1.Integrated Model of Rehabilitation and Education of Cerebral Palsy in Hospital
Wen-xin LI ; Yan ZHONG ; Shu-zhen FENG ; Xuguang QIAN ; Yan GUO ; Shaolan LIU ; Zhenhuan LIU
Chinese Journal of Rehabilitation Theory and Practice 2006;12(10):839-840
ObjectiveTo explore the new rehabilitation model of medication combined with education of cerebral palsy.MethodsThe cross-professionals were organized to assess and observe 126 children with cerebral palsy. Then, individual education plan (IEP) combined with medication, family, feeding was made and performed.ResultsAfter educational rehabilitation, the children with cerebral palsy got improvement in intellection, social adaptation, communion aspiration, thinking and etc. They became more cooperated in medical rehabilitation.ConclusionInterdisciplinary cooperation, IEP, participation of parents are the conditions for success of medical rehabilitation combined with education.
2.Efficacy of short-term psychodynamic psychotherapy on anxiety and depression of gout patients and its influence on well-being index, family function and compliance
Xin ZHONG ; Zhenhuan ZHAO ; Qibiao WENG ; Liya BU ; Qiao HU ; Yaping ZHANG ; Fengchi YANG
Journal of Chinese Physician 2021;23(7):1039-1043
Objective:To explore the of short-term psychodynamic psychotherapy on anxiety and depression of gout patients and its influence on well-being index, family function and compliance.Methods:60 gout patients were selected from June 2018 to December 2019 in the outpatient department of rheumatism and immunity department of Dongguan Kanghua Hospital by prospective case-control study. They were randomly divided into control group and treatment group, 30 cases respectively. Both groups were given gout related clinical treatment and routine nursing, and the treatment group was given short-term dynamic orientation psychotherapy. The treatment compliance, the psychological status, well-being index and blood uric acid (UA) level of the two groups were compared before intervention, immediately after intervention and 3 months after intervention.Results:The scores of Patient Health Questionnaire-9 (PHQ-9) and the generalized anxiety disorder 7-item scale (GAD-7) in the two groups were gradually decreased immediately and 3 months after intervention ( P<0.05), and the scores of well-being index were gradually increased ( P<0.05); Compared with the control group, the scores of PHQ-9 and GAD-7 in the treatment group decreased more significantly ( P<0.05), and the score of well-being index increased more significantly ( P<0.05); The scores of communication, behavior control and total function of family function in the treatment group decreased gradually immediately after intervention and 3 months after intervention ( P<0.05), and were significantly lower than those in the control group ( P<0.05); The level of serum UA in the two groups decreased gradually immediately after intervention and 3 months after intervention ( P<0.05), but there was no significant difference in UA level at each time point between the two groups. The treatment compliance of the treatment group was significantly better than that of the control group ( P<0.05). Conclusions:The short-term dynamic orientation psychotherapy for gout patients has obvious effect in improving the state of anxiety and depression, improving the index of well-being, family function and treatment compliance.
3.Clinical study on pediatric Tuina combined with traditional Chinese medicine hot compress in treating children with nocturnal crying heart and spleen heat syndrome
Qian FU ; Zhenhuan ZHONG ; Xiaoyang QIAO ; Xiaoxia SU ; Qingwei SU
International Journal of Traditional Chinese Medicine 2020;42(11):1079-1082
Objective:To observe the clinical effect of children's massage combined with traditional Chinese medicine hot compress in the treatment of children with night crying heart and spleen fever syndrome.Methods:From April 2017 to January 2019, 90 children with nocturnal crying heart and spleen fever syndrome in the Department of Pediatrics, Shijiazhuang Traditional Chinese Medicine Hospital, who met the selection criteria were divided into 2 groups according to random numbers, with 45 cases in each group. The control group was given oral calcium and vitamin D, and the observation group was given children's massage combined with traditional Chinese medicine hot compress treatment. Both groups were treated for 7 days. The scores of TCM syndromes were performed before and after treatment, and the improved SPIEGEL sleep scale was used to evaluate the sleep quality of the children, and to evaluate the efficacy of crying and TCM syndromes.Results:After treatment, the scores of the primary and secondary symptoms in the observation group were significantly lower than those in the control group ( t values were 44.449, 46.204, 56.476, respectively, all Ps<0.001); SPIEGEL sleep scale score (4.7 ± 0.9 vs. 8.3 ± 1.4, t=14.715) was significantly lower than that of the control group ( P<0.01). While the tongue coating and fingerprint abnormalities did not change significantly after treatment in both groups ( χ2 values were 0.403, 0.401, respectively, all Ps>0.05). The total effective rate of crying in the observation group was 91.1% (41/45) and that in the control group was 62.2% (28/45). The difference between the two groups was statistically significant ( χ2=10.497, P<0.01). The total effective rate of TCM syndromes in the observation group was 97.8% (44/45) and the control group was 48.9% (22/45). The difference between the two groups was statistically significant ( χ2=27.500, P<0.01). Conclusions:Pediatric massage therapy combined with traditional Chinese medicine hot pack can improve the TCM syndromes and symptoms of children with night crying heart and spleen fever syndrome, relieve sleep dysfunction, and improve clinical efficacy.