目的探讨良肢位摆放标识联合现状-背景-评估-建议(situation-background-assessment-recommendation,SBAR)沟通模式对急性缺血性脑卒中偏瘫患者的影响。方法选取102例急性缺血性脑卒中偏瘫患者为研究对象,按随机数字表法分为对照组和观...目的探讨良肢位摆放标识联合现状-背景-评估-建议(situation-background-assessment-recommendation,SBAR)沟通模式对急性缺血性脑卒中偏瘫患者的影响。方法选取102例急性缺血性脑卒中偏瘫患者为研究对象,按随机数字表法分为对照组和观察组,各51例。2组患者均给予神经内科常规药物干预,对照组给予常规护理,观察组在对照组基础上给予良肢位摆放标识联合SBAR沟通模式干预。比较2组干预前后自我护理能力量表(exercise of self-care agency,ESCA)、生活质量[脑卒中影响量表(stroke impact scale,SIS)]、神经运动功能[美国国立卫生院脑卒中量表(National Institute of Health stroke scale,NIHSS)评分、简化Fugl-Meyer运动功能评分法(Fugl-Meyer Assessment,FMA)]及康复依从性[康复功能锻炼依从性量表(questionnaire of exercise adherence,EAQ)]评分情况。结果干预后,观察组ESCA量表(护理技能、自护责任感、健康知识水平、自我概念)各维度评分[(34.54±5.18)、(23.63±4.25)、(40.48±4.22)、(28.63±2.75)]分,高于同期对照组的[(31.29±5.04)、(21.58±3.57)、(37.25±4.04)、(26.58±2.56)]分;干预后,观察组NIHSS评分(3.60±0.52)分,低于同期对照组的(5.46±1.33)分;观察组FMA评分(72.12±6.34)分,高于同期对照组的(50.61±7.21)分,差异均有统计学意义(P<0.05)。干预后观察组总依从率为88.24%,高于对照组的68.63%,差异有统计学意义(P<0.05)。结论良肢位摆放标识联合SBAR沟通模式不仅可改善急性缺血性脑卒中偏瘫患者的生活质量,还可提高其自护能力及康复依从性,促进神经运动功能康复。展开更多
The distributed passive measurement is an important technology for networkbehavior research. To achieve a consistent measurement, the same packets should be sampled atdistributed measurement points. And in order to es...The distributed passive measurement is an important technology for networkbehavior research. To achieve a consistent measurement, the same packets should be sampled atdistributed measurement points. And in order to estimate the character of traffic statistics, thetraffic sample should be random in statistics. A distributed samplingmask measurement model isintroduced to tackle the difficulty of measuring the full trace of high-speed networks. The keypoint of the model is to choose some bits that are suitable to be sampling mask. In the paper, thebit entropy and bit flow entropy of IP packet headers in CERNET backbone are analyzed, and we findthat the 16 bits of identification field in IP packet header are fit to the matching field ofsampling mask. Measurement traffic also can be used to analyze the statistical character ofmeasurement sample and the randomicity of the model. At the same time the experiment resultsindicate that the model has a good sampling performance.展开更多
文摘目的探讨良肢位摆放标识联合现状-背景-评估-建议(situation-background-assessment-recommendation,SBAR)沟通模式对急性缺血性脑卒中偏瘫患者的影响。方法选取102例急性缺血性脑卒中偏瘫患者为研究对象,按随机数字表法分为对照组和观察组,各51例。2组患者均给予神经内科常规药物干预,对照组给予常规护理,观察组在对照组基础上给予良肢位摆放标识联合SBAR沟通模式干预。比较2组干预前后自我护理能力量表(exercise of self-care agency,ESCA)、生活质量[脑卒中影响量表(stroke impact scale,SIS)]、神经运动功能[美国国立卫生院脑卒中量表(National Institute of Health stroke scale,NIHSS)评分、简化Fugl-Meyer运动功能评分法(Fugl-Meyer Assessment,FMA)]及康复依从性[康复功能锻炼依从性量表(questionnaire of exercise adherence,EAQ)]评分情况。结果干预后,观察组ESCA量表(护理技能、自护责任感、健康知识水平、自我概念)各维度评分[(34.54±5.18)、(23.63±4.25)、(40.48±4.22)、(28.63±2.75)]分,高于同期对照组的[(31.29±5.04)、(21.58±3.57)、(37.25±4.04)、(26.58±2.56)]分;干预后,观察组NIHSS评分(3.60±0.52)分,低于同期对照组的(5.46±1.33)分;观察组FMA评分(72.12±6.34)分,高于同期对照组的(50.61±7.21)分,差异均有统计学意义(P<0.05)。干预后观察组总依从率为88.24%,高于对照组的68.63%,差异有统计学意义(P<0.05)。结论良肢位摆放标识联合SBAR沟通模式不仅可改善急性缺血性脑卒中偏瘫患者的生活质量,还可提高其自护能力及康复依从性,促进神经运动功能康复。
文摘The distributed passive measurement is an important technology for networkbehavior research. To achieve a consistent measurement, the same packets should be sampled atdistributed measurement points. And in order to estimate the character of traffic statistics, thetraffic sample should be random in statistics. A distributed samplingmask measurement model isintroduced to tackle the difficulty of measuring the full trace of high-speed networks. The keypoint of the model is to choose some bits that are suitable to be sampling mask. In the paper, thebit entropy and bit flow entropy of IP packet headers in CERNET backbone are analyzed, and we findthat the 16 bits of identification field in IP packet header are fit to the matching field ofsampling mask. Measurement traffic also can be used to analyze the statistical character ofmeasurement sample and the randomicity of the model. At the same time the experiment resultsindicate that the model has a good sampling performance.
