夏季海滨疗养海水浴的安全保健指导

海水浴是海滨疗养院的特色疗养保健手段,海水浴疗法能获得消除疲劳、增强体质、防治疾病、促进康复的明显效果。每逢夏季7—9月份。我院均会集体组织疗养员进行海水浴体疗。为确保疗养员的人身安全,避免潜在危险的发生,做好海水浴的安全保健指导至关重要。总结我院海水浴保障30年安全无事故的成功经验,结合海水浴保障工作的特点,现将我院在海水浴期间的安全保健指导工作介绍如下。     

海滨疗养在空勤保健疗养中的作用

目的　通过对海滨疗养特点分析 ,了解其在空勤保健疗养中的作用。方法　收集有关资料并结合临床来探讨海滨疗养对空勤保健疗养的作用。结果　海滨疗养在空勤人员保健疗养中的作用是很重要的。结论　海滨疗养在空勤人员保健疗养中具有医疗保健和促进疾病康复的作用。     

老年冠心患者在海滨疗养期间的保健指导

我院是一所海滨疗养院，重点负责军队中高级离退休老干部的疗养保健工作。随着经济生活条件及医学保健技术水平的提高，许多老年人越来越重视晚年的生活质量，利用闲暇时间外出度假的老人逐年增多，期间不乏一些身患冠心病的老人。2005年9月至2007年9月，我院共接收60岁以上的疗养员3840人，其中患冠心病1240人，安放冠脉支架的疗养员有58人，疗养期间发病25人，心肌梗死2人，均成功抢救。     

青岛海滨自然因子在疾病疗养保健中的作用

目的总结海滨自然因子在临床上的应用,加强医患双方对自然因子对疾病预防保健作用的认识,提醒医务工作者应重视除药物和手术治疗之外的综合治疗方法。方法以"海滨因子"为关键词检索2003—2010年期间CHKD期刊全文数据库,筛取并总结海滨自然因子对疾病的治疗保健作用。结果海滨自然因子在各系统常见慢性病、手术后恢复、消除亚健康状态、心理问题的综合治疗特别是对增强机体免疫力有明确的效果。结论在人们保健意识日益增强的今天,自然因子的养生保健作用越来越受到重视,海滨因子以其对多种疾病的治疗保健作用在现代疗养医学中占有重要位置,广大疗养保健工作者应全面了解自然因子的作用机制,科学地应用于临床一线,提高患者的生活质量并使他们早日康复。     

珠海海滨疗养环境质量分析

目的 通过调查珠海滨疗养环境质量情况,发掘本区疗养资源,促进疗养事业发展。方法 调查本区大气环境质量、声环境质量、水环境质量等环境资料,进行统计学处理并分析。结果 珠海海滨的气温、气湿、日照、空气负氧离子、噪声等方面优势明显,珠海海滨疗养区环境质量均达到或超过了国家统一标准。结论 珠海海滨的疗养环境优戟,适于各类人员的保健疗养和疾病疗养。     

鼓浪屿海滨疗养因子及其作用初探

鼓浪屿属亚热带季风性海洋气候，夏无酷暑，冬无严寒，年均气温２０．９℃气湿８０．５％，气压９９７．６９帕巴，空气湿润、清新，细菌量少，年均空气负离子浓度为８９５个／ｍｌ，年均日照量１４９．２±４０．４０小时，年均海水温度２１．６℃岛上四季常青，风景秀丽。这些丰富而良好的疗养因子对避免气象病理反应，消除疲劳，增强机体的免疫力，促进新陈代谢和血液循环，改善心、脑、肾及全身器官的功能，消除病因，降低发病率，促进肌体康复均起着重要的作用。     

海水浴对108例在职疗养干部血脂的影响

近年来，随着人们生活方式、饮食结构的改变，高脂血症人群有逐年增多的趋势。我院对2000年7月至2002年7月共4批师以上在职干部体检中发现的高脂血症108例进行海水浴治疗，疗效满意。现报告如下：     

烟台海滨自然疗养因子考察分析

本文对烟台海滨疗养区的地理环境、景观、海水等作了较详细的介绍；对该地区的气温、气压、温度、降水量、日照、负离子及风速等气象资料进行了统计分析；并对这些自然疗养因子对人体的疗养康复作用进行了探讨。     

老年人海滨疗养前后内生肌酐清除率的变化

目的　探讨海滨疗养期间诸多疗养因子的协同作用是否可以改善老年人肾脏的清除功能 ,延缓衰老改变。方法　观察对象按A组≥ 70岁 ,B组 60岁 69岁和C组≤ 59岁分组。检测每例入院、出院时的肌酐清除率 ,观察其变化。结果　C组肌酐清除率变化不大 (P >0 .0 5) ;A与B两组出院时的肌酐清除率明显高于入院时。结论　海滨疗养期间诸多疗养因子的协同作用可以改善老年人肾脏的清除功能 ,延缓老年人肾脏的衰老性改变     

Health Professionals Caring for Chronically Ill Adolescents: Adolescents' Perspectives

purpose . To describe chronically ill adolescents' perceptions of how health professionals can best care for chronically ill adolescents.
design . A qualitative study with tenets from grounded theory, including theoretical sampling and the constant comparison of data.
setting . Participants' homes or private hospital offices.
participants . Twenty-three adolescents, 13 to 16 years of age, who were diagnosed with either diabetes, asthma, arthritis, Crohn's disease, or ulcerative colitis.
main outcome measures . Open-ended, in-depth interview method.
results . Eight themes emerged: (1) treat me like a person; (2) try to understand; (3) don't treat me differently; (4) give me some encouragement; (5) don't force me; (6) give me options; (7) have a sense of humor; and (8) know what you are doing.
conclusions . Health professionals need to adopt an overall approach described as careful maneuvering when caring for adolescents with chronic illness. This approach involves the health professional having sound knowledge and the ability to guide adolescents confidently and sensitively in the management of their illness.     

Caring for Demented Elderly in Rural Primary Health Care

In 1988, the demented in an elderly rural population (n = 851) were traced and assessed with the GBS geriatric rating scale. The aim of the study was to investigate the level of impairments of demented persons primary cared for and to relate their impairments to form of housing; to compare the distribution of care between not-demented and demented in an elderly population, and to establish the primary caregiver/patient ratio. The majority of the demented (44/50) were cared for in the studied primary health care area, despite the scarcity of staff. All received formal care. They consumed more formal care than the not-demented in the population. In relation to amount of elderly persons helped, the home-help personnel ratio was 0.30, in district care the ratio was 0.02, whereas the ratio of general practitioners was 0.002, estimated from the number of contacts and staff.     

闭塞性动脉硬化疗症的康复护理

目的观察闭塞性动脉硬化症康复护理的效果。方法120例闭塞性动脉硬化症患者采用随机分组法,分为康复组(60例)和对照组(60例)。前者采用康复护理,后者采用常规护理。2个月后比较疗效和生活质量。结果康复组疗效明显优于对照组(χ2=5.4268,P<0.05)。结论康复护理应用于闭塞性动脉硬化症能改善患者肢体血运功能,疾病控制,症状缓解,抑郁和焦虑障碍减轻,日常生活能力增强,生活质量明显提高。     

Rehabilitation Consumers' Use and Understanding of Quality Information: A Health Literacy Perspective

Magasi S, Durkin E, Wolf MS, Deutsch A. Rehabilitation consumers' use and understanding of quality information: a health literacy perspective.

Objectives

To explore consumers' use and understanding of quality information about postacute rehabilitation facilities.

Design

Thematic, semistructured interviews.

Setting

Two skilled nursing facilities and 2 inpatient rehabilitation facilities in a large Midwestern city.

Participants

Rehabilitation inpatients (n=17) with stroke, hip fractures, and joint replacements and care partners (n=12) of rehabilitation inpatients.

Intervention

None.

Main Outcome Measure

None.

Results

Health literacy imposed barriers to participants' understanding of quality information. Using the Institute of Medicine's Health Literacy Framework, we identified specific barriers that limited participants' abilities to (1) obtain quality information, (2) process and understand quality information, and (3) make appropriate decisions about the quality of a rehabilitation facility. Participants tended to rely on informal and nonquality information when choosing a rehabilitation facility.

Conclusions

Given the barriers imposed by low health literacy, rehabilitation providers have a responsibility to present quality information in a way that consumers, especially those with low health literacy, can use and understand.     

Theoretical Discussion of a Model of Caring for Persons with HIV Infection

A model of caring for persons with HIV infection is presented. The model, which identifies the characteristics of care as a holistic phenomenon, consisting of care actions and caring behaviours, was developed through a qualitative approach comparable to the ethnonursing method. The characteristics of care inherent in the model are validated through comparison with knowledge of care from selected historical, linguistic, and caring science sources as well as with care experiences, described in biographies of persons with HIV infection. It is proposed, that the model should be used for further investigation of caring for persons with HIV infection, for investigating caring for persons with other conditions, for teaching caring theory and practice, for planning of caring services and for policy formulation.