Objective:To analyze the positive impact of pharmaceutical care in the ophthalmology perioperative period on the rational use of antibiotics.Methods:A total of 115 patients who underwent ophthalmological surgery betwe...Objective:To analyze the positive impact of pharmaceutical care in the ophthalmology perioperative period on the rational use of antibiotics.Methods:A total of 115 patients who underwent ophthalmological surgery between March and June 2023 were selected as the control group,receiving routine medication management.Another 115 patients who underwent ophthalmological surgery between July and October 2023 were selected as the observation group,receiving pharmaceutical care.The rationality of medication use,mastery of medication knowledge,medication compliance,and adverse reaction rates were compared between the two groups.Results:The observation group had higher rationality of medication use,higher scores for mastery of medication knowledge,higher medication compliance,and a lower adverse reaction rate compared to the control group(P<0.05).Conclusion:The combination of antibiotic therapy and pharmaceutical care in the ophthalmology perioperative period can improve the rationality of medication use,enhance patients’mastery of medication knowledge,increase their medication compliance,and prevent adverse reactions to antibiotics.展开更多
Background:The Transitional Care Model(TCM)for nursing care has yet to be implemented in China despite its success in Western countries.However,rapid social changes have demanded an upgrade in the quality of nursing c...Background:The Transitional Care Model(TCM)for nursing care has yet to be implemented in China despite its success in Western countries.However,rapid social changes have demanded an upgrade in the quality of nursing care;in 2010,the Chinese government has acknowledged the need to implement the TCM in China.Objective:This study has the following objectives:(1)perform a thorough review of the literature regarding the development and implementation of the TCM in China's Mainland within the past 5 years;(2)provide a comprehensive discussion of the current status,problems,and strategies related to the implementation of the TCM in China's Mainland;and(3)suggest strategies pertaining to the future of the TCM in China.Design:The current pertinent literature is systematically reviewed.Data sources:Systematic and manual searches in computerized databases for relevant studies regarding the TCM led to the inclusion of 26 papers in this review.Review methods:Abstracts that satisfied the inclusion criteria were reviewed independently by the two authors of this manuscript,and discrepancies were resolved through discussion.The same reviewers independently assessed the paper in its entirety for selected abstracts.Results:The present English literature reviewrevealed a paucity of updated information about the development and implementation of the TCM in China's Mainland.Nevertheless,the dramatic growth of the TCM in the past 5 years has had a vital impact within the society and in nursing development.This review also revealed numerous issues regarding the focus of the TCM.Overall implications for practiceandrecommendations for future researchare discussed.Conclusion:Despite the potential of this nursing model to have a successful and beneficial impact in China's Mainland,it remains an under-researched topic.Further research on education and training as well as premium policies for nurses under the TCM are needed.展开更多
Purpose:To evaluate the efficacy of the Seamless Transfer of Care Model(STCM)to improve readmission occurrence of patients withstroke.Methods:The sample was comprised of fifty-nine subjects with stroke who were hospit...Purpose:To evaluate the efficacy of the Seamless Transfer of Care Model(STCM)to improve readmission occurrence of patients withstroke.Methods:The sample was comprised of fifty-nine subjects with stroke who were hospitalized in the geriatric and neurology departments of a large university hospital in China.Subjects were allocated to an STCM group(n=30)or a routine care(control)group(n=29).Results:Compared with the control group,the STCM group had a higher quality of life(p<0.05),higher compliance(p<0.05)and a lower readmission rate(p<0.05).Conclusion:Based on our results,the application of the STCM in Chinese stroke patients can improve quality of life and compliance,and reduce readmission rate.展开更多
In this review,we discuss the chronic care model(CCM)in relation to the diabetes pay-for-performance(P4P)program in Taiwan.We first introduce the 6 components of the CCM and provide a detailed description of each of t...In this review,we discuss the chronic care model(CCM)in relation to the diabetes pay-for-performance(P4P)program in Taiwan.We first introduce the 6 components of the CCM and provide a detailed description of each of the activities in the P4P program implemented in Taiwan,mapping them onto the 6 components of the CCM.For each CCM component,the following three topics are described:the definition of the CCM component,the general activities implemented related to this component,and practical and empirical practices based on hospital or local government cases.We then conclude by describing the possible successful features of this P4P program and its challenges and future directions.We conclude that the successful characteristics of this P4P program in Taiwan include its focus on extrinsic and intrinsic incentives(i.e.,shared care network),physician-led P4P and the implementation of activities based on the CCM components.However,due to the low rate of P4P program coverage,approximately 50%of patients with diabetes cannot enjoy the benefits of CCMrelated activities or receive necessary examinations.In addition,most of these CCM-related activities are not allotted an adequate amount of incentives,and these activities are mainly implemented in hospitals,which compared with primary care providers,are unable to execute these activities flexibly.All of these issues,as well as insufficient implementation of the e-CCM model,could hinder the advanced improvement of diabetes care in Taiwan.展开更多
The rapid global outbreak of coronavirus disease 2019(COVID-19)and the surge of infected patients have led to the verge of exhaustion of critical care medicine resources worldwide,especially with regard to critical ca...The rapid global outbreak of coronavirus disease 2019(COVID-19)and the surge of infected patients have led to the verge of exhaustion of critical care medicine resources worldwide,especially with regard to critical care staff.A holistic care model on time-sharing management for severe and critical COVID-19 patients is proposed,which includes formulation of individualized care objectives and plans,identification of care tasks in each shift and making detailed checklist,and management of quality of care.This study was conducted in the COVID-19 treatment center of Harbin,Heilongjiang Province.The data collected from the treatment center were recorded and analyzed.From the results we can deduce that it is especially suitable for non-intensive care unit(non-ICU)nurses to adapt care management mode of ICU as soon as possible and ensure the quality and efficiency of care during the epidemic.The holistic care model on time-sharing management for severe and critical cases with COVID-19 proposed based on our daily work experiences can assist in improving the quality and efficiency of care,thus reducing the mortality rate of patients in ICU.展开更多
As the prevalence of diabetic retinopathy continues to be on the rise, the Chronic Care Model (CCM) offers a transformative, patient-focused approach for efficient diabetic retinopathy care, emphasizing the need for u...As the prevalence of diabetic retinopathy continues to be on the rise, the Chronic Care Model (CCM) offers a transformative, patient-focused approach for efficient diabetic retinopathy care, emphasizing the need for urgent and innovative strategies in the United States. The model integrates community resources, healthcare organizations, self-management support, delivery system design, decision support, and clinical information systems. Addressing challenges and solutions, the model emphasizes proactive and preventive measures, collaborative multidisciplinary care, technological integration, and overcoming resistance to change. This paper proposes the utilization of the Chronic Care Model (CCM) as a possible public health framework for comprehensive management of diabetic retinopathy in the United States. Implementing the CCM offers a comprehensive approach to diabetic retinopathy care, addressing both individual and systemic factors, essential for improving public health outcomes.展开更多
Objective: To study the application effect of the family collaborative care model on elderly patients with type 2 diabetes mellitus and its influence on self-care ability. Methods: The elderly type 2 diabetes mellitus...Objective: To study the application effect of the family collaborative care model on elderly patients with type 2 diabetes mellitus and its influence on self-care ability. Methods: The elderly type 2 diabetes mellitus patients (400 cases) treated in our hospital between March 2020 and July 2023 were divided into two groups by randomized grouping method;the control group received the conventional nursing program, while the observation group received the family collaborative nursing model. Blood glucose level, self-care ability, and quality of life were compared between the groups. Results: The blood glucose level of the observation group was lower than that of the control group (P < 0.05). The self- care ability and quality of life scores of the observation group were higher than those of the control group (P < 0.05). Conclusion: The family collaborative care model for elderly patients with type 2 diabetes mellitus can promote their self- care ability, improve the effect of glycemic control, and improve their quality of life, and is suitable for further promotion and application.展开更多
Background: Social capital has been described as a person’s sense of belonging as a result of the number and type of relationships she/he has, in which trust and reciprocity are especially important. Aim: To illumina...Background: Social capital has been described as a person’s sense of belonging as a result of the number and type of relationships she/he has, in which trust and reciprocity are especially important. Aim: To illuminate older persons’ experiences of social capital and depressive ill-health after implementation of the CCM. Methods: Data were collected from nine participants resident in two districts of Norway by means of individual in-depth interviews. A qualitative hermeneutic analysis was performed. Results: Two overall themes, desire for a guardian and a wish for independence despite being dependent, and two themes emerging from the analysis. The first theme—searching for protection was based on three sub-themes overwhelmed by the emotional pain of other people, a sense of exclusion and worries about the future, while the second theme—the need for a relationship with trustworthy persons comprised two sub-themes, namely, emotional pain was not understood and powerlessness to change the situation. The result of this study highlights the need for greater understanding on the part of healthcare professionals of how older persons manage their social relationships. Healthcare professionals require more knowledge about how negative self-beliefs held by older persons suffering from emotional pain, which can lead to reduced ability to trust other people. Another consequence is that fear of being dependent on other people can result in unwillingness to admit the need for help. Conclusion: This study highlights the lack of social capital in older persons who suffer from depressive ill-health. The implementation of the CCM does not appear to improve the situation. Older persons need to be more aware of their social needs and productive interactions in order to protect themselves and obtain support from their social network.展开更多
In the context of controlling population development in a planned way,China entered an aging society in the early 21 st century.In this context,how to meet the needs of the elderly care and form an effective elderly c...In the context of controlling population development in a planned way,China entered an aging society in the early 21 st century.In this context,how to meet the needs of the elderly care and form an effective elderly care model has become a key problem to be solved urgently by local government departments.With the continuous advancement of the elderly care policy,the community-based elderly care has gradually become the mainstream and is in the stage of vigorous promotion.Taking the Gannan old revolutionary base area in Jiangxi Province as an example,this study puts forward"1+4+X"community-based elderly care model based on the policy system of community-based elderly care,the physical and mental health of the elderly,the material space and the construction of evaluation system,and explores how to promote the application of this community model efficiently in the form of industrialization,so as to drive the economic growth of the Gannan old revolutionary base area,promote the employment development and improve the community-based elderly care service.展开更多
Objective: To establish breastfeeding clinical holistic nursing model used in clinical nursing and teaching, it is possible to improve nurses and nursing students to master knowledge of breastfeeding, analysis, judgme...Objective: To establish breastfeeding clinical holistic nursing model used in clinical nursing and teaching, it is possible to improve nurses and nursing students to master knowledge of breastfeeding, analysis, judgment, decision-making and the ability to care-related issues, promoting pure improve breastfeeding rates. Method: 1) The North American Nursing Diagnosis Nursing Association (NANDA), Nursing Outcomes Classification (NOC) and Nursing Classification (NIC) link (NNN link) clinical clues reasoning to determine the contents of the questionnaire were used. Then, the Delphi method to care was used. 2) The survey questionnaire was designed. The content included the clinical holistic nursing care model in breastfeeding and the model’s use situation. 3) Questionnaire survey: in the national midwifery care industries, volunteers were collected who were willing to use the breastfeeding clinical holistic nursing care model in the nursing work. We issued 98 questionnaires and took back 76 valid questionnaires. Results: The construction of the breastfeeding clinical holistic nursing model includes 9 nursing diagnoses which contain the breastfeeding effective, the lack of knowledge, the decision conflicts, the risk of breast tenderness, the risk of cracked nipple, the invalid hazard occurring in breastfeeding, the risk of caregiver role strain, the risk of breast feeding jaundice and the ineffective community coping, 18 nursing outcomes and 64 nursing measures. In the composition of breastfeeding after clinical holistic nursing model in clinical practice, 100% of obstetric nurses think that the breastfeeding nursing model can promote the nursing staff to care patients according to the nursing process, can help nurses to analyze, evaluate, make decision, and care about breastfeeding related problems, as well as can promote the mother’s milk feeding rate. Conclusion: The establishment of the breastfeeding nursing model provides a learning material for obstetric breast-feeding. Moreover, nursing diagnosis, nursing outcomes and nursing measures correspond according to the form of chart, which are easy to use and find. The breastfeeding clinical holistic nursing model is practicing in clinical nursing, which can help nursing staff to improve the ability of nursing personnel according to evidence-based nursing patients, to improve the ability of nursing personnel analysis, evaluation, decision-making and nursing in breastfeeding problems and to promote the rate of breastfeeding.展开更多
This study aimed to clarify the changes in nurses’ cognition about the rate and likelihood of implementation of daily ethical nursing items used in pediatric care before and after attending online workshops using the...This study aimed to clarify the changes in nurses’ cognition about the rate and likelihood of implementation of daily ethical nursing items used in pediatric care before and after attending online workshops using the Pediatric Nursing Care Model (PNCM). A 1.5-hour online workshop was held twice over two weeks. A total of nine nurses participated in the program. These online workshops using PNCM helped achieve the original goals and the results revealed a positive outcome of the workshops. We should devise an educational program to arouse participants’ interest and comprehension to make the most of online competency.展开更多
With the rapid development of economy and society, chronic diseases generally show the incidence, mortality, morbidity, but the awareness rate, treatment rate, low control rate of the ＂three high three low＂ phenomen...With the rapid development of economy and society, chronic diseases generally show the incidence, mortality, morbidity, but the awareness rate, treatment rate, low control rate of the ＂three high three low＂ phenomenon. The results of the fifth national health service survey in 2013 show that the prevalence of chronic diseases among the population aged 15 and over is 33.1%, which means that there are 375 million cases of chronic diseases diagnosed by doctors in our country. Chronic diseases have become a serious threat to human health, public health problems, reduce chronic disease mortality and disease burden is the main goal of health strategy. At present, medical and health needs are growing, and health and medical resources are limited. In the past, the disease-centered medical treatment model can not solve the above contradictions, and then the individual and group health as the center of the chronic disease management model continues to appear, chronic disease management also will become The focus of global attention. Foreign exploration of chronic disease management model started earlier, in which the United States chronic disease care model is widely respected and applied.展开更多
Objective: To study and expound the clinical value and effect of comprehensive holistic nursing model in ICU patients with severe pneumonia. Methods: In this study, 40 patients with severe pneumonia in the intensive c...Objective: To study and expound the clinical value and effect of comprehensive holistic nursing model in ICU patients with severe pneumonia. Methods: In this study, 40 patients with severe pneumonia in the intensive care unit admitted to the Department of Intensive Care Medicine of Dangyang People's Hospital from February 20, 2021 to December 20, 2021 were divided into groups by blind selection. Twenty patients were included in each group. The control group received routine nursing and the experimental group received comprehensive nursing intervention. The clinical vital signs, improvement time of clinical symptoms, blood gas, length of hospital stay, degree of inflammation and nursing satisfaction were compared between the two groups according to the actual situation. Results: After this analysis, compared with the control group, the experimental group had significantly lower respiratory rate and heart rate, PaCO2, increased mean arterial pressure and PaO2, shortened clinical symptom improvement time and hospital stay, and significantly reduced IL-6, IL-8 and TNF-α. Compared with the reference group, the overall nursing satisfaction was more recognized (P<0.05). The data between groups have the value of statistical validation reference. Conclusion: Comprehensive holistic nursing for ICU patients with severe pneumonia can comprehensively improve the indicators and symptoms, reduce the level of inflammation, shorten the length of hospital stay, improve nursing satisfaction, and can be widely used in clinical practice.展开更多
Objective: to explore the effect of responsibility nursing model on the quality of nursing work and recovery of patients with coronary heart disease. Methods: 102 patients with coronary heart disease who were cared in...Objective: to explore the effect of responsibility nursing model on the quality of nursing work and recovery of patients with coronary heart disease. Methods: 102 patients with coronary heart disease who were cared in our hospital during the research period from May 2019 to February 2022 were selected for research. The patients with coronary heart disease were divided into Group A (51 cases, basic in-hospital care) and Group B (51 cases, responsibility care model) by central digital hierarchy method. The research indicators were nursing quality, health knowledge, compliance, hospitalization indicators, symptom status and follow-up results. Results: after nursing, the nursing quality (attitude, operation, environment, communication) of patients with coronary heart disease in group b was higher than that of patients with coronary heart disease in group a (p < 0.05). After nursing, the health knowledge (pathogenesis, self-care and emotion control) of patients with coronary heart disease in group B was higher than that of patients with coronary heart disease in group A (P < 0.05). After nursing, the compliance of group B patients with coronary heart disease was higher than that of group A patients with coronary heart disease (P < 0.05). After nursing, the hospitalization index (hospitalization time and hospitalization expenses) of patients with coronary heart disease in group B were lower than those of patients with coronary heart disease in group A (P < 0.05). After nursing, the symptom score of patients with coronary heart disease in group B was lower than that of patients with coronary heart disease in group A (P < 0.05). After nursing, the follow-up results of patients with coronary heart disease in group B (the number of hospital admissions in half a year and one year) were lower than those of patients with coronary heart disease in group A (P < 0.05). Conclusion: patients with coronary heart disease receive the responsibility care model and have a higher evaluation on the quality of care, improve their health knowledge level and compliance, improve hospitalization indicators, relieve disease symptoms and reduce the frequency of disease attacks, which is more beneficial to the rehabilitation of patients.展开更多
Objective: to explore the application effect of MDT nursing model in type 2 diabetes care. Methods: 80 patients with type 2 diabetes were selected and divided into control group and test group according to the random ...Objective: to explore the application effect of MDT nursing model in type 2 diabetes care. Methods: 80 patients with type 2 diabetes were selected and divided into control group and test group according to the random number method. 40 patients in each group had routine care intervention, and MDT care mode was added on the basis of routine care to compare the relevant indicators of the two groups. Results: we found that the patients in the MDT care model were better than those in terms of blood glucose index, self-care ability and quality of life, with significant differences (P <0.05). Conclusion: with the help of MDT care model, the indicators of type 2 diabetes patients can be effectively improved, making patients gain high clinical efficacy, and improve patients self-care ability and quality of life, which is worth popularizing in clinical practice.展开更多
Objective: to explore the application of evidence-based nursing model in general surgery nursing;Methods: 88 patients recently admitted to the department of general surgery of our hospital were selected as the experim...Objective: to explore the application of evidence-based nursing model in general surgery nursing;Methods: 88 patients recently admitted to the department of general surgery of our hospital were selected as the experimental objects of this study, and they were randomly divided into observation group and control group. The control group used conventional nursing mode, and the observation group added evidence-based nursing mode on this basis to compare the application effects of the two groups;Results: all the data of the observation group were better than that of the control group, with significant difference (P 0.05);Conclusion: the application of evidence-based nursing model in general surgery nursing can reduce the incidence of complications and improve nursing satisfaction.展开更多
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 hospita...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.展开更多
Objective: we analyzed whether the quality of life of patients with urinary fistula after bladder cancer surgery has changed by using a family-centered treatment model. Methods: we randomly divided 200 hospitalized pa...Objective: we analyzed whether the quality of life of patients with urinary fistula after bladder cancer surgery has changed by using a family-centered treatment model. Methods: we randomly divided 200 hospitalized patients undergoing bladder cancer surgery in recent years into two groups. The classification criteria of each group are basically the same, and there is no significant difference in patients' physical indicators. At the same time of patients' regular visits after discharge, the family-centered nursing model is as follows: compared with the negative emotions of the two groups of patients, the incidence rate of the disease is higher. Results: it can be seen that the depression in the experimental group is statistically significant and the incidence of complications is significantly lower than that in the control group. Basically, no serious complications occurred. The family-centered nursing model can effectively eliminate the negative emotions of patients, meanwhile, the incidence of complications of patients is low, and the quality of life of patients is greatly improved. It can further improve the quality of life of patients by promoting it in clinical aspects.展开更多
We present a mathematical model of a day care center in a developed country (such as Canada), in order to use it for the estimation of individual-to-individual contact rates in young age groups and in an educational g...We present a mathematical model of a day care center in a developed country (such as Canada), in order to use it for the estimation of individual-to-individual contact rates in young age groups and in an educational group setting. In our model, individuals in the population are children (ages 1.5 to 4 years) and staff, and their interactions are modelled explicitly: person-to-person and person-to-environment, with a very high time resolution. Their movement and meaningful contact patterns are simulated and then calibrated with collected data from a child care facility as a case study. We present these calibration results as a first part in the further development of our model for testing and estimating the spread of infectious diseases within child care centers.展开更多
Yu et al's study has advanced the understanding of the neural mechanisms underlying major depressive disorder(MDD)in adolescents,emphasizing the significant role of the amygdala.While traditional diagnostic method...Yu et al's study has advanced the understanding of the neural mechanisms underlying major depressive disorder(MDD)in adolescents,emphasizing the significant role of the amygdala.While traditional diagnostic methods have limitations in objectivity and accuracy,this research demonstrates a notable advancement through the integration of machine learning techniques with neuroimaging data.Utilizing resting-state functional magnetic resonance imaging(fMRI),the study investigated functional connectivity(FC)in adolescents with MDD,identifying notable reductions in regions such as the left inferior temporal gyrus and right lingual gyrus,alongside increased connectivity in Vermis-10.The application of support vector machines(SVM)to resting-state fMRI(rs-fMRI)data achieved an accuracy of 83.91%,sensitivity of 79.55%,and specificity of 88.37%,with an area under the curve of 0.6765.These results demonstrate how SVM analysis of rs-fMRI data represents a significant improvement in diagnostic precision,with reduced FC in the right lingual gyrus emerging as a particularly critical marker.These findings underscore the critical role of the amygdala in MDD pathophysiology and highlight the potential of rs-fMRI and SVM as tools for identifying reliable neuroimaging biomarkers.展开更多
文摘Objective:To analyze the positive impact of pharmaceutical care in the ophthalmology perioperative period on the rational use of antibiotics.Methods:A total of 115 patients who underwent ophthalmological surgery between March and June 2023 were selected as the control group,receiving routine medication management.Another 115 patients who underwent ophthalmological surgery between July and October 2023 were selected as the observation group,receiving pharmaceutical care.The rationality of medication use,mastery of medication knowledge,medication compliance,and adverse reaction rates were compared between the two groups.Results:The observation group had higher rationality of medication use,higher scores for mastery of medication knowledge,higher medication compliance,and a lower adverse reaction rate compared to the control group(P<0.05).Conclusion:The combination of antibiotic therapy and pharmaceutical care in the ophthalmology perioperative period can improve the rationality of medication use,enhance patients’mastery of medication knowledge,increase their medication compliance,and prevent adverse reactions to antibiotics.
文摘Background:The Transitional Care Model(TCM)for nursing care has yet to be implemented in China despite its success in Western countries.However,rapid social changes have demanded an upgrade in the quality of nursing care;in 2010,the Chinese government has acknowledged the need to implement the TCM in China.Objective:This study has the following objectives:(1)perform a thorough review of the literature regarding the development and implementation of the TCM in China's Mainland within the past 5 years;(2)provide a comprehensive discussion of the current status,problems,and strategies related to the implementation of the TCM in China's Mainland;and(3)suggest strategies pertaining to the future of the TCM in China.Design:The current pertinent literature is systematically reviewed.Data sources:Systematic and manual searches in computerized databases for relevant studies regarding the TCM led to the inclusion of 26 papers in this review.Review methods:Abstracts that satisfied the inclusion criteria were reviewed independently by the two authors of this manuscript,and discrepancies were resolved through discussion.The same reviewers independently assessed the paper in its entirety for selected abstracts.Results:The present English literature reviewrevealed a paucity of updated information about the development and implementation of the TCM in China's Mainland.Nevertheless,the dramatic growth of the TCM in the past 5 years has had a vital impact within the society and in nursing development.This review also revealed numerous issues regarding the focus of the TCM.Overall implications for practiceandrecommendations for future researchare discussed.Conclusion:Despite the potential of this nursing model to have a successful and beneficial impact in China's Mainland,it remains an under-researched topic.Further research on education and training as well as premium policies for nurses under the TCM are needed.
基金This study was supported by the Research Foundation of Fudan University(FNF201208)Health And Family Planning Commission Of Shanghai(201440090)and Minhang(2012MHZ028).
文摘Purpose:To evaluate the efficacy of the Seamless Transfer of Care Model(STCM)to improve readmission occurrence of patients withstroke.Methods:The sample was comprised of fifty-nine subjects with stroke who were hospitalized in the geriatric and neurology departments of a large university hospital in China.Subjects were allocated to an STCM group(n=30)or a routine care(control)group(n=29).Results:Compared with the control group,the STCM group had a higher quality of life(p<0.05),higher compliance(p<0.05)and a lower readmission rate(p<0.05).Conclusion:Based on our results,the application of the STCM in Chinese stroke patients can improve quality of life and compliance,and reduce readmission rate.
基金Ministry of Science and Technology in Taipei,No.106-2918-I-030-002.
文摘In this review,we discuss the chronic care model(CCM)in relation to the diabetes pay-for-performance(P4P)program in Taiwan.We first introduce the 6 components of the CCM and provide a detailed description of each of the activities in the P4P program implemented in Taiwan,mapping them onto the 6 components of the CCM.For each CCM component,the following three topics are described:the definition of the CCM component,the general activities implemented related to this component,and practical and empirical practices based on hospital or local government cases.We then conclude by describing the possible successful features of this P4P program and its challenges and future directions.We conclude that the successful characteristics of this P4P program in Taiwan include its focus on extrinsic and intrinsic incentives(i.e.,shared care network),physician-led P4P and the implementation of activities based on the CCM components.However,due to the low rate of P4P program coverage,approximately 50%of patients with diabetes cannot enjoy the benefits of CCMrelated activities or receive necessary examinations.In addition,most of these CCM-related activities are not allotted an adequate amount of incentives,and these activities are mainly implemented in hospitals,which compared with primary care providers,are unable to execute these activities flexibly.All of these issues,as well as insufficient implementation of the e-CCM model,could hinder the advanced improvement of diabetes care in Taiwan.
基金Supported by The National Natural Science Foundation of China,No.81770276and Nn10 Program of Harbin Medical University Cancer Hospital and Scientific Research Project of Heilongjiang Health and Family Planning Commission,No.2018086.
文摘The rapid global outbreak of coronavirus disease 2019(COVID-19)and the surge of infected patients have led to the verge of exhaustion of critical care medicine resources worldwide,especially with regard to critical care staff.A holistic care model on time-sharing management for severe and critical COVID-19 patients is proposed,which includes formulation of individualized care objectives and plans,identification of care tasks in each shift and making detailed checklist,and management of quality of care.This study was conducted in the COVID-19 treatment center of Harbin,Heilongjiang Province.The data collected from the treatment center were recorded and analyzed.From the results we can deduce that it is especially suitable for non-intensive care unit(non-ICU)nurses to adapt care management mode of ICU as soon as possible and ensure the quality and efficiency of care during the epidemic.The holistic care model on time-sharing management for severe and critical cases with COVID-19 proposed based on our daily work experiences can assist in improving the quality and efficiency of care,thus reducing the mortality rate of patients in ICU.
文摘As the prevalence of diabetic retinopathy continues to be on the rise, the Chronic Care Model (CCM) offers a transformative, patient-focused approach for efficient diabetic retinopathy care, emphasizing the need for urgent and innovative strategies in the United States. The model integrates community resources, healthcare organizations, self-management support, delivery system design, decision support, and clinical information systems. Addressing challenges and solutions, the model emphasizes proactive and preventive measures, collaborative multidisciplinary care, technological integration, and overcoming resistance to change. This paper proposes the utilization of the Chronic Care Model (CCM) as a possible public health framework for comprehensive management of diabetic retinopathy in the United States. Implementing the CCM offers a comprehensive approach to diabetic retinopathy care, addressing both individual and systemic factors, essential for improving public health outcomes.
文摘Objective: To study the application effect of the family collaborative care model on elderly patients with type 2 diabetes mellitus and its influence on self-care ability. Methods: The elderly type 2 diabetes mellitus patients (400 cases) treated in our hospital between March 2020 and July 2023 were divided into two groups by randomized grouping method;the control group received the conventional nursing program, while the observation group received the family collaborative nursing model. Blood glucose level, self-care ability, and quality of life were compared between the groups. Results: The blood glucose level of the observation group was lower than that of the control group (P < 0.05). The self- care ability and quality of life scores of the observation group were higher than those of the control group (P < 0.05). Conclusion: The family collaborative care model for elderly patients with type 2 diabetes mellitus can promote their self- care ability, improve the effect of glycemic control, and improve their quality of life, and is suitable for further promotion and application.
文摘Background: Social capital has been described as a person’s sense of belonging as a result of the number and type of relationships she/he has, in which trust and reciprocity are especially important. Aim: To illuminate older persons’ experiences of social capital and depressive ill-health after implementation of the CCM. Methods: Data were collected from nine participants resident in two districts of Norway by means of individual in-depth interviews. A qualitative hermeneutic analysis was performed. Results: Two overall themes, desire for a guardian and a wish for independence despite being dependent, and two themes emerging from the analysis. The first theme—searching for protection was based on three sub-themes overwhelmed by the emotional pain of other people, a sense of exclusion and worries about the future, while the second theme—the need for a relationship with trustworthy persons comprised two sub-themes, namely, emotional pain was not understood and powerlessness to change the situation. The result of this study highlights the need for greater understanding on the part of healthcare professionals of how older persons manage their social relationships. Healthcare professionals require more knowledge about how negative self-beliefs held by older persons suffering from emotional pain, which can lead to reduced ability to trust other people. Another consequence is that fear of being dependent on other people can result in unwillingness to admit the need for help. Conclusion: This study highlights the lack of social capital in older persons who suffer from depressive ill-health. The implementation of the CCM does not appear to improve the situation. Older persons need to be more aware of their social needs and productive interactions in order to protect themselves and obtain support from their social network.
文摘In the context of controlling population development in a planned way,China entered an aging society in the early 21 st century.In this context,how to meet the needs of the elderly care and form an effective elderly care model has become a key problem to be solved urgently by local government departments.With the continuous advancement of the elderly care policy,the community-based elderly care has gradually become the mainstream and is in the stage of vigorous promotion.Taking the Gannan old revolutionary base area in Jiangxi Province as an example,this study puts forward"1+4+X"community-based elderly care model based on the policy system of community-based elderly care,the physical and mental health of the elderly,the material space and the construction of evaluation system,and explores how to promote the application of this community model efficiently in the form of industrialization,so as to drive the economic growth of the Gannan old revolutionary base area,promote the employment development and improve the community-based elderly care service.
文摘Objective: To establish breastfeeding clinical holistic nursing model used in clinical nursing and teaching, it is possible to improve nurses and nursing students to master knowledge of breastfeeding, analysis, judgment, decision-making and the ability to care-related issues, promoting pure improve breastfeeding rates. Method: 1) The North American Nursing Diagnosis Nursing Association (NANDA), Nursing Outcomes Classification (NOC) and Nursing Classification (NIC) link (NNN link) clinical clues reasoning to determine the contents of the questionnaire were used. Then, the Delphi method to care was used. 2) The survey questionnaire was designed. The content included the clinical holistic nursing care model in breastfeeding and the model’s use situation. 3) Questionnaire survey: in the national midwifery care industries, volunteers were collected who were willing to use the breastfeeding clinical holistic nursing care model in the nursing work. We issued 98 questionnaires and took back 76 valid questionnaires. Results: The construction of the breastfeeding clinical holistic nursing model includes 9 nursing diagnoses which contain the breastfeeding effective, the lack of knowledge, the decision conflicts, the risk of breast tenderness, the risk of cracked nipple, the invalid hazard occurring in breastfeeding, the risk of caregiver role strain, the risk of breast feeding jaundice and the ineffective community coping, 18 nursing outcomes and 64 nursing measures. In the composition of breastfeeding after clinical holistic nursing model in clinical practice, 100% of obstetric nurses think that the breastfeeding nursing model can promote the nursing staff to care patients according to the nursing process, can help nurses to analyze, evaluate, make decision, and care about breastfeeding related problems, as well as can promote the mother’s milk feeding rate. Conclusion: The establishment of the breastfeeding nursing model provides a learning material for obstetric breast-feeding. Moreover, nursing diagnosis, nursing outcomes and nursing measures correspond according to the form of chart, which are easy to use and find. The breastfeeding clinical holistic nursing model is practicing in clinical nursing, which can help nursing staff to improve the ability of nursing personnel according to evidence-based nursing patients, to improve the ability of nursing personnel analysis, evaluation, decision-making and nursing in breastfeeding problems and to promote the rate of breastfeeding.
文摘This study aimed to clarify the changes in nurses’ cognition about the rate and likelihood of implementation of daily ethical nursing items used in pediatric care before and after attending online workshops using the Pediatric Nursing Care Model (PNCM). A 1.5-hour online workshop was held twice over two weeks. A total of nine nurses participated in the program. These online workshops using PNCM helped achieve the original goals and the results revealed a positive outcome of the workshops. We should devise an educational program to arouse participants’ interest and comprehension to make the most of online competency.
文摘With the rapid development of economy and society, chronic diseases generally show the incidence, mortality, morbidity, but the awareness rate, treatment rate, low control rate of the ＂three high three low＂ phenomenon. The results of the fifth national health service survey in 2013 show that the prevalence of chronic diseases among the population aged 15 and over is 33.1%, which means that there are 375 million cases of chronic diseases diagnosed by doctors in our country. Chronic diseases have become a serious threat to human health, public health problems, reduce chronic disease mortality and disease burden is the main goal of health strategy. At present, medical and health needs are growing, and health and medical resources are limited. In the past, the disease-centered medical treatment model can not solve the above contradictions, and then the individual and group health as the center of the chronic disease management model continues to appear, chronic disease management also will become The focus of global attention. Foreign exploration of chronic disease management model started earlier, in which the United States chronic disease care model is widely respected and applied.
文摘Objective: To study and expound the clinical value and effect of comprehensive holistic nursing model in ICU patients with severe pneumonia. Methods: In this study, 40 patients with severe pneumonia in the intensive care unit admitted to the Department of Intensive Care Medicine of Dangyang People's Hospital from February 20, 2021 to December 20, 2021 were divided into groups by blind selection. Twenty patients were included in each group. The control group received routine nursing and the experimental group received comprehensive nursing intervention. The clinical vital signs, improvement time of clinical symptoms, blood gas, length of hospital stay, degree of inflammation and nursing satisfaction were compared between the two groups according to the actual situation. Results: After this analysis, compared with the control group, the experimental group had significantly lower respiratory rate and heart rate, PaCO2, increased mean arterial pressure and PaO2, shortened clinical symptom improvement time and hospital stay, and significantly reduced IL-6, IL-8 and TNF-α. Compared with the reference group, the overall nursing satisfaction was more recognized (P<0.05). The data between groups have the value of statistical validation reference. Conclusion: Comprehensive holistic nursing for ICU patients with severe pneumonia can comprehensively improve the indicators and symptoms, reduce the level of inflammation, shorten the length of hospital stay, improve nursing satisfaction, and can be widely used in clinical practice.
文摘Objective: to explore the effect of responsibility nursing model on the quality of nursing work and recovery of patients with coronary heart disease. Methods: 102 patients with coronary heart disease who were cared in our hospital during the research period from May 2019 to February 2022 were selected for research. The patients with coronary heart disease were divided into Group A (51 cases, basic in-hospital care) and Group B (51 cases, responsibility care model) by central digital hierarchy method. The research indicators were nursing quality, health knowledge, compliance, hospitalization indicators, symptom status and follow-up results. Results: after nursing, the nursing quality (attitude, operation, environment, communication) of patients with coronary heart disease in group b was higher than that of patients with coronary heart disease in group a (p < 0.05). After nursing, the health knowledge (pathogenesis, self-care and emotion control) of patients with coronary heart disease in group B was higher than that of patients with coronary heart disease in group A (P < 0.05). After nursing, the compliance of group B patients with coronary heart disease was higher than that of group A patients with coronary heart disease (P < 0.05). After nursing, the hospitalization index (hospitalization time and hospitalization expenses) of patients with coronary heart disease in group B were lower than those of patients with coronary heart disease in group A (P < 0.05). After nursing, the symptom score of patients with coronary heart disease in group B was lower than that of patients with coronary heart disease in group A (P < 0.05). After nursing, the follow-up results of patients with coronary heart disease in group B (the number of hospital admissions in half a year and one year) were lower than those of patients with coronary heart disease in group A (P < 0.05). Conclusion: patients with coronary heart disease receive the responsibility care model and have a higher evaluation on the quality of care, improve their health knowledge level and compliance, improve hospitalization indicators, relieve disease symptoms and reduce the frequency of disease attacks, which is more beneficial to the rehabilitation of patients.
文摘Objective: to explore the application effect of MDT nursing model in type 2 diabetes care. Methods: 80 patients with type 2 diabetes were selected and divided into control group and test group according to the random number method. 40 patients in each group had routine care intervention, and MDT care mode was added on the basis of routine care to compare the relevant indicators of the two groups. Results: we found that the patients in the MDT care model were better than those in terms of blood glucose index, self-care ability and quality of life, with significant differences (P <0.05). Conclusion: with the help of MDT care model, the indicators of type 2 diabetes patients can be effectively improved, making patients gain high clinical efficacy, and improve patients self-care ability and quality of life, which is worth popularizing in clinical practice.
文摘Objective: to explore the application of evidence-based nursing model in general surgery nursing;Methods: 88 patients recently admitted to the department of general surgery of our hospital were selected as the experimental objects of this study, and they were randomly divided into observation group and control group. The control group used conventional nursing mode, and the observation group added evidence-based nursing mode on this basis to compare the application effects of the two groups;Results: all the data of the observation group were better than that of the control group, with significant difference (P 0.05);Conclusion: the application of evidence-based nursing model in general surgery nursing can reduce the incidence of complications and improve nursing satisfaction.
文摘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.
文摘Objective: we analyzed whether the quality of life of patients with urinary fistula after bladder cancer surgery has changed by using a family-centered treatment model. Methods: we randomly divided 200 hospitalized patients undergoing bladder cancer surgery in recent years into two groups. The classification criteria of each group are basically the same, and there is no significant difference in patients' physical indicators. At the same time of patients' regular visits after discharge, the family-centered nursing model is as follows: compared with the negative emotions of the two groups of patients, the incidence rate of the disease is higher. Results: it can be seen that the depression in the experimental group is statistically significant and the incidence of complications is significantly lower than that in the control group. Basically, no serious complications occurred. The family-centered nursing model can effectively eliminate the negative emotions of patients, meanwhile, the incidence of complications of patients is low, and the quality of life of patients is greatly improved. It can further improve the quality of life of patients by promoting it in clinical aspects.
文摘We present a mathematical model of a day care center in a developed country (such as Canada), in order to use it for the estimation of individual-to-individual contact rates in young age groups and in an educational group setting. In our model, individuals in the population are children (ages 1.5 to 4 years) and staff, and their interactions are modelled explicitly: person-to-person and person-to-environment, with a very high time resolution. Their movement and meaningful contact patterns are simulated and then calibrated with collected data from a child care facility as a case study. We present these calibration results as a first part in the further development of our model for testing and estimating the spread of infectious diseases within child care centers.
基金Supported by Basic Science Research Program through the National Research Foundation of Korea Funded by the Ministry of Education,No.NRF-RS-2023-00237287.
文摘Yu et al's study has advanced the understanding of the neural mechanisms underlying major depressive disorder(MDD)in adolescents,emphasizing the significant role of the amygdala.While traditional diagnostic methods have limitations in objectivity and accuracy,this research demonstrates a notable advancement through the integration of machine learning techniques with neuroimaging data.Utilizing resting-state functional magnetic resonance imaging(fMRI),the study investigated functional connectivity(FC)in adolescents with MDD,identifying notable reductions in regions such as the left inferior temporal gyrus and right lingual gyrus,alongside increased connectivity in Vermis-10.The application of support vector machines(SVM)to resting-state fMRI(rs-fMRI)data achieved an accuracy of 83.91%,sensitivity of 79.55%,and specificity of 88.37%,with an area under the curve of 0.6765.These results demonstrate how SVM analysis of rs-fMRI data represents a significant improvement in diagnostic precision,with reduced FC in the right lingual gyrus emerging as a particularly critical marker.These findings underscore the critical role of the amygdala in MDD pathophysiology and highlight the potential of rs-fMRI and SVM as tools for identifying reliable neuroimaging biomarkers.
