人性化护理干预对肥胖型多囊卵巢综合征患者治疗依从性及生活质量的影响

探讨人性化护理干预对肥胖型多囊卵巢综合征患者治疗依从性及生活质量影响。选取我院98例肥胖型多囊卵巢综合征患者,根据入院时间顺序分组各49例。对照组予以常规护理,观察组采取人性化护理干预。对比两组依从性及生活质量评分。结果护理前两组依从性比较,差异无统计学意义(P0.05);护理后观察组依从性高于对照组,差异有统计学意义(P0.05);观察组护理后生活质量评分较对照组升高,差异有统计学意义(P0.05)。人性化护理干预应用于肥胖型多囊卵巢综合征患者能提高患者治疗依从性,提高患者生活质量。     

常规护理联合Clark安适护理干预模式在骨质疏松症患者中的应用效果

目的探讨常规护理联合Clark安适护理干预模式在骨质疏松症患者临床护理中的应用效果。方法将89例老年骨质疏松患者按照护理干预方法分为对照组44例与观察组45例。对照组采用常规护理,观察组在此基础上联合Clark安适护理干预模式。比较2组护理质量、护理满意度、护理前后HAMD评分、护理前后GSES量表评分、护理前后生活质量评分。结果观察组在常规护理、病房管理、病例书写、健康教育及护理方式方面的评分均显著高于对照组(P0.05);观察组护理满意度显著高于对照组(P0.05);2组患者护理后HAMD评分均显著小于护理前(P0.05),且观察组患者护理后HAMD评分也显著小于对照组护理后(P0.05);对照组护理前后GSES量表评分差异无统计学意义(P0.05),但观察组护理后GSES量表评分均显著高于护理前及对照组护理后(P0.05);2组患者护理后SF-36生活量表各维度(躯体功能、心理功能、社会功能及物质功能)评分均显著高于护理前,且观察组患者护理后上述各维度评分均显著高于对照组护理后(P0.05)。结论常规护理联合Clark安适护理干预模式在骨质疏松症患者临床护理中的应用效果显著,应加以推广。     

健康教育联合心理干预对肥胖型多囊卵巢综合征患者的影响

目的分析健康教育和心理护理干预对肥胖型多囊卵巢综合征(PCOS)患者脂肪代谢指标、心理状态及生活方式的影响。方法选本院于2015年6月~2017年6月接收的98例肥胖型PCOS患者为研究对象,以抽签方式进行分组,分为对照组(49例)和研究组(49例);对照组予以常规护理,研究组予以健康教育、心理护理共同干预,探究2组脂肪代谢相关指标的变化、心理状态的改善情况和生活方式的改变情况等。结果干预后,研究组的甘油三脂(TG)、胰岛素(FINS)等指标皆比对照组更优,其中研究组TG(1.32±0.12)mmol/L比对照组(2.01±0.67)mmol/L低;研究组焦虑评分为(29.63±2.13)分,比对照组(43.62±3.47)分低;研究组自我疗养率是97.96%,比对照组71.43%更高,以上差异均有统计学意义(P0.05)。结论肥胖型PCOS患者应用健康教育及心理护理干预后,可使其脂肪的代谢指标、生活方式、心理状态得以改善。     

系统性护理干预对慢性咳嗽患者心理状态与生活质量的影响

目的探讨实施系统性护理干预对慢性咳嗽患者生活质量及心理状态的影响。方法选取本院2015年5月~2017年5月收治的52例慢性咳嗽患者为研究对象,随机分成对照组和观察组,每组各26例,其中对照组护理模式为常规护理,观察组为系统性护理干预,比较两组患者生活质量及心理状态改善情况。结果两组患者护理前SAS、SDS评分比较差异无统计学意义(P0.05),护理后观察组SAS、SDS评分均低于对照组,且两组护理后均低于护理前,差异有统计学意义(P0.05);两组护理前SF-36评分比较差异无统计学意义(P0.05),护理后观察组明显高于对照组,且两组护理后明显高于护理前,差异有统计学意义(P0.05)。结论系统性护理干预可有效改善慢性咳嗽患者生活质量及心理状态,值得临床推广。     

综合护理干预对中风后抑郁患者生活质量的影响

目的观察综合护理干预对中风后抑郁患者生活质量的影响。方法选取我院2015年10月～2016年10月收治的中风后抑郁患者90例,随机数字表法分为观察组和对照组各45例。对照组给予常规护理干预,观察组在对照组基础上给予综合护理干预。采用汉密尔顿抑郁量表HAMD评分量表及WHOQOL-100评分量表,评估两组患者生活质量及抑郁情绪变化情况。结果干预前,两组生活质量评分比较差异无统计学意义(P0.05),治疗后,两组评分均明显升高,且观察组生理健康、心理状态、独立能力、社会关系、个人信仰和周围环境等方面评分明显高于对照组,差异有统计学意义(P0.05);干预前,两组HAMD评分比较差异无统计学意义(P0.05),干预后,两组HAMD评分均明显降低,且观察组低于对照组,差异有统计学意义(P0.05)。结论综合护理干预应用于中风后抑郁患者,能显著改善患者抑郁情绪,提高患者生活质量。     

延续性护理对老年哮喘-慢性阻塞性肺疾病重叠综合征患者生活质量的影响

目的探讨延续性护理对老年哮喘-慢性阻塞性肺疾病重叠综合征(ACOS)患者生活质量的影响。方法选取本院2015年7月～2017年9月收治的60例老年ACOS患者,随机分为观察组和对照组,各30例。对照组实施临床传统护理方案,常规进行出院前宣教;观察组在常规护理基础上实施延续性护理方案,并将两组干预前后SAS评分、SDS评分、QOL评分及患者依从率等相关指标进行对比。结果干预前两组SAS、SDS评分比较无显著性差异(P0.05);干预后观察组患者SAS、SDS评分均显著低于对照组患者(P0.05);观察组及对照组患者依从率分别为96.67%、66.67%,差异有统计学意义(P0.05);干预前两组QOL评分对比无显著性差异(P0.05);干预后观察组患者QOL评分明显高于对照组患者,差异有统计学意义(P0.05)。结论对老年ACOS患者而言,延续性护理的实施具有重要意义,有利于消除疾病给患者带来的不良心理,改善心理状况,进一步提高患者出院后生活质量,具备较高实施意义与运用价值。     

非语言方式心理干预对ICU气管插管清醒患者情绪状态的影响

目的探讨非语言方式心理干预对ICU气管插管清醒患者情绪状态的影响。方法选取114例ICU气管插管清醒患者分成对照组(予常规护理)和观察组(加用非语言方式心理护理)各57例,观察2组患者护理前后的情绪状态和生活质量情况。结果 2组插管前HAMA、HAMD评分差异无统计学意义(P0.05);观察组插管3 d后、7 d后、拔管时的HAMA、HAMD评分显著低于对照组(P0.05)。2组插管前生活质量评分差异无统计学意义(P0.05);观察组插管3 d后、7 d后、拔管时的生活质量评分显著高于对照组(P0.05)。2组插管前NOS、5-HT含量差异无统计学意义(P0.05);观察组插管3 d后、7 d后、拔管时的NOS、5-HT含量显著低于对照组(P0.05)。结论非语言方式心理干预能改善ICU气管插管清醒患者的不良情绪状态,并提高生活质量。     

正念减压疗法对稳定期精神分裂症病人生活质量、应对方式及情绪的影响

[目的]探讨正念减压疗法对稳定期精神分裂症病人生活质量、应对方式及情绪的影响。[方法]将2017年2月—2018年2月收治的82例稳定期精神分裂症病人随机分为对照组40例和观察组42例,对照组采取常规护理,观察组在常规护理基础上给予正念减压疗法。分别于干预前后采用健康调查简表(SF-36)、简易应对方式问卷(SCSQ)、焦虑自评量表(SAS)、抑郁自评量表(SDS)评价两组病人干预前后生活质量、应对方式及情绪状况。[结果]两组干预后SCSQ评分改善,且观察组优于对照组,差异有统计学意义(P0.05);两组干预后SAS、SDS评分均较治疗前下降,且观察组低于对照组,差异有统计学意义(P0.05);两组干预后SF-36评分增高,且观察组高于对照组,差异有统计学意义(P0.05)。[结论]正念减压疗法可改善稳定期精神分裂症病人应对方式及情绪状况,提升病人的生活质量。     

协同护理模式对肾病综合征患者自护能力、负性情绪及生活质量的影响

目的观察协同护理模式(CCM)对肾病综合征患者自护能力、负性情绪及生活质量的影响。方法将本院2016年1月～2017年12月收治的90例肾病综合征患者根据数字表法随机分为两组。对照组(45例)采用常规护理措施予以干预,观察组(45例)在对照组护理干预基础上予以CCM干预,两组护理干预时间均为3个月。采用自我护理能力测定量表、焦虑自评量表、抑郁自评量表及简明健康测量量表对两组护理干预前后自护能力、负性情绪及生活质量予以评估。结果对照组干预前后各项自护能力评分比较差异无统计学意义(P0.05),观察组干预后各项自护能力评分较干预前及对照组干预后均明显升高(P0.05);对照组干预前后SAS、SDS评分比较差异无统计学意义(P0.05),观察组干预后SAS、SDS评分较干预前及对照组干预后均明显降低(P0.05);对照组干预前后各项生活质量评分比较差异无统计学意义(P0.05),观察组干预后各项生活质量评分较干预前及对照组干预后均明显升高(P0.05)。结论 CCM可明显改善肾病综合征患者的自护能力和生活质量,并缓解焦虑、抑郁等负性情绪。     

心理护理干预联合康复按摩对产后抑郁患者的影响

目的探讨心理护理联合康复按摩在产后抑郁患者中的治疗作用。方法将60例产后抑郁产妇随机分组,对照组采用常规护理,观察组在对照组的基础上加强心理护理干预以及康复按摩,比较2组产后抑郁评分的变化、睡眠质量、生活质量以及护理满意度。结果观察组产后28 d、42 d时的EPDS评分低于对照组,睡眠质量评分低于对照组,差异有统计学意义(P0.05);观察组生活质量方面评分均高于对照组,护理满意度评分高于对照组,差异有统计学意义(P0.05)。结论心理护理干预联合康复按摩从认知和物理性接触两方面改善了产妇的产后抑郁情况,提高了睡眠质量和生活质量。     

Analysis of the Concept of Quality of Life

ABSTRACT. Nurses provide the constant human care that can make the difference between a life that is valuable to the last and a life that ends in humiliation, deprivation and suffering. Nurses, therefore, more than other health professionals, need a deep and reflective view of patients' value and quality of life. In this paper the concept of quality of life is analysed from a philosophical and scientific perspective. Quality of life in connection with treatment of a disease has its roots in the philosophical conception of the value of human life in general. Characteristics such as happiness, physical activity and interpersonal relations are what give life value and meaning. From the scientific viewpoint, it seems difficult to define the concept, given its multidimensional characteristics. However, the analysis indicates a growing interest among health-professionals to develop scientific intersubjectivity of the concept in terms of measurable parameters.     

输卵管性不孕妇女生存质量的调查分析

目的：探讨输卵管性不孕妇女生存质量及其影响因素,并为输卵管性不孕症治疗决策的选择提供相应的依据。方法：采用生存质量测评量表SF-36对80名输卵管性不孕妇女及80名已生育或妊娠的健康妇女进行了同期的横断面调查与比较。结果：输卵管性不孕妇女的生存质量较正常健康妇女人群低,除了生理功能及躯体疼痛外,输卵管性不孕妇女有关社会功能、生理问题对功能的限制、心理问题对功能的限制、心理健康、活力、健康的总体评价、健康变化程度等七个方面的主观满意度均较对照组低,差异有显著意义（P〈0．05）。患者的年龄、文化程度及居住环境对其生存质量有影响。结论：在治疗不孕症时,不应仅针对其病因治疗,而且要重视心理和社会因素的作用,加强心理治疗,重视健康教育,针对性地改善患者在精神、社会、心理等方面的主观体验,以促进不孕症妇女生存质量的提高。     

社会支持对肝硬化患者生活质量的影响研究

Objective To discuss the effect of social support to the quality of life of the patients with hepatocirrhosis. Methods 98 hepatocirrhosis patients in our hospital were divided into observation and control groups. Both the groups were accepted routine therapy and nursing while striving for social support for the patients of observation group, then having a whole evaluation to the status of patients, in the study early interference and health education were important. SSRE (Social Support Rating Scale) and SF - 36QOL made by America medi-cine graduate school to research and survey the two patients. Results The whole mark of social support (46.33 ±3.78) and the whole health of QOL (78.86±11.31 ) and every dimensionality of observation group were all bet-ter than those of control group (P<0.01) . Conclusions The social support can infect directly the QOL of pa-tients with hepatocirrhosis, all the doctors and nurses should recognition the system of social support, in order to improve the QOL of the patients.     

社会支持对肝硬化患者生活质量的影响研究

Objective To discuss the effect of social support to the quality of life of the patients with hepatocirrhosis. Methods 98 hepatocirrhosis patients in our hospital were divided into observation and control groups. Both the groups were accepted routine therapy and nursing while striving for social support for the patients of observation group, then having a whole evaluation to the status of patients, in the study early interference and health education were important. SSRE (Social Support Rating Scale) and SF - 36QOL made by America medi-cine graduate school to research and survey the two patients. Results The whole mark of social support (46.33 ±3.78) and the whole health of QOL (78.86±11.31 ) and every dimensionality of observation group were all bet-ter than those of control group (P<0.01) . Conclusions The social support can infect directly the QOL of pa-tients with hepatocirrhosis, all the doctors and nurses should recognition the system of social support, in order to improve the QOL of the patients.     

社会支持对肝硬化患者生活质量的影响研究

Objective To discuss the effect of social support to the quality of life of the patients with hepatocirrhosis. Methods 98 hepatocirrhosis patients in our hospital were divided into observation and control groups. Both the groups were accepted routine therapy and nursing while striving for social support for the patients of observation group, then having a whole evaluation to the status of patients, in the study early interference and health education were important. SSRE (Social Support Rating Scale) and SF - 36QOL made by America medi-cine graduate school to research and survey the two patients. Results The whole mark of social support (46.33 ±3.78) and the whole health of QOL (78.86±11.31 ) and every dimensionality of observation group were all bet-ter than those of control group (P<0.01) . Conclusions The social support can infect directly the QOL of pa-tients with hepatocirrhosis, all the doctors and nurses should recognition the system of social support, in order to improve the QOL of the patients.     

社会支持对肝硬化患者生活质量的影响研究

Objective To discuss the effect of social support to the quality of life of the patients with hepatocirrhosis. Methods 98 hepatocirrhosis patients in our hospital were divided into observation and control groups. Both the groups were accepted routine therapy and nursing while striving for social support for the patients of observation group, then having a whole evaluation to the status of patients, in the study early interference and health education were important. SSRE (Social Support Rating Scale) and SF - 36QOL made by America medi-cine graduate school to research and survey the two patients. Results The whole mark of social support (46.33 ±3.78) and the whole health of QOL (78.86±11.31 ) and every dimensionality of observation group were all bet-ter than those of control group (P<0.01) . Conclusions The social support can infect directly the QOL of pa-tients with hepatocirrhosis, all the doctors and nurses should recognition the system of social support, in order to improve the QOL of the patients.     

社会支持对肝硬化患者生活质量的影响研究

Objective To discuss the effect of social support to the quality of life of the patients with hepatocirrhosis. Methods 98 hepatocirrhosis patients in our hospital were divided into observation and control groups. Both the groups were accepted routine therapy and nursing while striving for social support for the patients of observation group, then having a whole evaluation to the status of patients, in the study early interference and health education were important. SSRE (Social Support Rating Scale) and SF - 36QOL made by America medi-cine graduate school to research and survey the two patients. Results The whole mark of social support (46.33 ±3.78) and the whole health of QOL (78.86±11.31 ) and every dimensionality of observation group were all bet-ter than those of control group (P<0.01) . Conclusions The social support can infect directly the QOL of pa-tients with hepatocirrhosis, all the doctors and nurses should recognition the system of social support, in order to improve the QOL of the patients.     

社会支持对肝硬化患者生活质量的影响研究

Objective To discuss the effect of social support to the quality of life of the patients with hepatocirrhosis. Methods 98 hepatocirrhosis patients in our hospital were divided into observation and control groups. Both the groups were accepted routine therapy and nursing while striving for social support for the patients of observation group, then having a whole evaluation to the status of patients, in the study early interference and health education were important. SSRE (Social Support Rating Scale) and SF - 36QOL made by America medi-cine graduate school to research and survey the two patients. Results The whole mark of social support (46.33 ±3.78) and the whole health of QOL (78.86±11.31 ) and every dimensionality of observation group were all bet-ter than those of control group (P<0.01) . Conclusions The social support can infect directly the QOL of pa-tients with hepatocirrhosis, all the doctors and nurses should recognition the system of social support, in order to improve the QOL of the patients.