性病患者的心理障碍分析及护理

对617例性病患者不同心理障碍进行针对性心理护理，从而清除患者对性病不正确的认识和恐惧，积极配合药物治疗，提高性病治愈率，降低发病率，控制性病蔓延。     

性病患者的心理护理

性病患者的心理护理李萍（辽阳辽化医院皮肤科１１１００３）由于大多数人对性病缺乏全面的认识，加之性病诊疗市场的混乱，某些江湖游医的信口开河，恫吓患者，使得患者对性病产生误解和偏见，就诊时均存在不同程度的心理障碍。因而在临床工作中，掌握病人的心理状态，给...     

因人施教 做好性病患者的心理护理

本文分析322例性病患者五种心理状态,(焦虑恐惧占52.5％;痛苦猜疑占72.4％;抑郁寡欢占6.5％;癔症麻木占4.3％;悲观失望占4.3％)。针对不同的心理状态因人施护、施教,并总结出认真做好性病患者的心理护理“四点”体会。指出性病患者讳疾忌医的现象普遍存在。造成耽误治疗,致使性病蔓延;强调医护人员了解和分析性病患者的心理状态,使心理护理和药物治疗融为一体,使患者达到新的心理平衡,能在良好心态下配合治疗和护理。     

100例性病患者心理健康状况调查分析

目的：探讨性病患者的心理健康状况,为临床治疗和护理提供依据。方法：采用症状自评量表（SCL-90）对100例性病患者的心理健康状况进行测验。结果：100例性病患者SCL-90检测的阳性率为51%,阳性样本因子分居前的是敌对、强迫症状、抑郁、人际敏感。结论：性病患者广泛存在的心理问题,在药用治疗的同时应注意心理方面的治疗和疏导。     

关于性传播疾病患者心理问题的质性研究

目的:真实地了解性病患者的心理感受及存在的心理问题,为性病患者的心理护理提供依据。方法:采用质性研究中的现象学研究方法,与患者以面对面,半结构式深度访谈的方式全面收集资料,运用Claizzi现象学分析法提炼访谈主题。结果:性病患者在患病过程的不同阶段均存在不同程度的心理问题,将发现的心理问题的主题列出来。结论:面对性传播疾病患者存在的不同心理问题,寻找临床解决方案,有针对性地采取心理护理方法。     

电离子电灼术联合舒适护理治疗40例尖锐湿疣的临床观察

目的：探讨舒适护理于预对性病门诊尖锐湿疣手术患者的影响。方法：选择性病门诊需要手术治疗的尖锐湿疣患者80例。随机分为舒适护理干预组和对照组，各40例，对照组采用常规门诊手术护理指导，干预组在此基础上实施舒适护理干预。结果：舒适护理干预组患者在健康教育知识知晓程度、定期复诊率、术后并发症发生率、复发率等方面均优于对照组（P〈0．01）。结论：舒适护理干预使门诊尖锐湿疣手术患者在生理、心理上达到放松状态，能更好地配合治疗，减少术中出血，缓解紧张情绪，促进早日康复，有效提高患者的复诊率及治疗的依从性，从而减少复发，有效提高门诊护理满意度。     

心理干预及健康教育对门诊性病患者的影响1闻燕霞,李瑞,李荔甦,陶艳平

目的 观察门诊性病患者实施心理护理干预及专科健康教育对改善其负面情绪、病耻感以及提高生活质量的价值。方法纳入本院(2018年8月～2019年8月)门诊接收的100例性病患者作为研究对象,随机分为实验组(实施心理护理干预及专科健康教育)、对照组(实施常规护理),从患者掌握的性病知识知晓率、心理状态、生活质量、护理满意度进行评估。结果 实验组干预后各项性病知识知晓率明显高于对照组,有统计学意义(P 0.05)。实施干预后对比两组心理状态、生活质量,实验组均高于对照组,有统计学意义(P 0.05)。对照组护理满意度为70%,实验组护理满意度为96%,两组差异有统计学意义(P 0.05)。结论 门诊性病患者实施心理护理干预及健康教育效果显著,改善了患者的恐惧、焦虑负面情绪,提高了患者生活质量,也提高了患者满意度,值得推广。     

51例性病患者的心态分析及心理护理

对 5 1例性病患者的不同心态进行分析及心理护理 ,从而消除患者的心理障碍 ,积极配合治疗 ,有利于提高性病的治愈率 ,降低发病率 ,达到控制性病传播及蔓延的目的。     

性病恐惧症患者心理分析及临床干预疗效观察

目的：通过对性病恐惧症患者的心理分析和临床干预,以期掌握患者心理情况进行有效干预,提高临床疗效。方法：收集49例性病恐惧症者,再选取50例健康体检者予以对比研究;利用症状自评量表（symptom check list,SCL-90）对两组人群心理进行测评且对所得数据进行统计学处理,同时对性病恐惧症者予以综合性干预治疗且对其结果进行分析。结果：性病恐惧症者心理因素测评得分高于健康体检者（P〈0．05）;经过积极治疗后,性病恐惧症者工作和生活得以恢复、不良表现和行为消失,总有效率达100．00％。结论：性病恐惧症者心理健康水平差,应根据患者不同心理特征予以相应心理干预,进行心理疏导。     

心理护理对性病患者治疗效果影响的分析

目的：探讨性病患者在临床治疗期间开展心理护理的临床效果.方法：选取2010年3月至2013年3月来我院性病门诊就诊的126例患者,随机分为实验组和对照组各63例.对照租常规治疗,实验组在常规治疗基础上加入心理护理治疗.结果：实验组住院天数明显少于对照组,差异有统计学意义（P＜0.05）;临床治愈率,对照组为66.67%,实验组为93.65%,两组比较差异有统计学意义（P＜0.05）.结论：对于性病患者正规治疗的同时,辅以心理治疗,可明显提高治愈率.     

阴茎癌围手术期的护理

目的:针对阴茎癌患者手术部位的特殊性和患者心理接受程度,对患者进行围手术期护理及心理健康教育,减轻患者心理负担及术后的疼痛和不适感,减少手术后并发症,有利于疾病的康复,大大提升患者战胜疾病的信心。方法:通过回顾性分析对32例阴茎癌患者围手术期的护理,给予制定护理方案,实施护理措施,解决护理问题。结果:32例阴茎癌患者能积极配合治疗和护理,对疾病有了正确的认识,取得良好的效果。结论:针对阴茎癌患者,通过有特色的专科护理和心理健康教育,使治疗达到最佳效果,提高患者手术后的生活质量。     

加强型护理方法对高龄产妇心理状况影响效果的分析

目的：通过对入院高龄产妇实施短期加强型护理,探讨加强型护理对高龄产妇产前产后的心理状况的影响。方法：选取2011年2月至2013年5月来我院分娩的高龄产妇98例,按入院顺序,在自愿的基础上随机分为两组,各49例。对照组采用产科常规基础护理,观察组采用加强型护理,观察不同护理方法对产妇分娩前后心理状况的影响效果。结果：入院时两组患者的焦虑、抑郁评分组问比较差异无统计学意义（P〉0．05）．产后观察组患者的焦虑、抑郁评分分别是（36．4±5．6）分和（36．7±6．8）分,对照组分别是（44．6±4．8）分和（47．1±5．8）分,观察组均低于对照组,差异有统计学意义（P（O．05）。出院时,观察组对护理服务的满意度为100％,对照组为87．76％,观察组明显优于对照组（P〈0．05）。结论：相对于采用常规护理的对照组,对观察组高龄产妇实施加强型护理,可以有效降低产妇产前焦虑及产后抑郁的发生,同时可以提高产妇对护理服务的满意度,值得临床推广。     

Pattern of sexually transmitted diseases and risk factors among women attending an STD referral clinic in Nairobi, Kenya

BACKGROUND: In Kenya, sexually transmitted disease (STD) clinics care for large numbers of patients with STD-related signs and symptoms. Yet, the etiologic fraction of the different STD pathogens remains to be determined, particularly in women. GOAL: The aim of the study was to determine the prevalence of STDs and of cervical dysplasia and their risk markers among women attending the STD clinic in Nairobi. STUDY DESIGN: A cross-section of women were interviewed and examined; samples were taken. RESULTS: The mean age of 520 women was 26 years, 54% had a stable relationship, 38% were pregnant, 47% had ever used condoms (1% as a method of contraception), 11% reported multiple partners in the previous 3 months, and 32% had a history of STDs. The prevalence of STDs was 29% for HIV type 1, 35% for candidiasis, 25% for trichomoniasis, 16% for bacterial vaginosis, 6% for gonorrhea, 4% for chlamydia, 6% for a positive syphilis serology, 6% for genital warts, 12% for genital ulcers, and 13% for cervical dysplasia. Factors related to sexual behavior, especially the number of sex partners, were associated with several STDs. Gonorrhea, bacterial vaginosis, cervical dysplasia, and genital warts or ulcers were independently associated with HIV infection. Partners of circumcised men had less-prevalent HIV infection. CONCLUSION: Most women reported low-risk sexual behavior and were likely to be infected by their regular partner. HIV and STD prevention campaigns will not have a significant impact if the transmission between partners is not addressed.     

心理护理在泛发性神经性皮炎治疗中的作用

目的观察心理护理对泛发性神经性皮炎患者疗效的影响。方法对本科2008年(1～12月)住院的12例泛发性神经性皮炎患者,在严格按照医嘱进行药物治疗和皮肤护理的同时,重点进行心理护理,采用心理疏导缓解压力和分散注意力,并与2007年(1～12月)本科住院的泛发性神经性皮炎患者进行比较。结果12例患者中痊愈1例,显效11例,平均住院时间19天,比2007年(1～12月)同种疾病单纯进行药物治疗和常规护理的患者平均住院时间(25天)缩短6天。结论配合及时而有效的心理护理,可以明显缩短神经性皮炎的病程,提高临床疗效。     

Sexually transmitted diseases of older persons in Washington State

BACKGROUND: Sexually transmitted diseases (STDs) in persons older than 50 years are rarely studied because STDs are more common in young people. Understanding the epidemiology of STDs in older persons is important for reducing STD morbidity and for improving STD care. GOAL: To understand the epidemiology of STDs in older persons. METHODS: Washington State's STD surveillance data from 1992 to 1998 were analyzed to describe the burden of STDs and source of care for these diseases in older persons. RESULTS: From 1992 to 1998, 1535 episodes of STDs were reported for 50- to 80-year-olds in Washington State, accounting for 1.3% of all reported STDs. The most common STDs were nongonococcal urethritis in men and genital herpes in women. As compared with younger persons, older individuals more frequently sought care at private clinics and had symptoms at the time of the clinic visit. CONCLUSIONS: Sexually transmitted diseases are reported among older persons, although at lower rates than among younger persons. Services for STD and counseling regarding safe sex should be available to persons of all ages.     

A retrospective study of the pattern of sexually transmitted diseases during a ten-year period

BACKGROUND: Proper knowledge of the patterns of sexually transmitted diseases (STDs) in different geographical regions is necessary for evolving proper strategies for control of these diseases. AIMS: To study the pattern of STDs and to analyze the changes during a ten-year period from 1990 among patients attending Medical College Hospital, Kottayam. METHODS: Case records of 686 patients with STDs who attended the outpatient wing of the Department of Dermatology and Venereology were studied. RESULTS: There were 504 males and 182 females in the total of 686 patients. Marital contact alone was reported by 123 (67.6%) female patients. Genital ulcer diseases (GUDs) accounted for the maximum number of STDs, with 504 cases (73.5%), followed by condyloma acuminatum (17.5%) and gonorrhea (10.1%). Forty-three patients had multiple infections. The total number of patients during the first year of study was 129, while it was 41 during the last year. Bacterial STDs showed a striking reduction in numbers. The decline was less marked in the case of viral STDs. CONCLUSION: The majority of patients had genital ulcer diseases. Spouses were the most common source of infection for female patients. There was a marked decline in the number of patients with various STDs during the ten-year period. The decline was more evident in the bacterial STDs resulting in an apparent increase of the viral STDs towards the end of the period of study.     

108例老年性病患者心理护理与疗效观察

目的:探索老年性病患者心理因素与临床治疗效果的关系,从而提高治愈率。方法:根据老年性病患者的心理特点,分成忧郁型、愤怒型、玩世不恭型三种类型,采用正规治疗,在临床正规治疗的基础上辅以心理治疗,观察治疗效果。结果:56例正规治疗辅以心理治疗的患者治愈51例,治愈率为91.07%(51/56)。而未辅以心理治疗的患者52例治愈率为76.92%(40/52)。二者差异有统计学意义(2χ=27.74,P<0.01)。结论::采用正规治疗的同时,辅以心理治疗,可提高治愈率。     

性传播疾病患者263例心理状况分析

目的探讨性病患者心理状况,以便进行心理干预治疗,减低性病患者心理障碍。方法对263例性病患者按汉密顿焦虑量表(HAS)和汉密顿抑郁量表(HDS)评定其心理状态,分析性病患者心理状况。结果性病患者的焦虑与抑郁评分明显高于对照组,18～39岁年龄段、不正规治疗、梅毒、尖锐湿疣、生殖器疱疹、病程长、未婚、未生育患者的焦虑与抑郁评分显著升高。结论抑郁、焦虑症状在性病患者中普遍存在,应给予重视并及时进行心理治疗。     

静脉麻醉无痛人流术的手术室护理体会

目的:探讨分析静脉麻醉下实施无痛人流术的手术室护理方法.方法:对我科于2012年10月至2012年12月收治的141例无病人流术患者采用手术室心理干预,包括认知、情绪、行为干预等.通过对此141例静脉麻醉无痛人流术患者手术室的护理情况进行分析整理,观察其临床表现,分析手术室护理心理干预方法的效果.结果:全部患者在进行静脉麻醉无痛人流手术及护理后,均恢复出院,无一例患者发生并发症,且实施心理护理,降低了患者的恐惧程度,改善了患者生理、心理不适.结论:静脉麻醉无痛人流手术时,进行有效的手术室护理,可明显提高患者的康复率及有效预防并发症,且心理护理可以有效减轻患者的心理压力,提高手术质量,减少手术并发症.     

Evaluation of the use of calendar blister packaging on patient compliance with STD syndromic treatment regimens

BACKGROUND: Good compliance with antibiotic therapy is critical for successful management of sexually transmitted diseases (STDs). GOAL OF THIS STUDY: To evaluate the use of user-friendly drug packaging as a means of improving patient compliance with STD therapy and the acceptability of the packaging. STUDY DESIGN: Compliance of patients with STDs with treatment regimens for three different STD syndromes, using antibiotics packed in standard medicine packaging (SP), was compared to that of patients using calendar blister packaged drugs. Compliance was measured by counting the remaining pills at two return visits. Questionnaires were used to evaluate acceptability of the packs. RESULTS: Compliance was significantly better among patients using the calendar blister packs than among those using standard packs, irrespective of dosing frequency. The degree of poor compliance increased with increasing dosing frequency. There was a high level of satisfaction with the blister pack among patients and health care workers. CONCLUSION: Compliance can be improved by the introduction of user-friendly drug packaging, especially for more complex dosing regimens.