种心血管疾病患者的血清,用自建的抗层粘连蛋白－ＩｇＧ（ＬＮ－ＩｇＧ）检测法和国产抗心膦脂－ＩｇＧ（ＡＣＬ－ＩｇＧ）试剂进行了酶联免疫法的检测。结果为５３例心肌炎中１６例阳性,１２例心肌病中６例阳性,阳性率分别为３０．２％和５０％,而３３例心肌疾病中仅３例阳性,阳性率为９．１％,检测结果有显著性差异,而ＡＣＬ－ＩｇＧ检测结果无显著性差异。由此认为血清ＬＮ－ＩｇＧ阳性水平与心肌关系较为密切,在一定程度上反映了该类疾病主要以器官牧特异性的自身免疫性损伤为特征,有助于认识此类疾病的病因,发病机制和病程发展,在是否要取特异性免疫抑制疗法等方面具有一定价值。     

Teaching psychology to psychiatric nurses: revision and implications

Changes and developments aimed at improving the effectiveness of psychology teaching to student psychiatric nurses are outlined. Many of the suggestions made in the current nursing syllabus were implemented. Pre-modular and post-modular teaching blocks have been established. The seminars given are described, covering: Short-stay admissions ward; Occupational therapy; Medium/long-stay ward; Psychogeriatrics; Community and general nursing. Practical skills teaching is emphasised via experimental workshops, and a balance maintained between theoretical and practical psychology teaching. Mid-placement review allows for feedback from the students, concerning the adequacy of the pre-modular teaching and also the placements in terms of being able to put the teaching and skills rehearsed into practice.