1.Clinical analysis of micro-neurosurgical operation for hypertensive intracerebral hemorrhage in primary hospital
Yucheng ZHANG ; Jiaxing ZHANG ; Weiling LAI ; Yebin ZHANG ; Sheng LIU
Chinese Journal of Primary Medicine and Pharmacy 2012;(8):1172-1173
ObjectiveTo investigate value of minimally invasive surgical approach in patients with hypertensive intracerebral hemorrhage in primary hospital.MethodsAccording to the operation procedure,93 cases with basal ganglia hemorrhage were divided into three groups:1.minimally invasive surgery group A (n =37 ),2.ventricular puncture and drainage,lumbar cistern drainage group B(n=10),3.usual operation group C( n =46).Estimated operation effect with computed tomography in 24 hours after operation.Case fatality rate and complication incidence were analyzed after three months of operation according to the Glasgow Outcome Scale (GOS).ResultsMinimally invasive surgery group A had the highest hematoma clearance rate (82.7 ± 8.1 ) %,group B (78.6±6.5 % ),group C (50 ±10% ).The incidence rate of rebleeding was 8.1% in group A( n =3 ),10% in group B ( n =1 ),34.8% in group C (n =16).The grade Ⅳ of the GOS and the grade Ⅲ of the GOS was respectively 93.8% and 6.5%,case fatality rate was zero.Conclusion The minimally invasive surgical operation not only lead to less tissue damage and decrease rebleeding,but also improve neurological functional recovery.
2.Effect of family-based intervention on the prevention of falls in elderly hypertensive patients
Weiling LI ; Liping LAI ; Nan CHEN ; Xiaofang JIANG ; Jiangtao CHENG ; Huiying ZHENG
Modern Clinical Nursing 2013;(7):30-32
Objective To evaluate the effect of family interventions on the prevention of falls in elderly hypertensive patients. Methods One hundred elderly hypertensive patients were divided into the experiment group and the control group in equal number. The control group returned for regular visits after discharge while the experiment group received the family intervention including cognitive,psychological,behavioral and environmental intervention.The two groups were compared in terms of fall rate and degree of injury.Results The incidence of falls in the experiment group was significantly lower than that of the control group,the incidence of soft tissue injury after a fall in the experiment group was significantly lower than that of the control group(both P<0.05).Conclusion Family intervention is effective in prevention of falls in elderly hypertensive patients for it may reduce the incidence of falls and the degree of fall injuries.
3.Effect of integrative medicine nursing on returned overseas Chinese elderly with depression
Liling WANG ; Weiling LAI ; Xiaoning YE
Chinese Journal of Modern Nursing 2015;21(1):47-49
Objective To explore nursing intervention of integrative medicine on returned overseas Chinese elderly with depression .Methods A total of 71 elderly with depression were divided into control group (n=36) and intervention group (n =35) randomly.The control group received routine nursing while the intervention group underwent serval integrative medicine nursing intervention such as syndrome differentiation types, emotional adjustment, and dietetic regulation.We utilized the Geriatric Depression Scale ( GDS) and Social Support Rating Scale ( SSRS) and compared the result of nursing intervention .Results After 6 months, the scores of GDS in the intervention group was (12.71 ±7.31) while the control group was (14.45 ±6.33) with statistical significance (t=4.87,P<0.01).There was 48.6% of patients assessed as non-depression in the intervention group which was higher than the control group (19.5%) (χ2 =6.89,P<0.05).The score of SSRS in the intervention group acquired 5.52 ±0.72 higher than the control group (4.89 ±0.87) (t=5.02, P<0.01).Conclusions It is that integrative medicine nursing such as syndrome differentiation dietetic regulation and emotional adjustment is better than the normal nursing method and is worthy of promotion in clinic.