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成人ICU患者身体约束评估工具的现状及展望 被引量:3
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作者 王红梅 周慧 +2 位作者 bosomtwe samuel 邹晓月 潘永良 《中西医结合护理(中英文)》 2020年第10期402-406,共5页
本文综述了成人重症监护室患者身体约束评估工具的研究进展,指出了身体约束的意义和使用现状,并提出在确保患者安全的前提下,尽量缩减约束,通过集束化的护理措施更接近精准化的身体约束,为临床进一步规范ICU患者身体约束提供指导。
关键词 重症监护室 身体约束 评估工具 研究进展 非计划性拔管
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The effects of coloring therapy on patients with generalized anxiety disorder 被引量:3
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作者 bosomtwe samuel Hongmei Wang +4 位作者 Chengdong Shi Yongliang Pan Yuzi Yu Weiyu Zhu Zhou Jing 《Animal Models and Experimental Medicine》 CAS CSCD 2022年第6期502-512,共11页
Generalized anxiety disorder(GAD)has harmful effects on physical and mental health and quality of life.Coloring therapy has been reported to have a positive effect on improving patient anxiety and depression.But there... Generalized anxiety disorder(GAD)has harmful effects on physical and mental health and quality of life.Coloring therapy has been reported to have a positive effect on improving patient anxiety and depression.But there are no reported clinical trials examining their effectiveness as a treatment for GAD.This study was planned to evaluate the effectiveness of coloring therapy combined with conventional therapy in improving anxiety,depression,and positive and negative emotions with GAD.This randomized controlled study comprising 88 GAD patients was selected for intervention in different wards.The control group(n=45)was given conventional antianxiety medication and physical therapy,and the experimental group(n=43)received coloring therapy combined with conventional therapy.The Self-Rating Depression Scale,Self-Rating Anxiety Scale(SAS),Hamilton Depression Scale,Hamilton Anxiety Scale(HAMA),and Positive and Negative Affect Scale were assessed in both groups before and 3 weeks after the intervention.After the intervention,there were statistical differences in intra-and inter-group comparisons of anxiety,depression,and positive and negative mood scales in the experimental and control groups(p<.05).The minus in anxiety/positive emotions pre-and postintervention in the experimental group was statistically significant compared to that in anxiety/positive emotions pre-and postintervention in the control group(HAMA:d=1.45,95%confidence interval[CI](0.34,2.57),p=.011;SAS:d=3.87,95%CI(1.73,6.00),p=.001;positive:d=1.76,95%CI(0.17,3.34),p=.030).The minus in depressive/negative emotions pre-and postintervention in the experimental group was not statistically significant compared with that in depressive/negative emotions pre-and postintervention in the control group(p>.05).For GAD patients,adding coloring therapy based on conventional drug therapy and physical therapy can not only reduce depression and negative emotions but also have better effects on reducing anxiety and improving positive emotions than conventional therapy. 展开更多
关键词 ANXIETY coloring therapy DEPRESSION generalized anxiety disorder
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经口气管插管患者流涎症影响因素和干预措施的研究进展 被引量:3
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作者 王红梅 bosomtwe samuel +2 位作者 杜金磊 邹晓月 潘永良 《中华全科医学》 2021年第12期2102-2105,共4页
近年来,经口气管插管作为急危重症患者的有效救治措施之一,临床使用率达96%,随着其广泛使用并发症也日益突出,其中流涎症是经口气管插管患者临床较为常见且易被忽视的并发症之一。经文献调研发现,流涎症可造成经口气管插管患者皮肤和(或... 近年来,经口气管插管作为急危重症患者的有效救治措施之一,临床使用率达96%,随着其广泛使用并发症也日益突出,其中流涎症是经口气管插管患者临床较为常见且易被忽视的并发症之一。经文献调研发现,流涎症可造成经口气管插管患者皮肤和(或)黏膜感染、营养不良、声门下分泌物增多以及提高非计划性拔管和呼吸机相关性肺炎等事件的发生风险,是直接增加患者住院时长和医疗花费的重要因素之一。而且,研究表明经口气管插管患者流涎症的防治对预防呼吸机相关性肺炎有重要意义,但临床医护人员常忽视流涎症对呼吸机相关性肺炎的影响,对此无有效的管理措施,相关研究也较缺乏。基于多项流涎症影响因素的研究结果,本文总结出经口气管插管患者流涎症的影响因素包含唾液分泌异常、神经肌肉功能障碍、感觉障碍和医护人员认识相对不足4个方面,并根据现有流涎症的干预方法,对经口气管插管患者流涎症的防治措施进行了合理的展望,提出今后可增加对经口气管插管患者流涎症的现况调查、影响因素分析和干预措施3个方向的相关研究,为减少和预防经口气管插管患者流涎症及其并发症提供借鉴,以提高临床预防、治疗与护理的预见性和精准性及患者的住院舒适度。 展开更多
关键词 经口气管插管 流涎症 呼吸机相关性肺炎 影响因素分析 干预措施
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