ABSTRACT
Objective:To understand the status of life quality, resilience and disability acceptance of burn patients, and to explore the impact of mental resilience and disability acceptance on the quality of life.Methods:Connor-Davidson Resilience Scale (CD-RISC), Acceptance of Disability Scale (ADS) and Burn Specific Health Scale-Brief (BSHS-B) were used to carry out questionnaire survey for a total of 315 burned patients who were in rehabilitation phase.Results:For burned patients, the total score of resilience was 57.12±14.34, the total score of disability acceptance was 78.20 ±9.99, and the total score of quality of life was 128.29 ±37.26. The correlation analysis showed that the total score of resilience was positively correlated with quality of life for burned patients ( r value was 0.646, P<0.01); the total score of disability acceptance was positively correlated with the total score of quality of life for burned patients ( r value was 0.846, P < 0.01). Multiple stepwise regression showed that the total score of disability acceptance, severity of burn, sleep state, ability and endurance of negative emotions were the main predictors of the quality of life for burned patients. Conclusions:Great attention should be paid to the quality of life of burned patients, and psychological problems of high-risk patients should be found as soon as possible and reasonable intervention should be given to improve the resilience and disability acceptance of patients, so as to improve their quality of life.
ABSTRACT
Objective To discuss the clinical prevention effects of chinese medicine tea bag on calcium oxalate calculus with urinary passage.Methods Calcium oxalate calculus with urinary passage patients were told the differentiation of symptoms and signs for classification of syndrome,choosing humid heat model、qi-stagnancy and blood stasis model、renal deficiency model with 120 patients in each group.Every model was divided into the experiment group and the control group with 60 patients in each group.We examined the rate of calculus recidivation withsonography.the urine levels of calcium,phosphonium,uric acid,ethanedioic acid after six months and one years.Results The rate of calculus recidivation at 6 months:humid heat model:the experiment group 7.55%(4/53),the control group 16.33%(8/49);qi-stagnancy and blood stasis model:the experiment group 3.57%(2/56),the controlgroup 12.09%(7/58);renal deficiency model:the experiment group 4.26%(2/47),the control group 9.30%(4/43);the total rate of calculus recidivation of the experiment group was 5.13%,while the control group was 12.67%,it had statistical significance(x2=4.60,P＜0.05).The rate of calculus recidivation at 1 year:humid heat model:the experiment group 15.69%(8/51),the control group 28.26%(13/46);qi-stagnancy and blood stasis model:the experiment group 9.26%(5/54),the control group 20 69%(12/58);renal deficiency model:the experiment group 9.10%(4/44),the control group 23.69%(9/38);the total rate of calculus recidivation of the experiment group was 11.41%,while the control group was 23.94%,it had statistical significance(x2=7.90,P＜0.05).In same model,the experiment group were significantly more different than those in control group at same time point(t=3.32,3.96,2.23,2.96,5.05,2.56,3.44,3.74,3.03,3.85,3.01,3.86,P＜0.01,P＜0.05).Conclusion Chinese medicine had preventive effect on calcium oxalate calculus with urinary passage,which worth to further study.
ABSTRACT
Objective To investigate the effect of intraurethral irrigation with honeysuckle water-decoction on formation of bacterial biofilm on the surface of the catheter. Methods Eighty male patients,who had no history of catheterization and no urinary infection with negative results of urine bacterial culture,were enrolled in the study. All patients were randomly divided into 4 groups with 20 cases in each: group A (patients underwent intraurethral irrigation with honeysuckle water-decoction); group B (intraurethral irrigation with 25% PVP); group C (intraurethral irrigation with normal saline ) and group D (no intraurethral irrigation). The urethral catheters were removed at the 7th day and the bacterial biofilm on the surface of the catheter was examined by scanning electron microscopy (SEM). Results SEM demonstrated uneven- distributed matrixes coated on the surface of the catheter, and bacteria adhered to the matrixes. The average thickness of biofilm in group A, B, C and D was (17.876 ±11.788)μn, (31.090±15. 006)μm,(33.716±11.927)μm, (67.762±23.588)μm, respectively. The average thickness of biofilm in group A, B, C was significantly thinner than that in group D (P<0.01), and the thickness in group A was thinner than that in group B and C (P<0.01), but there was no significance difference between group B and group C (P>0.01). Conclusions Intraurethral irrigation with honeysuckle water-decoction can effectively reduce the formation of bacterial biofilm on the surface of the catheter.