时间护理在抑郁症患者健康教育中的应用

Objective To study time nursing theory and its application in health education for patients with depression.Methods 60 case of depression were selected and randomly divided intotraditional nursing group(30)and time nursing group(30).The general implementation of psychiatric health education was used in traditional nursing group;while in time nursing group the patients were nursed with health education according to the time nursing theory at 16:00～17:00 or 19:00～20:00 every day.The results were evaluated by self-designed questionnaire of heahh education knowledge,Selfrating Depression Scale(SDS)and Self-rating Anxiety Scale(SAS).It~ults The scores of health education knowledge questionnaire in time nursing knowledge was higher than that of traditional nursing group(P＜0.05):the SDS and SAS scores of time nursing group were lower than those of the traditional group(P＜0.05).Conclusion The application of time nursing theory for health education to patients with depression,call make the patients much easily to understand the contents of health education,and improve their emotions of anxiety and depression.     

时间护理在抑郁症患者健康教育中的应用

Objective To study time nursing theory and its application in health education for patients with depression.Methods 60 case of depression were selected and randomly divided intotraditional nursing group(30)and time nursing group(30).The general implementation of psychiatric health education was used in traditional nursing group;while in time nursing group the patients were nursed with health education according to the time nursing theory at 16:00～17:00 or 19:00～20:00 every day.The results were evaluated by self-designed questionnaire of heahh education knowledge,Selfrating Depression Scale(SDS)and Self-rating Anxiety Scale(SAS).It~ults The scores of health education knowledge questionnaire in time nursing knowledge was higher than that of traditional nursing group(P＜0.05):the SDS and SAS scores of time nursing group were lower than those of the traditional group(P＜0.05).Conclusion The application of time nursing theory for health education to patients with depression,call make the patients much easily to understand the contents of health education,and improve their emotions of anxiety and depression.     

时间护理在抑郁症患者健康教育中的应用

Objective To study time nursing theory and its application in health education for patients with depression.Methods 60 case of depression were selected and randomly divided intotraditional nursing group(30)and time nursing group(30).The general implementation of psychiatric health education was used in traditional nursing group;while in time nursing group the patients were nursed with health education according to the time nursing theory at 16:00～17:00 or 19:00～20:00 every day.The results were evaluated by self-designed questionnaire of heahh education knowledge,Selfrating Depression Scale(SDS)and Self-rating Anxiety Scale(SAS).It~ults The scores of health education knowledge questionnaire in time nursing knowledge was higher than that of traditional nursing group(P＜0.05):the SDS and SAS scores of time nursing group were lower than those of the traditional group(P＜0.05).Conclusion The application of time nursing theory for health education to patients with depression,call make the patients much easily to understand the contents of health education,and improve their emotions of anxiety and depression.     

综合护理措施在妊娠合并支气管哮喘患者中的应用体会

Objective To observe the effect of comprehensive nursing measures on pregnant women with bronchial asthma.Methods Through design of own control,25 pregnant women with bronchial asthma weren ursed with comprehensive nursing measures,includingmental nursing,airwaynursing and fetal monitoring and so on.The frequency and duration of asthmatic attack and fetal heart rate fetal movement were recordedon admission and prior to discharge.Results Nursed by comprehensive measures.the frequency and duration of asthmatic attack decreased whereas the fetal heart rate and fetal m ovement prior to dischargeincre ased when compared with that of admission,whose differeneeshowed statistical significa nce(P＜0.05,P＜0.01).Catwlusitm Comprehensive nursing measures could help pregnant wonlen relieve bronchial asthma and protect the fetuses from embarrassment,which was proved to be an effective and easy method to nurse the pregnant women with bronchial asthma.     

聊城市精神疾病患者求医方式及其影响因素的调查研究

Objective To investigate the status of treatment of patients with mental disorders in Liaocheng and the impact factors for medical intervention of mental illness. Methods From November 2004 to November 2005, 4800 ≥ 18-year-old population were enrolled from four counties (districts), eight townships (streets), 33 villages(neighborhood committees). General health questionnaire(GHQ-12), mental retardation/dementia diagnosis Scale(MMSE), clinical registration forms, such as SCID-P and the spirit of the United States Institute of DSM-IV diagnosis(DSM-IV) were used as diagnostic tools. Results Four thousand seven hundred and eighty-eight people completed the survey. Mental illness prevalence rate was 14. 20%, with a total prevalence rate of 15.31%. The first way of seeking treatment is from the internal department and neurology department of general hospital, which accounts for 62.9% ;the second is to turn to superstition and magic,which accounts for 18.2% ;the third is from private clinic of Traditional Chinese and Western medicine,which accounts for 8.8% ;the last is from special psychi-atric department,which accounts for 4.4%. The ways are mainly influenced by the level of education, distance,the forms and characters of occurring illnesses, attitude of society, knowledge about this kind of illnesses and guidance of doctors. Conclusion The important strategies to seek treatment in a right way and become healthy in time are to strengthen the cooperation of general hospital , the communtity health service institutions and psychiatric health special bodies ;to improve the diagnoising and discerning ability of non-specialista and to give guidance to psychiatric about the ways.     

聊城市精神疾病患者求医方式及其影响因素的调查研究

Objective To investigate the status of treatment of patients with mental disorders in Liaocheng and the impact factors for medical intervention of mental illness. Methods From November 2004 to November 2005, 4800 ≥ 18-year-old population were enrolled from four counties (districts), eight townships (streets), 33 villages(neighborhood committees). General health questionnaire(GHQ-12), mental retardation/dementia diagnosis Scale(MMSE), clinical registration forms, such as SCID-P and the spirit of the United States Institute of DSM-IV diagnosis(DSM-IV) were used as diagnostic tools. Results Four thousand seven hundred and eighty-eight people completed the survey. Mental illness prevalence rate was 14. 20%, with a total prevalence rate of 15.31%. The first way of seeking treatment is from the internal department and neurology department of general hospital, which accounts for 62.9% ;the second is to turn to superstition and magic,which accounts for 18.2% ;the third is from private clinic of Traditional Chinese and Western medicine,which accounts for 8.8% ;the last is from special psychi-atric department,which accounts for 4.4%. The ways are mainly influenced by the level of education, distance,the forms and characters of occurring illnesses, attitude of society, knowledge about this kind of illnesses and guidance of doctors. Conclusion The important strategies to seek treatment in a right way and become healthy in time are to strengthen the cooperation of general hospital , the communtity health service institutions and psychiatric health special bodies ;to improve the diagnoising and discerning ability of non-specialista and to give guidance to psychiatric about the ways.     

聊城市精神疾病患者求医方式及其影响因素的调查研究

Objective To investigate the status of treatment of patients with mental disorders in Liaocheng and the impact factors for medical intervention of mental illness. Methods From November 2004 to November 2005, 4800 ≥ 18-year-old population were enrolled from four counties (districts), eight townships (streets), 33 villages(neighborhood committees). General health questionnaire(GHQ-12), mental retardation/dementia diagnosis Scale(MMSE), clinical registration forms, such as SCID-P and the spirit of the United States Institute of DSM-IV diagnosis(DSM-IV) were used as diagnostic tools. Results Four thousand seven hundred and eighty-eight people completed the survey. Mental illness prevalence rate was 14. 20%, with a total prevalence rate of 15.31%. The first way of seeking treatment is from the internal department and neurology department of general hospital, which accounts for 62.9% ;the second is to turn to superstition and magic,which accounts for 18.2% ;the third is from private clinic of Traditional Chinese and Western medicine,which accounts for 8.8% ;the last is from special psychi-atric department,which accounts for 4.4%. The ways are mainly influenced by the level of education, distance,the forms and characters of occurring illnesses, attitude of society, knowledge about this kind of illnesses and guidance of doctors. Conclusion The important strategies to seek treatment in a right way and become healthy in time are to strengthen the cooperation of general hospital , the communtity health service institutions and psychiatric health special bodies ;to improve the diagnoising and discerning ability of non-specialista and to give guidance to psychiatric about the ways.     

聊城市精神疾病患者求医方式及其影响因素的调查研究

Objective To investigate the status of treatment of patients with mental disorders in Liaocheng and the impact factors for medical intervention of mental illness. Methods From November 2004 to November 2005, 4800 ≥ 18-year-old population were enrolled from four counties (districts), eight townships (streets), 33 villages(neighborhood committees). General health questionnaire(GHQ-12), mental retardation/dementia diagnosis Scale(MMSE), clinical registration forms, such as SCID-P and the spirit of the United States Institute of DSM-IV diagnosis(DSM-IV) were used as diagnostic tools. Results Four thousand seven hundred and eighty-eight people completed the survey. Mental illness prevalence rate was 14. 20%, with a total prevalence rate of 15.31%. The first way of seeking treatment is from the internal department and neurology department of general hospital, which accounts for 62.9% ;the second is to turn to superstition and magic,which accounts for 18.2% ;the third is from private clinic of Traditional Chinese and Western medicine,which accounts for 8.8% ;the last is from special psychi-atric department,which accounts for 4.4%. The ways are mainly influenced by the level of education, distance,the forms and characters of occurring illnesses, attitude of society, knowledge about this kind of illnesses and guidance of doctors. Conclusion The important strategies to seek treatment in a right way and become healthy in time are to strengthen the cooperation of general hospital , the communtity health service institutions and psychiatric health special bodies ;to improve the diagnoising and discerning ability of non-specialista and to give guidance to psychiatric about the ways.     

前列腺素E1联合血浆置换治疗慢性重型肝炎的临床研究

Objective To investigate the curative effect, timing and feasibility of prostaglandin E1 combined plasma exchange in treatment of chronic severe hepatitis. Methods Eighty-eight patients with chronic severe hepatitis were randomly divided into treatment group and control group. The treatment group was given prostaglandin E1 combined plasma exchange treatment based on the comprehensive treatment of internal medicine. Control group only had given the internal medicine comprehensive treatment. Results The symptoms and signs of the treatment group were improved after treatments, especially with total bilirubin, cholinesterase, prothrombin activity, NH3 ( P ＜ 0.01,P ＜ 0.05 ). After treatment, except for albumin, the others indicators of the two groups had significant difference ( P ＜ 0.05). Follow-up for three months, the total effective rate of the treatment group was 69.6% ( 32cases ), early effective rate was 79.3% (23 cases), mid-term effective rate was 64.3% (9 cases) were all significantly higher than those of control group [47.6% (20 cases), 55.6% ( 15 cases), 38.5% (5 cases)] (P ＜ 0. 01 ).Conclusion Prostaglandin E1 combined with plasma exchange in treatment of chronic severe hepatitis can improve the liver function and survival rate significantly.     

前列腺素E1联合血浆置换治疗慢性重型肝炎的临床研究

Objective To investigate the curative effect, timing and feasibility of prostaglandin E1 combined plasma exchange in treatment of chronic severe hepatitis. Methods Eighty-eight patients with chronic severe hepatitis were randomly divided into treatment group and control group. The treatment group was given prostaglandin E1 combined plasma exchange treatment based on the comprehensive treatment of internal medicine. Control group only had given the internal medicine comprehensive treatment. Results The symptoms and signs of the treatment group were improved after treatments, especially with total bilirubin, cholinesterase, prothrombin activity, NH3 ( P ＜ 0.01,P ＜ 0.05 ). After treatment, except for albumin, the others indicators of the two groups had significant difference ( P ＜ 0.05). Follow-up for three months, the total effective rate of the treatment group was 69.6% ( 32cases ), early effective rate was 79.3% (23 cases), mid-term effective rate was 64.3% (9 cases) were all significantly higher than those of control group [47.6% (20 cases), 55.6% ( 15 cases), 38.5% (5 cases)] (P ＜ 0. 01 ).Conclusion Prostaglandin E1 combined with plasma exchange in treatment of chronic severe hepatitis can improve the liver function and survival rate significantly.     

腹腔镜与开腹子宫肌瘤剔除术的护理干预

Objective To investigate the narsing intervention of laparoscope and open abdominal in treating hysteromyoma.Methods 80 cases with hysteromyoma according to the different treatment methods were divided into that in Abdominal myomectomy group of 40 cases and Laparoseopic myomectomy group of 40 patients,then different methods of nursing intervention were siren to them.The surgery bleeding、operative time、hospital days and other as-pects were observed.Results The index of blood loss、intestinal function recovery time、active time away from the bed、hospital days in Laparoscopic group were better than Abdominal myomectomy group(t=2.781,t=2.845,t=2.881,t=2.844,t=2.879,all P<0.05).Conclusion Preoperative psychological care、bowel preparation and postoperative care could reduce the incidence of postoperative complications and improve surgical success rate.     

腹腔镜与开腹子宫肌瘤剔除术的护理干预

Objective To investigate the narsing intervention of laparoscope and open abdominal in treating hysteromyoma.Methods 80 cases with hysteromyoma according to the different treatment methods were divided into that in Abdominal myomectomy group of 40 cases and Laparoseopic myomectomy group of 40 patients,then different methods of nursing intervention were siren to them.The surgery bleeding、operative time、hospital days and other as-pects were observed.Results The index of blood loss、intestinal function recovery time、active time away from the bed、hospital days in Laparoscopic group were better than Abdominal myomectomy group(t=2.781,t=2.845,t=2.881,t=2.844,t=2.879,all P<0.05).Conclusion Preoperative psychological care、bowel preparation and postoperative care could reduce the incidence of postoperative complications and improve surgical success rate.     

唐山市社区护理现状分析

社区护理(community health nursing)一词源于英文,也称社区卫生护理,起源于19世纪丽莲· 伍得开始的公共卫生护理[1].社区护理是将公共卫生学及护理学理论相结合,采用直接的护理方式为个人、家庭和社区人群提供健康服务;同时,也提供个体居住、 工作或学校环境的基础医疗照顾[2].     

无创正压通气在老年慢性阻塞性肺疾病急性加重期患者中的应用效果分析

Objective To study the clinical effect of non-invasive positive pressure ventilation (NPPV) in elderly patients with acute exacerbation of chronic obstructive pulmonary diseases (AECOPD). Methods One hundred and Fourteen elderly patients with AECOPD were divided into two groups. The observed group of 58 patients was given oxygen, anti-inflammatory and other conventional treatment, at the same time NPPV treatment was given, But the control group of 56 cases was only given the conventional treatment. The difference of blood oxygen pressure ( PaO2 ), carbon dioxide partial pressure ( PaCO2 ), pH value, respiratory rate (RR) and heart rate (HR)between two groups were compared after 12 h. To compare two groups endotracheal intubation rate and mortality differences. Results The pH and PaO2 of the observation group were significantly higher than that before treatment , HR, RR and PaCO2 decreased significantly compared with before treatment, and the various indicators were better than the same period in the control group. The observation group endotracheal intubation rate and mortality were less than the control group ( all P ＜ 0. 05). Conclusions NPPV can effectively alleviate breathing difficulties of the elderly patients with AECOPD and correct hypoxia. NPPV can reduce the rate of endotracheal intubation and mortality.     

无创正压通气在老年慢性阻塞性肺疾病急性加重期患者中的应用效果分析

Objective To study the clinical effect of non-invasive positive pressure ventilation (NPPV) in elderly patients with acute exacerbation of chronic obstructive pulmonary diseases (AECOPD). Methods One hundred and Fourteen elderly patients with AECOPD were divided into two groups. The observed group of 58 patients was given oxygen, anti-inflammatory and other conventional treatment, at the same time NPPV treatment was given, But the control group of 56 cases was only given the conventional treatment. The difference of blood oxygen pressure ( PaO2 ), carbon dioxide partial pressure ( PaCO2 ), pH value, respiratory rate (RR) and heart rate (HR)between two groups were compared after 12 h. To compare two groups endotracheal intubation rate and mortality differences. Results The pH and PaO2 of the observation group were significantly higher than that before treatment , HR, RR and PaCO2 decreased significantly compared with before treatment, and the various indicators were better than the same period in the control group. The observation group endotracheal intubation rate and mortality were less than the control group ( all P ＜ 0. 05). Conclusions NPPV can effectively alleviate breathing difficulties of the elderly patients with AECOPD and correct hypoxia. NPPV can reduce the rate of endotracheal intubation and mortality.     

持续小剂量肝素治疗严重脓毒症的疗效分析

Objective To investigate the therapeutic effects of continuous low-dose heparin on severe sepsis.Mehoda 67 severe septic patients were randomly divided into tow groups:routine treat-ment group(n=36)and heparin treatment group(n=31).The levels of platelet(PET)count,APTr,PT,FIB and AT-Ⅲ were determined before and after treatment in two groups.The days of mechanical ventilation and the incidence nltes of disseminated intravascular coagulopathy(DIC),acute renal failure(ARF),acute respiratory distress syndrome(ARDS),multiple organ dysfunction syndrome(MODS),The 7-day and 28-dav mortalitv were observed.Results There are significant differences for the incidence rate of ARDS,DIC.MODS and 28-day mortality between routine treatment group and heparin treatment group(P＜0.05).And there are no siguificant differences for the levels of PLT count,APTT,PT,FIB,AT-Ⅲ,the days of mechanical ventilation,the incidence rate of ARF,7-day mortality between routine treatment group and heparin treatment group (P>0.05).Conclusion Continuous low-dose heparin on severe sepsis was sale relatively,and it could improve the prognosis and decrease the mortality rate of severe septic patients.     

微管胸腔闭式引流在结核性胸腔积液治疗中的应用

Objective To observe the effect and safety of pleural effusion treated by closed thoracic drainage with micro-catheter. Methods A total of 64 cases with pleural effusion were randomly divided into conventional therapy group ( control group ) and closed thoracic drainage with micro-catheter group ( treatment group) , each group including( 32 cases ). Control group were treated with drainage of thoracic puncture interruptedly while treatment group treated by closed thoracic drainage with micro-catheter. Results Both two therapeutic methods could reduce pleural effusion, but obvious effective rate of treatment group was higher than that of control group( P ＜ 0.05 ). Meanwhile, the rate of pleural reaction and treatment cost in treatment group were lower than that in control group. Conclusion Closed thoracic drainage with micro-catheter was effective, lower treatment cost and lower complications. Moreover, it could reduce medical risk.     

持续小剂量肝素治疗严重脓毒症的疗效分析

Objective To investigate the therapeutic effects of continuous low-dose heparin on severe sepsis.Mehoda 67 severe septic patients were randomly divided into tow groups:routine treat-ment group(n=36)and heparin treatment group(n=31).The levels of platelet(PET)count,APTr,PT,FIB and AT-Ⅲ were determined before and after treatment in two groups.The days of mechanical ventilation and the incidence nltes of disseminated intravascular coagulopathy(DIC),acute renal failure(ARF),acute respiratory distress syndrome(ARDS),multiple organ dysfunction syndrome(MODS),The 7-day and 28-dav mortalitv were observed.Results There are significant differences for the incidence rate of ARDS,DIC.MODS and 28-day mortality between routine treatment group and heparin treatment group(P＜0.05).And there are no siguificant differences for the levels of PLT count,APTT,PT,FIB,AT-Ⅲ,the days of mechanical ventilation,the incidence rate of ARF,7-day mortality between routine treatment group and heparin treatment group (P>0.05).Conclusion Continuous low-dose heparin on severe sepsis was sale relatively,and it could improve the prognosis and decrease the mortality rate of severe septic patients.     

持续小剂量肝素治疗严重脓毒症的疗效分析

Objective To investigate the therapeutic effects of continuous low-dose heparin on severe sepsis.Mehoda 67 severe septic patients were randomly divided into tow groups:routine treat-ment group(n=36)and heparin treatment group(n=31).The levels of platelet(PET)count,APTr,PT,FIB and AT-Ⅲ were determined before and after treatment in two groups.The days of mechanical ventilation and the incidence nltes of disseminated intravascular coagulopathy(DIC),acute renal failure(ARF),acute respiratory distress syndrome(ARDS),multiple organ dysfunction syndrome(MODS),The 7-day and 28-dav mortalitv were observed.Results There are significant differences for the incidence rate of ARDS,DIC.MODS and 28-day mortality between routine treatment group and heparin treatment group(P＜0.05).And there are no siguificant differences for the levels of PLT count,APTT,PT,FIB,AT-Ⅲ,the days of mechanical ventilation,the incidence rate of ARF,7-day mortality between routine treatment group and heparin treatment group (P>0.05).Conclusion Continuous low-dose heparin on severe sepsis was sale relatively,and it could improve the prognosis and decrease the mortality rate of severe septic patients.     

阿德福韦酯联合大黄廑虫丸治疗乙型病毒性肝炎失代偿期肝硬化疗效观察

Objective To observe the efficacy of combined adefovir dipivoxil and Rhubarb Zhechong pill for treatment of hepatitis B decompensated cirrhosis. Methods Sixty-one cases of hepatitis B decompensated cir-rhosis patients were randomly divided into two groups. The treatment group was treated with adefovir dipivoxil and rhubarb Zhechong pill, plus conventional medical treatment. All treatments were continued for one year. Symptoms, liver function, hepatic fibrosis changes and the HBV-DNA negative rate before and after treatment were observed. Results The efficiency rate in treatment group was 93.5%, higher than that in control group (80. 0%) (P < O. 05). ALT,TBIL,HA, LN ,PC Ⅲ in treatment group were significantly lower (P < 0.01 or P < 0.05) after them-py. Meanwhile the decrease of ALT, HA, LN, PC Ⅲ after therapy were higher than that in control group (P < 0.01 or P <0.05). The HBV-DNA negative rate in treatment group was 87.9%, higher than that of control group(13.5%) (P < 0. 01). Conclusion Combined Adefovir dipivoxil and rhubarb Zhechong pill can improve the prognosis in hepatitis B decompensated cirrhosis patients.