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find Author "吴琳娜" 8 results
  • 成年女性子宫肌瘤患病率的多因素分析

    目的探讨生育期及绝经前期女性年龄、体质量指数(body mass index,BMI)、腰围、腰臀比与子宫肌瘤的关系。方法采用回顾性分析方法,对 2015 年 1 月—12 月在四川大学华西医院健康管理中心进行健康检查的 41 977 例资料完整的 21~50 岁女性的年龄、BMI、腰围、腰臀比及子宫肌瘤情况进行分析。结果41 977 例体检者中,共检查出子宫肌瘤 3 946 例,患病率为 9.40%。随着年龄的增大,子宫肌瘤患病率逐步增加,31~40 岁组和 41~50 岁组子宫肌瘤患病率(7.05%、19.12%)高于 21~30 岁组(1.24%),差异有统计学意义(P<0.05);41~50 岁组子宫肌瘤患病率最高,与其他 2 个年龄组比较差异有统计学意义(P<0.05)。体质量正常组、超重组、肥胖组子宫肌瘤的患病率(9.57%、12.44%、9.97%)均高于消瘦组(4.59%),差异有统计学意义(P<0.05);超重组子宫肌瘤患病率最高,与其他 3 个组比较差异有统计学意义(P<0.05)。腹型肥胖组子宫肌瘤的患病率高于非腹型肥胖组,差异有统计学意义(P<0.05)。多项 logistic 回归分析显示,年龄(OR=4.097,P<0.001)、腰臀比(OR=4.447,P=0.014)是子宫肌瘤患病的危险因素。结论生育期及绝经前期的女性随着年龄的增大,子宫肌瘤患病率逐步增加,腰臀比的升高可使发生子宫肌瘤的危险性增加,腹型肥胖为子宫肌瘤的重要危险因素。通过改变生活方式及饮食习惯,保持体质量和腰臀比在正常范围,可有效预防子宫肌瘤的发生。

    Release date:2017-02-22 03:47 Export PDF Favorites Scan
  • Investigation of Awareness and Requirements of Care in the Elderly with Chronic Diseases in Community

    目的 了解成都市社区老年慢性病患者对关爱的感知和需求,为更好地关爱老年慢性病患者提供依据。 方法 于2011年8月-10月采用随机抽样和问卷调查的方法,对成都市玉林社区、二仙桥社区、草堂街社区和驷马桥社区的180名老年慢性病患者的关爱感知和需求进行调查,并根据调查结果提出相应对策。 结果 180例老年慢性病患者中有98.89%能感受到关爱,1.11%自觉缺乏关爱;感知到的关爱主要来源于家庭成员,占91.01%,其次来源于亲戚朋友和邻居,占7.87%,最少来源于单位同事,占1.12%。关爱需求主要为家人团聚、关心体贴、尊重理解、日常照顾和心理情感支持、帮助解决困难、给予经济资助、提供情感支持等;护理关爱需求以尊重理解排在首位,其次是慢性病日常护理、慢性病的防治、老年保健和慢性病基本知识等。 结论 加强对社区卫生服务人员的能力培训,强化尊老爱老家庭氛围和社会风气,提高老年慢性病患者的关爱感知,有效地为老年慢性病患者提供关爱,更好地促进他们的健康。

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  • Enhancing Nurse′s Satisfaction by Improving the Quality of Nursing Services

    【摘要】 目的 总结开展“优质护理服务示范工程活动”以来,护士满意度提高的原因与经验。 方法 分别于2010年1月和11月采用一般情况调查表及明尼苏达工作满意度问卷短式量表调查干部/老年科的护士在开展“优质护理服务示范工程活动”前后的工作满意度。 结果 开展“优质护理服务示范工程活动”1年以来,护士的内在满意度上升了35.27%,外在满意度上升了29.25%,一般满意度上升了27%。 结论 干部/老年科通过提高护士对各岗位的价值与责任的认可,科学规划护士的职业生涯,完善科室文化建设、薪酬与激励机制使护士的职业成就感、自身价值满意度均有不同程度提高。【Abstract】 Objective To summarize the reasons and experience of enhancing nurse′s satisfaction after improving the “high-quality nursing services”. Methods A general questionnaire and Minnesota Satisfaction Questionnaire (MSQ) were used to investigate satisfactions of nurses working at the senior leader/ person′s wards before and after improving the activity on “high-quality nursing service”. Results One year later, the inner satisfactions of participates increased 35.27%, the outer satisfactions increased 29.25%, and the general satisfactions increased 27%. Conclusion Nurse′s professional achievability and the satisfaction on self-value increase after enhancing professional value and responsibility of nurse, planning reasonably professional career of nurse, and perfecting culture construction, and the salary and encourage mechanism.

    Release date:2016-09-08 09:27 Export PDF Favorites Scan
  • Depression in Geratic Malignant Tumor Patient: the State and Nursing Management

    【摘要】 目的 了解老年恶性肿瘤患者的抑郁状况及引起抑郁的因素,并针对抑郁的主要因素制定多层次、全方位、科学的护理干预措施,改善老年恶性肿瘤患者的抑郁心理,提高其生活质量。 方法 对2009年12月-2010年4月183例老年恶性肿瘤患者分别应用一般资料调查表和 Brink的老年抑郁量表(GDS)进行调查。从文化程度,疾病认识程度,对社会、家庭支持的满意度,付费方式等方面进行了比较和分析。 结果 老年恶性肿瘤患者的抑郁患病率为80.87%。明显高于一般老年人及老年慢性病患者;而不同文化程度、对疾病认知程度、患者对社会、家庭支持的满意度与抑郁情绪的发生有一定的关系(Plt;0.05)。 结论 护理人员需加强对患者的疾病知识的健康教育,努力提高患者的社会支持满意度,以减轻患者的抑郁情绪。【Abstract】 Objective To explore the state and the etiology of depression in patients with geratic malignant tumor, and to develop the global and scientific nursing management for patient with geratic malignant tumor, and improve the patients′ depression and life quality. Methods A total of 183 patients with geratic malignant tumor from December 2009 to April 2010 were investigated by questionnaire survey with Brink′s geratic-depression-scale (GDS). The education level, disease′s awareness level, satisfaction level for family and scocial supports, and the payment mode were analyzed. Results Depressive prevalence in malignant tumor patients (80.87%) was much higher than that in the normal elder people (10%-15%) and in the patients with chronic disease (31.0%). Different education level, disease′s awareness level, satisfaction level for family and social supports were related to the depressive prevalence (Plt;0.05).  Conclusion Nursing faculty should enhance the health education to the patients with geratic malignant tumor, increase the satisfaction for social support and decrease their depression.

    Release date:2016-09-08 09:52 Export PDF Favorites Scan
  • 良好交流对减少老年护患纠纷的作用分析

    目的:增强老年患者对护理的信任度,提高护理满意率,亲和护患关系,减少护患纠纷的发生。方法:规范护理服务用语,注意服务细节,主动与危、急、重患者及其家属沟通交流,同时加强护士的自身素质培养。结果:满意度呈直线上升。结论:良好的交流有助密切护患关系,减少老年护患纠纷。

    Release date:2016-09-08 09:54 Export PDF Favorites Scan
  • 老年科职业陪护现状分析及应对对策

    目的:分析老年科职业陪护现状,探索完善职业陪护的管理之路。方法:采用自行设计的问卷调查表随机对100名老年患者及其职业陪护进行调查。结果:63.0%的患者因情感需求而选择职业陪护,对职业陪护大多比较认同,但对职业陪护的满意率仅40%。结论:职业陪护符合老年患者实际需求,但必须加大专职陪护的综合素质培训力度,提高职业陪护管理效能。

    Release date:2016-09-08 10:01 Export PDF Favorites Scan
  • DDD versus AAI Pacemakers for Sick Sinus Syndrome: A Systematic Review

    Objective To evaluate the effectiveness and safety of AAI pacing mode versus DDD pacing mode for treating sick sinus syndrome (SSS). Methods We electronically searched CENTRAL (Issue 2, 2009), MEDLINE (1980 to June 2009), EMbase (1980 to June 2009) and CBM (1990 to June 2009). Randomized controlled trials (RCTs), quasi- RCTs and cross-over studies were identified and assessed, and then RevMan 5.0 software was used to perform metaanalysis. Results A total of 509 patients of six parallel and two crossover RCTs were identified, and the quality of reporting was found poor. Studies showed a statistically significant preference to AAI pacing mode for the reduction of left atrial diameter (MD=2.09, 95%CI 0.22 to 3.97), left ventricular end-diastolic diameter (MD=3.00, 95%CI –1.58 to 7.58), the prevention atrial fibrillation (P=0.026) and the improvement of life quality (Plt;0.05), but with more replacement or remodulation. Non-significant preference was shown to the prevention of all-cause mortality (P=0.51), cardiovascular mortality (P=0.43), stroke (P=0.32) and heart failure (P=0.17), the reduction of left ventricular end-systolic diameter (MD=1.21, 95%CI –0.85 to 3.28) and left ventricular ejection fraction (MD= –2.91, 95%CI –6.53 to 0.70). No significant adverse effects were reported. Conclusion The review shows a trend towards AAI pacing mode compared with DDD pacing mode in terms of effectiveness. However, because of the high bias risk of the included trials, the evidence is insufficient, so more large-sample and high-quality RCTs are needed.

    Release date:2016-09-07 11:23 Export PDF Favorites Scan
  • 健康管理中心手卫生调查与干预效果分析研究

    目的调查健康管理中心医务人员在采取干预措施前后手卫生改善情况。 方法2015年6月对四川大学华西医院健康管理中心医务人员进行问卷考核及现场观察,并根据结果采取相应的干预方法;持续干预6个月后,采用相同方法对相同人员再次进行问卷考核及现场观察,以了解干预后健康管理中心医务人员手卫生改善情况。 结果干预后,健康管理中心医务人员的手卫生知识考核平均得分由(93.77±5.52)分提高至(98.38±2.77)分(P<0.05),手卫生依从率由33.80%提高至78.87%(P<0.05),手卫生正确率由52.11%提高至88.73%(P<0.05)。 结论对医务人员的手卫生干预,能有效提高手卫生依从性,对降低医院感染起到积极作用。

    Release date:2016-12-27 11:09 Export PDF Favorites Scan
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