目的:探讨中医体质辨证护理对慢性鼻窦炎患者心理状态、症状改善及免疫功能的影响。方法:选取2018年6月至2019年6月中山市中医院医治的慢性鼻窦患者380例为研究对象,按照医治时间先后顺序将其分为观察组和对照组各190例。对照组患者给予常规护理干预,观察组患者给予中医体质辨证护理干预,观察并比较两组患者干预前后的心理状态、症状改善及免疫功能的变化。结果:观察组患者的HAMD和HAMA评分显著低于对照组患者( P<0.05),观察组患者的症状改善总有效率显著高于对照组患者( P<0.05),观察组患者的IgA、IgM及IgG等免疫指标显著优于对照组患者( P<0.05)。 结论:中医体质辨证护理可显著缓解慢性鼻窦炎患者的焦虑、抑郁等不良心理状态,促进临床症状改善和疾病康复进程,提高患者的机体免疫能力和生活质量。
目的:探讨一种口含呼吸器对鼻内镜术后患者口干症的疗效。方法:选取鼻术后鼻腔填塞口干症的患者60例,随机分为治疗组和对照组,各30例。两组均实施常规术后护理及健康宣教,在此基础上,治疗组使用口含呼吸器,对照组常规经口呼吸,治疗时间为术后48 h内,评价并比较两组患者口干、口腔舒适度的情况。结果:治疗组的治疗有效率明显高于对照组,口干及口腔舒适度改善情况优于对照组,差异有统计学意义( P<0.05)。 结论:该专利口含呼吸器能有效缓解鼻内镜术后患者口干情况,口感舒适,患者易于接受,值得在临床推广应用。
目的:探讨喉癌患者术后实施人性化护理干预对其生活质量的影响.方法:选取接受手术治疗喉癌患者86例,根据1:1比例分为对照组43例与试验组43例,对照组护理干预以常规护理为主,试验组护理干预以人性化护理为主,对比两组患者自我护理能力、各项生活质量评分及护理满意度.结果:试验组自我护理能力较对照组高,差异有统计学意义(P<0.05);试验组各项生活质量评分优于对照组,差异有统计学意义(P<0.05);试验组与对照组护理满意度分别为,试验组较对照组高,差异有统计学意义(P<0.05).结论:喉癌术后患者实施人性化护理干预可促进患者自我护理能力提升,改善其生活质量,效果较好.
Objective: To investigate the clinical effect of daily auto-moxibustion on infantile allergic rhinitis. Methods: 126 cases of infantile allergic rhinitis were pasted with auto-moxibustion sticking plaster daily combined with TCM nursing care. Conclusion: Daily auto-moxibustion was effective on improving nasal symptoms and life qualities of infantile allergic rhinitis patients.
Objective To observe the influence of peppermint water inhalation therapy for postoperative comfort level of sinusitis patients. Methods Ninety six patients with nasosinusitis who were given endoscopic sinus surgery with pipe expansion sponge filled in our hospital were randomly divided into two groups. The control group was given saline inhalation, while the observation group was given peppermint water plus saline inhalation. Patients′ comfort level was evaluated. Results Comfort level of headache, nasal pain, throat itching, dizziness, chest tightness, anhelation, dysphagia and epiphora in the observation group were significantly better than those in the control group (P < 0.01). Conclusion Peppermint water inhalation therapy can significantly improve comfort level of nasal packing patient, improve sleep quality, and increased patients′ satisfaction. It is an effective method for the treatment of sinusitis.
<正>冠状动脉旁路移植手术(coronary artery bypass graft,CABG,冠脉搭桥)是当前治疗冠心病的最有效手段之一,但冠脉搭桥手术创伤大,对患者机体损伤重,术后适宜的养生调护有助于恢复冠心病患者的心功能,加快其康复过程。中医经典《内经》中具有
Objective To explore the applying efficiency of psychological care clinical nursing pathway in coronary artery bypass graft(CABG).Methods Forty patients undergoing CABG in our hospital during January 2007 to April 2010 were randomly divided into the pathway group and the control group.Each group had 20 patients.The routine nursing care was given in the control group,while psychological care clinical nursing pathway was given in the pathway group.The medical expenses and time for hospitalization and the degree of patients' satisfaction were compared between the two groups.Results The medical expenses and time for hospitalization in the pathway group were lower than thoes in the control group,and the degree of patients satisfaction of the pathway group was higher than that in the control group(all P < 0.05).Conclusion The application of rational psychological care clinical nursing pathway,and the enhancement psychological care of CABG patients,can improve mental health status of CABG patients,and lower the medical expenses and time for hospitalization,and enhance the degree of patients' satisfaction.
目的了解院内外规范化健康教育对哮喘患者疗效的影响。方法将80例被确诊为哮喘的住院患者随机分为观察组和对照组。观察组按照我科"哮喘患者健康教育规范"对其进行哮喘知识专门宣教及电话随访,并建立随访档案。对照组采用传统的健康教育方式。1年后对两组患者采用自行设计的问卷检测健康教育达标率;采用全院统一的门急诊患者满意度调查表调查护理工作满意度;并统计1年内哮喘复发住院2次以上患者数评价院内外规范化健康教育效果。结果观察组的健康教育达标率和护理工作满意度均显著高于对照组,对照组哮喘复发2次住院率明显高于观察组。结论院内外规范化健康教育对哮喘患者疗效的影响是非常显著的,能有效减轻和控制哮喘发作,提高患者的生活质量。
Objective:Based on the TCM theory,30 patients with heatstroke syndrome were treated and nursed.Methods:With the theory of nursing based on overall analysis of symptoms and signs,the author made a more comprehensiue summary and did some beneficial discussions about diet,medicine,condition observation and the symptom nurses and so forth.Results:29 patients with heatstroke syndrome in the group of nursing based on overall analysis of symptoms and signs were improved on symptoms,the total effective rate was 96.7%,the heal rate was 76.7%,and differences have statistics significance.Conclusion:Nursing based on TCM overall analysis of symptoms and signs has good curative effect on heatstroke syndrome.
目的探讨心理护理干预对使用呼吸机辅助通气患者心理疏导和调节的作用。方法对40例使用呼吸机后意识清醒患者实施心理护理,设常规组20例进行一般护理,对患者脱机的情况及运用症状自评量表进行分析比较。结果心理护理组效果好于常规护理组(p<0.05)。经过心理辅导的患者在成功脱机后进行的SCL—90量表评定中,其强迫、抑郁、焦虑、恐怖、偏执5个症状因子的情况明显好于常规护理组(p<0.05)。结论对病人脱机前进行耐心细致的心理疏导和护理,取得病人的充分信任和配合,使之感到安全、舒适,减少紧张情绪,有利于患者的心理健康,有利于患者疾病的早日康复。
应用Bipap呼吸机治疗慢性阻塞性肺疾病(COPD)加重期并Ⅱ型呼吸衰竭的病人,同时采取呼吸道管理、口鼻腔护理等措施,加强心理护理、并发症的观察和护理,利用Bipap呼吸机治疗和护理的有机结合,收到了满意的临床效果,减少了气管插管或切开的机会,利于病人康复,现报告如下.