The lived experience of a 24-hour support center for persons with psychiatric disabilities: Making me feel almost like an ordinary person

This study illuminates nine psychiatric disabled persons’ lived experience of a newly established community-based service center open around the clock. This new 24-hour support center (SC) was established in 2011 in a Swedish community to better match and facilitate the disabled persons’ needs. In order to illuminate the disabled person’s experiences individual interview was performed. A phenomenological-hermeneutical method inspired by Paul Ricoeur was used to interpret the texts. After a naive reading, a structural analysis revealed two themes: 1), becoming aware of myself as a person, and 2) having a lifeline and belongingness. The comprehensive understanding was interpreted as meaning “Making me feel almost like an ordinary person”, which incorporated the person’s past with their present together with a direction for the future and hope for a more fulfilling life.

食管测压联合食管PH-阻抗监测对非典型症状GERD的诊断价值

目的探讨高分辨率食管测压联合24小时食管PH-阻抗监测对非典型症状胃食管反流病(GERD)的诊断价值。方法选取2018年7月至2020年7月以南阳市第二人民医院收治的非典型症状GERD患者150例(病例组),对照组150例(同期健康体检者)。病例组其中糜烂性食管炎(EE)组32例、非糜烂性反流病(NERD)组118例,对照组(同期健康体检者),均行高分辨率食管测压、24小时食管PH阻抗监测,收集纳入患者电子胃镜检查结果,比较探讨高分辨率食管测压联合24小时食管PH-阻抗检测对非典型症状GERD的诊断及评估价值。结果三组收缩前沿速度(CFA)、远端收缩积分(DIC)依次递增,差异有统计学意义(P<0.05),其中EE组、NERD组CFA、DIC低于对照组,差异有统计学意义(P<0.05),且EE组CFA、DIC低于NERD组,差异有统计学意义(P<0.05)。EE组、NERD组、对照组pH<4次数/次、最长反流时间指标中上、下电极参数均依次递减,差异有统计学意义(P<0.05),其中EE组、NERD组上述指标均明显高于对照组,且EE组各指标参数均明显高于NERD组,差异有统计学意义(P<0.05)。病例组(EE组+NERD组)和对照组分别采用联合检测法(高分辨率食管测压联合24小时食管PH阻抗监测)诊断试验评估,灵敏度=83.58%、特异度=90.36%,准确率=87.33%,kappa值=0.743。结论高分辨率食管测压联合24小时食管PH阻抗监测对非典型症状GERD的诊断准确性较高,且优于单用传统DH-Meester积分法分析24小时PH-DeM,且一定程度上辅助性的提高了对非典型症状GERD的诊断的准确性,为非典型症状GERD的及时诊断和治疗提供参考。