Objective To investigate the effect of supportive nursing intervention on treatment adherence of patients with schizophrenia and caregivers′anxiety.Methods A total of 72 schizophrenia patients and their caregivers were randomly divided into observation group and control group,with 36 patients in each group.Two group both received routine therapy and nursing care,meanwhile the observation group received an extra 3 months supportive nursing intervention.Medication adherence scale was used to evaluate treatment adherence of patients;self-rating anxiety scale (SAS)was used to evaluate mental health of caregivers,and nursing satisfaction scale was used to evaluate the satisfaction of nursing care.Results After 3 months intervention,treatment compliance (12 cases fully compliance, 18 cases partially compliance,6 cases noncompliance)and nursing care compliance (11 cases fully compliance,15 cases partially compliance, 10 cases noncompliance)of the observation group were obviously higher than those of the control group(χ2 =13.461,17.537;P <0.01 ).After intervention,SAS scores of the observed caregivers(37.51 ±5.93)were lower than that before intervention(43.11 ±4.98)and that of the control group(42.08 ±5.64)(t =4.283, 4.040;P <0.01 ).In the observation group,nursing care satisfaction of caregivers was markedly improved, including 29 cases (82.6%)satisfied,with 5 cases(14.2%)somewhat satisfied,1 case(2.9%)unsatisfied;while in the control group,15 cases (41.7%)satisfied,11 cases (30.6%)somewhat satisfied,9 cases (25%) unsatisfied,and the difference was statistically significant(χ2 =13.105,P <0.01).Conclusions Supportive nursing intervention can significantly improve the treatment and nursing adherence of schizophrenia patients, alleviate caregivers′anxiety,and promote their satisfaction of nursing care.

Objective To investigate the effects of the low-intensity exercise therapy on physical and mental health in hospitalized patients with chronic schizophrenia .Methods According to the random number table, a total of 90 inpatients with chronic schizophrenia were divided into intervention group (45 cases) and control group(45 cases).Both groups were treated with routine treatment and care , and the intervention group received extra exercise therapy for 3 months.Physiological indexes of blood pressure (both systolic and diastolic blood pressure , SBP and DBP ) , biochemical parameters of blood lipids including total cholesterol ( TC ) , triglyceride( TG) and Positive and Negative Syndrome Scale ( PANSS) scores were compared before and after intervention.Results After 3months′intervention, SBP(121 ±9)mmHg and DBP(82 ±7)mmHg of intervention group were lower than the control group (t =-4.353,-2.648;P<0.01).TC(4.08 ±0.53) mmol/L and TG (0.90 ±0.21)mmol/L of the intervention group were lower than the control group (t=-4.517,-2.734;P<0.05).Total score of PANSS (63.93 ±5.78)points and its 4 sub scales including positive scale (14.65 ± 2.71)points, negative scale (13.44 ±2.40)points, and general psychopathology scale (35.84 ±3.78)points were lower than the control group (t=-10.521,-4.174,-7.256,-8.055;P<0.01).Conclusions Low-intensity exercise therapy could promote the physical and mental health of the hospitalized patients with chronic schizophrenia .

Traumatic supraorbital fissure syndrome (TSOFS) is a symptom complex caused by nerve entrapment in the supraorbital fissure after skull base trauma. If the compressed cranial nerve in the supraorbital fissure is not decompressed surgically, ptosis, diplopia and eye movement disorder may exist for a long time and seriously affect the patients′ quality of life. Since its overall incidence is not high, it is not familiarized with the majority of neurosurgeons and some TSOFS may be complicated with skull base vascular injury. If the supraorbital fissure surgery is performed without treatment of vascular injury, it may cause massive hemorrhage, and disability and even life-threatening in severe cases. At present, there is no consensus or guideline on the diagnosis and treatment of TSOFS that can be referred to both domestically and internationally. To improve the understanding of TSOFS among clinical physicians and establish standardized diagnosis and treatment plans, the Skull Base Trauma Group of the Neurorepair Professional Committee of the Chinese Medical Doctor Association, Neurotrauma Group of the Neurosurgery Branch of the Chinese Medical Association, Neurotrauma Group of the Traumatology Branch of the Chinese Medical Association, and Editorial Committee of Chinese Journal of Trauma organized relevant experts to formulate Chinese expert consensus on the diagnosis and treatment of traumatic supraorbital fissure syndrome ( version 2024) based on evidence of evidence-based medicine and clinical experience of diagnosis and treatment. This consensus puts forward 12 recommendations on the diagnosis, classification, treatment, efficacy evaluation and follow-up of TSOFS, aiming to provide references for neurosurgeons from hospitals of all levels to standardize the diagnosis and treatment of TSOFS.