目的归纳整理延续护理在糖尿病足出院患者的应用情况。方法根据范围综述方法学框架,在PubMed、Cochrane Library、CINAHL、Web of Science、Embase、中国知网、万方、维普、中国生物医学文献数据库进行文献检索,检索时限为建库至2022年1...目的归纳整理延续护理在糖尿病足出院患者的应用情况。方法根据范围综述方法学框架,在PubMed、Cochrane Library、CINAHL、Web of Science、Embase、中国知网、万方、维普、中国生物医学文献数据库进行文献检索,检索时限为建库至2022年12月5日。对纳入文献进行汇总和分析。结果初筛1934篇文献,最终纳入21篇文献。延续护理形式主要包括电话随访、家庭随访、门诊随访、远程随访。内容涵盖自我管理指导、疾病知识和技能指导、心理支持、同伴支持、与医护人员联系。结局类型主要为健康临床结局、健康经济结局、患者满意度及心理状态等指标。结论延续护理对糖尿病足出院患者起到了积极的作用,未来研究还需要基于患者需求和理论框架构建干预方案、组建多学科团队时要明确团队成员的分工权限、提倡采取医院-社区-家庭联动式延续护理模式,并加大糖尿病足伤口护士的培养力度,为糖尿病足患者院外健康管理提供支持。展开更多
The occurrence of sexual reproduction accelerates the population genetic variation of Phytophthora infestans and makes it more difficult to control.The systematic analysis of the differentiation of phenotype(mating ty...The occurrence of sexual reproduction accelerates the population genetic variation of Phytophthora infestans and makes it more difficult to control.The systematic analysis of the differentiation of phenotype(mating type and metalaxyl sensitivity)and genotype(mtDNA haplotype and SSR genotype)of 65 single oospore strains of P.infestans was carried out in this article.Five test strains were isolated from Heilongjiang Province and Mongolia Autonomous Region.The experiment results showed that the isolation ratio of metalaxyl resistance(MR:HR)of single oospore strains produced through the cross of medium resistance and high resistant parents was 18:13;the isolation ratio of the metalaxyl resistance(S:MR:HR)of single oospore strains produced through the cross of sensitive and high resistant parents was 4:12:7.The progenies of single oospore strains produced through self-fertility parents with medium resistance were all of the medium resistance.The mating types A1:A2 was greater than 1:1 in single oospore strains of the progenies,which did not conform to the Mendel's law of inheritance.All single oospore strains of the progenies inherited mitochondrial DNA fragments from only one parent.Sexual recombination of single oospore strains was verified by using two pairs of SSR primers(Pi4B and Pi4G).At the locus of Pi4B and Pi4G in the cross of KS-37 and KS-25,the separation frequencies of allele were 19:12 and 14:17,respectively.They produced two new genotype strains.This study could provide a basis for formulating disease control strategies.展开更多
文摘目的归纳整理延续护理在糖尿病足出院患者的应用情况。方法根据范围综述方法学框架,在PubMed、Cochrane Library、CINAHL、Web of Science、Embase、中国知网、万方、维普、中国生物医学文献数据库进行文献检索,检索时限为建库至2022年12月5日。对纳入文献进行汇总和分析。结果初筛1934篇文献,最终纳入21篇文献。延续护理形式主要包括电话随访、家庭随访、门诊随访、远程随访。内容涵盖自我管理指导、疾病知识和技能指导、心理支持、同伴支持、与医护人员联系。结局类型主要为健康临床结局、健康经济结局、患者满意度及心理状态等指标。结论延续护理对糖尿病足出院患者起到了积极的作用,未来研究还需要基于患者需求和理论框架构建干预方案、组建多学科团队时要明确团队成员的分工权限、提倡采取医院-社区-家庭联动式延续护理模式,并加大糖尿病足伤口护士的培养力度,为糖尿病足患者院外健康管理提供支持。
基金Supported by Heilongjiang Province Natural Science Foundation(C2016019)Cooperative Innovation System of Potato Modern Agricultural Industry Technology in Heilongjiang Province(HNWJZT201801)。
文摘The occurrence of sexual reproduction accelerates the population genetic variation of Phytophthora infestans and makes it more difficult to control.The systematic analysis of the differentiation of phenotype(mating type and metalaxyl sensitivity)and genotype(mtDNA haplotype and SSR genotype)of 65 single oospore strains of P.infestans was carried out in this article.Five test strains were isolated from Heilongjiang Province and Mongolia Autonomous Region.The experiment results showed that the isolation ratio of metalaxyl resistance(MR:HR)of single oospore strains produced through the cross of medium resistance and high resistant parents was 18:13;the isolation ratio of the metalaxyl resistance(S:MR:HR)of single oospore strains produced through the cross of sensitive and high resistant parents was 4:12:7.The progenies of single oospore strains produced through self-fertility parents with medium resistance were all of the medium resistance.The mating types A1:A2 was greater than 1:1 in single oospore strains of the progenies,which did not conform to the Mendel's law of inheritance.All single oospore strains of the progenies inherited mitochondrial DNA fragments from only one parent.Sexual recombination of single oospore strains was verified by using two pairs of SSR primers(Pi4B and Pi4G).At the locus of Pi4B and Pi4G in the cross of KS-37 and KS-25,the separation frequencies of allele were 19:12 and 14:17,respectively.They produced two new genotype strains.This study could provide a basis for formulating disease control strategies.
