简介: 摘要:目的:对临终关怀护理措施在老年病房临终患者护理工作中的实践应用进行了分析探究。方法:以我院老年病房在 2017年 1月至 2019年 1月间收治的 30例老年临终患者为研究对象,之后在分析汇总其常规资料的基础上将其分成了实验及对照两组,每组各 15例患者。对照组内患者采用的是常规护理措施,而实验组内患者则在常规护理措施的基础上增加了临终关怀护理项目。 30例患者的护理周期均为 3个月,之后对患者的抑郁与焦虑评分及患者家属对护理工作的满意度进行了分析对比。结果:待护理完成后,两组患者的抑郁与焦虑评分与护理前相比均显著较低( P<0.05)。护理完成后,实验组内患者的抑郁和焦虑评分变化情况比对照组更为明显,结论具有显著统计学差异( P<0.05)。护理完成后,实验组内患者家属的满意度同样显著优于对照组( P<0.05)。结论:临终关怀护理措施在老年病房临终患者护理工作中的应用实践有助于降低患者的焦虑和抑郁评分,且本研究中涉及到的管理措施及经验值得进一步推广。 关键词:临终关怀护理 ;老年病房 ;临终患者 ;护理实践 Abstract: Objective: to analyze and explore the practical application of hospice care measures in the hospice care of elderly patients. Methods: 30 cases of elderly dying patients admitted to the geriatric ward of our hospital from January 2017 to January 2019 were taken as the research objects. Then, on the basis of analyzing and summarizing their routine data, they were divided into two groups: experimental group and control group, with 15 patients in each group. The patients in the control group adopted the routine nursing measures, while the patients in the experimental group increased the hospice care items on the basis of the routine nursing measures. The nursing cycle of 30 patients was 3 months, and then the depression and anxiety scores of patients and the satisfaction of patients' families with nursing work were analyzed and compared. Results: after the completion of nursing, the scores of depression and anxiety in the two groups were significantly lower than those before nursing (P < 0.05). After the completion of nursing, the changes of depression and anxiety scores in the experimental group were more significant than those in the control group, and the conclusion was statistically significant (P < 0.05). After nursing, the satisfaction of the family members of the patients in the experimental group was also significantly better than that in the control group (P < 0.05). Conclusion: the application of hospice nursing measures in the nursing work of the terminal patients in the geriatric ward is helpful to reduce the anxiety and depression scores of the patients, and the management measures and experience involved in this study are worthy of further promotion.
简介: 摘要:目的:对临终关怀护理措施在老年病房临终患者护理工作中的实践应用进行了分析探究。方法:以我院老年病房在 2017年 1月至 2019年 1月间收治的 30例老年临终患者为研究对象,之后在分析汇总其常规资料的基础上将其分成了实验及对照两组,每组各 15例患者。对照组内患者采用的是常规护理措施,而实验组内患者则在常规护理措施的基础上增加了临终关怀护理项目。 30例患者的护理周期均为 3个月,之后对患者的抑郁与焦虑评分及患者家属对护理工作的满意度进行了分析对比。结果:待护理完成后,两组患者的抑郁与焦虑评分与护理前相比均显著较低( P<0.05)。护理完成后,实验组内患者的抑郁和焦虑评分变化情况比对照组更为明显,结论具有显著统计学差异( P<0.05)。护理完成后,实验组内患者家属的满意度同样显著优于对照组( P<0.05)。结论:临终关怀护理措施在老年病房临终患者护理工作中的应用实践有助于降低患者的焦虑和抑郁评分,且本研究中涉及到的管理措施及经验值得进一步推广。 关键词:临终关怀护理 ;老年病房 ;临终患者 ;护理实践 Abstract: Objective: to analyze and explore the practical application of hospice care measures in the hospice care of elderly patients. Methods: 30 cases of elderly dying patients admitted to the geriatric ward of our hospital from January 2017 to January 2019 were taken as the research objects. Then, on the basis of analyzing and summarizing their routine data, they were divided into two groups: experimental group and control group, with 15 patients in each group. The patients in the control group adopted the routine nursing measures, while the patients in the experimental group increased the hospice care items on the basis of the routine nursing measures. The nursing cycle of 30 patients was 3 months, and then the depression and anxiety scores of patients and the satisfaction of patients' families with nursing work were analyzed and compared. Results: after the completion of nursing, the scores of depression and anxiety in the two groups were significantly lower than those before nursing (P < 0.05). After the completion of nursing, the changes of depression and anxiety scores in the experimental group were more significant than those in the control group, and the conclusion was statistically significant (P < 0.05). After nursing, the satisfaction of the family members of the patients in the experimental group was also significantly better than that in the control group (P < 0.05). Conclusion: the application of hospice nursing measures in the nursing work of the terminal patients in the geriatric ward is helpful to reduce the anxiety and depression scores of the patients, and the management measures and experience involved in this study are worthy of further promotion.
简介: 摘要:目的:对临终关怀护理措施在老年病房临终患者护理工作中的实践应用进行了分析探究。方法:以我院老年病房在 2017年 1月至 2019年 1月间收治的 30例老年临终患者为研究对象,之后在分析汇总其常规资料的基础上将其分成了实验及对照两组,每组各 15例患者。对照组内患者采用的是常规护理措施,而实验组内患者则在常规护理措施的基础上增加了临终关怀护理项目。 30例患者的护理周期均为 3个月,之后对患者的抑郁与焦虑评分及患者家属对护理工作的满意度进行了分析对比。结果:待护理完成后,两组患者的抑郁与焦虑评分与护理前相比均显著较低( P<0.05)。护理完成后,实验组内患者的抑郁和焦虑评分变化情况比对照组更为明显,结论具有显著统计学差异( P<0.05)。护理完成后,实验组内患者家属的满意度同样显著优于对照组( P<0.05)。结论:临终关怀护理措施在老年病房临终患者护理工作中的应用实践有助于降低患者的焦虑和抑郁评分,且本研究中涉及到的管理措施及经验值得进一步推广。 关键词:临终关怀护理 ;老年病房 ;临终患者 ;护理实践 Abstract: Objective: to analyze and explore the practical application of hospice care measures in the hospice care of elderly patients. Methods: 30 cases of elderly dying patients admitted to the geriatric ward of our hospital from January 2017 to January 2019 were taken as the research objects. Then, on the basis of analyzing and summarizing their routine data, they were divided into two groups: experimental group and control group, with 15 patients in each group. The patients in the control group adopted the routine nursing measures, while the patients in the experimental group increased the hospice care items on the basis of the routine nursing measures. The nursing cycle of 30 patients was 3 months, and then the depression and anxiety scores of patients and the satisfaction of patients' families with nursing work were analyzed and compared. Results: after the completion of nursing, the scores of depression and anxiety in the two groups were significantly lower than those before nursing (P < 0.05). After the completion of nursing, the changes of depression and anxiety scores in the experimental group were more significant than those in the control group, and the conclusion was statistically significant (P < 0.05). After nursing, the satisfaction of the family members of the patients in the experimental group was also significantly better than that in the control group (P < 0.05). Conclusion: the application of hospice nursing measures in the nursing work of the terminal patients in the geriatric ward is helpful to reduce the anxiety and depression scores of the patients, and the management measures and experience involved in this study are worthy of further promotion.
简介:摘要目的建立并验证基于MRI征象和影像组学的列线图鉴别腮腺良性与恶性肿瘤的效能。方法回顾性收集2015年1月至2020年5月青岛大学附属医院86例经手术病理证实的腮腺肿瘤患者为训练集,收集2013年1月至2020年1月香港大学深圳医院35例患者为独立外部验证集。采用logistic回归基于临床及MRI征象建立临床诊断模型。基于术前平扫T1WI和预饱和脂肪抑制T2WI(fs-T2WI)进行影像组学特征提取,建立影像组学诊断模型。基于影像组学评分及临床诊断模型,通过logistic回归建立影像组学+临床联合诊断模型及列线图。采用受试者操作特征(ROC)曲线评价各模型诊断腮腺良性与恶性肿瘤的效能,ROC曲线下面积(AUC)的比较采用DeLong检验。结果Logistic回归结果显示,腮腺深叶受累(OR值为3.285,P=0.040)和周围组织结构侵犯(OR值为15.919,P=0.013)是腮腺恶性肿瘤的独立影响因素,将二者构建临床诊断模型。基于平扫T1WI和fs-T2WI,共提取19个特征构建影像组学诊断模型。联合影像组学评分以及腮腺深叶受累、周围组织结构侵犯2个常规影像学特征建立联合诊断模型及列线图。临床诊断模型、影像组学诊断模型、联合诊断模型在训练集和验证集中诊断腮腺良性与恶性肿瘤的AUC分别为0.758、0.951、0.953和0.752、0.941、0.964。在训练集和验证集中,影像组学诊断模型、联合诊断模型的AUC均高于临床诊断模型(训练集:Z=3.95、4.31,P均<0.001;验证集:Z=2.16、2.67,P=0.031、0.008),影像组学诊断模型、联合诊断模型间AUC差异无统计学意义(训练集:Z=0.39,P=0.697;验证集:Z=1.10,P=0.273)。结论本研究所建立的MRI影像组学模型以及由腮腺深叶受累、周围组织结构侵犯、MRI影像组学特征组成的联合诊断模型,能有效鉴别腮腺良恶性肿瘤,具有较高的预测效能。