基于HELP模式的集束化干预策略在老年髋部骨折术后谵妄护理中的应用

目的探讨基于医院老年生活计划(the hospital elder life program,HELP)模式的集束化干预策略对老年髋部骨折患者术后谵妄的预防及护理效果。方法选取2019年9月至2022年6月住院并手术的老年髋部骨折患者167例,用数字表法随机分为对照组87例和观察组80例,分别收住A病区和B病区。其中对照组患者给予骨折围手术期常规护理,观察组在常规护理基础上,增加基于HELP模式的集束化干预方案进行谵妄的预防及护理。结果观察组患者谵妄发生率(8.75%)低于对照组(20.69%),谵妄持续时间(3.36±0.56)d短于对照组(4.25±1.03)d,差异均有统计学意义(P<0.05);观察组患者术后3 d内疼痛评分、术后40项恢复质量评分、住院费用、出院时患者满意度调查评分均优于对照组,差异有统计学意义(P<0.05),但两组患者术后重度疼痛发生情况比较,差异无统计学意义(P>0.05)。结论基于HELP模式的集束化干预策略应用于老年髋部骨折术后谵妄护理,能有效地降低了患者术后谵妄的发生率,最大程度提高患者术后恢复质量,提高患者满意度。

Instructions for Manuscript Preparation

Plasma Science and Technology (PST) journal assists in advancing plasma science and technology by reporting important,novel,helpful and thought-provoking progress in this strongly multidisciplinary and interdisciplinary field,in a timely manner.

HELP护理模式在老年骨折患者术后护理中的应用价值

目的:探究住院老年人生活项目(HELP)护理模式在提高老年骨科患者术后早期离床活动依从性及自护能力中的价值。方法:选取2020年1月—2022年12月我院收治的75例老年骨科手术患者为研究对象。按随机数字表法将其分为观察组(n=38)和对照组(n=37)。对照组采用常规护理,观察组采用HELP护理模式,比较2组患者术后早期离床活动依从性、自护能力、术后并发症。结果:相比于对照组,观察组患者术后离床时间更短、每次活动持续时间更长,组间差异有统计学意义(P<0.05);干预后,2组自护能力评分均较干预前升高,且观察组高于对照组,差异有统计学意义(P<0.05);相比于对照组,观察组术后便秘、泌尿感染、压疮、下肢血栓并发症总发生率更低,组间差异有统计学意义(P<0.05)。结论:相比于常规护理方式,采用HELP护理模式对于老年骨科手术患者而言,更有利于增强术后早期离床活动依从性,更能提升自护能力,减少术后并发症。

创造吧,我们的星球

让我们居住的星球变得更好,你我都可贡献一分力量!Max Han is helping to bring about environmental changes through YUFE(Youths United for Earth). When he was 19, Han co-founded the grassroots organization with his friend, Nurfatin Hamzah.The group's aim is to create a better planet.

Turning Dreams Into Reality China is committed to helping African countries to build their space capability

An important feature of China developing its aerospace industry is its insistence on self-reliance and independent innovation,because China firmly believes that aerospace is a hi-tech industry and high core technologies cannot be bought.Only by mastering core technologies can China firmly grasp the initiative in development.

基于HELP理念在预防高龄髋部骨折患者术后谵妄护理的应用

构建基于HELP理念的多学科干预方案,并探讨其在预防高龄患者髋部骨折术后谵妄的应用效果。方法 在证据检索总结下形成相关预防护理管理方案。选取收治于上海市同仁医院骨科的高龄髋部骨折患者,将其中2021年07月-2022年06月的纳入对照组,进行常规护理;降2022年07月-2023年6月的纳入实验组,进行上述护理管理方案的落实。最后对比两组的护理效果。结果 实验组的POD发生率远低于对照组(P<0.05),但两组在POD持续时间和睡眠时间方面的对比,差异不存在统计学意义(P>0.05)。结论 为高龄髋部骨折患者提供基于HELP理念的多学科干预方案,可以预防术后谵妄的发生,效果比较突出,值得临床推广应用。

Relations Between School and Immigrant Families in Albertan Francophone School: Perspectives of Settlement Workers in Schools - A Secondary Publication

In recent years,Francophone schools in Alberta,a province in western Canada,have seen significant ethnocultural diversification of their school population,thus reflecting recent migratory changes in Canada.The population of a Francophone school board located in an agglomeration of Alberta reflects these new migratory trends.A partial ethnodemographic portrait carried out in 2003 in six of its schools indicates that 50%of the pupils come from an immigrant background and come from 23 different countries;mostly from sub-Saharan African countries.This demographic reality,confirmed more than a decade later,represents a major structural change for Francophone schools.In Alberta,as in other Canadian provinces,inclusion is at the heart of discourse and educational practices.With a transformative aim,it intends to promote ethnocultural diversity in the classroom and equal opportunities through school equity practices.This article focuses on the settlement workers in schools responsible for bridging family,community,and school cultures.The analysis of the interviews of the four workers sheds light on and questions both the institutional practices and the personal strategies put in place to face the challenges encountered in this tripartite collaboration.

Aspirin Helped Reduce Heart Attack Death Rate

本刊曾经多次刊登文章盛赞百年老药阿斯匹林。去年第10期就载文称阿斯匹林能抗前列腺癌,今又消息文称,阿斯匹林能减少心脏病人的死亡率。百年老药.青春犹在,至今仍能让人们不断发现其新的功效！本文除了传递了有关阿斯匹林的新信息之外,以下观点,也让我们耳目一新: Even as we live and practice medicine in an era of high technology,we mustalways remember that widespread application of relatively low technology,efficacious(有效的;灵验的),and cost-effective(有成本效益的,值得花费的)therapies is often the way we help most of our patients and provide the greatestaggregate(集合的;聚合的)benefit for the broader population. 上句是否可以这样译: 即使我们生活、就医在一个高科技的时代,但是,我们仍必须一直牢记:科技含量相对较低却又广为应用的东西,其灵验而又具有成本效益的治疗常常是我们帮助大多数患者,为广大群众提供最大利益的途径。 上句的难点在于:如何理解provide the greatest aggregate benefit for thebroader population的主语。

New Stroke-healing Gel Helped Regrow Neurons and Blood Vessels in Mice with Stroke-damaged Brains, Hinting at What May Someday Be a New Therapy for Stroke in People

In a first-of-its-kind finding,a new stroke-healing gel helped regrow neurons and blood vessels in mice with stroke-damaged brains.The results suggest that such an approach may someday be a new therapy for stroke in people.The study tested this in laboratory mice to determine if it would repair the brain in a model

Six Thousand Sichuan Mothers Helped out of Poverty

AT the start of the Program ofHappiness in Xuanhan County,Sichuan Province,a foreignvisitor published an article in ChinaDaily just after his field study there.Itsaid,“To help a mother out of poverty isto help a family out of poverty,which isa great contribution to the whole society.

Instructions for Manuscript Preparation

Plasma Science and Technology(PST)journal assists in advancing plasma science and technology by reporting important,novel,helpful and thought-provoking progress in this strongly multidisciplinary and interdisciplinary field,in a timely manner.

Comparison of Self-Strength, Seeking Help and Happiness between Pakistani and Chinese Adolescents: A Positive Psychology Inquiry

Adolescents’emotions and preferences are influenced by their childhood experiences.In today’s world,there is a pervasive eagerness for happiness.Happiness has been linked to feelings of self-strength,seeking help,and psy-chological health.The current quantitative research was designed with a positive psychological perspective to compare Pakistani and Chines adolescents’self-strength,seeking help,and happiness.The research design of the study was causal-comparative.The study population consisted of 400 Pakistani and 409 Chinese adolescents studying in the elementary grades of both countries.The sample was selected by using a simple random sampling technique.It consisted of 413 boys(51%)and 396 girls(49%),319(39)of them were from the age group of 13–14 years,386(48%)of them were from the age group of 15–16 years,and 104(12.9%)were from the age group of 17–18 years.Three different scales were developed to collect study data.Independent sample t-test and simple linear regression were used to test study hypotheses.The analysis revealed that Pakistani adolescents have signifi-cantly higher self-strength,seeking help and happiness than their counterparts.It was also found that adolescents’self-strength and seeking help significant affect their happiness.Based on thefindings,it was suggested to inves-tigate the factors contributing to the improved self-strength,seeking help,and happiness of Pakistani adolescents.It was also recommended to investigate the mediating effect of adolescents’self-strength on the relationship between their happiness and seeking help.

Four ways blue foods can help achieve food system ambitions across nations

Blue foods,sourced in aquatic environments,are important for the economies,livelihoods,nutritional security and cultures of people in many nations.They are often nutrient rich1,generate lower emissions and impacts on land and water than many terrestrial meats2,and contribute to the health3,wellbeing and livelihoods of many rural communities4.

Could chatbots help devise the next pandemic virus

An MIT class exercise suggests AI tools can be used to order a bioweapon,but some are skeptical.Science.2023 Jun 23;380(6651):1211.doi:10.1126/science.adj3377.Epub 2023 Jun 22.

海豚的回家之路

1 Every once in a while,we all need a helping hand.In early January,residents in Clearwater,Florida contacted the Clearwater Marine Aquarium about a dolphin hanging out in the creek(小溪)behind their homes.The dolphin was acting normally,but without contact with other animals,the sea⁃dwelling creature simply couldn't stay in the creek.

小小企业家利瓦伊·安德顿

三年级时,老师给了11岁的利瓦伊一把“阅读尺”,这把尺子对他理解句子起到了很大的作用。为了让其他孩子也能获得同样的帮助,利瓦伊决定出售这种尺子。Mini entrepreneur Levi Anderton􀆳s“super⁃power”has launched him into the business world.Levi,11,has dyslexia,a condition that makes reading difficult because his brain has trouble processing letters and sounds.But now he􀆳s the boss of his own business and helping other kids just like him.

Building a Sound Base

Chinese entrepreneur sets up modern garment factory in response to the Made in Rwanda development initiative The Kigali Special Economic Zone(KSEZ), which is only a 10-minute drive from the airport in the capital city of Rwanda, is now attracting manufacturers from all over the world, helping Rwanda transition into a regional manufacturing hub in line with the strategy outlined in its national vision for 2035.

评书大师--一袭青衫闯南北

主题语境:中国传统民间艺术篇幅:347词建议用时:7分钟1 Shan Tianfang was a leading performer of the traditional Chinese art form pingshu,whose vivid storytelling was a comfort to millions of people.2 Pingshu dates from the Song Dynasty when performers would entertain villagers by telling stories in a particularly emotive style.It remains particularly popular in northeastern China.Performers wear traditional dress and use very basic props(小道具)-often a folded fan and a gavel(小槌).Pingshu is sometimes performed in tea houses and small theatres.And in a country where sleeping problems are commonplace,pingshu is still popular as a way of helping people to wind down at bedtime.