男性不育症患者的精液检测与护理

目的了解男性不育症的临床特征及检测护理。方法观察并总结了2004年7月～2008年2月我院男科实验室2231例男性不育症的临床特征及检测护理。结果男性不育症患者的年龄20—48岁，平均年龄29．5岁，其中无精子症90例，占4．03％；少精子症480例，占21．52％，弱精子症843例，占37．79％；多精子症159例，占7．13％；精液检测正常者659例，占29．54％。结论男性不育症患者检测应采用WHO推荐的规范化的检测方法，提高诊断的准确性。本研究对于了解江苏男性不育症的临床特点和积极防治提供参考。     

绍兴地区361例不育症患者精液常规检验结果的分析

不育症是影响男女双方身心的健康问题。已婚男性中,有8%～22%的男性患有不育症。导致男性不育的原因有多种,其中以精液异常与男性不育症关系密切。现将近年来我院就诊的绍兴地区361例男性不育症患者精液常规检验分析,以引起人们     

中山市男性不育症患者心理健康调查

目的 探讨男性不育症患者心理健康状况.方法 采用90项症状清单(SCL-90)时107例男性不育症患者进行心理健康评价,并与全国常模进行比较.结果 ①男性不育组在敌对、精神病性和人际关系敏感指标与全国常模男性群体比较,差异存在统计学意义.②不育症组内精液正常男性和存在男性不育因素患者与全国常模比较,存在上述相同的结论,但是不孕症组内差异没有统计学意义.结论 男性不孕不育症患者存在一定的心理问题,有必要进行心理干预治疗.     

超声对附睾异常所致的男性不育症的诊断价值

正男性不育症发病率逐年增加,其中因附睾异常所致的男性不育较为多见。本组回顾分析我院经临床证实的82例男性不育症患者附睾的超声表现,旨在分析超声对附睾异常所致的男性不育症的诊断价值。资料与方法     

男性不育症患者637例支原体感染及其药物敏感性分析

目的 了解男性不育症患者支原体感染及其耐药情况,为男性不育症诊治和控制支原体感染提供依据.方法 对637例男性不育症患者的精液进行解脲支原体(Uu)和人型支原体(Mh)分离,并检测其对12种常用抗生素的敏感性.结果 支原体的总感染率51.49%,Uu,Mh,Uu+Mh的感染率分别为27.63%、2.98%和20.88%,12种抗生素对支原体(Uu,Mh,Uu+Mh)敏感性和耐药各不相同.结论 男性不育症患者中有着较高的支原体感染率,临床上对不育男性常规开展支原体培养及药敏检测很有必要.     

重庆地区1205例男性不育患者精液分析

目的对重庆地区男性不育患者精液参数进行回顾性分析,为评价男性生育力提供依据。方法采用计算机辅助精子分析系统(computer-aided sperm analysis,CASA)对2009年3月至2009年10月到重庆医科大学附属第一医院辅助生殖中心就诊的1205例男性不育患者的精液参照WHO标准进行常规分析,精子形态采用改良巴氏染色法。对所获得的参数,如精液量、pH、密度、存活率、活力、形态等进行分析。结果男性不育患者中精子密度正常者占80.2%,无精症占7.1%,少精症占12.7%。弱精症占男性不育患者的89.1%。畸形精子症占男性不育患者的6.3%。结论采用计算机辅助精子分析系统结合精子形态的改良巴氏染色,对不育患者精液的密度、活力及形态等参数进行分析,可为临床上男性不育症的诊断和治疗提供有力的参考依据。     

不育男性精浆中免疫球蛋白与精子参数的相关分析

目的 检测不育男性患者精浆中免疫球蛋白IgA、IgG、IgM和精子活力与密度,分析各参数之间的相关性,探讨其与男性不育的关系.方法 96例不育症患者分为弱精子症组、少精子症组和无精子症3组,以31例精液质量正常的已生育男性作为参照对象.利用免疫比浊法和精子质量图文分析系统分别检测精浆中IgA、IgG、IgM和精子活力与密度.结果 少精子症和无精子症患者精浆中IgM含量与正常组和弱精子症组比较显著减低(P＜0.01,P＜0.05);精浆中IgA、IgG和IgM之间两两相关(P＜0.01),IgM含量与精子密度显著相关(P＜0.05);不育症组与正常组比较,IgA、IgG和IgM相互之间的相关性减低.结论 精浆中三种免疫球蛋白含量的失衡及IgM含量减少可能是导致男性不育的原因之一,该结果可为男性不育的研究提供参考.     

男性不育症患者精浆中miR-145 的表达水平及其临床意义

目的　探讨男性不育症患者精浆中miR-145 的表达水平及其临床意义。方法　招募2017 年1 月~ 2018 年9 月 男性不育症患者130 例和同期体检正常的生育男性50 例为正常对照组。采用实时荧光定量PCR 检测精浆中miR-145 的 表达水平,精液常规参数采用WLJY-9000 伟力彩色精子检测系统进行分析。应用ROC 曲线分析miR-145 对男性不育症 的诊断价值,采用Pearson 相关分析精浆中miR-145 表达水平与精液参数的相关性。结果　男性不育症组精浆中miR- 145 表达水平明显高于对照组（3.92±0.86 vs 1.16±0.35）,而男性不育症组精子浓度（70.24±28.60 vs 112.50±46.35） ×106/mL、精子存活率（38.40±7.60 vs 73.84±5.82）%、前向运动精子百分率（17.52±9.73 vs 46.20±5.30）% 及正常 精子形态百分率（2.60±1.42 vs 9.25±1.70）% 明显低于对照组,差异均有统计学意义（t=4.852~11.238,均P<0.01）。 ROC 曲线分析显示,精浆中miR-145 表达水平诊断男性不育症的曲线下面积（AUC）为0.864（95%CI:0.807~0.925）, 其最佳诊断截断值为2.15,敏感度和特异度分别为92.8% 和75.0%。相关分析显示,男性不育症患者精浆中miR-145 表 达水平与精子浓度、精子存活率、前向运动精子百分率均呈正相关（r=0.427,0.604,0.538,均P<0.01）。结论　精浆 中miR-145 表达水平在男性不育症患者中明显上调,且精子浓度、精子存活率、前向运动精子百分率呈正相关,有望 作为男性不育症的辅助诊断指标。     

附睾和睾丸精子抽吸术及后期ICSI治疗的护理

男性不育症是男科疾病中的常见病,其中无精子症约占男性不育症病人的20%.     

精浆对氧磷酶-1活性测定对男性不育患者诊断价值研究

目的探讨精浆PON-1活性测定对男性不育症患者诊断价值。方法选择有生育力的男性对照组50例,男性不育症组42例．采用分光光度法和计算机辅助精液分析系统分别测定精浆PON-1活性和精液常规参数。结果与对照组比较,男性不育组精浆PON-1活性、精子浓度、活力及精于正常形态率降低,P〈0．01;精索静脉曲张组和白细胞精子症组精浆PON-1活性降低,P值分别小于O．05和0．01;白细胞精子症组精浆PON-1活性低于精索静脉曲张组,P〈0．01;根据制定的ROC曲线．PON-l活性曲线下面积为0．907。结论精浆PON-1活性测定为男性不育症实验室诊断提供参考依据。     

非特异性乳腺炎患者诊疗过程中心理体验的质性研究

目的 深入了解非特异性乳腺炎患者就诊前后真实情感体验。 方法 采用目地抽样法选取2016年1~12月在乳腺外科就诊的非特异性乳腺炎的患者13例为研究对象,采用诠释现象学研究方法,以面对面、半结构性、深度访谈法进行访谈,现场录音,根据诠释学循环原则对转录资料进行主题分析。 结果 经过对访谈资料深入分析后,非特异性乳腺炎患者患病前后及治疗过程中真实情感体验可归纳为6个主题,即睡眠状态改变、疲劳感、对病情缺乏了解、难以适应治疗状态、担忧害怕、对安装假体持正面看法。 结论 非特异性乳腺炎患者在患病前常常存在生活习惯的改变,患病后常存在不良情绪,且患者对疾病存在认知缺陷,医护人员应加强健康教育,适时与患者的沟通,做好延续护理,减轻或消除患者的不良情绪,促进健康恢复。     

男性心肌梗死患者患病体验质性研究的Meta整合

目的系统总结男性心肌梗死患者患病的真实体验,为制定科学的临床护理措施,提高男性患者的生存质量提供循证依据。方法计算机检索中国知网、万方、中国生物医学文献数据库、VIP、PubMed、Web of Science、Medline、OVID数据库关于男性心肌梗死患者患病真实体验的研究,时间从建库至2020年2月。采用澳大利亚循证卫生保健中心质性研究质量评价标准评价文献质量,采用汇集性整合的方法对结果进行整合。结果共纳入8篇研究,提取27个研究结果,归纳为8个类别,最终整合为3个结果:①男性对疾病的感知并做出应对策略;②传统男性形象与生活的改变;③反思与生活重建。结论临床护理工作者应重视男性心肌梗死患者的患病体验与需求,加强对患者院前症状的识别与负性情绪的疏导,并关注男性患者积极心理变化,提高其生活质量与促进男性角色重建。     

乳腺癌患者男性照顾者照顾体验的质性研究

目的了解持续照顾时间不同的男性照顾者在照顾乳腺癌患者过程中的照顾体验,为制定生活质量干预策略提供依据。方法采用面对面访谈收集20名乳腺癌患者男性照顾者的资料,并用现象学分析法进行分析。结果持续照顾时间不同的男性照顾者经历了不同程度的情感和认知反应、生理反应、家庭角色改变、生活方式改变、心理反应和经济负担,他们的共同特点是社会支持利用度差、情感难以表达。结论乳腺癌患者男性照顾者这一特殊人群需要得到关注,护理人员可以根据其不同持续照顾时间和性别特征采取干预措施,以提高男性照顾者的生活质量和照顾水平。     

Physiological reactivity and facial expression to emotion-inducing films in patients with schizophrenia

The present study aimed to investigate the physiological reactivity and recognition to emotional stimuli in outpatients with schizophrenia and in healthy controls. Skin conductance response, skin conductance level, heart rate, respiration, corrugator muscle, and orbicularis muscle were all measured using five emotion-eliciting film clips. The patients reported lower intensity of experienced anger and disgust than controls. The patient and control groups did not differ in accuracy to recognize emotions except anger. Anger, fear, amusement, and sadness had a discriminative effect on physiological responses in the two groups. These findings provide helpful physiological evidence influenced by harmful or favorable emotional stimuli. Future directions may include to clarify how physiological reactivity and subject experience to emotion are related to their functioning.     

Emotions and illness

AIM: This paper discusses issues central to emotional expression in illness. Its aim is to challenge the psychopathological paradigm currently utilized within healthcare and propose an alternative model based on healthy emotions. BACKGROUND: Emotions are important to human survival. It is argued that most patients will have an emotional response to their illness but anxiety and depression are unlikely to be representative of most patients experience. The paper focuses on two important negative emotions, fear and sadness, and their psychopathological associates, anxiety and depression. Problems of diagnosing anxiety and depression in practice are highlighted. It is contended that emotional reaction to illness is normal and that emotions expressed are likely to hold clues to individual adaptation. It is argued that in health care, emotions should be assessed as healthy reactions to a survival threat and merit study from this perspective if we wish to understand individual patient illness reaction and adaptation better. Literature from cardiology is used to illustrate clinical problems. RATIONALE: Given the present knowledge of emotions, it should be possible to utilize emotion theory as a paradigm for studying human reaction to illness. This in turn could help shape studies on adherence and adaptation. CONCLUSION: The reaction and experience of patient illness is unlikely to be understood through the psychopathology paradigm. A better understanding of patient reaction to their illness is more likely to emerge through the study of basic emotions during acute life-threatening episodes.     

高血压病病人主观幸福感与情绪状态的调查

[目的]探讨高血压病病人主观幸福感与情绪状态的关系.[方法]采用幸福感指数量表、Zung焦虑自评量表(SAS)和抑郁自评量表(SDS)对69例高血压住院病人进行测量.[结果]高血压病病人幸福感体验低下,负性情绪较严重,其负性情绪状态与幸福感体验呈负相关.[结论]高血压病病人幸福感与焦虑、抑郁负性情绪密切相关,对高血压病痛人予心理干预,改善其情绪状态,可提高病人生活质量,增强主观幸福感,促进身心健康.     

Beliefs About Emotions,Negative Meta-emotions,and Perceived Emotional Control During an Emotionally Salient Situation in Individuals with Emotional Disorders

Research has highlighted that emotion regulation (ER) difficulties are common in individuals with emotional disorders (ED). However, most studies were limited to non-clinical (NC) samples and focused on specific strategies to control emotions. Also, few studies investigated these difficulties “in-the-moment”. Thus, the current study aimed to investigate ER difficulties in individuals with ED that are usually neglected, such as difficulties in how they appraise their emotions (beliefs about emotions). Moreover, we examined the mediator role of irrational/dysfunctional beliefs about emotions in relation to the experience of negative meta-emotions and low perceived control of emotions. A number of 36 individuals with ED and 50 NC completed an emotion-provoking autobiographical recall task while their negative emotions, cardiac activity, beliefs about emotions, negative meta-emotions and perceived emotional control were assessed. Results indicated that compared to non-clinical controls, individuals with ED showed more irrational beliefs about emotions, more negative meta-emotions, and poorer perceived control of emotions. Also, our results showed that these irrational beliefs about emotions were further related to an increased level of negative meta-emotions and to a decreased perceived control of emotions. Finally, negative meta-emotions were differentially associated in the two groups with the control of heart rate by the two branches of the autonomous nervous system. Thus, individuals with ED may have difficulties in appraising emotions, which further expose them to maladjustment.     

烧伤科护士负性工作情感体验及对策研究

目的了解烧伤科护士负性工作情感体验和应对方法 ,提出相应解决对策。方法对67名烧伤科护士进行访谈,用Claizzi资料分析法对访谈资料进行分析。结果烧伤科护士负性工作情感体验中提炼出3个主题:工作压力大、心理负荷重、工作环境紧张,护士对负性情绪的应对方法局限。结论护理管理者应重视烧伤科护理人员的情感,合理配置护理人力资源,创造和谐的工作环境,以稳定护理队伍。     

Emotionally intelligent strategies students use to manage challenging interactions with patients and families: A qualitative inquiry

Healthcare students experience elevated stress associated with the interpersonal work of clinical practice. Emotional labour involves clinicians' use of intra- and inter-personal skills to manage their emotional states and promote patient and family emotional wellbeing. Effective emotional labour requires emotionally-intelligent skills. Learning to use these skills is critical to students' effective interpersonal management of stressful practice situations however, understanding of emotionally-intelligent strategies used by students on clinical placement is limited. To address this gap in knowledge, a qualitative study was conducted to investigate challenging interpersonal situations with patients and family experienced by pre-registration nursing and pharmacy students during clinical placement, and to identify how they used emotionally intelligent behaviours to manage those situations. Twenty final-year students from an Australian university were interviewed. Interpersonal situations experienced as challenging, involved patients or family members who were angry and aggressive, distressed, or embarrassed. Students used a broad range of cognitive, emotional, relational, and behavioural (CERB) emotionally-intelligent strategies to manage their own and others’ emotions and behaviours during these encounters. The CERB framework, derived from analysis of student strategies, is a useful resource for healthcare curricula to support emotional intelligence education for interpersonal skill development and building of empathy and resilience for clinical practice.