The objective of this study is to clarify the relevance of qualitative research in the context of critical care and renal dialysis requires using narrative sources. Also specific objectives are to identify the phases ...The objective of this study is to clarify the relevance of qualitative research in the context of critical care and renal dialysis requires using narrative sources. Also specific objectives are to identify the phases or cultural moments that are distinguished in these processes. Research Question: How can the narrative materials contribute to the study of the processes of critical care and/or qualitative research in nephrology? Method and Sources: There have been studies focusing on the narrative of patients who have written their experiences building a literature experience ill (Siles et al., 1997, 1999, 2000). Sources have been used to extract testimony retrospective autobiographies written by people who have experienced the experiences of different diseases (Allué, 1996, 1997, Zorn, 1991, Gilbert, 1993;Comas, 2009;Gracia Armendáriz, 2010;Sampedro, 1996, Sacks, 2010). The analysis was developed by categorizing units of meaning, meaning families and networks. To identify the cultural moments we have followed the criteria established by Siles and Solano (2009): Multiculturalism, interculturalism and transculturalism. To identify rites of passage and liminality states have followed the principles outlined by Van Gennep (2013) and Turner (1990, 2008). Results: We identified cultural moments and characteristic states of liminality in critical care and kidney. Conclusions: narrative sources are effective for analyzing the meanings and experiences of patients in critical care and nephrology tool.展开更多
Bettering orphan rescue and assistance policies and improving the upbringing of orphans have been top on the agenda of China＇s civil affairs departments in 2006. A survey conducted by the Ministry of Civil Affairs in...Bettering orphan rescue and assistance policies and improving the upbringing of orphans have been top on the agenda of China＇s civil affairs departments in 2006. A survey conducted by the Ministry of Civil Affairs in 2005 shows that one-third of the country＇s 573,＇30 orphans do not receive regular, system-guaranteed help. Some orphans have been forced to drop out of school and lead a vagrant life, Some have even become petty thieves.展开更多
Patients with coronary artery disease （CAD） complicated with diabetes mellitus （DM） have a reduced quality of life （QOL） partly due to their limited range of physical activity and independence. The primary objec...Patients with coronary artery disease （CAD） complicated with diabetes mellitus （DM） have a reduced quality of life （QOL） partly due to their limited range of physical activity and independence. The primary objective of this study was to examine the effect of the application of the multiple nursing cares on QOL and de- pressive symptoms in individuals with CAD complicated with DM. Methods A total of 82 CAD complicated with DM patients in Guangdong General Hospital from January 2014 to January 2015 were selected, and random- ly divided into control group （n = 41） and experimental group （n = 41） according to World Health Organization DM diagnosis criteria. The subjects in control group received routine nursing care, and the subjects in experimen- tal group were treated with the multiple nursing cares additionally for a 10-week period. The outcome measures include the Short Form-36 Health Survey （SF-36）, and Self-Rating Anxiety Scale （SAS）. Results Following 10-week intervention, the QOL scores and SAS anxiety scores in all groups were improved （P 〈 0.05）. In addi- tion, QOL and SAS anxiety scores in the experimental group were significantly improved （P 〈 0.05）, when com- pare with the control group. Conclusions Based on the results of this study, the application of the multiple nurs- ing cares to individuals with CAD complicated with DM is effective in increasing selected aspects of a general QOL and improving the anxiety situation in individuals with CAD complicated with DM. It is worthwhile to be widely used in clinical practice.展开更多
Good books are valuable treasures. Among allthe books I’ve read, my favorite one is, which is one of the Four Great ClassicalNovels of Chinese Literature.It is a fascinating book based on the story ofhistorical figur...Good books are valuable treasures. Among allthe books I’ve read, my favorite one is, which is one of the Four Great ClassicalNovels of Chinese Literature.It is a fascinating book based on the story ofhistorical figures Song Jiang and his companions.However, the end is full of sadness. They’re allkilled because the emperor doesn’t trust them. Iam crazy about this book because I can learn a lotfrom it. For example, one of its chapters describeshow Wu Song cares about his brother, which hasdeeply touched me and taught me to show gratitudeand love to my family.展开更多
BACKGROUND Addressing the growing challenge of hospitalizing chronic multimorbid patients,this study examines the strain these conditions impose on healthcare systems at a local level,focusing on a pilot program.Chron...BACKGROUND Addressing the growing challenge of hospitalizing chronic multimorbid patients,this study examines the strain these conditions impose on healthcare systems at a local level,focusing on a pilot program.Chronic diseases and complex patients require comprehensive management strategies to reduce healthcare burdens and improve patient outcomes.If proven effective,this pilot model has the potential to be replicated in other healthcare settings to enhance the management of chronic multimorbid patients.AIM To evaluate the effectiveness of the high complexity unit(HCU)in managing chronic multimorbid patients through a multidisciplinary care model and to compare it with standard hospital care.METHODS The study employed a descriptive longitudinal approach,analyzing data from the Basic Minimum Data Set(BMDS)to compare hospitalization variables among the HCU,the Internal Medicine Service,and other services at Antequera Hospital throughout 2022.The HCU,designed for patients with complex chronic conditions,integrates a patient-centered model emphasizing multidisciplinary care and continuity post-discharge.RESULTS The study employed a descriptive longitudinal approach,analyzing data from the BMDS to compare hospitalization variables among the HCU,the Internal Medicine Service,and other services at Antequera Hospital throughout 2022.The HCU,designed for patients with complex chronic conditions,integrates a patient-centered model emphasizing multidisciplinary care and continuity post-discharge.CONCLUSION This study demonstrates the effectiveness of the HCU in managing patients with complex chronic diseases through a multidisciplinary approach.The coordinated care provided by the HCU results in improved patient outcomes,reduced unnecessary hospitalizations,and better management of patient complexity.The superiority of the HCU compared to standard care is evident in key outcomes such as fewer readmissions and higher patient satisfaction,reinforcing its value as a model of care to be replicated.展开更多
文摘The objective of this study is to clarify the relevance of qualitative research in the context of critical care and renal dialysis requires using narrative sources. Also specific objectives are to identify the phases or cultural moments that are distinguished in these processes. Research Question: How can the narrative materials contribute to the study of the processes of critical care and/or qualitative research in nephrology? Method and Sources: There have been studies focusing on the narrative of patients who have written their experiences building a literature experience ill (Siles et al., 1997, 1999, 2000). Sources have been used to extract testimony retrospective autobiographies written by people who have experienced the experiences of different diseases (Allué, 1996, 1997, Zorn, 1991, Gilbert, 1993;Comas, 2009;Gracia Armendáriz, 2010;Sampedro, 1996, Sacks, 2010). The analysis was developed by categorizing units of meaning, meaning families and networks. To identify the cultural moments we have followed the criteria established by Siles and Solano (2009): Multiculturalism, interculturalism and transculturalism. To identify rites of passage and liminality states have followed the principles outlined by Van Gennep (2013) and Turner (1990, 2008). Results: We identified cultural moments and characteristic states of liminality in critical care and kidney. Conclusions: narrative sources are effective for analyzing the meanings and experiences of patients in critical care and nephrology tool.
文摘Bettering orphan rescue and assistance policies and improving the upbringing of orphans have been top on the agenda of China＇s civil affairs departments in 2006. A survey conducted by the Ministry of Civil Affairs in 2005 shows that one-third of the country＇s 573,＇30 orphans do not receive regular, system-guaranteed help. Some orphans have been forced to drop out of school and lead a vagrant life, Some have even become petty thieves.
文摘Patients with coronary artery disease （CAD） complicated with diabetes mellitus （DM） have a reduced quality of life （QOL） partly due to their limited range of physical activity and independence. The primary objective of this study was to examine the effect of the application of the multiple nursing cares on QOL and de- pressive symptoms in individuals with CAD complicated with DM. Methods A total of 82 CAD complicated with DM patients in Guangdong General Hospital from January 2014 to January 2015 were selected, and random- ly divided into control group （n = 41） and experimental group （n = 41） according to World Health Organization DM diagnosis criteria. The subjects in control group received routine nursing care, and the subjects in experimen- tal group were treated with the multiple nursing cares additionally for a 10-week period. The outcome measures include the Short Form-36 Health Survey （SF-36）, and Self-Rating Anxiety Scale （SAS）. Results Following 10-week intervention, the QOL scores and SAS anxiety scores in all groups were improved （P 〈 0.05）. In addi- tion, QOL and SAS anxiety scores in the experimental group were significantly improved （P 〈 0.05）, when com- pare with the control group. Conclusions Based on the results of this study, the application of the multiple nurs- ing cares to individuals with CAD complicated with DM is effective in increasing selected aspects of a general QOL and improving the anxiety situation in individuals with CAD complicated with DM. It is worthwhile to be widely used in clinical practice.
文摘Good books are valuable treasures. Among allthe books I’ve read, my favorite one is, which is one of the Four Great ClassicalNovels of Chinese Literature.It is a fascinating book based on the story ofhistorical figures Song Jiang and his companions.However, the end is full of sadness. They’re allkilled because the emperor doesn’t trust them. Iam crazy about this book because I can learn a lotfrom it. For example, one of its chapters describeshow Wu Song cares about his brother, which hasdeeply touched me and taught me to show gratitudeand love to my family.
基金Supported by Fundación Progreso y Salud,No.AP-0306-2022-C3-F2.
文摘BACKGROUND Addressing the growing challenge of hospitalizing chronic multimorbid patients,this study examines the strain these conditions impose on healthcare systems at a local level,focusing on a pilot program.Chronic diseases and complex patients require comprehensive management strategies to reduce healthcare burdens and improve patient outcomes.If proven effective,this pilot model has the potential to be replicated in other healthcare settings to enhance the management of chronic multimorbid patients.AIM To evaluate the effectiveness of the high complexity unit(HCU)in managing chronic multimorbid patients through a multidisciplinary care model and to compare it with standard hospital care.METHODS The study employed a descriptive longitudinal approach,analyzing data from the Basic Minimum Data Set(BMDS)to compare hospitalization variables among the HCU,the Internal Medicine Service,and other services at Antequera Hospital throughout 2022.The HCU,designed for patients with complex chronic conditions,integrates a patient-centered model emphasizing multidisciplinary care and continuity post-discharge.RESULTS The study employed a descriptive longitudinal approach,analyzing data from the BMDS to compare hospitalization variables among the HCU,the Internal Medicine Service,and other services at Antequera Hospital throughout 2022.The HCU,designed for patients with complex chronic conditions,integrates a patient-centered model emphasizing multidisciplinary care and continuity post-discharge.CONCLUSION This study demonstrates the effectiveness of the HCU in managing patients with complex chronic diseases through a multidisciplinary approach.The coordinated care provided by the HCU results in improved patient outcomes,reduced unnecessary hospitalizations,and better management of patient complexity.The superiority of the HCU compared to standard care is evident in key outcomes such as fewer readmissions and higher patient satisfaction,reinforcing its value as a model of care to be replicated.
