目的 探讨运动训练对COPD患者肺功能的影响.方法 将COPD患者随机分为对照组和运动训练组各50例,对照组采用传统一般内科治疗方法,运动训练组根据患者病情制定系统运动训练方案,包括健康教育指导、呼吸肌锻炼、有效咳嗽排痰训练、整体运动训练,要求患者和家属参照执行.目的:1年后,运动训练组患者肺功能测定第1s用力呼气量(FEV1)、第1s用力呼气量占预计值的百分比(FEV1/预计值*100%)较对照组有明显提高(P<0.05).结论 COPD患者制定系统的运动训练方案能明显改善患者的肺功能.

<正>肺部感染是因病毒、细菌、化学性、物理性和免疫性损伤所导致的肺组织炎性病变,一般感染者经规范的抗炎、对症、支持治疗均能取得较好疗效。但个别重症肺部感染,特别是吸入性肺部感染者,如不及时清除呼吸道异物,可导致肺组织炎症迁延不愈而影响治疗

Objective:Of elderly inpatients of depression,anxiety,the causes and nursing measures.Methods:Using Zung self-rating depression scale (SDS) and Self-rating Anxiety Scale (SAS),Social Support Rating Scale (SRSS),and self-evaluation of 86 cases of a questionnaire-based elderly patients,Analysis of depression and anxiety can occur because the patient's sex,level of medical costs,and social support and other relevant.Results:The burden of higher health care of elderly patients with depression, anxiety and the incidence rate of 67.44% for the medical burden of elderly patients with minor depression,anxiety and the incidence rate of 32.56%;Social Support Rating Scale total score(r=-0.31) and subjective support scores(r=-0.27) was negatively correlated (p<0.05);Women hospitalized elderly depression,anxiety and the incidence rate of 54.65%,men hospitalized elderly depression,anxiety and the incidence rate of 45.35%. Conclusion:Elderly patients with depression,anxiety,higher rate of incidence with the patient's social support system,gender,medical burden,the level of a great relationship,Consequently,we are caring for elderly patients should pay attention to the above aspects of early psychological crisis intervention to promote the patient's compliance behaviors to relieve depression,anxiety,factors that place to reduce their psychological burden,and improving self-care ability of patients to improve their lives quality,and enhance their self-confidence so that they live with greater dignity.

Objective:Explore the night shift nurses,physical condition and psychological counseling strategies,in order to promote the mental health of nurses.Methods:Using the Symp tom Checklist90,WK Zung's Anxiety Scale(SAS) issued 104 copies of scale to evaluate 104 night shift nurses and to analyze their physical and mental condition.Results:SCL-90 Total: 138.44 ± 47.95,more than 160 in 21 cases,accounting for 21.65%;number of positive items: 29.0309 ± 22.1413,more than 43 in 25 cases,accounting for 25.77%,any factor more than 2 hours were 97 cases of,the ratio was 100%.SAS standard scores:less than 50 minutes are free of anxiety,13 cases,accounting for 13.40%;50～59 were divided into mild anxiety,46 cases,accounting for 47.42%;60～69 were divided into moderate anxiety,34 cases,accounting for 35.05 %;69 points or more was severe anxiety,4 cases,accounting for 4.13%.Conclusion:Night shift nurses widespread anxiety.In order to help correct the face of night shift nurses,managers should strengthen the human-oriented management,mental health nurses to enhance their own self-maintenance,relying on a strong social support to maintain mental health.

近年来随着护理事业的发展,护理改革的不断深入,护理模式的转变,以病人为中心的整体护理的实施,给护理人员提出了更高的要求,而当前护理人才在数量、质量和培养上存在许多问题,不能满足新形式下护理越来越高的要求,有的医院甚至出现断层的现象.