Influence of nursing intervention on quality of Ilife in patients with systemic lupus erythematosus

Objective To observe the influence of nursing intervention on quality of life in patients with systemic lupus erythematosus（SLE） . Methods Eighty three patients and 83 healthy controls were enrolled in this study. The medical outcomes study 36--item short--front health survey （MOS SF--36） Was used for measuring the quality of life. The SF--36 Scores of the two groups were investigated and analyzed before and after the nursing intervention. Results At the baseline, the physical function, role physical bodily pain, general health and role emotional scores in the SLE patients were significantly different from those of health control （P 〈 0. 01）. Items above mentioned in SLE patients got significantly better after one-- years nursing intervention （P〈 0.05）. Conclusions The quality of life in SLE patients is lower than healthy group. Nursing intervention can significantly improve the quality of life in SIrE patients.     

呼吸运动锻炼、金水宝胶囊加中药外贴对慢性阻塞性肺疾病稳定期的康复作用

INTRODUCTION Reserve and contractivity of diaphragma often exist in patients withchronic obstructive pulmonary disease(COPD) and respiratory failurecan be caused due to fatigue of respiratory muscles even without load-ing. so rehabilitation treatment for COPD patients plays an importantrole for prevention of respiratory failure and improvement of life qualityin patients with COPD.     

妇科恶性肿瘤患者41例术后性生活分析

Gynecological malignant tumors can affect female characteristics in women.Although the malignant tumors might attack different parts or cause different lesions they have similar effects on the patients. The patients feel that they don't have sexual attractive force any longer and have hyposexuality.The purpose of the present article is to study the sexual life in patients with gynecological malignant tumors after operation so that the clinicians could grasp physiological and psychological conditions of the patients and improve their quality of life.     

脂肪肝病人生活质量与个性心理特征相关性研究

Objective To investigate the relation of quality of life and personal psychology of fatty liver patients.Methods The health starus questionnaire (SF-36) and the Eysenck Personality Questionnaire (EPQ) of the 100 cases of moderate and severe patients of fatty liver were investigated and 100 normal cases were selected as control.Results Dimensions of SF-36 score in patients of fatty liver were significantly lower than those of control group (all P ＜0.01) .E sub-scale in patients of fatty liver were lower than those of control group (P ＜0.01),and N Scale points were higher (P ＜0.01) .Patients of fatty liver had tendencies within the personality and emotional instability,quality of life of patients of fatty liver was negatively correlated with the amount of points E and N (all P ＜0.05) .Conclusion Patients of fatty liver have lower quality of life,their quality of life are closely related to psychological characteristics of personality.Nurses should estimate the patients from physical,psychological,social function and psychological characteristics of personality,at the same time afford personalized health education,with a view to improve patients quality of life.     

心肌梗死后患者恢复性行为的康复宣教

INTRODUCTION Recovery of normal sexual activity is the rehabilitation objective of patients with myocardial infarction.Guide to sexual activity should not be neglected for patients and their spouses.Health sexual life is necessary for improvement of quality of life and recovery to society.However,traditional culture made nurses and doctors shirk sexual education,patients and their spouses are reluctant to talk the sex to their doctors.Sex life had been neglected.Anxiety and fear for sex can be cleared by special staffs.Nurse,therefore especially circulation nurses should comprehend techniques and knowledge about health education of sex life.     

哮喘家属健康教育及家庭护理干预对哮喘患者生活质量的影响

Objective To investigate how the family health education and nursing intervention reduce asthma attack and improve the life quality of asthma patients.Methods Health education was implemented among50 cases of asthma pstients and their family.The adult asthma quality of life score shect and St o George respiratoty questionnaire(SGRQ)scale were adopted for patients.The life quality of sustained intervention was compared with that of we-intervention after 6 months. Results After 6 months interveatien,the score of life quality and the score of SGRQ were statistically significant(P＜0.05).Cenclusions The family health education and nursing intervention can improve medication compliance,reduce acute attack,cut their charges and improve their life quality.     

哮喘家属健康教育及家庭护理干预对哮喘患者生活质量的影响

Objective To investigate how the family health education and nursing intervention reduce asthma attack and improve the life quality of asthma patients.Methods Health education was implemented among50 cases of asthma pstients and their family.The adult asthma quality of life score shect and St o George respiratoty questionnaire(SGRQ)scale were adopted for patients.The life quality of sustained intervention was compared with that of we-intervention after 6 months. Results After 6 months interveatien,the score of life quality and the score of SGRQ were statistically significant(P＜0.05).Cenclusions The family health education and nursing intervention can improve medication compliance,reduce acute attack,cut their charges and improve their life quality.     

康复教育对麻风病恢复期病人独立生活能力的影响

Background: Patients with leprosy often suffered a lot from sequels such as malformation, disability, dysfunction which endanger patients' health somatically and psychologically, and quality of life. So rehabilitation aimed at reducing development of abnormality is important either as treatment is. Rehabilitation knowledge, functional recovery and improvement of independent life ability are very important. Objective: To investigate impact of rehabilitative education on independent life ability during recovery phase in patients with leprosy.     

The acupuncture therapy and auricular—plaster therapy on 22 patients with stubborn hiccup after stroke

The patients with acute cerebral infarction often suffer from stubborn hiccup and are difficult to cure.OBJECTIVE:To observe the effect of acupuncture therapy and auricular-plaster therapy on the patients with stubborn hiccup after acute cerebral infarction.     

乳腺癌术后上肢功能的康复训练

Background:The aim of treatment of mastocarcinoma is to lengthen the lifetime of the patients,and improve their quality of life.Function training is very important in postoperative rehabilitation treatment for the mastocarcinoma patients.The degree that functions recover shows direct proportion to the rehabilitation training.     

肝硬化患者生存质量及其影响因素的研究进展

肝硬化是一种常见的以肝功能损害和门静脉高压为主要表现的慢性肝病,晚期常出现消化道出血、肝性脑病、继发感染等严重并发症,并引起患者生存质量严重下降。本文就不同病因导致肝硬化患者的生存质量及其影响因素研究做一综述。     

The last 3 days of life in three different care settings in The Netherlands

Introduction Little is known about the characteristics of dying in different care settings, such as the hospital, the nursing home, or the home-care setting. Materials and methods We measured the burden of symptoms, medical and nursing interventions, and aspects of communication during the last 3 days of life within each of these settings. We included 239 of 321 patients (74%) who died in one of these settings in the southwest of The Netherlands, between November 2003 and February 2005. After the patient’s death, a nurse filled in a questionnaire. Results Pain and shortness of breath were more severe in hospital patients as compared to nursing home and home-care patients, whereas incontinence was less severe in hospital patients. Several medical interventions, such as a syringe driver, vena punctures or lab tests, radiology or ECG, antibiotics, and drainage of body fluids were more often applied during the last 3 days of life to hospital patients than to nursing home and home-care patients. This also holds for the measurement of body temperature and blood pressure. In the hospital setting, the patient and the family were more often informed about the imminence of death of the patient than elsewhere. The general practitioner and other professional caregivers were less often informed about the imminence of death of hospital patients than of other patients. Discussion We conclude that pain and shortness of breath were more severe among hospital patients, whereas incontinence was more severe among nursing home and home-care patients. Hospital patients relatively often receive medical interventions and standard controls during the last 3 days of life. In hospital, communication about impending death seems to take place more often shortly before death.     

Constipation in older patients: effects on quality of life

Constipation, often related to diet, physical immobility, concurrent illness or multiple medication use, is common in older people. Despite potential for serious complications, constipation may often be overlooked. Management of constipation is a critical part of the care of older patients with chronic conditions. Risk assessment and appropriate nursing interventions and/or medication should mean that constipation can be minimized, preventing additional medication burden and reducing the risk of non-adherence. The relationship between quality of life and constipation has been assessed in numerous studies, showing that patients with constipation generally have an impaired quality of life compared with the general population, although studies in older patients are limited. In long-term survivors of colorectal or anal carcinoma, constipation is one of the factors that has the most negative impact on quality of life. Strategies for prevention and minimization of constipation have the potential to substantially improve quality of life for older people.     

Medical futility: predicting outcome of intensive care unit patients by nurses and doctors--a prospective comparative study

OBJECTIVE: First, to assess the pattern of the prediction of intensive care unit patients' outcome with regard to survival and quality of life by nurses and doctors and, second, to compare these predictions with the quality of life reported by the surviving patients. DESIGN: Prospective opinion survey of critical care providers; comparison with follow-up for survival, functional status, and quality of life. SETTING: Six-bed medical intensive care unit subunit of a 1,000-bed tertiary care, university hospital. PATIENTS: All patients older than 18 yrs, admitted to the medical intensive care unit for >24 hrs over a 1-yr period (December 1997 to November 1998). INTERVENTIONS: Daily judgment of eventual futility of medical interventions by nurses and doctors with respect to survival and future quality of life. Telephone interviews with discharged patients for quality of life and functional status 6 months after intensive care unit admission. MEASUREMENTS AND MAIN RESULTS: Data regarding 521 patients including 1,932 daily judgments by nurses and doctors were analyzed. Disagreement on at least one of the daily judgments by nurses and doctors was found in 21% of all patients and in 63% of the dying patients. The disagreements more frequently concerned quality of life than survival. The higher the Simplified Acute Physiology Score and the longer the intensive care unit stay, the more divergent judgments were observed (p <.001). In surviving and dying patients, nurses gave more pessimistic judgment and considered withdrawal more often than did doctors (p <.001). Patients only rarely indicated bad quality of life (6%) and severe physical disability (2%) 6 months after intensive care unit admission. Compared with patients' own assessment, neither nurses nor doctors correctly predicted quality of life; false pessimistic and false optimistic appreciation was given. CONCLUSIONS: Disagreement between nurses and doctors was frequent with respect to their judgment of futility of medical interventions. Disagreements most often concerned the most severely ill patients. Nurses, being more pessimistic in general, were more often correct than doctors in the judgment of dying patients but proposed treatment withdrawal in some very sick patients who survived. Future quality of life cannot reliably be predicted either by doctors or by nurses.     

The efficacy and practice of exercise training in patients with chronic obstructive pulmonary disease (COPD)]

Exertional dyspnea is a most popular symptom in COPD patients often lead to exercise intolerance. Indeed the reduced activity in patient's daily life due to dyspnea may lead to deconditioning and peripheral muscle weakness. Bronchodilators and anti-inflammatory drugs are an important treatment to reduce symptoms and improve airflow limitation but not improve deconditioning. Impairment of exercise tolerance is a common problem in patients with COPD and therefore exercise training is an important component of all pulmonary rehabilitation programs. It is now clearly established that exercise training reduce dyspnea, improve exercise tolerance and improve activities of daily living (ADL) and health related quality of life (QOL). Oxygen therapy during exercise are often considered in the COPD patients with exercise induced hypoxemia.     

Quality of life of a hospitalized vagrant with type 2 diabetic mellitus: applying Parse practice methodology

Diabetic patients who don't control their disease well often develop complications. Their quality of life can then be substantially affected. Lacking social support a vagrant who develops such complications will find it particularly hard to maintain a good quality of life. The application of Parse practice methodology with supplementary social-support theory can help a vagrant diabetic patient to meet his needs and improves his quality of life. The purpose of paper is to provide nurses with a point of reference in relation to the care of such patients.     

Assessing chronic pain in cognitively impaired elderly adults

Too often, assessment of pain in the cognitively impaired population is not conducted as well as it could be. Pain assessment in impaired elderly patients is a complicated clinical challenge. Notwithstanding, the prevalence of pain among elderly patients is often high and often carries the risk of serious complications and decreased quality of life. The authors identify selected behaviors that demonstrate the presence of pain in cognitively impaired persons. Nurses must be aware of these behavioral indicators and their value in assessing for and treating pain in this special population.     

自体动静脉内瘘血管瘤并发症的防治

自体动静脉内瘘血管瘤并发症几乎涉及所有维持性透析患者,常在内瘘穿刺后数月或数年出现,逐年增加,其发生与血流动力学改变、手术技巧、内瘘穿刺使用、患者基础状况均有关,与内瘘狭窄、血栓互为因果,显著缩短内瘘寿命,降低透析患者生存质量。受到透析中心医师、护士及患者三方面的影响,内瘘全程维护、积极处理血管瘤并发症有助于延长内瘘寿命。合理控制内瘘的血流动力学效应,提高手术技巧,改善穿刺技术,改良穿刺针,减少穿刺损伤,延缓动脉硬化,加强内瘘维护,及时手术或血管内介入处理血管瘤,对延长内瘘使用寿命、提高透析患者生存质量具有极为重要的意义。     

Life stories of older adults with sickle cell disease

Sickle cell disease (SCD) is a chronic disease with acute, painful exacerbations that often results in a shortened life expectancy. We explored the life stories of middle-age and older adults with SCD to ascertain how they explain their longevity and how they see the place of SCD in their lives. Data were gathered using semi-structured interviews with 12 individuals living with SCD--seven women and five men. Respondents offered four main reasons for their longevity: self-care, supportive family/friends, a higher power, and medical care. Respondents reported life satisfactions of family, employment/education, and religious activities. The life stories reflect challenges of often living with a disease prior to diagnosis and without modern advances and the unpredictable nature of the disease. Their stories provide healthcare providers with insight into the supports SCD patients need to improve their health outcomes as they move through the life course.     

Factors associated with life satisfaction among practicing internists

The present study explored the relationship between satisfaction with life in general among 211 practicing internists and characteristics of their work, health, and life styles. Using a forced stepwise multiple regression analysis, 67% of the total variance in life satisfaction was accounted for by study variables. More satisfied physicians were more likely to be older, married, engaged in sexual intercourse more often, argued with or emotionally withdrew from family or friends less often, had fewer health problems, were less anxious and depressed, and experienced less job stress and more job satisfaction. Characteristics of the work setting, type of work activity (teaching, research, or patient care), number of patients seen, or hours worked per week were unrelated to satisfaction with life. The findings point to the importance of studying family life, mental health, and social relations in addition to work-related variables in order to understand and assess the quality of life among physicians.