目的探讨电针华佗夹脊穴+中极对脊柱损伤后神经源性尿潴留的治疗作用。方法将2016年3月-2018年4月医院80例脊柱损伤后神经源性尿潴留患者,随机分为两组,各40例,采用相同的治疗原则,对照组采用低频电刺激和坦索罗辛0.2 mg治疗;在此基础上...目的探讨电针华佗夹脊穴+中极对脊柱损伤后神经源性尿潴留的治疗作用。方法将2016年3月-2018年4月医院80例脊柱损伤后神经源性尿潴留患者,随机分为两组,各40例,采用相同的治疗原则,对照组采用低频电刺激和坦索罗辛0.2 mg治疗;在此基础上,观察组采用电针华佗夹脊穴+中极治疗,干预30 d为1个疗程。治疗前、治疗2周、治疗4周时分别记录两组患者尿动力学指标、抑郁自评量表(Self-rating Depression Scale,SDS)、焦虑自评量表(Self-rating Anxiety Scale,SAS)及世界卫生组织生存质量测定量表简表(World Health Organization Quality of Life Scale,WHOQOL-BREF),比较两组患者临床疗效。结果对照组有效率75.00%(30/40)低于观察组92.50%(37/40),差异具有统计学意义(P<0.05)。两组患者治疗前最大膀胱容量、残余尿量、排尿次数、单次排尿量及SDS量表、SAS量表、WHOQOL-BREF量表比较,差异无统计学意义(P>0.05)。治疗2周对照组和观察组最大膀胱容量为(282.16±39.24)mL、(308.45±42.78)mL,残余尿量为(141.92±18.62)mL、(130.01±16.40)mL,排尿次数为(3.26±1.41)次/d、(4.10±1.26)次/d,单次排尿量为(70.61±32.61)mL、(98.02±35.61)mL,SDS量表为(52.01±7.34)、(48.62±7.07),SAS量表为(49.82±6.58)、(44.32±6.91),WHOQOL-BREF量表为(75.32±11.38)、(86.62±13.51),治疗4周最大膀胱容量为(310.51±40.33)mL、(341.62±45.03)mL,残余尿量为(127.02±16.35)mL、(116.34±17.20)mL,排尿次数为(4.50±1.23)次/d、(5.48±1.35)次/d,单次排尿量为(110.59±40.75)mL、(156.82±42.36)mL,SDS量表为(41.69±6.90)、(34.62±6.52),SAS量表为(43.90±7.13)、(38.19±7.31),WHOQOL-BREF量表为(86.28±13.51)、(98.69±14.27),对照组和观察组上述指标比较,差异具有统计学意义(P<0.05)。结论电针华佗夹脊穴+中极对脊柱损伤后神经源性尿潴留的治疗作用显著,可以改善尿动力学,提高生存质量,且患者可以耐受,值得推广。展开更多
目的系统评价与整合烧伤患者身体意象心理体验和感受的相关质性研究,为临床制订有针对性的干预措施提供参考依据。方法计算机检索中国知网、万方数据库、维普中文科技期刊数据库、中国生物医学文献服务系统、PubMed、Web of Science、Em...目的系统评价与整合烧伤患者身体意象心理体验和感受的相关质性研究,为临床制订有针对性的干预措施提供参考依据。方法计算机检索中国知网、万方数据库、维普中文科技期刊数据库、中国生物医学文献服务系统、PubMed、Web of Science、Embase、Medline、Cochrane Library、PsycINFO、Scopus数据库。收集从建库至2022年12月关于烧伤患者身体意象体验的相关质性研究。采用2016版澳大利亚乔安娜布里格斯研究所循证卫生保健中心的质性研究质量评价标准对纳入文献进行质量评价,汇集性整合法整合文献结果。结果共纳入12篇文献,提炼出40个研究结果,最终汇总成4个整合结果:烧伤患者面对身体意象改变的多元创伤感知、烧伤患者面对身体意象改变的积极探索和消极应对、情感信息需求及创伤后成长。结论烧伤患者存在多方面身体意象问题,阻碍患者回归正常生活,医护人员应及时关注患者的身心状态,识别身体意象障碍,协助家庭满足情感需求,帮助患者自我调适,促其良性转归。展开更多
Shared development is an important means by which to improve people’s livelihood and well-being in the new era. During the 13th Five-Year Plan period (2016–2020), China has made great achievements in the three major...Shared development is an important means by which to improve people’s livelihood and well-being in the new era. During the 13th Five-Year Plan period (2016–2020), China has made great achievements in the three major aspects of targeted poverty alleviation through industrial development, development of special rural areas, and equalization of urban and rural infrastructure and basic public services. In addition, the important experience of multi-agent participation, multi-mode guidance, and multi-line promotion has been accumulated in the individual, regional and urbanrural dimensions. However, there remain some deficiencies, such as low policy efficiency, poor matching ability, and prominent structural problems. At the beginning of the 14th Five-Year Plan (2021–2025), the task of enriching farmers through sharing has been faced with many challenges, such as major changes in the focus of poverty governance, greater numbers of restraints on the development of special rural areas, and heavy responsibilities of equalizing urban and rural infrastructure and basic public services. Therefore, it is necessary to acquire a profound understanding of the new development concept, and to continuously enrich farmers through sharing in terms of accelerating the improvement of the institutionalized poverty reduction system in the new era, actively building a green development system of agriculture and animal husbandry in special rural areas, and striving to create a fair and complementary urban and rural infrastructure and basic public service system.展开更多
文摘目的探讨电针华佗夹脊穴+中极对脊柱损伤后神经源性尿潴留的治疗作用。方法将2016年3月-2018年4月医院80例脊柱损伤后神经源性尿潴留患者,随机分为两组,各40例,采用相同的治疗原则,对照组采用低频电刺激和坦索罗辛0.2 mg治疗;在此基础上,观察组采用电针华佗夹脊穴+中极治疗,干预30 d为1个疗程。治疗前、治疗2周、治疗4周时分别记录两组患者尿动力学指标、抑郁自评量表(Self-rating Depression Scale,SDS)、焦虑自评量表(Self-rating Anxiety Scale,SAS)及世界卫生组织生存质量测定量表简表(World Health Organization Quality of Life Scale,WHOQOL-BREF),比较两组患者临床疗效。结果对照组有效率75.00%(30/40)低于观察组92.50%(37/40),差异具有统计学意义(P<0.05)。两组患者治疗前最大膀胱容量、残余尿量、排尿次数、单次排尿量及SDS量表、SAS量表、WHOQOL-BREF量表比较,差异无统计学意义(P>0.05)。治疗2周对照组和观察组最大膀胱容量为(282.16±39.24)mL、(308.45±42.78)mL,残余尿量为(141.92±18.62)mL、(130.01±16.40)mL,排尿次数为(3.26±1.41)次/d、(4.10±1.26)次/d,单次排尿量为(70.61±32.61)mL、(98.02±35.61)mL,SDS量表为(52.01±7.34)、(48.62±7.07),SAS量表为(49.82±6.58)、(44.32±6.91),WHOQOL-BREF量表为(75.32±11.38)、(86.62±13.51),治疗4周最大膀胱容量为(310.51±40.33)mL、(341.62±45.03)mL,残余尿量为(127.02±16.35)mL、(116.34±17.20)mL,排尿次数为(4.50±1.23)次/d、(5.48±1.35)次/d,单次排尿量为(110.59±40.75)mL、(156.82±42.36)mL,SDS量表为(41.69±6.90)、(34.62±6.52),SAS量表为(43.90±7.13)、(38.19±7.31),WHOQOL-BREF量表为(86.28±13.51)、(98.69±14.27),对照组和观察组上述指标比较,差异具有统计学意义(P<0.05)。结论电针华佗夹脊穴+中极对脊柱损伤后神经源性尿潴留的治疗作用显著,可以改善尿动力学,提高生存质量,且患者可以耐受,值得推广。
文摘目的系统评价与整合烧伤患者身体意象心理体验和感受的相关质性研究,为临床制订有针对性的干预措施提供参考依据。方法计算机检索中国知网、万方数据库、维普中文科技期刊数据库、中国生物医学文献服务系统、PubMed、Web of Science、Embase、Medline、Cochrane Library、PsycINFO、Scopus数据库。收集从建库至2022年12月关于烧伤患者身体意象体验的相关质性研究。采用2016版澳大利亚乔安娜布里格斯研究所循证卫生保健中心的质性研究质量评价标准对纳入文献进行质量评价,汇集性整合法整合文献结果。结果共纳入12篇文献,提炼出40个研究结果,最终汇总成4个整合结果:烧伤患者面对身体意象改变的多元创伤感知、烧伤患者面对身体意象改变的积极探索和消极应对、情感信息需求及创伤后成长。结论烧伤患者存在多方面身体意象问题,阻碍患者回归正常生活,医护人员应及时关注患者的身心状态,识别身体意象障碍,协助家庭满足情感需求,帮助患者自我调适,促其良性转归。
基金This article is supported by the“Special Fund Projects for the Construction of World-Class Universities(Disciplines)Characteristic Development Guidance in Central Universities"(No.15XNL004)of Renmin University of ChinaNational Natural Science Foundation of China(No.72073135&No.71773134).
文摘Shared development is an important means by which to improve people’s livelihood and well-being in the new era. During the 13th Five-Year Plan period (2016–2020), China has made great achievements in the three major aspects of targeted poverty alleviation through industrial development, development of special rural areas, and equalization of urban and rural infrastructure and basic public services. In addition, the important experience of multi-agent participation, multi-mode guidance, and multi-line promotion has been accumulated in the individual, regional and urbanrural dimensions. However, there remain some deficiencies, such as low policy efficiency, poor matching ability, and prominent structural problems. At the beginning of the 14th Five-Year Plan (2021–2025), the task of enriching farmers through sharing has been faced with many challenges, such as major changes in the focus of poverty governance, greater numbers of restraints on the development of special rural areas, and heavy responsibilities of equalizing urban and rural infrastructure and basic public services. Therefore, it is necessary to acquire a profound understanding of the new development concept, and to continuously enrich farmers through sharing in terms of accelerating the improvement of the institutionalized poverty reduction system in the new era, actively building a green development system of agriculture and animal husbandry in special rural areas, and striving to create a fair and complementary urban and rural infrastructure and basic public service system.
