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不同特征精神科护士的共情疲劳及影响因素分析 被引量:6
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作者 彭燕 李华芳 《精神医学杂志》 2018年第3期196-199,共4页
目的探讨精神科护士的共情疲劳并分析其影响因素。方法采用一般调查问卷和专业生活品质量表对205名精神科护士进行问卷调查。结果精神科护士的同情心满足得分(24. 67±4. 10)分,倦怠(26. 75±3. 37)分,二次创伤(25. 85±3. ... 目的探讨精神科护士的共情疲劳并分析其影响因素。方法采用一般调查问卷和专业生活品质量表对205名精神科护士进行问卷调查。结果精神科护士的同情心满足得分(24. 67±4. 10)分,倦怠(26. 75±3. 37)分,二次创伤(25. 85±3. 93)分。性别和学历与同情心满足和倦怠维度均有相关性(P <0. 05);性别和工作年限与二次创伤维度有相关性(P <0. 05)。性别是共情疲劳同情心满足、倦怠、二次创伤维度的影响因素(P <0. 05)。结论精神科护士处于中度共情疲劳,性别是共情疲劳的影响因素。 展开更多
关键词 共情疲劳 护士 精神科
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肿瘤相关易栓症患者实验室指标的变化及临床意义 被引量:4
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作者 鱼丽莉 金七妹 +2 位作者 裴霞霞 彭艳 宋飞雪 《现代肿瘤医学》 CAS 2018年第20期3303-3306,共4页
目的:探讨活化部分凝血活酶时间(activated partial thromboplastin time,APTT)、凝血酶原时间(prothrombin time,PT)、凝血酶时间(thrombin time,TT)、纤维蛋白原(fibrinogen,FIB)、D-二聚体(D-dimer,DD)、红细胞(red blood cell,RBC)... 目的:探讨活化部分凝血活酶时间(activated partial thromboplastin time,APTT)、凝血酶原时间(prothrombin time,PT)、凝血酶时间(thrombin time,TT)、纤维蛋白原(fibrinogen,FIB)、D-二聚体(D-dimer,DD)、红细胞(red blood cell,RBC)、血红蛋白(hemoglobin,HGB)、红细胞压积(hematocrit,HCT)、血小板(platelet,PLT)、平均血小板体积(mean platelet volume,MPV)及球蛋白(globulin,GLO)、甘油三酯(triglyceride,TG)、高密度脂蛋白(high density lipoprotein,HDL)在肿瘤相关易栓症患者中的变化及临床意义。方法:病例组136例,分为肿瘤组76例,包括非霍奇金淋巴瘤(non-Hogkin lymphoma,NHL)19例、胃癌(gastric cancer,GC)30例、肺癌(lung cancer,LC)27例。均为初治病例,于化疗后1月纳入统计。非肿瘤-深静脉血栓形成组(non-tumor deep vein thrombosis,NT-DVT)60例,均为确诊的下肢DVT患者,抗凝治疗后2周纳入统计。对照组90例,来自本院门诊健康体检者。经全自动血凝仪、全自动血球仪及全自动生化分析仪检测APTT、PT、TT、FIB、D-D、RBC、HGB、HCT、PLT、MPV及GLO、TG、HDL水平变化。结果:肿瘤组患者化疗前D-D表达水平升高(P<0.05),化疗后下降(P<0.05)。肿瘤组患者化疗前HDL表达水平下降(P<0.05),化疗后升高(P<0.05)。肿瘤组患者化疗前FIB、PLT、GLO表达水平升高(P<0.05)。NT-DVT组治疗前APTT、FIB、D-D表达水平升高(P<0.05),治疗后APTT延长(P<0.05),FIB、D-D下降(P<0.05)。结论:D-D、FIB、PLT、GLO、HDL水平是反映肿瘤相关易栓症患者血栓前状态的良好指标。 展开更多
关键词 肿瘤相关易栓症 D-二聚体 纤维蛋白原 血小板 球蛋白 高密度脂蛋白
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Effect of point-moxibustion on ghrelin and GHSR-1a expressions in lateral septal nucleus of rats with diabetic gastroparesis
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作者 Liu Mi Liu Yi +7 位作者 Liu Wei-wei Wang Chao Tan Cheng-fu Liu Li peng yah Chang Xiao-rong Li Jing Yan Jie 《Journal of Acupuncture and Tuina Science》 CSCD 2018年第4期216-222,共7页
Objective: To observe the effect of point-moxibustion on gastrointestinal motility, mRNA and protein expressions of ghrelin and growth hormone secretagogue receptor la (GHSR-la) in lateral septal nucleus of rats wi... Objective: To observe the effect of point-moxibustion on gastrointestinal motility, mRNA and protein expressions of ghrelin and growth hormone secretagogue receptor la (GHSR-la) in lateral septal nucleus of rats with diabetic 8astroparesis (DGP), and to investigate the central regulatory mechanism of DGP treatment with point-moxibustion. Methods: Forty SPF-grade Sprague-Dawley (SD) rats were randomly divided into a blank group, a model group, an electroacupuncture (EA) group and a point-moxibustion group, with 10 rats in each group. A DGP rat model was established by intraperitoneal injection of 2% streptozotocin (STZ) with 8-week irregular high-sugar and high-fat diet in the model group, the EA group and the point-moxibustion group, and rats in the blank group were injected intraperitoneally with 0.1 mmoL/L (pH 4.5) citric acid-sodium citrate buffer with 8-week normal diet. Eight weeks later, rats in the EA group were treated by EA at Zusanli (ST 36), Liangmen (ST 21) and Sanyinjiao (SP 6); while rats in the point-moxibustion group were treated by point-moxibustion at Zusanli (ST 36), Liangmen (ST 21) and Sanyinjiao (SP 6) for successive 15 d. Rats in the blank group and the model group were fixed as the control without intervention. After treatment, intestinal propulsion rate and gastric emptying rate were measured. The mRNA and protein expressions of ghrelin and GHSR-la in the lateral septal nucleus were detected by real-time polymerase chain reaction (RT-PCR) and Western blot (WB). Results: Compared with the blank group, the intestinal propulsion rate and gastric emptying rate of the model group were significantly lower (both P〈0.01); compared with the model group, the intestinal propulsion rate and gastric emptying rate of the EA group and the point-moxibustion group increased significantly (all P〈0.05). The mRNA and protein expressions of ghrelin and GHSR-la were lower in the model group than those in the blank group (all P〈0.01). The mRNA and protein expressions of ghrelin and GHSR-Ia were significantly higher in the EA group and the point-moxibustion group than those in the model group (all P〈0.05). There were no statistically significant differences between the EA group and the point-moxibustion group (all P〉0.05). Conclusion: Point-moxibustion at Zusanli (ST 36), Liangmen (ST 21) and Sanyinjiao (SP 6) can increase the intestinal propulsion rate and gastric emptying rate of DGP rats, and promote the mRNA and protein expressions of ghrelin and GHSR-la in the central nervous system. The mechanism may be related to the activation of 8hrelin pathway in hypothalamic arcuate nucleus-lateral septal nucleus. 展开更多
关键词 Acupuncture Therapy ELECTROACUPUNCTURE Moxibustion Therapy GHRELIN Receptors GHRELIN DiabetesComplications GASTROPARESIS RATS
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