目的 观察耳穴压豆对新冠肺炎患者失眠的疗效.方法 选取2020年1月至3月在武汉市金银潭医院南一区住院的新冠肺炎失眠患者为研究对象,纳入64例,脱落2例,实际完成62例.试验组为常规治疗基础上联合耳穴压豆,对照组采用常规治疗.耳穴选择单侧耳,取心、神门、交感、神经衰弱区、上肺、下肺、平喘穴等穴位.每周两次,共观察14天.经失眠量表总分测评失眠疗效,焦虑自评量表探索性观察.结果 患者一般资料中氧疗组间比较差异具有统计学差异(x2=12.579,P=0.000);干预前后两组失眠严重程度指数量表总分变化值组间比较差异有统计学意义(Z=-3.662,P=0.000),根据氧疗进行分层分析,干预前后两组失眠严重程度指数量表总分变化值组间比较差异有统计学意义(t=3.877,P=0.000),试验组组内比较差异有统计学意义(Z=-4.247,P=0.000);干预前后两组焦虑自评量表组间比较差异无统计学意义(P>0.05);干预前后试验组焦虑自评量表总分组内比较差异有统计学意义(Z=-2.673,P=0.008).结论 耳穴贴压技术能有效改善新型冠状病毒肺炎患者的失眠症状,改善其因失眠导致的焦虑情绪,耳穴贴压技术值得推广应用.

冯运华,中国中医科学院西苑医院原护理部主任.曾任中华护理学会第24届副理事长、第25届秘书长,中华护理学会中医、中西医结合护理专业委员会主任委员、《中华护理杂志》副总主编;中华中医药学会中医护理分会主任委员、北京市北京地区中医护理质量控制中心主任.冯运华从事临床护理、护理教育、护理管理工作49年.

Objective To analyze the research status quo of the five elements music in Chinese Traditional Medicine, so as to provide reference for clinical practice. Methods A self-designed article information extraction form was applied. A total of 90 papers on the topic of five elements music in Chinese Traditional Medicine which met the inclusion criteria from CNKI and Wanfang Medical Database Articles from January 1997 to January 2017 were analyzed. Results Since 2011, the number of papers about the five elements music in Chinese Traditional Medicine had been gradually increasing 37.8% of the papers were supported by scientific research funds; 26.7% of the papers were multi center cooperative research; 95.2% of the intervention studies set the control group; 25.3% were used in cancer patients; and 100% of the intervention effects were effective. Conclusions The five elements music in Chinese Traditional Medicine could be widely used in treating various diseases, however, there is still room for improvement in research designe.

目的:探讨穴位按压配合中药足浴对心脾两虚证不寐患者睡眠状况的影响.方法:将心脾两虚证不寐患者36例按入院时间分为干预组与对照组各18例,对照组予常规治疗、健康教育、中药足浴,干预组在对照组基础上按压神门、三阴交、心俞、脾俞、足三里,干预4周后对比2组患者睡眠质量指数情况.结果:干预组患者匹兹堡睡眠质量指数优于对照组,2组比较差异有统计学意义(x2=32.863,P=0.000).结论:穴位按压配合中药足浴可改善心脾两虚证不寐患者的睡眠状况.

对阿尔茨海默病血瘀证的病因、病理机制、辨证分型、病证特点以及针对记忆力、认知功能、日常生活活动能力方面的中医护理研究进行综述,以期为阿尔茨海默病血瘀证病人的护理与研究提供参考依据.

目的 探讨“心衰病中医护理方案”的临床实施效果,为完善“方案”、优化实施提供参考.方法 采用国家中医药管理局印发的“心衰病中医护理效果评价表”,对2 174例实施“方案”的患者做出的评价进行汇总分析.结果 对心衰病患者辨证施护,近80％患者的不适症状得到改善,患者对中医个体化健康指导的满意度为91.90％,对中医护理技术依从性好;护士评价“心衰病中医护理方案”实用性强的占86.02％.结论 “方案”的临床实施使中医护理更加规范化,可提高护理效果和患者满意度.但在应用中尚存在不足,应予以修订和完善.

Objective Compare the effect of reducing patients′ pulmonary infection by different post-thoracotomy breathing intervention management modes. Methods A total of 88 sampled patients, who had done thoracotomy, were divided chronologically 44 each into control group (February to March 2013) and test group ( April to May 2013 ) . Regular respiratory intervention management were conducted on the control groups and refined respiratory intervention management were given to the test groups, compare the effect of two groups. Results The temperatures (36. 27 ± 0. 30)℃ of the patients from the test group at 6 pm in the 4th day after surgery were lower than ( 36. 78 ± 0. 36 )℃ of the control group; difference between the two groups were statistically significant (t=7. 35,P<0. 05). The white blood cell analysis (6. 07 ± 1. 43) × 109/L in the 4th after surgery of experimental group tend to be more normal than the white blood cell analysis (7. 61 ± 1. 94) × 109/L of the control group with statistical significance (t=4. 27,P<0. 05). There were all normal for chest X ray in the test group, but 4 cases with lung patchy infiltrate shadows in the control group with incidence rate 9. 09%. Conclusions Refined breathing intervention management can make the body temperature, white blood cell, neutrophils ratio of post-operative patients recover to normal range quick without lung auscultation wet rales, and prevent post-thoracotomy pulmonary infection.

Objective To establish a multiple regression equation of long delayed recall of the amnestic mild cognitive impairment,in order to predict the scores.Methods 248 old people were investigated by convenience sampling.Auditory verbal learning test (AVLT) was used to evaluate the ability of memory of the old people,and their general demographic data were collected.Multivariate linear regression analysis was conducted,the regression model was established and AVLT-long delayed recall scores (N5) to the predicted value got from the 3 times scores of study stage scores (N1,N2,N3) and short delayed recall (N4) of Auditory Verbal Learning Test were compared.Results The multiple linear regression equation between the variables was established.There was no significant difference between N5 and the predicted value.Conclusions N2,N3,N4 could be used to predict N5 during screening of amnestic mild cognitive impairment to make the screening process faster and briefer.When the score ≤4 points,the screening continues,if the score ＞5 points,the screening ceases in order to improve the efficiency of screening.