目的回顾性分析以时机理论为中心的家庭护理模式干预在老年糖尿病肾病(DN)中的临床应用价值。方法收集漯河市中心医院2021年11月至2023年11月收治的122例老年DN患者,按照护理方法分为时机组(61例)、对照组(61例),对照组接受常规护理,时...目的回顾性分析以时机理论为中心的家庭护理模式干预在老年糖尿病肾病(DN)中的临床应用价值。方法收集漯河市中心医院2021年11月至2023年11月收治的122例老年DN患者,按照护理方法分为时机组(61例)、对照组(61例),对照组接受常规护理,时机组在此基础上接受以时机理论为中心的家庭护理模式干预。比较两组肾功能改善情况、血糖水平、自护行为、生活质量。结果干预后,时机组24 h尿蛋白定量、血肌酐(Scr)指标水平低于对照组(P<0.05);时机组空腹血糖(FBG)、餐后2 h血糖(2 h PG)指标水平均低于对照组(P<0.05);干预后,时机组自我护理能力测量量表(ESCA)评分高于对照组(P<0.05);干预后,时机组生活质量综合评定问卷-74(GQOL-74)评分高于对照组(P<0.05)。结论以时机理论为中心的家庭护理模式干预能改善老年DN患者肾功能、血糖水平,提高自护行为、生活质量。展开更多
Alzheimer's disease(AD)is a prevalent neurodegenerative disorder among the elderly population,and timely intervention has been shown to effectively slow down the progression of dementia stage.(1)Although drugs suc...Alzheimer's disease(AD)is a prevalent neurodegenerative disorder among the elderly population,and timely intervention has been shown to effectively slow down the progression of dementia stage.(1)Although drugs such as memantine,donepezil,and quetiapine are commonly used in treatment of AD,they do not significantly enhance cognitive abilities or ameliorate memory loss in AD patients.Acupuncture,a non-pharmacological therapy rooted in Chinese medicine,has demonstrated certain efficacy in improving cerebral blood circulation through acupoint stimulation,thereby potentially slowing down the progression of AD.(2)Stellate ganglion block can augment cerebral blood flow(CBF)by inhibiting sympathetic nerve activity,however,there is currently no clinical evidence regarding its application for treating AD.Therefore,integrated Chinese and Western medicine holds promise for enhancing memory function and improving quality of life in AD patients.Arterial spin labeling-magnetic resonance imaging(ASL-MRI)perfusion imaging can be employed to identify reduced CBF specifically within the hippocampus and limbic system of individuals with AD;this technique serves as a sensitive indicator for evaluating therapeutic outcomes.(3)Herein we present a case study involving an individual with AD who underwent integrative treatment focusing on CBF alterations within brain regions associated with the disease along with neurocognitive assessment.展开更多
文摘目的回顾性分析以时机理论为中心的家庭护理模式干预在老年糖尿病肾病(DN)中的临床应用价值。方法收集漯河市中心医院2021年11月至2023年11月收治的122例老年DN患者,按照护理方法分为时机组(61例)、对照组(61例),对照组接受常规护理,时机组在此基础上接受以时机理论为中心的家庭护理模式干预。比较两组肾功能改善情况、血糖水平、自护行为、生活质量。结果干预后,时机组24 h尿蛋白定量、血肌酐(Scr)指标水平低于对照组(P<0.05);时机组空腹血糖(FBG)、餐后2 h血糖(2 h PG)指标水平均低于对照组(P<0.05);干预后,时机组自我护理能力测量量表(ESCA)评分高于对照组(P<0.05);干预后,时机组生活质量综合评定问卷-74(GQOL-74)评分高于对照组(P<0.05)。结论以时机理论为中心的家庭护理模式干预能改善老年DN患者肾功能、血糖水平,提高自护行为、生活质量。
基金Supported by Scientific and Technological Innovation Project of China Academy of Chinese Medical Sciences (No. CI2021B00)。
文摘Alzheimer's disease(AD)is a prevalent neurodegenerative disorder among the elderly population,and timely intervention has been shown to effectively slow down the progression of dementia stage.(1)Although drugs such as memantine,donepezil,and quetiapine are commonly used in treatment of AD,they do not significantly enhance cognitive abilities or ameliorate memory loss in AD patients.Acupuncture,a non-pharmacological therapy rooted in Chinese medicine,has demonstrated certain efficacy in improving cerebral blood circulation through acupoint stimulation,thereby potentially slowing down the progression of AD.(2)Stellate ganglion block can augment cerebral blood flow(CBF)by inhibiting sympathetic nerve activity,however,there is currently no clinical evidence regarding its application for treating AD.Therefore,integrated Chinese and Western medicine holds promise for enhancing memory function and improving quality of life in AD patients.Arterial spin labeling-magnetic resonance imaging(ASL-MRI)perfusion imaging can be employed to identify reduced CBF specifically within the hippocampus and limbic system of individuals with AD;this technique serves as a sensitive indicator for evaluating therapeutic outcomes.(3)Herein we present a case study involving an individual with AD who underwent integrative treatment focusing on CBF alterations within brain regions associated with the disease along with neurocognitive assessment.
