共情技术在脑卒中后疲劳患者康复中的应用效果及对护患关系的影响

目的:观察共情技术对脑卒中后疲劳患者康复效果及护患关系的影响。方法:选择2014年9月-2016年9月在笔者所在医院治疗的脑卒中后疲劳患者100例,随机分为试验组和对照组各50例。对照组给予常规治疗和护理,试验组在此基础上,将共情技术应用于治疗中。比较治疗前后两组患者的疲劳评定量表评分及不良反应;比较治疗后两组患者护理满意度。结果:治疗前,两组疲劳严重度量表(FSS)、疲劳影响量表(FIS)评分差异无统计学意义(P>0.05);治疗后两组FSS评分、FIS评分与治疗前相比均显著下降(P<0.05),且试验组下降幅度明显大于对照组,差异有统计学意义(P<0.05),且无不良反应发生;试验组患者总满意度显著高于对照组,比较差异有统计学意义(P<0.05)。结论:共情技术可有效改善患者的疲劳程度,增进护患之间的满意沟通,提高护理满意度。

基于自我效能理论的护理干预对卒中后疲劳患者的效果研究

探讨基于自我效能理论的护理干预对脑卒中后患者疲劳的影响。方法 在2022年7月-2022年12月期间,选取106例急性期脑卒中患者作为研究对象,通过随机数字表法将其分为试验组和对照组,每组53例。对照组采用常规护理,试验组在此基础上增加基于自我效能理论的护理干预。结果 干预前,两组患者的疲劳程度、自我效能和生活质量无显著差异。干预一个月后,两组患者的疲劳得分均较基线有所降低,但试验组的得分低于对照组(p<0.05)。同时,自我效能感评分和生活质量评分均较基线有所提高,且试验组的得分高于对照组(P<0.05)。结论 基于自我效能理论的护理干预能有效降低脑卒中患者的疲劳,提高患者的自我效能感和生活质量。

火龙罐疗法对气虚质慢性疲劳综合征患者的效果

探讨火龙罐疗法治疗CFS气虚质的疗效,本研究将为CFS的预防和治疗提供新的思路,并丰富中医药对CFS的干预措施。方法 通过对某医院2023年1月~12月气虚质CFS患者67例病人按随机数表,随机分为两组,按CFS恢复有关内容进行常规护理,对照组34例进行常规护理,试验组33例在对照组基础上加用火龙罐疗法,每2日1次,每周3次,共4周。结果 干预前,对两组患者一般资料以及疲劳症状量表、CFS症状积分量表、躯体和心理健康报告和气虚质转化分进行比较,均未见显著性差异(P>0.05),具有可比性。干预后,各组之间的对比:疲劳症状评分与对照组相比,试验组的各项评分明显降低(P<0.05)。结论 (1)火龙罐疗法能减轻CFS患者因气虚证而产生的疲乏,减轻其副作用。(2)火龙罐疗法可有效地改善CFS气虚证的身心状况,并对其进行转化。(3)火龙罐疗法治疗气虚证CFS疗效肯定,安全、有效,值得临床推广,值得继续研究。

Factors associated with fatigue in acquired immunodeficiency syndrome patients with antiretroviral drug adverse reactions: a retrospective study

OBJECTIVE： To retrospectively study the preva- lence of fatigue and factors associated with fatigue among acquired immunodeficiency syndrome （AIDS） patients with antiretroviral drug adverse re- actions. METHODS： Data were collected from case reportforms （CRFs） for a project funded by the 1 lth Na- tional 5-year Special Science and Technology Pro- gram on Major Infectious Diseases. Fatigue was de- fined by patient self-report. The outcomes were the prevalence of fatigue and the potential risk factors of fatigue. Univariate and multivariate logistic re- gression analyses were conducted to identify the factors associated with fatigue. RESULTS： Among the 228 subjects, the prevalence of fatigue was 86.8%. In univariate analysis, the sig- nificant differences in demographic characteristics between patients with and without fatigue were： gender [OR=2.29; 95% CI （1.05-4.98）], education lev- el [OR=0.40; 95% CI （0.18-0.85）], anemia [OR=3.80; 95% CI （1.27-11.31）], time of HIV diagnosis [OR= 0.29; 95% CI （0.13-0.65）], and route of infection [OR= 0.14; 9.5% CI （0.06-0.32）]. Abnormal taste and rapid pulse were more commonly seen in patients with fatigue （P〈0.05）, while abdominal distension and lumbar soreness were encountered less often in pa- tients with fatigue （P〈0.05）. Multivariate analysis showed that the four main factors associated with fatigue were anemia [OR=3.S0; 95% CI （1.01 -12.15）], route of infection [OR=3.40; 95% CI （1.21-9.58）; P= 0.02〈0.05], lumbar soreness [OR=0.06; 95% CI （0.02-0.18）; P=0.000〈0.05], and rapid pulse [OR= 10.58; 95% C/（2.16-51.75）; P=0.004〈0.05]. CONCLUSION： This study demonstrated that fa- tigue is common （86.8% prevalence） in AIDS pa- tients with antiretroviral drug adverse reactions, and that anemia, route of infection （i.e., non-com- mercial blood donation） and rapid pulse were risk factors, while lumbar soreness was a protective fac- tor related to fatigue. More attention should bepaid to fatigue and more efforts should be made to find ways to prevent, control and eliminate this symptom in AIDS patients with antiretroviral drug adverse reactions.

Fatigue severity of patients with idiopathic chronic fatigue compared to healthy subjects

OBJECTIVE:To analyze the fatigue severity of patients with idiopathic chronic fatigue(ICF) and to compare the severity of this group with that of healthy subjects.METHODS:one hundred and nine ICF patients and 98 healthy subjects were enrolled in this study.Fatigue severity was measured using the Korean-translated Chalder fatigue severity questionnaire.All subjects scored each item on a 10-point scale as a self-rating numeric scale(NRS),and additionally rated their feeling of general fatigue by visual analogue scale(VAS).RESULTS:The total NRS scores of patients with ICF was 53 ± 15 compared with 25 ± 14 of healthy subjects(2.4 folds for physical symptoms vs.1.7 folds for mental symptoms respectively).The VAS scores of patients with ICF were 2.7 times as high as those of healthy subjects.CONCLUSION:This report is the first to compare the severity of fatigue between ICF patients and healthy subjects.This study contains reference data applicable for the management of this disorder in field of complementary and alternative medicine.