人文关怀在尘肺患者中应用

目的观察人文关怀在尘肺患者中应用疗效。方法随机选取我院2017年4月～2018年4月66例尘肺患者为本次研究对象,按照是否给予人文关怀护理将所有患者分为对照组(33例:常规护理)与实验组(33例:人文关怀护理),比较两组患者护理干预前后SCL-90症状自评表、CAT呼吸评分、临床治疗效果以及患者对临床护理满意度。结果实验组患者护理干预2周后SCL-90症状自评表得分为(0.95±0.11)分,明显低于对照组,差异有统计学意义(t=10.326,P 0.05)。实验组患者护理干预2周后CAT呼吸评分为(34.62±2.95)分明显低于对照组,差异有统计学意义(t=13.625,P 0.05)。实验组患者护理干预2周后临床治疗显效率、有效率分别为60.60%、33.33%,均明显高于对照组,差异有统计学意义(χ~2=5.656、5.323,P 0.05)。实验组患者护理干预后患者对临床护理满意度为93.94%明显高于对照组,差异有统计学意义(χ~2=5.978,P 0.05)。结论患者给予人文关怀护理可有效促进个体症状恢复,降低患者心理应激反应,改善患者生活质量。     

人文关怀护理及心理干预对乳腺癌患者生存质量及康复信念的影响分析

目的对乳腺癌患者实施人文关怀护理及心理干预对其生存质量和康复信念的影响分析。方法本次研究选择深圳市龙岗中心医院120例乳腺癌患者,以挂号的先后顺序分为护理组和对照组,分别实施常规护理和人文关怀护理及心理干预,对护理后的生存质量评分、疼痛程度评分(VAS评分)、SAS评分和SDS评分以及护理满意度进行分析。结果护理后,相比于对照组,护理组的生存质量评分、VAS评分、SAS评分和SDS评分均较好(P<0.05);且护理组护理满意度较高,相比于对照组存在明显的差异(P<0.05)。结论乳腺癌严重威胁患者的生命,并降低其生存质量,实施人文关怀护理及心理干预后能够显著提高其生存质量,增强其康复信念,减轻对其身心的影响。     

乳腺癌术后的目标性心理护理效果观察

目的了解乳腺癌术后的目标性心理护理措施及效果。方法本院收治的68例乳腺癌手术患者按入院顺序编号分为两组,各34例。观察组给予目标性心理护理,对照组给予常规心理护理。结果两组患者均未出现极端心理异常。观察组90项症状自评量表（SCL-90）各个项目评分均显著优于对照组,差异有统计学意义。结论对乳腺癌术后患者实施目标性心理护理,体现了以人为本的人文关怀护理理念,对于患者顺利康复和回归社会具有积极意义。     

人文关怀在甲状腺功能亢进患者护理中的应用

目的观察人文关怀在甲状腺功能亢进患者护理中的应用疗效。方法我院2017年5月至2018年5月收治的64例甲状腺功能亢进患者为本次研究对象,所有患者入院后均行常规药物保守治疗,按照临床护理中是否给予人文关怀将所有分为对照组(32例:常规护理)与实验组(32例:常规护理联合人文关怀),比较两组患者预后情况。结果实验组患者护理干预1周后、护理干预2周后、护理干预3周后同期SCL-90量表得分均明显低于对照组,P<0.05。结论对于甲状腺功能亢进患者常规护理中联合人文关怀可有效降低患者治疗过程中焦虑、抑郁、恐惧等负面心理情绪刺激。     

全膀胱切除尿流改道患者行康复护理的疗效探索

目的探索全膀胱切除尿流改道患者康复护理疗效。方法74例全膀胱切除尿流改道患者作为研究对象,根据护理方法不同分为实验组和对照组,每组37例。对照组患者实施术后常规护理,实验组患者在常规护理基础上实施康复护理干预。比较两组患者护理干预前后症状自评量表(SCL-90)评分及临床护理满意度。结果出院时,两组患者的SCL-90评分比较,差异无统计学意义(P>0.05)。护理干预后1周、4周、3个月,两组患者的SCL-90评分随着时间延长呈递减趋势,且实验组患者的SCL-90评分均明显低于对照组,差异具有统计学意义(P<0.05)。实验组患者的临床护理满意度为94.59%,显著高于对照组的67.57%,差异具有统计学意义(P<0.05)。结论全膀胱切除尿流改道患者行康复护理干预效果明显,值得积极探索开展。     

人文关怀护理对乳腺癌根治术后患者心理状态及自护能力的影响

目的:探究乳腺癌根治术患者实施人文关怀护理对其术后心理状态与自护能力的影响。方法:选择2015年9月-2017年9月期间在商丘市第一人民医院甲状乳腺外科治疗的60例乳腺癌患者作为研究对象,随机分成两组,各30例。两组患者均进行乳腺癌根治术治疗,对照组术后行常规护理,观察组行人文关怀护理,比较两组干预前后心理状态评分与自护能力评分。结果:观察组干预后SAS与SDS评分均较对照组低,而自护能力评分高于对照组,差异有统计学意义(P0.05)。结论:乳腺癌根治术患者实施人文关怀护理后,可缓解其压力,改善焦虑、抑郁等不良情绪,提高自我护理能力,促进康复。     

心理护理对风湿性心脏瓣膜病患者围术期健康的影响

目的:观察人本取向心理护理对风湿性心脏瓣膜病的患者围手术期心理健康干预的效果.方法:选择100例风湿性心脏瓣膜置换术患者,随机分为实验组和对照组,实验组采用人本心理护理,对照组未采用心理护理.采用SCL-90量表于门诊接诊时、术前1d、术后7 d进行评估,比较两组患者围手术期症状自评评分的差异.结果:门诊接诊时、术前1d实验组较对照组在SCL-90表中恐怖、敌对和焦虑因子方面得分低,两组比较有统计学意义(P<0.05);术后7 d,实验组较对照组在SCL-90表中抑郁、敌对因子得分低,两组比较有统计学意义(P<0.05).结论:人本取向心理护理能减轻风湿性心脏瓣膜置换术患者的焦虑、紧张情绪.改善强应激的症状,有效地缓解心脏瓣膜病患者的围手术期的心理问题.     

人文关怀护理对乳腺癌围手术期患者的应用效果

目的研究对乳腺癌围手术期患者给予人文关怀护理的应用效果。方法于2019年6月至2020年6月我院乳腺癌手术治疗患者随机抽取64例,分为两组,对照组按照常规护理干预,观察组联合应用人文关怀护理,对比两组患者心理状态和并发症。结果护理前两组SAS、SDS评分差异无统计学意义(P> 0.05)。护理后观察组SAS、SDS评分均低于对照组(P <0.05)。对照组出现并发症合计6例(18.75%)。观察组出现并发症1例(3.13%),组间差异显著(P <0.05)。结论对乳腺癌围手术期患者给予人文关怀护理,可改善患者负面情绪,减少并发症的出现,改善其围手术期生活质量,促进患者康复。     

人文关怀护理对乳腺癌术后放疗患者生活质量的影响

目的探讨人文关怀护理对乳腺癌术后放疗患者生活质量的影响。方法将2016年2月至2017年10月我院收治的72例乳腺癌术后放疗患者随机分为研究组与对照组,每组36例。对照组给予常规护理,研究组在对照组基础上给予人文关怀护理。比较两组患者的生活质量。结果干预后,研究组QOL-C30评分明显高于干预前与对照组,差异显著(P <0.05)。结论人文关怀护理可有效改善乳腺癌术后放疗患者的生活质量,值得推广。     

持续性人文关怀理念在慢性阻塞性肺疾病护理中的应用探讨

目的研究持续性人文关怀理念在慢性阻塞性肺疾病护理中的应用效果。方法回顾选取2013年9月至2016年11月本院接收的60例慢性阻塞性肺疾病患者临床资料进行研究,因实施不同的护理措施分成两组,对照组患者(30例)进行常规护理,研究组患者(30例)接受持续性人文关怀理念,比较两组生存质量评分、肺功能指标、心理状态评分。结果研究组生存质量评分、肺功能指标、心理状态评分较对照组优(P<0.05)。结论慢性阻肺患者行持续性人文关怀理念护理可改善肺功能与心理状态,提高生存质量。     

Promoting psychosocial care as part of personalized cancer care

With its goals of relieving emotional distress and promoting well being, psychosocial care can be viewed as central to efforts toward personalizing cancer care and improving the quality of patients?? lives. Clinical practice guidelines recommend cancer patients be screened routinely to determine their level of distress and then be linked as needed to psychosocial services. Nevertheless, clinician surveys and quality of care audits suggest that screening for distress has not been widely implemented and that many distressed patients do not receive needed psychosocial care. One approach to address this problem is to provide practices with feedback about the quality of psychosocial care they provide. Findings from the American Society of Clinical Oncology??s Quality Oncology Practice Initiative suggest this approach can produce positive changes, but may not completely address the problem. Additional progress will likely require dissemination of care models that practitioners can use to improve the psychosocial care their patients receive.     

Geriatric care as an introductory pharmacy practice experience

Objective. To describe the design, delivery, and impact of a geriatric introductory pharmacy practice experience (IPPE) to develop students’ skills related to consultant pharmacists’ roles and patient care responsibilities.Design. A required 2-unit geriatric IPPE, involving 40 hours in a geriatric-care facility, 5 reflection hours, and 12 classroom-discussion hours, was developed for first- and second-year pharmacy students. Students interviewed patients and caregivers, reviewed patient charts, triaged patient needs, prepared care plans, and performed quality-assurance functions.Assessment. After completing the IPPE, students’ geriatric- and patient-care abilities were enhanced, based on review of their interactions, care plans, reflections, and examinations, and they demonstrated cognitive, affective, and psychomotor-domain learning skills. Students’ care plans and quality assurance activities revealed positive patient outcomes, opportunities for measurable patient health improvement, and a positive impact on quality assurance activities. Student evaluations and feedback from health workers at the facilities also were positive.Conclusions. This geriatric IPPE in which students cared for a specific patient and interacted with other health care providers is an innovative approach to enhancing students’ abilities to serve the growing geriatric population.     

Fluoropolymers as low-surface-energy tooth coatings for oral care

A range of low-surface-energy fluoropolymers has been synthesised and their effectiveness as dental-care coatings for plaque, stain and erosion prevention has been evaluated using a series of oral care models employing pressed discs of calcium hydroxyapatite or sections of human teeth. Since the blocking of dentinal tubules is a key mechanistic strategy in the treatment of dentine hypersensitivity, the capability of these non-permanent fluoropolymer coatings to occlude the pore structure of human dentine and to reduce the outward flow of simulated dentinal fluid has also been investigated. Several of the fluoropolymer coatings have been found to inhibit bacterial adhesion but no correlation has been established between anti-adhesion efficacy and fluorine content or surface energy. All the fluoropolymers have been seen to reduce stain uptake by pellicle-coated HA discs, with homopolymers being considerably more effective than copolymers. Some fluoropolymer coatings have also been shown to inhibit the acid demineralisation of hydroxyapatite discs and to reduce dentine permeability. Coatings of the 2:1 copolymer of 1H,1H,2H,2H-perfluorodecyl acrylate and 2-hydroxyethyl acrylate are most promising, exhibiting significant anti-adhesion and anti-erosion efficacy and reducing dentine permeability to a level that is comparable with that achieved with the standard treatment employed in commercial anti-sensitivity formulations.     

Pharmaceutical care as narrative practice? Rethinking patient-centered care through a pharmacist’s perspective

Illness is a disruptive experience that requires high-quality care. The best evidence-based medical treatment risks losing some of its efficacy, however, when patients feel misunderstood when faced with the complexity of their experiences. They might stop treatment, refuse to disclose relevant information or seek unsound alternatives. A narrative-based approach to health care understands the patient’s case history as a narrative that can be read or analyzed like a story. In other words, this approach honors individual illness experiences through the stories that patients tell. While programs that train ‘narrative competence’ have been successfully implemented in medical education, an application to pharmaceutical training is missing so far. We argue for the necessity to complement evidence-based pharmaceutical practice with narrative-based approaches to ensure high-quality care. Using the perspective of a pharmacist in a case scenario, we exemplify the centrality of “narrative pharmacy” for improving the quality and safety of pharmaceutical health care.