Analysis of the Effect of Integrated Extended Care Model in Improving the Quality of Life of Elderly Patients with Type 2 Diabetes Mellitus

Objective: To analyze the impact of an integrated extended care model on improving the quality of life of elderly patients with Type 2 Diabetes Mellitus (T2DM). Methods: A total of 176 patients admitted to the hospital from March 2015 to February 2018 were selected and randomly assigned to an observation group and a control group, with 88 patients each. The control group implemented conventional nursing interventions, and the observation group carried out an integrated extended-care model. The level of glycemic control, quality of life, and daily medication adherence between both groups were compared. Results: The observation group showed significant improvement in the level of glycemic control, and their fasting blood glucose, 2-hour postprandial blood glucose, and glycated hemoglobin levels were significantly lower as compared with those in the study group (P < 0.05). The quality of life of the patients in the observation group was higher than that of the control group (P < 0.05). The observation group had a higher compliance score (95.48 ± 7.45) than the control group (81.31 ± 8.72) (t = 8.909, P < 0.05). Conclusion: The integrated extended care model allows patients to receive comprehensive and individualized nursing services after discharge, which improves the effect of drug therapy and the quality of life of patients.

Effectiveness of Extended Care in Preventing Falls in Disabled Elderly and Its Impact on Quality of Life

Objective:To analyze the value of extended care interventions for disabled elderly in preventing falls and optimizing quality of life.Methods:A sample of 60 cases of disabled elderly in a tertiary hospital from May 2022 to May 2023 was selected and grouped by the random number table method.The observation group received extended care,while the control group adopted routine care.The differences in complication rate,fall rate,36-Item Short Form Health Survey(SF-36)score,health knowledge awareness score,and nursing satisfaction were compared.Results:The complication rate and fall rate of the disabled elderly in the observation group were lower than those in the control group,P<0.05;the SF-36 score,health knowledge score,and nursing satisfaction of the observation group were higher than those of the control group,P<0.05.Conclusion:Extended care for the disabled elderly can reduce the risk of falls and complications related to disability,as well as optimize their cognition and improve their quality of life,which is efficient and feasible.

Impact of extended nursing model after multi-disciplinary treatment on young patient with post-stroke

BACKGROUND Stroke has become one of the most serious life-threatening diseases due to its high morbidity,disability,recurrence and mortality rates.AIM To explore the intervention effect of multi-disciplinary treatment(MDT)extended nursing model on negative emotions and quality of life of young patients with post-stroke.METHODS A total of 60 young stroke patients who were hospitalized in the neurology department of our hospital from January 2020 to December 2021 were selected and randomly divided into a control group and an experimental group,with 30 patients in each group.The control group used the conventional care model and the experimental group used the MDT extended nursing model.After the inhospital and 3-mo post-discharge interventions,the differences in negative emotions and quality of life scores between the two groups were evaluated and analyzed at the time of admission,at the time of discharge and after discharge,respectively.RESULTS There are no statistically significant differences in the negative emotions scores between the two groups at admission,while there are statistically significant differences in the negative emotions scores within each group at admission and discharge,at discharge and post-discharge,and at discharge and post-discharge.In addition,the negative emotions scores were all statistically significant at discharge and after discharge when compared between the two groups.There was no statistically significant difference in quality of life scores at the time of admission between the two groups,and the difference between quality of life scores at the time of admission and discharge,at the time of discharge and post-discharge,and at the time of admission and post-discharge for each group of patients was statistically significant.CONCLUSION The MDT extended nursing mode can improve the negative emotion of patients and improve their quality of life.Therefore,it can be applied in future clinical practice and is worthy of promotion.

Life Extending Control of Helicopter Based on Dynamic Inversion

The purpose of using life extending control for Black Hawk UH-60 helicopter is to make a trade-off between the handling qualities and the service life of critical components. An increase in service life span results in enhanced safety and the reduction in maintenance costs. This paper presents a design methodology of life extending control for structural durability and high performance of mechanical system, which is based on an explicit dynamic inversion control scheme. A real-time nonlinear fatigue crack growth model is built to predict fatigue damage resulting from the impact of cyclic bending stress on rotor shaft, which serves as an indicator of service life. The 4-axis gainscheduled flight controller, whose gains are adjusted as a function of damage and flight velocity, is designed to regulate roll attitude, pitch attitude, vertical velocity and yaw rate. The nonlinear system simulation results show that the responses can meet the requirements on ADS-33 Level 1 handling qualities and that the 4-axis decoupling control is realized. As the damage increases, the tracking performance is slightly degraded, which results in smaller transients in bending moment response.

Life Cycle Assessment of Household Water Tanks—A Study of LLDPE, Mild Steel and RCC Tanks

A case of household water tanks, 1000 L capacity, made of RCC, LLDPE and mild steel (stainless steel) was evaluated for life cycle analysis. The scope of the research comprised of the raw materials, energy inputs and corresponding emissions during all phases of product making such as extraction of raw material, it’s processing, followed by manufacturing and transport, as well as use and reuse of the product. Simapro 8 (System for Integrated environMental Assessment of PROducts), a modelling software, from Dutch PRé Consultants was used to conduct the life cycle analysis. Simapro 8 enables systematic and transparent modelling and analysis of complex life cycles based on the recommendations of the ISO 14040 series of standards. In the present study the most common method which is acceptable worldwide “Recipe Endpoint method” (ReCiPe) was employed. ReCiPe computes the impact categories and classifies them into two classes based on relevant arrays of characterization factors. Simapro addresses impact categories viz. ozone depletion, human toxicity, ionizing radiation, photochemical oxidant formation, particulate matter formation, terrestrial acidification, climate change, terrestrial ecotoxicity, agricultural land occupation, urban land occupation, natural land transformation, marine ecotoxicity, marine eutrophication, fresh water eutrophication, fresh water ecotoxicity, fossil fuel depletion, minerals depletion, fresh water depletion at the midpoint level. While at the Endpoint level, the impact categories are multiplied by corresponding damage factors and integrated to be represented as three Endpoint level categories, viz. human health, ecosystems and resource depletion. The three endpoint categories are normalized, weighted, and aggregated into a single score. LCA studies indicate that household water tanks of LLDPE have least environmental implications considering impacts on human health, ecosystems and resource depletion as compared to its counterparts viz. Household water tanks made up of mild steel and RCC. The sequence of the material with decreasing impacts is concrete tanks > mild steel tank > LLDPE tanks. The overall assessment is centred on the elements such as material inputs, energy inputs and environmental emissions.

LASER SHOCK PROCESSING EXTENDS FATIGUE LIFE OF 2024T62

Anewtechnology──lasershockprocessing(LSP)forimprovingthemechanicalpropertiesofmetals,especiallyfatiguelife,ispresented.Themechanismofstresswavegeneratedbylasershockingisdescribed,andthestresswaveismeasuredwithPVDFtransducer.Ahigh-powerdensity,neodyrnium-glasslaserwasusedforshockingaluminumalloy,thefatiguelifeofaluminumalloywasincreasedgreatly.With95%confidence,thefatiguelifeofLSPspecimensis5.4to14.5timeslongerthantheunshockedSpecimensLaser s

主客体互倚中介模型的不孕不育夫妇生育压力、心理弹性与生活质量的相关性

目的:通过主客体互倚中介模型分析生育压力对不孕不育夫妇双方生活质量的影响与心理弹性的中介作用。方法:采用便利抽样法选取于苏州某三甲医院就诊的532对不孕不育夫妇作为研究对象。采用一般资料调查表、生育困难压力量表、心理弹性量表、生育生活质量量表进行横断面调查。通过主客体互倚中介模型分析不孕不育夫妇生育压力、心理弹性与生活质量之间的路径关系。结果:个体的生育压力负向预测夫妇双方的生活质量(β=-0.261,P<0.001;β=-0.061,P<0.05);个体的心理弹性正向预测双方的生活质量(β=0.557,P<0.001;β=0.152,P<0.01)。但个体的生育压力只能负向预测配偶的心理弹性(β=-0.028,P<0.05)。结论:高水平的心理弹性不仅有利于个人的生活质量,而且作为中介因素帮助配偶缓冲生育压力对生活质量的不利影响。

延伸护理在老年获得性免疫缺陷综合征患者抗病毒治疗中的应用

目的探究延伸护理对提高老年获得性免疫缺陷综合征患者抗病毒治疗依从性、疗效及生活质量的影响。方法选取2015年1月-2021年12月北京佑安医院接受初始抗病毒治疗的200例老年获得性免疫缺陷综合征患者作为研究对象,按照抽签法随机分为对照组与试验组,各100例。对照组接受常规护理以及健康教育,试验组则在对照组基础上给予延伸护理。随访1年,比较两组的服药依从性、疗效和生活质量。结果随访1年时,试验组的服药依从性高于对照组,差异有统计学意义(P<0.05);试验组CD4+T淋巴细胞计数增幅高于对照组(P<0.05);两组治疗后病毒载量均检测不到。试验组在生活质量的生理领域、心理领域、社会关系领域和环境领域评分均高于对照组,差异有统计学意义(P<0.05)。结论延伸护理有利于提高老年获得性免疫缺陷综合征患者的服药依从性和抗病毒效果,提高患者的生活质量,值得临床推广及应用。

机械臂K因子影响因数的研究和扩展寿命计算

基于应力强度因子知识,借助Workbench软件采用子模型技术和奇异单元研究搬运机械臂的断裂强度问题。在搬运机械臂基座关节相贯线处建立椭圆形表面裂纹有限元模型,开展抓取载荷、裂纹相对尺寸对应力强度因子影响的研究并进行裂纹扩展寿命计算。分析结果表明:KⅠ、KⅢ随着抓取载荷的增加而增加,而KⅡ随着抓取载荷的增加而减小;随着裂纹短半轴和长半轴的增加,Ⅰ型、Ⅲ型应力强度因子先增大后减小且相应的应力强度因子逐渐增大,Ⅱ型应力强度因子先减小后增大;裂纹两端与中间段的裂纹扩展速率不同,呈现两端快、中间慢的特点且裂纹长半轴尺寸比短半轴尺寸对裂纹扩展速率的影响更敏感,机械臂的剩余寿命富余。

基于个案管理的延伸护理在糖尿病足患者中的应用效果

目的:观察基于个案管理的延伸护理在糖尿病足患者中的应用效果。方法:回顾性分析2020—2022年于该院就诊的90例糖尿病足患者的临床资料,按照入院顺序不同将其分为对照组和观察组各45例。对照组实施常规护理,观察组在对照组基础上实施基于个案管理的延伸护理,比较两组护理前后自我效能[一般自我效能感量表(GSES)]评分、负性情绪[症状自评量表(SCL-90)]评分、生命质量[世界卫生组织生存质量测定量表简表(WHOQOL-BREF)]评分,以及并发症发生率和再入院率。结果:护理后,观察组GSES评分高于对照组,SCL-90评分低于对照组,差异均有统计学意义(P<0.05);观察组并发症发生率为4.44%(2/45),低于对照组的24.44%(11/45);观察组再入院率为2.22%(1/45),低于对照组的17.78%(8/45),差异均有统计学意义(P<0.05);护理后,观察组社会关系领域、心理领域、生理领域、环境领域等WHOQOL-BREF评分均高于对照组,差异有统计学意义(P<0.05)。结论:在常规护理基础上实施基于个案管理的延伸护理可提高糖尿病足患者自我效能和生命质量评分,降低负性情绪评分、并发症发生率和再入院率,效果优于单纯常规护理。

我国绿色建筑政策研究:基于扩展钻石模型和政策工具

构建绿色建筑扩展钻石模型,明确了绿色建筑行业发展的关键要素与政府的核心效能。基于此,进一步构建绿色建筑“政策工具—全生命周期”二维分析框架,利用Nvivo12软件对62份政策文本进行编码统计与分析。研究发现,现有政策工具针对需求条件、生产要素、企业战略与支持性产业的影响有限。并提出政策建议未来的着力方向:拓展运营维护阶段政策的使用,加大需求端的激励措施;提升生产要素供应能力与质量,重视人才培养和企业能力建设;健全全流程精准管控体系,增强企业金融激励;落实技术创新扶持,完善全产业链政策体系。

活血化瘀穴位贴敷联合延伸护理对人工流产术后康复水平及生活质量的影响

目的:探讨活血化瘀穴位贴敷联合延伸护理对人工流产术后康复水平及生活质量的影响。方法:选取本院2022年1月至2022年12月收治的80例人工流产患者作为研究对象,应用抽签法将其分为观察组与对照组,各组均为40例。对照组实施常规护理干预,观察组在对照组基础上增加活血化痧穴位贴敷联合延伸护理。对比两组患者术后康复水平,并在护理前与护理1个月后对比两组患者疾病知识和负面情绪情况和评估两组患者生活质量。结果:观察组患者疼痛持续时间、月经复潮时间、阴道出血时间明显低于对照组(P<0.05);护理后两组患者避孕知识、生殖健康知识评分均升高,观察组高于对照组,HAMD,HAMA评分降低,观察组低于对照组(P>0.05);两组患者干预后生活质量相关评分均升高,且观察组高于对照组(P<0.05)。结论:活血化瘀穴位贴敷联合延伸护理可促进患者术后康复水平提升,减少患者疼痛、月经复潮和阴道出血时间另外能够进一步提升患者疾病健康知识,改善负面情绪,提升患者生活质量。

追踪延伸式护理对泌尿系结石行钬激光碎石术后患者的影响

目的:探讨追踪延伸式护理对泌尿系结石行钬激光碎石术后患者的影响。方法:选取2021年1月1日~2022年2月28日接受钬激光碎石术治疗的88例泌尿系结石患者作为研究对象,随机分为观察组和对照组各44例,对照组采用传统护理模式,观察组在此基础上采用追踪延伸式护理模式;比较两组护理前后汉密顿抑郁量表(HAMD)、汉密顿焦虑量表(HAMA)、生命质量量表(QOL)评分,下床活动时间、导尿管拔除时间、住院时间,并发症发生率。结果:观察组护理后HAMD、HAMA评分低于对照组(P<0.01),QOL评分高于对照组(P<0.01);观察组下床活动时间、导尿管拔除时间、住院时间短于对照组(P<0.01),并发症发生率低于对照组(P<0.01)。结论:追踪延伸式护理能够改善泌尿系结石行钬激光碎石术后患者的心理状态和生活质量,加快患者康复进程,减少并发症。

游泳池式轻水反应堆池壁池底及关键构件老化评估

核反应堆老化问题是决定反应堆安全运行的重要因素之一。中国原子能科学研究院游泳池式轻水反应堆(简称49-2堆)是一座典型的延寿运行的研究堆,也是中国目前运行时间最长的反应堆,开展老化研究对评估其继续延寿运行具有重要意义。本文主要以游泳池式轻水反应堆池底池壁(L03铝材)作为研究对象,对某些点缺陷的腐蚀情况进行分析,结果表明,49-2堆一次水水质条件引起铝合金的化学腐蚀较小,通过水下摄像机的检查,发现点缺陷无扩大和其他性质的变化,同时对池底地脚螺栓的检测,发现螺栓腐蚀程度轻微,X射线探伤表明内部无结构损伤情况,可侧面判定反应堆池壁池底的腐蚀情况较为良好,不会产生破口失水事故的发生。该结果对许可证延续申请具有重要参考价值。

基于延续护理的心理护理干预对2型糖尿病肥胖女性患者血糖控制、负性情绪及生活质量的影响

目的分析基于延续护理的心理护理干预对2型糖尿病肥胖女性患者血糖控制、负性情绪及生活质量的影响。方法选择2021年10月—2023年10月山东省寿光市人民医院收治的146例2型糖尿病肥胖女性患者为研究对象,通过随机数表法分为参考组(n=73)和研究组(n=73)。参考组开展常规护理干预,研究组开展基于延续护理的心理护理干预,比较两组患者的血糖指标、体脂率、血脂指标、情绪评分、生活质量评分和护理满意度。结果研究组患者接受相关护理干预后,患者的血糖指标有所改善,且优于参考组,患者的焦虑评分、抑郁评分均有所下降,且低于参考组,生活质量评分和护理满意度均高于参考组,差异有统计学意义(P均<0.05)。结论基于延续护理的心理护理干预应用于2型糖尿病肥胖女性患者的效果确切,可显著改善患者的血糖,改善其负性情绪,提高生活质量。

基于网络平台的延续护理在脑卒中鼻饲患者中的应用

目的探讨基于网络平台的延续护理在脑卒中鼻饲患者中的应用效果。方法选取2022年7月至2023年7月海南省人民医院神经外科收治的70例脑卒中带鼻饲管出院患者作为研究对象,按随机数表法分为对照组和干预组各35例。对照组患者给予常规护理,干预组患者在对照组基础上给予基于网络平台的延续护理。比较两组患者不同时间的营养风险筛查评分(采用NRS2002评估表评价)、肠内营养相关并发症以及营养相关生活质量(采用NutriQoL量表评价),同时比较两组患者1个月内的再入院率。结果出院时两组患者营养风险筛查得分中位数均为3分,差异无统计学意义(P>0.05),而出院3个月和6个月时,干预组患者的营养风险筛查得分分别为2分和1分,明显低于对照组的3分和2分,差异均有统计学意义(P<0.05);出院时干预组患者的肠内营养相关并发症发生率为17.14%,略低于对照组的20.00%,差异无统计学意义(P>0.05),出院3个月和6个月时,干预组患者的肠内营养相关并发症发生率分别为11.43%和8.57%,明显低于对照组的31.43%和28.57%,差异均有统计学意义(P<0.05);出院时,干预组和对照组患者的营养相关生活质量评分分别为(6.71±1.89)分、(6.88±1.75)分,差异均无统计学意义(P>0.05),而出院3个月和6个月时,干预组患者的营养相关生活质量评分分别为(13.83±4.90)分和(18.22±3.05)分,明显高于对照组的(10.51±3.35)分和(11.20±2.36)分,差异均有统计学意义(P<0.05);1个月内对照组再入院1例,而干预组无1个月内再入院患者。结论基于网络平台的延续护理可以减少脑卒中鼻饲患者肠内营养相关并发症,提高患者营养相关生活质量。

基于Isight的铁路罐车车体疲劳强度分析

针对通过焊接工艺组装而成的铁路罐车在运行中经常发生断裂的问题,利用Isight平台,根据美国AAR标准提供的载荷谱,依据国际焊接协会International Institute of Welding标准,基于准静态法和Miner累计损伤理论选取了9个危险焊缝进行疲劳寿命评估。通过将焊接疲劳计算的相关文件集成到Isight平台,进行了流程化虚拟疲劳计算。计算结果显示,所选的9个焊缝均符合设计要求。该方法显著缩短了疲劳寿命计算时间,并提高了计算结果的可靠性。

一体化延伸护理在2型糖尿病患者中的应用及对血糖控制效果、自我管理能力的影响

目的 探讨一体化延伸护理在2型糖尿病患者中的应用及对血糖控制效果、自我管理能力的影响。方法 选取2022年5月—2023年8月徐州市中医院诊治的110例老年2型糖尿病患者为研究对象,按照随机数表法分为对照组(n=55,常规护理干预)和观察组(n=55,一体化延伸护理干预)。比较两组患者血糖水平、健康行为、自我管理能力及生活质量。结果 护理后,观察组血糖指标低于对照组,差异有统计学意义(P<0.05);观察组健康行为评分(185.85±16.39)分高于对照组的(154.39±14.50)分,差异有统计学意义(t=10.662,P<0.05);观察组自我管理能力评分高于对照组,差异有统计学意义(P<0.05);观察组生活质量评分低于对照组,差异有统计学意义(P<0.05)。结论 一体化延伸护理在2型糖尿病患者中的应用,利于患者血糖控制,改善患者健康行为,显著提升其自我管理能力与生活质量,效果理想。

加长管应用全生命周期费用探讨

为了降低长输管道环焊缝失效概率、确保管道全生命周期安全运营以及加快焊接施工进度,提出管道项目建设应采用18 m加长管。通过对建设期费用、运营期费用和潜在损失费用三个方面进行分析,并对18 m加长管与12 m钢管的全生命周期费用进行全面对比。结果表明,18 m加长管在建设期费用、运营期费用成本可以有效控制,总体费用与12 m钢管基本一致;18 m加长管道潜在损失费总费用较12 m钢管降低126.56万元;18 m加长管全生命周期费用较12 m钢管仅增加费用250.44万,整体投资增加0.35%,表明18 m加长管的大规模应用投资成本可以有效控制。

以循证理念为依托的延伸护理模式对降低肺癌化疗患者癌因性疲乏发生率的影响

目的 对肺癌化疗患者实施以循证理念为依托的延伸护理模式,分析探究此模式在降低癌因性疲乏发生率等方面的运用优势。方法 选取2020年6月至2023年6月于本院治疗的92例肺癌化疗患者,按随机数字表法分为对照组和观察组,均46例,分别实施常规护理模式、以循证理念为依托的延伸护理模式。对比观察不同护理模式的应用效果差异性。结果 观察组干预后癌因性疲乏发生率低于对照组,但干预后生存质量各个维度(认知、情绪、躯体功能)评分、自我管理能力各项指标(定期复诊、饮食控制、遵医行为、自我监测、戒烟戒酒)评分均高于对照组(P <0.05)。结论 在肺癌化疗患者治疗环节中实施以循证理念为依托的延伸护理模式,可减少癌因性疲乏发生风险,提高其生存质量,加强其自我管理能力、自我护理能力。