中医五音疗法对宫颈癌患者负性情绪及满意度的影响分析

目的探讨中医五音疗法对宫颈癌患者负性情绪及满意度的影响。方法选取2016年1月～2020年9月于我院收治的宫颈癌患者104例,随机分为观察组和对照组各52例。两组患者均给予宫颈癌手术治疗,在此基础上给予对照组患者常规护理干预,给予观察组中医五音疗法干预,干预1个月,比较两组患者治疗前后负性情绪评分(SDS、SAS)、生存质量评分和护理满意度。结果干预前,两组患者SDS、SAS评分比较,差异无统计学意义(P0.05);干预后,观察组SDS、SAS评分均低于对照组,差异均有统计学意义(P0.05)。观察组生活质量评分显著高于对照组,差异有统计学意义(P0.05)。观察组护理满意度为96.15%,显著高于对照组的82.69%,差异有统计学意义(P0.05)。结论给予宫颈癌术后患者中医五音疗法护理干预能够有效缓解患者焦虑、抑郁等负性情绪,改善患者生存质量和护理满意度。     

认知行为干预对肠易激综合征病人负性情绪及生活质量的远期影响

[目的]探讨认知行为干预模式在肠易激综合征病人中的应用效果。[方法]运用便利抽样方法选取64例肠易激综合征病人,按照随机数字法将病人分为对照组和干预组,对照组给予常规健康教育,干预组在常规健康教育基础上给予认知行为干预,于干预前及干预后1个月、3个月、6个月、9个月应用焦虑自评量表(SAS)、抑郁自评量表(SDS)、肠易激综合征症状严重程度量表(IBSSSS)对两组病人进行评价。[结果]干预后两组病人SAS评分比较差异有统计学意义(P0.05),干预组评分低于对照组;两组干预后6个月、9个月SDS评分比较差异有统计学意义(P0.05)。干预后两组IBS-SSS量表中排便满意度评分比较差异无统计学意义(P0.05),干预6个月、9个月其他维度评分两组比较差异均有统计学意义(P0.05),干预组均低于对照组。[结论]认知行为干预有助于减轻肠易激综合征病人的负性情绪,帮助其重建生活信心,改善临床症状,提高生活质量。     

中医五音疗法联合安神热奄包足浴对首次血液透析病人负性情绪的干预效果

目的:探讨中医五音疗法联合安神热奄包足浴对首次血液透析病人负性情绪的干预效果。方法:选取2018年10月—2020年12月医院血液透析室预约的首次透析病人86例为研究对象,按随机数字表法分为观察组和对照组,每组43例。对照组在预约血液透析后给予常规护理,观察组在常规护理基础上给予中医五音放松疗法联合安神热奄包足浴进行干预。在透析前1 d(T₁)、上机前0.5 h(T₂)及上机后0.5 h(T₃)采用焦虑自评量表(SAS)及抑郁自评量表(SDS)对两组病人负性情绪进行评价,同时比较两组病人的护理满意度。结果:两组病人T₂、T₃ SAS、SDS评分均低于T₁(P<0.05,观察组病人T₂、T₃ SAS、SDS评分均低于对照组(P<0.05);观察组病人护理满意度明显高于对照组(P<0.05)。结论:中医五音疗法联合安神热奄包足浴应用首次血液透析病人效果显著,能有效改善病人负性情绪。     

中医治疗肠易激综合征

肠易激综合征 (IBS)是临床常见的一种肠道功能性疾病。表现为腹痛、腹泻或便秘 ,病变不仅限于结肠 ,也涉及小肠。在门诊中占胃肠病的 5 0 %,大多数病人病情时轻时重 ,反复发作。西医一般采用调节神经及对症治疗 ,但疗效欠佳。而中医辨证施治 ,整体调节 ,前景广阔。现将临床治疗法则总结如下。1　疏肝健脾法本法用于肝郁脾虚之腹痛、泄泻 ,是临床常用之法 ,肝主疏泄 ,性喜条达 ,脾主运化 ,喜燥恶湿 ,相互协调 ,气机通畅 ,则运化自如。若情志不调 ,肝郁气结 ,则见少腹疼痛 ,肠鸣矢气 ,遇怒更甚。脾虚运化失常 ,水走肠道 ,则见肠鸣泄泻 ,纳食…     

肠易激综合征的中医护理

目的应用中医护理对肠易激综合征患者进行护理,观察疗效,为肠易激综合征的护理工作提供指导。方法肠易激综合征患者60例,随机分为常规护理组和中医护理组,2组平均分配,各30例,中医护理组采用中医护理方法,常规护理组采用常规的西医护理,比较2组的护理效果。结果根据2组患者的治疗护理效果,中医护理组的总效率是93%,常规护理组的总效率是80%,中医护理组高于常规护理组,差异具有统计学意义(P0.05)。结论与单纯常规护理肠易激惹综合征患者进行比较发现,中医护理肠易激综合征具有一定优势。     

刮痧结合调肝运脾汤改善肠易激综合征病人临床症状和负性情绪研究

[目的]探讨刮痧结合调肝运脾汤改善肠易激综合征肝郁脾虚证病人的焦虑、抑郁情绪和生活质量的效果。[方法]将符合纳入和排除标准的60例病人随机分为试验组和对照组各30例。两组病人均内服中药调肝运脾汤,每日1剂,分2次服用。试验组在此基础上采用刮痧法,刮拭任督二脉、足太阳膀胱经、足阳明胃经、足太阴脾经、足厥阴肝经循行部位,重点刮拭天枢、中脘、足三里、上巨虚、下巨虚、三阴交、阴陵泉、脾俞、胃俞、肝俞等穴位,每周治疗1次。两组病人均以4周为1个疗程,连续治疗2个疗程。比较两组病人治疗前后总有疗效及汉密尔顿焦虑量表(HAMA)、抑郁量表(HAMD)改善的情况。[结果]治疗8周后,病人HAMA、HAMD得分均较治疗前下降,且试验组评分较对照组明显,试验组总有效率高于对照组(均P0.05)。[结论]刮痧配合调肝运脾汤可缓解肠易激综合征病人症状及焦虑、抑郁情绪。     

尊严疗法对晚期肺癌病人尊严和负性情绪的影响

[目的]探讨尊严疗法对晚期肺癌病人尊严和负性情绪的影响。[方法]将94例晚期肺癌病人随机分为观察组和对照组各47例。对照组按照我院肿瘤科相关疾病护理常规实施治疗和护理,观察组在此基础上采取以尊严模型为理论框架的个性化尊严疗法。干预后第10天比较两组病人尊严量表(PDI)、抑郁自评量表(SDS)和焦虑自评量表(SAS)评分。[结果]干预后第10天,观察组病人PDI总分(54.20分±14.23分)、SAS评分(51.23分±5.26分)、SDS评分(50.24分±2.14分)均低于对照组(63.23分±9.56分)、(57.18分±5.31分)、(62.18分±9.12分),差异均有统计学意义(P0.05)。[结论]尊严疗法有助于改善晚期肺癌病人的尊严状况,缓解焦虑和抑郁情绪。     

Colonic tone and motility in patients with irritable bowel syndrome.

In this study, our aim was to test the hypothesis that colonic tone is abnormal in patients with irritable bowel syndrome (IBS). We studied eight patients with IBS and eight age-matched asymptomatic control subjects, in whom tone and motility were measured by an electronic barostat and by pneumohydraulic perfusion manometry, respectively. Tone and motility were recorded from the descending colon for a 14-hour period--3 hours awake, 7 hours asleep, 2 hours fasting after awakening, and 2 hours postprandially. In patients with IBS and in healthy subjects, colonic tone decreased by up to 50% during sleep and increased promptly on awakening. Fasting colonic tone (as quantified by the volume in the barostat balloon) in the awake state was not significantly higher in patients with IBS than it was in healthy subjects (125 +/- 13 versus 152 +/- 15 ml; P = 0.19). Tone increased postprandially in both study groups, and the increase was greater in healthy subjects than it was in patients with IBS (P < 0.05). The motility index during fasting was greater in patients with IBS than it was in healthy control subjects (3.2 +/- 0.6 versus 1.6 +/- 0.4; P = 0.05), and the postprandial increase in motility index was greater in the healthy subjects. Preprandially and postprandially, we noted a trend for high-amplitude prolonged contractions to be more frequent in patients with IBS than in healthy subjects. We conclude that colonic tone in patients with IBS showed the same nocturnal and postprandial variations as it did in healthy subjects.(ABSTRACT TRUNCATED AT 250 WORDS)     

肠易激综合征患者的人格情绪和应对方式研究

目的分析肠易激综合征患者人格、情绪、应对方式的特点,探讨精神心理因素与肠易激综合征的关系。方法采用艾森克人格简式问卷、简式简明心境问卷对120例肠易激综合征患者（研究组）与120例健康志愿者（对照组）的人格、情绪状况进行测评分析,采用医学应对问卷对120例肠易激综合征患者的医用应对方式进行测评,并与肝病及消化性溃疡患者国内常模进行对比分析。结果艾森克人格简式问卷测评,研究组神经质维度分显著高于对照组（t=4.63,P〈0.01）。简明心境问卷测评,研究组紧张-焦虑、抑郁-沮丧、愤怒-敌意、疲乏、迷惑-混乱因子分及总分均显著高于对照组（P〈0.01）,精力因子分显著低于对照组（P〈0.01）。医学应对问卷测评,研究组回避因子分均显著低于肝病及消化性溃疡患者（P〈0.01）,屈服因子分显著高于消化性溃疡患者（P〈0.05）。结论神经质人格、紧张、焦虑等负性情绪及消极应对方式与肠易激综合征密切相关。     

中医外治法治疗肠易激综合征的研究概况

正肠易激综合征(Irritable Bowel Syndrome,IBS)是一种发病机制尚未明确的慢性功能性肠道病变,临床主要表现以腹痛、腹部不适、大便性状及排便习惯改变、精神状态异常等为特征。临床上大致分为腹泻性(IBS-D)、便秘型(IBS-C)、混合型(IBS-M)、不定型(IBS-U)4种类型[1]。本病临床表现个体差异较大,治疗上目前尚无一种药物能对所有IBS病人     

肠易激综合征患者肠道气体的研究

目的:通过X线腹部平片对肠道气体进行定量分析,探讨肠易激综合征(IBS)患者肠道气体量的变化。方法:根据罗马Ⅲ诊断标准选取IBS患者49例(便秘型25例和腹泻型24例),健康对照者25例,在空腹状态下摄立位腹部平片,扫描进入计算机,用图像处理软件(Photoshop 7.0)处理照片,在双肋弓外缘垂直线相交于膈顶水平线、耻骨联合上缘水平线形成的矩形框内,标出肠道内气体范围,分别计算整个矩形框及肠气范围的像素值,最后结果用气体容积积分表达(gas volume score,GVS),即肠气范围像素值与矩形框像素值之比。结果:IBS患者的GVS与健康对照组比较无明显差异(0.064±0.035vs0.055±0.043);便秘型IBS患者的GVS明显大于腹泻型IBS患者(0.077±0.040vs0.051±0.025,P<0.01)及健康对照组(0.077±0.040vs0.055±0.043,P<0.05),而腹泻型IBS患者的GVS与对照组相比无差异(0.051±0.025vs0.055±0.043,P>0.05)。结论:IBS患者肠道气体的量存在变化,且与IBS分型有关,便秘型IBS患者肠道气体增多,腹泻...     

Cognitive-behavioural therapy for children with irritable bowel syndrome

QuestionA child with irritable bowel syndrome (IBS) presented to the clinic with a chief concern of ongoing gastrointestinal symptoms. The parents reported no improvement despite dietary modifications and are not interested in any medications. Is cognitive-behavioural therapy (CBT) an effective treatment for IBS in children?AnswerTraditional CBT and its subtypes, including Internet-based CBT and gut-directed hypnotherapy, are more effective in reducing pain and gastrointestinal symptoms in children and adolescents with IBS compared with standard treatment or no treatment. This therapy should be recommended to patients and parents.

Irritable bowel syndrome (IBS) is the most prevalent pain-predominant functional gastrointestinal (GI) disorder in children, affecting between 4.9% and 5.4% of school-aged children and 8% of adolescents worldwide.^1,2 Other functional GI disorders include abdominal pain, dyspepsia, and abdominal migraines.² Irritable bowel syndrome is a long-standing condition that negatively impacts a child’s daily activities and quality of life, and can often persist into adulthood.^1,3 It accounts for more than 25% of all emergency consultations for pediatric abdominal pain, and yet, for most children, there is no identifiable organic cause.² The condition is diagnosed using the Rome IV criteria and is defined by abdominal pain at least once weekly over a minimum of 3 consecutive months, in addition to 2 of the following criteria: pain related to defecation, change in stool frequency, and change in stool appearance.^4,5 Other symptoms of IBS include nausea, vomiting, headaches, anorexia, and arthralgia. Comorbidities often seen in children and adolescents with IBS include anxiety and depression.³The pathophysiology for IBS is not well understood. Current literature suggests a multifactorial pathogenesis consisting of brain-gut axis dysregulation, GI autonomic nervous system abnormalities, some intestinal inflammation, increased bowel sensitivity, decreased pain thresholds, and psychological factors such as stress and anxiety.³     

负性情绪对消化性溃疡患者的影响

目的 探讨负性情绪对消化性溃疡患者的影响以及负性情绪患者自我管理知识认知情况.方法 采用Zung抑郁自评量表(SDS)和焦虑自评量表(SAS)以及自行设计的消化性溃疡患者一般情况和相关知识问卷调查表,对消化内科门诊和住院的105例消化性溃疡患者进行调查,并与106名健康人进行对照.结果 消化性溃疡患者SDS、SAS总分、阳性症状患病率明显高于健康人;在溃疡组内部,SDS数据两两比较,不同职业负性情绪不同;有焦虑与无焦虑的消化性溃疡患者在保持稳定情绪和合理饮食方面认知差异显著;有45.8%～78.1%的负性情绪患者对药物根治周期、定期复诊、并发症不清楚.结论 护理人员应及时评估患者的情绪状态,根据不同个体制订护理计划,因人施护、因人施教,可以提高患者自我管理知识认知程度和遵医行为,改善他们的精神健康水平,也对降低发病率、预防复发起积极作用.     

Recognizing and managing patients with irritable bowel syndrome

PURPOSE: To address the diagnosis and clinical management of irritable bowel syndrome (IBS) and provide a discussion of the available serotonergic agents. DATA SOURCES: Recent studies examining the pathophysiology of IBS. CONCLUSIONS: Diagnostic testing may be required in the subset of patients with IBS who present with alarm symptoms, or "red flags," suggestive of underlying organic disease. An important role has been suggested for the neurotransmitter serotonin in both gut motility and visceral pain sensitivity. IMPLICATIONS FOR PRACTICE: A diagnosis of IBS is largely based on symptoms; therefore, effective clinician-patient communication and careful attention to details of patient presentation, history, and physical examination are essential.