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系统性护理在提高维持性血液透析患者社会回归率中的作用 被引量:2
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作者 何庆宣 熊玉婉 +1 位作者 何兴来 吕薇 《中国当代医药》 2017年第5期182-184,187,共4页
目的探讨系统性护理在提高维持性血液透析患者社会回归率中的作用。方法回顾性分析2014年1月~2016年1月在广东省四所三甲医院透析中心行维持性血液透析的患者300例,随机分为干预组和对照组,各150例,干预组在常规护理基础上采用系统护理... 目的探讨系统性护理在提高维持性血液透析患者社会回归率中的作用。方法回顾性分析2014年1月~2016年1月在广东省四所三甲医院透析中心行维持性血液透析的患者300例,随机分为干预组和对照组,各150例,干预组在常规护理基础上采用系统护理干预,对照组仅采用常规护理,干预6个月后,比较两组患者社会回归情况、社会支持评分(SSRS)、社交回避及苦恼评分(SAD)、遵医行为及并发症发生率。结果两组社会回归率和SSRS评分较干预前均提高,差异有统计学意义(P<0.05),其中干预组提高更明显(P<0.05)。干预组规律透析率、合理饮食作息率、严格摄水率等遵医行为均显著高于对照组(P<0.05)。两组SAD评分较干预前均降低,差异有统计学意义(P<0.05),其中干预组降低更明显(P<0.05)。干预组并发症发生率显著低于对照组(P<0.05)。结论系统性护理干预可帮助患者增强自信,改善交往回避及苦恼,增强社会支持和医嘱依从性,减少并发症,提高生活质量,帮助患者更快回归社会,值得临床推广。 展开更多
关键词 系统性护理 血液透析 社会回归率 干预
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心理康复疗法治疗中风康复66例疗效观察 被引量:2
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作者 常正平 于成林 《中国社区医师(医学专业)》 2009年第9期180-181,共2页
目的:探讨心理康复治疗在中风康复治疗中的影响。方法:对66例中风患者在体育康复治疗的同时进行心理康复治疗,出院后进行随诊2年,以该院1999年12月~2003年1月进行体育康复治疗出院的中风患者46例为对照组,观察两组出院2年后社会回归率... 目的:探讨心理康复治疗在中风康复治疗中的影响。方法:对66例中风患者在体育康复治疗的同时进行心理康复治疗,出院后进行随诊2年,以该院1999年12月~2003年1月进行体育康复治疗出院的中风患者46例为对照组,观察两组出院2年后社会回归率及精神抑郁患病率。结果:2年后治疗组社会回归率为90.90%,对照组社会回归率为65.21%,精神抑郁患病率治疗组为25.75%,对照组为54.35%,上述指标两组比较,差异均具有统计学意义。结论:中风患者在进行体育康复治疗时配合进行心理康复治疗,可明显地提高患者回归社会率,减少精神抑郁症的发生。 展开更多
关键词 心理康复治疗 中风康复治疗 社会回归率 精神抑郁症
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A Hurdle Negative Binomial Regression Model for Non-Marital Fertility in Namibia
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作者 Lillian Pazvakawambwa Nelago Indongo Lawrence Kazembe 《Journal of Mathematics and System Science》 2014年第7期498-508,共11页
The rise of non-marital fertility, which seems to defy the Bongaarts model by decoupling marriage from fertility, has become a subject of interest in both the developed and developing world. Consequences of non-marita... The rise of non-marital fertility, which seems to defy the Bongaarts model by decoupling marriage from fertility, has become a subject of interest in both the developed and developing world. Consequences of non-marital fertility are mostly negative particularly in developing countries. In Namibia, although premarital childbearing has been reported to be high and increasing, no studies have explicitly analyzed factors influencing non-marital fertility. This paper uses data from the 2006/7 Namibia DHS to establish the determinants of non-marital fertility among women by applying a two-part model, with one part to describe the presence of non-marital birth and the other part to explain its intensity (number of children born). Using the number of children ever born as an outcome, we explored various count data models. Based on the Voung statistics model comparison, we settled for the Hurdle logit Negative Binomial regression to model the number of non-marital births. Non-marital fertility in Namibia is associated with the age, with young women likely to have lower fertility compared to older women. Women with secondary or higher education had lower fertility compared those with no formal education. Findings also show that rural women higher fertility propensity compared to their urban counterparts even though there was no significant difference in fertility intensity. With regard to socio-economic status, fertility intensity decreased as the women got richer. Intervention efforts should focus on promoting education among girls and women especially in rural areas to improve their socio-economic status, reduce teenage pregnancy and non-marital fertility. 展开更多
关键词 non-marital fertility hurdle logit negative binomial two-part models Namibia
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