永久性结肠造口患者自我护理能力与主要照顾者生活质量的相关性研究

目的分析永久性结肠造口患者自我护理能力与主要照顾者生活质量的相关性。方法采用一般资料调查表、自我护理能力测定量表、SF-36健康调查量表对138例直肠癌腹会阴联合切除永久性结肠造口患者及138例主要照顾者进行调查。结果永久性结肠造口患者自我护理能力总分为(115.09±24.55)分,患者总体自我护理能力1.5%为低等水平、53.6%为中等水平、44.9%为高等水平;主要照顾者生活质量明显低于国内常模(P0.05)。永久性结肠造口患者自我护理能力总分及4个维度得分与主要照顾者生理功能、躯体疼痛、精神健康、活力、总体健康及健康变化呈正相关(r=0.238~0.507,P0.01)。结论永久性结肠造口患者自我护理能力与主要照顾者生活质量具有显著的相关性。     

直肠癌永久性造口患者的病耻感与适应水平、生活质量的相关性

目的探讨直肠癌永久性造口患者的病耻感水平及其与适应水平、生活质量的相关性。方法选取在我院治疗的79例直肠癌造口患者,出院后3个月应用社会影响量表、造口适应量表和生活质量量表进行问卷调查。结果患者的病耻感量表总分为(55.20±10.42)分,适应总分为(129.01±20.10)分,生活质量中总体健康得分为(61.01±20.69)分。患者的病耻感与适应水平、生活质量呈负相关(P0.01或P0.05)。结论病耻感可影响直肠癌患者的适应能力和生活质量,应采取适当的干预减少或消除患者的病耻感。     

永久性结肠造口患者早期造口压力与社会支持、自我护理能力的相关性研究

目的探讨永久性结肠造口患者早期造口压力、社会支持与自我护理能力的关系。方法便利抽样选择北京大学深圳医院的永久性结肠造口患者156例,采用一般情况调查表、结肠造口患者压力量表、社会支持评定量表和自我护理能力评定量表对其进行调查,并采用相关分析、多元线性回归对结果进行分析。结果 156例永久性结肠造口患者的早期造口压力总分、社会支持总分和自我护理能力总分分别为(85.84±18.55)分、(34.55±12.25)分和(85.11±21.27)分。造口压力总分与社会支持总分和自我护理能力总分呈负相关;社会支持总分与自我护理能力总分呈正相关(均P0.05)。多元线性回归分析结果显示,年龄、月收入水平、客观支持、对支持的利用度、自我护理技能和自我责任感等6个因素进入因变量造口压力总分的回归模型。结论永久性结肠造口患者的早期造口压力、社会支持与自我护理能力之间具有一定的相关性。提高社会支持力度,增强自我护理能力,有助于缓解结肠造口患者的早期造口压力。     

永久性结肠造口患者社交状况及其影响因素分析

目的 :分析永久性结肠造口患者社交状况及其影响因素。方法 :采用一般资料调查表、社交回避及苦恼量表、社会影响量表、自我隐瞒量表和罗森伯格自尊量表对228例永久性结肠造口患者进行调查。结果 :永久性结肠造口患者社交回避及苦恼总分为(13.32±3.27)分;性别、职业、造口术后时间、病耻感、自尊和自我隐瞒是永久性结肠造口患者社交回避及苦恼的影响因素,共同解释总变异的60.4%。结论 :永久性结肠造口患者社交回避和苦恼问题较严重,并受多种因素的影响。医务人员应重视保护患者的自尊,降低病耻感和自我隐瞒,改善患者社交状况。     

永久性肠造口患者伤残接受度、心理一致感对生活质量的影响

目的 了解永久性肠造口患者伤残接受度、心理一致感及生活质量现状,探讨伤残接受度、心理一致感对生活质量的影响.方法 采用自制的一般资料调查表、伤残接受度量表(Acceptance of Disabiliy Scale,AODS)、心理一致感量表(Sense of Coherence SOC)和中文版造口患者生活质量问卷(City of Hope-Quality of life-Ostomy Questionnaire-Chinese Version COH-QOL-OQ)对青岛市某三级甲等医院90例永久性肠造口患者进行问卷调查.结果 永久性结肠造口患者伤残接受度总分为(79.01±4.21)分,心理一致感总分为(53.42±4.19)分,生活质量总分为(4.47±1.31)分;生活质量总分与伤残接受度总分、心理一致感总分均呈正相关,r值分别为0.520和0.552(P<0.05);伤残接受度、心理一致感、年龄、家庭平均月收入、造口时间进入生活质量的回归模型(P<0.05),R2=0.649.结论 永久性肠造口患者伤残接受度及生活质量均处于中等水平,心理一致感处于低度水平,生活质量与伤残接受度、心理一致感密切相关.医务人员应重视提高肠造口患者的伤残接受度和心理一致感水平,并根据患者的年龄、经济情况、造口时间给予个体化护理干预,从而改善患者的生活质量.     

探讨护理干预对直肠癌术后永久性造口患者病耻感的影响

目的观察护理干预对直肠癌术后永久性造口患者病耻感的影响。方法选取本院2017年3月—2018年7月收治的66例直肠癌术后永久性造口患者为研究对象。按照随机数字表法将其分为观察组与对照组,每组各33例。观察组采用综合护理,对照组行常规护理。比较两组患者的病耻感评分和自我护理能力。结果护理后两组病耻感评分均降低,且观察组病耻感得分明显低于对照组,差异有统计学意义(P0.05);观察组自我责任感、健康知识水平、自我护理技能、自我概念评分及自我护理能力总分均高于对照组,组间对比差异有统计学意义(P0.01)。结论给予直肠癌术后永久性造口患者综合护理,能降低患者病耻感,提高自我护理能力,效果较好,值得借鉴。     

护理干预降低直肠癌术后永久性造口病人病耻感的效果观察

[目的]探讨护理干预降低直肠癌术后永久性造口病人病耻感的效果。[方法]选取行永久性结肠造口病人98例,按照入院顺序分为试验组48例和对照组50例,给予对照组病人常规出院指导,试验组在此基础上鼓励病人参与造口之家活动,并接受造口随访,出院时及出院3个月后对病人的病耻感进行测评。[结果]试验组出院时病耻感得分为3.04分±0.88分,出院3个月后为2.35分±0.71分;对照组出院时病耻感得分为2.91分±0.89分,出院3个月后为2.87分±0.55分,出院3个月后试验组病人病耻感得分低于对照组(P<0.05)。[结论]给予直肠癌术后永久性造口病人积极的护理干预有助于减轻病人的病耻感。     

护理干预降低直肠癌术后永久性造口病人病耻感的效果观察

[目的]探讨护理干预降低直肠癌术后永久性造口病人病耻感的效果。[方法]选取行永久性结肠造口病人98例,按照入院顺序分为试验组48例和对照组50例,给予对照组病人常规出院指导,试验组在此基础上鼓励病人参与造口之家活动,并接受造口随访,出院时及出院3个月后对病人的病耻感进行测评。[结果]试验组出院时病耻感得分为3.04分±0.88分,出院3个月后为2.35分±0.71分;对照组出院时病耻感得分为2.91分±0.89分,出院3个月后为2.87分±0.55分,出院3个月后试验组病人病耻感得分低于对照组(P0.05)。[结论]给予直肠癌术后永久性造口病人积极的护理干预有助于减轻病人的病耻感。     

基于微信互动平台的全程无缝连接护理对肠造口患者应对方式、病耻感及自我护理能力的影响分析

目的探讨基于微信互动平台的全程无缝连接护理对肠造口患者应对方式、病耻感及自我护理能力的影响。方法选取该院2015年7月至2018年5月收治的80例永久性肠造口患者为对象,按电脑数字表法随机分为对照组和实验组,各40例,对照组予以常规护理,实验组基于微信互动平台予以全程无缝隙连接护理,对比分析两组患者护理前后应对方式、病耻感及自我护理能力。结果护理后,实验组应对方式中面对维度评分是(19.03±0.13)分,较对照组的(16.26±0.78)分高,实验组屈服维度评分是(8.19±0.16)分,回避维度是(14.08±0.23)分,分别较对照组的屈服维度(9.16±0.18)分、回避维度(15.71±0.53)分低,差异均有统计学意义(均P<0.05);护理后,实验组病耻感评分较对照组低,自我护理能力评分较对照组高,差异均有统计学意义(均P<0.05)。结论基于微信互动平台的全程无缝连接护理可改善永久性肠造口患者应对方式,减轻病耻感,进而提升其自我护理能力。     

直肠癌永久性结肠造口病人病耻感及影响因素的调查

[目的]探讨直肠癌永久性结肠造口病人的病耻感及其影响因素。[方法]应用便利抽样法选取106例直肠癌永久性肠造口病人,采用一般资料调查表、社会影响量表、医院焦虑抑郁量表、领悟社会支持量表、造口病人自我效能量表进行调查。[结果]直肠癌病人病耻感得分为(61.5±11.2)分,处于中等偏高水平,多元线性逐步回归分析结果显示,自我效能、抑郁、社会支持是永久性结肠造口病人病耻感的影响因素,解释总变异的46.3%。[结论]直肠癌永久性结肠造口病人的病耻感水平受自我效能、抑郁及社会支持的影响。     

腹壁切口疝修补方式的个体化选择

目的探讨腹壁切口疝个体化手术治疗方式的选择。方法回顾性分析41例腹壁切口疝的分类、手术方式和复发情况。结果平均随访时间27个月,单纯缝合修补术28例,复发1例;人工合成补片修补13例,复发1例,其中腹腔镜人工合成补片修补2例,无复发。结论应根据切口疝患者的机体状况、腹壁缺损大小及部位选择个体化手术修补方式。合理使用补片和直接修补可获得满意疗效。     

骨巨细胞瘤手术治疗的疗效

目的探讨骨巨细胞瘤手术治疗的临床效果。方法 2000年8月至2010年9月手术治疗33例骨巨细胞瘤患者,其中肿瘤切除﹢石炭酸烧灼、酒精局部灭活﹢骨水泥填塞术10例;病灶刮除﹢植骨6例;单纯瘤段切除5例;瘤段切除人工假体置换5例;瘤段切除关节融合4例;病灶刮除术治疗Ⅲ期患者3例。结果全部患者均获得随访,随访时间6个月～4.5年,平均2.6年。病灶刮除骨水泥填充10例,肿瘤复发2例;病灶刮除植骨6例,肿瘤复发1例;单纯瘤段切除5例,肿瘤复发1例;瘤段切除人工假体置换5例,肿瘤复发0例。瘤段切除关节融合4例,肿瘤复发0例;病灶刮除术治疗Ⅲ期患者3例,肿瘤复发1例。结论手术治疗骨巨细胞瘤的临床效果是令人满意的,但其复发是一个值得注意的问题。     

糖尿病的眼部首发病16例分析

目的 :探讨先症就诊于眼科后确诊为糖尿病患者的眼部情况。方法 :对 16例以眼胀、复视、视力下降及眼红痛等症就诊患者的双眼给予眼前段、眼后段、裂隙灯显微镜及血糖尿糖检查。结果 :16例均为Ⅱ型糖尿病患者 ,32眼中 30眼晶体状体的皮质或后囊膜等有不同程度混浊 ,占 93.75 %     

恶性血液病患者配偶生活质量评估

目的了解恶性血液病患者配偶的生活质量,提高其生活质量,以更好地配合患者治疗。方法应用生活质量综合评定问卷(GQOLI)对83例恶性血液病患者配偶及正常对照组人群进行生活质量评估。结果恶性血液病患者配偶的GQOLI总分及躯体功能、心理功能、社会功能和物质生活维度得分均较正常对照组显著降低(P<0.01或P<0.05),其中女性配偶GQOLI总分及心理功能和社会功能维度得分较男性配偶显著降低(P<0.01或P<0.05)。结论恶性血液病患者配偶的生活质量较正常人群下降,其中女性配偶生活质量下降更明显,需要积极进行心理干预。     

An evaluation of quality of life of mothers of children with cerebral palsy

PURPOSE: To evaluate the quality of life of mothers with children suffering from cerebral palsy compared with those who have children with minor health problems. METHOD: Forty mothers with a child suffering from cerebral palsy and 44 mothers with a child suffering from minor health problems participated in a comparative study. The Turkish version of the Medical Outcomes 36-Item Short Form Health Survey (SF-36) was used to assess a mother's quality of life. The severity of a child's motor disability was assessed using the Gross Motor Function Classification System (GMFCS). RESULTS: With the exception of the SF-36 physical functioning subscale, the mean scores on the SF-36 subscales were significantly lower in mothers of children with CP than those of the comparison group. The quality of life scores of mothers were significantly correlated with the severity of a child's motor disability (except physical functioning subscale). Significant correlations were found between GMFCS and the role physical; vitality; role emotional; and mental health subscales of the SF-36. CONCLUSIONS: The quality of life profile of mothers of children with cerebral palsy is different from those who have a child with minor health problems. Different coping strategies and psychosocial programmes must be designed and implemented to decrease the burden of care.     

A comparison of methods of evaluating cervical range of motion

OBJECTIVE: To determine whether there are differences in results when evaluating cervical range of motion (ROM) with radiographic analysis, a bubble goniometer, and a dual inclinometer and whether particular physical parameters are related to cervical ROM. METHODS: We evaluated the cervical ROM of 115 volunteers with each of the 3 clinical methods. Tape measurements of neck girth, distance from chin to sternal notch, and distances from ears to acromion were also recorded, along with sex and age. Interrater and intrarater reliabilities were determined, and the Pearson product moment correlation test and t test were performed on all data. RESULTS: Cervical ROM as determined by radiographic analysis was greater than that obtained with either a dual inclinometer or a bubble goniometer. All tape measurements were weakly correlated with all 3 means of cervical ROM evaluation, with the exception of the measurement of ear lobes to acromion, which did not correlate with radiographic analysis. There were also differences found in cervical ROM by sex and by age, with female subjects and younger subjects having a greater ROM. CONCLUSION: Compared with a dual inclinometer and a bubble goniometer, radiographic analysis provides a more accurate evaluation of cervical ROM.     

示指关节活动空间及其应用

目的 测量健康和受伤后示指关节活动空间,探讨其在康复中的应用价值。方法 招募示指未受过伤的健康大学生志愿者30例(健康组)和示指近期受伤的大学生志愿者3例(患者组),嘱其在示指独立以及与中指协同状态下做屈伸、内收、外展和环转运动,每个动作重复2次,间隔30 s。采用高清相机记录示指运动轨迹,MATLAB软件整理分析视频,比较两组不同动作的运动范围,绘制伤指运动空间和范围对比图。结果 与健康组相比,患者组示指独立屈伸及内收-外展范围分别缺失26.5%和24.6%。由于伤指恢复程度不同,3例患者环转运动缺陷个体差异较大,最大缺失方向分别在160°、70°和170°。结论 观察示指运动空间缺失范围百分比和最大缺陷方向,有助于对伤指的康复评定。     

晶状体后脱位的彩色多普勒超声诊断价值

目的：探讨晶状体后脱位的超声诊断价值。方法：应用彩色多普勒超声对38例不同类型的晶状体后脱位患者的眼球进行超声检查，了解晶状体在眼内的位置、形态、回声以及与周围组织的关系。结果：完全性品状体后脱位13例，人工晶状体后脱位3例，不完全性品状体后脱位22例。合并玻璃体出血4例，玻璃体混浊、增殖及机化13例，玻璃体后脱离15例，视网膜脱离3例。38例患者中33例进行了玻璃体切除联合品状体切除或取出术，超声诊断符合率100％。结论：超声在晶状体后脱位的诊断中具有很高的实用价值，是临床上诊断晶状体后脱位的重要手段之一；同时，为晶状体后脱位手术治疗方法的选择提供有价值的参考。     

Excretion of galactitol in the urine of heterozygotes of both forms of galactosemia.

In 36 heterozygotes with Gal-1-PUT deficiency and 3 heterozygotes with galactokinase deficiency galactitol (and galactose) was determined in the urine 2 and 4 h after an intravenous injection of 350 mg galactose/kg body weight (maximum dosis in adults 16 g). For the sake of comparison 10 healthy children and 5 adults, also 4 homozygotes with Gal-1-PUT deficiency and one sick child with galactokinase deficiency were included in this study. The heterozygotes with Gal-1-PUT deficiency demonstrated the same galactitol excretion as the healthy probands, while heterozygotes with galactokinase deficiency excreted a four-fold higher quantity of galactitol than the healthy and heterozygous probands of Gal-1-PUT deficiency. The child with the galactokinase deficiency excreted galactitol for a period of more than 24 h. These results are discussed.     

An evaluation of quality of life of mothers of children with cerebral palsy

Purpose: To evaluate the quality of life of mothers with children suffering from cerebral palsy compared with those who have children with minor health problems. Method: Forty mothers with a child suffering from cerebral palsy and 44 mothers with a child suffering from minor health problems participated in a comparative study. The Turkish version of the Medical Outcomes 36-Item Short Form Health Survey (SF-36) was used to assess a mother's quality of life. The severity of a child's motor disability was assessed using the Gross Motor Function Classification System (GMFCS). Results: With the exception of the SF-36 physical functioning subscale, the mean scores on the SF-36 subscales were significantly lower in mothers of children with CP than those of the comparison group. The quality of life scores of mothers were significantly correlated with the severity of a child's motor disability (except physical functioning subscale). Significant correlations were found between GMFCS and the role physical; vitality; role emotional; and mental health subscales of the SF-36. Conclusions: The quality of life profile of mothers of children with cerebral palsy is different from those who have a child with minor health problems. Different coping strategies and psychosocial programmes must be designed and implemented to decrease the burden of care.