[目的]了解护理及其它各专业学生生活方式及存在的问题。[方法]分层整群抽样对天津市医学高等专科学校一、二年级、三年级在校学生生活方式等进行问卷调查。[结果]生活方式自评有28.1%的学生总分低于33分,表明存在不良生活习惯,且没有意识到不良生活习惯对健康的危害,其中男生36.8%、女生21.9%。与其它研究中医学生不良生活习惯比例(44.51%)比较差异不显著(P>0.05)。与普通高校的学生(70.6%)比较差异显著(P<0.05)。[结论]从总体来看医学生生活方式等方面比普通院校学生好一些,但不良生活方式比例仍处于较高水平。

Two hundred and thirty two patients with essential hypertension were divided into intervention and control groups (116 in each) ,by the end of study period (from January 2005 to January 2006) 106 patients in intervention group (91.4%) and 102 in control group (87.9%) completed observation.The main findings were as follows: the blood pressure control rate in intervention group was higher than that in controls (X2=23.92,P <0.01) ;the family adaptability(X2 =31.12,P <0.01),family caring(X2=37.90 ,P<0.01),family communication (X2= 17.91,P<0.01) and family function(X2 = 8.26,P<0.01)in intervention group were better improved than those in control group.The results suggest that family can be effective resources for improvement of patients with essential hypertension.

Objective To understand the effects of life event and family function on primary insomnia.Methods Fifty-six patients with primary insomnia for more than three months and 56 patients without it,were asked to the questions listed on Family APGAR)Index(FAI),Pittsburgh Sleep Quality Index(PSQI)and Trait Coping Style Questionnaire(TCSQ)when they visited community health care service,Forty-eight patients with insomnia(case group)and 52 non-insomnia ones(control group) responded to the questions.Data were analyzed by SSPS version 10.0 software.Results There was statistically significant difference in sleep quality(χ~2=10.75,P0.005)and in trait coping style response (χ~2=4.03,P0.05)between the two groups.Negative coping response associated with sleep quality(χ~2 =4.05,P0.05).No statistical difference in family function between the two groups was found(χ~2= 3.39,P0.05).Conclusions Sleep quality was influenced by life events and disturbance of family function through trait coping style response in patients with insomnia.

本研究从病人家庭功能和结构的角度,探讨家庭对疾病的影响和家庭维持平衡对疾病控制的重要性.

目的了解全科医生家庭服务意识与服务现状.方法对天津市全科医生培训班1、2期学员进行问卷调查.结果 95%的全科医生认可家庭服务,90.52%的医生愿意开展家庭服务,目前已有56.03%的全科医生开展二～三级的家庭服务.结论全科医生家庭服务意识正在形成;初级家庭服务已经开展.

目的了解血压波动高血压病人的家庭环境.方法对62例近1～3个月血压波动的高血压病人进行家庭评估.结果 90%以上的家庭自我照顾能力不足,52%的家庭出现中等以上的功能障碍.56%为核心家庭,44%为扩展家庭.家庭资源中,家庭经济支持13%良好,81%中等,6%差;家庭情感与维护的支持37%良好,50%中等,13%差;76%医疗处理好;63%社会资源较多,24%医疗费用为自费;78%以上的家庭不能提供健康信息和教育.结论家庭功能、类型和家庭自我照顾能力对病人的血压波动产生影响.