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find Author "陈丽坚" 2 results
  • Nursing analysis of 7 cases with Tardive dyskinesia treated by deep brain stimulation

    ObjectiveTo explore the best nursing regimen for patients with severe Tardive dyskinesia (TD) after deep brain stimulation (DBS). MethodsTo analyze the clinical nursing data of 7 patients with TD treated by DBS in our department from January 2018 to August 2019, preoperative assessment of the patient's condition, dyskinesia care, psychological care, preoperative preparation, preoperative guidance, etc. General nursing, observation and nursing of complications, psychological nursing, safety management and rehabilitation training of limb function were carried out after operation discharge to discharge guidance, daily life guidance, DBS device-related education and other post-discharge continuous care to help patients improve quality of life. The changes of TD symptoms were assessed with the abnormal involuntary movement scale -LRB-AIMS, the nursing effect was assessed with the psychiatric nursing observation sc-Nosiee (NOSIE) , and the self-care ability was assessed with the ability of daily livin-ADL- scale (ADL). ResultsAll of the 7 TD patients recovered well after operation, without complications caused by improper nursing, and the TD symptoms were relieved. The AIMS and NOSIE scores were significantly lower at 1 month, 3 months and 1 year after operation than those before operation (P<0.05). The ADL scores were significantly higher than those before operation (P<0.05). ConclusionIn order to treat TD patients with DBS operation, we should pay attention to the pertinent nursing in perioperative period and the continuous nursing after discharge, it is of great significance to relieve the symptoms of involuntary movement, improve the mental state and improve the self-care ability of patients with TD.

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  • 癫痫患者病耻感对社交回避和苦恼影响的研究进展

    癫痫是一种常见的神经系统疾病,其患者往往伴随有焦虑、抑郁、自卑等消极情绪导致了对社交回避和苦恼,产生了较强的病耻感,严重影响其身心健康和生活质量。本文聚焦于癫痫患者这一特殊的社会群体,认真梳理了癫痫患者的病耻感产生的根本原因,详细阐述了病耻感对其生活质量、病情恢复、社会关系等方面的负面影响,分析了病耻感对其社交回避、苦恼的所产生的直接作用;最后,笔者根据前文分析的问题以及原因情况,并结合对癫痫患者的治疗实践,提出了改善癫痫患者社交状况、降低病耻感的具体干预措施,即帮助患者培养良好的自尊和缓解患者心态,以期为提高癫痫患者这一特殊社会群体的社会认可度和生活幸福度提供些许参考。

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