目的 调查并分析择期行经皮冠状动脉介入术(percutaneous coronary intervention,PCI)术前老年患者的运动耐力现况.方法 选取2016年1月—2017年6月收治于同济大学附属东方医院行择期PCI术的老年患者102例,在术前进行6分钟步行试验、活动平板运动试验,观察运动耐力情况.结果 术前患者的运动耐力高限集中在5.0代谢当量.术前活动平板试验结果显示在5.0代谢当量时,患者的Borg指数增至(14.31±3.00)分.术前活动平板运动试验水平随活动耐力增加,不同性别患者在心率方面比较,差异有统计学意义;Borg指数比较,差异无统计学意义.6分钟步行试验结果显示,患者步行距离为(361.69±45.74)m,Borg指数(11.45±3.49)分,不同性别患者在步行距离、Borg指数、血压、氧饱和度等方面比较,差异无统计学意义.6分钟步行试验前后与活动平板运动试验前后比较,心率和Borg指数比较,差异有统计学意义;血压波动比较,差异无统计学意义.结论 择期PCI术前老年患者的运动耐力较差,6分钟步行试验能够提高老年冠心病患者的运动耐力,相较活动平板运动试验更易操作.应了解患者术前的运动耐力,制订术后康复运动处方,以加快患者的疾病康复过程,改善患者的生活质量及远期预后.

[目的]探讨炎症性肠病病人生存质量的心理体验,提高病人的身心健康水平.[方法]采用现象学研究方法,以目的抽样法抽取炎症性肠病病人12例进行深度访谈.[结果]在对原始资料整理分析的基础上提炼出3个主题,分别是“疲劳倦怠”“心理焦虑恐惧”和“自我职业价值受限”,与马斯洛的需要层次理论模型一致,从生理、心理、社会功能3个方面反映了病人的生存质量.[结论]炎症性病人生活质量对疾病结局、转归产生重要影响,应从家庭、医疗、社会等多角度进行干预和支持,提升其心理健康水平及生活质量.

Objective To investigate the status of self-efficacy in cardiac disease patients when discharged, and to explore the influencing factors .Methods A total of 403 patients were selected from Cardiology and Cardiothoracic Surgery Department in a three-A hospital during March to August in 2013 .The chronic disease self-efficacy scale and the basic information questionnaire of cardiac disease patients ( self-designed) were administered to these patients when discharged .Differences of self-efficacy between medical and surgical patients were compared , and the influencing factors were analyzed .Results The average score of self-efficacy for these patients was (6.63 ±1.90), which belonged to the medium level.There was a significant difference between medical and surgical patients in self-efficacy (7.27 ±1.83 vs 6.01 ±1.75;t=-7.080,P<0.01).Univariate analysis showed that the influencing factors of self-efficacy in patients including age, education background , heart function level , and the number of hospital admissions and length of hospital stay . Conclusions The self-efficacy in cardiac disease patients is in the medium level , and the self-efficacy of surgical patient is lower than that in the medical patients .

<正>冠状动脉造影术在冠心病的诊断和治疗中占有愈来愈重要的位置,但是由此而产生的并发症问题,也相继出现,出血及皮下血肿是其最常见的血管并发症。姚芸[1]调查研究表明,308例冠状动脉造影

Objective To explore the feasibility of applying the visual colorimetric test strips to monitor capillary blood glucose levels.Methods Both visual colorimetric test strips and rapid blood glucose monitor were used to measure the capillary blood glucose levels.The visual values were read by patients and nurses at the same time for the same blood sample.Results The determination was conducted in 201 patients on the same blood sample.There were no significant difference between the values of rapid blood glucose monitor and visual colorimetric test strips by patients and nurses.The results of visual colorimetric test strips were not influenced by the patients'age(P>0.05).Conclusion Visual colorimetric test strips can accurately reflect patients' capillary blood glucose levels,which is not influenced by the patient's age.