目的旨在对我国护士疼痛管理知识和态度进行分析、评价,以全面了解和评估当前我国护士疼痛管理的研究现状和护理实践中的局限性。方法系统检索PubMed、Embase、Cochrane Library、Web of Science、中国知网、万方数据库、维普中文科技...目的旨在对我国护士疼痛管理知识和态度进行分析、评价,以全面了解和评估当前我国护士疼痛管理的研究现状和护理实践中的局限性。方法系统检索PubMed、Embase、Cochrane Library、Web of Science、中国知网、万方数据库、维普中文科技期刊数据库,收集有关中国护士疼痛管理知识和态度的横断面研究,检索时间为建库至2023年6月。采用了美国卫生保健研究与质量机构(AHRQ)的质量评价标准对最终纳入文献的质量进行了严格评估,并运用Stata 15.1软件进行全面统计分析。结果本研究最终纳入35篇文献,涉及14146名护士。11篇文献为高质量文献,其余24篇文献质量均处于中等水平。结果显示,中国护士疼痛管理知识和态度问卷答对率为46%(95%CI:0.43~0.50)。亚组分析显示,研究生及以上学历、工作后继续接受疼痛教育、在肿瘤科工作的护士疼痛管理知识和态度问卷答对率越高,分别是56.70%(95%CI:43.80%~69.70%)、58.60%(95%CI:55.00%~62.20%)、58.90%(95%CI:45.20%~72.70%)。结论我国护士在疼痛管理领域的知识和态度普遍存在不足,提示护理管理者亟需认识到疼痛管理在整体护理质量中的重要性,有必要制订持续性的专业培训和教育计划,通过提供定期的疼痛管理知识更新,以提升护士对疼痛管理的认知和应对能力,进而提升护士专业素养,为疼痛患者提供更全面、人性化的治疗和关怀,从而改善疼痛患者的生活质量和治疗效果,进而提高整体护理质量。展开更多
With the help of the ceramic foam research efforts and preparation techniques, the ZrO2 polycrystalline ceramic foam catalyst was synthesized, and its characteristics, including the crystal structure, the phase compos...With the help of the ceramic foam research efforts and preparation techniques, the ZrO2 polycrystalline ceramic foam catalyst was synthesized, and its characteristics, including the crystal structure, the phase composition, the acid–base properties, and the microstructure, were analyzed by XRD, SEM, Py-IR, and BET techniques. The performance of the ZrO2 polycrystalline ceramic foam catalyst in a tubular reactor was investigated via biodiesel synthesis using S. wilsoniana oil and methanol. The effects of reaction conditions(i.e., reaction temperature, reaction pressure, and volume ratio of methanol to S. wilsoniana oil) on transesterification efficiency were investigated, and the reaction conditions were optimized using RSM. The optimum reaction temperature, reaction pressure, and volume ratio of methanol to S. wilsoniana oil were determined to be 290 ℃, 10 MPa, and 4:1, respectively. Under this condition, the FAME content in the product oil reached 98.38%. The performance of the ZrO2 polycrystalline ceramic foam catalyst synthesized in this work for biodiesel synthesis from S. wilsoniana oil with a moisture content of 7.1% and an acid value of 130.697 mg KOH/g was examined, and the FAME content in the product oil was found to be 93% and 97.67%, respectively. The FAME content in the product oil exceeded 97% after five consecutive cycles(12 h per cycle of use) of the catalyst. The proposed catalyst represents a new type of solid catalyst with excellent acid resistance, water resistance, esterification efficiency, and catalytic stability.展开更多
文摘目的旨在对我国护士疼痛管理知识和态度进行分析、评价,以全面了解和评估当前我国护士疼痛管理的研究现状和护理实践中的局限性。方法系统检索PubMed、Embase、Cochrane Library、Web of Science、中国知网、万方数据库、维普中文科技期刊数据库,收集有关中国护士疼痛管理知识和态度的横断面研究,检索时间为建库至2023年6月。采用了美国卫生保健研究与质量机构(AHRQ)的质量评价标准对最终纳入文献的质量进行了严格评估,并运用Stata 15.1软件进行全面统计分析。结果本研究最终纳入35篇文献,涉及14146名护士。11篇文献为高质量文献,其余24篇文献质量均处于中等水平。结果显示,中国护士疼痛管理知识和态度问卷答对率为46%(95%CI:0.43~0.50)。亚组分析显示,研究生及以上学历、工作后继续接受疼痛教育、在肿瘤科工作的护士疼痛管理知识和态度问卷答对率越高,分别是56.70%(95%CI:43.80%~69.70%)、58.60%(95%CI:55.00%~62.20%)、58.90%(95%CI:45.20%~72.70%)。结论我国护士在疼痛管理领域的知识和态度普遍存在不足,提示护理管理者亟需认识到疼痛管理在整体护理质量中的重要性,有必要制订持续性的专业培训和教育计划,通过提供定期的疼痛管理知识更新,以提升护士对疼痛管理的认知和应对能力,进而提升护士专业素养,为疼痛患者提供更全面、人性化的治疗和关怀,从而改善疼痛患者的生活质量和治疗效果,进而提高整体护理质量。
基金the financial support from the National Natural Science Foundation of China (No. 21266022, No. 21466022)the National High Technology Research and Development Program 863 (2014AA022002, 2012AA101800-03, 2012AA021205-6, 2012AA021704)+1 种基金the Key Programs of the National Laboratory (No. SKLFZZB-201312)the International Science & Technology Cooperation Program of China (2014DFA61040)
文摘With the help of the ceramic foam research efforts and preparation techniques, the ZrO2 polycrystalline ceramic foam catalyst was synthesized, and its characteristics, including the crystal structure, the phase composition, the acid–base properties, and the microstructure, were analyzed by XRD, SEM, Py-IR, and BET techniques. The performance of the ZrO2 polycrystalline ceramic foam catalyst in a tubular reactor was investigated via biodiesel synthesis using S. wilsoniana oil and methanol. The effects of reaction conditions(i.e., reaction temperature, reaction pressure, and volume ratio of methanol to S. wilsoniana oil) on transesterification efficiency were investigated, and the reaction conditions were optimized using RSM. The optimum reaction temperature, reaction pressure, and volume ratio of methanol to S. wilsoniana oil were determined to be 290 ℃, 10 MPa, and 4:1, respectively. Under this condition, the FAME content in the product oil reached 98.38%. The performance of the ZrO2 polycrystalline ceramic foam catalyst synthesized in this work for biodiesel synthesis from S. wilsoniana oil with a moisture content of 7.1% and an acid value of 130.697 mg KOH/g was examined, and the FAME content in the product oil was found to be 93% and 97.67%, respectively. The FAME content in the product oil exceeded 97% after five consecutive cycles(12 h per cycle of use) of the catalyst. The proposed catalyst represents a new type of solid catalyst with excellent acid resistance, water resistance, esterification efficiency, and catalytic stability.
