目的:系统评价基于互联网的院外管理模式对食管癌术后病人的干预效果。方法:系统检索中国知网、维普数据库、万方数据库、中国生物医学文献数据库、EMbase、PubMed、Web of Science、MedLine、the Cochrane Library中有关基于互联网的...目的:系统评价基于互联网的院外管理模式对食管癌术后病人的干预效果。方法:系统检索中国知网、维普数据库、万方数据库、中国生物医学文献数据库、EMbase、PubMed、Web of Science、MedLine、the Cochrane Library中有关基于互联网的院外管理模式干预食管癌术后病人的随机对照试验和类试验研究,检索时限为建库至2022年12月1日,由2名研究员完成文献筛选、质量评价、数据提取,采用RevMan 5.3软件进行Meta分析。结果:共纳入9篇文献,涉及720例病人。Meta分析结果显示,基于互联网的院外管理模式可提高病人的生活质量[MD=9.24,95%CI(7.55,10.92),P<0.00001],降低术后吻合口狭窄发生率[RR=0.31,95%CI(0.17,0.59),P=0.0003],提高病人自我护理能力[MD=5.39,95%CI(4.23,6.55),P<0.00001]、护理满意度[RR=1.37,95%CI(1.18,1.59),P<0.0001)]。结论:现有证据表明,基于互联网的院外管理模式能提高病人生活质量,降低吻合口狭窄发生率,增强自我护理能力,提高护理满意度,促进病人康复。展开更多
The coronavirus disease 2019 pandemic has become a major global public health problem.Governments are taking the necessary steps to reduce the movement of people to contain the spread of the virus.However,these measur...The coronavirus disease 2019 pandemic has become a major global public health problem.Governments are taking the necessary steps to reduce the movement of people to contain the spread of the virus.However,these measures have caused considerable distress to patients with gastric cancer who are newly diagnosed or are undergoing treatment.In addition to the cancer,they must deal with longer waiting times for surgery and poor communication with doctors.Furthermore,gastric cancer patients generally have low immunity and a poor nutritional status,so they are a high-risk group for infection with the novel coronavirus.Therefore,it is necessary to formulate reasonable outpatient management strategies to reduce the adverse effects of the pandemic on their treatment.We summarize the management strategies for patients with gastric cancer during the pandemic.展开更多
目的:观察基于Donabedian的围术期血糖管理模式在胰腺癌手术病人中的应用效果。方法:选取2017年9月—2020年8月在我院进行胰腺癌手术给予常规血糖控制的45例病人为对照组,选取2020年9月—2021年12月在我院进行胰腺癌手术给予常规血糖控...目的:观察基于Donabedian的围术期血糖管理模式在胰腺癌手术病人中的应用效果。方法:选取2017年9月—2020年8月在我院进行胰腺癌手术给予常规血糖控制的45例病人为对照组,选取2020年9月—2021年12月在我院进行胰腺癌手术给予常规血糖控制及基于Donabedian的围术期血糖管理模式干预的70例病人为观察组。比较两组干预前、干预2周后空腹血糖(FPG)、餐后2 h血糖(2 h PBG)、糖化血红蛋白(HbA1c)、伤口愈合平均时间、住院时间、住院费用及2周内并发症发生率。结果:干预2周后,观察组FBG、2 h PBG、HbA1c均低于对照组(P<0.05);观察组伤口愈合平均时间、住院时间短于对照组(P<0.05);干预2周后,观察组并发症总发生率低于对照组(P<0.05)。结论:对胰腺癌手术病人采用基于Donabedian的围术期血糖管理模式干预,能有效控制病人血糖水平,缩短伤口愈合时间及住院时间,减少术后并发症发生,促进病人康复,节省住院费。展开更多
基金Supported by National Natural Science Foundation of China,No.81772642.
文摘The coronavirus disease 2019 pandemic has become a major global public health problem.Governments are taking the necessary steps to reduce the movement of people to contain the spread of the virus.However,these measures have caused considerable distress to patients with gastric cancer who are newly diagnosed or are undergoing treatment.In addition to the cancer,they must deal with longer waiting times for surgery and poor communication with doctors.Furthermore,gastric cancer patients generally have low immunity and a poor nutritional status,so they are a high-risk group for infection with the novel coronavirus.Therefore,it is necessary to formulate reasonable outpatient management strategies to reduce the adverse effects of the pandemic on their treatment.We summarize the management strategies for patients with gastric cancer during the pandemic.
文摘目的:观察基于Donabedian的围术期血糖管理模式在胰腺癌手术病人中的应用效果。方法:选取2017年9月—2020年8月在我院进行胰腺癌手术给予常规血糖控制的45例病人为对照组,选取2020年9月—2021年12月在我院进行胰腺癌手术给予常规血糖控制及基于Donabedian的围术期血糖管理模式干预的70例病人为观察组。比较两组干预前、干预2周后空腹血糖(FPG)、餐后2 h血糖(2 h PBG)、糖化血红蛋白(HbA1c)、伤口愈合平均时间、住院时间、住院费用及2周内并发症发生率。结果:干预2周后,观察组FBG、2 h PBG、HbA1c均低于对照组(P<0.05);观察组伤口愈合平均时间、住院时间短于对照组(P<0.05);干预2周后,观察组并发症总发生率低于对照组(P<0.05)。结论:对胰腺癌手术病人采用基于Donabedian的围术期血糖管理模式干预,能有效控制病人血糖水平,缩短伤口愈合时间及住院时间,减少术后并发症发生,促进病人康复,节省住院费。
