Clinical effect of high dose of calcitriol on end-stage renal disease patients complicated with secondary hyperparathyroidism / 中国生化药物杂志

Objective To investigate the clinical effect of high dose of calcitriol on end-stage renal disease (ESRD) in patients with secondary hyperparathyroidism (SHPT). Methods The clinical data of patients with ESRDcomplicated with SHPT were retrospectively analyzed. According to the treatment method were divided into control group and observation group, the control group were given conventional dose of calcitriol treatment, the observation group were treated with high dose of calcitriol. The differences of calcium and phosphorus levels, parathyroid hormone (PTH) level and quality of life were observed between the two groups before and after treatment. Results The serum phosphorus, calcium and calcium-phosphorus product in two groups of patients before treatment had no significant difference. After treatment, the above indicators decreased in two groups of patients compared with those before treatment, and the observation group was significantly lower (P<0.05). Before treatment, there was no difference in the levels of PTH between the two groups. After treatment, the level of PTH in the observation group was lower than that in the control group, and the difference was statistically significant (P<0.05). There was no significant difference in quality of life between the two groups before treatment. After treatment, the quality of life in the two groups were higher than before treatment, and the observation group was significantly higher (P<0.05). Conclusion High dose of calcitriol has good therapeutic effect for ESRD patients with SHPT and can significantly improve the patient's calcium and phosphorus and PTH levels, improve the quality of life of patients.

Effects of sleep intervention on sleep quality of elderly patients with sleep-wake rhythm disorders / 现代临床护理

Objective To study the effects of sleep intervention on sleep quality of hospitalized elderly patients with sleep-wake rhythm disorders.Methods We applied sleep intervention among 39 hospitalized elderly patients with sleep-wake rhythm disorders.The degree of sleep-wake rhythm disorders was compared by using Athens Insomnia Scale(AIS)and Epworth Sleepiness Scale(ESS)between pro- and post-sleep intervention.Result The degree of sleep-wake rhythm disorders was significantly improved after 3 months of sleep intervention(Z=13.56,P<0.05).Conclusion Sleep intervention at daytime and nighttime may help the hospitalized elderly patients with sleep-wake rhythm disorders resume to normal sleep-wake rhythm gradually so that the hospitalized elderly patients with sleep-wake rhythm disorders can improve sleep quality and recover from diseases.

Investigation in the incidence of sharp- appliance wound of trainee nurses and its preventive countermeasures / 中国实用护理杂志

Objective To acknowledge the incidence of sharp- appliance wound of trainee nurses and explore the relative countermeasures. Methods A retrospective investigation was carried out in 140 trainee nurses of grade 2003 about the incidence of sharp- appliance wounds, then the corresponding pre-ventive countermeasures were formulated and applied in the clinical practice of trainee nurses of grade 2004 and the incidence of sharp- appliance wound was investigated and compared with the results of those grade 2003.X2 test was adopted. Results The incidence rate of sharp- appliance wound in trainee nurses of grade 2004 was obviously lower than that of grade 2003. Conclusions Due to the weak safety con-sciousness, unfamiliar with operation and lack of clinical experience, the sharp- appliance wound will easily occur among trainee nurses. If the relative professional preventive knowledge is strengthened, the opera-tional procedures are observed strictly and the sense of responsibility of tutor teachers is facilitated, then the incidence of sharp- appliance wound of trainee nurses will drop.

Effect of family visiting on self-nursing behavior of patients with carcinoma of rectum and abdominal enterostomy / 中国实用护理杂志

Objective To stuay the family and social problems exsted in discharge patients with carcinoma of rectum and abdominal enterostomy and the effect of family visiting.MethodsWe executed family visiting to 36 discharge patients with carcinoma of rectum and abdominal enterostomy.The healthcondition of patients and understanding of related knowledge and technique were evaluated and the following health education and psychological treatment were given to them.Results The effect of family visiting and health education after 4 months was greatly alleviated compared with that of the first family visiting (P<0.05).Conclusion The family visiting and health education for discharge patients with carcinoma of rectum and abdominal enterostomy could promote patients'rehabilitation and self-nursing ability,thus to reduce incidence of complications and increase their life quality.

Influenc of nursing interview and health education on patients' anxiety after radical mastectomy / 中国实用护理杂志

Objective We discussed the anxiety alleviation effect of nursing interview and health education on patients after radical mastectomy. Methods We divided 60 patients underwent radical mastectomy into the observation group and the control group with 30 cases in each group. The observation group was given nursing interview and health education based upon perioperative nursing. The control group received routine perioperative nursing. Self-rating anxiety scale (SAS) was adopted to assess the psychological status on the second day after admission, one day before operation and the 4th day after operation. Results Evident anxiety existed in the two groups compared with normal control. The SAS score one day before operation decreased compared with that of two days after admission in the observation group. But the control group showed reverse results compared with the observation group (P < 0.05). The SAS score 4 days after operation dropped evidently in the two groups. But difference still existed in the two groups (P<0.05). Conclusions Nursing interview and health education could decrease patients' anxiety after radical mastectomy and made them to receive the operation in a good psychological status.