目的:探讨分析医校合作模式下的心理治疗在抑郁高职生治疗中的应用价值及对自杀意念、应对方式、社会功能、睡眠质量的影响。方法:选取我院于2022年4月至2023年10月收治的60例来自萍乡卫生职业学院的抑郁症在校生,随机分为药物组与合作...目的:探讨分析医校合作模式下的心理治疗在抑郁高职生治疗中的应用价值及对自杀意念、应对方式、社会功能、睡眠质量的影响。方法:选取我院于2022年4月至2023年10月收治的60例来自萍乡卫生职业学院的抑郁症在校生,随机分为药物组与合作组各30例。两组学生均于2023年10月开始治疗,周期均为12 w,药物组予以及舍曲林治疗及常规心理治疗,合作组在其基础上联合基于医校合作模式下的折衷心理疗法。比较两组学生治疗后临床疗效,治疗前后自杀意念[青少年自杀意念量表(Positive and Negative Suicide Ideation,PANSI)]、应对方式[简易应对方式问卷(Simplified Coping Style Questionnaire,SCSQ)]、社会功能[个人和社会功能量表(the Personal and Social Performance scale,PSP)]、睡眠质量[匹兹堡睡眠质量指数量表(Pittsburgh sleep quality index,PSQI)],不良反应发生率。结果:治疗后合作组临床总有效率高于药物组(P<0.05);治疗后两组PANSI评分、SCSQ/消极应对评分、PSQI评分较治疗前均降低,且合作组低于药物组(P<0.05);治疗后两组SCSQ/积极应对评分、PSP评分较治疗前均上升,且合作组高于药物组(P<0.05);两组不良反应总发生率无显著差异。结论:医校合作模式下的心理治疗在抑郁高职生治疗中临床疗效显著,能有效纠正抑郁症高职生自杀态度与应对方式,提高其社会功能与睡眠质量,并减少药物不良反应。展开更多
Background Acute myocardial infarction （AMI） is the most serious type of coronary heart disease. However, less than 30% of these patients have been treated effectively in China. Delayed treatment is a leading cause....Background Acute myocardial infarction （AMI） is the most serious type of coronary heart disease. However, less than 30% of these patients have been treated effectively in China. Delayed treatment is a leading cause. This study aimed to evaluate a new regional cooperative model for improving the first medical contact-to-device time and the therapeutic effects on AMI patients. Methods A retrospective analysis of 458 ST-elevation myocardial infarction （STEMI） patients was performed. Patients were divided into two groups in terms of before or after the model were implemented. First medical contact-to-device time （FMC2D）, Door to device time （D2D）, referral time, cardiac functions, mean cost, days of hospitalization, and major adverse cardiac events （MACE） were analyzed. Results The mean FMC2D time, D2D time and referral time of the model group were significantly lower than the control group. The left ventricular ejection fraction of the model group increased but the left ventricular end-diastolic dimension decreased compared with the control group at 6 months after discharge. These re- sults also showed that mean costs and days of hospitalization were reduced. The MACE rate was reduced in the model group. Conclusions These results suggested that the new model decreased the FMC2D time, which could improve the cardiac function and therapeutic effect of STEMI patients as well as decreased the financial burden.展开更多
目的:探讨医护一体信息化干预模式在骨质疏松性椎体压缩性骨折(OVCF)病人术后康复中的应用。方法:采用随机数字表法,将2020年3月—2022年12月在医院住院的112例OVCF病人分为对照组和研究组,每组56例。对照组术后接受常规护理,研究组术...目的:探讨医护一体信息化干预模式在骨质疏松性椎体压缩性骨折(OVCF)病人术后康复中的应用。方法:采用随机数字表法,将2020年3月—2022年12月在医院住院的112例OVCF病人分为对照组和研究组,每组56例。对照组术后接受常规护理,研究组术后接受医护一体信息化干预模式。比较两组术后视觉模拟评分量表(VAS)评分、疼痛医嘱处理及时性和疼痛干预有效性、住院距手术时间、住院时间和术后并发症发生情况,并采用中文版医护合作量表(NPCS)评估医护一体信息化干预模式实施前后科室的25名医护人员在临床工作中的合作程度。结果:研究组病人术后第12、24和48 h VAS评分均低于对照组(P<0.05);研究组病人疼痛医嘱处理及时性和疼痛干预有效性均优于对照组(P<0.05);研究组病人住院距手术时间和住院时间均短于对照组,术后并发症发生率低于对照组(P<0.05);医护一体信息化模式实施后,NPCS量表中医护共同参与病人治疗和护理、医护信息共享、医护相互关心和协作评分及NPCS总分均明显高于该模式实施前(P<0.05)。结论:医护一体信息化干预模式改善了骨科术后护理质量,有助于促进OVCF病人术后康复,同时还有助于提升医护双方的合作程度。展开更多
文摘目的:探讨分析医校合作模式下的心理治疗在抑郁高职生治疗中的应用价值及对自杀意念、应对方式、社会功能、睡眠质量的影响。方法:选取我院于2022年4月至2023年10月收治的60例来自萍乡卫生职业学院的抑郁症在校生,随机分为药物组与合作组各30例。两组学生均于2023年10月开始治疗,周期均为12 w,药物组予以及舍曲林治疗及常规心理治疗,合作组在其基础上联合基于医校合作模式下的折衷心理疗法。比较两组学生治疗后临床疗效,治疗前后自杀意念[青少年自杀意念量表(Positive and Negative Suicide Ideation,PANSI)]、应对方式[简易应对方式问卷(Simplified Coping Style Questionnaire,SCSQ)]、社会功能[个人和社会功能量表(the Personal and Social Performance scale,PSP)]、睡眠质量[匹兹堡睡眠质量指数量表(Pittsburgh sleep quality index,PSQI)],不良反应发生率。结果:治疗后合作组临床总有效率高于药物组(P<0.05);治疗后两组PANSI评分、SCSQ/消极应对评分、PSQI评分较治疗前均降低,且合作组低于药物组(P<0.05);治疗后两组SCSQ/积极应对评分、PSP评分较治疗前均上升,且合作组高于药物组(P<0.05);两组不良反应总发生率无显著差异。结论:医校合作模式下的心理治疗在抑郁高职生治疗中临床疗效显著,能有效纠正抑郁症高职生自杀态度与应对方式,提高其社会功能与睡眠质量,并减少药物不良反应。
文摘Background Acute myocardial infarction （AMI） is the most serious type of coronary heart disease. However, less than 30% of these patients have been treated effectively in China. Delayed treatment is a leading cause. This study aimed to evaluate a new regional cooperative model for improving the first medical contact-to-device time and the therapeutic effects on AMI patients. Methods A retrospective analysis of 458 ST-elevation myocardial infarction （STEMI） patients was performed. Patients were divided into two groups in terms of before or after the model were implemented. First medical contact-to-device time （FMC2D）, Door to device time （D2D）, referral time, cardiac functions, mean cost, days of hospitalization, and major adverse cardiac events （MACE） were analyzed. Results The mean FMC2D time, D2D time and referral time of the model group were significantly lower than the control group. The left ventricular ejection fraction of the model group increased but the left ventricular end-diastolic dimension decreased compared with the control group at 6 months after discharge. These re- sults also showed that mean costs and days of hospitalization were reduced. The MACE rate was reduced in the model group. Conclusions These results suggested that the new model decreased the FMC2D time, which could improve the cardiac function and therapeutic effect of STEMI patients as well as decreased the financial burden.
文摘目的:探讨医护一体信息化干预模式在骨质疏松性椎体压缩性骨折(OVCF)病人术后康复中的应用。方法:采用随机数字表法,将2020年3月—2022年12月在医院住院的112例OVCF病人分为对照组和研究组,每组56例。对照组术后接受常规护理,研究组术后接受医护一体信息化干预模式。比较两组术后视觉模拟评分量表(VAS)评分、疼痛医嘱处理及时性和疼痛干预有效性、住院距手术时间、住院时间和术后并发症发生情况,并采用中文版医护合作量表(NPCS)评估医护一体信息化干预模式实施前后科室的25名医护人员在临床工作中的合作程度。结果:研究组病人术后第12、24和48 h VAS评分均低于对照组(P<0.05);研究组病人疼痛医嘱处理及时性和疼痛干预有效性均优于对照组(P<0.05);研究组病人住院距手术时间和住院时间均短于对照组,术后并发症发生率低于对照组(P<0.05);医护一体信息化模式实施后,NPCS量表中医护共同参与病人治疗和护理、医护信息共享、医护相互关心和协作评分及NPCS总分均明显高于该模式实施前(P<0.05)。结论:医护一体信息化干预模式改善了骨科术后护理质量,有助于促进OVCF病人术后康复,同时还有助于提升医护双方的合作程度。
