目的探讨健康服务领域研究成果应用的行动促进框架(the promoting action on researchimplementation in health services framework,PARIHS)的应用现况,以期为后续的发展提供理论依据。方法 2016年3月,检索PubMed、Embase(Excerpt Medi...目的探讨健康服务领域研究成果应用的行动促进框架(the promoting action on researchimplementation in health services framework,PARIHS)的应用现况,以期为后续的发展提供理论依据。方法 2016年3月,检索PubMed、Embase(Excerpt Medica Database)、EBSCO、JBI循证护理数据库、中国知网、万方、维普等数据库;中文检索词为"健康服务领域研究成果应用的行动促进框架"、"循证实践理论框架/模式"、"证据应用"、"组织变革";英文检索词为"PARIHS"/"parihs"、"evidence-basedpractice"、"implementation"、"evidenceutilization"。检索时限为建库以来至2015年12月31日。采用文献范畴分析的方法,重点分析PARIHS的应用性文献,即运用PARIHS指导循证实践活动。双人进行文献筛选和数据提取。结果共有33篇应用性文献纳入分析。根据PARIHS在不同研究中的作用分为两部分,即以PARIHS为理论框架的应用研究和以PARIHS指导研究设计的应用.研究。前者主要包括对循证实践中的影响因素的探讨、研究应用效果和循证实践实施的准备度/可行性的评估;后者包括基于PARIHS量表/问卷的构建及应用、以PARIHS指导实践策略的制定和以PARIHS为指导的结局资料的分析。结论 PARIHS全面阐释影响循证实践过程的多个元素,并分析了各元素相互作用、相互依存的关系。它可以直接地用于不同的实践项目、不同的环境及证据应用不同的阶段,对医疗机构循证实践的开展有较好的指导作用。展开更多
Objectives:In recent years,the use of mobile health applications(mHealth apps)to deliver care for patients with breast cancer has increased exponentially.This study aimed to summarize the available evidence on develop...Objectives:In recent years,the use of mobile health applications(mHealth apps)to deliver care for patients with breast cancer has increased exponentially.This study aimed to summarize the available evidence on developing mHealth apps to care for patients with breast cancer and identify the need for systematic efforts.Methods:A scoping review was performed according to Arksey and O’Malley’s framework,aiming to identify eligible research studies in PubMed,CINAHL,and Web of Science between January 2010 and December 2020.All identified studies were screened,extracted,and analyzed independently by two reviewers.Results:A total of 676 studies were retrieved,and eight eligible studies were finally included.Four themes emerged:the involvement of patients and health professionals in the phases of design and development,patients’preferences,the characteristics of patients,and the motivators to use mHealth apps.The results indicated promising prospects for using mHealth apps to care for patients with breast cancer and identified the need for systematic efforts to develop and validate relevant apps.Conclusions:The attributes of patient characteristics,needs,and patient-reported outcomes data are vital components for developing mHealth apps for patients with breast cancer.Additionally,collaborative efforts,including patients,nurses,and other significant health professionals,should develop mHealth apps for breast cancer care.Additional research focusing on the design and development of mHealth apps for patients with breast cancer is warranted.展开更多
目的 研究健康服务领域研究成果应用的行动促进框架(promoting action on research implementation in health service,i-PARIHS)概念下的集束化护理在ICU重症患者中对深静脉血栓及匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,P...目的 研究健康服务领域研究成果应用的行动促进框架(promoting action on research implementation in health service,i-PARIHS)概念下的集束化护理在ICU重症患者中对深静脉血栓及匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)评分的价值。方法 随机选取2022年3月—2023年3月福州市第一医院接收的100例ICU重症患者,按照随机数表法分为研究组与对比组,每组50例。对比组实施传统护理,研究组实施i-PARIHS概念框架下的集束化护理,比较两组深静脉血栓出现率与护理前后的PSQI评分、下肢静脉(股静脉、腘静脉)血流速度及总满意率。结果 研究组深静脉血栓出现率为8.00%,与对比组的12.00%比较,差异有统计学意义(χ^(2)=0.444,P>0.05);护理后,两组睡眠质量、入睡时间、睡眠障碍、睡眠时间评分均降低,且研究组各项评分低于对比组,差异有统计学意义(P<0.05);护理后,两组下肢股静脉、腘静脉血流速度均提升,且研究组速度快于对比组,差异有统计学意义(P<0.05);研究组总满意率高于对比组,差异有统计学意义(P<0.05)。结论 i-PARIHS概念框架下的集束化护理在ICU重症患者中对深静脉血栓起到预防作用,加快下肢静脉血液流动,同时改善睡眠情况,获得高满意率。展开更多
Objective:The purpose of this study was to determine the effectiveness of Mobile-Stroke Risk Scale and Life Style Guidance(M-SRSguide)in promoting a healthy lifestyle and reducing stroke risk factors in atrisk persons...Objective:The purpose of this study was to determine the effectiveness of Mobile-Stroke Risk Scale and Life Style Guidance(M-SRSguide)in promoting a healthy lifestyle and reducing stroke risk factors in atrisk persons.Methods:This research was an clinical trial with a pre-test and post-test control group design.The accessible population is persons at risk of stroke in the community(West and East Kalimantan Province,Indonesia).Thirty-two participants in the intervention group and 32 participants in the control group participated in this study.The sampling method was systematic random sampling.We allocate the sample into the intervention and control groups using a randomized block design.The intervention group used the M-SRSguide.The control group used manual book for a self-assessment of stroke risk.The measurement of a healthy lifestyle and the stroke risk factors was performed before and six months after the intervention.Results:There are no significant differences in healthy lifestyle and stroke risk factors between the two groups after the intervention(P>0.05).Analysis of healthy lifestyle behavior assessment items in the intervention group showed an increase in healthy diets,activity patterns,and stress control after the use of the M-SRSguide(P<0.01).Conclusion:The use of M-SRSguide is effective in promoting a healthy lifestyle.展开更多
文摘目的探讨健康服务领域研究成果应用的行动促进框架(the promoting action on researchimplementation in health services framework,PARIHS)的应用现况,以期为后续的发展提供理论依据。方法 2016年3月,检索PubMed、Embase(Excerpt Medica Database)、EBSCO、JBI循证护理数据库、中国知网、万方、维普等数据库;中文检索词为"健康服务领域研究成果应用的行动促进框架"、"循证实践理论框架/模式"、"证据应用"、"组织变革";英文检索词为"PARIHS"/"parihs"、"evidence-basedpractice"、"implementation"、"evidenceutilization"。检索时限为建库以来至2015年12月31日。采用文献范畴分析的方法,重点分析PARIHS的应用性文献,即运用PARIHS指导循证实践活动。双人进行文献筛选和数据提取。结果共有33篇应用性文献纳入分析。根据PARIHS在不同研究中的作用分为两部分,即以PARIHS为理论框架的应用研究和以PARIHS指导研究设计的应用.研究。前者主要包括对循证实践中的影响因素的探讨、研究应用效果和循证实践实施的准备度/可行性的评估;后者包括基于PARIHS量表/问卷的构建及应用、以PARIHS指导实践策略的制定和以PARIHS为指导的结局资料的分析。结论 PARIHS全面阐释影响循证实践过程的多个元素,并分析了各元素相互作用、相互依存的关系。它可以直接地用于不同的实践项目、不同的环境及证据应用不同的阶段,对医疗机构循证实践的开展有较好的指导作用。
基金This study was supported by the Natural Science Foundation of China(71874032)the Natural Science Foundation of China(72074054).
文摘Objectives:In recent years,the use of mobile health applications(mHealth apps)to deliver care for patients with breast cancer has increased exponentially.This study aimed to summarize the available evidence on developing mHealth apps to care for patients with breast cancer and identify the need for systematic efforts.Methods:A scoping review was performed according to Arksey and O’Malley’s framework,aiming to identify eligible research studies in PubMed,CINAHL,and Web of Science between January 2010 and December 2020.All identified studies were screened,extracted,and analyzed independently by two reviewers.Results:A total of 676 studies were retrieved,and eight eligible studies were finally included.Four themes emerged:the involvement of patients and health professionals in the phases of design and development,patients’preferences,the characteristics of patients,and the motivators to use mHealth apps.The results indicated promising prospects for using mHealth apps to care for patients with breast cancer and identified the need for systematic efforts to develop and validate relevant apps.Conclusions:The attributes of patient characteristics,needs,and patient-reported outcomes data are vital components for developing mHealth apps for patients with breast cancer.Additionally,collaborative efforts,including patients,nurses,and other significant health professionals,should develop mHealth apps for breast cancer care.Additional research focusing on the design and development of mHealth apps for patients with breast cancer is warranted.
文摘目的 研究健康服务领域研究成果应用的行动促进框架(promoting action on research implementation in health service,i-PARIHS)概念下的集束化护理在ICU重症患者中对深静脉血栓及匹兹堡睡眠质量指数(Pittsburgh Sleep Quality Index,PSQI)评分的价值。方法 随机选取2022年3月—2023年3月福州市第一医院接收的100例ICU重症患者,按照随机数表法分为研究组与对比组,每组50例。对比组实施传统护理,研究组实施i-PARIHS概念框架下的集束化护理,比较两组深静脉血栓出现率与护理前后的PSQI评分、下肢静脉(股静脉、腘静脉)血流速度及总满意率。结果 研究组深静脉血栓出现率为8.00%,与对比组的12.00%比较,差异有统计学意义(χ^(2)=0.444,P>0.05);护理后,两组睡眠质量、入睡时间、睡眠障碍、睡眠时间评分均降低,且研究组各项评分低于对比组,差异有统计学意义(P<0.05);护理后,两组下肢股静脉、腘静脉血流速度均提升,且研究组速度快于对比组,差异有统计学意义(P<0.05);研究组总满意率高于对比组,差异有统计学意义(P<0.05)。结论 i-PARIHS概念框架下的集束化护理在ICU重症患者中对深静脉血栓起到预防作用,加快下肢静脉血液流动,同时改善睡眠情况,获得高满意率。
基金We thank the Politeknik Kesehatan Kementerian Kesehatan Indonesia,LB.01.01/I.1/2657/2019 for funding this study,the respondents for participating in this study,and Marshall Godwin for granting permission to use the Simple Lifestyle Indicator Questionnaire(SLIQ).
文摘Objective:The purpose of this study was to determine the effectiveness of Mobile-Stroke Risk Scale and Life Style Guidance(M-SRSguide)in promoting a healthy lifestyle and reducing stroke risk factors in atrisk persons.Methods:This research was an clinical trial with a pre-test and post-test control group design.The accessible population is persons at risk of stroke in the community(West and East Kalimantan Province,Indonesia).Thirty-two participants in the intervention group and 32 participants in the control group participated in this study.The sampling method was systematic random sampling.We allocate the sample into the intervention and control groups using a randomized block design.The intervention group used the M-SRSguide.The control group used manual book for a self-assessment of stroke risk.The measurement of a healthy lifestyle and the stroke risk factors was performed before and six months after the intervention.Results:There are no significant differences in healthy lifestyle and stroke risk factors between the two groups after the intervention(P>0.05).Analysis of healthy lifestyle behavior assessment items in the intervention group showed an increase in healthy diets,activity patterns,and stress control after the use of the M-SRSguide(P<0.01).Conclusion:The use of M-SRSguide is effective in promoting a healthy lifestyle.
