This study was carried out to examine the development of an “elderly tele-nursing model” for care provided in-home by family members and through remote nursing systems in a super-aging society. This model studied th...This study was carried out to examine the development of an “elderly tele-nursing model” for care provided in-home by family members and through remote nursing systems in a super-aging society. This model studied the travel time, cost, and means of transportation of care providers. The pre-survey results regarding elderly tele-nursing show that a son/daughter can visit a parent more than once a week. In the results, the time required for elderly tele-nursing was influenced by whether or not the visitor uses the shinkansen （bullet train of Japan）. In the main survey, based on 40 questionnaires, clear differences were observed according to whether visits were “every two weeks” or “once per month”. Furthermore, this result was also indicated by t-tests.展开更多
Objective:To assess the predictive value of systemic immune inflammation index(SII)for sepsis in low-and medium-risk community-acquired pneumonia.Methods:A total of 589 elderly patients with low-and medium-risk commun...Objective:To assess the predictive value of systemic immune inflammation index(SII)for sepsis in low-and medium-risk community-acquired pneumonia.Methods:A total of 589 elderly patients with low-and medium-risk community-acquired pneumonia admitted to the Emergency Department of the Second Affiliated Hospital of Hainan Medical University from January 2020 to January 2023 were included as the research subjects,and the general information and laboratory test results of the patients were collected,and the optimal cut-off value of continuous variables for predicting sepsis in elderly patients with low-and medium-risk community-acquired pneumonia was determined by plotting the receiver work characteristic(ROC)curve,which was converted into dichotomous variables and univariate and multivariate logistic Regression analysis of the influencing factors of sepsis in elderly patients with low-and medium-risk community-acquired pneumonia.Based on this,a nomogram model is constructed to predict the risk of sepsis.The differentiation,consistency and accuracy of the model were verified by calibration curve and subject operating characteristic(ROC)curve,and the clinical utility of the model was determined by decision curve analysis.Results:A total of 589 elderly patients with low-and intermediate-risk community-acquired pneumonia were included in this study,of which 96(16.30%)developed sepsis.There were significant differences in age,diabetes mellitus and chronic obstructive pulmonary disease,Lac,PCT,SII and other indexes between sepsis and non-sepsis groups(P<0.05).Logistics regression analysis showed that age,diabetes mellitus and chronic obstructive pulmonary disease,Lac,and SII were independent risk factors for sepsis in elderly patients with low-and medium-risk community-acquired pneumonia.The nomogram prediction model was used to verify the results,and the AUC was 0.826(95%CI:0.780-0.872),and the calibration curve tended to the ideal curve with good accuracy.The decision curve shows that when the threshold of the model is between 0.10~0.78,the model has the advantage of clinical benefit.Conclusion:The nomogram prediction model constructed based on SII to predict sepsis in elderly patients with low-and medium-risk community-acquired pneumonia has good accuracy,which can predict the occurrence of sepsis early,help early identification of high-risk groups and timely intervention,and thus improve the prognosis of patients.展开更多
汇总了近20年来以社会生态学模型为研究框架分析老年人参与身体活动的影响因素的实证性文献,总结研究现状,指出相应不足,并提出未来研究建议。运用布尔逻辑运算组合检索Web of science、Pubmed、SPORTDiscus、中国知网等数据库,对2001年...汇总了近20年来以社会生态学模型为研究框架分析老年人参与身体活动的影响因素的实证性文献,总结研究现状,指出相应不足,并提出未来研究建议。运用布尔逻辑运算组合检索Web of science、Pubmed、SPORTDiscus、中国知网等数据库,对2001年1月1日至2021年10月21日发表的所有文献进行了系统的检索,根据纳入和排除标准,最终筛选出10篇文献。结论:10篇纳入文献中发现个人动机是个体内部层面上的主要因素;朋友、家人的支持以及体育组织的影响是人际关系和组织层面上的的主要因素;社区的基础设施建设是社区层面上的主要因素。研究发现目前国内外对于老年人参与身体活动的研究主要集中在个人、组织层面的因素上,对于公共政策方面的研究有待加强。展开更多
文摘This study was carried out to examine the development of an “elderly tele-nursing model” for care provided in-home by family members and through remote nursing systems in a super-aging society. This model studied the travel time, cost, and means of transportation of care providers. The pre-survey results regarding elderly tele-nursing show that a son/daughter can visit a parent more than once a week. In the results, the time required for elderly tele-nursing was influenced by whether or not the visitor uses the shinkansen （bullet train of Japan）. In the main survey, based on 40 questionnaires, clear differences were observed according to whether visits were “every two weeks” or “once per month”. Furthermore, this result was also indicated by t-tests.
基金Natural Science Foundation of Hainan Province(No.819MS128)。
文摘Objective:To assess the predictive value of systemic immune inflammation index(SII)for sepsis in low-and medium-risk community-acquired pneumonia.Methods:A total of 589 elderly patients with low-and medium-risk community-acquired pneumonia admitted to the Emergency Department of the Second Affiliated Hospital of Hainan Medical University from January 2020 to January 2023 were included as the research subjects,and the general information and laboratory test results of the patients were collected,and the optimal cut-off value of continuous variables for predicting sepsis in elderly patients with low-and medium-risk community-acquired pneumonia was determined by plotting the receiver work characteristic(ROC)curve,which was converted into dichotomous variables and univariate and multivariate logistic Regression analysis of the influencing factors of sepsis in elderly patients with low-and medium-risk community-acquired pneumonia.Based on this,a nomogram model is constructed to predict the risk of sepsis.The differentiation,consistency and accuracy of the model were verified by calibration curve and subject operating characteristic(ROC)curve,and the clinical utility of the model was determined by decision curve analysis.Results:A total of 589 elderly patients with low-and intermediate-risk community-acquired pneumonia were included in this study,of which 96(16.30%)developed sepsis.There were significant differences in age,diabetes mellitus and chronic obstructive pulmonary disease,Lac,PCT,SII and other indexes between sepsis and non-sepsis groups(P<0.05).Logistics regression analysis showed that age,diabetes mellitus and chronic obstructive pulmonary disease,Lac,and SII were independent risk factors for sepsis in elderly patients with low-and medium-risk community-acquired pneumonia.The nomogram prediction model was used to verify the results,and the AUC was 0.826(95%CI:0.780-0.872),and the calibration curve tended to the ideal curve with good accuracy.The decision curve shows that when the threshold of the model is between 0.10~0.78,the model has the advantage of clinical benefit.Conclusion:The nomogram prediction model constructed based on SII to predict sepsis in elderly patients with low-and medium-risk community-acquired pneumonia has good accuracy,which can predict the occurrence of sepsis early,help early identification of high-risk groups and timely intervention,and thus improve the prognosis of patients.
文摘汇总了近20年来以社会生态学模型为研究框架分析老年人参与身体活动的影响因素的实证性文献,总结研究现状,指出相应不足,并提出未来研究建议。运用布尔逻辑运算组合检索Web of science、Pubmed、SPORTDiscus、中国知网等数据库,对2001年1月1日至2021年10月21日发表的所有文献进行了系统的检索,根据纳入和排除标准,最终筛选出10篇文献。结论:10篇纳入文献中发现个人动机是个体内部层面上的主要因素;朋友、家人的支持以及体育组织的影响是人际关系和组织层面上的的主要因素;社区的基础设施建设是社区层面上的主要因素。研究发现目前国内外对于老年人参与身体活动的研究主要集中在个人、组织层面的因素上,对于公共政策方面的研究有待加强。
