Cme credit quiz hearing loss

Hyponatremia may reflect sodium loss or sodium gain with water excess, whereas hypernatremia occurs with inadequate water intake or excessive water loss. Most helpful in identifying the cause of sodium and water imbalance are determinations of serum sodium concentration and osmolality.     

影响精神科护士心身健康的因素与对策

通过分析精神科护理工作的特殊性以及影响护理人员心身健康的因素,提出管理对策,最大限度地保障精神科护士的心身健康,为护理人员创造最佳的工作环境。     

护理人员心身健康状况的研究

[目的 ]了解肿瘤专科护士心身健康状况及影响因素。 [方法 ]采用抑郁自评量表 (SDS)、焦虑自评量表 (SAS)及护士职业压力源调查表 ,对 12 8名护士进行调查。 [结果 ]护士SDS得分为 44 .2 6分±9.2 2分 ,高于我国常模SDS标准分 41.88分± 10 .5 7分 (P <0 .0 1) ;SAS得分为 3 9.2 8分± 8.88分 ,高于我国正常人 3 7.2 3分± 0 .46分(P <0 .0 1) ;SDS、SAS得分与工作压力源呈正相关 ,高风险职业的压力、晋升和深造机会太少、经常倒班、工作量太大、担心出现护理纠纷和差错事故、社会地位低、工作职位竞争等为主要压力源。 [结论 ]护士心身健康状况与职业压力密切相关 ,而影响因素是多方面的 ,应引起各级管理者高度重视     

度洛西汀与文拉法辛治疗产后抑郁症对照研究

目的：探讨度洛西汀与文拉法辛治疗产后抑郁症的疗效和安全性。方法将80例产后抑郁症患者随机分为两组,每组40例,研究组口服度洛西汀治疗,对照组口服文拉法辛治疗,观察4周。于治疗前后采用汉密顿抑郁量表评定临床疗效,副反应量表评定不良反应。结果治疗2周末起两组汉密顿抑郁量表评分均较治疗前显著下降（P＜0．01）,治疗4周末研究组总有效率为85．0％、对照组为82．5％,两组比较差异无显著性（ P＞0．05）。两组不良反应主要表现为恶心、出汗、心动过速、失眠等,副反应量表评分比较差异无显著性（P＞0．05）。结论度洛西汀与文拉法辛治疗产后抑郁症疗效显著,安全性高,依从性好。     

Bullying and disillusionment in veterinary nursing

Aiming to determine the effect of bullying on disillusionment, registered (RVN) and student veterinary nurses (SVN) undertook an anonymous survey, where linear and dichotomous responses facilitated variable assessment. Of participants, 58.7% met the criterion for behavioural-measured bullying, with no significant difference between RVN and SVN scores (P?=?0.335) or perception of bullying (RVN: P?=?0.819, SVN: P?=?0.176). Although 85.5% of disillusioned participants ranked as bullied, negative behaviours were not significant predictors of disillusionment (P?=?0.6), but low incidence of positive behaviours were (P?相似文献   

护士心身健康情况的调查

目的 调查护士心身健康水平,为实施干预措施、提高护士的心身健康水平提供依据.方法 采用中国心身健康量表(Chinese psychosomatic health scale,CPSHS)和自编量表对上海市某三级甲等医院430名临床护士的心身健康状况进行问卷调查.结果 430名临床护士中有心身障碍者106名,占25.5%.不同年龄、职务及家庭构成护士的心身健康的差异有统计学意义(均P<0.05).结论 不同年龄、职务、家庭构成的护士其身心健康状况不同,应加强对护士的关注,并给予必要的干预.     

曲唑酮与氟西汀治疗围绝经期抑郁症对照研究

目的：探讨曲唑酮与氟西汀治疗围绝经期抑郁症的临床疗效和安全性。方法将72例围绝经期抑郁症患者随机分为两组,每组36例,研究组口服曲唑酮治疗,对照组口服氟西汀治疗,观察6周。于治疗前后采用汉密顿抑郁量表、汉密顿焦虑量表评定临床疗效,副反应量表评定不良反应。结果研究组治疗1周末汉密顿焦虑量表总分、汉密顿抑郁量表总分及睡眠因子分显著低于对照组（ P＜0．05）;治疗6周末研究组显效率86．1％、有效率94．4％,对照组分别为77．8％、94．4％,两组比较差异无显著性（χ2＝0．84、0,P＞0．05）。研究组失眠及焦虑不安发生率显著低于对照组（P＜0．05）。结论曲唑酮与氟西汀治疗围绝经期抑郁症疗效均显著,但曲唑酮能够较快改善患者的焦虑及睡眠状况,治疗依从性更好。     

个体主观健康抱怨的研究进展及启示

对个体主观健康抱怨的概念、特点、作用机制、测评工具、研究进展及干预方法进行综述,分析其对我国的启示,为降低个体主观健康抱怨水平,提高卫生保健人员对主观健康抱怨的认知,以及为促进保健护理工作开展提供依据。     

Tx-discs--no effect against subjective health complaints: a randomised controlled study

BACKGROUND: Dowsers claim unhealthy effects of 'earth rays', and the producer of TX-discs claims that these discs may shield a person from the influence of 'earth rays', thereby relieving most illness in the person shielded. OBJECTIVES: To compare the effects of the TX-disc versus a placebo disc in patients with longstanding muscular-skeletal complaints. SETTING: Self-recruited community living persons in the Bergen area, Western Norway. PATIENTS: 67 women and 13 men with longstanding muscular-skeletal complaints, recruited by advertisements in local newspapers. DESIGN: A randomised and double-blinded controlled trial with a 6 months follow-up period. MAIN OUTCOME MEASUREMENT: The Subjective Health Complaints (SHC) questionnaire. RESULTS: We found a substantial reduction on the mean SHC sub-scale scores of muscular-skeletal, pseudo-neurological, gastro-intestinal, and allergic complaints, mainly occurring from baseline to 6 weeks (28-45%, P < 0.05-0.001). There were however no statistically significant differences for these variables between the TX group and the placebo group at any time point. IMPLICATIONS: TX-discs used in accordance with the instructions had no clinically or statistically significant effect on muscular-skeletal pain, pseudo-neurological complaints, gastro-intestinal, or allergic complaints during this study.     

Associations between psychosomatic symptoms in adolescence and mental health symptoms in early adulthood

Kinnunen P, Laukkanen E, Kylmä J. International Journal of Nursing Practice 2010; 16 : 43–50
Associations between psychosomatic symptoms in adolescence and mental health symptoms in early adulthood
This longitudinal study explored associations between psychosomatic symptoms in adolescence and mental health symptoms in early adulthood. The baseline data were collected in 1996 from 14-year-old pupils ( n  = 235; 116 girls, 119 boys) at schools using a structured questionnaire that included a 14-item scale of psychosomatic symptoms. The follow-up data were collected in 2006 from the same persons at the age of 24 using the Symptom Checklist-90. Follow-up questionnaires were returned by 149 (63.4%) young adults (88 women and 61 men). Young adults who had many psychosomatic symptoms in adolescence suffered more often than the others from somatization and anxiety symptoms in early adulthood. In addition, women had more symptoms of depression and paranoid ideation, and men had more interpersonal sensitivity and psychotic symptoms. Psychosomatic symptoms in adolescence might be important signals of mental health and this should be taken seriously in school health and in general primary care.     

产后抑郁症患者的护理干预

产后抑郁症是产褥期妇女较常见的一种情绪障碍,严重者可有自我伤害或伤害婴儿的行为,已成为威胁妇女、婴儿健康和家庭和睦的公共卫生问题,对产后抑郁患者采取及时有效的护理干预,能有效地改善或缓解产后抑郁症患者的抑郁症状,提高产妇的生活质量。     

Effect of raw milk consumption on perceived health,mood and immune functioning among US adults with a poor and normal health: A retrospective questionnaire based study

IntroductionRaw milk consumption is controversially discussed, and people are looking for raw milk due to expected positive health impacts. The purpose of this consumer survey was to evaluate health conditions prior to and after consuming of raw milk (RM).MethodsAn on-line survey was distributed in Spring 2018 among existing consumers of raw milk. One-Item health score, 1-item immunity score, immune status (ISQ), mood, bowel and skin conditions were rated retrospectively based on validated questionnaires. Data from 327 participants (age 54 years) were included, of which 156 (48%) were allocated to the poor health group after they reported being immune depressed or suffering from a chronic disease. Others were allocated to the normal health group. Milk consumption pattern before and after changing of the milk diet were recorded. All health outcomes were evaluated according a linear mixed model in SPSS.ResultsHealth, perceived immunity, bowel and mood scores increased post RM consumption with around 35% in the poor health group (P < 0.001), and around 9% in the normal health group (P < 0.001). Bowel and mood scores were overall lower in women than in men. Outcomes were independent of the origin of raw farm milk.ConclusionsThis consumer survey suggests that positive health and mood changes are associated with the consumption of raw milk. Effects were strongest in people with a self-reported poor health status as well as in women.