Aim: This study evaluates the impact of Enhanced Recovery After Surgery (ERAS) nursing on postoperative complications and quality of life in patients undergoing robot-assisted minimally invasive esophagectomy (RAMIE)....Aim: This study evaluates the impact of Enhanced Recovery After Surgery (ERAS) nursing on postoperative complications and quality of life in patients undergoing robot-assisted minimally invasive esophagectomy (RAMIE). Methods: A total of 150 patients who underwent RAMIE from January 2020 to January 2022 at our hospital were randomly assigned to either the observation group or the control group, with 75 patients in each. The control group received standard perioperative management and nursing care, while the observation group was treated with ERAS nursing strategies. Interventions continued until discharge, and outcomes such as postoperative complications, quality of life, and nutritional status were compared between the groups. Results: The observation group exhibited a significantly lower incidence of postoperative adverse reactions compared to the control group (P ionally, all dimension scores of the Short-Form 36 Health Survey (SF-36), including the total score, were higher in the observation group (P < 0.05). Furthermore, the Nutritional Risk Screening (NRS) scores for impaired nutritional status and disease severity, along with the total NRS score, were significantly lower in the observation group compared to the control group (P Conclusion: Implementing ERAS nursing in the perioperative care of patients undergoing RAMIE is associated with reduced postoperative complications and enhanced postoperative quality of life and nutritional status. .展开更多
On the basis of the analysis on the disadvantages of the original goal-setting about rock drivage, this paper defined the ＂life cycle quality＂. With project management theory and the Cobb-Douglas function, ＂quality...On the basis of the analysis on the disadvantages of the original goal-setting about rock drivage, this paper defined the ＂life cycle quality＂. With project management theory and the Cobb-Douglas function, ＂quality-cost and quality-price curve model＂ and the ＂total cost-period prediction model＂ were built. Then the goal-setting method of the balance among quality, cost and period of rock drivage was constructed by finding ＂life cycle cost＂ through ＂life cycle quality＂ using ＂quality-cost and quality-price curve model＂ and ensuring period through ＂life cycle cost＂ using ＂total cost-period prediction model＂ （hereinafter referred to as the ＂three goals balance method＂）. ＂Value contribution＂ which is the value of the contribution to a mine because of rock drivage, was found in the process of constructing the ＂quality-cost and quality-price curve model＂. An industrial test was done in coal mine A with the research results, staff footage efficiency improved by 24.24%, the period shortened by 14.3%, the ＂life cycle cost＂ dropped by 2.09%, the ＂life cycle quality price＂ improved by 3.29%, and value contribution increased by 25.3%. The result shows that the new goal method setting on the basis of coal mine profit maximization can ensure construc- tion period. At the same time, it can realize cost and quality objectives and the optimization and balance of relationship among them; rewarding excavation teams by ＂value contribution＂ can combine organizational goal with personal goal, it significantly raise the employee＇s work efficiency.展开更多
Objective:To further understand and compare the effectiveness of pattern differentiation treatment and fixed prescription treatment in perimenopausal syndrome.Methods:The study will be conducted in the Hong Kong Feder...Objective:To further understand and compare the effectiveness of pattern differentiation treatment and fixed prescription treatment in perimenopausal syndrome.Methods:The study will be conducted in the Hong Kong Federation of Trade Unions Workers'Medical Clinics,Hong Kong Baptist University Chinese Medicine Clinic cum Training and Research Centre(Hong Kong,China).One hundred Chinese women,aged 45-55 years,will be recruited.The participants will be randomized into 2 groups.The intervention group will be administered medication,based on pattern differentiation,by qualified traditional Chinese medicine(TCM)practitioners.After each evaluation,TCM practitioners will evaluate and revise the prescription,based on the participants'patterns.The control group will be given the standard formula,i.e.,the Erxian decoction,which contains 6 herbs.The treatment period and the follow-up period will be 8 weeks each.The primary assessment outcome measure will be the Kupperman Index,and the secondary outcome measure will be the Menopause-specific Quality of Life Questionnaire score.Conclusion:Pattern-differentiated treatment is the basic principle of TCM to understand and treat diseases.The study will show the pattern-differentiated treatment is effectiveness than the fixed prescription.展开更多
Objective:To evaluate the effect of preoperative dietary intervention on the gastrointestinal reaction of microparticle transcatheter arterial chemoembolization(TACE).Methods:A total of 60 patients with primary liver ...Objective:To evaluate the effect of preoperative dietary intervention on the gastrointestinal reaction of microparticle transcatheter arterial chemoembolization(TACE).Methods:A total of 60 patients with primary liver cancer who were treated in our hospital from January 2018 to October 2018 were selected for this study.The random sampling method was used to divide the patients into an intervention group(30 cases)and a control group(30 cases).The control group received routine intervention,whereas the intervention group received optimized nursing intervention.The incidence of gastrointestinal reactions,the vomiting frequency,the average vomiting volume,the incidence of stomach discomfort,the quality of life,and the anxiety and depression indicators of both groups were compared.Results:The results of all indicators of the intervention group were better than those of the control group.The incidence of gastrointestinal reactions in the intervention group was 13.9%,which was lower than 43.3%of the control group.The scores of QLQ-C30 of the intervention group were higher than those of the control group;the SAS and SDS scores in the intervention group were lower than those of the control group.Conclusion:Preoperative dietary intervention can reduce the incidence of gastrointestinal reactions of microparticle TACE and improve the symptoms of gastric discomfort among patients.展开更多
文摘Aim: This study evaluates the impact of Enhanced Recovery After Surgery (ERAS) nursing on postoperative complications and quality of life in patients undergoing robot-assisted minimally invasive esophagectomy (RAMIE). Methods: A total of 150 patients who underwent RAMIE from January 2020 to January 2022 at our hospital were randomly assigned to either the observation group or the control group, with 75 patients in each. The control group received standard perioperative management and nursing care, while the observation group was treated with ERAS nursing strategies. Interventions continued until discharge, and outcomes such as postoperative complications, quality of life, and nutritional status were compared between the groups. Results: The observation group exhibited a significantly lower incidence of postoperative adverse reactions compared to the control group (P ionally, all dimension scores of the Short-Form 36 Health Survey (SF-36), including the total score, were higher in the observation group (P < 0.05). Furthermore, the Nutritional Risk Screening (NRS) scores for impaired nutritional status and disease severity, along with the total NRS score, were significantly lower in the observation group compared to the control group (P Conclusion: Implementing ERAS nursing in the perioperative care of patients undergoing RAMIE is associated with reduced postoperative complications and enhanced postoperative quality of life and nutritional status. .
文摘On the basis of the analysis on the disadvantages of the original goal-setting about rock drivage, this paper defined the ＂life cycle quality＂. With project management theory and the Cobb-Douglas function, ＂quality-cost and quality-price curve model＂ and the ＂total cost-period prediction model＂ were built. Then the goal-setting method of the balance among quality, cost and period of rock drivage was constructed by finding ＂life cycle cost＂ through ＂life cycle quality＂ using ＂quality-cost and quality-price curve model＂ and ensuring period through ＂life cycle cost＂ using ＂total cost-period prediction model＂ （hereinafter referred to as the ＂three goals balance method＂）. ＂Value contribution＂ which is the value of the contribution to a mine because of rock drivage, was found in the process of constructing the ＂quality-cost and quality-price curve model＂. An industrial test was done in coal mine A with the research results, staff footage efficiency improved by 24.24%, the period shortened by 14.3%, the ＂life cycle cost＂ dropped by 2.09%, the ＂life cycle quality price＂ improved by 3.29%, and value contribution increased by 25.3%. The result shows that the new goal method setting on the basis of coal mine profit maximization can ensure construc- tion period. At the same time, it can realize cost and quality objectives and the optimization and balance of relationship among them; rewarding excavation teams by ＂value contribution＂ can combine organizational goal with personal goal, it significantly raise the employee＇s work efficiency.
基金funded by Chinese Medicine Research Practical Training Program of Hong Kong Hospital Authority Chinese Medicine Department(Hong Kong,China)。
文摘Objective:To further understand and compare the effectiveness of pattern differentiation treatment and fixed prescription treatment in perimenopausal syndrome.Methods:The study will be conducted in the Hong Kong Federation of Trade Unions Workers'Medical Clinics,Hong Kong Baptist University Chinese Medicine Clinic cum Training and Research Centre(Hong Kong,China).One hundred Chinese women,aged 45-55 years,will be recruited.The participants will be randomized into 2 groups.The intervention group will be administered medication,based on pattern differentiation,by qualified traditional Chinese medicine(TCM)practitioners.After each evaluation,TCM practitioners will evaluate and revise the prescription,based on the participants'patterns.The control group will be given the standard formula,i.e.,the Erxian decoction,which contains 6 herbs.The treatment period and the follow-up period will be 8 weeks each.The primary assessment outcome measure will be the Kupperman Index,and the secondary outcome measure will be the Menopause-specific Quality of Life Questionnaire score.Conclusion:Pattern-differentiated treatment is the basic principle of TCM to understand and treat diseases.The study will show the pattern-differentiated treatment is effectiveness than the fixed prescription.
文摘Objective:To evaluate the effect of preoperative dietary intervention on the gastrointestinal reaction of microparticle transcatheter arterial chemoembolization(TACE).Methods:A total of 60 patients with primary liver cancer who were treated in our hospital from January 2018 to October 2018 were selected for this study.The random sampling method was used to divide the patients into an intervention group(30 cases)and a control group(30 cases).The control group received routine intervention,whereas the intervention group received optimized nursing intervention.The incidence of gastrointestinal reactions,the vomiting frequency,the average vomiting volume,the incidence of stomach discomfort,the quality of life,and the anxiety and depression indicators of both groups were compared.Results:The results of all indicators of the intervention group were better than those of the control group.The incidence of gastrointestinal reactions in the intervention group was 13.9%,which was lower than 43.3%of the control group.The scores of QLQ-C30 of the intervention group were higher than those of the control group;the SAS and SDS scores in the intervention group were lower than those of the control group.Conclusion:Preoperative dietary intervention can reduce the incidence of gastrointestinal reactions of microparticle TACE and improve the symptoms of gastric discomfort among patients.
