Analysis of the Application Effect of Family Collaborative Care Model on Elderly Patients with Type 2 Diabetes Mellitus and the Situation of Self-Care Ability

Objective: To study the application effect of the family collaborative care model on elderly patients with type 2 diabetes mellitus and its influence on self-care ability. Methods: The elderly type 2 diabetes mellitus patients (400 cases) treated in our hospital between March 2020 and July 2023 were divided into two groups by randomized grouping method;the control group received the conventional nursing program, while the observation group received the family collaborative nursing model. Blood glucose level, self-care ability, and quality of life were compared between the groups. Results: The blood glucose level of the observation group was lower than that of the control group (P < 0.05). The self- care ability and quality of life scores of the observation group were higher than those of the control group (P < 0.05). Conclusion: The family collaborative care model for elderly patients with type 2 diabetes mellitus can promote their self- care ability, improve the effect of glycemic control, and improve their quality of life, and is suitable for further promotion and application.

Effects of nursing team communication and collaboration on treatment outcomes in intensive care unit patients with severe pneumonia

BACKGROUND Severe pneumonia is a common severe respiratory infection worldwide,and its treatment is challenging,especially for patients in the intensive care unit(ICU).AIM To explore the effect of communication and collaboration between nursing teams on the treatment outcomes of patients with severe pneumonia in ICU.METHODS We retrospectively analyzed 60 patients with severe pneumonia who were treated at the ICU of the hospital between January 1,2021 and December 31,2023.We compared and analyzed the respiratory mechanical indexes[airway resistance(Raw),mean airway pressure(mPaw),peak pressure(PIP)],blood gas analysis indexes(arterial oxygen saturation,arterial oxygen partial pressure,and oxygenation index),and serum inflammatory factor levels[C-reactive protein(CRP),procalcitonin(PCT),cortisol(COR),and high mobility group protein B1(HMGB1)]of all patients before and after treatment.RESULTS Before treatment,there was no significant difference in respiratory mechanics index and blood gas analysis index between 2 groups(P>0.05).However,after treatment,the respiratory mechanical indexes of patients in both groups were significantly improved,and the improvement of Raw,mPaw,plateau pressure,PIP and other indexes in the combined group after communication and collaboration with the nursing team was significantly better than that in the single care group(P<0.05).The serum CRP and PCT levels of patients were significantly decreased,and the difference was statistically significant compared with that of nursing group alone(P<0.05).The levels of serum COR and HMGB1 before and after treatment were also significantly decreased between the two groups.CONCLUSION The communication and collaboration of the nursing team have a significant positive impact on respiratory mechanics indicators,blood gas analysis indicators and serum inflammatory factor levels in the treatment of severe pneumonia patients in ICU.

Application of multidisciplinary collaborative nursing with family care for enhanced recovery after surgery in children with inguinal hernia

BACKGROUND Perioperative nursing can reduce the stress reaction and improve the prognosis of children.AIM To elucidate the influence of multidisciplinary collaborative nursing for enhanced recovery after surgery(ERAS)with family care in perioperative nursing children with an inguinal hernia and its impact on the prognosis.METHODS The data of 100 children with inguinal hernia were retrospectively analyzed.The participants were divided into three groups according to different nursing methods:Groups A(n=38),B(n=32),and C(n=30).Group A received multidisciplinary collaborative ERAS nursing combined with family care nursing;Group B received multidisciplinary collaborative nursing for ERAS;and Group C received routine nursing.The postoperative recovery results of the three groups were compared,including intraoperative blood loss and postoperative feeding time,time of getting out of bed,hospitalization time,and defecation time.Furthermore,the incidence of common complications was also compared between the three groups.RESULTS There was less intraoperative blood loss in Groups A and B than in Group C(P<0.05),and the time of getting out of bed and postoperative hospitalization and defecation times were also decreased in Group C(P<0.05).There was no significant difference in postoperative feeding time among the three groups(P>0.05).Each index had no statistical significance between Groups A and B(P>0.05).The incidence of urinary retention,infection,hematoma,and hernia recurrence in Group A was less than that in Group C(P<0.05).No significant difference was observed in the overall complication rate between Groups A and B and between Groups B and C(P>0.05).CONCLUSION The application of multidisciplinary collaborative nursing combined with family care in the perioperative care of children with an inguinal hernia for ERAS may promote postoperative rehabilitation for children and reduce the incidence of complications.

Evaluation of Multidisciplinary Collaborative Care in Patients with Acute Coronary Syndrome and Depression and/or Anxiety Disorders

Objective:To evaluate the effect of multidisciplinary collaborative care(MCC)in patients with both acute coronary syndrome(ACS)and depression and/or anxiety disorders compared with usual physician care(UPC).Methods:Depression and/or anxiety were screened by using SDS and SAS,ACS patients with depression and/or anxiety disorders were randomized into MCC and UPC groups.The cardiac outcomes and the life quality were evaluated at1year follow-up.Results:Overall,30.19%(96/318)patients had positive screen results.At1year,Cardiac outcome measures for patients in MCC group were significantly better for composite events of cardiac death and non-fatal MI(6.12% vs23.40%,p=0.016),cardiac function(NYHA functional classifi cation III or IV,0% vs 25%,p=0.05),and angina pectoris(21.28% vs 85%,p<0.0005),than patients in UPC group;the life quality were improved in patients in MCC group.Conclusion:After ACS,30.19% of patients had depression and/or anxiety disorders,MCC had better effects on cardiac outcomes and quality of life in ACS patients with Psychiatric disorders.

Analysis of Professional Quality Cultivation Strategies for Infant and Child Care Service Talents from the Perspective of Collaboration of Medical Care,Parenting,and Education,and Integration of Industry and Education

The collaboration of medical care,parenting,and education aims to integrate nursing,midwifery,infant and child care services,and management with speech and hearing rehabilitation technology,among other elements related to the infant care industry chain.This integration targets pediatrics talent training in nine infant care positions,including nursing,infant health care and management,and child rehabilitation,to ensure that the capabilities and quality of professional talents can meet the health care needs of infants and young children.This article briefly explains the background of the“collaboration of medical care,parenting,and education,and integration of industry and education.”It analyzes the necessity of cultivating infant and child care service talents based on the perspective of“collaboration of medical care,parenting,and education,and integration of industry and education.”Based on this perspective,we conducted an in-depth study of the cultivation of professional qualities of infant and child care service talents.

Pioneering role of machine learning in unveiling intensive care unitacquired weakness

In the research published in the World Journal of Clinical Cases,Wang and Long conducted a quantitative analysis to delineate the risk factors for intensive care unit-acquired weakness(ICU-AW)utilizing advanced machine learning methodologies.The study employed a multilayer perceptron neural network to accurately predict the incidence of ICU-AW,focusing on critical variables such as ICU stay duration and mechanical ventilation.This research marks a significant advancement in applying machine learning to clinical diagnostics,offering a new paradigm for predictive medicine in critical care.It underscores the importance of integrating artificial intelligence technologies in clinical practice to enhance patient management strategies and calls for interdisciplinary collaboration to drive innovation in healthcare.

Corroborative Activities and Recognition Between Community Comprehensive Care Unit’s Nurses and Care Managers in Supporting Discharge of Elderly from Hospital - A Secondary Publication

Objective: The purpose of this study was to clarify the collaborative activities and mutual recognition between community comprehensive care unit nurses (Ns) and care managers (CM) in supporting the discharge of the elderly from the hospital. Methods: A total of 300 nurses working in community comprehensive care wards and 360 care managers working in B City in A Prefecture were surveyed using an anonymous self-administered questionnaire. Results: The highest percentage of responses regarding necessary collaborative activities with multiple professions in supporting hospital discharge were the same for Ns and CMs. The items regarding practice with the highest percentages were “relationship as a team” for Ns, and “user-centered awareness” for CM. While these professionals were willing to share information about their patients’ lives after discharge, the percentage of those explaining their expertise was low. It is thought that collaborative activities focusing on these aspects would lead to more appropriate discharge support.

The development of patient education: Experiences of collaborative work between special and primary care in Finland

Evaluating care pathways, strengthening patient education, developing staff’s patient education skills, and improving collaboration between primary and special healthcare workers are all topical challenges. Successful patient education requires seamless cooperation across organizational boundaries throughout the whole nursing process. The aim of this study is to describe participants’ experiences of development work between primary and special health care units on patient education. In this qualitative descriptive study twenty four health care workers who took part in development work in a collaborative project of special and primary health care service in northern Finland were interviewed when they had nine months’ experience of the development work. The material was analysed using content analysis. Experiences of the nature of development work were described using the following categories: attachment to development work, delight in participation, factors supporting success and challenges of development work. Improvement of co-operation between special and primary health service is a topical challenge. Participation in development work offers occupational learning opportunities. Evaluation and development of own work strengthens staff members’ occupational know-how. The results of this research may be utilized in the planning and execution of development work in the field of health care.

Perceptions of Collaboration and Satisfaction with Collaboration Regarding Care Decision-Making in Intensive Care Units in Japan: A National Survey

Multi-professional collaboration is being promoted worldwide as a response to the need for sophisticated medical care and for catering to patients’ diverse needs. Patients in Intensive Care Units (ICUs) are seriously ill, and their families may be at risk depending on the patient’s situation. Considering these characteristics of patients and families, there is a strong need for multi-professional collaboration within ICUs. The purpose of this descriptive study was to examine recognition and other factors related to collaboration and satisfaction involving care decisions in Japanese ICUs. A mail survey about collaboration of activities and systems was sent to physicians, clinical engineers, and nurses working in ICUs in Japan, 387 consented to participate in this study. Results showed that satisfaction scores were generally high among the three aforementioned professions, but collaboration scores on deciding care for patients showed significant differences (p < 0.05). The total collaboration score was the highest among physicians (36.7 ± 6.7 points), followed by nurses (32.8 ± 7.4 points), and CEs (32.8 ± 7.4 points). The factors that commonly affected collaboration scores were the satisfaction score and the ability to collaborate with other professionals and set team medical care as a goal. Moreover, it is worth noting that the degree of difficulty in collaboration negatively affected this factor. On the other hand, other factors differed among the three professions, suggesting that the purpose and need for collaboration differ depending on the profession.

产房家庭协同护理对初产妇心理状况、分娩自我效能及母婴结局的影响

目的:探讨产房家庭协同护理对初产妇心理状况、分娩自我效能及母婴结局影响.方法:选取2020年5月-2021年12月在本院产检并分娩的初产妇为研究对象,按随机数字表法分为观察组和对照组各60例.对照组临产进入产房后常规护理与指导,观察组在对照组的基础上实施家庭成员协同护理.对比分析两组产妇干预前后SAS、SDS评分,分娩自我效能评分,分娩方式,产时VAS评分、产程时间及母婴结局之间的差异.结果:干预后观察组对象SAS评分、SDS评分下降显著,且低于对照组(P<0.05);结果效能、期望效能、自我效能总分提高,且高于对照组(均P<0.05);阴道分娩率显著高于对照组(91.7%比73.3%),中转剖宫产率低于对照组(8.3%比26.7%),差异有统计学意义(P<0.05).观察组经阴道分娩对象产时VAS评分、第一、二产程时间、产后2h出血量及新生儿Apgar评分均明显好于对照组(P<0.05).结论:产房家庭成员协同护理干预可有效改善初产妇心理状况,提高分娩自我效能,降低产时疼痛水平,缩短产程时间,促进阴道分娩,改善母婴结局.

教师联合同伴反馈的实践合作学习模式在创伤护士救护技能培训中的应用

目的 探索基于实践合作学习模式的教师反馈联合同伴反馈在创伤护士救护技能培训中的应用效果。方法 按培训时间将创伤护士分为两组,2023年6-9月参加中国创伤救治培训护理版课程培训的护士514人为对照组,7-10月参加培训的护士510人为试验组。对照组按常规进行创伤救护技能培训,试验组实施基于实践合作学习模式的教师反馈联合同伴反馈的培训方法。培训结束后,对参加培训的创伤护士进行创伤救护知识考核,对试验组进行创伤急救团队配合技能考核,对28名学员进行课后座谈以了解应用效果。结果 试验组创伤救护知识考核成绩显著高于对照组(P<0.05);试验组创伤急救团队配合技能考核总分为85.41±8.68;座谈显示,学员认为此培训形式新颖,可使成员熟悉并掌握创伤急救团队配合流程,团队配合顺畅,但感觉培训压力较大。结论 基于实践合作学习模式的教师反馈联合同伴反馈的创伤救护技能培训,能提高创伤护士创伤救护知识,更好地掌握团队配合技能。

基于OBE的多学科协作教学模式在POCUS技术辅助内瘘管理的培训效果分析

目的探讨基于成果导向教育理念(outcome-based education,OBE)的多学科协作教学模式在床边实时超声(point-of-care ultrasound,POCUS)辅助内瘘管理培训中的应用效果。方法招募培训对象,采用基于OBE的多学科协作教学模式设置POCUS技术在血液透析患者内瘘管理中应用的培训框架和内容,对来自57家血液透析中心的70例护士实施培训并评价效果。结果实施培训后,护士对使用POCUS进行内瘘管理的信心得分为39.00(38.00,41.00)分,高于培训前的21.00(20.00,25.00)分(Z=7.278,P<0.001)。考核结果显示考核通过率为90.00%,考核总成绩为82.50(69.73,89.78)分,其中55.71%良好,34.29%中等,10.00%较差。结论基于OBE和多学科协作模式开展教学活动,有助于血液透析护士在较短的时间内系统地学习POCUS技术,值得推广。

多学科协作延续护理在糖尿病视网膜病变患者中的应用价值评估

目的探讨多学科协作(multidisciplinary team,MDT)延续护理在糖尿病视网膜病变(diabeticretinopathy,DR)患者中的应用价值。方法选取2021年4月—2023年4月济南市第二人民医院收治的90例DR患者,根据不同护理方法分为对照组和观察组,各45例。对照组实施常规出院护理,观察组在对照组基础上实施基于MDT的延续护理。比较两组自我护理能力(饮食控制、遵医嘱服药、血糖监测、规律运动、足部护理、预防及处理高血糖)评分、血糖指标[餐后2 h血糖(2 hour postprandial blood glucose,2 hPBG)、空腹血糖(fasting blood glucose,FBG)、糖化血红蛋白(glycated hemoglobin A1c,HbA1c)]及生活质量(环境、社会关系、生理、心理)评分。结果出院后6个月,观察组自我护理能力评分均高于对照组,观察组2 hPBG、FBG、HbAlc均低于对照组,生活质量评分均高于对照组,差异有统计学意义(P均<0.05)。结论针对DR患者开展基于MDT的延续护理,提高自我护理能力,促使患者遵循饮食、用药、监测、运动、预防等行为,有效血糖控制,提高生活质量。

农村高龄失能老年人居家照护现状、发展困境与政策体系优化

失能老年人是整个养老服务体系中社会需求迫切、对技术要求高、服务难度大的群体之一。在人口老龄化趋向高龄化、失能风险加剧背景下,如何加强失能老年人照护服务有效供给日益成为重要的社会议题。本文结合民政部政策研究中心2020年8至9月在山东和浙江两省针对农村失能老年人采集的调查数据,分析农村高龄失能老年人居家照护现状和发展困境,为积极应对人口老龄化、改善该群体照护效果提供参考依据。研究发现,九成以上的农村高龄失能老年人愿意在家接受照护服务,但该群体医疗护理服务、精神慰藉服务“需求-供给”缺口较大。长时间、高强度的照护工作使得重度失能家庭照护者承受身心健康、经济方面、社会生活维度的多重负担,而我国尚未建立起成熟完善的居家和社区照护服务体系。基于此,本文认为,未来养老服务体系优化应以破解农村高龄失能老年人照护服务筹资瓶颈为重点,探索打造多元协同、可持续的失能照护服务保障机制。

医护协同管理规范机器人辅助恶性肿瘤手术隔离技术操作标准的研究

目的探讨护士主导医护协同管理模式以规范机器人辅助恶性肿瘤手术隔离技术操作的具体方法。方法选择2021年8月—2023年7月在聊城市人民医院手术室实施达芬奇机器人操作的328例恶性肿瘤手术患者作为研究对象。将2021年8月—2022年7月的158例手术患者设为管理前组,将2022年8月—2023年7月的170例手术患者设为管理后组。管理后成立医护协同管理团队,团队成员通过加强隔离技术管理,制定机器人手术隔离技术操作关键点并组织实施。比较2组手术隔离技术并发症发生情况、管理前后医护人员隔离技术操作正确率及理论考核成绩。结果管理后组手术隔离技术并发症总发生率为3.53%,低于管理前组的13.92%,差异有统计学意义(P<0.05);管理后组医护隔离技术操作正确率为94.43%,高于管理前组的56.80%,差异有统计学意义(P<0.05);管理后组理论考核成绩为(96.75±3.25)分,高于管理前组的(75.25±15.35)分,差异有统计学意义(P<0.05)。结论以护士主导,医护协同管理模式强化机器人辅助恶性肿瘤手术隔离技术操作可降低相关并发症,提高手术质量与手术效果。

产教融合视域下高职院校老年护理人才培养模式探究

目前,我国老年护理专业人才供给严重不足、校企对接培养不够深入。社会短期培训入岗不能满足老年人专业化护理服务需求等问题日益凸显,我国老年护理服务质量有待进一步提升。职业院校是培养老年护理专业技术技能人才的重要基地,职业院校需要院校针对国家养老政策需求,进一步探索在产教融合背景下,高职院校基于岗课赛证,实行岗课一体、赛证融合、思政融通育人体系。通过深化产教融合,校企双元协同共育,培养对接社会岗位需求的高素质老年护理专业技术技能人才,为老人提供有技术、有温度的专业老年护理服务和人文关怀。

信息协同视角下医养智慧联动养老服务模式分析

为了有效把握养老服务市场的现代发展机遇,基于信息协同视角对医养智慧联动养老服务模式进行深入分析。文章通过阐述信息协同理念,明确信息协同的整体概念、基本内涵与主要构成要素。在此基础上,结合信息协同的分析内容,对医养智慧联动养老服务模式进行内容解构与深入探析,明确该模式的服务内容主要包括“互联网+老年人医疗保障”一体化智慧服务、“社区医养联合体”服务、“智慧健康养老云平台”服务。同时,将视角转移至智慧医养服务发展实际,探究医养智慧联动养老服务模式建设的推进路径。

我国居家养老与机构养老的协同持续发展研究

基于对2000、2010、2020年全国人口普查微观数据的实证研究,发现我国近20年来机构养老的老人数占老人总数的百分比大幅提高,而且城镇的增长幅度远大于农村。基于“中国老年健康和家庭幸福调查”数据分析,我们发现机构养老的老人多为生活不能自理、80岁及以上高龄、男性、居住地城镇、教育水平较高、没有配偶和/或没有存活子女。应用ProFamy多维家庭人口预测方法及软件的家庭人口预测表明,无论低、中、高方案,我国今后几十年的机构养老需求都将大幅度增长。例如,在机构养老中方案下,2060年居住在养老机构的65—79岁较年轻老人数和80岁及以上高龄老人数分别等于2020年的3.7倍和12.2倍。因此,建议政府部门和企业管理机构尽快努力实现居家养老与机构养老协同持续发展。

新医科背景下医防融合医学人才培养模式的研究

为顺应国家对医学教育创新发展的规划和布局,改革医学人才培养模式势在必行。现行医学人才培养体系存在课程体系不完善、医防融合理念不足、实践教育薄弱等问题。提出基于知识—能力—情感的医学人才培养模式,改革临床医学与公共卫生课程设置;加大公共卫生实践技能培养;创新医防融合师资队伍建设途径;推行思政与人文协同育人;实施灵活多样的教学方法等应对策略,为促进医学教育的改革和构建医防融合的人才培养模式提供依据。

贯彻最有利于学前儿童的原则:立法与实践的双重审视

学前教育高质量发展是实现“幼有优育”的必由之路,而立法则是促进学前教育高质量发展的有力保障。《中华人民共和国学前教育法(草案)》以最有利于学前儿童的原则为根本立场,旨在解决学前教育实践中面临的诸多问题。《草案》强调以公益普惠为基本方向,保障学前儿童的受教育权和参与权;推进科学保教,遵循学前儿童的身心发展规律;规定家园社三方协同育人责任,优化学前儿童的成长环境。尽管《草案》在许多方面具有前瞻性和指导意义,充分体现了对学前儿童权益的高度重视,但在具体实施上,仍需进一步完善相关条款,健全相应的制度保障。