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find Keyword "干预" 227 results
  • The Influence of Psychological Intervention on Immune Function and Psychological State in Patients Undergoing Chemotherapy after Radical Operation of Colorectal Cancer

    ObjectiveTo study the influence of psychological intervention on the immune function and psychological state in patients undergoing chemotherapy after radical operation of colorectal cancer. MethodSixty-four patients who underwent chemotherapy after eradicative resection of rectal cancer between August 2008 and August 2013 were randomly divided into control group and intervention group. Both the two groups of patients accepted conventional chemotherapy and nursing, while patients in the intervention group were also given psychological intervention. At the beginning of and 8 weeks after the therapy, self-evaluation of anxiety scale and depression self-rating scale were used to determine the psychological state (anxiety and depression) of patients in the two groups, and we evaluated the effect of psychological intervention. At the same time, the immune index and inflammatory cytokines were determined and compared between the two groups. ResultsBefore treatment, patients in both the two groups were accompanied by mild anxiety and depression. After psychological intervention, compared with the control group, anxiety and depression of patients in the intervention group were significantly alleviated (P<0.05). Before chemotherapy, patients in the two groups were not statistically different in the immune factor index (P>0.05). After chemotherapy, compared with the control group, natural killer cells, CD3+, CD4+, CD4+/CD8+, C-reactive protein, immunoglobulin (Ig) G, interleukin (IL)-10 level of the intervention group significantly increased (P<0.05), and IL-6 and tumor necrosis factor alpha expression decreased (P<0.05). CD8+, IgA and IgM were not significantly changed (P>0.05). ConclusionsPsychological intervention can alleviate anxiety and depression and improve the immune function in patients who undergo chemotherapy after radical operation of colorectal cancer, which is an effective auxiliary treatment.

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  • 糖尿病前期人群护理干预对血糖的影响

    目的:探讨护理干预对糖尿病前期人群血糖水平的影响作用。方法: 糖尿病前期患者30例,分析护理干预前与干预后的空腹血糖和餐后2 h血糖值的变化。 结果:护理干预前与干预后血糖值的变化比较有统计学意义(P<0.05)。 结论:护理干预能有效降低糖尿病前期人群的血糖水平。

    Release date:2016-08-26 02:21 Export PDF Favorites Scan
  • The Impact of Comprehensive Nursing Intervention on Negative Emotion of Patients with Brain Tumors Treated with Gamma Knife

    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。

    Release date:2016-09-08 10:04 Export PDF Favorites Scan
  • Pattern of Clinical Ward Round on the Department of Oncology in Hospital

    肿瘤患者常常具有不适应情绪和行为反应,如焦虑、抑郁、悲伤、愤怒、恐惧等。针对这类患者的特征,我们对肿瘤科查房模式进行探讨,旨在缓解患者的不良情绪,提高肿瘤患者的治疗疗效,降低医疗风险。

    Release date:2016-08-26 02:21 Export PDF Favorites Scan
  • A pilot study on the ameliorative effect of "Mom’s Good Mood" on antenatal depression

    Objective To preliminarily assess the ameliorative effect of Mom’s Good Mood (MGM) on the prevalence of antenatal depression based on a pilot study, and to provide evidence for a scale-up study. Methods This study was conducted in Ma’anshan Maternal and Child Health Center as a pilot study of an implementation study conducted in China called the Perinatal Depression Screening and Management (PDSM) program. In 2019, 1 189 participants (gestational week ≤14+6 weeks) were included in the implementation group. Females were recruited in the first trimester and followed up in the second and third trimesters. At each time point, the participants’ depression status was screened by the Edinburgh postpartum depression scale (EPDS), and those who were screened as having depression were provided the MGM intervention. In 2020, 1 708 participants who underwent screening with the EPDS in either the first, second or third trimester at Ma’anshan Maternal and Child Health Center were included in the control group. Mann‒Whitney U test, Chi-square, and multivariate logistic regression analysis were used to compare the EPDS scores and depression prevalence between the control and implementation groups to assess the ameliorative effect of MGM (screening and intervention) on antenatal depression. Results In the first trimester, there were no statistically significant differences in EPDS scores or depression prevalence between the two groups (P>0.05). In the second and third trimesters, both the EPDS scores and depression prevalence of the implementation group were lower than those of the control group (P<0.05). After adjusting for confounders, logistic regression analysis showed that the risks of depression in the implementation group in both the second and third trimesters were lower than those in the control group (ORsecond trimester=0.55, 95%CI 0.37 to 0.81, P=0.003; ORthird trimester=0.51, 95%CI 0.35 to 0.74, P<0.001). Conclusion Implementation of the MGM based on the primary care system can effectively reduce the prevalence of antenatal depression, providing evidence for further scale up.

    Release date:2022-10-25 02:19 Export PDF Favorites Scan
  • Effect of bundle interventions on the cognition of occupational exposure protection and exposure rate among medical staff

    ObjectiveTo study the effect of new bundle interventions on medical staff’s cognition of occupational exposure protection and exposure rate, and provide evidence for reducing medical staff’s occupational exposure.MethodsThe 1 435 medical practitioners in 37 clinical/technical departments of Nanchong Central Hospital were selected as the research objects. Bundle intervention strategies about occupational exposure for whole population and high risk population were implemented, and the medical staff’s cognition of occupational exposure, occurrence of occupational exposure, and post-exposure reporting in 2017 (before intervention) and 2018 (after intervention) were investigated and compared to evaluate the intervention effects.ResultsThe numbers of valid survey forms collected before intervention and after intervention were 1 160 and 1 421, respectively. The total awareness rate increased from 91.10% before intervention to 96.10% after intervention (P<0.001). The exposure rate and average rank of exposure frequency after intervention were lower than those before intervention (10.98% vs. 17.50%, 1 250.74 vs. 1 340.32), the reporting rate of initial exposure after intervention (69.23%) was higher than that before intervention (57.64%), and the differences were all statistically significant (P<0.05).ConclusionThrough gradually implementing the new bundle interventions, medical staff can improve the cognition of occupational exposure, reduce the occurrence of occupational exposure, improve the enthusiasm of reporting, and create a safe atmosphere.

    Release date:2020-04-23 06:56 Export PDF Favorites Scan
  • The preventive effectiveness of air pressure pump combined with the microwave physiotherapy on arm lymphedema after modified radical mastectomy for breast cancer

    Objective To explore the preventive effectiveness of early physiotherapy on arm lymphedema after modified radical mastectomy for breast cancer. Methods A total of 206 patients who underwent modified radical mastectomy for breast cancer in The First Affiliated Hospital of Henan University from June 2014 to June 2016, enrolled in this randomized controlled clinical trial. Then these patients were randomly divided into intervention group and control group equally. Patients in the control group received routine treatment, and the patients in the intervention group began to use the air pressure pump combined with the microwave physiotherapy on the second day after the radical surgery. The incidences of limb lymphedema in 6 months and 1 year after operation between the 2 groups were compared, and the influencing factors of arm lymphedema were explored. Results The clinical data of 195 patients were analyzed at end, including 99 patients of the intervention group and 96 patients of the control group. ① There were statistical significance in the incidences of arm lymphedema in 6 months and 1 year after operation between the 2 groups (P<0.05), that incidences of arm lymphedema in the intervention group were both lower than those of the control group at the2 time points [6 months after operation: 2.0% (2/99)vs. 9.4% (9/96); 1 year after operation: 5.1% (5/99) vs. 17.7% (17/96)]. ② The results of non-conditional logistic regression analysis shown that, age (OR=1.45, P=0.008), tumor location (OR=1.72, P<0.001), TNM stage (OR=2.01, P=0.033), the number of invasive axillary lymph nodes (OR=1.15, P=0.005), and postoperative radiotherapy (OR=1.23, P=0.016) were the influencing factors of arm lymphedema after modified radical mastectomy for breast cancer, patients with age older than 60 years, tumor position at the outside area, stage Ⅲ of TNM, the number of invasive axillary lymph nodes >5, and patients received radiotherapy after operation had high risk of arm lymphedema. Conclusion Early physiotherapy can effectively prevent the occurrence of arm lymphedema after modified radical mastectomy for breast cancer, and early physiotherapy should be performed for patients with high risk of arm lymphedema.

    Release date:2018-02-05 01:53 Export PDF Favorites Scan
  • Miels氏术患者体位对血流动力学影响的研究及护理干预

    目的:通过Miels氏术患者体位对血流动力学影响的研究,明确护理干预的措施。方法:将62例Miels氏术患者由截石位改平卧位及高血压、不同手术时间的患者体位改变时,心功能及血流动力学变化情况进行了比较和统计学处理。结果:62例患者中有45例体位改变时收缩压下降超过2.69 kPa以上,比文献报道高,高血压与手术时间3h以上组患者,除心率较对照组高外,各项心功能指标均下降,血流动力学变化差异有统计学意义。结论:有效的护理干预能预防患者体位改变时血流动力学波动,从而保证患者围手术期安全。

    Release date:2016-09-08 10:04 Export PDF Favorites Scan
  • Standards for reporting interventions in controlled trials of acupuncture:The STRICTA Recommendations

    针刺平行随机对照试验通常没有准确报告试验组和对照组的干预方法.为促进标准化,国际上有经验的针刺医师和研究者组成的小组制定了一些原则,即针刺临床对照试验中干预措施报告的标准(缩写为STRICTA).在征求意见过程中,一些期刊编辑协助对此标准进行了修改,使之与随机对照试验报告的标准(CON-SORT)格式一致,作为该指南对针剌研究报告的延伸.参与此事的杂志编辑已确定要发表该标准,建议其作者群按照此标准准备论文,并将邀请更多杂志采用该标准.目的是使针剌对照试验的干预措施充分报告,从而有利于对这些研究的严格评价、分析及这些措施的推广.

    Release date:2016-09-07 02:29 Export PDF Favorites Scan
  • 糖尿病视网膜病变手术前患者焦虑调查及心理干预效果分析

    目的了解糖尿病视网膜病变患者术前的焦虑状况及对焦虑患者实施心理干预后的效果。 方法对2012年1月-8月36例糖尿病视网膜病变手术患者术前焦虑状况进行调查,并将焦虑自评量表(SAS)评分≥40分的患者随机分为对照组和试验组,对照组采用常规心理护理,试验组采取常规心理护理和专项心理疏导,比较两组术后SAS评分。 结果30例糖尿病视网膜病变患者术前SAS总分≥40分,焦虑率发生率为83.3%。30例患者被随机分为试验组和对照组,每组各15例,两组SAS评分均为40~45分11例,46~50分4例。术前进行心理干预后,试验组患者术后SAS总分<40分9例,40~45分5例,46~50分1例;对照组患者SAS总分<40分3例,40~45分9例,46~50分3例;两组差异有统计学意义(Z=-2.182,P=0.029)。 结论糖尿病视网膜病变手术患者术前行心理干预对减轻术后焦虑是有效的。

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