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基于时机理论的家庭护理对瓣膜置换患者康复及效果研究 被引量:2
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作者 娄瑛巧 杨伟英 马小琴 《医院管理论坛》 2020年第10期76-80,共5页
目的探讨基于时机理论的家庭护理对机械瓣膜置换患者的康复及影响。方法根据统一的诊断、纳入及排除标准,选取102例患者,按随机数字表法分为对照组(52例)与试验组(50例)。对照组患者及家属接受心胸外科常规护理与随访;试验组在心胸外科... 目的探讨基于时机理论的家庭护理对机械瓣膜置换患者的康复及影响。方法根据统一的诊断、纳入及排除标准,选取102例患者,按随机数字表法分为对照组(52例)与试验组(50例)。对照组患者及家属接受心胸外科常规护理与随访;试验组在心胸外科常规护理的基础上接受家庭护理干预,分别于出院时、出院后3个月及6个月时对患者生活质量、华法林服用依从性及并发症发生率进行统计。结果出院后3个月和6个月时试验组患者生活质量、华法林服药依从性均优于对照组(p<0.001);研究结束时,试验组患者华法林相关并发症低于对照组,差异有统计学意义(p<0.05)。结论基于时机理论的家庭护理在机械瓣膜置换患者的康复中应用效果显著,可以有效提高患者华法林服药依从性及生活质量,降低华法林相关并发症的发生率。 展开更多
关键词 机械瓣膜置换Mechanical valve replacement 时机理论Timing theory 家庭护理Home care 服药依从性drug compliance 生活质量Quality of life
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Efficacy of different antibiotics in treatment of children with respiratory mycoplasma infection 被引量:2
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作者 Mei-Ying Zhang Yan Zhao +3 位作者 Jin-Feng Liu Guo-Ping Liu Rui-Yun Zhang Li-Min Wang 《World Journal of Clinical Cases》 SCIE 2021年第23期6717-6724,共8页
BACKGROUND Respiratory infections in children are common pediatric diseases caused by pathogens that invade the respiratory system.Children are considerably susceptible to Mycoplasma pneumoniae infection.There has bee... BACKGROUND Respiratory infections in children are common pediatric diseases caused by pathogens that invade the respiratory system.Children are considerably susceptible to Mycoplasma pneumoniae infection.There has been widespread clinical attention on treatment strategies for this disease.AIM To analyze the clinical efficacy of different antibiotics in treating pediatric respiratory mycoplasma infections.METHODS We included 106 children with a confirmed diagnosis of respiratory mycoplasma infection who were admitted to our hospital from April 2017 to July 2019 and grouped them using a random number table.Among them,53 children each received clarithromycin or erythromycin.The clinical efficacy of both drugs was evaluated and compared.We performed the multiplex polymerase chain reaction(MP-PCR)test and determined the MP-PCR negative rate in children after the end of the treatment course.We compared the incidence of toxic and side effects,including nausea,diarrhea,and abdominal pain;further,we recorded the length of hospitalization,antipyretic time,and drug costs.Additionally,we evaluated and compared the compliance of the children during treatment.RESULTS The erythromycin group showed a significantly higher total effective rate of clinical treatment than the clarithromycin group.MP-PCR test results showed that the clarithromycin group had a significantly higher MP-PCR negative rate than the erythromycin group.Moreover,children in the clarithromycin group had shorter fever time,shorter hospital stays,and lower drug costs than those in the erythromycin group.The clarithromycin group had a significantly higher overall drug adherence rate than the erythromycin group.The incidence of toxic and side effects was significantly lower in the clarithromycin group than in the erythromycin group(P<0.05).CONCLUSION Our findings indicate that clarithromycin has various advantages over erythromycin,including higher application safety,stronger mycoplasma clearance,and higher medication compliance in children;therefore,it can be actively promoted. 展开更多
关键词 CLARITHROMYCIN ERYTHROMYCIN Mycoplasma respiratory infection CHILDREN Clinical efficacy drug compliance Toxic side effects
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The effects of information platform-based nursing on preventing venous thromboembolism in patients with hip fractures 被引量:1
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作者 Yuan Gao Xiao-Jie Fu +4 位作者 Ming-Xing Lei Peng-Bin Yin Yu-Tong Meng Qing-Mei Wang Hong-Ying Pi 《Chinese Journal of Traumatology》 CAS CSCD 2022年第6期367-374,共8页
Purpose:Venous thromboembolism(VTE)is a major health issue among hip fracture patients.This study aimed to develop an information platform based on a mobile application and then evaluate whether information platform-b... Purpose:Venous thromboembolism(VTE)is a major health issue among hip fracture patients.This study aimed to develop an information platform based on a mobile application and then evaluate whether information platform-based nursing could improve patient’’s drug compliance and reduce the incidence of VTE in hip fracture patients.Methods:This study retrospectively analyzed hip fracture patients who were treated with conventional prevention and intervention methods for VTE(control group)between January 2008 and November 2012,and prospectively analyzed hip fracture patients who were treated with nursing intervention based on the information platform(study group)between January 2016 and September 2017.All the patients included in the both groups were hip fracture patients who had an age over 50 years,treated with surgery,and hospitalized≥48 h.Patients were excluded if they admitted to hospital due to old fractures,had a severe bleeding after 72 h of admission,diagnosed with any type of VTE,or refused to participate in the study.The information platform was divided into medical,nursing,and patient interface.Based on the information platform,medical practitioners and nurses could perform risk assessments,monitoring management and early warnings,preventions and treatments,health educations,follow-up,and other aspects of nursing interventions for patients.This study compared essential characteristics,drug compliance,VTE occurrence,and mean length of hospitalization between the two groups.Besides,a subgroup analysis was performed in the study group according to different drug compliances.SPSS 18.0 software(IBM Corp.,NY,and USA)was used for statistical analysis.Results:Altogether 1177 patients were included in the control group,and 491 patients in the study group.Regarding baseline data,patients in the study group had more morbidities than those in the control group(p<0.05).The difference of drug compliance between the two groups was statistically significant(p<0.001):761(64.7%)of the patients in the control group and only 30(6.1%)patients in the study group had poor drug compliance.In terms of VTE,10.7%patients(126/1177)in the control group had VTE,and the rate in the study group was 7.1%(35/491),showing a statistically significant difference(p=0.02).Moreover,the average length of hospitalization in the study group was also significantly lower than that in the control group(10.4 daysvs.13.7 days,p<0.001).Subgroup analyses of the study group showed that the incidence of VTE in patients with poor,partial,and good compliances were 56.7%(17/30),5.8%(10/171),and 2.8%(8/290),respectively,revealing a significantly huge difference(p<0.001).Conclusions:Poor drug compliance leads to higher VTE occurrence.The information platform-based nursing can effectively improve the compliance of hip fracture patients and thus considerably reduce the incidence of VTE.The mobile application may be an effective tool to prevent VTE in hip fracture patients. 展开更多
关键词 Venous thromboembolism Hip fractures Information platform-based nursing drug compliance Risk assessment and management
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STATUS AND CONTROL POLICY OF MAIN CHRONIC DISEASES IN COMMUNITY HEALTH MANAGEMENT BASES IN SHANGHAI AND GUANGDONG 被引量:1
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作者 邹鹿鸣 鲍勇 《Medical Bulletin of Shanghai Jiaotong University》 CAS 2012年第2期47-53,共7页
Objective To investigate the current conditions of the main chronic diseases and to make the control policy in community health management base in China. MethodsThe questionnaire consisting of prevalence, awareness ra... Objective To investigate the current conditions of the main chronic diseases and to make the control policy in community health management base in China. MethodsThe questionnaire consisting of prevalence, awareness rate, management rate, behavior correct rate, control rate, and medicine obey was used to survey the chronic disease condition in 2009. A total of 809 736 residents were randomly selected from Shanghai and Guangdong, China. ResultsThe hypertension prevalence was 17.81%. From sex analysis, the female has higher rate than male in hypertension prevalence, understand rate, management rate, behavior correct rate, control rate, and medicine obey rate. From age analysis, the prevalence, understand rate, management rate, control rate, and medicine obey were increasing along with the age, but behavior correct rate was not in this condition. The diabetes prevalence was 6.92%. To compare with Shanghai and Guangzhou in 5 aspects, the prevalence of chronic diseases was alike. Except lower behavior correct rate in Shanghai, management rate, behavior correct rate, control rate, and medicine obey rate were higher in Shanghai. ConclusionThe government must take main principle in chronic disease control. Base construction of community health management and increase management level of chronic diseases should be enhanced and practitioner's knowledge of chronic disease management should also be enhanced. 展开更多
关键词 hypertension diabetes chronic disease management drug compliance ratecommunity resident health management base
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Pediatric ocular nanomedicines:Challenges and opportunities 被引量:2
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作者 Natasha D.Sheybani Hu Yang 《Chinese Chemical Letters》 SCIE CAS CSCD 2017年第9期1817-1821,共5页
The eye is a highly complex,yet readily accessible organ within the human body.As such,the eye is an appealing candidate target for a vast array of drug therapies.Despite advances in ocular drug therapy research,the f... The eye is a highly complex,yet readily accessible organ within the human body.As such,the eye is an appealing candidate target for a vast array of drug therapies.Despite advances in ocular drug therapy research,the focus on pediatric ocular drug delivery continues to be highly underrepresented due to the limited number of degenerative ocular diseases with childhood onset.In this review,we explore more deeply the reasons underlying the disparity between ocular therapies available for children and for adults by highlighting diseases that most commonly afflict children(with focus on the anterior eye) and existing prognoses,recent developments in ocular drug delivery systems and nanomedicines for children,and barriers to use for pediatric patients 展开更多
关键词 Pediatric Ocular drug delivery Nanomedicine drug administration compliance
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