背景了解老年慢性病患者在医院-家庭过渡期的真实经历和对护理服务的体验与期望,可以促进过渡期护理服务的改善和质量的提升。近年来,有关老年慢性病患者医院-家庭过渡期真实经历和对护理服务体验的质性研究逐渐增多,但单一的质性研究...背景了解老年慢性病患者在医院-家庭过渡期的真实经历和对护理服务的体验与期望,可以促进过渡期护理服务的改善和质量的提升。近年来,有关老年慢性病患者医院-家庭过渡期真实经历和对护理服务体验的质性研究逐渐增多,但单一的质性研究结果可能不具有概括性和代表性。目的系统评价老年慢性病患者从医院到家庭的过渡时期的真实感受和对护理服务的体验。方法于2022年5月,计算机检索PubMed、Web of Science核心合集、EmBase、CINAHL、中国知网和万方数据知识服务平台等中英文数据库,搜索关于老年慢性病患者医院-家庭过渡期真实感受和对护理服务体验的质性研究,检索时限均为建库至2022年5月。由两名研究者独立筛选文献、提取资料,并根据英国牛津大学循证医学中心制定的文献质量评价项目(CASP)对纳入文献质量进行评价,运用Meta整合法对研究结果进行整合。结果共纳入13篇文献,提炼出45个研究结果,将相似的研究结果归纳为8个类别,并综合得出3个整合结果,分别为:老年慢性病患者医院-家庭过渡期护理的障碍因素;老年慢性病患者医院-家庭过渡期护理的促进因素;老年慢性病患者对医院-家庭过渡期护理的期待。结论老年慢性病患者从医院到家庭的过渡是一个充满挑战的过程,过渡期护理服务质量仍有较大的提升空间。家庭、社区、医疗机构、政府、社会应积极改善老年慢性病患者在个人、家庭、社区、社会等层面的过渡条件。可通过强化对过渡期患者的教育、提升患者自我管理能力、提供护士主导的过渡期护理服务等举措,帮助老年慢性病患者实现从医院到家庭的安全过渡。展开更多
Since Pb is a non-biodegradable inorganic pollutant and a non-essential metal,its long-term presence in soil poses a great threat to the environment.Iris lactea Pall.var.chinensis(Fisch.)Koidz.,a perennial dense bush ...Since Pb is a non-biodegradable inorganic pollutant and a non-essential metal,its long-term presence in soil poses a great threat to the environment.Iris lactea Pall.var.chinensis(Fisch.)Koidz.,a perennial dense bush herb with high resistance of Pb and wide adaptability,was used in pot experiments to study the effects of exogenous nitrate N(NO_(3)^(–)-N)on the absorption and transportation of Pb and plant growth under different Pb concentrations.Then,the mechanism of NO_(3)^(-)-N affecting Pb and nutrient uptake and transport was explored.The concentration of Pb in the experiment ranged from 0 to 1600 mg/kg,and the added concentration of NO_(3)^(-)-N was 0.0–0.3 g/kg.The results showed that I.lactea was highly tolerant to Pb,and the shoot fraction was more sensitive to varied Pb concentrations in the soil than the root fraction.This protective function became more pronounced under the condition of raised Pb concentration in the soil.When the concentration of Pb in the soil reached 800 mg/kg,the highest Pb content of I.lactea was found under the condition of 0.1 g/kg of NO–3-N addition.When Pb concentration in the soil increased to 1600 mg/kg,the increase in NO_(3)^(-)-N addition promoted Pb uptake by the root.To ensure the well growth of I.lactea and the effect of remediation of Pb-contaminated soil,the recommended concentration of NO–3-N in the soil is 0.1 g/kg.This result provides a theoretical basis for exogenous N regulation of phytoremediation of Pb-contaminated soil.展开更多
文摘背景了解老年慢性病患者在医院-家庭过渡期的真实经历和对护理服务的体验与期望,可以促进过渡期护理服务的改善和质量的提升。近年来,有关老年慢性病患者医院-家庭过渡期真实经历和对护理服务体验的质性研究逐渐增多,但单一的质性研究结果可能不具有概括性和代表性。目的系统评价老年慢性病患者从医院到家庭的过渡时期的真实感受和对护理服务的体验。方法于2022年5月,计算机检索PubMed、Web of Science核心合集、EmBase、CINAHL、中国知网和万方数据知识服务平台等中英文数据库,搜索关于老年慢性病患者医院-家庭过渡期真实感受和对护理服务体验的质性研究,检索时限均为建库至2022年5月。由两名研究者独立筛选文献、提取资料,并根据英国牛津大学循证医学中心制定的文献质量评价项目(CASP)对纳入文献质量进行评价,运用Meta整合法对研究结果进行整合。结果共纳入13篇文献,提炼出45个研究结果,将相似的研究结果归纳为8个类别,并综合得出3个整合结果,分别为:老年慢性病患者医院-家庭过渡期护理的障碍因素;老年慢性病患者医院-家庭过渡期护理的促进因素;老年慢性病患者对医院-家庭过渡期护理的期待。结论老年慢性病患者从医院到家庭的过渡是一个充满挑战的过程,过渡期护理服务质量仍有较大的提升空间。家庭、社区、医疗机构、政府、社会应积极改善老年慢性病患者在个人、家庭、社区、社会等层面的过渡条件。可通过强化对过渡期患者的教育、提升患者自我管理能力、提供护士主导的过渡期护理服务等举措,帮助老年慢性病患者实现从医院到家庭的安全过渡。
基金supported by the National Natural Science Foundation of China(51978659).
文摘Since Pb is a non-biodegradable inorganic pollutant and a non-essential metal,its long-term presence in soil poses a great threat to the environment.Iris lactea Pall.var.chinensis(Fisch.)Koidz.,a perennial dense bush herb with high resistance of Pb and wide adaptability,was used in pot experiments to study the effects of exogenous nitrate N(NO_(3)^(–)-N)on the absorption and transportation of Pb and plant growth under different Pb concentrations.Then,the mechanism of NO_(3)^(-)-N affecting Pb and nutrient uptake and transport was explored.The concentration of Pb in the experiment ranged from 0 to 1600 mg/kg,and the added concentration of NO_(3)^(-)-N was 0.0–0.3 g/kg.The results showed that I.lactea was highly tolerant to Pb,and the shoot fraction was more sensitive to varied Pb concentrations in the soil than the root fraction.This protective function became more pronounced under the condition of raised Pb concentration in the soil.When the concentration of Pb in the soil reached 800 mg/kg,the highest Pb content of I.lactea was found under the condition of 0.1 g/kg of NO–3-N addition.When Pb concentration in the soil increased to 1600 mg/kg,the increase in NO_(3)^(-)-N addition promoted Pb uptake by the root.To ensure the well growth of I.lactea and the effect of remediation of Pb-contaminated soil,the recommended concentration of NO–3-N in the soil is 0.1 g/kg.This result provides a theoretical basis for exogenous N regulation of phytoremediation of Pb-contaminated soil.
