1.The correlation among acute cerebral infarction area,serum high sensitivity C reactive protein and homocysteine concentrations
Guiqin RUAN ; Ying LV ; Qingling HUANG
International Journal of Laboratory Medicine 2015;(17):2490-2491,2494
Objective To study the correlation among acute cerebral infarction area ,serum high sensitivity C reactive protein(hs‐CRP)andhomocysteine(Hcy)concentrations.Methods 112acutecerebralinfarctionpatientsreceivedinneurologicaldepartment of the hospital were enrolled in the study .They were divided into small infarction size group(n=56) and large infarction size group (n=56) ,according to the cerebral infarction area determined by using MRI and MRA .Common information of patients such as age , sex ,smoking ,drinking ,hypertension ,hyperlipidemia and diabetes history were recorded ,serum hs‐CRP and Hcy concentrations were also determined .The comparison between the 2 groups were performed on those common information and test results .Results There was no statistically significant difference on age ,alcohol consumption ,smoking ,hypertension and high cholesterol between the two groups(P>0 .05) .Serum concentrations of hs‐CRP ,Hcy and blood glucose in small infarction size group were lower than those in large infarction size group(P<0 .05) ,and the infarct areas were positively correlated with hs‐CRP ,Hcy and blood glucose levels(r=0 .625 ,0 .833 ,0 .651 ,P<0 .05) .Conclusion Serum hs‐CRP ,Hcy level are high risk factor for atherosclerosis plaque for‐mation of acute cerebral infarction patients ,the serum levels help predict the infarction area ,and diabetes is an important cause of cerebral infarction .
2.Effects of individualized health education by the form of one-day ward in patients with pregnancy-induced hypertension
Guiqin ZHU ; Wei CHEN ; Wei XU ; Shuping RUAN
Chinese Journal of Modern Nursing 2017;23(32):4080-4083
Objective To apply the individualized health education by the form of one-day ward to nursing of patients with pregnancy-induced hypertension so as to reduce the blood pressure (BP), anxiety, depression and the incidence of caesarean section.Methods A total of 194 patients with pregnancy-induced hypertension were randomly divided into observation group and control group with 97 patients in each group. Patients in the control group received routine inspection and health education in out-patient clinic. On the basis of nursing in the control group, patients in the observation group adopted individualized health education by the form of one-day ward. And then, the BP, mastery of health related knowledge, the anxiety, depression, mode of delivery, self-efficacy and satisfaction with nursing of patients between two groups were observed when they were admitted to groups and before discharge.Results After the intervention, the systolic pressure and the diastolic pressure [(122.5±9.0) mmHg and (83.4±7.8)mmHg]of patients in the observation group was lower than those [(136.3±10.7) mmHg and (95.1±8.3)mmHg]in the control group with significant differences (t=4.083, 3.769;P<0.001). After the intervention, the scores of anxiety and depression of patients in the observation group were lower than those in the control group; the mastery of health related knowledge and the self-efficacy of patients in the observation group were higher than those in the control group; the incidence of caesarean section in the observation group was lower than that in the control group; the satisfaction with nursing in the observation group was higher than that in the control group; there were all statistically significant differences in them between two groups (P<0.05).Conclusions The individualized health education by the form of one-day ward can significantly reduce the BP, anxiety, depression and the incidence of caesarean section, and improve the self-efficacy and satisfaction with nursing among patients with pregnancy-induced hypertension.