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Objective:To investigate the effect of cardiac rehabilitation rehabilitation interventions on elderly patients with AMI after PCI.Methods:From March 2016 to October 2017, 100 elderly AMI patients were selected and divided into two groups according to PCI operation time, 50 in each group; the control group was given routine cardiac exercise rehabilitation intervention, and the experimental group was given cardiac exercise rehabilitation intervention under the family support system. PSSs, HAMA, HAMD, HHI, mace and WHOQOL BREF were compared before and after intervention.Results:After 6 months of follow-up, a total of 82 valid data were obtained, including 43 in the control group and 39 in the experimental group. After the intervention, the PSSS scores of the two groups were improved, and the PSSS score of the experimental group (70.5±5.4) was better than that of the control group (57.7±4.5) ( t values were 10.481-16.932, P<0.01). After the intervention, the HAMA and HAMD scores of the two groups were decreased ( t values were 5.298-22.114, P<0.05), and the experimental group scores (6.5±1.3) and (10.1±1.8) were lower than the control group (9.8±1.2) and (16.5±2.4)( t values were 11.745, 13.806, P<0.01). After intervention, the HHI dimensions and total scores of the two groups were increased ( t values were -10.778--8.539, P<0.01), and the experimental group scores (10.5±1.4, 10.2±1.5, 9.9±1.4, 30.6±3.1) were higher than the control group (8.6±1.2, 8.3±1.1, 8.6±1.1, 25.5±2.7) ( t values were 5.639-15.300, P<0.05); After intervention, the overall incidence of MACE in the experimental group(7.69%)was lower than that in the control group (27.91%)( χ2 values were 5.591, P<0.05); After the intervention, the WHOQOL-BREF scores of both groups were improved, and the experimental group score was superior to the control group ( t values were 2.095-5.479, P<0.05 or 0.01). Conclusions:Cardiac exercise rehabilitation intervention under the family support system can effectively relieve the negative emotions of elderly patients with AMI after PCI, effectively improve the understanding of social support ability and hope level, effectively reduce the incidence of MACE, and effectively improve the quality of life.
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Objective To investigate the efficacy and prognostic factors of non-small cell lung cancer (NSCLC) leptomeningeal metastasis (LM) patients undergoing treatment with epidermal growth factor receptor tyrosine kinase inhibitors(EGFR-TKIs).Methods The clinical data of 30 patients with NSCLC- LM were retrospectively analyzed, including the basic situation, survival time, clinical characteristics,pathological type,differentiation degree and treatment method.The median survival time (MOS) was calculated by Kaplan-Meier method. The log-rank test was used to analyze the prognostic single factors.The Cox regression model was used to analyze the multivariate factors. Results The log-rank test result showed that sex,pathological type,differentiation degree and EGFR-TKIs treatment were the influencing factors of MOS(P<0.05).The multivariate analysis result showed that sex,pathological type, differentiation degree and EGFR-TKIs treatment were the independent influencing factors of prognosis in NSCLC-LM patients (P<0.05), and the female gender (RR = 0.090, 95% CI 0.048 -0.140),adenocarcinoma(RR=0.108,95% CI 0.073-0.134),well differentiation(RR=0.112,95% CI 0.076 - 0.141), using EGFR-TKIs treatment (RR = 0.042, 95% CI 0.012 - 0.074) were significant predictors of a good prognosis. Conclusions The female gender, well differentiation, adenocarcinoma and EGFR-TKIs treatments are significant predictors of a good prognosis. EGFR-TKIs can prolong the survival time of patients with NSCLC-LM,and it is recommended for a clinical treatment for patients with NSCLC-LM.
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Objective To study the effect of antipsychotic drugs combined with psychological intervention on the elderly patients with acute mental disorders after surgery operation.Methods 100 cases of elderly male patients undergoing surgery in our hospital from January 2015 to December 2016 as the object of study in the course of the study,were randomly divided into control group and experimental group,with 50 cases in each group.The control group received routine care,antipsychotic drug combined with psychological nursing intervention for patients in the experimental group,focusing on the psychological status of patients,strengthen exchanges and communication with patients,patients with heart to eliminate negative emotions,help patients recover as soon as possible.The anxiety and depression of the experimental group and the control group were compared and analyzed.Results After the corresponding nursing,the experimental group of patients with anxiety self rating scale and self rating Depression Scale score was significantly better than before nursing, the difference was statistically significant(P<0.05).The self rating depression scale of the experimental group was(44.23±3.78),and the self rating Anxiety Scale score was(42.35±5.98).In the control group,the depression score was(48.73±2.53),and the anxiety score was(45.94±4.92).The anxiety score and depression score of the experimental group were significantly better than those of the control group,and the difference was statistically significant(P<0.05).Conclusion Antipsychotic drugs combined with psychological intervention can help the elderly male surgical acute mental disorders recovered to a certain extent,ease the patients with depression and anxiety,with further clinical promotion and application significance.
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Objective To explore the secondary inventory appropriate to improve the stomatological hospital in cost control for medical consumables,standardizing patient charging,dynamic materials management,zero inventory and enhancing hospital economic benefit.Methods An enterprise resource planning (ERP) secondary inventory information system was developed to solve the problems in medical materials management of the stomatological hospital,and then went through practical trials in three departments to determine its efficacy and deficiencies.Results The information system facilitated cost control,standardized patient charging,and the trials in three departments showed the rate for material consumption was decreased greatly.The deficiencies still existed in the traceability,mobile App,manual input and etc.Conclusion The ERP secondary inventory information system reduces the running cost of the department,increases the hospital abilities in cost control and management,and thus is worthy promoting practically.