目的:探讨基于健康行动过程取向(health action process approach,HAPA)模型的护理干预在泌尿系结石术后留置双“J”管患者的应用效果。方法:选取2023年10月至2024年1月符合纳入、排除标准的泌尿系结石术后留置双“J”管患者70例,根据...目的:探讨基于健康行动过程取向(health action process approach,HAPA)模型的护理干预在泌尿系结石术后留置双“J”管患者的应用效果。方法:选取2023年10月至2024年1月符合纳入、排除标准的泌尿系结石术后留置双“J”管患者70例,根据病房号分为两组,分别为HAPA模型护理干预组和常规护理组,每组均有35例参与者。常规护理组接受泌尿外科的常规围手术期护理措施,在HAPA模型护理干预组中,除了进行常规护理组护理措施外,还采用基于HAPA模型的护理干预。对比两组患者在术后第3日、出院时、出院后第7天的腰痛评分、返院拔管时的并发症发生率、健康知识知晓率以及护理满意度。结果:两组患者一般资料差异均无统计学意义(均P>0.05),健康行动过程模型组患者在术后第3天、出院时、出院后第7天的腰痛评分与常规组相比,显著降低;健康行动过程模型组患者健康知识知晓率、护理满意度与常规组相比,显著提高,差异均有统计学意义(均P<0.05),两组患者的并发症发生率差异无统计学意义(P>0.05)。结论:基于HAPA模型的护理干预能有效减少泌尿系结石术后留置双“J”管患者的疼痛程度,提高患者健康知识知晓率和护理满意度。展开更多
目的探讨320层螺旋CT在输尿管结石测量中的临床价值。方法回顾性分析100例输尿管结石患者的临床资料,应用东芝Aqulion One 320层螺旋CT对输尿管全程进行扫描,在横断面及多平面重建技术中的冠状面重建图像上测量结石最大直径及面积,容积...目的探讨320层螺旋CT在输尿管结石测量中的临床价值。方法回顾性分析100例输尿管结石患者的临床资料,应用东芝Aqulion One 320层螺旋CT对输尿管全程进行扫描,在横断面及多平面重建技术中的冠状面重建图像上测量结石最大直径及面积,容积重建(volume rendering,VR)重建后测量结石体积。结果100例患者冠状面重建图像组测量结石的平均最大直径和最大面积大于横断面图像(P<0.05)。VR重建后测量结石体积24~3060 mm^3。与冠状面重组图像测量相比较,对于<5 mm的输尿管结石在横断面图像上有37%结石的最大直径被低估。结论多层螺旋CT扫描中横断面图像测量结石最大直径会低估结石的真正最大直径;冠状面重建图像测量结石大小的准确性高于横断面图像测量。VR重建后测量的结石体积有助于临床选择处理方法。展开更多
Modal logic characterization in a higher-order setting is usually not a trivial task because higher-order process-passing is quite different from first-order name-passing. We study the logical characterization of high...Modal logic characterization in a higher-order setting is usually not a trivial task because higher-order process-passing is quite different from first-order name-passing. We study the logical characterization of higherorder processes constrained by linearity. Linearity respects resource-sensitiveness and does not allow processes to duplicate themselves arbitrarily. We provide a modal logic that characterizes linear higher-order processes,particularly the bisimulation called local bisimulation over them. More importantly, the logic has modalities for higher-order actions downscaled to resembling first-order ones in Hennessy-Milner logic, based on a formulation exploiting the linearity of processes.展开更多
文摘目的:探讨基于健康行动过程取向(health action process approach,HAPA)模型的护理干预在泌尿系结石术后留置双“J”管患者的应用效果。方法:选取2023年10月至2024年1月符合纳入、排除标准的泌尿系结石术后留置双“J”管患者70例,根据病房号分为两组,分别为HAPA模型护理干预组和常规护理组,每组均有35例参与者。常规护理组接受泌尿外科的常规围手术期护理措施,在HAPA模型护理干预组中,除了进行常规护理组护理措施外,还采用基于HAPA模型的护理干预。对比两组患者在术后第3日、出院时、出院后第7天的腰痛评分、返院拔管时的并发症发生率、健康知识知晓率以及护理满意度。结果:两组患者一般资料差异均无统计学意义(均P>0.05),健康行动过程模型组患者在术后第3天、出院时、出院后第7天的腰痛评分与常规组相比,显著降低;健康行动过程模型组患者健康知识知晓率、护理满意度与常规组相比,显著提高,差异均有统计学意义(均P<0.05),两组患者的并发症发生率差异无统计学意义(P>0.05)。结论:基于HAPA模型的护理干预能有效减少泌尿系结石术后留置双“J”管患者的疼痛程度,提高患者健康知识知晓率和护理满意度。
基金the National Natural Science Foundation of China(Nos.61202023,61261130589 and61173048)the PACE Project(No.12IS02001)the Specialized Research Fund for the Doctoral Program of Higher Edueation of China(No.20120073120031)
文摘Modal logic characterization in a higher-order setting is usually not a trivial task because higher-order process-passing is quite different from first-order name-passing. We study the logical characterization of higherorder processes constrained by linearity. Linearity respects resource-sensitiveness and does not allow processes to duplicate themselves arbitrarily. We provide a modal logic that characterizes linear higher-order processes,particularly the bisimulation called local bisimulation over them. More importantly, the logic has modalities for higher-order actions downscaled to resembling first-order ones in Hennessy-Milner logic, based on a formulation exploiting the linearity of processes.
