目的系统评价癌症患者照顾者角色过渡体验,明确其支持需求,为后续制订针对性干预措施提供依据。方法计算机检索PubMed、Cochrane Library、Embase、EBSCO、Web of Science、中国知网、维普数据库、万方数据库、中国生物医学文献数据库...目的系统评价癌症患者照顾者角色过渡体验,明确其支持需求,为后续制订针对性干预措施提供依据。方法计算机检索PubMed、Cochrane Library、Embase、EBSCO、Web of Science、中国知网、维普数据库、万方数据库、中国生物医学文献数据库中收录的有关癌症患者照顾者角色过渡体验的质性研究,检索时限为建库至2022年3月。采用澳大利亚乔安娜布里格斯研究所循证卫生保健中心质性研究质量评价标准进行文献质量评价,采用汇集性整合的方法进行结果整合。结果共纳入14篇研究,提炼出65个研究结果,将相近的结果归纳组合成9个新的类别,综合得到3个整合结果:癌症诊断过程漫长复杂,诊断告知方面存在很大挑战,初期照顾者应对困难;采取不同的应对策略帮助患者更好地应对疾病带来的挑战,以期逐渐适应照顾者角色;通过照顾经历获得新衍生的意义和角色成长。结论医护工作者应关注癌症患者照顾者向新角色过渡的真实体验,可根据照顾者角色特点进行针对性的能力培养及心理干预,促进其角色成功过渡,为后期拟订以家庭为中心的过渡护理计划提供参考依据。展开更多
Evaluating the consistency of herb injectable formulations could improve their product quality and clinical safety,particularly concerning the composition and content levels of trace ingredients.Panax notoginseng Sapo...Evaluating the consistency of herb injectable formulations could improve their product quality and clinical safety,particularly concerning the composition and content levels of trace ingredients.Panax notoginseng Saponins Injection(PNSI),widely used in China for treating acute cardiovascular diseases,contains low-abundance(10%-25%)and trace saponins in addition to its five main constituents(notoginsenoside R1,ginsenoside Rg1,ginsenoside Re,ginsenoside Rb1,and ginsenoside Rd).This study aimed to establish a robust analytical method and assess the variability in trace saponin levels within PNSI from different vendors and formulation types.To achieve this,a liquid chromatography-triple quadrupole mass spectrometry(LC-MS/MS)method employing multiple ions monitoring(MIM)was developed.A“post-column valve switching”strategy was implemented to eliminate highly abundant peaks(NR_(1),Rg_(1),and Re)at 26 min.A total of 51 saponins in PNSI were quantified or relatively quantified using 18 saponin standards,with digoxin as the internal standard.This study evaluated 119 batches of PNSI from seven vendors,revealing significant variability in trace saponin levels among different vendors and formulation types.These findings highlight the importance of consistent content in low-abundance and trace saponins to ensure product control and clinical safety.Standardization of these ingredients is crucial for maintaining the quality and effectiveness of PNSI in treating acute cardiovascular diseases.展开更多
文摘目的系统评价癌症患者照顾者角色过渡体验,明确其支持需求,为后续制订针对性干预措施提供依据。方法计算机检索PubMed、Cochrane Library、Embase、EBSCO、Web of Science、中国知网、维普数据库、万方数据库、中国生物医学文献数据库中收录的有关癌症患者照顾者角色过渡体验的质性研究,检索时限为建库至2022年3月。采用澳大利亚乔安娜布里格斯研究所循证卫生保健中心质性研究质量评价标准进行文献质量评价,采用汇集性整合的方法进行结果整合。结果共纳入14篇研究,提炼出65个研究结果,将相近的结果归纳组合成9个新的类别,综合得到3个整合结果:癌症诊断过程漫长复杂,诊断告知方面存在很大挑战,初期照顾者应对困难;采取不同的应对策略帮助患者更好地应对疾病带来的挑战,以期逐渐适应照顾者角色;通过照顾经历获得新衍生的意义和角色成长。结论医护工作者应关注癌症患者照顾者向新角色过渡的真实体验,可根据照顾者角色特点进行针对性的能力培养及心理干预,促进其角色成功过渡,为后期拟订以家庭为中心的过渡护理计划提供参考依据。
基金supported by the Science and Technology Service Network Initiative of the Chinese Academy of Sciences(STS,No.KFJ-STS-QYZD-2021-03-003)the Construction Projects of the Research Center for Notoginseng Health Products by the Department of Science and Technology of Guangxi Province(No.AD20297068)the Sanming Project of Medicine in Shenzhen(No.SZZYSM202106004).
文摘Evaluating the consistency of herb injectable formulations could improve their product quality and clinical safety,particularly concerning the composition and content levels of trace ingredients.Panax notoginseng Saponins Injection(PNSI),widely used in China for treating acute cardiovascular diseases,contains low-abundance(10%-25%)and trace saponins in addition to its five main constituents(notoginsenoside R1,ginsenoside Rg1,ginsenoside Re,ginsenoside Rb1,and ginsenoside Rd).This study aimed to establish a robust analytical method and assess the variability in trace saponin levels within PNSI from different vendors and formulation types.To achieve this,a liquid chromatography-triple quadrupole mass spectrometry(LC-MS/MS)method employing multiple ions monitoring(MIM)was developed.A“post-column valve switching”strategy was implemented to eliminate highly abundant peaks(NR_(1),Rg_(1),and Re)at 26 min.A total of 51 saponins in PNSI were quantified or relatively quantified using 18 saponin standards,with digoxin as the internal standard.This study evaluated 119 batches of PNSI from seven vendors,revealing significant variability in trace saponin levels among different vendors and formulation types.These findings highlight the importance of consistent content in low-abundance and trace saponins to ensure product control and clinical safety.Standardization of these ingredients is crucial for maintaining the quality and effectiveness of PNSI in treating acute cardiovascular diseases.
