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Objective:To investigate efficacy before and after operation of Information-motivation-behavior nursing model in low-temperature plasma tonsillectomy.Methods:A total of 132 cases of tonsillectomy patients admitted to our department of otolaryngology from January 2016 to January 2017 were selected as research objects. All patients were divided into observation group and control group by random number table method, with 66 cases in each group. Cold plasma tonsillectomy was performed in both groups. The control group received routine nursing measures, and the observation group received IMB nursing mode based on the information - motivation - behavioral skills model. The psychological and emotional scores, surgical awareness, behavior and quality of life scores of patients in the two groups were compared.Results:There was no significant difference in Self-rating Anxiety Scale (SAS) and Self-rating Depression Scale (SDS) scores of patients in the observation and control groups before nursing, and SAS and SDS scores of patients in the observation group [SAS (40.56±2.12); SDS (40.56±2.12)] and control group [SAS (50.24±2.14); SDS (47.66±2.57)] were significantly decreased after 1 month of nursing ( t value was13.958, P=0.000), and there were statistically significant differences in the scores between two groups ( t value was 26.106, P=0.000). Before nursing, there was no statistically significant difference in surgical awareness between the two groups, and there was a significant difference in surgical awareness between the observation group (96.97%, 64/66) and control group (84.85%, 56/66) 1 month after nursing ( χ2 value was 16.810, P=0.000), and the observation group was higher than the control group. The scores of the observation group on regular work and rest, taking medicine on time, giving up smoking and drinking, healthy diet, and rehabilitation training (96.12±2.33, 95.72±2.16, 96.96±2.56, 95.68±2.14, 96.45±2.69) were higher than those of the control group (88.42±5.12, 89.86±5.33, 90.13±5.22, 87.61±5.36, 88.19±5.43). There was significant difference in those scores ( t value was 8.278-11.360, P=0.000). After 1 month of nursing, SF-36 scores of patients in the observation group (86.47±6.99) were significantly higher than those in the control group (74.28±7.23) and the difference was statistically significant ( t value was 9.848, P=0.000). Conclusions:Information - motivation - behavior nursing model is helpful to improve the psychological state of patients before and after low-temperature plasma tonsillectomy, and improve the patients′ awareness of the operation and quality of life.
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Objective To investigate and analyze the personality characteristics and situation of mental health in patients with sudden deafness,and discuss the relationship between the two,so as to provide basis for the auxiliary diagnosis and mental health intervention.Methods Eighty-eight patients with sudden deafness(sudden deafness group) were evaluated by Symptom Checklist 90 (SCL-90) and adult Eysenck Personality Questionnaire (EPQ).The survey results were compared with the norm of healthy people (norm group).The correlation analysis was performed between SCL-90 results and EPQ score.Results The SCL-90 total score in sudden deafness group was higher than that in normal group,but there was no significant difference,P>0.05.The scores of somatization,depression,anxiety,panic,psychosis and positive number,positive projects split were (1.58±0.46),(1.71±0.43),(1.59±0.44),(1.38±0.39),(1.46±0.51) scores,(32.65±15.81) nubmers,(2.96±0.65) scores in sudden deafness group,which were higher than those in normal group (1.37±0.48),(1.50±0.59),(1.39±0.43),(1.23±0.41),(1.29±0.42) scores,(24.92±18.14) nubmers,(2.60±0.59) scores,and there were significant differences,t=3.640,2.996,3.855,3.045,3.314,3.562,5.033,P＜0.01.The standard T points of psychotic,neurotic and emotional stability dimensions were (54.63±10.37),(45.59±8.67) scores in sudden deafness group,which were higher than those in normal group (48.14±9.74),(41.27±9.42) scores,and there were significant differences,t=8.207,3.811,P＜0.01.The standard T points of internal and external dimensions,hide were (52.28±11.67),(48.68±8.57) scores in sudden deafness group,which were lower than those in normal group (57.75±8.26),(51.27±10.43) scores,and there were significant differences,t=5.455,2.066,P＜0.01 or 0.05.Neurotic and emotional stability dimension,psychotic part dimension were a positive correlation with SCL-90 factor points.Multi-factor stepwise regression analysis showed that the neurotic or emotional stability were correlated with interpersonal relationship,depression,anxiety,hostility,terror.Conclusions Patients with sudden deafness overall mental health status is poorer,the somatization,depression,anxiety,terror,psychoticism of various factors on negative emotions is more obvious.Sudden deafness patients have emotional instability and psychotic personality characteristics.The personality characteristics of sudden deafness patients have a correlation with the mental health.In the process of comprehensive treatment for patients with sudden hearing loss,individual psychological health intervention is necessary.
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Objective:To investiate biological properties of Mesenchymal stem cell(BMSC) from rat bone marrow in vitro,and their effects in inducing immune tolerance.Methods:BMSCs were obtained from rat bone marrow by density gradient centrifugation and selected by cell attachment.The morphology of BMSCs was observed by electron microscope.The expression of surface molecules of CD34 and CD44 was analyzed by flow cytometry.The cells were injected ex vivo intravenously after in vitro culture and then CD4+ CD25+ Treg ratio were determined.The proliferation of thymic cells was estimated by 3H-TdR incorporation method.Results:BMSCs were fibroblast-like cells.The expression ratio of CD44 in BMSCs was 98%,but expression of CD34 was negative.After administration of BMSCs,the ratio of CD4+CD25+Treg(2.5%?0.69%) from peripheral blood of rats was higher than in normal group(0.8%?0.14%) and PBS control group(1.0%?0.23%),P