太极拳运动对青少年糖尿病患者负性情绪的影响

目的 探讨太极拳运动对青少年糖尿病患者负性情绪的影响.方法 成立糖尿病太极拳俱乐部,在糖尿病疾病相关知识健康教育基础上,对31例青少年糖尿病患者以太极拳运动方式进行干预.结果 干预前糖尿病患者抑郁自评量表(SDS)、焦虑自评量表(SAS)评分显著高于国内常模(均P<0.01);干预后患者SDS、SAS评分及血糖水平显著低于干预前(均P<0.01).结论 太极拳运动可有效改善青少年糖尿病患者的负性情绪,使血糖控制迭理想水平.     

正念疗法对糖尿病患者负性情绪和血糖控制效果的Meta分析

目的评价正念疗法对糖尿病患者身心健康的影响。方法检索有关正念疗法对糖尿病患者负性情绪和血糖控制效果的随机对照试验,按纳入与排除标准进行文献筛选、资料提取和质量评价后,采用RevMan5.2软件进行Meta分析。结果最终纳入4个研究349例患者。Meta分析结果显示:正念疗法能够缓解糖尿病患者的焦虑、抑郁情绪(均P0.01)。心理压力、糖尿病相关痛苦和生活质量心理维度,短期内无明显优势(均P0.05);随着时间的推移(≥6个月),治疗效果逐渐凸显(P0.05,P0.01)。生活质量身体维度及糖化血糖蛋白,正念疗法的短期效果和长期效果均无明显优势(均P0.05)。结论正念疗法对缓解糖尿病患者焦虑、抑郁情绪有一定效果,但对缓解压力和糖尿病相关痛苦情绪、提高生活质量及降低糖化血红蛋白的效果还不能确定。     

针对性护理对重度烧伤伴并发症患者负性情绪及生活质量的影响

目的 分析针对性护理对重度烧伤伴并发症患者负性情绪及生活质量的影响。方法 选取邯郸钢 铁集团有限责任公司职工医院2020年6月-2022年9月收治的104例重度烧伤伴并发症患者为研究对象,依据 随机数字表法分为观察组与对照组,各52例。对照组行常规护理干预,观察组实施针对性护理干预,比较 两组负性情绪、生活质量及护理满意度。结果 两组护理后SAS、SDS评分均低于护理前,且观察组低于对 照组,差异有统计学意义（P＜0.05）;两组护理后躯体功能、社会关系、心理功能、一般健康状况评分均 高于护理前,且观察组高于对照组,差异有统计学意义（P＜0.05）;观察组护理满意度高于对照组,差异 有统计学意义（P＜0.05）。结论 对重度烧伤伴并发症发生的患者实施针对性护理干预可减轻其抑郁焦虑 情绪,提升生活质量,促进护理满意度的提高。     

太极拳运动缓解慢性阻塞性肺疾病的抑郁焦虑情绪的临床疗效

目的:探讨太极拳运动对慢性阻塞性肺疾病(COPD)患者抑郁焦虑情绪及呼吸困难的影响.方法:选择中量度COPD缓解期伴随抑郁焦虑情绪患者80例,随机分为太板拳锻炼组和对照组,各40例.太极拳锻炼组,锻炼内容包括准备活动、太极拳单个动作及套路练习,每次30分钟,每周4-5次,为期3个月；对照组不接受任何形式的运动训练.观察前后,采用抑郁自评量表(SDS)、焦虑自评量表(SAS)和基础呼吸困难指数(BDI)对2组患者抑郁、焦虑及呼吸困难症状进行评估并比较其改变量的差异.结果:太极拳运动组,在改善COPD患者的抑郁、焦虑及呼吸困难方面,明显优于对照组,差异均有显著统计学差异(P＜0.05).结论:太极拳运动能有效改善COPD患者的焦虑抑郁情绪以及呼吸困难症状,对COPD康复具有重意义.     

医患共同决策对痤疮患者负性情绪和遵医行为及治疗效果的影响

目的:探讨医患共同决策模式在痤疮患者中的应用效果.方法:采用随机抽样法将130例面部痤疮患者随机分为对照组和观察组,每组65例.对照组予常规痤疮医疗护理沟通,观察组在常规医疗护理沟通的基础上实施医患共同决策模式,在治疗护理各环节使患者及家属参与决策.比较两组患者的负性情绪、遵医行为及治疗效果.结果:两组患者治疗后皮损消...     

网络认知行为治疗对妊娠期糖尿病孕妇负性情绪的影响

目的 探讨网络认知行为治疗对妊娠期糖尿病孕妇负性情绪的改善效果.方法 便利选取妊娠期糖尿病孕妇90例,对其开展网络认知行为治疗,其中治疗期6周、巩固期3周.分别于治疗前、治疗后即刻、产后3 d,采用妊娠相关焦虑量表和爱丁堡产后抑郁量表进行效果评价;对全程参与治疗的14例孕妇进行半结构式访谈,使用Colaizzi分析法对...     

经尿道前列腺等离子剜除术对患者负性情绪影响

目的观察经尿道前列腺等离子剜除术对患者负性情绪的影响。方法选取2013年1月～2016年12月我院收治的156例前列腺增生患者作为研究对象,分为观察组与对照组。对照组78例,尿道双极等离子前列腺电切术;观察组78例,经尿道前列腺等离子剜除术。比较2组治疗前后SAS、SDS评分与心理健康评分。结果治疗前2组间SAS、SDS评分比较差异无统计学意义(P0.05),治疗后观察组评分优于对照组,差异显著(P0.05);观察组心理健康评分高于对照组,差异显著(P0.05)。结论经尿道前列腺等离子剜除术治疗前列腺增生疗效肯定,能够显著改善患者负性情绪,调节心理健康状态。     

围术期系统护理对主动脉夹层患者血压及负性情绪的影响

目的探讨围术期系统护理对主动脉夹层患者血压及负性情绪的影响。方法对接受手术治疗的28例主动脉夹层患者实施围术期系统护理,回顾性分析患者的临床资料。结果出院时患者的收缩压、舒张压、汉密尔顿焦虑量表与抑郁量表评分、疼痛评分均低于入院时,差异有统计学意义(P0.05)。术后并发症发生率为3.6%。结论围术期系统护理可有效降低主动脉夹层患者的血压,缓解其负性情绪疼痛症状。     

经尿道前列腺等离子剜除术对患者负性情绪影响

［摘要］ 目的 观察经尿道前列腺等离子剜除术对患者负性情绪的影响。方法 选取2013年1月～2016年12月我院收治的156例前列腺增生患者作为研究对象，分为观察组与对照组。对照组78例，尿道双极等离子前列腺电切术；观察组78例，经尿道前列腺等离子剜除术。比较2组治疗前后SAS、SDS评分与心理健康评分。结果 治疗前2组间SAS、SDS评分比较差异无统计学意义（P>0.05），治疗后观察组评分优于对照组，差异显著（P<0.05）；观察组心理健康评分高于对照组，差异显著（P<0.05）。结论 经尿道前列腺等离子剜除术治疗前列腺增生疗效肯定，能够显著改善患者负性情绪，调节心理健康状态。     

二元应对在脑卒中偏瘫患者配偶照顾负担与负性情绪间的中介效应

目的 探讨二元应对在脑卒中偏瘫患者配偶照顾负担与负性情绪间的中介作用,为提高配偶身心健康提供参考。方法 采用便利抽样方法选取311名脑卒中偏瘫患者配偶为研究对象,使用一般情况调查表、照顾负担量表、二元应对量表、焦虑自评量表、抑郁自评量表进行调查。结果 脑卒中偏瘫患者配偶照顾负担得分(59.49±13.90)分,二元应对得分(86.03±16.62)分,焦虑得分(54.75±6.14)分,抑郁得分(49.73±7.93)分。二元应对在配偶照顾负担与焦虑、抑郁间起部分中介作用,中介效应分别占总效应的50.21%和47.27%。结论 二元应对是脑卒中偏瘫患者配偶照顾负担与负性情绪的中介变量。医护人员应尝试构建二元应对干预方案,提高脑卒中偏瘫患者配偶的二元应对水平,减轻其照顾负担,改善负性情绪。     

胆囊收缩素在糖尿病并发胆囊结石中的地位与作用

目的探讨胆囊收缩素（CCK）在糖尿病并发胆囊结石中的地位与作用。方法复习近几年的相关文献并进行综述。结果CCK在体内分布广泛，一方面通过引起糖尿病而促进胆囊结石的发生，另一方面其本身及其受体异常也可以引起胆囊结石，与CCK有关的基因异常可能是糖尿病和胆囊结石共同的病理基础。结论CCK在糖尿病并发胆囊结石的发病中具有重要作用，但仍需进行深入研究。     

Effects of Obesity Surgery on Type 2 Diabetes Mellitus Asian Patients

Background  Obesity is a major risk factor for the development of type 2 diabetes mellitus (T2DM). Surgery is the most effective treatment for morbid obesity, and it has been shown to lead to dramatic improvement in type T2DM. However, data concerning obese Asian patients have not been reported, and the mechanism of improving T2DM after bariatric surgery in this population remains speculative. Methods  From April 1997 to March 2006, 1,375 patients undergoing obesity surgery were recruited for our study of the effects of weight loss surgery on type 2 diabetes mellitus (T2DM). Laparoscopic vertical banded gastric partition (LVBG) was performed in 552 patients (40.1%), laparoscopic gastric bypass in 660 patients (48.0%), and laparoscopic adjustable gastric banding (LAGB) in 140 patients (10.2%). Another 23 patients (1.7%) received open or revision surgery. We evaluated the clinical data and effect of obesity surgery on T2DM, impaired fasting glucose (IFG) and compared the changes with those with normal fasting glucose. Results  Among all the patients, 166 (12.1%) had impaired fasting glucose (IFG) and 247 (18.0%) had T2DM. Patients with IFG or DM were significantly older, more central obese, and they had higher insulin resistance and a higher HbA1C level than those with normal fasting glucose. The mean total weight loss for the population was 28.6%, 29.1%, 28.5%, 23.8%, and 24.4% (at 1, 2, 3, 5, and 7 years after surgery). There was no increase of surgical risk in T2DM or IFG patients. One year after operation, fasting plasma glucose returned to normal in 78.5% of T2DM patients and 94.7% of IFG patients. The HbA1C level returned to under 7.0 in 81.5% of T2DM and in 100% of IFG patients. Laparoscopic gastric bypass patients had a greater weight loss and a higher rate of glucose normalization (93.1%) than the LVBG patients (85.3%) and LAGB patients (73.9%), but no difference in HbA1C normalization. Conclusions  Obesity surgery resulted in significant and sustained weight loss with a cure rate of T2DM up to 80% in morbidly obese Asian patients. Gastric bypass surgery had a better result in T2DM cure rate than LVBG and LAGB because of better weight reduction.     

Effects of Type II Diabetes Mellitus on Tendon Homeostasis and Healing

Over 300,000 tendon repairs are performed annually in the United States to repair damage to tendons as a result of either acute trauma or chronic tendinopathy. Individuals with type II diabetes mellitus (T2DM) are four times more likely to experience tendinopathy, and up to five times more likely to experience a tendon tear or rupture than non-diabetics. As nearly 10% of the US population is diabetic, with an additional 33% pre-diabetic, this is a particularly problematic health care challenge. Tendon healing in general is challenging and often unsatisfactory due to the formation of mechanically inferior scar-tissue rather than regeneration of native tendon structure. In T2DM tendons, there is evidence of an amplified scar tissue response, which may be associated with the increased the risk of rupture or impaired restoration of range of motion. Despite the dramatic effect of T2DM on tendon function and outcomes following injury, there are few therapies available to promote improved healing in these patients. Several recent studies have enhanced our understanding of the pro-inflammatory environment of T2DM healing and have assessed potential treatment approaches to mitigate pathological progression in pre-clinical models of diabetic tendinopathy. This review discusses the current state of knowledge of diabetic tendon healing from molecular to mechanical disruptions and identifies promising approaches and critical knowledge gaps as the field moves toward identification of novel therapeutic strategies to maintain or restore tendon function in diabetic patients. © 2019 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 38:13–22, 2020     

糖尿病患者鞋袜穿着现状的调查研究

目的了解糖尿病患者鞋袜穿着现状．为促进患者选择和穿着合适鞋袜、预防足溃疡发生提供参考依据。方法采用糖尿病足危险筛查及检查足部和鞋袜的方式．对上海某医院门诊就诊的285例糖尿病患者所穿的鞋袜情况及患者糖尿病足危险情况进行调查。结果仅27例（9．5％）糖尿病患者足部正常;77．2％患者穿危险的鞋．女性穿危险鞋的比例显著高于男性（P〈0．05）。女性患者倾向于穿非棉、袜口过紧的浅色袜子．而79．8％男性穿深色的袜子。结论糖尿病患者鞋袜穿着现状不容乐观．在临床工作中应注重糖尿病患者鞋袜检查和指导．指导患者选择和穿着合适的鞋袜,预防足溃疡的发生。     

Voiding Dysfunction in Women with Diabetes Mellitus

Voiding dysfunction is a common finding in women with diabetes mellitus. A full spectrum of bladder dysfunction, from areflexia to detrusor instability, can result. Urodynamics is frequently required to identify the specific disorder. Current concepts regarding the evaluation and treatment of these patients are reviewed.     

糖尿病病人骨科围手术期处理

目的：总结糖尿病病人围手术期的处理经验，提高治疗水平。方法：对本院1989-2000年89例37-82岁糖尿病住院患者进行回顾性分析。合并2种以上疾病者62例，截肢，截趾，关节离断45例，钢板固定21例，清创术29例，清创术后截肢5例，结果：糖尿病住院患者择期手术889例，死亡2例，其中术前死亡1例，术中，术后未发生严重并发症。结论：控制血糖和抗感染是围手术期处理的关键因素。