循证护理在亲体肾移植受者心理护理中的应用

Objective To investigate the psychological status and correlative factors of recipients underwent living relative donor kidney transplantation and explore a scientific and effective nursing intervention.Methods A total of 120 recipients underwent living relative donor kidney transplantation were randomly divided into the experimental group and the control group. Routine nursing care was used in the control group while the evidence-based mental nursing care was used in the experimental group. The post-operation psychological status and rehabilitation condition of patients between two groups were compared. Results There were significant differences between the two groups in all compared aspects ( P ＜ 0.05 ). Conclusions Evidence-Based nursing intervention can reduce the occurrence of the post-operation mental disorders and complications for recipients underwent living relative donor kidney transplantation.     

护理干预对艾滋病患者亲属照顾者不良心理行为表现的影响

Objective To investigate mining intervention's influence on relative caregivers of AIDS patients with adverse psychological reactions and behavior. Methods Sixty five cases with advene psychological reactions and behavior of the relative caregivers of AIDS patients in hospital were selected and randomly divided into control group 30 cases and observation group 35 cases. Relative caregivers of patients in control group were given routine nursing care, while nursing interventions were added in observation group, the two groups of caregivera' adverse psychological reactions and behavior were observed. Results The patients relative caregiven in observation group with advene psychological reactions and behavior were significantly reduced compared with the control group. The difference was statistically significant (P＜0.01) . Conclusions Nursing intervention can reduce advene psychological reactions and behavior of relative caregivers of AIDS patients, and play a active role to them.     

护理干预对艾滋病患者亲属照顾者不良心理行为表现的影响

Objective To investigate mining intervention's influence on relative caregivers of AIDS patients with adverse psychological reactions and behavior. Methods Sixty five cases with advene psychological reactions and behavior of the relative caregivers of AIDS patients in hospital were selected and randomly divided into control group 30 cases and observation group 35 cases. Relative caregivers of patients in control group were given routine nursing care, while nursing interventions were added in observation group, the two groups of caregivera' adverse psychological reactions and behavior were observed. Results The patients relative caregiven in observation group with advene psychological reactions and behavior were significantly reduced compared with the control group. The difference was statistically significant (P＜0.01) . Conclusions Nursing intervention can reduce advene psychological reactions and behavior of relative caregivers of AIDS patients, and play a active role to them.     

护理干预对宫颈癌患者放疗后并发症的影响

Objective To investigate the nursing intervention on the complication after radiotherapy of cervical cancer patients.Methods A total of 130 cervical cancer patients undergoing radiotherapy were randomly divided into two groups:control group was given conventional methods only treatment and care,while the observation group was given additional routine treatment and care according to the situation in which two radiation therapy in patients with stages of psychological nursing,health education,guidance,individualized care and symptomatic treatment intervention,and then the number of cases of complications for the patients as well as the degree of satisfaction were compared.Results After the first phase of the second phase,the incidence of complications was significantiy lower in observation group than that of the control group,the degree of satisfaction was significantly higher (P＜0.05) .Conclusions The implementation of nursing intervention for cervical cancer patients undergoing radiotherapy can be effective in reducing the incidence of complications and improve patients' satisfaction.     

护理干预对高龄脑出血微创术后患者心理状况及生活质量的影响

目的 探讨护理干预对高龄高血压脑出血微创术后患者心理状况及生活质量的影响.方法 将50例70岁以上高龄高血压脑出血行微创颅内血肿清除术后的患者随机分为干预组和对照组各25例,对照组采用常规护理,干预组在常规护理基础上采用护理干预,分析比较两组治疗前后的焦虑、抑郁情况和日常生活能力.结果 干预组治疗后SAS和SDS评分显著低于对照组(P＜0.01);ADL评分显著高于对照组(P＜0.01).结论 实施护理干预能降低高龄脑出血微创术后患者焦虑和抑郁的发生,明显提高生活质量.

Abstract：

Objective To discuss the effect on psychological status and life quality of the elderly patients with cerebral hemorrhage after minimally invasive surgery. Methods The total number of over 70 yearsrs old patients to 50 cases. They were randomly divided into intervention group and control group with 25 cases in each group. The patients in intervention group were treated with nursing intervention in addition to routine nursing care in control group. Selfrating Anxiety Scale ( SAS) , Selfrating Depression Scale ( SDS) and Activities of Daily living (ADL) were used to compare the effect between two groups. Results The scores of intervention group were significantly lower than them of control group with SAS and SDS after treatment. ADL 's score was higher in intervention group compared to control group. Conclusions To implement nursing intervention can reduce the patients'anxiety and depression and enhance the quality of life significantly.     

叙事护理对乳腺癌患者术后焦虑抑郁情绪及病耻感的影响分析

【 】 Objective To analyze the influence of narrative nursing on the bad mood and stigma of breast cancer patients. Methods Taking August 2021 to August 2022 as the time line, 60 patients with breast cancer who underwent surgery in our hospital during this period were selected as the research object. According to the order of admission, the first 30 patients were classified as the control group, and the other 30 patients were classified as the experimental group. The control group was given routine nursing care, while the experimental group was given narrative nursing care, and the changes of adverse emotions between the two groups were compared. Results The nursing satisfaction of the experimental group was higher than that of the control group (P < 0.05). Before nursing, there was no difference between the two groups (P > 0.05). After nursing, both groups improved, and the effect of the experimental group was better (P < 0.05). Before nursing, there was no difference in the scores of anxiety and depression between the two groups (P > 0.05). After nursing, both groups improved, and the effect of the experimental group was better (P < 0.05). Conclusion Narrative nursing can effectively alleviate the anxiety and shame of breast cancer patients, which is worth applying.     

渐进性肌肉放松训练结合健康教育对维持性血液透析患者的影响

Objective To evaluate the effect of progressive muscle relaxation combined with health education on the psychological state of the maintained hemodialysis patients and provide basis for the psychological intervention for them. Methods Forty-two MHD patients were randomly assigned to the intervention group and control group. Patients in the control group received the conventional nursing, and patients in the intervention group received the conventional therapy combined with nursing intervention for two times. Results After the first intervention, the various psychological testing indicators of intervention group were obviously lower than those of control group and there was statistically significant difference between two groups(P ＜ 0. 05 ). The differences of index of physiological chemistry between two groups had no statistical significance (P ＞ 0. 05 ). After the second intervention, the various psychological testing indicators of intervention group were further lower than those of control group and there was statistical significant difference ( P ＜ 0. 01 or P ＜ 0. 05 ). The Hb and Ca2 + of the intervention group were remarkably higher than control group,while PO43+ and K+ of intervention group were significantly lower than control group. Both differences had statistical significance(P ＜ 0. 05 ). Conclusions Progressive muscle relaxation combined with health education can greatly improve the psychological and physiological status of MHD patients.     

护理干预对减轻肝移植术后精神症状的效果

Objective To investigate the effect of nursing intervention on alleviating patients'psychiatric symptoms after liver transplantation. Methods Patients who suffered from liver transplantation divided into experimental group (n = 50) and control group (n = 162 ) were studied by retrospective contrast analysis. The control group was given the normal nursing, while the experimental group, besides the normal nursing, was administered with psychological intervention and music intervention. Results There was no significant difference between both groups on the anxiety level before the intervention ( P ＞ 0. 05 ); while there was significant difference between both groups after the intervention, the anxiety level of the experimental group was obviously lower than that of the control group ( 3 days before surgery, normal: 70.00% vs 44.44%, χ2 =4.519, P ＜ 0. 05; one week after oporation, normal: 84.00% vs 60.49 %, χ2 = 3. 098, P ＜ 0. 05 ); the anxiety level of the experimental group after the intervention was decreased, compared with that before the intervention ( normal :54.00% vs 84.00%, χ2 = 3. 592, P ＜ 0. 05 ). Conclusions Nursing intervention on patients after liver transplantation could decrease their anxiety and reduce the occurrence of their psychiatric symptoms.     

护理干预对老年复治肺结核病人预后的影响

Objectiye To enhance the therapy compliance and the cure rate of the relapse agedness patients with pulmonary tuberculosis by nursing intervention. Methods One hundred and six relapse agedness patients with pulmonary tuberculosis were divided into experimental (n=54) and control groups (n=52). The experimental group was given the whole course nursing intervention and the control group was given universality guidance when they left hospital. The therapy compliance, sputum negative conversion rate and absorbability instance of focus were investigated among the patients of the two groups. Results The therapy compliance,sputum negative conversion rate and absorbabilty instance of focus in the trial group were significant higher than those in the control group (P＜0.05). Conclusions The whole course nursing intervention can enhance the therapy compliance and the cure rate of the relapse agedness patients with pulmonary tuberculosis.     

护理干预对艾滋病患者亲属照顾者不良心理行为表现的影响

目的 探讨护理干预对艾滋病患者亲属照顾者不良心理反应及行为表现的影响.方法 选择经评估具有不良心理反应及行为表现的住院艾滋病患者的亲属照顾者65例,随机分为对照组30例,观察组35例,对照组患者亲属照顾者给予一般常规护理,观察组在常规护理基础上进行护理干预,观察两组患者亲属照顾者不良心理反应及行为表现情况.结果 观察组患者亲属照顾者经护理干预后其不良心理反应及行为表现较对照组明显减轻,差异有统计学意义(P＜0.01).结论 护理干预可减轻艾滋病患者亲属照顾者不良心理反应及行为表现,对患者及其亲属照顾者起到积极作用.

Abstract：

Objective To investigate mining intervention's influence on relative caregivers of AIDS patients with adverse psychological reactions and behavior. Methods Sixty five cases with advene psychological reactions and behavior of the relative caregivers of AIDS patients in hospital were selected and randomly divided into control group 30 cases and observation group 35 cases. Relative caregivers of patients in control group were given routine nursing care, while nursing interventions were added in observation group, the two groups of caregivera' adverse psychological reactions and behavior were observed. Results The patients relative caregiven in observation group with advene psychological reactions and behavior were significantly reduced compared with the control group. The difference was statistically significant (P＜0.01) . Conclusions Nursing intervention can reduce advene psychological reactions and behavior of relative caregivers of AIDS patients, and play a active role to them.     

正确应用护理模式和护理理论指导护理实践(2)

4理解西方护理模式/理论过程中存在的难点护理学科常用的模式/理论大多来自于西方社会,在进行护理理论的教学中发现,无论是阅读原文还是翻译为中文的理论,往往会感到文字上生涩,某些概念比较生僻,对照原版文字还会发现翻译上的不一致性,这些都成为我国护理人员理解西方护理理论的障碍。现举几个实例:①Roy在其适应模式中认为相关刺激(contextual stimuli)和固有刺激(residual stim-uli)是两类性质不同的刺激,必须在二级评估时加以区分。而这两类刺激的区分往往是理解该理论的难点之一,更容易理解与更容易应用的方式是根据刺激的来源评估患…     

正确应用护理模式和护理理论指导护理实践(1)

护理学是一门应用性和实践性的学科,护理学作为一门发展中的专业,在实践中已经形成了一系列独特的知识体系,包括一系列的模式和理论。尽管尚在不断完善的过程中,但这些模式和理论对护理实践起到了重要的促进作用。然而正如众多其它学科一样,如何缩短理论与实践之间的距离,一直是各学科努力探索的问题,尤其是绝大部分现有的护理模式和理论均来源于西方社会,[第一段]     

塑造护理高效执行力在护理管理中的应用

目的加强护理队伍建设,塑造高效护理执行力,提高护理质量。方法通过制订执行目标,转变执行观念,完善岗位责任制度,建立高效执行体系,加强护理队伍建设,培养优秀执行团队,强化绩效考核管理,形成合理激励机制,建立沟通渠道,塑造良好执行文化等有力措施,不断塑造护理高效执行力。结果推行高效执行方式后(2009年)护理工作质量较推行高效执行方式前(2008年)有了较为明显的提高,经统计学分析,均P0.05,差异具有统计学意义。推行高效执行方式后(2009年)病房管理和五常法管理的护理不良条数较推行高效执行方式前(2008年)有了明显的降低,经统计学分析,均P0.05,差异具有统计学意义。推行高效执行方式后大专以上护理人员由2008年的51.3%提高至2009年的65.6%,护理人员的综合素质得到了较大提升。结论护理高效执行力对保证护理管理有效性具有积极的作用。