目的:分析中医特色干预对维持性血液透析患者睡眠质量、ADL评分及并发症的影响。方法:选取我院2018年2月~2020年11月收治的152例慢性肾功能衰竭经维持性血液透析患者作为研究对象,根据干预方法的差异分为研究组和对照组。其中研究组90例...目的:分析中医特色干预对维持性血液透析患者睡眠质量、ADL评分及并发症的影响。方法:选取我院2018年2月~2020年11月收治的152例慢性肾功能衰竭经维持性血液透析患者作为研究对象,根据干预方法的差异分为研究组和对照组。其中研究组90例(给予中医特色干预),对照组62例(给予常规干预)。比较两组干预前后睡眠质量[采用匹兹堡睡眠质量指数(Pittsburghsleepqualityindex,PSQI)评估]、生活质量[采用SF-36评分量表(the Mositem short from health survey,SF-36)评估]、日常生活能力[采用Barthel(BI)指数和日常生活活动(activities of daily living,ADL)量表评估]变化情况,对比两组并发症发生情况。结果:(1)干预后两组入睡时间、睡眠时间、睡眠效率、睡眠障碍、日间功能障碍、睡眠质量评分及PSQI总分均有所下降,且研究组下降程度较对照组更为显著(P<0.05)。(2)研究组干预后躯体疼痛、生理职能、生理功能、社会功能、情感职能、精神健康、总体健康、精力评分均显著高于对照组(P<0.05)。(3)干预后研究组后BI指数和ADL评分比较均高于同组干预前及对照组(P<0.05)。(4)研究组并发症发生率(8.89%)低于对照组(35.48%)(P<0.05)。结论:中医特色干预可改善维持性血液透析患者睡眠质量,有效降低临床并发症发生率,进而提高患者日常生活能力及生活质量,值得推广。展开更多
Background: Nest predation is usually the main cause of bird nest failure. ‘Predation avoidance hypothesis' of nestsite selection predicts that birds should prefer nest-sites with higher nesting success. We inves...Background: Nest predation is usually the main cause of bird nest failure. ‘Predation avoidance hypothesis' of nestsite selection predicts that birds should prefer nest-sites with higher nesting success. We investigated the relationship between nest height and nest fate in Silver-throated Tits(Aegithalos glaucogularis) and asked whether the seasonal change of nest height was adaptive by simultaneously analyzing the seasonal variation of predation rates of the nests.Methods: We monitored nests of the Silver-throated Tit across seven breeding seasons in the Dongzhai National Nature Reserve in Henan Province of China. We compared the difference of nesting success among nests of different heights and analyzed the effect of nesting date on nest height and nest predation rates.Results: The overall nesting success rate was 24.1%(n ds and mammals, followed by snakes(9.11%= 623). Among the failed nests(n). The average height of successf= 472), 59.75% were predated by birul nests was significantly lower than that of predated nests. As the season progresses, the height of the nests increased significantly, companied by the decrease in nesting success. Daily survival rate of the nests also decreased with the progression of the season, regardless of breeding stages.Conclusions: Our findings suggest that nest height is an important factor influencing the nesting success of Silverthroated Tits. However, the seasonal increase of nest height appears inconsistent to the ‘predation avoidance hypothesis', because it is associated with higher predation rates. The reason for this maladaptive behavior remains to be explored in future studies.展开更多
文摘目的:分析中医特色干预对维持性血液透析患者睡眠质量、ADL评分及并发症的影响。方法:选取我院2018年2月~2020年11月收治的152例慢性肾功能衰竭经维持性血液透析患者作为研究对象,根据干预方法的差异分为研究组和对照组。其中研究组90例(给予中医特色干预),对照组62例(给予常规干预)。比较两组干预前后睡眠质量[采用匹兹堡睡眠质量指数(Pittsburghsleepqualityindex,PSQI)评估]、生活质量[采用SF-36评分量表(the Mositem short from health survey,SF-36)评估]、日常生活能力[采用Barthel(BI)指数和日常生活活动(activities of daily living,ADL)量表评估]变化情况,对比两组并发症发生情况。结果:(1)干预后两组入睡时间、睡眠时间、睡眠效率、睡眠障碍、日间功能障碍、睡眠质量评分及PSQI总分均有所下降,且研究组下降程度较对照组更为显著(P<0.05)。(2)研究组干预后躯体疼痛、生理职能、生理功能、社会功能、情感职能、精神健康、总体健康、精力评分均显著高于对照组(P<0.05)。(3)干预后研究组后BI指数和ADL评分比较均高于同组干预前及对照组(P<0.05)。(4)研究组并发症发生率(8.89%)低于对照组(35.48%)(P<0.05)。结论:中医特色干预可改善维持性血液透析患者睡眠质量,有效降低临床并发症发生率,进而提高患者日常生活能力及生活质量,值得推广。
基金supported by the Fundamental Research Funds for the Central Universities through Beijing Forestry University(No.2016JX06)the National Natural Science Foundation of China(Nos.3110144 and 31472011)
文摘Background: Nest predation is usually the main cause of bird nest failure. ‘Predation avoidance hypothesis' of nestsite selection predicts that birds should prefer nest-sites with higher nesting success. We investigated the relationship between nest height and nest fate in Silver-throated Tits(Aegithalos glaucogularis) and asked whether the seasonal change of nest height was adaptive by simultaneously analyzing the seasonal variation of predation rates of the nests.Methods: We monitored nests of the Silver-throated Tit across seven breeding seasons in the Dongzhai National Nature Reserve in Henan Province of China. We compared the difference of nesting success among nests of different heights and analyzed the effect of nesting date on nest height and nest predation rates.Results: The overall nesting success rate was 24.1%(n ds and mammals, followed by snakes(9.11%= 623). Among the failed nests(n). The average height of successf= 472), 59.75% were predated by birul nests was significantly lower than that of predated nests. As the season progresses, the height of the nests increased significantly, companied by the decrease in nesting success. Daily survival rate of the nests also decreased with the progression of the season, regardless of breeding stages.Conclusions: Our findings suggest that nest height is an important factor influencing the nesting success of Silverthroated Tits. However, the seasonal increase of nest height appears inconsistent to the ‘predation avoidance hypothesis', because it is associated with higher predation rates. The reason for this maladaptive behavior remains to be explored in future studies.
