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ABSTRACT Introduction: The motor function of the lower limbs is of great importance for the recovery of hemiplegics post stroke. Objective: Study the influence of nursing during motor rehabilitation on the recovery of lower limb motor function in patients with hemiplegia after stroke. Methods: In this study, the 28 patients were treated with nursing intervention for motor rehabilitation in the experimental group, while the control group was treated only with a conventional rehabilitation program, and the results were compared before and after the experiment. Results: After eight weeks of the experiment, the FMA-LE scale score in the experimental group increased from 19.65 to 30.51; the TUGT assessment score increased from 38.45s to 28.61s; the FAC rating test was upgraded from 1.86 to 2.98. The maximum weight percentage on the hemiplegic side increased from 27.54±10.14% to 79.51±7.52%; the fastest 5m return speed increased from 0.22±0.03m/s to 0.54±0.07m/s. The improvement effect was less evident in the control group. Conclusion: Rehabilitation nursing promotes a positive effect on improving lower limb motor function in hemiplegic patients. Level of evidence II; Therapeutic studies - investigation of treatment outcomes.
RESUMO Introdução: A função motora dos membros inferiores é de grande importância para a recuperação de hemiplégicos pós-acidente vascular encefálico. Objetivo: Estudar a influência da enfermagem durante a reabilitação motora na recuperação da função motora dos membros inferiores em pacientes com hemiplegia após o acidente vascular encefálico. Métodos: Neste estudo, os 28 pacientes foram tratados com intervenção de enfermagem para reabilitação motora no grupo experimental, enquanto o grupo controle foi tratado apenas com um programa de reabilitação convencional, sendo que os resultados foram comparados antes e depois do experimento. Resultados: Após 8 semanas do experimento, a pontuação da escala FMA-LE no grupo experimental aumentou de 19,65 para 30,51; a pontuação da avaliação TUGT aumentou de 38,45s para 28,61s; o teste de classificação FAC foi atualizado de 1,86 para 2,98. A porcentagem máxima de peso do lado hemiplégico passou de 27,54±10,14% para 79,51±7,52%; a velocidade de retorno mais rápida de 5m passou de 0,22±0,03m/s para 0,54±0,07m/s. O efeito de melhoria foi menos evidente no grupo controle. Conclusão: O trabalho de enfermagem de reabilitação tem um efeito positivo na melhoria da função motora dos membros inferiores em pacientes com hemiplegia. Nível de evidência II; Estudos terapêuticos - investigação dos resultados do tratamento.
RESUMEN Introducción: La función motora de los miembros inferiores es de gran importancia para la recuperación de los hemipléjicos post ictus. Objetivo: Estudiar la influencia de la enfermería durante la rehabilitación motora en la recuperación de la función motora de los miembros inferiores en pacientes con hemiplejia post ictus. Métodos: En este estudio, los 28 pacientes fueron tratados con intervención de enfermería para la rehabilitación motora en el grupo experimental, mientras que el grupo de control fue tratado sólo con un programa de rehabilitación convencional, y se compararon los resultados antes y después del experimento. Resultados: Tras 8 semanas de experimento, la puntuación de la escala FMA-LE en el grupo experimental aumentó de 19,65 a 30,51; la puntuación de la evaluación TUGT aumentó de 38,45s a 28,61s; la prueba de valoración FAC se mejoró de 1,86 a 2,98. El porcentaje de peso máximo en el lado hemipléjico aumentó de 27,54±10,14% a 79,51±7,52%; la velocidad de retorno más rápida de 5m aumentó de 0,22±0,03m/s a 0,54±0,07m/s. El efecto de mejora fue menos evidente en el grupo de control. Conclusión: El trabajo de enfermería de rehabilitación tiene un efecto positivo en la mejora de la función motora de las extremidades inferiores en pacientes con hemiplejia. Nivel de evidencia II; Estudios terapéuticos - investigación de los resultados del tratamiento.
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Objective@#To explore the relationship among grit, self-identity and self-esteem and the mediating role of self-identity between grit and self-esteemin middle school students, so as to provide evidence for the study of grit of middle school students.@*Methods@#In March 2019,1 476 middle school students were selected from two ordinary middle schools in a county of Fujian Province. 12-Ttem Grit-scale, Selt-identity Scale and Selt-esteem Scale were used to conduct the questionnaire survey.@*Results@#Relevant analysis showed that perseverance of efforts, consistency of interests were positively correlated with self-identity (r=0.40, 0.31,P<0.01) and self-esteem (r=0.46, 0.18, P<0.01). Self-identity and self-esteem were positively correlated (r=0.67,P<0.01).The results of the mediation test showed that self-identity partially mediates the relationship between perseverance of efforts and self-esteem,mediation effect accounted for 50.38% of the total effect.Self-identity fullymediatesthe relationshipbetween consistency of interests and self-esteem.@*Conclusion@#The self-identity of middle school students partially mediates the relationship between perseverance of efforts and self-esteem, and completely mediates the relationship between consistency of interests and self-esteem.
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This paper was aimed to further analyze the concrete clinical efficacy of dezocine as an anesthetic for peritoneal gynecology operation and to offer a scientific guidance for future surgical treatments. This paper randomly selected 1000 peritoneal gynecology operation patients in 5 hospitals from January to December 2015 as research objects in the observation group, who were mainly applied with dezocine in operative anesthesia. By analyzing data of cases, it concluded efficacy characteristics of dezocine in various phases, and thus provide scientific guidance for future surgical treatments. Another 500 patients who were given with fentanyl as anesthetic in peritoneal gynecology operation were selected as research objects in the control group. We compared the two groups in aspects of index changes before and after operative anesthesia, VAS scores and haemodynamics changes in 2 hours of anesthesia. The results showed that, index changes occurred in both of groups after anesthesia, but patients in the observation group presented a more obvious efficacy with a significant difference [P<0.05]. Besides, adverse reactions in both of groups during the operation were basically comparative, so there was no significant difference [P>0.05] or statistical value. This research demonstrated that dezocine, as an anaesthetic in gynecology operation, has a good therapeutic effect and value of wide application in clinical anesthesia