ABSTRACT
BackgroundThe improvement of social function in patients with schizophrenia is an important part of their rehabilitation， and peer support services， as a rehabilitation method， may be of great significance to improve the social function of patients with schizophrenia. ObjectiveTo explore the influence of peer support service on the daily living ability and social function of patients with chronic schizophrenia， and to provide references for promoting the rehabilitation of patients with chronic schizophrenia. MethodsA total of 100 patients with chronic schizophrenia who were hospitalized in The Third People's Hospital of Tianshui from January 1 to December 31， 2020 and met the diagnostic criteria of the International Classification of Diseases， 10th edition （ICD-10） were selected as the study objects， and they were divided into the control group and the study group with 50 cases each by random number table method. Patients in both groups received routine treatment and nursing care， on this basis， the study group received peer support service once or twice a week for 12 weeks， and the control group received the same peer support service at the end of the study. Before and at the 1st， 2nd， 4th， 8th and 12th week of the treatment， Activity of Daily Living Scale （ADL） and Social Disability Screening Schedule （SDSS） were used to evaluate the activities of daily living and social function of the two groups. ResultsThe ADL scores of the study group were lower than those of the control group at the 8th week and 12th week of the treatment （ t=-2.420， -2.814， P<0.05 or 0.01） . The SDSS scores of the study group were lower than those of the control group at the 8th week an 12th week of the treatment （t=-2.057， -2.322， P<0.05） . ConclusionPeer support services may help improve the ability of daily life and social function of patients with chronic schizophrenia. ［Funded by Tianshui City Livelihood Science and Technology Plan Project （number， 2020-SHFZKJK-9344）］
ABSTRACT
OBJECTIVE@#To compare the clinical efficacy between wrist-ankle acupuncture and conventional acupuncture on shoulder-hand syndrome (SHS) phaseⅠafter stroke.@*METHODS@#A total of 64 patients with SHS phaseⅠafter stroke were randomized into a wrist-ankle acupuncture group and a conventional acupuncture group, 32 cases in each group. On the basis treatment of internal medicine and conventional rehabilitation, wrist-ankle acupuncture was applied at upper 4 area, upper 5 area and upper 6 area on the affected side in the wrist-ankle acupuncture group, while acupuncture was applied at Jianyu (LI 15), Quchi (LI 11), Shousanli (LI 10), etc. on the affected side in the conventional acupuncture group. The treatment was given 30 min each time, once a day, 5 days a week for 3 weeks in both groups. Before and after treatment, the visual analogue scale (VAS) score, degree of hand swelling, shoulder-hand syndrome scale (SHSS) score, Fugl-Meyer assessment for upper extremity (FMA-UE) score and modified Barthel index (MBI) score were observed, and the clinical therapeutic effect was evaluated in both groups.@*RESULTS@#After treatment, the VAS scores, degree of hand swelling and SHSS scores were decreased (P<0.05), and the FMA-UE scores and MBI scores were increased (P<0.05) compared before treatment in both groups; in the wrist-ankle acupuncture group, the VAS score, degree of hand swelling and SHSS score were lower (P<0.05), and the FMA-UE score and MBI score were higher (P<0.05) than those in the conventional acupuncture group. The total effective rate was 96.9% (31/32) in the wrist-ankle acupuncture group, which was superior to 90.6% (29/32) in the conventional acupuncture group (P<0.05).@*CONCLUSION@#Wrist-ankle acupuncture can effectively relieve pain and hand swelling, improve motor function of upper extremity and self-care ability of daily life in patients with shoulder-hand syndrome phaseⅠafter stroke, the therapeutic effect is superior to conventional acupuncture.
Subject(s)
Humans , Acupuncture Points , Acupuncture Therapy , Ankle , Reflex Sympathetic Dystrophy/therapy , Stroke/therapy , Upper Extremity , WristABSTRACT
ObjectiveTo explore the clinical efficacy of five elements health exercise on improving the ability of daily living and cognitive function in elderly inpatients with schizophrenia. MethodsA total of 80 elderly patients with schizophrenia who were hospitalized in Xiamen Xianyue Hospital from May 2016 to May 2017 and met the diagnostic criteria of International Classification of Diseases， tenth edition （ICD-10） were enrolled in this study， and were randomly divided into the study group and the control group， with 40 cases in each group. Both groups received routine drug treatment， psychiatric nursing care and rehabilitation treatment， and the study group received five elements health exercise on this basis. The ability of daily living and cognitive function of patients were assessed using Barthel Index （BI） and Mini-Mental State Examination （MMSE） before intervention， 6 months and 1 year after intervention. Additionally， the Nurses' Observation Scale for Inpatient Evaluation （NOSIE） was adopted to evaluate the changes of patients' behavior and condition before and after 1-year intervention. ResultsAt 6 months and 1 year of intervention， study group scored higher on BI （F=2.876， 3.240， P<0.05 or 0.01） and MMSE （F=4.742， 7.902， P<0.01） than control group， with statistically significant differences. After 1 year of intervention， the scores of each factor and total score of NOSIE in the study group were higher than those in the control group， and the differences were statistically significant （t=0.173~2.463， P<0.05）. ConclusionOn the basis of routine drug therapy and routine nursing care， the implementation of five elements health exercise may improve the ability of daily living and cognitive function of elderly inpatients with schizophrenia.
ABSTRACT
OBJECTIVE@#To observe the therapeutic effect of scalp acupuncture on cognitive dysfunction of traumatic brain injury.@*METHODS@#Seventy patients with cognitive dysfunction of traumatic brain injury were randomly divided into an observation group and a control group, 35 cases in each group. After treatment, 5 cases dropped off in each group. The patients in the control group were treated with cognitive training; the patients in the observation group were treated with cognitive training and scalp acupuncture at Baihui (GV 20), Sishencong (EX-HN 1), Zhisanzhen and Niesanzhen, and the needles were retained for 6 h. The two groups were treated once a day, 6 times a week; one-month treatment was taken as one course, and 3 continuous courses were given. The scores of mini-mental state examination (MMSE), Montreal cognitive assessment (MoCA), activity of daily living (ADL) and functional independence measure (FIM) were compared between the two groups before and after treatment.@*RESULTS@#Compared before treatment, the MMSE and MoCA scores in the observation group, and ADL and FIM scores in the two groups were significantly increased after treatment (@*CONCLUSION@#Scalp acupuncture could improve cognitive function and self-care ability of daily life in patients with traumatic brain injury.
Subject(s)
Humans , Acupuncture Points , Acupuncture Therapy , Brain Injuries, Traumatic/therapy , Cognition , Scalp , Self CareABSTRACT
Objective To investigate the effect of Tongyuan acupuncture therapy on theplatelet activation index in patients with Qi stagnation and blood stasis type during the recovery period of cerebral infarction. Methods A total of 90 cerebral infarction patients with Qi deficiency and blood stasis were admitted in the acupuncture rehabilitation department of Hospital of Traditional Chinese Medicine in Longgang District during April 2017 to December 2017 and were randomly divided into treatment group and control group, each of 45 cases. The control group was treated with conventional western medicine therapy, while the treatment group were treated with Tongyuan acupuncture therapy with the convetional therapy. The Barthel index, NIHSS score and PAF, PAC-1 content were determined and compared before and after treatment in the two groups, meanwhile, the clinical efficacy were staticsed and compared between the two groups. Results The differences of Barthel index (9.5 ± 4.3 vs. 5.6 ± 2.4, t=5.312), the NIHSS score (3.2 ± 0.8 vs. 1.5 ± 0.7, t=10.728) in the treatment group were significantly higher than those in control group (P<0.05). After treatment, the PAC-1 (5.51% ± 1.27% vs. 6.45% ± 1.66%, t=3.067), PAF (157.02 ± 18.22 pg/ml vs. 165.81 ± 17.65 pg/ml, t=2.324) in the treatment group was significantly lower than those in the control group (P<0.05). The curative rate (66.6% vs. 35.6%, χ2=13.611) and the total effective rate (95.6% vs. 64.4%, χ2=8.715) in the treatment group were significantly higher than those in the control group (P<0.05). Conclusions The Tongyuan acupuncture treatment showed the significant curative effect on cerebral infarction qi deficiency and blood stasis patients during the recovery period , and it can improve the ability of daily life, reduce the degree of nerve function defect and the degree of platelet activation.
ABSTRACT
Objective To study the influence of evidence-based health education in improving the ability of daily life and nursing satisfaction of patients.Methods A total of 80 schizophrenic patients were randomly divided into a control group (40 persons) and an experimental group (40 persons).The health education of routine ways was adopted on the control group.As for the experimental group,we posed questions,collected related literature and evidence through evidence-based support,set the health education based on the actual situation for individual and adjusted flexibly according to the affect of the health education during practice process.Two groups of patients were assessed by daily activity scale,positive and negative symptom scale weekly.We use questionnaire to compare with the satisfaction of two groups for patients when they left hospitals,including the disease-related knowledge,the satisfaction of the ways of the health education,the satisfaction of nurses.Using SPSS 18.0,the data between two groups were compared by t test,or Z test,or chi square test.Results After the implementation of evidence-based health education,the experimental group started at the second week,the PANSS scale score was lower than the control group,and the difference was statistically significant (P＜0.05).The score of experimental group'ADL scale compared with control group reached normal level in the third week and had statistic significance,P＜0.05.The questionnaire results showed that the average score of disease related knowledge and the average score of health education methods were higher in the experimental group than in the control group,and the difference was statistically significant (P＜0.05).In the evaluation of the most satisfactory nurses,patients' satisfaction in experimental group was higher than the control group,and the difference was statistically significant (x2=16.56,P=0.000).Conclusion The implementation of evidence-based health education for patients with schizophrenia can effectively improve their daily living ability,improve their mastery of disease-related knowledge and satisfaction with nursing.
ABSTRACT
Objective：To investigate the neurocognition and function of social life among human immunodeficiency virus (HIV) positive subjects infected by plasma donation.Methods:Totally 203 HIV positive subjects infected by plasma donation were recruited.Neuropsychological (NP) battery tests including executive function,verbal fluency,learning,memory,fine motor skill,speed of information processing and working memory domains were performanced among these subjects,as well as the Activity of Daily Living Scale (ADLs).And 198 HIV negative plasma donors were matched in gender,age and years of schooling.The cut-off of Global Deficit Score (GDS) was 0.5.Results：The HIV positive subjects performanced worse in global cognitive function [(45.7±5.9 vs.(49.4±6.0),P<0.01]and 7 cognitive domains than those of HIV negative subjects.HIV and HCV infection interacted on aspect of fine motor skill (F=5.28,P<0.05).The impairment rate of the subjects in asymptomatic stage and AIDS were 29.2% and 43.0% respectively.The HIV positive subjects showed more decline of ADLs scores than that of HIV negative subjects [(0.49±1.32) vs.(0.14±0.75),P<0.01].Working months,individual and family's income of HIV positive subjects were also less than that of HIV negative subjects(P<0.01).The lowest CD4 count in NP-impaired group was lower than that in non-impaired group [(214.3±144.0) vs.(274.8±161.1),P=0.01].Subjects with NP impairment reported more decline of ADLs scores [(0.75±1.58) vs.(0.34±1.13),P<0.01] than those without NP impairment.The global cognitive function scores were correlated with decline of ADLs scores (r=-0.22,P<0.01).Conclusion：HIV positive subjects are impairment on aspect of 7 cognitive domains,and co-infection of HCV can lead to more fine motor skill impairment.The more progression of disease,the higher NP impairment ratio.HIV infected subjects show decline of ADL,poorer occupational function and economical status.The lowest CD4 count may be a predictor to NP impairment.NP impairment is a factor which influenced the activity of daily living and the income of individual and family.
ABSTRACT
The cranium can be thought of a as shallow, rigid sphere of contrast volume. There are three main components within the intracranial space : brain, cerebrospinal fluid and blood. Intracranial volume and pressure are maintained constantly by Monroe-Kellie doctrine. Also intracranial pressure is influenced by a number of physiologic factors and it will be changed with intracranial lesion. Now we were look for the possible factors that influence the intracranial pressure with continuous intracranial pressure monitoring. At the same time we studied the possibility of the relationship between factors that influence ICP and ADL(Ability of Daily Life) in 43 severe brain lesions(33 cases ; intracerebral hematoma, 10 cases ; head injury). In cases of higher GCS, smaller hematoma, lower amplitude of ICP, lesser frequency of A-wave and lower elastance, the ICP were lowed. Ninety percent of cases that GCS is over 12 was belong to ADL I and II, but only nineteen percent of cases that GCS is under 7 was belong to ADL I and II. No case of internal capsule involved group was belong to ADL I but forty-eight percent of cases whose hematoma volume is under 10ml was belong to ADL I. Fifty percent of cases whose hematoma volume is under 10ml was belong to ADL I and no case that hematoma volume is over 20ml was belong to ADL I. Cases that PCO2 is in the range of 25mmHg-29mmHg were not belong to ADL I. In cases of higher amplitude of ICP, higher frequency of A-wave and higher elastance, the patient's ADL was grave. And in cases of ICP was progressively increased, the prognosis was also grave. Consequently we are able to guess that patient's prognosis will be influenced by initial GCS, internal capsule involvement, hematoma volume, PCO2, amplitude of ICP, frequency of A-Wave, brain elastance and curve of ICP.