This work is focused on ＂patient-oriented care＂, which belongs to modem style of health care including nursing. Such health care emphasises holistic approach with focus on communication, partnership, ethic aspects o...This work is focused on ＂patient-oriented care＂, which belongs to modem style of health care including nursing. Such health care emphasises holistic approach with focus on communication, partnership, ethic aspects of human interactions and which supports active collaboration between the patient and also his/her family and the nursing staff. In Czech scientific literature the term ＂patient-oriented care＂ is rarely encountered. Single given definition found for this topic was present in legal norm bulletin The Concept of Czech Nursing [1] which was however defined as care focused on patient problems not on care connected treatments. International literature had therefore to be addressed. Question remains whether patient-oriented care is even possible in practice when it is basically omitted from Czech scientific literature. The aim of this research was to define the term ＂patient-oriented care＂ based on historical point of view, its characteristics and sources from Czech and international literature and try and apply such care in new nursing methods of approach. This research was conducted on theoretical level. Method of analysing review documents and analytically comparative approach were applied. The total 83 scientific publications were analysed with 55 reviews, 22 articles and 6 virtual sources. The area of interest was defined to include forms of application of patient-oriented care in nursing history, the characteristics of patient-oriented care in Czech and international literature, necessary conditions for successful use of patient-oriented care and novel methods of approaching patient-oriented care. We found that contrary to the Czech Republic US has established patient-oriented care as one of the pivotal research subjects onto which much interest is focused and which is frequently being published. There is an established project in Austria focused on implementation of the concept of patient-oriented care into public health care. In the Czech Republic this term is only mentioned in the legislative decree, together with the method of nursing process but not used in practice. Due to absence or broader application of patient-oriented care approach in the Czech Republic and in order to make this approach more effective, further education on this approach has been introduced in the form of life-long education. The way the newly acquired knowledge is implemented in practice must be the subject of further research. The trend of the new approach toward the patient-oriented care should inspire further focus on education and care provision including nursing. The necessity for a change is felt particularly in the current intense argument on the insufficient numbers of general nurses and the levels of their qualification education in this country. Better agreement should be reached regarding evaluation of patient-oriented care to ensure it really is conducted in order to benefit the patient.展开更多
Coronary heart disease(CHD) has severely impacted the lives and health of patients for ages. Although the modern methods used for the prevention and treatment of CHD have been increasingly perfected,clinical problems ...Coronary heart disease(CHD) has severely impacted the lives and health of patients for ages. Although the modern methods used for the prevention and treatment of CHD have been increasingly perfected,clinical problems remain that require solutions. In the prevention and treatment of CHD with traditional Chinese medicine(TCM), great therapeutic advantages have been demonstrated. However, the expression of its advantages relies on scientific evidence-based research and evaluation, which require further optimization and improvement. Therefore, this review aims to comprehensively emphasize our understanding of the current deficiencies in TCM evidence-based studies and the necessity of adopting scientific evidence-based optimization methods for use in research. In this process, evidence should be produced in a standard manner, and the advantages of TCM patterns should be accurately stated because these factors contribute to efficient transformation and proper verification of the obtained evidence.Additionally, focusing on patient-oriented medicine and doctor-patient relationships is also essential.These methods are of great significance to prove the clinical efficacy of TCM and promote its development.展开更多
文摘This work is focused on ＂patient-oriented care＂, which belongs to modem style of health care including nursing. Such health care emphasises holistic approach with focus on communication, partnership, ethic aspects of human interactions and which supports active collaboration between the patient and also his/her family and the nursing staff. In Czech scientific literature the term ＂patient-oriented care＂ is rarely encountered. Single given definition found for this topic was present in legal norm bulletin The Concept of Czech Nursing [1] which was however defined as care focused on patient problems not on care connected treatments. International literature had therefore to be addressed. Question remains whether patient-oriented care is even possible in practice when it is basically omitted from Czech scientific literature. The aim of this research was to define the term ＂patient-oriented care＂ based on historical point of view, its characteristics and sources from Czech and international literature and try and apply such care in new nursing methods of approach. This research was conducted on theoretical level. Method of analysing review documents and analytically comparative approach were applied. The total 83 scientific publications were analysed with 55 reviews, 22 articles and 6 virtual sources. The area of interest was defined to include forms of application of patient-oriented care in nursing history, the characteristics of patient-oriented care in Czech and international literature, necessary conditions for successful use of patient-oriented care and novel methods of approaching patient-oriented care. We found that contrary to the Czech Republic US has established patient-oriented care as one of the pivotal research subjects onto which much interest is focused and which is frequently being published. There is an established project in Austria focused on implementation of the concept of patient-oriented care into public health care. In the Czech Republic this term is only mentioned in the legislative decree, together with the method of nursing process but not used in practice. Due to absence or broader application of patient-oriented care approach in the Czech Republic and in order to make this approach more effective, further education on this approach has been introduced in the form of life-long education. The way the newly acquired knowledge is implemented in practice must be the subject of further research. The trend of the new approach toward the patient-oriented care should inspire further focus on education and care provision including nursing. The necessity for a change is felt particularly in the current intense argument on the insufficient numbers of general nurses and the levels of their qualification education in this country. Better agreement should be reached regarding evaluation of patient-oriented care to ensure it really is conducted in order to benefit the patient.
基金supported by the National Key R&D Program of China (2017YFC1700400)
文摘Coronary heart disease(CHD) has severely impacted the lives and health of patients for ages. Although the modern methods used for the prevention and treatment of CHD have been increasingly perfected,clinical problems remain that require solutions. In the prevention and treatment of CHD with traditional Chinese medicine(TCM), great therapeutic advantages have been demonstrated. However, the expression of its advantages relies on scientific evidence-based research and evaluation, which require further optimization and improvement. Therefore, this review aims to comprehensively emphasize our understanding of the current deficiencies in TCM evidence-based studies and the necessity of adopting scientific evidence-based optimization methods for use in research. In this process, evidence should be produced in a standard manner, and the advantages of TCM patterns should be accurately stated because these factors contribute to efficient transformation and proper verification of the obtained evidence.Additionally, focusing on patient-oriented medicine and doctor-patient relationships is also essential.These methods are of great significance to prove the clinical efficacy of TCM and promote its development.
