目的:分析护理干预对2型糖尿病患者的可行性。方法:选取顺德区龙江社区病程在1年以上的依从性不佳的老年糖尿病患者150例,按照双盲随机数字表法将150例患者随机分为两组,分为对照组和管理组。其中对照组患者实施常规管理。管理组患者实...目的:分析护理干预对2型糖尿病患者的可行性。方法:选取顺德区龙江社区病程在1年以上的依从性不佳的老年糖尿病患者150例,按照双盲随机数字表法将150例患者随机分为两组,分为对照组和管理组。其中对照组患者实施常规管理。管理组患者实施医院—社区健康服务中心—家庭一体化管理模式。两组均进行为期1年的干预。观察2年后两组患者:生命质量的变化、空腹血糖(FBG)、餐后2 h血糖(2 h PBG)和糖化血红蛋白(Hb A1c)的变化、发病次数、住院次数、住院天数、医疗费用、生活饮食习惯、自我血糖监测、遵医嘱用药行为、运动行为依从性。结果:管理组患者发病次数、住院次数、住院天数、医疗费用明显少于对照组,组间经t检验有显著的统计学差异(P<0.05)。管理组干预后生命质量、FBG、2 h PBG和Hb A1c明显优于对照组,组间经t检验有显著的统计学差异(P<0.05)。管理组生活饮食习惯、自我血糖监测、遵医嘱用药行为、运动行为依从性明显高于对照组,组间经x2检验有显著的统计学差异(P<0.05)。结论:医院—社区—家庭一体化管理模式对糖尿病患者的应用价值高,可有效提升患者遵医行为,有助于控制患者发病率,减少住院率,减轻医疗负担,还有助于改善患者血糖水平,提升其生命质量,值得推广。展开更多
The development and popularization of information technology, the automation of information management mode has become inevitable, such as secretarial work and document file management. For this reason, clerical, cler...The development and popularization of information technology, the automation of information management mode has become inevitable, such as secretarial work and document file management. For this reason, clerical, clerical archives management will also face greater challenges, to achieve the above two kinds of work integration, to improve work efficiency is essential.展开更多
The renewed interest in ＂cultural landscapes＂ is a global phenomenon to be explained in a multi dimensional way.The process of revalorising traditional habitats,people and their way of living in a particular environ...The renewed interest in ＂cultural landscapes＂ is a global phenomenon to be explained in a multi dimensional way.The process of revalorising traditional habitats,people and their way of living in a particular environment,is closely linked to the introduction of heritage as ＂a cultural,social and economic construct＂.The recognition of cultural landscapes as a new category on the world heritage list （UNESCO） since the 1990s,emphasises the importance of the human-environment interaction and the need for understanding the dynamics of landscapes in time and space.Values are changing and new opportunities emerge for a ＂dynamic preservation＂ of iconic landscapes and traditional communities.A cross disciplinary understanding of interacting processes is essential to plan and manage sustainable heritage（land）scapes.Various pilot projects and case studies-world-wide-lead to critical reflections about the sustainability of heritage landscapes and the sovereign role of tourism.The perspective of ＂Globally Important Agricultural Heritage Sites＂ （GIAHS）,supported by economic resources generated by tourism,requires a research-based approach analysing opportunities and expectations,assessing strategic policies and top down politics.展开更多
文摘目的:分析护理干预对2型糖尿病患者的可行性。方法:选取顺德区龙江社区病程在1年以上的依从性不佳的老年糖尿病患者150例,按照双盲随机数字表法将150例患者随机分为两组,分为对照组和管理组。其中对照组患者实施常规管理。管理组患者实施医院—社区健康服务中心—家庭一体化管理模式。两组均进行为期1年的干预。观察2年后两组患者:生命质量的变化、空腹血糖(FBG)、餐后2 h血糖(2 h PBG)和糖化血红蛋白(Hb A1c)的变化、发病次数、住院次数、住院天数、医疗费用、生活饮食习惯、自我血糖监测、遵医嘱用药行为、运动行为依从性。结果:管理组患者发病次数、住院次数、住院天数、医疗费用明显少于对照组,组间经t检验有显著的统计学差异(P<0.05)。管理组干预后生命质量、FBG、2 h PBG和Hb A1c明显优于对照组,组间经t检验有显著的统计学差异(P<0.05)。管理组生活饮食习惯、自我血糖监测、遵医嘱用药行为、运动行为依从性明显高于对照组,组间经x2检验有显著的统计学差异(P<0.05)。结论:医院—社区—家庭一体化管理模式对糖尿病患者的应用价值高,可有效提升患者遵医行为,有助于控制患者发病率,减少住院率,减轻医疗负担,还有助于改善患者血糖水平,提升其生命质量,值得推广。
文摘The development and popularization of information technology, the automation of information management mode has become inevitable, such as secretarial work and document file management. For this reason, clerical, clerical archives management will also face greater challenges, to achieve the above two kinds of work integration, to improve work efficiency is essential.
基金Chinese Academy of Sciences Visiting Professorship for Senior International Scientists(Grant No.Y0S00100KD)
文摘The renewed interest in ＂cultural landscapes＂ is a global phenomenon to be explained in a multi dimensional way.The process of revalorising traditional habitats,people and their way of living in a particular environment,is closely linked to the introduction of heritage as ＂a cultural,social and economic construct＂.The recognition of cultural landscapes as a new category on the world heritage list （UNESCO） since the 1990s,emphasises the importance of the human-environment interaction and the need for understanding the dynamics of landscapes in time and space.Values are changing and new opportunities emerge for a ＂dynamic preservation＂ of iconic landscapes and traditional communities.A cross disciplinary understanding of interacting processes is essential to plan and manage sustainable heritage（land）scapes.Various pilot projects and case studies-world-wide-lead to critical reflections about the sustainability of heritage landscapes and the sovereign role of tourism.The perspective of ＂Globally Important Agricultural Heritage Sites＂ （GIAHS）,supported by economic resources generated by tourism,requires a research-based approach analysing opportunities and expectations,assessing strategic policies and top down politics.
