白内障超声乳化吸除术联合人工折叠晶体植入术的护理

目的:分析临床超声乳化吸除术联合人工折叠晶体植入术治疗白内障的有效护理措施及效果。方法:回顾性分析2017年1月-2018年1月本院白内障患者94例的临床资料,均接受超声乳化吸除术联合人工折叠晶体植入术治疗,其中接受常规护理的47例患者视作对照组,接受围术期护理的47例患者视作观察组,对照结果。结果:观察组术后4天视力值0.3、0.3-0.8的比重,术后30天视力值在0.3-0.8、0.8的比重均优于对照组;观察组并发症发生率为6.38%,对照组21.28%,P0.05。结论:白内障接受超声乳化吸除术联合人工折叠晶体植入术治疗效果明显,配合围术期护理措施能够保证手术安全性,可推广。     

基于贝克认知干预的访视护理在白内障超声乳化人工晶体植入术前的应用观察

目的：观察基于贝克认知干预的访视护理在白内障超声乳化人工晶体植入术前的应用效果。方法：随机数表法将2019年8～2021年9月收治的84例白内障患者分为观察组和对照组两组，每组各42例。两组患者均接受白内障超声乳化联合人工晶体植入治疗，术前对照组采取常规护理，观察组采取基于贝克认知干预的访视护理。干预1周后，比较两组患者心理状态、心理及血压变化情况。结果：干预后，观察组患者焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均明显低于对照组，差异具有统计学意义(P<0.05);干预后，观察组患者心率(HR)、收缩压(SBP)、舒张压(DBP)水平均明显低于对照组，差异具有统计学意义(P<0.05)。结论：基于贝克认知干预的访视护理能降低白内障超声乳化人工晶体植入术前患者焦虑、抑郁程度，稳定患者生命体征变化，有助于手术顺利进行。     

老年性白内障手术的护理探析

目的 探讨研究白内障患者超声乳化人工晶体植入手术在围手术期的护理,为临床上提供有价值的参考.方法 对我院收治的进行白内障超声乳化人工植入手术的70例患者加强术前术后护理和健康指导.结果 所有老年白内障患者经手术后视力有了显著提高.结论 白内障超声乳化人工晶体植入是临床上治疗白内障的有效方法,术后患者的视力可以得到显著提高,在手术前后进行优质护理可以提高手术的疗效,减少术后并发症的发生.     

个性化围手术期护理在老年白内障超声乳化吸除术+人工晶体植入术患者中的应用

目的 探讨个性化围手术期护理应用于超声乳化吸除术+人工晶体植入术治疗老年白内障患者的效果。方法 选取2020年5月至2022年5月莆田市第一医院收治的101例老年白内障患者作为研究对象，按照随机数字表法分为对照组（50例）和观察组（51例），对照组给予常规护理干预，观察组给予围手术期个性化护理干预，观察两组视力恢复情况、心理状态、角膜内皮细胞及并发症发生率。结果 观察组裸眼远视力、最佳矫正视力（BCVA）高于对照组，简版心理健康连续体量表（MHC-SF）各维度评分均高于对照组，内皮细胞密度、六角形细胞比例高于对照组，角膜内皮细胞变异系数、中央角膜厚度低于对照组，并发症发生率低于对照组，差异均有统计学意义（P<0.05）。结论 对老年白内障超声乳化吸除术+人工晶体植入术患者实施个性化围手术期护理，可有效改善不良心理状态，减少角膜内皮细胞损伤，降低并发症发生率，促进视力恢复。     

心理护理对老年白内障手术患者不良情绪的改善作用

目的：研究心理护理对老年白内障咒术患者不良情绪的改善作用。方法将40名实行超声乳化联合人工晶体植入手术的老年患者作为研究对象,利用随机平均分配的方法将以上研究对象分为对照组和观察组,每组20人。对照组接受常规的围术期护理,观察组在对照组的护理基础上实施心理护理。利用Zung氏自评量表（SAS）、抑郁自评量表（SDS）和自尊量表对两组护理前后的心理状况进行观察。结果两组在护理前SAS、SDS评分对比差异无统计学意义,护理后两组上述评分显著降低,但观察组降低效果更为显著。护理后两组的Rosenberg评分显著升高,但观察组更加明显。结论对老年白内障患者实行心理护理可以有效改善患者的不良情绪。     

心理护理在白内障手术患者中的应用效果观察

目的:本文就心理护理在白内障手术患者中的应用效果进行分析及探讨.方法:选择2016年3月--2016年6月期间在我院接受手术治疗的96例白内障患者,依据随机数字表法分为实验组(n=48)与参照组(n=48),参照组围术期予以常规护理,实验组在常规护理基础上接受心理护理干预,比较两组患者的SAS评分、SDS评分及护理满意度.结果:实验组患者的SAS评分、SDS评分改善程度优于参照组,护理满意度对比参照组更高,均P<0.05.结论:在白内障手术患者围术期,对其实施心理护理可有效改善患者的心理状态,还可提高患者对我院的护理满意度,值得推广.     

人文关怀对老年白内障患者护理效果的影响

目的探讨对老年白内障患者实施人文关怀护理的效果及满意度。方法取2016年3月-2017年3月天津医科大学总医院滨海医院收治的老年白内障患者120例进行研究,所有患者均实施常规白内障超声乳化+人工晶体植入手术治疗,按患者手术护理方式将患者分为基础组和人文组各60例,对所有基础组患者围手术期实施基础手术护理,对所有人文组患者围手术期实施人文关怀护理干预,统计分析两组患者的护理效果及满意度状况。结果人文组患者护理后手术前1h、术后1d焦虑自评量表(SAS)及抑郁自评量表(SDS)评分、并发症发生率与基础组相比明显较低,人文组患者护理满意度与基础组相比明显较高,差异均有统计学意义(P0.05)。结论对老年白内障患者实施人文关怀可提升患者护理效果及满意度。     

超声乳化、人工晶体植入联合小梁切除术治疗32例白内障合并青光眼的临床疗效分析

目的:探析超声乳化、人工晶体植入联合小梁切除术治疗白内障合并青光眼的临床疗效,为临床医师选择合理手术方案提供参考。方法:选取白内障合并青光眼患者共64例并均分为对照组与治疗组,对照组白内障合并青光眼患者进行常规摘除术、人工晶体植入联合小梁切除术,治疗组则施行超声乳化、人工晶体植入联合小梁切除术。结果:手术后一周两组患者的视力比较,对照组低于治疗组,P<0.05;手术后三个月两组患者的散光度比较,对照组高于治疗组,P<0.05。结论:应用超声乳化、人工晶体植入联合小梁切除术治疗白内障合并青光眼的临床疗效好,而且患者术后散光度不受影响,值得推广应用。     

超声乳化白内障吸除折叠式人工晶体植入联合小梁切除术的临床疗效分析

[目的]评价慢性闭角青光眼合并白内障的患者采用超声乳化白内障吸除折叠式人工晶体植入术加同期联合小梁切除术的可行性、安全性及疗效。[方法]2007年1月～2010年1月我科治疗的89例慢性闭角青光眼合并白内障的患者,将接受超声乳化白内障吸除折叠式人工晶体植入联合小梁切除术的48例患者分为观察组,其余41例分为对照组,先接受小梁切除术,4周后进行超声乳化白内障吸除折叠式人工晶体植入。[结果]观察组术后3个月眼压正常者显著高于对照组。对照组术后并发虹膜损伤的例数显著高于观察组。而出现的浅前房及前房明显炎性反应并发症的例数差异无统计学意义。观察组与对照组术前、后视力情况及术后视力纠正情况对照结果显示,观察组和分期手术治疗的对照组术前、后视力对照结果差异有统计学意义。而两组术后视力纠正情况对照结果差异无统计学意义。[结论]超声乳化白内障吸除折叠式人工晶体植入联合小梁切除术治疗慢性闭角青光眼合并白内障临床效果较佳,且安全性高,给患者一个好的生活质量,值得临床推广。     

白内障超声乳化人工晶体植入联合房角分离术治疗闭角型青光眼合并白内障的临床效果

目的:观察白内障超声乳化人工晶体植入联合房角分离术治疗闭角型青光眼合并白内障的临床效果。方法:选取在本院接受治疗的72例闭角型青光眼合并白内障作为研究对象,依据治疗方法不同将患者分为两组,观察组患者行房角分离术+超声乳化人工晶体植入治疗,对照组行小梁切除术+超声乳化人工晶体植入治疗。比较两组患者治疗前后的眼压和视力,前房角宽度和前房深度。结果:术前两组患者的眼压和视力,前房角宽度和前房深度比较,P>0.05,均无统计学意义,具有可比性。术后,观察组患者的眼压和视力较对照组改善更好,前房角宽度和前房深度较对照组宽度更宽、深度更深,组间P<0.05,具有统计学意义。结论:对闭角型青光眼合并白内障患者使用超声乳化人工晶体植入联合房角分离术治疗,能有效改善患者的视力和眼压,加深前房深度、开放房角,安全性好,是有效的治疗方法。     

有性才会有健康

性是基本的人权。根据我国著名的性学家史成礼教授的研究,性有“三大功能”:生育功能、享乐功能和健康功能。     

Communicating with people with dementia

It can be very difficult to communicate with people with dementia. Each case requires its own unique handling. Not every scenario is covered, as many times your own judgment is what will work, best according to the circumstances. These can change from dawn to evening and from day to day. Never assume things will be the way they were the last time you communicated. Be on your guard. Be adaptable. The article will help get you started to think of your own ways to communicate.     

经方汗证治验

临床上汗证病情复杂,分自汗、盗汗、黄汗和但头汗出,治疗汗证方药诸多,有益气固表、养阴清热和清热除湿等方法,疗效不一。受恩师刘健主任教导和《伤寒论》《金匮要略》病脉证并治启发,以脉证并治、方证对应思想,浅谈桂枝加附子汤、黄芪芍药苦酒汤、柴胡桂枝干姜汤和三物黄芩汤治疗汗证的经验,为经方治疗汗证提供新思路。     

Working with patients with physical disabilities

Medical practices need to make a number of adaptations to ensure that their facilities and staff are accessible to patients and other office visitors with physical disabilities. This article describes 10 specific strategies for preparing your medical practice for patients with disabilities, both inside and outside your office. It describes minimum standards for office doorways, sidewalk inclines, ramps, reception areas, and other adaptations medical offices need to make. The article also describes specific do and don't advice for communicating with patients with physical disabilities. It suggests strategies for preparing written materials for disabled patients, for communicating verbally, and for providing healthcare education. Finally, it suggests an appropriate role for medical practice staff in the delivery of healthcare services to patients with physical disabilities.     

Coping with Children with ADHD: Coping Styles of Mothers with Children with ADHD or Challenging Behaviours

Parents of children with Attention Deficit Hyperactivity Disorder (ADHD) can experience significant levels of stress in their parenting roles, however, little is known about the specific coping strategies used by these parents. This pilot study Investigated the coping strategies used by mothers of children with ADHD. A 34 item questionnaire was developed to identify maternal coping strategies. A cohort of 38 mothers of children with ADHD and a control group of 30 mothers of children without ADHD or any other disability/illness completed the questionnaire. Factor analysis of responses produced three factors: Aggressive/Confrontive Coping, Rational Coping, and Indirect Coping. These factors are similar to coping dimensions proposed by Folkman and Lazarus. Comparisons between the two groups of mothers revealed that mothers of children with ADHD used significantly more Indirect Coping.     

Problems with measuring satisfaction with social care

The measurement of customer satisfaction has become widespread in both healthcare and social care services, and is informative for performance monitoring and service development. Satisfaction with social care services is routinely measured with a single question on overall satisfaction with care, comprising part of the Adult Social Care Survey. The measurement of satisfaction has been problematised, and existing satisfaction measures are known to be under‐theorised. In this article, the process of making an evaluation of satisfaction with social care services is first informed by a literature review of the theoretical background, and second examined through qualitative interviews conducted in 2012–2013 with 82 service users and family carers in Hampshire, Portsmouth and Southampton. Participants in this study were from white British and South Asian backgrounds, and the influence of ethnicity in the process of satisfaction evaluation is discussed. The findings show that the majority of participants selected a positive satisfaction rating even though both positive and negative experiences with services were described in their narratives. It is recommended that surveys provide opportunity for service users and family carers to elaborate on their satisfaction ratings. This addition will provide more scope for services to review their strengths and weaknesses.     

Ending clinical relationships with people with schizophrenia

The potential for the social worker-client relationship to contribute to therapeutic outcomes is not always apparent with clients who have schizophrenia. Their cognitive impairments often make it difficult for these clients to regulate interpersonal boundaries and for social workers to connect with them. Clinical practice is enhanced, however, by recognizing that severely impaired clients have the capacity and desire for relationships with service providers and others. The manner in which the clinical relationship ends is important for maintaining clinical gains and determining whether the client will risk investing in future relationships. The purpose of this article has been to sensitize social workers to the delicate nature of managing the endings of those relationships.