不同针灸方法治疗急性期带状疱疹疗效与患者满意度的相关分析

目的 观察不同针灸方法治疗急性期带状疱疹的疗效，并分析患者满意度与疗效的关系。方法 采用中心随机对照的方法，将133例患者随机分为5组，最终共125例符合研究方案，电针组、电针 铺棉灸组、电针 火针组、电针 叩刺拔罐组、西药组分别为27、23、24、20、31例，分别予电针、电针 铺棉灸、电针 火针、电针 叩刺拔罐及西药治疗，每天1次，10 d为1个疗程。结果 仅电针组的总体疗效优于西药组（P<0.05），4个电针组疱疹结痂较西药组显著缩短（P<0.01），除电针 铺棉灸组外，其他3个电针组脱痂时间显著少于西药组（P<0.05）。各组患者满意度比较，差异无统计学意义（P>0.05）。患者满意度与止疱、结痂时间存在显著的负相关（分别为P=0.006、P=0.017）。结论 电针或电针 火针治疗能更快地促使疱疹痂皮脱落，且患者满意度较高，是值得推荐的疗法。     

Parenting coordination – outcome measurement and prediction: Implications for research and practice

This paper presents a formative evaluation study of the parenting coordination pilot program launched in Israel in 2016 at the initiative of the Ministry of Welfare and Social Affairs (At the time the program was launched, the Ministry of Labor, Social Affairs and Social Services) and JDC-Ashalim. Data was collected on 131 participating families (262 parents) through self-administered questionnaires filled out by the parents prior to the parenting coordination process (N = 204), telephone interviews with the parents following the process (N = 142), and reports by the parenting coordinators (PCs), submitted online at the conclusion of the process with each participating family (N = 131). Based on the logic model developed as a blueprint for the pilot program, the characteristics and needs of parents in high conflict were identified and desired outcome indicators were accordingly specified; quantitative and qualitative research tools were developed for the study, and the efficacy and outcomes of the parenting coordination pilot program were evaluated. Overall, the findings indicate a significant improvement in the desired outcome indicators. The implications of the findings for research and practice are discussed in the conclusion.