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Objective:To explore the Application value of hospital-community-family integrated service in nursing management of children with bronchial asthma.Methods:From December 2018 to February 2019 in Haikou Hospital Affiliated to Xiangya Medical College of Central South University, 90 children with asthma were selected and divided into control group (45 cases) and observation group (45 cases) according to random digital table method. The patients in the control group received routine hospitalization diagnosis and health education, while the patients in the observation group received integrated management services of family type medical care. Six months after the intervention, the clinical efficacy, the number of acute attacks, psychological state, quality of life, length of stay and cost of the two groups were compared.Results:The total effective rate of the observation group (95.56%, 43/45) was significantly higher than that of the control group (82.22%, 37/45), the difference was statistically significant ( χ2 value was 4.050, P<0.05). The times of acute attack, the times of readmission, the time of hospitalization and the expenses of the children in the observation group were (7.36±2.19) times, (4.22±1.78) times, (13.89±4.32) d, (3 023.83±219.76) yuan respectively, which were significantly lower than those in the control group (12.03±3.98) times, (7.03±2.43) times, (21.73±5.32) d, (5 032.33±324.23) yuan, and the difference was statistically significant ( t values were 6.258-34.381, P<0.01). The scores of Self-rating Anxiety Scale (31.23±4.84) and Self-rating Depression Scale (37.62±2.61) in the observation group were significantly lower than those in the control group (36.11±2.72, (43.27 ± 2.94), the difference was statistically significant( t values were 5.896, 9.641, P < 0.01). The scores of symptom (6.50±1.63), emotion and activity(6.33±1.02), quality of life (6.54±0.98) in the observation group were significantly higher than those in the control group (5.77±1.55, 5.45±0.98, 5.78±0.67), the differences were statistically significant ( t values were - 2.177, - 4.173, - 4.295, P < 0.05 or 0.01). Conclusions:The application of hospital-community-family integrated care service in the nursing management of children with bronchial diseases can effectively improve the clinical therapeutic effect, reduce the number of acute episodes and hospitalization time, improve the psychological status and quality of life of children, which is worthy of wide clinical promotion.
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OBJECTIVE： To analyze chemical components as coumarin in Saposhnikovia divaricata， and to provide reference for comprehensive analysis of pharmacodynamic material base in S. divaricata. METHODS： UPLC-Q-TOF-MS method was adopted. Chromatographic condition： the determination was performed on ACQUITY UPLC BEH C18 column with mobile phase consisted of 0.1％ formic acid water-0.1％ formic acid acetonitrile （gradient elution） at the flow rate of 0.3 mL/min. The column temperature was 35 ℃， and sample size was 3 μL. MS condition： ESI， in positive and negative ion mode， ESI+/ESI－ 5 500 V/－4 500 V， declustering potential of 80-－80 V， auxiliary heating gas pressure of 55.00 psi， atomizing gas pressure of －55 psi， curtain gas pressure of －35.00 psi， desolvent temperature of 550 ℃， collision activation scanning energy of 15 eV， collision voltage of 35 psi. Component analysis was performed by comparing with the related literature data and the standard chromatogram control combined with accurate relative molecular mass of compounds provided by UPLC-Q-TOF-MS. RESULTS： Totally 135 chemical components were analyzed in ESI+ mode， and the 105 chemical components were analyzed in ESI－ mode. 11 chemical components as coumarin were identified in ESI+ mode， such as isoimperatorin， umbelliferone， scopolamine， xanthotoxin， psoralen， Ostenol， fraxidin， isoimperatorin， 5-hydroxyl-8-methoxypsoralen， phellopterin， decursin. CONCLUSIONS： The method is accurate and rapid， and can be used for the analysis of chemical components as coumarin in S. divaricata.
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Objective This study investigates the relationship of serum irfflammatory cytokine levels with intracranial pressure (ICP) in patients with severe traumatic brain injury (TBI) after surgery.Methods A total of 32 cases with severe TBI and placement of ICP monitor were prospectively enrolled.Serum was collected before surgery and every 12 h after surgery.Cytokines levels of interleukin (IL)-1β,IL-8,and tumor necrosis factor (TNF)-α were analyzed and compared with outcome of patients.Hourly values of ICP were recorded.The degree of ICP above treatment threshold (20 mm Hg) were calculated every 12 h as pressure times time dose(PTD-ICP20),which was compared with serum cytokine levels before (Pre) and after (Post) the 12-hour time period using linear regression method.Results Serum IL-1β (P＜0.05),IL-8 (P＜0.01) and TNF-a (P＜0.01) levels elevated dramatically after severe TBI and were significantly associated with outcome of patients.Mean PTD-ICP20 was (42.9 ± 60.2)mm Hg/h and was correlated with increased Pre-IL-8 (r=0.554,P＜0.001),Pre-TNF-α (r=0.597,P＜0.001),Post-IL-8 (r=0.629,P＜0.001) and Post-TNF-α (r=0.538,P＜0.001) levels.Conclusion Serum IL-8 and TNF-α demonstrated the most promising candidate bio.rnarkers of impending ICP elevation in this study.These findings indicate a feasible way of monitoring patients with severe TBI.
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Objective: To discuss the influence of the fine care for newborn with severe pneumonia (SPIN) combining with respiratory failure (RF). Methods: 60 cases of SPIN with RF were selected and divided into the observation group and the control group. 28 cases of SPIN with RF in the observation group were received fine care observation group after treatment, in which 16 cases were male children and 12 cases were female children. The ages of these children were from 10d to 28d day, and their average age was 18.26 + 4.16 d. The weight was from 2.4kg to 4.4 kg, and their average weight was 3.11 + / - 0.44 kg. 32 cases of SPIN with RF in the control group were received routine nursing, in which 14 cases were male children and 18 cases were female children. The ages of these children were from 10d to 28d and their age was (10 ~ 28) d. Their average age was (18.33 + 4.07) d. The weight was from 2.4kg to 4.4 kg, and their average weight was 3.08 + / - 0.46 kg. Then we analyzed espectively respectively on two groups of children with pH, arterial blood gas analysis index of oxygen partial pressure (PaO2), arterial partial pressure of carbon dioxide (PaCO2), respiratory rate (RR) and heart rate (HR) level and the total time of mechanical ventilation, the incidence of adverse circumstance and nursing satisfaction. Results: The observation group with pH, PaO2, PaCO2, RR and level of HR after fine care is superior to the control group, and the differences were statistically significant difference (t= 4.36, 3.83, 2.23, 12.11, 5.45; P <0.05). The total time of mechanical ventilation in the observation group was significantly lower than the control group, and the difference was statistically significant difference (t=7.63, P<0.05). The reintubation rate of the observation group was obviously lower than the control group and the difference was statistically significant (x2=3.83, P<0.05). Family satisfaction of nursing in the observation group was obviously higher than that in the control group, and the difference was statistically significant (x2=18.49, P<0.05). Conclusion: Fine care can effectively improve the SPIN with RF with blood gas analysis index, shorten the time of mechanical ventilation therapy, alleviate the pain and reduce reintubation rate. It has higher clinical value.
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OBJECTIVE:To optimize extraction technology of polysaccharides from Stemona tuberosa so as to increase the ex-traction rate and efficiency. METHODS:Anthrone-sulfuric acid method was used for detection. With water and alkaline water (NaOH solution)as the solvent respectively,the effects of decocting method,ultrasound method and microwave method on the ex-traction rate of crude polysaccharide were observed respectively. By carrying out single factor and orthogonal tests,with the extrac-tion rate of crude polysaccharide as the index,the effects of the amount of water,NaOH solution concentration,extraction tempera-ture and extraction time on the extraction of crude polysaccharide by alkaline water ultrasound method were observed to optimize the technology parameters,and verification test was conducted. RESULTS:The alkaline water ultrasound method is superior to oth-er extraction methods,where the optimal technology parameters were as follows as 0.3 mol/L NaOH aqueous solution 30 times as much as the amount of crud drug,ultrasonic processing for 70 min at 50 ℃. The verification tests showed that the average extrac-tion rate of crude polysaccharide was 25.76%(RSD=3.51%,n=6). CONCLUSIONS:The optimal alkaline water ultrasound method can better extract crude polysaccharide from S. tuberosa.
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ObjectiveTo study on the hyperlipidemia patient plasma cause atherosclerosis index and the blood,blood serum uric acid sticks and so on thrombosis risk factors of the relationship.Methods81 patients with hyperlipidemia patient and 80 cases of normal blood fat crowd as the research object,the two groups were measured blood fat including total bravery solid alcohol ( TC ),triglycerides (TG),high-density lipoprotein cholesterol ( hdl-c ),low dense white lipoprotein LDL( solid bravery alcohol-C) levd,blood uric acid,whole blood viscosity,platelet aggregation function and serum C-reactive protein(CRP) content,and according to the TG and hdl-c than of both the logarithm of conversion values calculated the two groups of the plasma to atherosclerosis values,and by using the DuoYuan linear regression analysis with the blood acid,whole blood viscosity,platelet aggregation function and serum levels of CRP relationship.ResultsObservation group AIP(2.25 ±0.18) was significantly higher( 1.31 ±0.15 ) ( t =46.71,P ＜ 0.05 ),and AIP and LDL-C,uric acid,whole blood viscosity,platelet aggregation was positively correlated ( r =0.86,0.85,0.79,0.81,0.77,all P ＜ 0.05 ),with HDL-C was negatively correlated ( r =-0.69,P ＜ 0.05 ).ConclusionPatients with hyperlipidemia plasma cause atherosclerosis index and patients,such as blood uric acid blood viscosity thrombosis dangerous close by,by early know patients plasma to atherosclerosis index,and monitor patients early blood uric acid and blood viscosity,thrombosis risk factors level,to facilitate accurate assessment of some patients with cardiovascular disease risk,and to guide to take reasonable early intervention measures,reduce cardiovascular events.
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BACKGROUND: At present, it is affirmed that coping style is the important mediator between stress and health both on mental and body. The coping theory is descripted as three orientations: trait view, contextual view and interaction person-environment view. The conception and classification of the coping styles still remains to be explored. OBJECTIVE: To probe into the dimensions of coping styles, the characteristics of different coping styles and the correlation between coping styles and psychological adaptation among college students.DESTGN: Questionnaire investigation.SETTING: School of Psychology, Beijing Normal University.PARTICIPANTS: Altogether 343 college students were randomly chosen from Tianjin University, Tianjin University of Commerce, Tianjin Normal University and Tianjin University of Finance and Economics. The college students, including 161 males and 182 females, were aged (19±2) years, ranging from 19 to 22 years. According to body health examniation records of them, all the college students had no serious chronic or acute illness. Written informed consents were obtained from all the college students.METHODS: The college students were measured collectively in their own classroom respectively from September to December in 1999. There were totally 16 class units. Altogether 422 copies of questionnaire files were sent out. Each copy includes Coping Styles Scales, Adolescent Psychological Adaptation Scales, and SCL-90.The questionnaires were collected once the college students completed. Copying styles were assessed with Coping Style Scale revised by Liang Baoyong, which includes 20 items. Each item gives one kind of coping strategies in daily life. For example, "To tell myself,my trouble is nothing matter When comparing with others, it is no worthy to be annoyant". The college students should be asked to answer on the 5-point Likert scale. These 20 items covered majority of coping styles which were used by adolescents. Two indexes were used as the results of psychological adaptation: one is Adolescent Psychological Adaptation Scale developed by Chen Huichang, including 20 items. Scores were collected on the 5-point Likert scale in which high scores mean better adaptation. Another result variable is the amount of SCL-90. High scores mean more symptoms with mental or physical state which stands for lower adaptation level. All the assessment data were input into Foxbase data-base, then were analyzed using factor analysis and cluster analysis in order to attain different kinds of college students coping styles. Correlation analysis was used to examine the correlation between coping style and adaptation. MAIN OUTCOME MEASURES: Coping styles of college students and correlation between different coping styles and adaptation results.RESULTS: A total of 422 copies of questionnaires were sent out, and 362 copies were drawn back, 19 copies were invalid questionnaires due to either there were missing answers or the answer had reflective tendency. At last, 343 sets of data entered the analysis procedure. ① According to factor analysis results, the main coping styles used by college students were F1 (seeking support), F2(positive thinking), F3(cognitive adjustment), F4(passive blame oneself), F5(facing reality), F6(avoidance), F7(emotional catharsis).There were three main coping styles from cluster analysis, that was, A (positive confrontation), B (passive avoidance) and C(passive catharsis).② Those who were more adaptive used A coping style more frequently, and those who had lower adaptation level used B or C coping style more frequently. But few students used C coping style. A coping style was significantly negatively correlated with mental or physical symptoms (r= -0.258,P＜ 0.01 ),but significantly positively correlated with adaptation level (r =0.467, P ＜ 0.01);But both B and C coping styles were significantly positively correlated with mental or physical symptoms (r=0.338, 0.364, P ＜ 0.01 ), B coping style was significantly negatively correlated with psychological adaptation(r =-0.140, P ＜ 0.05). It seemed that C coping style had no correlation with long-term adaptation. A and C coping styles were two dependent styles respectively. In addition, different levels of stress were significantly correlated with three styles. Few A coping styles were used under high level of stress, but more B and C coping styles did.CONCLUSION: Coping style is complex. Use of different copying styles is significantly correlated with psychological adaptation levels. But the direction of correlation is effected by the factors, such as individuals, index of results and degree of stress.