ABSTRACT
Objective:To conduct clinical psychological intervention for the perioperative patients through solu-tion focused approach, excavate potential and improve the adaptation ability. Methods: On the basis of establis-hing a good nurse-patient relationship, the application of the solution focused approach was conducted in the peri-operative patients ( description of the problem, the construction of specific aims, and discussion on the exception, giving feedback, and evaluation of progress) . Results:After the intervention of solution focused approach, the pa-tients′negative emotion such as nervousness, anxiety, fear and depression decreased significantly (P <0. 05). Conclusion:Psychological intervention could effectively eliminate the negative mood of patients, improve the doc-tor-patient relationship, dissolve the contradiction between doctors and patients, reduce the incidence of medical disputes, and thereby enhance mutual understanding, trust and respect between doctors and patients, which makes the doctor-patient relationship more harmonious.
ABSTRACT
Objective To investigate the risk factors for the severity of white-matter hyperintensities (WMHs) in ischemic stroke patients.Methods Clinical and radiological data of acute ischemic stroke (AIS) patients were analyzed retrospectively.Results A total of 144 patients with AIS were enrolled including 89 cases of hypertension,32 eases of diabetes,43 cases of hyperlipidemia,21 cases of coronary heart disease,44 cases of atrial fibrillation; 60 cases of large artery atherosclerosis,8 cases of perforating artery disease,64 cases of cardiogenic stroke type,4 cases of other causes type and 8 cases of unexplained.U.S.national institutes of health stroke scale score was (6.06 ± 3.98) scores.WMHs score was (7.81 ± 4.93) scores,and median score was 6.5 scores.WMHs score 0-6 scores group had 72 cases,and 7-24 scores group had 72 cases.The age,systolic pressure,hyperhomocysteinemia(HHe) incidence in 0-6 scores group was statistically lower than that in 7-24 scores group [(61.08 ± 12.45) years vs.(72.03 ± 10.13) years,(149.40 ±25.43) mmHg (1 mmHg =0.133 kPa) vs.(159.19 ±23.63) mmHg,12.5％(9/72) vs.29.2％ (21/72)] (P ＜ 0.05).Logistic regression analysis showed that age and HHe was independent risk factor for the severity of WMHs in AIS patients (P ＜ 0.05).Conclusion Age and HHe is independent risk factor for the severity of WMHs in AIS patients.