疗养员睡眠质量与景观疗养干预的研究进展

睡眠是人类生命活动的重要组成部分,与生活质量密切相关。良好的睡眠被认为具有促进疾病康复的作用。调查显示,43.4%的中国人在过去的1年内曾有过不同程度的失眠。因睡眠问题带来的个人生活质量下降、健康危害、医疗费用增加及工作效率低下已成为许多国家日益关注的公共卫生问题。目前多项研究已经证实,景观疗养对于改善睡眠质量具有显著效用。本文就疗养员睡眠质量     

景观疗养改善老年疗养员睡眠质量的作用研究

目的分析景观疗养在改善老年疗养员中的应用效果。方法将某院收治的82例老年疗养员作为研究对象,按照抽签法将其分为常规组和干预组,各41例。常规组实行常规的疗养护理,在此基础上干预组实行景观疗养护理,比较常规组与干预组的情况。结果干预前,两组的睡眠质量评分相比差异无统计学意义(P>0.05);干预后,干预组的睡眠质量评分较常规组高(P<0.05)。干预前,两组的生活质量评分相比差异无统计学意义(P>0.05);干预后,干预组的生活质量评分高于常规组(P<0.05)。结论景观疗养法可以有效改善疗养员的睡眠质量,提高生活质量。     

景观疗养护理对军队离退休老干部睡眠质量的影响

[目的]探讨景观疗养护理对军队离退休老干部睡眠质量的影响。[方法]对109例60岁以上的军队离退休老干部实施景观疗养护理,并以中国军人睡眠质量量表测评干预前后的睡眠质量。[结果]干预前后老干部的测评总均分、睡眠效果、睡眠潜伏期和睡眠可持续性评分比较差异有统计学意义(P<0.05)。[结论]景观疗养护理能提高军队离退休老干部的睡眠质量,促进其身心健康,进而提高生活质量。     

景观疗养护理对离退休干部睡眠质量的影响

目的探讨景观疗养护理对离退休干部睡眠质量的影响。方法选取接受疗养的离退休干部90例,随机分为对照组与观察组各45例,对照组给予常规护理,观察组给予景观疗养护理,对比两组疗养员睡眠质量与护理满意率。结果两组疗养员护理后睡眠质量均有显著改善,且观察组改善情况显著优于对照组,观察组疗养员护理满意率显著高于对照组。结论为离退休干部实施景观疗养护理,可有效改善其睡眠质量,大大提高疗养员的护理满意率,值得推广。     

景观疗养对高血压疗养员血浆同型半胱氨酸水平的影响

目的探讨景观疗养对高血压疗养员血浆同型半胱氨酸(Hcy)水平的影响,评价景观疗养对高血压疗养员的康复效果。方法对91例高血压疗养员采取景观疗养因子干预,观察疗养前后其血压、血脂及血浆同型半胱氨酸水平的变化。结果经景观疗养因子干预10 d后,疗养员收缩压、血脂及血浆同型半胱氨酸水平均显著下降(P<0.05)。结论景观疗养可有效控制高血压疗养员的血压,并降低血脂、血浆Hcy水平。     

如何做好疗养员的景观疗养

景观疗法是现代疗养学的重要组成部分,也是重要的疗养因子.清新的空气、秀丽的山色、悠久的历史、优美的景观以及独具特色的人文景观,都对调整疗养员的身心健康、平和情绪、焕发精神、促进康复,有着药物和仪器治疗不可替代的作用.     

康复疗养对高原官兵睡眠质量影响的研究

目的研究康复疗养对高原官兵睡眠质量的影响。方法选择高原防守官兵31名,分别以不同疗养组(高压氧组和正常疗养组)、不同海拔(4 000 m和5 000 m)、守防时间(6个月和12个月)、不同疗养时间(1 d、15 d和30 d)进行分组,利用自然疗养因子、景观、健康教育、有氧运动、心理干预、高压氧等综合疗养措施,并采用匹兹堡睡眠质量指数量表(PSQI)收集睡眠情况数据,利用SPSS 17.0软件进行数据分析。结果疗养30 d的官兵在因子1、因子2、因子5以及因子7较入院疗养15 d官兵比较,差异有统计学意义(P0.05),疗养期30 d较疗养15 d对高原官兵的睡眠质量有明显改善。高压氧组与正常疗养组在因子4上比较,差异有统计学意义(P0.05),说明高压氧组对改善习惯性睡眠效率有明显效果;对照组因子1、因子2、因子4、因子7和总分上与各个疗养组相比差异均有统计学意义(P0.05);其中对照组官兵与疗养30 d的官兵比较,差异有高度统计学意义(P0.001),疗养对官兵改善睡眠疗效显著。不同海拔高度上,官兵睡眠质量得分没有显著差异。结论充分利用疗养院特色优势,科学安排疗养期限,采用综合康复疗养措施,可以显著改善高原官兵的睡眠质量,对保障和提高高原部队战斗力具有重要作用。     

老干部疗养员杭州景观疗养护理特点

<正>随着现代医疗水平的飞速发展,我国已提前进入老龄社会,如何提高老年人生活质量已成为社会各部门亟待解决的问题。疗养是提高老年人生活质量的好方法之一。我院地处西湖风景区中心位置,两面临湖,碧波环绕,院内环境幽雅,鸟语花香,如同一颗明珠镶嵌于美丽的西     

昆明疗养地对1670例异地疗养员疗养效果的影响

目的探讨山地疗养地对异地疗养员的影响。方法对我院历年病案，按组段随机抽取，二年共１９９６例，其中异地疗养１６７０例，本地域疗养３２６例，作为对照组，统计按χ２检验。分析疗养康复的有效率及疗养地适应不良症的发生率。结果康复疗养有效率９９７０％，常见病以冠心病、高血压病、骨及关节退行性变为多；异地疗养组疗养地适应不良症与对照组比较具有显著性差异，分别为１１２６％、５００％，Ｐ＜００１，异地疗养中康复疗养发生率９８８％、保健疗养１３８％，有显著性差异（Ｐ＜００１），本地域组中康复疗养发生率４３０％，保健疗养０３１％，无统计学意义（Ｐ＞０．０５）。结论疗养医学要重视自然疗养因子对人体的生理、病理的影响，充分利用疗养因子的作用，提高人类生存质量；在重视２０００米以上高原对人体影响的同时，要重视２０００～１０００米山地疗养地对人体生理、病理影响的研究，提出疗养地适应不良症及其防治措施。     

对高血压病疗养员进行阶段性改变模式行为干预的效果分析

目的探讨运用阶段性改变模式对高血压病疗养员进行行为干预的效果。方法对78例高血压病疗养员运用阶段性改变模式进行高血压健康教育讲座和个体化康复指导,即行为评估→制定目标→行动实施→随访评价（目标未实现→分析原因修改目标;目标实现→设定新目标）。结果干预1个月后,患者的收缩压与舒张压均比干预前下降,差异有统计学意义（P〈0．01）;干预后1年,患者的饮食、运动等高血压非药物治疗行为均较干预前有显著改善,差异有统计学意义（P〈0．05或P〈0．01）。结论阶段性改变模式通过制定切合实际、患者能达到的目标并定期随访,为行为改变提供一个量化的衡量指标,从而促进患者的行为改变和维持健康的生活方式。     

Effects of Standardized Rehabilitation on Quality of Life of Stroke Patients at Convalescence and Sequelae Stages

Abstract Objective: To explore the effects of standardized rehabilitation on quality of life (QOL) of stroke patients at convalescence and sequelae stages. Method: A total of 251 stroke patients were randomly divided into a standardized rehabilitation group and a control group. The simplified Fugl-Meyer assessment(FMA) scale, the 36-item short-form health survey questionnaire (SF-36) and functional comprehensive assessment (FCA) were administered before as well as after 3, 6 and at 12 months a follow-up study respectively. Statistical analysis was conducted based on the evaluations at 4 testing time points. Result: There was no significant difference in FMA,SF-36 and FCA scores of the two groups before and after 3 months treatments, while FMA,SF-36 and FCA scores of the rehabilitation group were obviously higher than those of the control group either after 6 months treatments or of follow-up study. Moreover, after 6 months treatments FMA score was apparently higher than the score at the beginning and after 3 months treatments. The FMA, SF-36 and FAC scores during the follow-up visit decreased when compared with scores after 6 months treatments, but increased significantly when compared with the scores at the beginning and after 3 months treatments. Conclusion: Standardized tertiary rehabilitation (STR) at convalescence and sequelae stages can significantly improve motor functions and QOL of stroke patients.     

认知行为疗法对肾移植受者术后负性情绪和睡眠质量的效果研究

目的验证认知行为疗法对肾移植受者术后负性情绪、睡眠质量的效果。方法便利抽样选择2015年5月至2016年1月福州市某三级甲等综合医院58名肾移植受者,分为干预组28名和对照组30名。对干预组进行为期3周的认知行为疗法干预,而对照组则采用常规护理。使用基本资料调查表、非精神科住院患者心理评定量表和匹兹堡睡眠指数量表评价其效果。结果干预组患者在抑郁、愤怒维度的得分显著低于对照组患者的得分,PSQI总分和睡眠质量、睡眠时间、入睡时间、睡眠效率维度等五个方面亦低于对照组(均P0.05)。结论认知行为疗法能够有效降低肾移植受者术后抑郁、愤怒情绪,同时对改善肾移植受者术后睡眠质量有较好的效果。     

岭南文化为主的特色护理服务对提高高血压疗养员睡眠质量的疗效

目的:探讨提高高血压疗养员睡眠质量的岭南文化为主的特色护理服务方法.方法:选取2016年4月至2019年8月火箭军广州特勤疗养中心收治的高血压疗养员68例作为研究对象,随机分成2组,每组34例,对照组采用常规药物治疗,观察组则在常规药物治疗的基础上给予岭南文化为主的丝网花手工、阅读疗法、岭南茶艺品鉴、景观疗养等特色护理...     

高压电位疗法对老年人睡眠障碍的疗效观察

目的观察高压电位疗法对老年人睡眠障碍的临床治疗效果。方法睡眠质量下降的老年患者31例,经高压电位疗法治疗10~15 d,治疗前后采用匹兹堡睡眠质量指数量表(PSQI)进行评价。结果治疗后,PSQI总分及各维度分均有明显改善(P<0.01)。结论高压电位疗法能有效改善老年人睡眠质量。     

Effects of Verapamil Slow Release Plus Trandolapril Combination Therapy on Essential Hypertension

Background: Fixed-dose combination antihypertensive therapy has been recommended for patients with essential hypertension who are unresponsive to monotherapy or as a first-line treatment.Objective: We investigated the effects of a fixed-dose combination of the phenylalkylamine-type calcium channel blocker verapamil slow release (SR)plus the angiotensin-converting enzyme inhibitor trandolapril on blood pressure (BP), serum lipid profile, urinary albumin excretion (UAE), left ventricular mass (LVM), and LVM index (LVMI), as well as the adverse events associated with this treatment.Methods: Patients aged 30 to 65 years with mild to moderate essential hypertension were included in the study. All of the patients received capsules containing combination treatment with verapamil SR 180 mg plus trandolapril 2 mg orally, daily for 12 weeks. Mean arterial pressure (MAP), systolic BP (SBP), diastolic BP (DBP), and heart rate (HR) were measured at baseline and at 4, 8, and 12 weeks of treatment. Serum lipid profile, UAE, LVM, LVMI, and body mass index (BMI) were determined at baseline and at the end of the study period. All patients underwent electrocardiography and echocardiography at baseline and week 12. The primary end point of the study was to achieve an SBP/DBP ≤140/≤90 mm Hg (ie, normotensive) during week 12. All adverse events were assessed as mild, moderate, or severe at each visit. According to the response rate at week 12, patients were divided into 2 groups: those who became normotensive (responders) or those who remained hypertensive (SBP/DBP >140/>90 mm Hg; nonresponders).Results: Forty-one patients (29 women, 12 men; mean [SD] age, 47.7 [7.8] years; mean [SD] BMI, 29.4 [3.5] kg/m²) were enrolled. The median durationof hypertension prior to enrollment was 5 months. Mean MAP, SBP, DBP, UAE, total cholesterol (TC), low-density lipoprotein cholesterol (LDL-C), LDL-C/highdensity lipoprotein cholesterol (HDL-C) ratio, LVM, LVMI, and BMI decreased significantly after 12 weeks of combination treatment; HR and triglyceride level did not change significantly. Treatment-related adverse events occurred in 31.7% of patients, and none were severe or caused any patient to withdraw from the study. The most common adverse events were cough, constipation, headache, and dryness in the throat. Microalbuminuria, which may be a marker of endothelial dysfunction, was found in 7 (17.1%) patients at baseline and regressed significantly after 12 weeks.Conclusions: In this study population, the fixed-dose combination of verapamil-trandolapril was an effective and well-tolerated antihypertensive therapy. This combination significantly reduced MAP, BP, TC, LDL-C, LDL-C/HDL-C ratio, UAE, LVM, and LVMI. Also, microalbuminuria decreased after this treatment. Verapamil-trandolapril may be useful in preventing microalbuminuria and left ventricular hypertrophy in patients with essential hypertension.     

抗焦虑治疗对降压药效果的影响

目的 :观察高血压伴有焦虑的患者中 ,抗焦虑治疗对药物降压效果的影响。方法 :117例高血压患者根据焦虑自评量表 (SAS)分为无焦虑组 72例 ,伴有焦虑 4 5例中再随机分为焦虑组 2 3例和抗焦虑组 2 2例。 3组患者均给予依那普利 5mg ,每日 2次 ,抗焦虑组同时加服抗焦虑药物治疗。 4周后比较 3组降压效果。结果 :无焦虑组及抗焦虑组的收缩压 (SBP)、舒张压 (DBP)均有明显下降 ,而焦虑组下降较小 ,与前 2组比较差异有显著性 (P <0 .0 0 1)。降压有效率 ,无焦虑组与抗焦虑组差异无显著性 ,分别为 80 5 %与 81 8%。而焦虑组为 5 2 17% ,与前 2组比较 (P <0 .0 5 )。结论 :焦虑情绪明显影响着降压药物的治疗效果 ,消除焦虑可明显提高药物的降压作用。提示高血压伴有焦虑的患者给予抗焦虑治疗是必要的。     

低山带疗养护理对老年高血压患者心身健康的影响

目的探讨低山带疗养护理对老年高血压患者心身健康的影响。方法 2012年7-9月,广州军区武汉疗养院对在鸡公山疗养地疗养的68名老年高血压患者疗养前后的血压、心率、血氧饱和度、体质指数及心理健康状况等进行了研究并比较。结果疗养后,老年高血压患者的收缩压及血氧饱和度均优于疗养前(均P0.01),舒张压、心率、BMI等与疗养前比较,差异均无统计学意义(均P0.05);躯体化、抑郁、焦虑、恐怖、睡眠饮食障碍等5项因子均分与疗养前的差异均有统计学意义(均P0.05),其余因子的评分与疗养前的差异均无统计学意义(均P0.05)。结论低山带气候疗养护理对老年高血压患者的血压及心身健康状况有积极的影响。