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简介:摘要:目的:采用优质护理策略对产科患者进行护理,帮助其顺利度过分娩过程,提升整个过程的舒适度和满意度。方法:选取2019年1月至2019年10月于本院分娩的180例孕妇作为研究对象,根据护理方式的不同将其分成两组,每组90例,对照组采用常规护理措施,观察组则采用优质护理措施,比较两组产妇的护理效果[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、护理满意度。结果:观察组产妇的SAS、SDS评分分别为(29.15±2.27)分和(27.63±3.12)分,对照组分别为(33.25±2.44)分和(32.26±2.55)分,组间对比差异均有统计学意义(P
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简介:BackgroundVocalcordmovementdisorder(VCMD)isalaryngealdisordercharacterizedbyparadoxicaladductionofthevocalcordsduringininspiration,expirationorboth.ThenursingexperienceofpatientswithVCMDafteraorticdissectionsurgeryislimited.MethodsWeretrospectivelyanalyzedtheclinicaldataandnursingrecordsof269patientsafteraorticdissectionsurgeryinGuangdongGeneralHospitalbetweenMay2010andMay2012.Weobservedthepatients’pronunciation,andjudgediftherewasdysphagiaundergoingwaterdrinkingtesttwohoursafterextubation,toconfirmwhetherpatientshadVCMD.ResultsSeventeenpatientshadVCMDafteraorticdissectionsurgery,ofwhom2sufferedhoarseness,3haddysphasiaand12hadbothhoarsenessanddysphasia.Aftertimelytreatmentandcarefullynursing,allthepatientsrecoveredwell.ConclusionsWiththeenhancedcareofpatientswithaorticdissection,observinghoarsenessappearanceanddrinkingexperimentimmediatelyafterextubationcandetectVCMDassoonaspossible.Furtherrehabilitationtrainingandpsychologycarecanpreventbuckingandaspirationeffectively,andpromotingrecoveryandimprovingpatient’slifequality.
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简介:胆囊疾病在发达国家是很普通的。复杂胆石疾病代表外科定期为被倡导的胆汁的混乱最经常。关于,胆囊炎代表普通腹的外科的干预;它能作为选任的干预或紧急情况外科被执行,在坏疽,穿孔,腹膜炎或败血的情况中。现在,laparoscopic途径被喜欢甚于开的剖腹术。全球性,众多的胆囊炎每天被执行;然而,小证据都不关于对跟随这些干预的生活(QOL)的surgical以后质量的评价存在。为了估计胆囊炎以后的QOL,事实上,高质量的照顾的文档服从于报导病人的结果满足的扩大讨论,和使用因为优秀改进被倡导几年了。然而,几乎没有很少研究,关于跟随胆囊炎的QOL结果出版;另外,许多当前的文学在以病人为中心的结果上缺乏系统的数据。然后,尽管几个工具被用来在胆囊炎以后测量QOL,困难留在选择有意义的参数以便获得可再现的数据反映手术后的QOL。这研究的目的是在QOL上为胆囊疾病考察外科的影响。这评论在QOL后面的胆囊炎上包括当前的文学的Medline搜索。大多数研究证明征兆的病人比收到选任的干预的病人从外科更获利。因此,在没有症状的外科,和病人少些获利或可以甚至在QOL有减小以前,在QOL的获得取决于一般条件。
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简介:SincetheimplementationofthenewlyrevisedLawonProtectionoftheRightsandInterestsoftheElderly,thesocietyhasattachedcontinuousconcerntothefeasibility,andlegalandethicalboundariesoftheclauseofchildren'visitinghomeoften'.Howtosupportfamily-basedseniornursinghasbecomeanimportantareafordiscussion.
简介:INTRODUCTIONPulmonaryarteriovenousfistula(PAVF)isararecongenitalpulmonaryvascularmalformationwiththeincidenceof2-3/100,000.Itistheabnormalcommunicationbetweenthepulmonaryarteryandpulmonaryvein.Theclinicalmanifestationsofthisdiseasearevarioussothatitiseasytobemisdiagnosed1.Atpresent,DSAisthegoldstandardforthediagnosisof
简介:Whenwetrytoestimatefutureenvironmentalcostsresultingfromourcurrenteconomicactivities,weusuallycalculatethepresentvalueoftheconsequencesforourfuturegenerationsbyutilizingadiscountrateasastandardeconomicprocedure.Thepopularityofthisprocedureissolelysupportedbyitssimplicitywhichassumes:(1)aperfectfinancialmarketovereven100years,and(2)existenceofastabletimepreferencebetweentwoconsecutiveperiodsforanindividualconsumer.Anapparentdeficiencyofthisapproachisthatthepresentvalueoflifequalityoffuturegenerationsvariestoalargeextentalonganarbitrarilychosendiscountrate.Asamatteroffact,thediscountrate,whichcouldreflectthetimepreferenceas2%or5%,matterswhenwepredictcurrentstrategiesofenvironmentalprotectionforfuturegenerations.Simplyapplyingadiscountratetoevaluatethequalityofourfuturegeneration,withoutclarifyingtheactualproductionmechanismbehindthis,isalmosttothesameasignoringthefactthatallofthegoodsareproducedthroughanactualproductionprocessandthatenvironmentaldegradationreducestheefficiencyofthatprocess.Thegreatestconcernforourfuturegenerationsshouldnotbegivenbyanassumeddiscountrate,sincethediscountrateitselfisdeterminedbyfinancialmarketconditionsatcertainpointsintime.