A Bibliometric Study on The Application of Progressive Muscle Relaxation Training in The Nursing Field in China

Objective:To systematically analyze the research status and application of progressive muscle relaxation training(PMRT)in the nursing field in China,and provide a reference basis for scientific research in this field.Methods:The bibliometric method was adopted in“progressive muscle relaxation training”or“PMRT,”and“nursing.”The established database was included in the China National Knowledge Infrastructure(CNKI)and the Wanfang Medical Network.The relevant articles in the Chinese Science and Technology Periodical Database(VIP)were analyzed.Results:A total of 169 literatures were included.The journals,years,and regions of literature publication were uneven,mainly originating from the eastern region(43.19%),and listed the application of progressive muscle relaxation training in the field of nursing in China.Intervention literature information was mainly dominated by experimental studies(97%).Conclusion:The related research and application of progressive muscle relaxation training in nursing in China is increasing,but there is a lack of objective evaluation of outcome indicators and a short intervention period.Further research should be conducted in the future to effectively guide the development of PMRT in the field of nursing in China.

Effects of Progressive Muscle Relaxation Training on Anxiety, Depression, and Quality of Life in Patients with Cerebral Small Vessel Disease

Objective:To explore the effects of progressive muscle relaxation training on anxiety,depression,and quality of life in patients with cerebral small vessel disease(CSVD).Methods:Sixty-one patients with CSVD in the Department of Neurology of a tertiary hospital were divided into an observation group(28 patients)and a control group(33 patients)by lottery method.The control group received conventional nursing care,while the observation group received progressive muscle relaxation training interventions in addition to the conventional care.The Hamilton Anxiety Scale(HAMA),the Hamilton Depression Scale(HAMD),and the Stroke-Specific Quality of Life Scale(SS-QOL)were used to compare the effects before the intervention,7 days after the intervention,and 30 days after the intervention.Results:Over time,at different time points after the intervention,the anxiety and depression scores of patients with CSVD in the observation group were significantly lower than those in the control group(P<0.05).The quality of life scores were significantly higher in the observation group compared to the control group(P<0.05),and these differences were statistically significant.Conclusion:Progressive muscle relaxation training can improve anxiety and depression in patients with cerebral small vessel disease and can effectively enhance their quality of life.

Effects of Progressive Muscle Relaxation Training Combined with Emotion Nursing of Traditional Chinese Medicine on Motor Function and Quality of Life in Patients with Cerebral Stroke Complicated with Hemiplegia

OBJECTIVE: To explore the effects of progressive muscle relaxation training combined with emotion nursing of traditional Chinese medicine(TCM) on the motor function and quality of life in patients with cerebral stroke complicated with hemiplegia. METHODS: A total of 100 cases of patients with cerebral stroke complicated with hemiplegia who were admitted to Rehabilitation Medicine Department of Suzhou Municipal Hospital from May 2016 to May 2017 were selected and randomly divided into study group(50 cases) and control group(50 cases), and they were nursed for 1 month. Control group was given routine nursing, and study group was given progressive muscle relaxation training combined with TCM emotion nursing on the basis of routine nursing. The scores of all items were obtained by nurses through questionnaires, and the motor function and quality of life were analyzed and compared between the 2 groups. RESULTS: After nursing, the scores of muscle strength, Barthel index(BI) and Fugl-Meyer motor function scales in study group were higher than those in control group(P < 0.05). The facing scores of coping style in study group were higher than those in control group, and the avoidance score and yielding score were lower than those in control group(P < 0.05). The scores of depression and anxiety in study group were lower than those in control group(P < 0.05). The scores of items in SF-36 life scale in study group were higher than those in control group(P < 0.05). CONCLUSION: Progressive muscle relaxation training combined with TCM emotion nursing is conducive to the recovery of motor function and improvement of quality of life in patients with cerebral stroke complicated with hemiplegia.

Effect of Psychological Education Combined with Progressive Muscle Relaxation Training on the Symptom Cluster and Rehospitalization Rate of Elderly Patients with Coronary Heart Disease

Objective:To investigate the effect of psychological education combined with progressive muscle relaxation training on the symptom cluster and rehospitalization of elderly patients with coronary heart disease.Methods:This study is a longitudinal randomized controlled study involving 140 elderly patients with coronary heart disease.The patients were divided into two groups:an intervention group and a control group,with 70 cases in each group,via random number table.The patients in the control group received routine nursing,whereas those in the intervention group received psychological education combined with progressive muscle relaxation training for 4 weeks on the basis of routine nursing.The effect of the intervention was evaluated before intervention,at the end of 1 month,3 months,and 6 months after intervention.Results:At the end of 1 month,3 months,and 6 months,the sleep,fatigue,anxiety,and functional status of the patients in the intervention group were significantly better than those of the control group,with statistical significance difference(P<0.05).The rehospitalization rate of the intervention group was lower than that of the control group,and the difference was statistically significant(X2=10.685,P=0.001).Conclusion:Psychological education combined with progressive muscle relaxation training is effective in alleviating the symptom cluster of elderly patients with coronary heart disease and reducing their rehospitalization rate;thus,it should be popularized.

Effect of aerobic exercise + relaxation training on the cytokine secretion and endothelial injury in patients with coronary heart disease

Objective: To study the effect of aerobic exercise + relaxation training on the cytokine secretion and endothelial injury in patients with coronary heart disease. Methods: Patients who were diagnosed with stable angina pectoris in West China Hospital, Sichuan University between August 2014 and October 2017 were enrolled in the study and divided into the exercise training group who accepted aerobic exercise + relaxation training and the normal control group who accepted routine intervention. The levels of cytokines and endothelial injury molecules in serum as well as the expression of oxidative stress molecules in peripheral blood were determined before intervention as well as 56 d and 112 d after intervention. Results: Compared with the corresponding indexes of same group before intervention, serum FGF21, MIF, MIP-1α, SDF-1α, sICAM1, vWF, ET-1, sVCAM-1 and ESM1 levels as well as peripheral blood MPO, NOX2, NOX4, LOX-1 and CX3CR1 expression intensity of both groups of patients were significantly lower 56 d and 112 d after intervention, and serum FGF21, MIF, MIP-1α, SDF-1α, sICAM1, vWF, ET-1, sVCAM-1 and ESM1 levels as well as peripheral blood MPO, NOX2, NOX4, LOX-1 and CX3CR1 expression intensity of exercise training group 56 d and 112 d after intervention were lower than those of normal control group. Conclusion: Aerobic exercise + relaxation training can reduce the secretion of inflammatory cytokines and the degree of endothelial oxidative stress injury in patients with coronary heart disease.

不同运动类型对膝骨关节炎患者疗效的网状Meta分析

目的:膝骨关节炎的主要临床表现为疼痛、肿胀、僵硬以及活动受限,对患者生活造成了严重影响,运动疗法可以有效改善膝骨关节炎患者的相关症状。文章运用网状Meta分析的方法,比较不同类型运动治疗膝骨关节炎的疗效。方法:检索中国知网、万方、PubMed、Embase、Cochrane Library、Web of Science、Scopus、Ebsco、SinoMed及UpToDate等数据库,中文检索词为“膝骨关节炎,运动疗法”等,英文检索词为“Knee Osteoarthritis,Exercise”等,收集2013年10月至2023年10月有关不同运动类型在膝骨关节炎患者中应用的随机对照试验。结局指标包括目测类比评分、西安大略和麦克马斯特大学骨关节炎指数评分、定时起立行走测试、简明健康调查表-36项目等。使用Cochrane手册推荐的随机对照试验偏倚风险评估工具对纳入文献进行文献质量分析,由2位研究者独立完成数据的收集、整理提取及分析,使用RevMan 5.4和Stata 18.0软件对所得的数据进行分析与绘图。结果:最终纳入29篇文献,文献质量尚可,共1633例膝骨关节炎患者,涉及有氧训练、力量训练、柔韧性/技能训练和正念放松训练4种运动类型。①网状Meta分析结果显示:与常规护理/健康教育相比,有氧训练能显著改善疼痛症状(SMD=-3.26,95%CI:-6.33至-0.19,P<0.05);力量训练(SMD=-0.79,95%CI:-1.34至-0.23,P<0.05)、正念放松训练(SMD=-0.79,95%CI:-1.23至-0.34,P<0.05)能显著提高患者的功能;有氧训练(SMD=-1.37,95%CI:-2.24至-0.51,P<0.05)、正念放松训练(SMD=-0.41,95%CI:-0.80至-0.02,P<0.05)能显著提高患者的功能性移动能力;正念放松训练(SMD=0.70,95%CI:0.21-1.18,P<0.05)、力量训练(SMD=0.42,95%CI:0.03-0.81,P<0.05)能显著提高患者的生活质量。②累积概率排序结果显示,疼痛方面:有氧训练(86.6%)>柔韧性/技能训练(60.1%)>力量训练(56.8%)>正念放松训练(34.7%)>常规护理/健康教育(11.7%);膝关节功能方面:力量训练(73.7%)>正念放松训练(73.1%)>柔韧性/技能训练(56.1%)>有氧训练(39.9%)>常规护理/健康教育(7.6%);功能性移动能力方面:有氧训练(94.7%)>正念放松训练(65.5%)>力量训练(45.1%)>柔韧性/技能训练(41.6%)>常规护理/健康教育(3.2%);生活质量方面:正念放松训练(91.3%)>力量训练(68.0%)>柔韧性/技能训练(44.3%)>有氧训练(34.0%)>常规护理/健康教育(12.3%)。结论:①运动疗法治疗膝骨关节炎疗效显著,其中有氧训练在缓解患者疼痛和提高患者功能性移动能力上疗效最佳;力量训练和正念放松训练在改善患者功能上疗效最佳;正念放松训练在提高患者生活质量上疗效最佳。②受纳入文献质量和数量的限制,该研究结果尚需更多高质量的研究加以验证。

An improved algorithm for fluid-structure interaction of high-speed trains under crosswind

Based on the train-track coupling dynamics and high-speed train aerodynamics, this paper deals with an improved algorithm for fluid-structure interaction of high-speed trains. In the algorithm, the data communication between fluid solver and structure solver is avoided by inserting the program of train-track coupling dynamics into fluid dynamics program, and the relaxation factor concerning the load boundary of the fluid-structure interface is introduced to improve the fluctuation and convergence of aerodynamic forces. With this method, the fluid-structure dynamics of a highspeed train are simulated under the condition that the velocity of crosswind is 13.8 m/s and the train speed is 350 km/h. When the relaxation factor equals 0.5, the fluctuation of aerodynamic forces is lower and its convergence is faster than in other cases. The side force and lateral displacement of the head train are compared between off-line simulation and co-simulation. Simulation results show that the fluid-structure interaction has a significant influence on the aerodynam- ics and attitude of the head train under crosswind conditions. In addition, the security indexes of the head train worsen after the fluid-structure interaction calculation. Therefore, the fluid-structure interaction calculation is necessary for high-speed trains.

智能化膝关节康复仪联合渐进性肌肉放松训练对胫骨平台骨折术后患者膝关节功能的影响

目的回顾性分析智能化膝关节康复仪联合渐进性肌肉放松训练(PMRT)对胫骨平台骨折术后患者疼痛及膝关节功能的影响。方法收集2021年1月至2023年8月南阳市第一人民医院西区医院收治的86例胫骨平台骨折患者病历资料,根据不同治疗方案将患者分为两组,其中行PMRT治疗的43例为对照组,行PMRT+智能化膝关节康复仪治疗的43例为联合组。对比两组康复指标、疼痛程度[视觉模拟评分法(VAS)评估]、肿胀程度、舒适度[Kolcaba简化舒适度量表(GCQ)评估]、下肢功能[下肢功能评定量表(LEFS)评估]、膝关节功能[美国特种外科医院膝关节评分(HSS)评估]与躯体活动能力[躯体生活自理量表(PSMS)评估]。结果联合组患肢肌肉舒缩活动恢复时间、镇痛药使用时间、骨折愈合时间分别为(20.30±3.43)h、(4.62±0.32)d、(14.52±1.80)周,短于对照组的(25.90±2.64)h、(6.34±0.76)d、(16.68±1.64)周,差异有统计学意义(P<0.05);干预2周、4周后联合组VAS评分、PSMS评分、肿胀程度分别为(2.79±0.46)分、(1.40±0.35)分、(13.05±1.50)分、(10.05±1.10)分、(3.05±0.52)cm、(2.16±0.28)cm,低于对照组的(3.25±0.53)分、(1.91±0.40)分、(14.54±2.07)分、(12.64±1.17)分、(3.66±0.65)cm、(3.25±0.53)cm,GCQ、LEFS、HSS评分分别为(65.32±3.90)分、(78.60±4.98)分、(38.98±4.05)分、(45.30±3.64)分、(30.63±2.51)分、(45.81±3.04)分,高于对照组的(63.08±4.12)分、(75.62±5.23)分、(35.63±3.82)分、(41.28±4.09)分、(28.90±2.04)分、(41.30±3.47)分,差异有统计学意义(P<0.05)。结论胫骨平台骨折术后使用智能化膝关节康复仪联合PMRT干预可缓解疼痛及肿胀,促进骨折愈合,改善下肢、膝关节功能及躯体自理生活能力。

渐进性发声联合放松训练促进声带息肉术后患者嗓音康复的价值

目的:研究渐进性发声训练联合放松训练对声带息肉术后患者嗓音康复、心理负担和嗓音障碍指数(VHI)评分的影响。方法:研究对象为81例2021年2月-2023年8月在某院行声带息肉术治疗的患者,根据干预方式分为对照组(n=41,采用常规护理干预)和观察组(n=40,在对照组基础上采用渐进性发声训练联合放松训练干预),比较两组患者的嗓音康复情况、心理负担[心理弹性量表(CD-RISC)]、嗓音障碍情况及声带恢复情况。结果:干预后,两组患者基频微扰、振幅微扰、VHI量表中情感、功能及生理方面的评分均降低,且观察组较对照组低(t=3.238,3.928,3.507,3.182,3.983;P<0.05),最长发声时间、CD-RISC量表中坚韧、自强及乐观方面的评分均升高,且观察组较对照组高(t=3.482,2.974,3.702,3.240;P<0.05);干预后,观察组患者声带恢复总有效率(95.00%)高于对照组(80.49%)(χ^(2)=3.940,P<0.05)。结论:采用渐进性发声联合放松训练干预可促进声带息肉患者术后嗓音及声带康复,同时减轻其心理负担,改善其嗓音障碍情况。

风湿性心脏病瓣膜置换术患者应用双心护理联合放松训练的效果分析

目的:分析风湿性心脏病瓣膜置换术患者应用双心护理联合放松训练后睡眠质量、自我管理能力的改善情况。方法:选取2021年6月至2023年4月厦门大学附属第一医院收治的风湿性心脏病患者99例作为研究对象,按照随机数字表法分为对照组(n=49)和观察组(n=50)。对照组给予常规护理干预,观察组给予双心护理联合放松训练干预,2组患者均护理2周。采用生命质量综合评定问卷(GQOLI)对患者护理前后生命质量进行评估,采用睡眠状况自评量表(SRSS)对护理前后睡眠质量进行评估,比较2组患者的护理依从性,采用8项Morisky服药依从性量表(MMAS-8)评估患者服药依从性,采用自制问卷评估患者护理依从性及自我管理能力,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)比较2组患者焦虑、抑郁症状改善情况,比较2组患者各项临床指标。结果:护理后,2组患者GQOLI各项评分、护理依从性、服药依从性及自我管理能力得分均升高,且观察组显著高于对照组,SRSS各项评分、SDS、SAS得分均降低,且观察组显著低于对照组,差异均有统计学意义(均P<0.05)。结论:风湿性心脏病瓣膜置换术患者应用双心护理联合放松训练可有效改善生活、睡眠质量,提高护理依从性、服药依从性及自我管理能力,并减轻负面情绪,值得临床推广应用。

授权教育联合引导式想象放松护理在老年白内障手术患者中的应用效果

目的:观察授权教育联合引导式想象放松护理在老年白内障手术患者中的应用效果。方法:选取2019年10月至2021年10月该院收治的114例老年白内障手术患者进行前瞻性研究,按照随机数字表法将其分为对照组和研究组各57例。对照组实施常规护理,研究组在对照组基础上实施授权教育联合引导式想象放松护理。比较两组护理前后负性情绪[汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)]评分、生命质量[低视力者生活质量量表(LVQOL)]评分、视功能[视功能指数量表(VF-14)]评分,以及护理满意度。结果:护理后,研究组HAMA、HAMD评分均低于对照组,差异有统计学意义(P<0.05);护理后,研究组远视力、调节能力、精细工作、日常生活等LVQOL各维度评分均高于对照组,差异有统计学意义(P<0.05);护理后,研究组VF-14评分高于对照组,差异有统计学意义(P<0.05);研究组护理满意度为98.25%(56/57),高于对照组的85.96%(49/57),差异有统计学意义(P<0.05)。结论:授权教育联合引导式想象放松护理应用于老年白内障手术患者可降低负性情绪评分,提高生命质量评分、视功能评分和护理满意度,效果优于常规护理。

膀胱功能锻炼联合渐进性肌肉放松训练对宫颈癌术后病人尿潴留的预防效果研究

目的:探讨膀胱功能锻炼联合渐进性肌肉放松训练(PMRT)对预防宫颈癌病人术后尿潴留的影响。方法:选取滨州市某三级甲等医院2021年12月—2022年11月妇科3个病区收治的行宫颈癌根治术的病人为研究对象,采用抽签法按病区分为A组(50例)、B组(50例)和C组(49例)。A组给予常规护理,B组在A组基础上给予膀胱功能锻炼,C组在A组基础上给予膀胱功能锻炼联合PMRT。术后第1天开始干预,每日2次,共14 d。干预后比较膀胱残余尿量、尿潴留发生率、首次自主排尿时间、膀胱刺激症状。结果:干预后3组病人膀胱残余尿量、术后尿潴留发生率和首次自主排尿时间两两比较差异均有统计学意义(P<0.05)。干预后A组与B组、A组与C组膀胱刺激症状比较差异均有统计学意义(P<0.017)。结论:膀胱功能锻炼联合PMRT有助于减少宫颈癌病人膀胱残余尿量、降低术后尿潴留发生率、缩短首次自主排尿时间、减轻宫颈癌术后病人膀胱刺激症状。

肌肉放松训练联合吞咽锻炼用于鼻咽癌放化疗期间对患者心理状态及吞咽功能的影响

目的分析鼻咽癌患者放化疗期间实施肌肉放松训练、吞咽锻炼联合干预对患者心态、吞咽功能的影响。方法选择2022年10月至2023年10月在福建省肿瘤医院治疗的患者68例,按随机数字表法分为对照组和观察组,对照组采取常规护理,观察组实施肌肉放松训练、吞咽锻炼联合护理,对两组患者护理前后心理状态、吞咽功能、生活质量进行评估,并调查患者对护理的满意度。结果护理后,观察组焦虑、抑郁评分以及临床检查、饮食测试、正常进食等吞咽功能评分均低于对照组(均P<0.05);观察组患者对护理的总满意度,生理、心理、物质生活、社会功能等生活质量评分均高于对照组(均P<0.05)。结论鼻咽癌患者接受放化疗过程中实施肌肉放松训练、吞咽锻炼联合干预效果良好,能够调节患者心理状态,强化吞咽功能,提高生活质量。

基于放松训练的心理措施结合舒适护理对老年癌症患者的影响

目的:探讨基于放松训练的心理措施结合舒适护理对老年癌症患者的影响。方法:选取2019年1月1日~2022年12月31日收治的100例老年癌症患者,按照随机数字表法分为观察组和对照组各50例。对照组给予常规护理,观察组在常规护理基础上实施基于放松训练的心理措施结合舒适护理;比较两组干预前后疼痛程度[采用视觉模拟评分法(VAS)]、癌症相关性疲劳程度[采用癌症疲乏量表(CFS)]、生活质量[采用欧洲癌症生活质量核心问卷(QLQ-C30)]、焦虑和抑郁程度[采用焦虑自评量表(SAS)及抑郁自评量表(SDS)]。结果:干预后,两组VAS、CFS、SAS及SDS评分均低于干预前(P<0.01),且观察组低于对照组(P<0.01);干预后,两组QLQ-C30中总体生活质量、身体功能、角色功能、情绪功能、认知功能、社会功能评分均高于干预前和对照组同期(P<0.01)。结论:基于放松训练的心理措施结合舒适护理能有效缓解老年癌症患者的疼痛和疲劳,提高生活质量。

支持性心理干预联合渐进性肌肉放松训练在无张力吊带尿道中段悬吊术患者中的护理效果

目的探讨支持性心理干预联合渐进性肌肉放松训练在无张力吊带尿道中段悬吊术患者中的护理效果。方法选取2021年1月至2023年3月于四川大学华西医院进行无张力吊带尿道中段悬吊术的136例压力性尿失禁患者为研究对象,在组间基线特征可比的原则上,采用随机数字表法分为对照组和观察组,每组68例。对照组给予常规护理干预,观察组在对照组的基础上于围手术期给予支持性心理干预联合渐进性肌肉放松训练。比较分析两组患者护理干预前后的心理弹性水平[Connor-Davidson心理弹性量表(CD-RISC)各维度评分]、自知力与自我效能[自知力与治疗态度问卷量表(ITAQ)评分、一般自我效能感量表(GSES)评分]、尿失禁症状与生活质量[泌尿生殖障碍量表简版(UDI-6)评分、尿失禁影响问卷简表(IIQ-7)评分、国际尿失禁咨询委员会尿失禁问卷简表(ICIQ-SF)评分]。比较分析两组患者护理干预后的临床疗效以及术后的并发症发生情况。结果护理干预前,两组患者的CD-RISC乐观、自强、坚韧各维度评分以及ITAQ评分、GSES评分、IIQ-7评分、UDI-6评分、ICIQ-SF评分比较差异均无统计学意义(P>0.05)。护理干预3个月后,两组患者的CD-RISC乐观、自强、坚韧各维度评分以及ITAQ评分、GSES评分均升高,且观察组高于对照组,差异均有统计学意义(P<0.05);两组患者的IIQ-7评分、UDI-6评分、ICIQ-SF评分均降低,且观察组低于对照组,差异均有统计学意义(P<0.05)。观察组患者护理干预3个月后的临床总有效率高于对照组,术后并发症总发生率低于对照组,差异均有统计学意义(P<0.05)。结论支持性心理干预联合渐进性肌肉放松训练可有效增强无张力吊带尿道中段悬吊术患者的心理弹性水平,改善患者的自知力和治疗依从性,提高患者的自我效能、生活质量和临床疗效,且可减少术后并发症的发生。

基于虚拟编组的城轨列车时刻表优化方法

针对高峰时段城市轨道交通客流与运力不匹配问题,考虑城市轨道交通客流时空分布特征、交通过饱和状态和车场车底数量限制,提出了基于虚拟编组的城轨列车时刻表优化方法。构造动态客流累计需求函数,预测不同时段客流量;考虑乘客需求、发车间隔、运行时间、车底数量、车底接续等约束条件,以列车在首站的发车时刻和各车次的编组方案为决策变量,以乘客平均等待时间与列车走行里程最小化为优化目标,建立了基于虚拟编组的城轨列车时刻表优化模型。针对原问题包含大量耦合约束条件,利用拉格朗日松弛算法将耦合性约束吸收至目标函数,将原问题分解为2个独立路径的子问题,降低问题的复杂度;再利用商业求解器求解子问题的下界解,并设计启发式算法求解子问题的上界可行解,得到原问题解的上下界。以上海地铁某线路为算例进行验证,结果表明:在高峰时段,所提动态客流累计需求函数与客流实际到达规律拟合度较高;固定编组模式下,非均匀发车时刻表相比于均匀发车时刻表,可降低24.15%的乘客平均等待时间和51.73%的滞留乘客等待时间;而所提虚拟编组列车时刻表相比于固定编组模式下非均匀发车时刻表,不仅可减少0.33%的列车运行里程,还可进一步减少16.95%的乘客平均等待时间和6.03%的滞留乘客等待时间。

渐进式肌肉放松训练在清醒俯卧位通气患者中的应用效果

目的探讨渐进式肌肉放松训练在急性呼吸窘迫综合征(acute respiratory distress syndrome,ARDS)患者清醒俯卧位通气中的实施效果.方法采用类实验研究法,选取2023年5月-7月湖南省某三级甲等医院ARDS患者45例为试验组,清醒俯卧位通气前采用渐进式肌肉放松训练方案;2022年12月-2023年2月的ARDS患者45例为对照组,采用常规清醒俯卧位通气.比较两组患者清醒俯卧位通气治疗前3 d内的每日单次治疗最长时间、治疗总时长、耐受性和治疗效果.结果试验组在清醒俯卧位通气第3天的单次治疗最长时间[(3.68±0.71)h]高于对照组[(2.50±0.67)h],试验组前3 d治疗总时长[(36.72±0.56)h]高于对照组[(23.25±1.76)h](P<0.001);试验组在治疗第3天的耐受性指标(视觉模拟评分)[(2.83±1.74)分]小于对照组[(6.17±1.11)分](P<0.001);试验组在俯卧位治疗开始4 h后的血氧分压及氧合指数均优于对照组(P<0.001).结论渐进式肌肉放松训练能有效延长ARDS患者清醒俯卧位通气的治疗时间,提高耐受性,从而改善治疗效果.

放松训练改善情绪障碍心率变异性的研究进展(综述)

自主神经系统的变化是将抑郁、焦虑等情绪障碍与许多身体功能障碍联系起来的核心枢纽,心率变异性是反映自主神经系统活动及平衡的重要指标。本文总结了药物和物理治疗对情绪障碍干预的心率变异性研究,发现具有一定副作用;同时全面地总结了近年通过心率变异性监测已被临床证明有效的全球各类放松训练,发现因较少副作用而受到患者的广泛青睐。未来研究可根据患者的情绪障碍类别、性别、年龄、严重程度和疾病阶段等提供更具个性化和精准度的放松训练,并探索了放松训练与自主神经功能的关系。

放松训练联合呼吸操对急性下肢深静脉血栓患者术前焦虑术后疼痛及治疗配合度的影响

目的 探讨放松训练联合呼吸操对血栓清除术治疗急性下肢深静脉血栓(LEDVT)患者术前焦虑、术后疼痛及治疗配合度的影响。方法 将96例急性LEDVT患者根据随机数字表法分为对照组和观察组,各48例。对照组患者给予常规干预,观察组患者给予放松训练联合呼吸操干预。采用汉密顿焦虑量表(HAMA)、广泛性焦虑量表(GAD-7)、视觉模拟评分法(VAS)、自制治疗配合度调查问卷及纽卡斯尔护理满意度量表(NSNS)评估两组患者术前焦虑情况、术后疼痛、治疗配合度及护理满意度,统计并比较两组患者住院期间并发症发生率。结果 干预后,两组患者HAMA、GAD-7评分均较干预前降低,且观察组患者HAMA、GAD-7、VAS评分均低于对照组(P<0.01);观察组患者治疗配合度、护理总满意度均高于对照组(P<0.05)。观察组患者并发症总发生率低于对照组,但差异无统计学意义(P>0.05)。结论 放松训练联合呼吸操可有效改善LEDVT患者行血栓清除术前的焦虑状态,缓解患者术后疼痛情况,显著提高患者治疗配合度及护理满意度,具有临床推广价值。

放松训练联合叙事护理对血液科造血干细胞移植患者心理状态、希望水平的影响

目的探讨放松训练联合叙事护理对血液科造血干细胞移植(HSCT)患者心理状态、希望水平的影响。方法选择2020年1月至2023年1月于我院血液科行HSCT的82例患者,随机分为两组各41例。对照组采用放松训练,观察组采用放松训练联合叙事护理。比较两组的心理状态[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、希望水平[希望水平量表(HHI)]。结果干预后,观察组SAS、SDS评分低于对照组(P<0.05)。干预后,观察组HHI各维度评分高于对照组(P<0.05)。结论放松训练结合叙事护理可有效缓解血液科HSCT患者的心理状态,提升希望水平,值得推广。