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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。

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。

克莱恩-莱文综合征的护理一例

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。

男性儿童乳腺癌二次手术的护理一例

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.

心理干预对老年患者冠状动脉造影依从性的影响

探讨心理干预对老年患者冠状动脉造影依从性的影响。方法:对77例冠状动脉造影的老年患者检查前作问卷调查和心理评估,针对存在的问题,提供相应的心理干预措施,观察患者检查配合的依从性。结果:77例冠状动脉造影检查前均有不同程度的紧张、焦虑、抗拒和因不了解检查知识而害怕,通过护士对患者提供相关知识并耐心做好心理疏导和沟通,100%患者均能接受和完成检查。结论:适当的心理支持对提高老年患者冠状动脉造影检查的依从性有重要意义。

The Anxiety Status and Related Factors of H1N1 Patients at the Influenza Peak of Fever Clinics

【摘要】　目的　了解甲型H1N1流感发热病区门诊就诊高峰期患者焦虑状况及相关因素，采取针对性护理措施减轻患者焦虑情绪。　方法　2009年11月上旬-12月上旬采用一般资料调查和Zung′s焦虑自评量表（SAS）对219例患者进行调查分析。　结果　219例患者SAS平均分为（33.70±8.60）分，其中17例SAS总分≥50分，存在焦虑情绪，发生率7.76%。多元回归分析结果显示，在年龄、性别、城乡差异、发热程度等因素中，与焦虑症状有关的主要因素为年龄和发热程度。　结论　甲型H1N1流感发热病区门诊就诊高峰期患者焦虑情绪明显高于常模，应引起重视，在门诊工作中加强心理护理，减轻和尽力消除患者的焦虑情绪，以免对病情产生不利影响，不利于控制流感疫情。【Abstract】　Objective　To investigate the anxiety status and related factors of H1N1 patients at influenza peak of fever clinics,and to take specific measures to reduce anxiety in patients.　Methods　The general information and Zung′s self rating anxiety scale (SAS) were taken to analyze 219 patients from early November to early December 2009.　Results　The average SAS score of the 219 patients was 33.70±8.60, in which there were 17 patients (7.76%) with total scores ≥ 50 and anxiety. Multiple regression analysis showed that the age and temperature were related factors among age, gender, urban-rural differences, and fever.　Conclusion　The survey suggests that the pafients at the H1N1 influenza peak of fever clinics are significantly more anxious than normal anxiety. Out-patient work should strengthen psychological care to reduce and try to eliminate the anxiety of patients, in order to avoid adverse impact which is not conducive to control influenza outbreaks.

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。

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.