目的:观察护理干预对脑瘫患儿生活自理能力训练的影响。方法:80例脑瘫患儿随机分为2组,常规组40例,实施常规护理;观察组40例,在常规护理基础上对患儿和家长给予护理干预,两组患儿治疗前后均进行日常生活自理动作评定。结果:治疗后,2组患儿ADL评分较治疗前有明显提高(Plt;0.05),与常规组比较,观察组患儿改善更明显(Plt;0.01)。结论:护理干预对脑瘫患儿生活自理能力的训练有促进作用。
Objective To analyze the clinical effect of individualized pain nursing intervention on the pain relieving after ambulatory laparoscopic cholecystectomy (LC) . Methods From March to June 2017, a total of 180 ambulatory LC patients were selected and randomly asigned into the control group and the intervention group with 90 cases in each group. Parecoxib sodium (40 mg) was preoperatively administrated half an hour before the surgery to the patients in both of the two groups. The patients in the control group were treated with routine nursing intervention, while the ones in the intervention group were given individualized pain nursing interventions, including regular pain assessment, preoperative pain health guidance, enhanced education for pain related knowledge, and following the nursing theory of enhanced recovery after surgery. Visual Analogue Scale (VAS) was used to measure the degree of postoperative pain, and the data of dormant pain were collected. Results There was no significant difference between the two groups in VAS one hour after the operation (P>0.05); the VAS scores 2, 6 and 12 hours after the operation gradually decreased in the two groups (P<0.05), and the scores of patients in the intervention group were much lower than those in the control group (P<0.05). The time of pain relieving in the intervention group and the control group was (3.25±1.72) and (5.39±2.06) hours, respectively, and the difference was statistically significant (P<0.05). The incidence of dormant pain in the intervention group (12.2%) was lower than that in the control group (33.3%), and the difference was statistically significant (P<0.05). Conclusion Individualized pain nursing interventions can effectively alleviate the postoperative pain and improve the quality of sleep in ambulatory LC patients.
Objective To evaluate the effect of nursing interventions on the medical behavior of diabetic patients. Methods We searched CMB (1978 to September 2007), CNKI (1994 to September 2007), VIP (1989 to September 2007) and Papers on Academic Conference of China (1989 to September 2007), and hand-searched relevant journals. We identified randomized controlled trials (RCTs) and quasi-RCTs of nursing interventions plus routine therapy versus simple routine therapy for diabetic patients. The methodological quality of included studies was assessed and data was extracted and analyzed by using The Cochrane Collaboration’s RevMan 4.2.10 software. Results In total, 10 RCTs and 2 quasi-RCTs were included. Two of these studies described blinding. The quality of the included trials was low. Meta-analyses showed that nursing interventions significantly improved medication compliance (RR 1.33, 95%CI 1.21 to 1.45), medical behaviors of physical therapy (RR 1.48, 95%CI 1.30 to 1.69), diet control (RR 1.54, 95%CI 1.39 to 1.71), blood glucose monitoring (RR 1.56, 95%CI 1.41 to 1.72) and regular inspection (RR 1.66, 95%CI 1.41 to 1.96) in patients with diabetes. Conclusion Nursing interventions can improve the medical behavior of diabetic patients, increase patient-controlled capacity and enhance awareness of diabetes. It is also beneficial for blood glucose control and stability.
目的:探讨综合护理干预对头部伽玛刀治疗患者负性情绪的影响。方法: 将80例进行伽玛刀治疗的颅内病变患者随机分为干预组和对照组各40例,干预组实施综合性护理干预,包括心理护理、健康教育、社会家庭支持、伽玛刀专科护理等,对照组按伽玛刀治疗护理常规进行,分别与入院第1日及治疗前1h、治疗过程中用SAS焦虑自评量表和VAS恐惧测定量表进行评分。结果:干预组的负性情绪程度明显低于对照组,差异有统计学意义(Plt;0.01)。结论:头部伽玛刀治疗患者存在一定程度的情绪障碍,综合护理干预可明显缓解患者的负性情绪。