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The Applicative Effect of Posture Nursing by Specially-assigned Person and Psychological Nursing on Patients after Vitrectomy Combined with Intraocular Silicone Oil Tamponade

ObjectiveTo investigate the effect of posture nursing by specially-assigned person and psychological nursing on patients after vitrectomy combined with intraocular silicone oil tamponade. MethodsFrom February 2012 to February 2013, traditional nursing method or posture nursing by specially-assigned person and psychological nursing was carried out respectively for 140 patients who had undergone vitrectomy and intraocular silicone oil tamponade. Adverse effects and retina reattachment effect were compared between the two nursing methods. ResultsAdverse effects after the surgery were significantly fewer in the experimental group than in the control group (P<0.05). The number of patients with retina reattachment in the experimental group was significantly higher than that in the control group (P<0.05). ConclusionPosture nursing by specially-assigned person and psychological nursing reduce postoperative adverse consequences significantly, and achieve the expected operative effect.

心理护理和健康教育对减少糖尿病患者快速心律失常发作频率的作用

目的　了解定期、规律的心理护理和健康教育对糖尿病患者快速性心律失常发作频次的减少是否有正向作用及其实际效益。 方法　收集2011年1月－6月30例有快速性心律失常发作史且无心脏器质性病变糖尿病患者，在其入院期间给以定期、规律的心理护理和健康教育，观察比较患者入院前后快速性心律失常发作次数及效果，并采用SPSS 13.0软件进行数据分析。 结果　经过积极、正确的心理护理，患者入院后15 d内再发心律失常次数减少，心理护理和健康教育前后心律失常发作次数的差异具有统计学意义（P＜0.05）。 结论　心理护理和健康教育对于糖尿病患者的临床症状改善有积极意义，且强调正确、定期、规律的心理护理和健康教育而非仅限于入院宣教和临时心理安慰。

The Psychological Nursing Experience of the Family Members with Earthquake Injured Children

目的:通过对地震伤患儿家属心理状态的分析及心里疏导,探讨地震伤患儿家属心理干预的方法.方法:对我科2008年5月12日后收治的116例地震伤患儿家属的心理状态进行分析,并给与相应的心理干预。结果:116例地震伤患儿及家属心态良好,积极配合救治和护理,无心理障碍引起的过激反应,护理满意度达99%。结论:对患儿家属积极有效地进行心理疏导,不仅可以减轻其心理压力,还可以缩短与患儿及家属间的距离,有助于医护人员对患儿进行诊疗与护理,促使患儿早日康复。

Effect of Mental Nursing for Operation Patients with Earthquake Trauma on Their Rehabilitation

Objective　To observe the effect of mental nursing for operation patients with earthquake trauma on their rehabilitation. Methods　Eighty operation patients with earthquake trauma were randomly divided into two groups: mental nursing group and conventional nursing group. Psychological consult was used in the mental nursing group. Results　were recorded by psychologic test, investigation questionnaire and nursing statistics. The measuring scales included SCL-90, HAMD and HAMA. Results The degree of satisfaction in the mental nursing group was obviously higher than that in the conventional nursing group. The scores of depression and anxiety in the mental nursing group were lower than these in the conventional nursing group. The length of hospital stay in the mental nursing group was also shorter (Plt;0.05). Conclusion　 Mental nursing could reduce dysphrenia in operation patients with earthquake trauma and facilitate their rehabilitation.

经 16 年后复发吉兰-巴雷综合征一例的护理

本文总结了 1 例经 16 年后复发吉兰-巴雷综合征个案护理。吉兰-巴雷综合征为自身免疫介导的多发性神经根神经病，患者病程长，从四肢瘫痪进展至呼吸机麻痹快，加强呼吸机辅助通气，预防感染，气道管理，循序渐进脱机训练，早期康复锻炼，心理护理尤为重要。经 9 个月治疗护理及康复锻炼，患者成功脱机并改金属套管至拔管后正常交流，四肢肌力由 0 级恢复至 4 级，焦虑明显减轻。

Application and Efficacy of Individualized Mental Nursing for Perioperative Patients with High Complex Anal Fistula

ObjectiveTo explore the influence of individualized psychological nursing in perioperative patients with high complex anal fistula on their perioperative anxiety, depression, pain, and recovery. MethodsFifty-seven perioperative patients with high anal fistula treated between May 2011 and March 2012 were randomly divided into observation group (n=28) and control group (n=29). Patients in the control group were treated with traditional way of psychological nursing intervention, while patients in the observation group were given individualized psychological nursing intervention. Then, we compared the two groups of patients in terms of their perioperative anxiety, depression, and pain as well as the length of hospital stay, hospital expenses, wound healing time, and patients' quality of life. ResultsOn the day of surgery and on day 7 after surgery, anxiety, depression and pain scores of the observation group were significantly lower than those of the control group (P<0.05). Length of hospital stay and hospitalization expenses of the observation group were significantly shorter or less than the control group (P<0.05). There was no statistically significant diTherence between the two groups in postoperative wound healing time (P>0.05). The quality of life score for both the two groups of patients after treatment was significantly higher than that before treatment (P<0.05), but there was no statistically significant diTherence between the two groups (P>0.05). ConclusionIndividualized psychological nursing can relieve perioperative adverse psychological reactions such as anxiety, depression and pain, and promote postoperative recovery for patients with high complex anal flstula.

Research of Mental Nursing to the Patients of Leg Amputated in the “5·12”Earthquake

目的:探讨5·12汶川地震中因外伤而截肢的患者产生各种心理反应的原因和护理对策,以采用有效的护理措施。方法:以我院收治的地震伤致截肢患者23例为研究对象,采用面对面与患者及家属交谈、观察患者的心理行为、转院后随访等形式,用应对方式量表对心理护理进行评分及分析,并针对性采取心理护理。结果:截肢患者在治疗前后出现自我概念改变、不确定感、社会适应力改变等正性和负性心理效应;经过心理护理,能消除心理障碍,均获得较好的治疗效果。结论:正确的心理分析和针对性心理护理有利于患者的心理调适,产生正性心理效应,积极应对疾病。

健康教育对2型糖尿病伴抑郁症患者的治疗分析

目的　了解住院糖尿病患者的抑郁状态，采取有效的心理干预措施提高其治疗依从性。 方法　对2010年6月－2011年5月收治的450例住院糖尿病患者接受心理护理前后的抑郁自评量表（SDS）评分进行对比，并进行统计学分析。 结果　65.3%的住院糖尿病患者存在抑郁状态，导致患者产生抑郁状态的原因多样。 结论　糖尿病患者易并发抑郁状态，健康教育能减轻患者的抑郁状态。

男性儿童乳腺癌二次手术的护理一例

心理干预在持续性心房颤动患者射频消融治疗中的应用效果

目的讨论系统性心理护理干预在经导管射频消融治疗持续性心房颤动（房颤）患者的临床应用效果。 方法将2012年3月－2013年4月行房颤射频消融术治疗的持续性房颤患者80例，随机分为对照组（40例）和干预组（40例），两组患者在常规治疗与护理基础上，干预组患者同时强化心理干预。并应用焦虑自评量表（SAS）和抑郁自评量表（SDS），对两组患者的治疗效果及SAS、SDS评分进行评价。 结果两组患者在平均住院时间、手术成功率和患者满意度调查方面，干预组明显优于对照组，干预后干预组患者SAS与SDS评分明显低于对照组，差异有统计学意义（P＜0.05）。 结论心理护理干预能够改善房颤患者负面情绪，提高射频消融治疗效果。