BACKGROUND Some patients with coronary atherosclerotic heart disease experience major adverse cardiac events(MACE)and require readmission after Coronary Artery Bypass Grafting(CABG)surgery.This is often attributed to ...BACKGROUND Some patients with coronary atherosclerotic heart disease experience major adverse cardiac events(MACE)and require readmission after Coronary Artery Bypass Grafting(CABG)surgery.This is often attributed to patients'unhealthy lifestyles and dietary habits,inadequate understanding of the disease,and poor disease management compliance.Thus,searching for more targeted nursing intervention models that can enhance patients'self-management abilities and reduce the risk of readmission after CABG surgery is significant.AIM To observe the impact of specialized nursing outpatient case management on patients after CABG surgery.METHODS A total of 103 patients who underwent CABG surgery in our hospital between April 2021 and April 2022 comprised the study sample.The patients were divided into two groups using an odd-even number grouping method.The control group received routine nursing care,while the case management group received specialized nursing outpatient case management.The differences in psychological status,adherence to medical treatment,self-care ability,knowledge mastery,quality of life scores,and the occurrence rate of MACE were compared between the two groups.RESULTS After the intervention,the case management group had lower scores on the selfrating depression scale and self-rating anxiety scale and lower MACE rate,as well as higher scores for adherence to a healthy diet,medication adherence,good lifestyle habits,regular exercise,and timely follow-up,higher scores on the Coronary Heart Disease Self-Management Scale,higher scores for managing adverse habits,symptoms,emotional cognition,emergency response,disease knowledge,general lifestyle,and treatment adherence,higher scores for understanding coronary heart disease,recognizing the importance of medication adherence,understanding selfcare points after CABG surgery,and being aware of post-CABG precautions,higher scores for physical well-being,disease condition,general health,social-psychological well-being,and work-related aspects(P<0.05).CONCLUSION Specialized nursing outpatient case management can enhance patient adherence to medical treatment,knowledge mastery,psychological well-being,and overall quality of life in patients after CABG surgery.展开更多
The paper is dealing with the design and development of a knowledge management （KM） system in radiology dedicated for learning and training to support radiologists in senology in the detection of breast cancer. The ...The paper is dealing with the design and development of a knowledge management （KM） system in radiology dedicated for learning and training to support radiologists in senology in the detection of breast cancer. The work has been performed in cooperation with the department of radiology of Gustave Roussy Institute in Paris （Villejuif）. It provides a case-based reasoning system to support diagnosis by finding similar cases to the case at hand. The outcome of the research effort is both conceptual and practical. It has also a methodological dimension. Conceptually, the paper contributes to the breast cancer diagnosis domain by defining an ontology and a conceptual model for representing cases which are generic solutions reusable in many different settings. It contributes to the case-based reasoning （CBR） field in two ways （1） by defining a case representation model, and （2） a retrieval algorithm which exploits the case representation model structure to find similar cases by aggregating similar cases. Last but not least, the research has a methodological contribution by which the retrieval algorithm is embedded in a broader process perspective including the capture of the actual case, the case-based reasoning related to this case and the support to decision-making by adapting the retrieved case. An interesting aspect of the process model is its intentional dimension which makes possible the representation of different ways to achieve the result. The research will be illustrated by a case study based on real clinical cases （n = 40） of patients provided by Dr. Corinne Balleyguier.展开更多
目的探讨模块式教学联合基于数字化影像存储及传输系统(picture archiving and communication systems,PACS)的以案例为导向的教学法(case-based learning,CBL)在医学影像学见习教学中的应用价值。方法2022年9—12月,选择中南大学湘雅...目的探讨模块式教学联合基于数字化影像存储及传输系统(picture archiving and communication systems,PACS)的以案例为导向的教学法(case-based learning,CBL)在医学影像学见习教学中的应用价值。方法2022年9—12月,选择中南大学湘雅二医院学习的2019级五年制临床医学133名学生作为研究对象,按学号顺序分组,试验组66名,采用基于PACS系统的CBL联合模块教学模式。对照组67名,采用传统多媒体幻灯片(powerpoint,PPT)面授式教学方法,通过专业考核和问卷调查评估教学效果。结果试验组学生的读片测验和卷面测验成绩均高于对照组,差异有统计学意义(P<0.05)。问卷调查各项指标显示试验组的满意度高于对照组,差异有统计学意义(P<0.05)。结论模块式教学联合基于PACS的CBL教学法能激发医学生的学习兴趣,更深入地学习影像学知识,提高了医学影像学见习教学的效果。展开更多
目的探讨国内外护理案例教学的研究现状和未来发展趋势,为我国护理专业开展案例教学提供借鉴与指导。方法数据来源包括中国万方和知网数据库以及Web of Science数据库,运用CiteSpace软件可视化分析2013年1月—2023年10月近11年的护理案...目的探讨国内外护理案例教学的研究现状和未来发展趋势,为我国护理专业开展案例教学提供借鉴与指导。方法数据来源包括中国万方和知网数据库以及Web of Science数据库,运用CiteSpace软件可视化分析2013年1月—2023年10月近11年的护理案例教学的研究现状及趋势。结果最终提取有效文献2889篇。国内护理案例教学的重要文献在2013—2021年期间经历了先稳定后快速增长的阶段,而国外护理案例教学的发文数量及核心期刊发文量均高于国内;同时,从2021年过后,国内外护理案例教学的发文数量均出现缓慢下降的趋势。国内外护理案例教学研究均以高校为主体,并且国外机构和学者的合作关系强于国内。国内外研究主题和热点均集中在护生的教学应用。结论我国护理案例教学持续受到关注,但与国外护理案例教学相比,研究深度与广度需要进一步提升,国内发文作者和机构之间的合作也较为单薄。展开更多
文摘BACKGROUND Some patients with coronary atherosclerotic heart disease experience major adverse cardiac events(MACE)and require readmission after Coronary Artery Bypass Grafting(CABG)surgery.This is often attributed to patients'unhealthy lifestyles and dietary habits,inadequate understanding of the disease,and poor disease management compliance.Thus,searching for more targeted nursing intervention models that can enhance patients'self-management abilities and reduce the risk of readmission after CABG surgery is significant.AIM To observe the impact of specialized nursing outpatient case management on patients after CABG surgery.METHODS A total of 103 patients who underwent CABG surgery in our hospital between April 2021 and April 2022 comprised the study sample.The patients were divided into two groups using an odd-even number grouping method.The control group received routine nursing care,while the case management group received specialized nursing outpatient case management.The differences in psychological status,adherence to medical treatment,self-care ability,knowledge mastery,quality of life scores,and the occurrence rate of MACE were compared between the two groups.RESULTS After the intervention,the case management group had lower scores on the selfrating depression scale and self-rating anxiety scale and lower MACE rate,as well as higher scores for adherence to a healthy diet,medication adherence,good lifestyle habits,regular exercise,and timely follow-up,higher scores on the Coronary Heart Disease Self-Management Scale,higher scores for managing adverse habits,symptoms,emotional cognition,emergency response,disease knowledge,general lifestyle,and treatment adherence,higher scores for understanding coronary heart disease,recognizing the importance of medication adherence,understanding selfcare points after CABG surgery,and being aware of post-CABG precautions,higher scores for physical well-being,disease condition,general health,social-psychological well-being,and work-related aspects(P<0.05).CONCLUSION Specialized nursing outpatient case management can enhance patient adherence to medical treatment,knowledge mastery,psychological well-being,and overall quality of life in patients after CABG surgery.
文摘The paper is dealing with the design and development of a knowledge management （KM） system in radiology dedicated for learning and training to support radiologists in senology in the detection of breast cancer. The work has been performed in cooperation with the department of radiology of Gustave Roussy Institute in Paris （Villejuif）. It provides a case-based reasoning system to support diagnosis by finding similar cases to the case at hand. The outcome of the research effort is both conceptual and practical. It has also a methodological dimension. Conceptually, the paper contributes to the breast cancer diagnosis domain by defining an ontology and a conceptual model for representing cases which are generic solutions reusable in many different settings. It contributes to the case-based reasoning （CBR） field in two ways （1） by defining a case representation model, and （2） a retrieval algorithm which exploits the case representation model structure to find similar cases by aggregating similar cases. Last but not least, the research has a methodological contribution by which the retrieval algorithm is embedded in a broader process perspective including the capture of the actual case, the case-based reasoning related to this case and the support to decision-making by adapting the retrieved case. An interesting aspect of the process model is its intentional dimension which makes possible the representation of different ways to achieve the result. The research will be illustrated by a case study based on real clinical cases （n = 40） of patients provided by Dr. Corinne Balleyguier.
文摘目的探讨模块式教学联合基于数字化影像存储及传输系统(picture archiving and communication systems,PACS)的以案例为导向的教学法(case-based learning,CBL)在医学影像学见习教学中的应用价值。方法2022年9—12月,选择中南大学湘雅二医院学习的2019级五年制临床医学133名学生作为研究对象,按学号顺序分组,试验组66名,采用基于PACS系统的CBL联合模块教学模式。对照组67名,采用传统多媒体幻灯片(powerpoint,PPT)面授式教学方法,通过专业考核和问卷调查评估教学效果。结果试验组学生的读片测验和卷面测验成绩均高于对照组,差异有统计学意义(P<0.05)。问卷调查各项指标显示试验组的满意度高于对照组,差异有统计学意义(P<0.05)。结论模块式教学联合基于PACS的CBL教学法能激发医学生的学习兴趣,更深入地学习影像学知识,提高了医学影像学见习教学的效果。
文摘目的探讨国内外护理案例教学的研究现状和未来发展趋势,为我国护理专业开展案例教学提供借鉴与指导。方法数据来源包括中国万方和知网数据库以及Web of Science数据库,运用CiteSpace软件可视化分析2013年1月—2023年10月近11年的护理案例教学的研究现状及趋势。结果最终提取有效文献2889篇。国内护理案例教学的重要文献在2013—2021年期间经历了先稳定后快速增长的阶段,而国外护理案例教学的发文数量及核心期刊发文量均高于国内;同时,从2021年过后,国内外护理案例教学的发文数量均出现缓慢下降的趋势。国内外护理案例教学研究均以高校为主体,并且国外机构和学者的合作关系强于国内。国内外研究主题和热点均集中在护生的教学应用。结论我国护理案例教学持续受到关注,但与国外护理案例教学相比,研究深度与广度需要进一步提升,国内发文作者和机构之间的合作也较为单薄。
