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目的 探讨基于奥马哈系统的延续护理模式对肝硬化患者负性情绪及生活质量的影响。 方法 收集2019年10月至2022年10月温州医科大学附属第一医院收治的60例肝硬化患者病历资料,按随 机数字表法将其分为对照组和观察组,各30例。对照组采用常规护理方式,观察组则在常规护理的基础上结 合了基于奥马哈系统为框架的延续护理模式,经干预后比较各组患者的心理状态及生活质量。结果 与对照组 比较,奥马哈系统持续护理干预后,观察组患者的生活质量总分及除躯体疼痛外的各项维度的评分均明显增加,差 异均有统计学意义(P<0.01),且心理状态焦虑自评量表(SAS)和抑郁自评量表(SDS) 评分均降低,差异均有统计 学意义(P<0.05)。结论 应用基于奥马哈系统的延续护理模式能够显著减轻肝硬化患者的负性情绪,并且提高 其生活质量。因此,该模式不仅强调了身体层面上的治疗和康复,还注重了心理和社会方面的支持和关怀。 [ABSTRACT FROM AUTHOR]

目的 了解我国患者安全胜任力相关护理研究的现状及发展趋势,分析相关研究热点,为进一 步研究提供参考依据。方法 以万方、中国知网、中国生物医学文献服务系统及维普数据库为数据来源;检索 涉及患者安全胜任力的相关护理研究的文献,检索建库至2022年7月的相关文献,应用SPSS21.0、CiteSpace 软件对文献的数量、年份、期刊、作者、关键词等进行分析。结果 从各数据库共检索到相关文献257篇,经过 去重处理共获得47篇期刊文献,最终纳入文献23篇。文献发表整体呈上升趋势;文献地区分布在14个省份, 其中有15篇文献集中在北京(6篇)、山东(5篇)和上海(4篇),占总发文量51.72%;期刊分布19种,23篇文献 中16篇文献发表于护理期刊占比69.57%,7篇文献发表于其他期刊,占比30.43%;基金资助文献11篇,占 47.82%,其中省级5篇(21.74%),院级或校级7篇(30.43%);23篇文献中,横断面研究最多,共12篇,占总数 的52.17%;关键词分析中共涉及38个关键词,其中出现频率最高的是胜任力,其次是患者安全。将关键词进 行聚类分析,共分为5个聚类,分别是专家会议、护理管理、护士、患者安全胜任力、效度。结论 我国患者安全 胜任力相关的护理研究还处于起步阶段,文献量总体较少,研究大多以横断面研究为主,缺乏符合我国国情的 框架及评估工具。针对患者、患者家属的干预性研究,本土化量表的研制、安全管理评价体系的构建将是今后 的研究方向。 [ABSTRACT FROM AUTHOR]

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Objective To explore the relationship between self-efficacy and cognitive impairment in elderly human immunodeficiency virus (HIV) /acquiredimmune deficiency syndrome (AIDS) patients, so as to provide reference for intervention strategies to improve self-efficacy in elderly HIV/AIDS patients with mild cognitive impairment (MCI) . Methods From January to June 2022,elderly HIV/AIDS patients aged 50 years and above were randomly selected to investigate their basic information, self-efficacy level and cognitive function using the general situation questionnaire, the Scale of Self-Efficacy (GSES) and the Montreal Cognitive Scale (MoCA) . Results A total of 248 elderly HIV/AIDS patients were investigated, the elderly patients with low self-efficacy accounted for 36. 29%,the elderly patients with MCI accounted for 41. 53%,and the elderly patients with low self-efficacy combined with MCI accounted for 34. 68%. Pearson correlation analysis showed that MOCA score was positively correlated with GSES score (r=0. 772,P＜0. 001) . Conclusion The self-efficacy of elderly HIV/AIDS patients is at a medium to low level, and self-efficacy is positively correlated with cognitive function. [ABSTRACT FROM AUTHOR]

Objective To observe the clinical curative effect of spreading medicinal moxibustion in treating chronic pelvic in flammatory disease. Methods Eighty patients with chronic pelvic inflammatory disease were divided into the observation and control groups according to the random number table method, 40 cases in each group. The control group used Guizhi Fuling Capsules. The observation group was added with spreading medicinal moxibustion on the basis of the control group treatment. The syndromes quantization scores before and after treatment and clinical effects were observed in the two groups . Results The syndromes quantization scores after treatment in the two g roups were decreased compared with those before treatment, and the difference was statistically significant (P<0.05) . But the improvement degree of syndromes quantization s cores in the observation group was significantly superior to that in the control group, and the difference was statistically significant (P<0.05). The total effective rate in the observation group was 85. oo% (34/40), which was higher than 75.00% (30/40) in the control group with statistically s ignificant difference (P<0.05). Conclusion The spreading medicinal moxibustion has significant effect in treating chronicpelvic inflammatory disease and can significantly improve the patient's symptoms. [ABSTRACT FROM AUTHOR]

目的 观察麦粒灸治疗慢性湿疹的临床疗效。方法 将80例患者按随机数字表法分为治疗 组40例和对照组40例。对照组口服枸地氯雷他定片,治疗组在对照组的基础上加用麦粒灸治疗。两组治疗 2周为1个疗程,治疗2个疗程,观察两组临床疗效及严重程度指数(EASI评分)、瘙痒评分治疗前后变化。结 果 两组临床疗效、湿疹面积及EASI评分、瘙痒评分比较,差异均有统计学意义(P <0.05)。结论 麦粒灸治 疗慢性湿疹的作用机制可能与调节机体免疫作用有关,其疗效确切,操作简单,无不良反应,值得临床推广。 [ABSTRACT FROM AUTHOR]