Evaluation of a bibliotherapy manual for reducing psychological distress in people with depression: a randomized controlled trial

Aim. This article reports a study to evaluate the efficacy of a self‐help manual in reducing psychological distress in individuals with moderate depression. Background. The prevalence of depression in Thailand is increasing markedly (e.g. from 56–197 per 100,000 population between 1997–2007). Design. We conducted a randomized controlled trial with 54 outpatients with depression in Chiang Mai Province in Thailand. Method. Participants were assigned randomly to an intervention or control group. The intervention group participants were given a self‐help manual in addition to standard care and treatment while the control group received standard care and treatment. Psychological distress was measured with the Kessler Psychological Distress Scale. Data were collected between October 2007–April 2008. Results. The findings showed statistically significant differences between both groups in their levels of psychological distress (e.g. tiredness, hopelessness, restlessness). At post‐test, the distress scores of the intervention group were lower than those in the control group. Between post‐test and 1‐month follow‐up, distress scores continued to decrease steadily in the intervention group but only decreased slightly in the control group. Conclusion. The findings affirm the benefits of bibliotherapy or self‐help therapy in book form in helping to reduce psychological distress in people with moderate depression. The approach is easy to use and can be incorporated as an adjunct to standard care and treatment. Bibliotherapy can be used by community mental health nurses and other clinicians to reduce psychological distress and promote recovery in people with moderate depression.     

Clinical anxiety disorders in the context of cancer: A scoping review of impact on resource use and healthcare costs

Prevalence of clinical anxiety among patients with cancer is higher than the general population. Clinical anxiety in people with other medical conditions is associated with greater healthcare resource use and costs. This scoping review describes the evidence relating to costs associated with clinical anxiety in cancer populations. We conducted searches of online databases Medline, Embase, Cinahl, National Health Service Economic Evaluation Database (NHS‐EED) and Cochrane Library of systematic reviews to identify studies published between 2006 and 2017 that included healthcare cost in terms of monetary or health service utilisation variables. Of 411 records screened, six studies met inclusion criteria. Only one study used formal diagnostic criteria to identify clinical anxiety. The healthcare system perspective was most common, with direct costs such as medications, hospital visits, type of therapy and use of mental health services reported. All studies found anxiety was related to increased costs/resource use; however, methodological differences mean specific costs and potential impact of interventions on resource use remain relatively unquantified. Despite the prevalence of clinical anxiety, there is little data on the economic impact on health service costs and utilisation. Future studies quantifying the true cost are urgently needed to inform healthcare service planning and delivery, and quality improvement initiatives.     

早期透析患者的生活指导

血透室护士能根据不同患者的年龄、病因和病情给予针对性的护理,对早期透析患者进行适宜的生活指导,提高患者对疾病的认识,在辅助治疗、延长生命上具有比较重要的意义。     

中医康抚辅以炒茴香热敷法在肾癌根治手术后护理研究

目的：探讨中医康抚辅以炒茴香热敷法在肾癌根治手术后的护理中的作用。方法：收集我院2010年6月—2012年12月收治的肾癌根治术后腹胀患者200例,随机分配到中医康抚组和中医康抚辅以炒茴香热敷法组,比较两组患者的肾癌根治手术后胃肠恢复的情况,并对此进行统计学分析,最后比较两组方法的疗效。结果：采用中医康抚护理组和中医康抚辅以炒茴香热敷法组的患者平均首次排气时间分别为（8.6±1.5）h与（4.8±1.2）h,平均腹胀消失时间分别为（16.2±2.1）h和（8.9±1.6）h;视觉模拟评分到2分时,两组患者的时间分别为（20.9±1.1）h和（16.3±0.5）h,均具有显著统计学差异（P〈0.05）。结论：中医康抚辅以炒茴香热敷法对肾癌根治手术后患者的胃肠功能恢复的疗效更明显。     

经闭孔无张力阴道吊带术治疗女性压力性尿失禁的护理

目的 探讨经闭孔无张力阴道吊带术(TVT-O)治疗女性压力性尿失禁(SUI)的护理方法.方法 对138例女性SUI接受TVT-O治疗患者的临床资料及围手术期护理行回顾性分析.结果 138例患者手术均获成功,术后症状消失.随访1月～4年,均未复发.1例术后3个月网片外露,未发现其他并发症.结论 TVT-O治疗女性SUI,操作简单,创伤小,并发症少,配合细致周到的围手术期护理,手术成功率高.     

两种不同护理干预方法对血浆置换病人的影响研究

目的：探讨两种不同护理干预方法对血浆置换治疗重症肝炎病人的影响。方法：将56名重症肝炎病人随机分为观察组和对照组,两组各28名病人,观察组采用在术前、术后健康宣教、心理护理等护理措施,对照组采用常规护理,比较两组病人的生存质量和焦虑状态。结果：使用两种不同的护理干预后,观察组的生存质量明显高于对照组（P〈0.01）,观察组病人的焦虑情绪明显低于对照组（P〈0.01）。56名病人经过血浆置换治疗重症肝炎前后,其肝功能变化有显著性差异（P〈0.01）。结论：心理护理和健康教育的护理干预方法效果好,能缩短疗程,显著降低重症肝炎的病死率,为延长病人生存期和促进康复争取宝贵的时间,明显减轻了病人的焦虑情绪,提高病人的生存质量。     

120例输卵管阻塞不孕围手术期护理

目的探讨腹腔镜治疗输卵管阻塞配合护理程序的临床效果。方法120例腹腔镜下对输卵管伞端粘连、积水部分进行切开、分离并使之翻卷以防粘连并实施整体护理。结果与结论腹腔镜手术配合护理程序治疗输卵管阻塞具有安全、微创、出血少、恢复快等优点，再通率及受孕率均增高。