Résumé
Objective To investigate the efficacy of 0.3%sodium hyaluronate combined with carbomer in the treatment of patients with dry eye.Methods A total of 80 patients with dry eye treated in Zhoushan Hospital from January 2019 to January 2022 were selected and divided into study group and control group according to random number table method,with 40 cases in each group.Patients in control group were treated with 0.3%sodium hyaluronate,and patients in study group were treated with carbomer on this basis.Ocular surface disease index(OSDI),visual function score,Schirmer test,inflammatory factors,and adverse reactions were compared between two groups.Results The total effective rate in study group was significantly higher than that in control group(χ2=4.804,P=0.028).After treatment,OSDI,visual function score,interleukin(IL)-6,tumor necrosis factor-α(TNF-α),and IL-1β of the patients in both groups were significantly lower than before treatment,and volume of tear secretion was significantly higher than before treatment(P<0.05).OSDI,visual function score,IL-6,TNF-α and IL-1β of study group were significantly lower than those of control group,and volume of tear secretion was significantly higher than that of control group(P<0.05).There was no significant difference in adverse reactions between two groups(χ2=0.180,P=0.671).Conclusion 0.3%sodium hyaluronate combined with carbomer has good efficacy in the treatment of dry eye disease,can improve the stability of tear film,enhance visual function,reduce the expression of inflammatory factors in tear,and has good safety.
Résumé
Objective:To investigate the effect of Internet plus rehabilitation nursing service and continual nursing on postoperative rehabilitation of patients with osteoporotic lumbar compression fracture (OLCF).Methods:A retrospective case-control study was conducted to analyze the clinical data of 123 patients with OLCF admitted to Affiliated Hospital of Henan Medical College from May 2018 to October 2019. There were 46 males and 77 females, aged 56-74 years [(65.3±5.4)years]. The level of injury was located at L 1 in 93 patients, L 2 in 19, L 3 in 10, and L 4 in 1. The Denis fracture classification was type A in 26 patients, type B in 30, type C in 27, and type D in 40. All patients were treated by percutaneous kyphoplasty (PKP). A total of 62 patients were given Internet plus rehabilitation care services and continual care guidance (Group A), and 61 patients were given routine care health education before discharge (Group B). The Japanese orthopaedic association (JOA) score, visual analoge score (VAS), osteoporosis health confidence scale (OHBS) score, and adult health self-management ability assessment scale (AHSMSRS) score were recorded before and after intervention. The self-made questionnaires and Newcastle nursing service satisfaction scale (NSNS) were used to evaluate the compliance rate and nursing satisfaction after 3 months of intervention. Results:All patients were followed up for 3-6 months [(4.5±1.2)months]. In Group A, the JOA score was (12.1±2.1)points before intervention and (23.0±1.1)points after 3 months of intervention; the VAS was (4.4±1.3)points before intervention and (1.5±0.6)points after 3 months of intervention; the OHBS score was (81.4±4.0)points before intervention and (121.6±9.7)points after 3 months of intervention; the AHSMSRS score was (96.3±3.5)points before intervention and (143.5±11.0)points after 3 months of intervention. In Group B, the JOA score was (12.3±2.1)points before intervention and (20.4±1.2)points after 3 months of intervention; the VAS was (4.2±1.4)points before intervention and (3.6±1.1)points after 3 months of intervention; the OHBS score was (82.1±3.7)points before intervention and (108.7±9.4)points after 3 months of intervention; the AHSMSRS score was (97.1±3.8)points before intervention and (127.7±9.9)points after 3 months of intervention. The JOA score, VAS, OHBS score and AHSMSRS score in both groups were significantly improved after intervention ( P<0.01). These scores in Group A were higher than those in Group B after 3 months of intervention ( P< 0.01). The compliance rate and nursing satisfaction in Group A were 90% (56/62) and 94% (58/62) after 3 months of intervention, while those in Group B were 74% (45/61) and 75% (46/61) ( P<0.05 or 0.01). Conclusion:Compared with conventional nursing, Internet plus rehabilitation nursing service and continual nursing for OLCF patients can promote the postoperative lumbar functional recovery, reduce pain, improve self-management ability and compliance behavior, and enhance the recognition of nursing service, which is worthy of clinical application.
Résumé
Objective To investigate the level of uncertainty of illness and social support state in patients with prediabetes,and to discuss the correlation between the two.Methods 243 cases with prediabetes were analyzed by Uncertainty in Illness Scale and Social Support Rating Scale.Results There was a middle uncertainty in the elderly patients with prediabetes.The objective support,sabjective support,social support utilization degree and social support score were negatively related to the complexity of uncertainty(r--0.419,-0.433,-0.390 and-0.421,respectively,all P＜ 0.05).Conclusions Medical staff should evaluate the uncertainty in illness in elderly patients with prediabetes and conduct nursing intervention accordingly,in order to reduce the uncertainty,increase social support,and ultimately improve the quality of life.