运动自我效能干预对冠心病行PCI术后患者运动依从性的影响

目的：探讨运动自我效能干预对冠心病行PCI术后患者运动依从性的影响。方法：选取2021-01～2021-08于我院住院的冠心病PCI术后58例患者作为研究对象,1～4月住院患者为对照组,共29例,5～8月住院患者为干预组,共29例。对照组进行常规运动指导,观察组进行常规运动指导+自我效能干预,对比两组自我效能评分、运动依从性评分以及6min步行距离(6MWT)情况。结果：治疗前,两组运动自我效能评分、运动依从性评分、6MWT比较,差异均无统计学意义(P>0.05);治疗后,两组运动自我效能评分、运动依从性评分、6MWT均有所改善,且观察组优于对照组,差异均有统计学意义(P<0.05)。观察组运动频率、运动时间、运动强度均优于对照组(P<0.05)。结论：运动自我效能干预可明显提高冠心病行PCI术后患者运动依从性,促进患者运动功能改善,提升运动的频率、时间以及强度。     

护理干预对PCI术后患者自我护理能力和健康行为的影响

目的 探讨护理干预对PCI术后患者自我护理能力和健康行为的影响.方法 选取本院2009年6月～2013年6月的68例PCI术后患者作为研究对象,随机分为实验组和对照组,各34例.对照组采用常规护理,实验组在对照组的基础上给予相应的护理干预措施.比较两组的自我护理能力评分及健康行为评分.结果 实验组的自我护理能力评分及健康行为评分显著高于对照组,差异有统计学意义(P＜0.05).结论 相应的护理干预措施可显著改善PCI术后患者的自我护理能力及健康行为,值得临床推广应用.     

自我效能护理干预对胸肺肿瘤术后生命质量的效果

目的探讨自我效能护理干预在胸肺肿瘤术后应用对生命质量的影响。方法随机将本院2016年7月～2018年5月间收治的100例胸肺肿瘤手术患者作为研究对象,分为实验组与对照组,各50例,对照组采用常规护理干预,实验组采用自我效能护理干预,观察两组干预前后自我效能评分及干预后生活质量评分。结果干预前,实验组自我效能总评分与对照组比较差异无统计学意义(P 0.05);干预后,实验组自我效能总评分及生活质量各维度评分均高于对照组,差异有统计学意义(P 0.05)。结论在胸肺肿瘤术后采用自我效能护理干预,可将患者自我效能感提高,缓解心理及生理不适感,改善了生活质量,值得采用。     

跨理论模型协同护理模式对老年冠心病患者经皮冠状动脉介入治疗术后健康行为的影响研究

目的:探讨跨理论模型(TTM)协同护理模式对老年冠心病患者经皮冠状动脉介入治疗术(PCI)后健康行为的影响。方法:选取2018年5月-2020年7月冠心病患者112例,按照入院顺序分为观察组和对照组,每组56例。对照组采用常规护理,观察组采用TTM协同护理模式。比较两组干预前后自我效能感(GSES)评分、自我管理能力(AHSMSRS)及健康行为水平(HPLP-Ⅱ)评分。结果:干预前两组GSES评分、AHSMSRS评分和HPLPⅡ评分比较,差异无统计学意义(P>0.05);干预后观察组各项评分高于对照组,差异有统计学意义(P<0.05)。结论:TTM协同护理模式可增强老年冠心病PCI术后患者自我效能感及自我管理能力,提升健康行为水平。     

网络延续性护理在冠心病患者PCI术后居家照护中的作用

目的 探讨网络延续性护理在冠心病患者冠状动脉支架植入（PCI）术后居家照护中的作用。方法 选取2019年1月至2020年5月九江学院附属医院收治的80例PCI术后患者作为研究对象,采用随机数字表法分为对照组（40例）与观察组（40例）。对照组实施常规延续护理,观察组在对照组基础上实施网络延续性护理,持续干预1年。干预6个月、1年后,评价两组的服药依从性[Morisky服药依从性量表（MMAS-8）]、自我护理能力[自我护理能力量表（ECSA）]、自我效能感[一般自我效能感量表（GSES）]、健康知识知晓率及护理满意度。结果 对照组干预1年后的MMAS-8、ECSA、GSES评分高于本组干预6个月后,差异有统计学意义（P<0.05）;观察组干预1年后的MMAS-8、ECSA、GSES评分高于本组干预6个月后,差异有统计学意义（P<0.05）;干预6个月后,观察组的MMAS-8、ECSA、GSES评分高于同期对照组,差异有统计学意义（P<0.05）;干预1年后,观察组的MMAS-8、ECSA、GSES评分高于同期对照组,差异有统计学意义（P<0.05）。对照组干预1...     

以药学服务为主旨的院外延续性干预对急性心肌梗死患者 PCI 术后用药依从性的影响

目的：观察以药学服务为主旨的院外延续性干预在急性心肌梗死（AMI）经皮冠状动脉介入术（PCI）术后的 应用效果。方法：选取 AMI 经 PCI 术后患者 256 例,随机分为观察组与对照组各 128 例。对照组采用常规指导,观察 组采用以药学服务为主旨的院外延续性干预,比较干预前及干预 1 个月后两组 Morisky 服药依从性量表（MMAS-8）与 一般自我效能感量表（GSES）评分变化,比较干预 1 个月内两组患者用药不良反应发生率及 1 年内两组患者心血管不 良事件（MACE）发生情况。结果：干预 1 个月后,两组患者 MMAS-8 与 GSES 评分均较干预前有明显提高,且观察组 明显高于对照组（P＜0.05）。干预 1 个月内,观察组患者用药不良反应发生率明显低于对照组（P＜0.05）。随访 1 年 内,观察组患者 MACE 发生情况明显低于对照组（P＜0.05）。结论：采用以药学服务为主旨的院外延续性干预,可帮 助 AMI 患者 PCI 术后保持良好服药习惯,有利于患者预后。     

自我效能对糖尿病视网膜病变患者定期眼底检查的影响

目的 探讨自我效能增强干预对糖尿病视网膜病变定期眼底检查的影响.方法 将100例糖尿病视网膜病变患者,随机分成对照组和观察组各50例.对照组按传统的糖尿病视网膜病变治疗和护理,观察组在对照组的基础上实施自我效能增强干预,采用糖尿病自我效能量表(DSES)在干预前及干预1年后进行自我效能评价,比较分析两组患者自我效能、定期眼底检查及早期眼底激光治疗的差异.结果 自我效能增强干预后观察组患者自我效能为(114.45±11.31),50例定期眼底检查,38例早期行眼底激光治疗;对照组患者自我效能为(92.44±14.21),12例定期眼底检查及早期眼底激光治疗;两组比较差异有显著性(P＜0.05).结论 对糖尿病视网膜病变患者实施自我效能干预,能提高患者的自我管理及定期眼底检查依从性,早发现,及时行眼底激光治疗,延缓疾病的发展.     

信息化延续性护理对冠心病患者PCI术后自我管理的影响

目的:探析冠心病实施经皮冠状动脉介入治疗(PCI)术后联合信息化延续性护理对患者自我管理的影响.方法:选取某院心血管内科2020年4月～2021年3月80例行PCI治疗的冠心病患者,随机分为观察组和对照组各40例,观察组采用信息化延续性护理模式,对照组采用常规延续性护理模式,均连续干预3个月.对比两组患者干预前后自我管...     

聚焦解决模式在社区膀胱癌术后患者随访管理中的运用效果分析

目的 分析聚焦解决模式在社区膀胱癌术后患者随访管理中的运用价值.方法 将79例社区膀胱癌术后康复期患者进行随机分组,其中对照组40例采取传统随访管理方案,观察组39例采取聚焦解决模式随访管理方案,观察期为3个月,比较干预前后两组患者的生存质量、自我护理能力和自我效能方面的差异.结果 干预前两组患者生存质量、自我护理能力及自我效能评分差异无统计学意义(P＞0.05),干预后观察组上述指标均明显高于对照组.结论 聚焦解决模式可提升社区膀胱癌术后康复期患者的自我护理能力,提升患者的自我效能感,对改善术后生存质量有促进意义.     

时效性激励护理干预对直肠癌患者术后自我效能及疼痛程度的影响

目的 探讨时效性激励护理干预对直肠癌患者术后自我效能及疼痛程度的影响.方法 回顾性分析81例直肠癌术患者,将40例接受常规护理的患者纳入对照组,将41例接受常规护理+时效性激励护理的患者纳入观察组,比较两组患者术后自我效能及疼痛程度.结果 干预1个月后,两组患者术后GSES评分显著较干预前高,且观察组GSES评分(32...     

综合心理干预对冠心病介入治疗患者的影响

目的探讨综合心理干预对冠心病介入治疗患者心理及并发症发生率的影响。方法 100例冠心病介入治疗患者随机分为心理干预组和对照组。在冠心病介入治疗期间,对心理干预组患者,除常规的生理卫生教育和监督外,进行综合心理干预;利用症状自评量表(SCL-90)、焦虑自测量表(SAS)、抑郁自测量表(SDS),在介入治疗开始前和出院时,进行心理状态测定;并统计各组介入治疗患者并发症发生情况。结果心理干预组患者在SCL-90中的躯体化、强迫症状、抑郁、焦虑、敌对等项的分值,在SAS和SDS中的总分值明显低于对照组(P<0.05),心理干预组并发症中的低血压、其他并发症、总发生率均明显低于对照组(P<0.05)。结论适当的综合心理干预对于提高生活质量及并发症预防有积极的作用。     

经皮冠状动脉介入治疗患者康复运动的护理干预

目的评价经皮冠状动脉介入治疗患者由护士进行为期4周的康复运动干预后的效果。方法65例经皮冠状动脉介入治疗患者作为研究对象,随机分为2组,实验组33例,对照组32例。对照组接受一般性出院指导,干预组接受常规出院指导。同时接受4周的康复运动干预,干预措施包括讲授康复运动知识、观看并分发与运动相关的光盘、进行有监护运动训练、协助制订运动计划、电话随访康复运动情况等。干预结束时评价内容包括运动能力运动依从性、生理状况、心理状况和生存质量等方面。结果通过康复运动干预,实验组患者运动能力明显提高,运动依从性显著提高,心理状态明显改善,生存质量方面两组间差别不显著。结论由护士开展院外康复运动项目能有效地改善患者的生理、心理功能。     

冠心病患者介入治疗前后焦虑抑郁障碍的心理干预与评价

Objective To discuss the effect of psychological intervention of depression in coronary heart disease after percutaneous coronary intervention (PCI). Methods The depression of 105 cases of coronary heart disease after PCI treatment was investigated. One hundred and five patients were randomly divided into intervention group and control group. The patientsin intervention group were treated with psychological intervention before and after PCI. The patients in control group were treated with normal treatment. Results There was not significant difference of incidence of depression an self-rating depression scale score between two groups. The depression in intervention group was less severe than that in control group ( P ＜ 0.01 ). Multivariate analysis showed: education level, the recent negative life events, household income, length of stay and sequelae of catheter intervention had significantly correlated with depression in coronary heart disease. Conclusion Psychological intervention can reduce the ratio of depression in coronary heart disease after PCI.     

冠心病患者介入治疗前后焦虑抑郁障碍的心理干预与评价

目的 研究冠状动脉粥样硬化性心脏病(冠心病)患者介入治疗前后焦虑抑郁障碍情况以及心理干预的效果.方法 采用Zung抑郁自评量表(SDS)对105例拟接受冠状动脉介入治疗的冠心病患者进行焦虑抑郁障碍调查评分.将105例患者完全随机分为干预组57例和对照组48例,干预组在手术前1～2 d和手术后7～10 d、3、6、12、24个月进行焦虑抑郁评定及心理干预,对照组常规治疗并于同时间进行焦虑抑郁评定.同时将影响因素与SDS评分之间进行多因素相关分析.结果 术前2组患者抑郁发生率、SDS评分差异无统计学意义.心理干预后干预组的抑郁障碍较对照组有明显改善[SDS评分:(37±4)分比(46±6)分,P＜0.01],对照组手术前后抑郁发生率无明显变化,而干预组术后抑郁发生率明显低于对照组,差异有统计学意义[15.8%(9例)比35.4%(17例),P＜0.05].多因素分析显示:教育程度、近期负性生活事件、家庭收入、住院时间、导管介入治疗后遗症与冠心病抑郁之间存在明显相关性(P＜0.01).结论 积极的手术前后心理干预可以有效减轻抑郁障碍情况.

Abstract：

Objective To discuss the effect of psychological intervention of depression in coronary heart disease after percutaneous coronary intervention (PCI). Methods The depression of 105 cases of coronary heart disease after PCI treatment was investigated. One hundred and five patients were randomly divided into intervention group and control group. The patientsin intervention group were treated with psychological intervention before and after PCI. The patients in control group were treated with normal treatment. Results There was not significant difference of incidence of depression an self-rating depression scale score between two groups. The depression in intervention group was less severe than that in control group ( P ＜ 0.01 ). Multivariate analysis showed: education level, the recent negative life events, household income, length of stay and sequelae of catheter intervention had significantly correlated with depression in coronary heart disease. Conclusion Psychological intervention can reduce the ratio of depression in coronary heart disease after PCI.     

冠心病患者介入治疗前后焦虑抑郁障碍的心理干预与评价

Objective To discuss the effect of psychological intervention of depression in coronary heart disease after percutaneous coronary intervention (PCI). Methods The depression of 105 cases of coronary heart disease after PCI treatment was investigated. One hundred and five patients were randomly divided into intervention group and control group. The patientsin intervention group were treated with psychological intervention before and after PCI. The patients in control group were treated with normal treatment. Results There was not significant difference of incidence of depression an self-rating depression scale score between two groups. The depression in intervention group was less severe than that in control group ( P ＜ 0.01 ). Multivariate analysis showed: education level, the recent negative life events, household income, length of stay and sequelae of catheter intervention had significantly correlated with depression in coronary heart disease. Conclusion Psychological intervention can reduce the ratio of depression in coronary heart disease after PCI.     

围术期护理干预对冠脉支架术后并发症的影响

目的：探讨经皮冠状动脉支架植入术（PCI）患者围术期进行护理干预的重要性。方法：将80例接受PCI术的心肌梗死患者随机分为干预组（40例）和对照组（40例）,对照组在围术期采用常规护理,干预组在常规护理基础上增加心理和行为干预等多种护理干预措施。结果：干预组术前焦虑程度较对照组明显降低（P〈0.05）,术后急性冠脉闭塞和心律失常、对比剂肾病发生率两组比较,差异无统计学意义（P〉0.05）,干预组术后尿潴留、穿刺局部并发症、血管迷走反射、腰酸背痛、下肢深静脉血栓形成等并发症较对照组少,差异具有统计学意义（P〈0.05）。结论：PCI围术期积极的护理干预可调动患者的积极性,有效地减少术后并发症和不良反应的发生率,促进患者康复。     

Cost-effective intervention in stroke

A rigorous assessment of current practice in all branches of medicine is necessary to ensure that we are minimising the costs and maximising the effectiveness of management and treatment. This is especially important in cerebrovascular disease which imposes a large burden of death; it is the third commonest cause of death after cancer and heart disease in most developed countries, and the commonest cause of long term disability on society. Stroke consumes up to 5% of healthcare expenditure in developed countries, and costs can be expected to remain static or increase with an increase in the proportion of elderly (who are at high risk of stroke) in the community over coming decades. This article reviews the epidemiology of stroke (risk factors, incidence, prevalence and the burden of disability and handicap), the various studies dealing with the community and individual costs of stroke, and the cost-effectiveness of interventions to prevent stroke such as control of hypertension, reduction in cigarette intake, encouragement of a healthy lifestyle, antiplatelet or anticoagulant therapy, and carotid endarterectomy. Acute treatment of stroke remains an area of major potential therapeutic benefit, but no widely applicable therapy currently exists, although many treatments are being investigated. Rehabilitation after stroke is costly, but may result in significant reduction in disability and handicap with reduced need for long term institutional care. The clinical implications of these studies and the potential for future research are also discussed.     

Genetics and therapeutic intervention

Elucidating the molecular mechanisms involved in metabolic diseases can, in many cases, characterize individual susceptibility resulting from mutations altering genetic inheritance. Better knowledge of this genetic component emphasizes the importance of revising disease classifications and diagnostic procedures which are currently based on phenotypic examination and may result in heterogeneous groupings of patients with different etiologies. By taking into account interindividual variability of therapeutic response, a new field of pharmacology, called Pharmacogenetics, may help evaluate and optimize therapeutic procedures in more homogeneous groups of patients.     

Pharmacist clinical intervention program

Our efforts have helped us demonstrate the positive impact of pharmaceutical care for patients. Our experience with the Clinical Notes section of our computer system leads us to recommend that such capabilities be sought in all pharmacy computer systems. A significant advantage to avoiding paper-based systems for documenting and collecting information relevant to clinical interventions, ADRs, DUE data, and patient outcomes has been proven in our institution. Various ways to categorize intervention data have been reported in the literature. We recommend clinical intervention categories be based on the eight categories of drug misadventuring so that data from different hospitals can be tabulated or compared. The success of our system is that it is one system rather than many systems. The importance of pharmacist documentation demands that it be simple, efficient, and painless, or it will be nonexistent.