结肠造口患者实施综合护理干预对性生活质量及心理健康状况影响分析

目的:观察与分析结肠造口患者实施综合护理干预对性生活质量及心理健康状况影响.方法:86例结肠造口患者按照随机数字表法分组为对照组与观察组,各43例.对照组实施常规护理;观察组于对照组护理基础上实施综合护理干预.比较2组患者护理前、6个月、12个月后性生活质量、心理健康状况情况.结果:经护理干预后,2组患者6个月、12个月后性生活质量、抑郁及焦虑评分较护理前均明显改善(P0.05),且观察组改善优于对照组(P0.05).结论:于常规护理基础上实施生理、心理等综合护理干预,其可有效减轻或缓解患者焦虑、抑郁情绪,同时还可提高患者性生活质量.     

恶性肿瘤患者心理特点及护理

在各种疾病中,很少有如恶性肿瘤那样给人以巨大的精神压力,恶性肿瘤不仅影响一个人的正常生活,也危害其家庭,不仅破坏机体的正常功能,也可造成身体形象的改变,更加重了患者的恐惧、疑虑、忧郁、绝望等情绪反应,如果肿瘤患者能乐观地对待生活,保持良好的心理状态,改正不良的生活习惯和行为,积极地配合治疗,往往会取得良好的效果,提高生存质量,促进病情好转,对肿瘤患者的康复具有重要意义。     

浅谈恶性肿瘤患者的心理护理

恶性肿瘤严重危害人类健康和生命,但其预防和治疗尚缺乏根本的有效措施。由于其特殊性,患者普遍存在不同程度的心理问题,这严重影响患者的生存质量和治疗效果。因此心理护理对提高患者生存质量,增强治疗信心,促进康复有着积极的意义。     

零缺陷护理模式对脑出血患者术后神经康复效果与生活质量的作用探讨

目的:探讨零缺陷护理模式对脑出血患者术后神经康复效果与生活质量的影响。方法:纳入赣州市人民医院2016年3月至2018年1月收治的、行手术治疗的100例脑出血患者作为研究对象,随机分为观察组(n=50)和对照组(n=50)。对照组采用心理疏导、健康宣教、切口护理、饮食指导等常规护理,观察组在对照组的基础上采用零缺陷护理模式。两组均干预1个月,收集并分析两组患者神经功能评分(NIHSS)、生活自理能力评分(FIM)及生活质量变化情况。结果:观察组干预后NIHSS评分低于对照组,差异具有统计学意义(P<0.05);观察组干预后FIM评分高于对照组,差异具有统计学意义(P<0.05);观察组一般健康状况、生活能力、生理职能、情感职能、躯体疼痛、生理机能、精神健康、社会功能评分均高于对照组,差异具有统计学意义(P<0.05)。结论:零缺陷护理模式能提高脑出血患者患者神经功能修复,提高患者日常生活活动能力,提高患者临床预后效果。     

护理干预对妇科腹腔镜手术患者的影响

目的 分析影响妇科腹腔镜手术患者康复的因素.方法 58例用腹腔镜进行妇科手术的患者,随机分成干预组(32例),对照组(26例).两组患者的性别、年龄、文化程度、差异无统计学意义(P>0.05).对照组采用常规护理,干预组加以心理、行为干预.均于入院后进行心理学调查和测量血压、心率.结果 两组患者入院后血压、心率差异均无统计学意义(P>0.05);而手术前日干预组血压、心率明显减慢.而对照组血压、心率明显增快,与对照组比较存在明显差异(P<0.05).结论 手术患者术前进行心理护理干预有助消除焦虑和抑郁的心理,维持血压、心率的稳定.     

肺结核患者生活质量分析及护理对策

目的：通过评价初入院肺结核患者的生活质量，采取有效的护理对策，提高肺结核患者的生活质量．方法：采用生活质量综合评定问卷(GQOLI——74)，对68例肺结核患者进行CQOLI—74测量及评价．结果：躯体功能(睡眠与精力、躯体不适感、性功能)，社会功能(社会支持、工作与学习、业余娱乐)，物质功能(社区服务、生活环境、经济状况)，生活质量总体评价，总分均下降．结论：肺结核患者生活质量全面下降，需要从生理、心理、社会方面加强护理．     

老年脑卒中患者生活质量的现状与康复护理干预

采用随机抽样法获取老年脑卒中患者80例作为研究对象,将其随机分为干预组与对照组。探讨老年脑卒中患者生活质量的现状与康复护理干预。结果表明,康复护理干预方法优于传统护理方法,有助于提高老年脑卒中患者本人和家属对健康的认识及健康价值水平,促进老年脑卒中患者掌握有效的康复训练方法,改善老年脑卒中患者的运动、语言、认知和其它受损的功能,使其在精神、心理和社会上再适应,提高生活质量。     

妇科病房中的护理风险管理

目的:探讨妇科病房实施护理风险管理的效果。方法:选择妇科实施护理风险管理患者150例作为观察组,未实施护理风险管理前的患者150例作为对照组,比较其对护理人员评价、护理满意度以及风险事件发生率。结果:观察组对护理人员评价较未开展前显著提高,其护理满意度为96%,明显高于对照组(p<0.05),且风险事件发生率仅为6.67%明显低于未实施护理风险管理的对照组(p<0.05)。结论:护理风险管理能有效提高妇科病房护理服务质量,降低护理风险事件发生。     

综合护理干预对改善老年痴呆患者生活质量的探讨

目的：探讨综合护理对老年痴呆疾病的生活质量影响。方法：对30例病例人符合CCMD-3C有关的AD、VD诊断标准,患者30例,随机分为实验组和对照组,实验组15例,对照组15例,分别检测综合护理干预前后患者的认知能力、精神状态和日常生活能力。结果：实验组进行6个月的综合护理干预措施后,患者各个指标有明显的变化,与对照组比较,有统计学意义（P〈0.05或P〈0.01）。结论：综合护理干预能够明显提高改善患者的认知能力、精神状态和日常生活能力,提高生活质量。     

妇科手术后尿潴留的循证护理

循证护理（EBN）又称为实证护理或求证护理，是指将来自临床专家的研究、患者的愿望和现在的研究资源整合成为最好的证据，是一种新的理念，力求摆脱以经验为基础的传统护理观念，向以最佳证据为基础的现代护理方向发展。本文将循证护理方法应用于妇科手术后尿潴留的预防，探讨妇科手术后并发尿潴留的原因及尿潴留的护理对策。针对患者可能出现的护理问题，制定相应护理措施，通过循证护理策略，达到了妇科手术后尿潴留的最佳护理目的。     

肿瘤患者的心理分析及护理

目的：培养肿瘤患者保持乐观情绪,正确面对疾病,积极配合治疗与护理,树立正确的人生观、价值观、提高生存质量。方法：分析164例肿瘤患者的心理状态,采用比较法实施护理。观察组实施心理护理,对照组实施常规护理。结果：对肿瘤患者行心理护理是有效的。结论：良好的心理状态是肿瘤患者的一剂良药。     

中小学生学习生活现状的调查与反思重建

学习是中小学生基本的生活形式和存在方式.调查以北京市中小学生为研究对象,围绕他们在学习生活中“爱不爱学”、“会不会学”及“能不能学”等问题,揭示当代中小学生在学习生活的情感领域、认知领域和社会领域表现出的主要特征.在此基础上,提出优化当代中小学生学习生活的途径:重建学习目的,让学生热爱学习;加强学习指导,让学生学会学习;优化学习环境,构建学习共同体.     

11例腔镜甲状腺手术病人围手术期护理的体会

目的探讨腔镜甲状腺手术病人围手术期护理的原则和措施。方法对我科近4年所做的11例腔镜甲状腺手术病人的临床资料进行分析总结。结果11例均顺利完成手术,手术时间平均（139-18）min,出血量平均（70±5）ml。术后第1天患者可适度下床活动,5-7d出院。所有患者切口愈合好,瘢痕小而隐蔽,无不适感,美容效果好。随访3-36月,局部无肿块复发。结论腔镜甲状腺手术具有切口隐蔽、颈部无疤痕、美容效果好等优点,可根据患者要求在临床开展,而术前、术中及术后的正确护理,是该手术得以顺利开展的必要支持和重要保证。     

Long-term effects of incest: life events triggering mental disorders in female patients with sexual abuse in childhood.

The authors studied several psychosocial, psychosomatic, and psychodynamic factors in 33 female psychiatric patients who had been victims of incest. Abuse was almost exclusively severe and prolonged. Three quarters of the female patients had been abused by their biological fathers or stepfathers. Sexual abuse experiences in childhood are connected with feelings of anxiety, helplessness, and powerlessness. Together with a lack of support on the part of the mother, these experiences lead to ego weakness, an autoplastic mode of coping with aggression and to patterns of objectal relationships which predispose them to object loss. The links between a girl's traumatic experiences in relationships and her vulnerability to separation in later life and their importance for the incidence of mental disorders will be discussed on the basis of Bowlby's attachment theory.     

高压氧治疗硫化氢中毒的护理体会

对急性硫化氢中毒,早期高压氧治疗、护理、高浓度吸氧,持续正压通气．人工吸痰,防止呼吸道阻塞;同时给予药物治疗,利尿排毒．控制肺水肿,脑水肿和继发感染,改善组织缺氧,是抢救中毒病人的有效治疗手段。其中早期高压氧治疗、护理具有重要的意义。     

The life satisfaction among older East Asian immigrants: sexual attitudes and knowledge

ABSTRACT

Sexuality in later life is an essential factor for quality of life among older adults However, little is known about the sexuality of older adult immigrants from East Asia who have experienced both Western and Eastern cultures. In addition, we have limited information about the mechanism of how sexual attitudes impact life satisfaction through knowledge of sexuality. To address these knowledge gaps, a cross-sectional research design was conducted by collecting data from older East Asian immigrants aged 60 or over in a large city in a Midwestern state. We analyzed 96 responses using exploratory factor analysis and mediation analysis. The results showed that older adult immigrants who had more open sexual attitudes were likely to possess accurate sexual knowledge. Older adult immigrants’ sexual knowledge mediated the relationship between their sexual attitudes and life satisfaction. The findings highlight the importance of lifelong sexual education for older adult immigrants and recommend social workers train in culturally sensitive approaches.     

抗癌食品与防癌机理综述

癌症是人类的一大疾患,严重地威胁着人体生命,对于癌症的发病机理、成因、预防措施、诊治技术等方面的研究是目前全世界十分关注的重大课题.对抗癌食品以及抗癌的原理和方法等进行论述.     

History of sexual abuse and suicide attempts in alcohol-dependent patients

History of child abuse is considered one of the important risk factors of suicide attempt in general population. At the same time it has been shown that suicide attempts appear significantly more frequently in alcoholics than in healthy individuals. The objective of this study was to investigate associations between history of childhood sexual abuse and suicide attempts in a sample of Polish alcohol dependent patients. A sample of 364 alcohol-dependent subjects was recruited in alcohol treatment centers in Warsaw, Poland. Information was obtained about demographics, family history of psychiatric problems, history of suicide attempts, sexual and physical abuse during childhood and adulthood and severity of alcohol problems. When analyzed by gender, 7.4% of male and 39.2% of female patients had a lifetime history of sexual abuse; 31.9% of the study group reported at least one suicide attempt during their lifetime. Patients who reported suicide attempts were significantly younger (p = 0.0008), had greater severity of alcohol dependence (p = 0.0002), lower social support (p = 0.003), and worse economic status (p = 0.002). Moreover, there was a significant association between history of suicide attempts and family history of psychiatric problems (p = 0.00025), suicide attempts in the family (p = 0.0073), childhood history of sexual abuse (p = 0.009) as well as childhood history of physical abuse (p = 0.002). When entered into linear regression analysis with other dependent variables history of childhood sexual abuse remained a significant predictor of suicide attempt (OR = 2.52; p = 0.035). Lifetime experience of sexual abuse is a significant and independent risk factor of suicide attempts in alcohol-dependent individuals.     

护理干预对产后焦虑和抑郁症状的影响

目的：焦虑和抑郁是产妇不良心绪的核心症状,本研究旨在了解护理干预对患者产后焦虑和抑郁情绪的影响。方法：将64例产后伴有焦虑和抑郁的产妇随机分为实验组和对照组,各32例。对照组只给予常规医学护理,而实验组在进行常规护理的同时联合系统护理干预措施。对两组均采用焦虑自评量表（SAS）和抑郁自评量表（SDS）进行测评分析。结果：测得实验组和对照组产妇焦虑、抑郁分值比较具有显著性差异（P〈0．05）,提示有效的护理干预对改善产妇不良心绪有积极意义。结论：正确的产后教育,良好的家庭、社会支持系统,有效的心理疏导,温馨的护患关系等,对于减轻和消除产妇的焦虑、抑郁心绪具有一定的临床意义,可能对于减少产后抑郁症的发病也有某种积极作用,从而提倡重视对产妇开展及时有效的护理干预措施。