目的 探析择时穴位贴敷对慢性阻塞性肺疾病(COPD)稳定期便秘的临床效果.方法 以2020年7月至2022年6月入住福建中医药大学附属康复医院心肺康复科COPD稳定期便秘患者90例作为本次研究对象,全部研究对象采用完全相同的护理措施,主要为病情监测、用药指导、饮食护理、心理护理等,进行穴位贴敷治疗的穴位也完全相同,仅在穴位贴敷时间上存在差异,按照穴位贴敷时间的不同将研究对象划分成为两组,早上7:00～9:00进行穴位贴敷者为干预组,组内研究对象为45例,避开7:00～9:00进行穴位贴敷者为对照组,组内研

目的 探讨耳穴贴压对脑卒中后肩关节疼痛患者睡眠质量的影响.方法 将60例脑卒中肩痛的患者,随机分为对照组(30例)和试验组(30例),对照组给予常规一般护理和健康宣教,试验组在对照组基础上再给予王不留行籽耳穴贴压,应用匹兹堡睡眠质量指数(PSQI)量表评价患者的睡眠状况,以视觉模拟评分法(visual analogue scale,VAS)评估患者疼痛.结果 治疗后试验组PSQI量表总分及睡眠质量、入睡时间、催眠药物和功能障碍等子项目的积分均显著降低(P均<0. 05),且VAS评分明显低于对照组(P均<0. 05).结论 疼痛是影响卒中后肩痛患者睡眠质量的主要因素,耳穴贴压在缓解患者疼痛症状的同时,还能改善卒中后肩痛患者的睡眠质量.

导诊人员的工作涉及指导患者就医,引导至相应的诊室、收费处、药房等处,指导各种咨询,办理入院手续等,使患者就医顺利,减轻焦虑恐惧,促进医院与患者间的沟通和理解,提升医院整体形象[1].因此,导诊人员不仅需要医学专业知识,还需要外在形象素质的提升和专业的服务素养.而多数护理专业的毕业生更倾向于在更能发挥护理专业知识技能的临床护理岗位工作,不喜在门诊从事以服务沟通为主的导诊工作.针对以上特点,我院对门诊招收的非护理专业导诊人员进行有针对性的分层次职业化培训.现报告如下.

目的 分析照顾者角色完善在脑卒中偏瘫患者良姿位摆放中的应用价值.方法 选取我院收治的100例脑梗死偏瘫患者为研究对象,将其随机分成对照组50例与观察组50例.护士对2组患者及照顾者进行良姿位摆放和功能锻炼等相关知识宣教及指导,观察组在宣教、指导基础上完善照顾者角色,比较2组患者的并发症发生情况、治疗依从性、肢体活动功能及日常生活能力.结果 观察组患者的并发症发生率较对照组低,治疗依从性、肢体活动功能及日常生活能力均优于对照组,差异有统计学意义(P<0.05).结论 照顾者角色完善在脑卒中偏瘫患者良姿位摆放中有积极的应用价值.

目的:探讨基于出院准备服务概念的护理干预对脑卒中后吞咽障碍患者吞咽康复功能恢复和睡眠质量的影响.方法:选取2017年5月至2018年5月福建中医药大学附属康复医院脑病康复科一科和二科收治的脑卒中后吞咽困难患者60例作为研究对象,随机分为观察组和对照组,每组30例.对照组进行常规护理,观察组在常规护理的基础上根据自制的出院准备服务计划表进行护理干预;2组在入院时和干预1个月后分别进行吞咽疗效评定、住院天数、并发症、满意度调查及睡眠质量比较.结果:观察组总有效率高于对照组(P<0.05),不良事件发生率低于对照组(P<0.05),PSQI评分低于对照组(P<0.05).结论:脑卒中伴吞咽障碍患者行基于出院准备服务概念的护理干预护理后,可改善其吞咽功能及睡眠质量,降低不良事件发生率,效果显著,值得临床推广应用.

目的 探讨卒中恢复期患者自我管理干预的效果.方法 将福建省闽东、闽南、闽西、闽北、闽中6所三级甲等医院的160例卒中恢复期患者按照随机数字表法分为观察组和对照组各80例.对照组按照卒中恢复期中医护理方案进行常规护理,观察组在此基础上应用疾病自我管理模式进行干预.采用卒中自我管理行为评定量表、慢性病管理自我效能感量表和卒中患者生存质量量表,对两组患者干预前、干预3个月、干预6个月后自我管理行为和生活质量改善情况进行评定.结果 干预后,观察组自我管理水平、自我效能感和生存质量评分显著优于对照组(均P＜0.01).结论 卒中恢复期自我管理模式的应用,可提高患者的自我效能,改善其生存质量.

目的 探讨人文关怀在老年冠心病患者康复护理中的应用效果.方法 抽取2016年1月-2017年1月期间在我院住院治疗的老年冠心病患者112例作为研究对象,按国际随机数字表法分成两个研究组,即观察组和对照组,每组56例患者.两组患者均给予常规冠心病康复护理,观察组在这一过程中实施人文关怀.结果 观察组患者的康复护理依从度为96.43％,明显高于对照组的78.57％,比较差异存在统计学意义P<0.05.两组患者康复护理干预前的舒张压(SBP)、收缩压(DBP)等血压水平,心率(HR),甘油三酯(TG)、总胆固醇(CHO)、低密度脂蛋白胆固醇(LDL-C)等血脂水平,6min步行距离及左室射血分数(LVFE),均在同一水平,比较差异不存在统计学意义P>0.05;观察组患者康复护理后以上各项指标的改善程度,均明显优于对照组,比较差异存在统计学意义P<0.05.观察组患者的生理功能、睡眠质量、自我管理以及社会功能评分,均明显高于对照组,比较差异存在统计学意义P<0.05.结论 通过对老年冠心病患者在康复护理干预过程中实施人文关怀,显著地提高了患者的康复护理依从性,从而显著改善患者的康复护理效果和生活质量,实践效果显著.

Objective To explore the correlation between the phlegm-dampness constitution and the apolipoprotein E (ApoE) gene polymorphism in stroke patients.Methods Seventy-seven stroke patients of the phlegmdampness constitution were brought into the observation group,eighty stroke patients of not-phlegm-dampness constitution into the control group.The general information of the patients was collected,while their blood lipid level and apolipoprotein level were detected,including triglyceride (TG),total cholesterol (TC),high-density lipoprotein cholesterol (HDL-C),low-density lipoprotein cholesterol (LDL-C),apolipoprotein A1 (ApoA1),apolipoprotein B (ApoB),lipoprotein (a) [Lp (a)],ApoE,as well as the gene polymorphism of ApoE.Results Compared with those in the control group,the TC,TG,LDL-C,ApoE and ApoB levels in the observation group all increased,while the HDL-C level and ApoA1/ApoB decreased (P ＜ 0.05 or P ＜ 0.01),and there's no significant statistical differences of Lp (a) and ApoA1 levels (P ＞0.05).In total three genotypes (ε3/ε3,ε2/ε3,ε3/ε4) and three alleles (ε2,ε3,ε4) were detected.There was no significant statistical difference in genotype and allele distribution between these two groups by Hardy-Weinberg equilibrium test (P ＞ 0.05),which was consistent with the Hardy-Weinberg equilibrium.The distribution of ApoE genotype and its allele in the two groups were statistically significant (P ＜ 0.05).Compared with the control group,there were more ApoE ε4 allele and ApoE ε3/ε4 genotype in the observation group (P ＜ 0.05),while for other genotypes and alleles,there was no significant difference between the two groups (P ＞ 0.05).Conclusion The tendency to stroke among stroke patients of phlegm-dampness constitution might be associated with ApoE ε4 allele and ApoE ε3/ε4 genotype,and the high blood lipid concentration of people with phlegm-dampness constitution might be regulated by ApoE gene polymorphism.

目的 探讨角调音乐对脑卒中恢复期抑郁患者汉密尔顿抑郁量表(HAMD)评分、血清5-羟色胺(5-HT)的影响. 方法 将105例脑卒中恢复期抑郁患者按电脑随机数法分为角调音乐组、西洋音乐组、空白对照组各35例,3组均接受常规治疗和护理,在此基础上,角调音乐组聆听角调音乐,西洋音乐组聆听西洋音乐,3组疗程均为4周.观察试验前后HAMD-17积分及血清5-HT含量的变化. 结果 经4周干预,角调音乐组试验后第2、4周HAMD评分较试验前明显降低(P＜0.01或P＜0.05),血清5-HT含量明显升高. 结论 角调音乐可提高患者血清5-HT的含量,有效改善脑卒中恢复期抑郁患者抑郁症状.

目的：了解老年脑卒中患者抑郁的现状，并分析其影响因素。方法选取福建中医药大学附属康复医院的老年脑卒中患者为研究对象，采用一般资料调查表、汉密尔顿抑郁量表、蒙特利尔认知评估量表、改良Barthel指数量表、中国康复中心汉语标准失语症检查量表进行调查。结果135例老年脑卒中患者抑郁发生率达80.7%，抑郁总分（15.44±7.69）。得分指标排在前4位条目为抑郁情绪（49.8%）、全身症状（49.5%）、体质量减轻（40.5%）、激越（36.0%）；得分指标排在后4位条目为有罪感（20.5%）、自杀（16.8%）、自知力（16.5%）、胃肠道症状（9.0%）。多影响分析结果显示：日常生活活动能力、言语功能是老年脑卒中患者发生抑郁的主要影响因素（P<0.05）。结论老年脑卒中患者卒中后抑郁发生率较高，以情绪症状和躯体症状为主。护士需重视存在日常生活活动能力、言语功能障碍的老年脑卒中患者抑郁的筛查，帮助患者树立对功能障碍正确的认知，合理宣泄负性情绪，积极参与社会活动及康复治疗以合理有效的应对脑卒中。

Objective :Explore stick massage at the Neiguan acupoint improving the quality of life in patients with chest pain(coronary heart disease) .Methods :60 patients diagnosed with chest pain(coronary heart disease) were randomly di‐vided into test group(32 cases) and control group(28 cases) .The control group received routine medical care and nurs‐ing ,while the test group received both routine medical care ,nursing and stick massage at the Neiguan acupoint .The NT‐proBNP to evaluate the cardiac function ,modified Barthel Index to evaluate the activity of daily life and SF‐36 to e‐valuate the quality of life were tested before and after the treatment in both group .Results:After treatment ,the change of NT‐proBNP ,improvement of MBI and SF‐36 in test group were significantly better than those of control group (P<0 .05) .Conclusion:Stick massage at the Neiguan acupoint can improve the cardiac function and quality of life in patients with chest pain(coronary heart disease) .

Objective To explore the effect of illness marks in the know degree of health education, nursing satisfaction and hospitalization days in stroke rehabilitation unit. Methods A total of 85 patients were randomly divided into experimental and control groups, both groups were accepted general health education with experimental group ap-plying illness mark management in addition. All patients were evaluated the know degree of health education, nursing satisfaction and hospitalization days at discharge respectively. Results The know degree of health education and nursing satisfaction of experimental group were more than those of control group, hospitalization days of experimental group were less than those of control group. Conclusions Illness mark management canincrease patients'know degree of health edu-cation and nursing satisfaction, effectively improve the rehabilitation of stroke patients.

目的：探讨脑卒中康复患者无陪护管理模式的实施及效果。方法将180例脑卒中患者，随机分为实验组（90例）和对照组（90例），对照组采用常规的整体护理管理模式，实验组则采用无陪护管理模式，干预前后分别比较两组患者改良Barthel指数、平均住院时间以及对护理服务的满意率。结果干预后实验组的平均住院时间低于对照组，而改良Barthel指数评分以及患者对护理服务的满意率明显高于对照组，差异均有统计学意义（ P＜0.05）。结论无陪护管理模式有利于脑卒中患者日常生活能力（ ADL）的提高，有效缩短住院时间，同时也可促使护理服务满意率提高。

Objective To explore the effect of tube time management form on tube nursing quality and patients' satisfaction in stroke rehabilitation unit.Methods Totals of 64 patients were randomly divided into experimental and control group,both groups accept general tube nursing;,and experimental group adopted tube time management.All patients were evaluated the omission rate of tube replacement,the delay rate and the delay day of tube replacement,the incidence of hospital infection,the time of hand-over job,and patients' satisfaction respectively.Results After the intervention,in experimental group,the omission rate of tube replacement was 0％,the delay rate of tube replacement was 6.1％,the incidence of hospital infection was 3.0％,the delay day of tube replacement was decreased to(2.45 ± 1.83) days,the time of hand-over job was (31.43 ± 3.61) min.In control 9roup,the data were 6.5％,16.1％,9.7％,(5.31 ± 1.72) d,(38.27 ±2.56) min,respectively.And there were significantly difference between the two groups (x2 =3.15,5.14,6.23,t =3.57.4.16,respectively ; P ＜ 0.05).The patients ' satisfaction of experimental group was 97.0％ more than that in control group (90.3％),and the difference was statistically significant (x2 =8.92,P ＜ 0.05).Conclusions The application of tube time management in the stroke rehabilitation unit can decrease the rate of hospital infection effectively,increase patients ' satisfaction and improve nursing work efficiency.

<正>笔者于2008年2月至2010年2月对住院的老年患者95例采取预防呼吸道感染护理干预,减少呼吸道院内感染的发生。现报告如下。1资料与方法1.1临床资料:将我科住院的60岁以上老年患者197例随机分为对照组和观察组。对照组102例,男68例,女

<正>输血是临床抢救危重病人的重要措施之一,而发热反应又是输血中最常见的不良反应,给病人带来心理和生理的损害。为了达到治疗的目的,预防和减轻输血发热反应,我们采取压迫耳穴贴压法预防输血发热反应,取得较好的效果,现报道如下。