Objective: To implement the whole-process capacity management model led by specialist nurses, improve the capacity management behavior of medical staff, and build a standardized, standardized and operable CHF capacity...Objective: To implement the whole-process capacity management model led by specialist nurses, improve the capacity management behavior of medical staff, and build a standardized, standardized and operable CHF capacity management system. Methods: According to the evidence pyramid principle and search strategy, 2 evidence-based nursing backbone completed literature search in both Chinese and English, and finally included 7 literatures. Results: Around the three key links of capacity assessment, monitoring and management, stakeholders were invited to evaluate each evidence according to the FAME principle, that is, the feasibility, suitability, effectiveness and clinical significance of evidence. Finally, 11 best evidences were obtained and 5 clinical review indicators of the cost project were transformed. This study formulated the competence management plan for CHF patients based on the current situation, established competence load evaluation criteria for CHF patients, and determined the target “dry weight” value for CHF patients. Conclusion: The whole-course volume management model of CHF patients guided by specialist nurses should be established and applied and promoted in the “heart failure Center Alliance unit”, so as to improve the capacity management ability of medical staff for CHF patients, enhance the self-management ability of CHF patients, improve the capacity management behavior and health outcomes, and effectively reduce the hospitalization rate and mortality rate of CHF patients in the region.展开更多
目的:总结骨关节炎病人非药物疼痛管理最佳证据,为临床护理干预提供依据。方法:系统检索最佳临床实践数据库(BMJ)、英国国家卫生与临床优化研究所(NICE)、美国国立指南网(NGC)、乔安娜布里格斯研究所数据库(JBI)、美国风湿病学会(ACR)...目的:总结骨关节炎病人非药物疼痛管理最佳证据,为临床护理干预提供依据。方法:系统检索最佳临床实践数据库(BMJ)、英国国家卫生与临床优化研究所(NICE)、美国国立指南网(NGC)、乔安娜布里格斯研究所数据库(JBI)、美国风湿病学会(ACR)、国际骨关节炎研究协会(OARSI)、the Cochrane Library、Web of Science、EMbase、PubMed、中国知网、万方数据库等,检索时限为建库至2022年11月30日。由3名研究者采用JBI文献评价标准及证据分级系统,独立进行文献质量评价及证据级别评定。结果:共纳入14篇文献,包括9篇指南、4篇专家共识、1篇系统评价,共汇总31条证据,分别为多学科协作、疼痛评估、运动治疗、体重管理、心理和社会干预、健康教育与自我管理、随访7个方面的内容。结论:总结的骨关节炎病人非药物疼痛管理最佳证据,可为护理人员制订个性化护理方案提供循证依据。展开更多
目的:系统评价白噪声对缓解新生儿操作性疼痛的影响。方法:计算机检索中国知网、万方数据库、维普数据库、中国生物医学文献数据库、PubMed、EMbase、Web of Science、the Cochrane Library数据库,检索时限从建库至2023年5月31日,由2名...目的:系统评价白噪声对缓解新生儿操作性疼痛的影响。方法:计算机检索中国知网、万方数据库、维普数据库、中国生物医学文献数据库、PubMed、EMbase、Web of Science、the Cochrane Library数据库,检索时限从建库至2023年5月31日,由2名研究人员独立筛选文献,并使用Cochrane系统评价的偏倚风险评价工具对纳入研究进行方法学质量评价。结果:共纳入23篇文献,涉及2 014例新生儿。结果显示,白噪声对致痛性操作中新生儿的疼痛、生理及行为指标均有不同程度的影响。结论:现有证据表明,白噪声能够缓解新生儿操作性疼痛,但对新生儿哭泣等的行为指标以及心率、血氧饱和度、呼吸频率的改善仍有争议;今后仍需开展高质量、大样本的原始研究,以进一步确认白噪声对新生儿操作性疼痛的效果。展开更多
目的:总结老年髋部脆性骨折病人二次骨折预防与管理的最佳证据。方法:检索UpToDate、BMJ Best Practice、国际指南网、英国国家卫生临床优化研究所指南网、新西兰指南小组网站、苏格兰校际指南网络、加拿大医学临床实践指南信息库、加...目的:总结老年髋部脆性骨折病人二次骨折预防与管理的最佳证据。方法:检索UpToDate、BMJ Best Practice、国际指南网、英国国家卫生临床优化研究所指南网、新西兰指南小组网站、苏格兰校际指南网络、加拿大医学临床实践指南信息库、加拿大安大略注册护士协会指南网、the Cochrane Library、澳大利亚Joanna Briggs Institute(JBI)网、医脉通、PubMed、Web of Science、EMbase、CINAHL、中国生物医学文献服务系统、中国知网、万方数据库中老年髋部脆性骨折病人二次骨折预防与管理相关的指南、专家共识、临床决策、证据总结、系统评价等,检索时限为建库至2022年3月31日。由2名研究人员对文献质量进行独立评价,对符合标准的文献进行证据提取,并依据JBI证据预分级系统(2014版)进行证据分级。结果:共纳入10篇文献,包括指南2篇、专家共识4篇、临床决策2篇、证据总结1篇、系统评价1篇。结合专业人员判断,围绕风险评估与筛查、跌倒预防、骨质疏松防治、二次骨折管理、健康教育5个方面进行证据总结,形成25条证据。结论:总结的老年髋部脆性骨折病人二次骨折预防与管理的最佳证据较为全面、科学、严谨,可为老年髋部脆性骨折病人二次骨折风险预防的精准性及二次骨折管理的规范性提供循证证据。展开更多
文摘Objective: To implement the whole-process capacity management model led by specialist nurses, improve the capacity management behavior of medical staff, and build a standardized, standardized and operable CHF capacity management system. Methods: According to the evidence pyramid principle and search strategy, 2 evidence-based nursing backbone completed literature search in both Chinese and English, and finally included 7 literatures. Results: Around the three key links of capacity assessment, monitoring and management, stakeholders were invited to evaluate each evidence according to the FAME principle, that is, the feasibility, suitability, effectiveness and clinical significance of evidence. Finally, 11 best evidences were obtained and 5 clinical review indicators of the cost project were transformed. This study formulated the competence management plan for CHF patients based on the current situation, established competence load evaluation criteria for CHF patients, and determined the target “dry weight” value for CHF patients. Conclusion: The whole-course volume management model of CHF patients guided by specialist nurses should be established and applied and promoted in the “heart failure Center Alliance unit”, so as to improve the capacity management ability of medical staff for CHF patients, enhance the self-management ability of CHF patients, improve the capacity management behavior and health outcomes, and effectively reduce the hospitalization rate and mortality rate of CHF patients in the region.
文摘目的:总结骨关节炎病人非药物疼痛管理最佳证据,为临床护理干预提供依据。方法:系统检索最佳临床实践数据库(BMJ)、英国国家卫生与临床优化研究所(NICE)、美国国立指南网(NGC)、乔安娜布里格斯研究所数据库(JBI)、美国风湿病学会(ACR)、国际骨关节炎研究协会(OARSI)、the Cochrane Library、Web of Science、EMbase、PubMed、中国知网、万方数据库等,检索时限为建库至2022年11月30日。由3名研究者采用JBI文献评价标准及证据分级系统,独立进行文献质量评价及证据级别评定。结果:共纳入14篇文献,包括9篇指南、4篇专家共识、1篇系统评价,共汇总31条证据,分别为多学科协作、疼痛评估、运动治疗、体重管理、心理和社会干预、健康教育与自我管理、随访7个方面的内容。结论:总结的骨关节炎病人非药物疼痛管理最佳证据,可为护理人员制订个性化护理方案提供循证依据。
文摘目的:总结老年髋部脆性骨折病人二次骨折预防与管理的最佳证据。方法:检索UpToDate、BMJ Best Practice、国际指南网、英国国家卫生临床优化研究所指南网、新西兰指南小组网站、苏格兰校际指南网络、加拿大医学临床实践指南信息库、加拿大安大略注册护士协会指南网、the Cochrane Library、澳大利亚Joanna Briggs Institute(JBI)网、医脉通、PubMed、Web of Science、EMbase、CINAHL、中国生物医学文献服务系统、中国知网、万方数据库中老年髋部脆性骨折病人二次骨折预防与管理相关的指南、专家共识、临床决策、证据总结、系统评价等,检索时限为建库至2022年3月31日。由2名研究人员对文献质量进行独立评价,对符合标准的文献进行证据提取,并依据JBI证据预分级系统(2014版)进行证据分级。结果:共纳入10篇文献,包括指南2篇、专家共识4篇、临床决策2篇、证据总结1篇、系统评价1篇。结合专业人员判断,围绕风险评估与筛查、跌倒预防、骨质疏松防治、二次骨折管理、健康教育5个方面进行证据总结,形成25条证据。结论:总结的老年髋部脆性骨折病人二次骨折预防与管理的最佳证据较为全面、科学、严谨,可为老年髋部脆性骨折病人二次骨折风险预防的精准性及二次骨折管理的规范性提供循证证据。
