中医传统治疗法联合康复理疗护理对腰椎间盘突出症患者的临床应用

讨论分析中医传统治疗法联合康复理疗护理对腰椎间盘突出症患者的临床效果以及对于患者中医症候积分等指标的影响作用。方法 研究选取我院2023年1-8月收治的腰椎间盘突出症患者100例,分为对照组与实验组各50例。对照组采用一般干预模式,实验组采用中医传统治疗法联合康复理疗护理。比较患者中医症候积分及生活质量评分。结果 实验组中医症候积分降低,生活质量评分增高,P<0.05,差异显著。结论 中医传统治疗法联合康复理疗护理对腰椎间盘突出症患者的临床效果较好,可以提高患者生活质量的同时改善其中医症候积分水平,是有效的干预手段。

针灸推拿与康复理疗护理结合若干问题的探讨

目的针灸推拿和康复理疗护理相结合所取得的研究进展进行分析。方法采用查询等方法对最近几年有关针灸推拿和康复理疗相结合方面的期刊文献和学术研究部成果进行总结,分析需要注意的几个问题。结果现阶段针灸推拿与康复理疗相结合的思路研究主要分为三个方面:一个是针灸推拿和康复理疗相互结合治疗患者,另一个以针灸推拿为主,康复理疗为辅,最后一个是以康复理疗为主,针灸推拿为辅,根据不同侧重点,在临床应用中可以将针灸推拿和康复理疗护理相结合,从而提高临床治疗效果。结论针灸推拿和康复理疗相结合如果能够根据患者不同疾病从不同角度进行针对性治疗,对提高治疗效果十分有效。

新型多功效护理理疗组合卧具在压疮护理中的应用

目的探讨新型多功效护理理疗组合卧具对压疮的预防及治疗作用。方法选取成都市某院2012年3月-2013年4月住院患者中压疮高危患者和Ⅰ期压疮患者各20例作为研究对象,将两类患者各自随机分成观察组和对照组,每组两类患者各10例。观察组采用压疮防治的护理常规和新型多功效护理理疗组合卧具,对照组采用压疮防治的护理常规和普通电动压疮防治床垫。观察两组压疮高危患者的皮肤潮湿感、灼热感、麻木感及皮肤发红情况;观察两组Ⅰ期压疮患者治疗前后在皮肤疼痛、肿胀、麻木和红斑面积指标上的差异,比较新型多功效护理理疗组合卧具与普通电动压疮防治床垫压疮防治效果。结果两组高危患者均无压疮发生,但是在皮肤潮湿感及灼热感方面,观察组优于对照组。两组Ⅰ期压疮患者治疗前后4个观察指标的差异有统计学意义(P<0.05)。两组Ⅰ期压疮患者治疗后在疼痛、肿胀、麻木情况方面差异无统计学意义(P>0.05),在红斑面积方面,差异有统计学意义(P>0.05)。结论多功效护理理疗组合卧具相比传统气垫床增加了卧床患者的舒适度,能更好地预防压疮,值得推广。

新型多功效护理理疗组合卧具的研制

压疮是长期卧床病人和老年病人的一个灾难性合并症,在全球不同的健康保健机构中,压疮都是一个主要问题[1].发生压疮不仅给病人带来身体上的痛苦和心理上的影响,而且由于治疗严重压疮的费用会加重病人的经济负担,故可见早期预防压疮的重要性.间歇性解除局部组织承受的压力是预防压疮的有效措施.虽然常规翻身护理能预防压疮发生,但有些病人病情不允许翻身.因此,选择一种合适的减压器具是防治压疮的一个重要环节.

心理护理对颈椎病患者理疗康复护理的临床效果观察

观察分析心理护理对颈椎病患者理疗康复护理的效果。方法:挑选我院从2020年3月到2021年3月间治疗颈椎病的120名患者作为研究对象,以随时的形式将其均分两组:对照组(n=60)、观察组(n=60),对照组中患者给予常规护理,观察组中患者给予心理护理,对比两组患者的最终护理效果。结果:观察组中获得总护理满意度、生活质量评分、不良心理状态评分等均明显优于对照组,数据差异较大,有统计学意义(P<0.05)。结论:在对颈椎病患者理疗康复护理过程中,实施心理护理方案能够有效的提升患者的护理满意度,加强生活质量,同时也可以有效缓解患者内心的不良反应,对临床有重要意义,值得广泛推广。

理疗康复护理在类风湿性关节炎患者中的应用效果

目的观察分析在类风湿性关节炎患者的护理干预中应用理疗康复护理的效果。方法选取2019年1月~2020年12月内蒙古自治区人民医院接收的120例类风湿性关节炎患者作为研究对象,根据随机抽签法将患者分为试验组和参照组,每组60例。参照组患者选择常规护理干预,试验组患者实施理疗康复护理干预,比较两组患者的护理效果、类风湿指标[类风湿因子(RF)、红细胞沉降率(ESR)以及C反应蛋白(CRP)]、骨关节指标(晨僵时间、关节压痛数、关节肿胀评分以及双手平均握力)。结果试验组患者的护理有效率高于参照组,差异有统计学意义(P<0.05)。干预前,两组患者RF、ESR、CRP指标比较,差异无统计学意义(P>0.05);干预后,试验组RF、ESR、CRP指标均低于参照组,差异有统计学意义(P<0.05)。干预前,两组患者骨关节指标比较,差异无统计学意义(P>0.05);干预后,试验组双手平均握力高于参照组,晨僵时间、关节压痛数、关节肿胀评分均低于参照组,差异有统计学意义(P<0.05)。结论在类风湿性关节炎患者的临床护理中应用理疗康复护理可以显著提升患者的恢复效果,降低类风湿因子水平,降低疼痛感,增加关节活动幅度,值得临床应用。

观察对腰椎间盘突出患者行全科护理康复理疗的价值分析

研究全科护理康复理疗的效果。方法:共纳入100个病例,分为组①观察组、组②对照组;分别施以全科护理康复理疗、常规护理,对比两组各项结果。结果:观察组术后JOA评分、总有效率、焦虑抑郁评分、住院时间、住院费用、生活质量评分和护理满意度和对照组具有差异(p<0.05)。结论:腰椎间盘突出患者行全科护理康复理疗效果十分显著,能够改善患者各项功能情况,并且促进患者疾病早期康复。

中西医护理小儿支原体肺炎

支原体肺炎是小儿常见病,一年四季均可发病。以整体护理观、辨证施护为指导,结合患儿年龄、性别、体质等情况,制定个性化中医护理方案。在一般护理的基础上加强中医护理(情志护理、饮食护理、用药护理、理疗护理、健康指导),使患儿达到早日康复的目的。

理疗治疗膝关节骨质增生的临床效果观察

目的:探讨在临床中对膝关节骨质增生患者应用理疗治疗的临床疗效,旨在全面提升患者的生活质量。方法:随机选取2017年7月—2018年7月我院收治的102例膝关节骨质增生患者,依照就诊顺序随机分为2组。治疗组(n=51)应用西药+理疗综合治疗,并提供理疗护理配合措施;对照组(n=51)应用药物治疗。将2组治疗有效性、安全性、膝关节评估-HSS评分以及生活质量进行对比分析。结果:治疗组的有效性、安全性均高于对照组(P<0.05);治疗组的膝关节评估-HSS评分明显高于对照组(P<0.05);治疗组的生活质量优于对照组(P<0.05)。结论:临床对膝关节骨质增生患者应用理疗治疗,具有较高安全可靠性,可改善膝关节功能,提升生活质量,有望成为后续临床中首选治疗手段,医学价值高。

对小儿功能性消化不良实施中医护理的效果观察

对小儿功能性消化不良患儿实施中医护理达到的效果进行对比探究。方法 选取了72例小儿功能消化不良患儿作为研究对象,所有患儿家属均同意参与此次研究,并提供了相应的资料。将36例患儿纳入到对照组中给予常规的护理方法,36例患儿纳入到观察组中给予的是全方面的中医护理措施。对比两组患儿临床症状改善时间、护理总有效率及家属满意度。结果 在各个指标上观察组的数据均优于对照组(P<0.05)。结论 对于小儿功能性消化不良给予综合性中医护理能够有效地改善患儿临床症状,提高整体护理效果,赢得家属的满意。

颈椎病患者采用针灸推拿结合康复理疗治疗护理干预的价值研究

研究颈椎病患者采用针灸推拿结合康复理疗治疗护理干预的价值。方法 本次研究对象确定为2022年7月—2023年7月期间在本院接受诊治的80例颈椎病患者,按照就诊时间顺序划分为控制组(n=40)和联合组(n=40)。分别给予控制组和联合组常规护理、针灸推拿联合康复理疗治疗护理,并对两组患者疼痛程度、临床疗效、日常生活活动能力、和护理满意度进行对比。结果 与控制组相比,联合组患者疼痛程度更轻(P<0.05);与控制组相比,联合组患者临床疗效更优于(P<0.05);与控制组相比,联合组患者日常生活活动能力、护理满意度更高(P<0.05)。结论 在颈椎病患者中采用针灸推拿结合康复理疗治疗护理干预,不仅可以明显缓解患者的疼痛程度,增强最终治疗效果,而且可以提高患者日常生活独立活动能力和护理满意程度,具有较大的临床推广价值。

清洁内循环 身体添活力

中医里常常讲,暑湿郁结会使身体酸痛乏力没有精气。为了自己能活力四射,好好照顾身体的内循环吧。融合了中医药血脉的养生理疗护理,在秋天里,备受青睐,调理气血、开化毒素、赶走湿热,补气活络,让你在这个容易发霉的时节进发活力!

Surgical treatment of hepatocellular carcinoma: Evidence-based outcomes

Surgeons may be severely criticized from the perspective of evidence-based medicine because the majority of surgical publications appear not to be convincing. In the top nine surgical journals in 1996, half of the 175 publications refer to pilot studies lacking a control group, 18% to animal experiments, and only 5% to randomized controlled trials (RCT). There are five levels of clinical evidence:level 1 (randomized controlled trial), level 2 (prospective concurrent cohort study), level 3 (retrospective historical cohort study), level 4 (pre-post study), and level 5 (case report). Recently, a Japanese evidence-based guideline for the surgical treatment of hepatocellular carcinoma (HCC) was made by a committee (Chairman, Professor Makuuchi and five members). We searched the literature using the Medline Dialog System with four Keywords:HCC, surgery, English papers, in the last 20 years. A total of 915 publications were identified systematically reviewed. At the first selection (in which surgery-dominant papers were selected), 478 papers survived. In the second selection (clearly concluded papers), 181 papers survived. In the final selection (clinically significant papers), 100 papers survived. The evidence level of the 100 surviving papers is shown here:level-1 papers (13%), level-2 papers (11%), level-3 papers (52%), and level-4 papers (24%);therefore, there were 24% prospective papers and 76% retrospective papers. Here, we present a part of the guideline on the five main surgical issues:indication to operation, operative procedure, peri-operative care, prognostic factor, and post-operative adjuvant therapy.

Effects of mindfulness-based psychological care on mood and sleep of leukemia patients in chemotherapy

Purpose:The aim of this research was to explore the benefits of mindfulness-based psychological care(MBPC)and assess whether the intervention would be beneficial in reducing insomnia and emotional symptoms of leukemia patients receiving chemotherapy.Methods:A randomized control design study was applied in two hematology departments in a hospital in Zhengzhou.Patients in the experimental group received mindfulness-based psychological care(MBPC),and those in the control group received conventional care.Anxiety,depression,and sleeping problems were measured using the Self-Rating Anxiety Scale,Self-Rating Depression Scale,and the Pittsburgh Sleep Quality Index.Results:Statistically significant differences were observed among anxiety,depression,and sleeping problems between the two groups in the post-test(P<0.05).A significant decrease in anxiety and depression and an improvement in sleep were observed between pre-and post-interventions(P<0.05)in the experimental group.Conclusions:MBPC significantly improved sleep quality and mood of the experimental group.It is an effective complementary therapy for leukemia treatment that is inexpensive,noninvasive,and associated with relaxation and pain reduction.

膝关节半月板损伤及术后对患者理疗康复护理的效果评价

分析膝关节半月板损伤(缩为MI)术后理疗康复护理的作用。方法 纳入的所有患者均是MI疾病,接受手术治疗,统共人数是90,随机法界定,统计以后的一组选择的是理疗康复护理,而二组则是常规护理。相较比的是各项指标。结果 护理以后的所有指标对比以后数据计为P<0.05。结论 理疗康复护理能够恢复MI术后患者的膝关节功能以及运动功能,且能促使炎症吸收,具有确切疗效。

Distress management in cancer patients:Guideline implementation based on CAN-IMPLEMENT

Objective:To standardize the distress management of gastric cancer patients receiving chemotherapy,the adapted Cancer-related Distress Management Guidelines were implemented in nursing practice among gastric cancer patients receiving chemotherapy based on A Guideline Adaptation and Implementation Planning Resource(CAN-IMPLEMENT).Methods:Based on the theoretical framework of CAN-IMPLEMENT,A multidisciplinary team was established,barriers and facilitators obstacles of guidelines implementation in medical oncology units were assessed,corresponding solutions were formulated,the guidelines implementation process was monitored,and implementation results were evaluated.Results:The multidisciplinary team developed review criteria,standardized work paths,assessment tools,training manuals for healthcare professionals,education manuals for patients and their caregivers.After guidelines implementation,the completion rate of the distress management record came up to 97.9%(189/193).From September 2017 to December 2018,the compliance of medical staff on most items in the audit checklist was improved,ranging from 57.1%(100/175)to 100.0%(193/193).The positive distress rate of gastric cancer patients receiving chemotherapy was decreased from 22.7%(32/141)to 9.3%(18/193)(P<0.05),and the Median(range)of the distress score declined from 2(0e9)to 0(0e7)(P<0.001).Conclusions:The implementation of guidelines based on CAN-IMPLEMENT promotes the establishment of a distress management system in the medical oncology units.The review standards,standardized work paths,and evaluation tools for distress in cancer patients formulated by the multidisciplinary team had clinical applicability and effectiveness.Quality control in the practice of distress management was effective.The compliance of healthcare professionals with distress management was improved.The distress of gastric cancer patients receiving chemotherapy was alleviated effectively.

理疗康复结合心理护理在腰椎间盘突出症中的应用效果

物理治疗与心理护理相配合,对腰椎间盘突出症病人的治疗效果明显。方法 通过随机抽取2020年1-2021年1-2个月内本院收治的80名腰椎间盘突出症患者,将其分成两组,分别是对照组和联合组,各40名,分别采取了传统的护理模式,以及与理疗康复相结合的心理护理。对照指标包括: SAS评分, SDS评分,生活质量,满意度,护理效果,临床指标等。探讨两组患者在接受物理治疗及康复治疗时,采用传统的治疗方式进行综合治疗的效果。结论 通过物理治疗和康复,与心理护理相配合,可以改善腰椎间盘突出症的患者的生存质量,而且它在其他几个方面的影响比较显著,是非常有价值的。

Analysis on Psychological Nursing of Elderly Patients

Purpose： To analyze the influence of psychological nursing to the treatment and recovery of elderly patients. Method： It conducts different care methods according to different psychological problems and disease types. Result： Through effective psychological care, it can promote the recovery of patients＇ diseases. Conclusion： Implementing effective psychological care to the patients is good for the treatment and recovery of diseases, which shortens the time of effectively controlling diseases.

Challenges using electronic nursing routine data for outcome analyses:A mixed methods study

Objectives To explore the challenges of secondary use of routinely collected data for analyzing nursing-sensitive outcomes in Austrian acute care hospitals.Method A convergent parallel mixed methods design was performed.We conducted a quantitative representative survey with nursing managers from 32 Austrian general acute care hospitals and 11 qualitative semi-structured interviews with nursing quality management experts.Both results were first analyzed independently and afterward merged in the discussion.Results On average,76%of nursing documentation is already electronically supported in the surveyed Austrian hospitals.However,existing nursing data is seldom used for secondary purposes such as nursing-sensitive outcome analyses.This is due to four major reasons:First,hospitals often do not have a data strategy for the secondary use of routine data.Second,hospitals partly lack the use of standardized and uniform nursing terminologies,especially for nursing evaluation.Third,routine nursing data is often not documented correctly and completely.Fourth,data on nursing-sensitive outcomes is usually collected in specific documentation forms not integrated into routine documentation.Conclusion The awareness of the possibilities for secondary use of nursing data for nursing-sensitive outcome analyses in Austrian hospitals is still in its infancy.Therefore,nursing staff and nursing management must be trained to understand how to collect and process nursing data for nursing-sensitive outcome analyses.Further studies would be interesting in order to determine the factors that influence the decision-making processes for the secondary use of nursing data for outcome analyses.