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目的 探讨以患者为中心的优质护理干预在门诊手足口病患儿中的应用。方法 选取该院 2018 年 4 月至 2022 年 4 月门诊收治的手足口病患儿 100 例为研究对象,按照数字表法进行随机分组,分为对 照组及研究组,每组 50 例。对照组接受常规护理,研究组则接受以患者为中心的优质护理干预,对比两组护理 效果。结果 研究组患儿生活质量各维度评分均较对照组高,差异均有统计学意义 (P<0.05)。干预前,两组 患儿家属对手足口病知识掌握度评分、日常卫生保健行为实施情况比较,差异均无统计学意义 (P>0.05);干预 后,研究组患儿家属对手足口病知识掌握度各维度评分及总分、日常卫生保健行为各维度遵从率均较对照组 高,差异均有统计学意义 (P<0.05)。结论 对门诊手足口病患儿运用以患者为中心的优质护理干预,能有效 地改善患儿生活质量,提升患儿家属对手足口病知识掌握度,改善日常卫生保健行为,值得推广。 [ABSTRACT FROM AUTHOR]

Copyright of Journal of Modern Medicine & Health is the property of Journal of Modern Medicine & Health and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective To analyze the existing problems of the hospital logistics service to offer the suggestions through analyzing the satisfactory situation of the medical staffs in the tertiary general hospitals on the hospital logistics service to provide reference for improving the level of logistics support service. Methods The questionnaire survey was conducted among 573 medical staffs randomly extracted from the tertiary general hospitals by using the self-designed logistics service satisfactory questionnaire. Results The average total score of medical staff satisfaction to hospital logistics service was (3.41 ± 1.14) points, moreover the satisfaction to clean keeping and environment greening was the lowest, the average score was (2.65 ± 1.20) points, followed by the sentry management (2.83 ± 1.23) points,and equipment and material procurement (2.95 ± 1.18) points. Conclusion The satisfaction of medical staffs in the tertiary general hospitals to logistics service is not high, and the tertiary general hospital logistics management needs to be improved and perfected from the aspects of auxiliary technology intelligence, process simplification,and supervision strengthening of outsourced services and so on. [ABSTRACT FROM AUTHOR]

Objective To evaluate the value of a torvastatin combined with trimetazidine for increasing the effect and safety in treating the patients with coronary heart disease(CHD). Methods Sixty eight patients with CHD treated by the medication in this hospital from February 2018 to September 2019 served as the study subjects and divided into the study group and reference group by adopting the random lottery method, 34 cases in each group. The study group adopted the atorvastatin combined with trimetazidine treatment on the basis of routine therapy, while the reference group adopted the trimetazidine treatment on the basis of routine therapy. The treatment effect and adverse reactions occurrence situation as well as the left ventricular endsystolic inner diameter, left ventricular ejection fraction and C reactive protein (CRP) before medication and after 3 month treatment in the two groups conducted the statistics. Results The total effective rate in the study group was significantly higher than that in the reference group, and the difference was statistically significant (P<0.05). The occurrence rate of adverse reactions in the study group was lower than that in the reference group, and the difference had no statistical significance(P>0.05). After 3 month treatment, the left ventricular end systolic inner diameter and CRP level in the study group were significantly lower than those before treatment and after 3 month treatment in the reference group, and the differences were statistically significant ( P<0.05), while the left ventricular ejection fraction after 3month treatment in the study group was significantly higher than that before treatment and after 3 month treatment in the reference group, and the differences were statistically significant ( P< 0.05). Conclusion Adopting atorvastatin plus trimetazidine for treating the patients with CHD is helpful to increase the medication effect with less adverse reactions and good medication safety. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Modern Medicine & Health is the property of Journal of Modern Medicine & Health and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

目的观察更换胃管时胃液滴入咽喉致胃食管反流病（GERD)的护理效果。方法选取该院2016年 6月至2017年6月收治的更换胃管时胃液滴入咽喉致GERD患者100例，按不同护理方法分为常规组和综合组，每组 50例。常规组实施常规护理，综合组实施综合护理，对比两组患者护理效果。结果综合组患者护理后GERD问卷评分 [(6.8±2.2)分]明显低于常规组[(11.0±2.4)分]，生活质量指数评定量表评分[(90.5±4.9)分]、患者满意度[98.0%(49/50)]均 明显高于常规组[分别为（78.9±6.8)分、86.0%(43/50)]，差异均有统计学意义（P<0.05)。结论对更换胃管时胃液滴入咽 喉致GERD患者实施综合护理可有效缓解患者临床症状，有助于提升患者生活质量与护理满意度，值得推行。 [ABSTRACT FROM AUTHOR]

目的分析和评价老年顽固性心力衰竭（RHF)患者应用硝普钠联合多巴胺治疗的疗效。方法选取该 院心内科2016年2月至2017年2月收治的老年BHF患者94例作为研究对象，采用随机数字表法分成探究组和对比组， 每组47例。对比组应用常规药物治疗，探究组同时应用硝普钠联合多巴胺治疗，两组患者均连续治疗7 d，对比两组疗 效，并评估两组患者治疗前后心功能改善情况。结果探究组患者总有效率明显高于对比组，两组患者治疗后心率、左 心室射血分数、左心室舒张末直径、左心室短轴缩短率、心胸比率均明显改善，且探究组患者改善效果更优于对比组，差 异均有统计意义（P<0.05)。两组患者均未发生严重不良反应。结论对老年RHF患者采用硝普钠联合多巴胺治疗效果 确切，能更好地改善患者心功能，且安全性较高，具有重要的临床应用价值。 [ABSTRACT FROM AUTHOR]

目的探討綜合訓練對老年血管性癡呆(VD)患者的效果。方法選取2011年12月至2013年12月在該院接受治療的VD患者98例作為研究對象,按照入院編號分為干預組(奇數號)和對照組(偶數號),各49例。對照組接受臨床常規藥物治療,干預組在對照組治療基礎上給予綜合訓練,其中包括日常生活能力(ADL)訓練、認知功能訓練及其他訓練。比較分析兩組患者干預前及干預3、6個月后Barthel指數(BI)、簡易精神狀態量表(MMSE)及長谷川癡呆量表(HDS)等評分情況。結果干預前,兩組患者ADL、MMSE及HDS 3項評分比較,差異均無統計學意義(P>0.05);3、6個月后,干預組ADL、MMSE及HDS評分均明顯高于干預前和對照組,差異均有統計學意義(P<0.05);干預組干預6個月后ADL、MMSE及HDS評分與干預3個月后比較,差異均有統計學意義(P<0.05)。結論綜合訓練能延緩VD患者功能障礙,改善癡呆程度,提高認知功能,改善生存和生活質量,近期療效顯著。 [ABSTRACT FROM AUTHOR]