【摘要】 目的 探討類風濕關節炎患者家屬的健康教育需求及獲得健康教育的途徑。 方法 2007年6月-2009年5月，我科健康教育小組采用問卷調查法對96名類風濕關節炎患者家屬進行健康教育需求調查，調查內容包括家屬對類風濕疾病相關知識的了解程度、健康教育需求及獲得知識的途徑。 結果 本組患者家屬普遍對類風濕關節炎的護理知識認識不夠，最希望了解類風濕關節炎藥物治療、功能鍛煉、飲食及心理指導的相關知識；電視、廣播等媒體的宣傳和電話咨詢是其獲得類風濕關節炎疾病相關知識的主要途徑；對獲得健康教育途徑的選擇具有多樣性。 結論 類風濕關節炎患者家屬普遍缺乏類風濕關節炎相關護理知識，開展多種形式的健康教育是完全必要的。【Abstract】 Objective To investigate the requirement and paths of health education on the family members of the patients with rheumatoid arthritis. Methods From June 2007 to May 2009, family members of 96 patients with rheumatoid arthritis were investigated with questionnaire. The questions included the knowledge of rheumatoid arthritis, health education requirement and the path to obtain the knowledge. Results The family members of the patients knew a few of the nursing knowledge of rheumatoid arthritis. They wanted to know about the medication for rheumatoid arthritis, functional practice, diet and psychological instruction. The paths of obtaining the knowledge were various. Conclusion The family members of the patients with rheumatoid arthritis lack the knowledge of nursing rheumatoid arthritis; it is necessary to give the health education to the family members in various ways.
ObjectiveTo systematically review the progress of different methods for femoral tunnel positioning in anterior cruciate ligament (ACL) reconstruction and provide a clinical reference for treatment of ACL rupture.MethodsThe literature about the femoral tunnel positioning in ACL reconstruction was widely reviewed. The advantages and disadvantages and the clinical results of each method were summarized.ResultsCurrently in ACL reconstruction, methods for femoral tunnel positioning include transtibial technique (TT), anteromedial technique (AM), outside-in (OI), modified TT (mTT), and computer assisted surgery. There is no significant difference in the postoperative effectiveness between TT technique and AM technique. Compared with the TT technique, the OI technique has higher rotational stability of knee, but there is no significant difference in clinical results. The femoral tunnel located by mTT technique is closer to the anatomical placement than that of TT technique, but mTT technique is not effective for systematically anatomic femoral tunnel positioning, and further research is needed to prove its advantages.ConclusionDifferent femoral tunnel positioning methods have their own advantages and disadvantages, and there is no definite evidence that one is superior than the rest.
目的 了解糖尿病患者院外自行注射胰島素存在的風險。 方法 2010年1月－12月，通過隨訪調查老年組83例，中青年組69例糖尿病患者院外自行注射胰島素的實施情況，對存在的問題進行歸類、統計。調查的內容主要包括3個方面：胰島素裝置的正確使用、胰島素的規范注射、血糖監測及低血糖處理。分析兩組患者院外注射胰島素的風險，并對存在的問題進行原因分析、提出解決方法。 結果 發放調查表152份，有效回收131份，其中老年組73份，中青年組58份。在胰島素裝置使用方面，老年組存在問題48項，中青年組27項，兩者間差異無統計學意義（χ2=2.432，P＞0.05）。在胰島素的規范注射方面，老年組存在問題176項，中青年組77項，老年組在胰島素注射方面存在的問題明顯高于中青年組（χ2=25.009，P＜0.001）。在低血糖的認識及正確處理上，老年組存在問題115項，中青年組33項，兩組差異具有統計學意義（χ2=40.383，P＜0.001）。 結論 糖尿病患者院外自行注射胰島素存在諸多風險。老年糖尿病患者院外胰島素注射需在他人協助、監督下進行。