RESUMO
To summarize key points of nursing care of 25 patients with secondary hyperparathyroidism underwent parathyroid autotransplantation with forearm (tPTX+AT).The integrated mode was adopted during the perioperative period,focusing on the following key points:perioperative management of environment,nursing of vascular access,intro-operative management of sample,nursing management during anesthesia and recovery,management of drawing blood,treatment and nursing care of postoperative hypocalcemia,prevention and nursing care of infection and hemorrhage,wound care in the forearm and monitoring of graft.Compared with the preoperative period,levels of intact parathyroid hormone(iPTH),calcium and phosphorus were significantly decreased during the postoperative period (P＜0.01);symptoms were significantly improved after surgery included bone and joint pain,muscular weakness,and insomnia.
RESUMO
Objective To study the sleep patterns in ankylosing spondylitis (AS), and to investigate gender difference in sleep and pain. Methods Fifty seven male and 23 female patients with AS (modified New York criteria) completed a sleep questionnaire. The results were analysed and compared with clinic material. Result Sleep disturbance was reported by 74% of the female and 46% of the male patients (P