目的:探讨正念减压疗法在冠状动脉介入治疗术（PCI）术后冠心病病人中的应用效果。方法:选取2018年6月—2019年1月在我院接受住院治疗的61例冠心病支架置入病人为研究对象，将病人随机分为干预组（30例）和对照组（31例），对照组接受常规健康教育、治疗护理等，干预组在对照组基础上实施正念减压疗法。于干预前后采用医院焦虑抑郁量表（HADS）、压力知觉量表（PSS）、五因素正念量表简明版（FFMQ-SF）对病人进行评价。结果:干预后，干预组HADS总分及其焦虑亚量表得分、抑郁亚量表得分以及PSS得分均低于干预前及同期对照组，焦虑、抑郁病人少于干预前，干预组FFMQ-SF得分高于干预前及同期对照组，差异均有统计学意义（P＜0.05）。结论:在冠心病PCI术后病人中实施正念减压疗法可降低病人焦虑、抑郁风险，改善病人压力，提高病人正念水平。
目的 探讨老年冠心病伴衰弱患者家庭心脏康复实施效果.方法 采用便利抽样法选取FRAIL量表得分≥3分的100例冠心病患者作为研究对象,应用随机数字表分为对照组和干预组各50例.对照组给予常规康复护理,干预组在常规护理基础上实施3个月集运动训练、饮食教育、药物管理、烟草管理、心理支持于一体的家庭心脏康复.结果 干预后,干预组FRAIL得分、左心室舒张末期内径、左心室收缩末期内径显著低于对照组,微型营养评分、左心室射血分数、6 min步行距离、无氧阈、最大摄氧量值显著高于对照组(均P＜0.05).结论 家庭心脏康复有利于改善老年冠心病伴衰弱患者的衰弱、营养状况、心功能及运动耐力.
Objective:To explore the influence of training mode based on core competence of nurses on comprehensive performance, critical thinking ability and clinical communication ability of nursing students.Methods:A total of 102 Batch 2015 nursing students from the four-year program of Hubei University of Medicine who were interned in a "three A" general hospital in Shiyan City from May 2018 to January 2019 were selected as subjects, and were randomized into the control group ( n=51) and the intervention group ( n=51). The control group received traditional training mode and the intervention group adopted the training mode based on core competence of nurses. The two groups of nursing students were graded on the critical thinking scale and clinical communication ability scale before practice and at 2 months, 4 months, 8 months after intervention respectively. The comprehensive performance of two groups was assessed before and after 8 months of intervention. All data were analyzed by SPSS 19.0. Results:Comparison of effect, interaction effect, time effect of critical thinking scale and clinical communication ability scale between the two groups showed significant differences ( P<0.05). The comprehensive performance differences between the two groups were statistically significant after the intervention ( P<0.05). Conclusion:The practice training mode based on core competence of nurses can effectively improve the comprehensive performance, critical thinking ability and clinical communication ability of nursing students.
