1.Prognosis analysis of APACHE Ⅱ and Ⅲ in multiple organ dysfunction syndrome
Jianhua REN ; Zhongteng CHEN ; Zhengjia LIN ; Ning CHEN
Chinese Journal of Primary Medicine and Pharmacy 2008;15(2):184-185
objective To investigate the effect of the prognosis of multiple organ dysfunction syndrome(MODs) through APACHE Ⅱ and APACHE Ⅲ.Methods The relations of APACHEⅡ,APACHEⅢ,the occurrence rate and number of organs failure and the dangerous extent and prognosis of MODS are studied between survival group and death group through the review research of 45 cases of MODS.Results APACHE Ⅱ andⅢ,age and genrating rate of failure organS are significant difference between surviral group and death group(P<0.05)in MODS.The predicting correlation of APACHE Ⅱis not significant difference between number of organs failure and mortality of MODS(P>O.05),but the predicting correlation of APACHE Ⅲ is significant difference between number of organs failure and mortality of MODS(P<0.05).Conclusion The study showed APACHEⅢis better than APACHEⅡ on the dangerous extent and prognostic evaluation in MODS.
2.A qualitative study on the effective psychosocial adjustment of post-burn patients
Yuan HE ; Daiyan LIU ; Zhengjia REN
Chinese Journal of Practical Nursing 2020;36(17):1337-1342
Objective:The aim of this article is to explore the effective coping styles of social and psychological adjustment for post-burn patients, and to provide the recommendation for effective coping with the physical and psychosocial recovery of post-burn patients.Methods:The in-depth interview was conducted from 12 burn patients through convenience sampling. Thematic analysis method was used to analyze the data.Results:Effective psychosocial coping styles for the post-burn psychosocial changes include three main core themes: personal resilience, social and professional support, and metallization.Conclusion:We have found that patients′ resilience, effective social support systems, and higher metallization functions are effective ways for post-burn adjustment. Future psychological services and psychosocial rehabilitation need to focus on these aspects to provide patients with comprehensive and systematic psychological rehabilitation services.