BACKGROUND Thirst management in convalescent patients recovering from a digestive surgery performed under general anesthesia requires attention.A simple,practical,and safe method can effectively relieve thirst symptom...BACKGROUND Thirst management in convalescent patients recovering from a digestive surgery performed under general anesthesia requires attention.A simple,practical,and safe method can effectively relieve thirst symptoms in such patients.AIM To evaluate the enhanced recovery after surgery(ERAS)-based evidence-based care(EBC)plus ice stimulation therapy for thirst management of convalescent patients following digestive surgery performed under general anesthesia.METHODS A total of 191 patients convalescing after digestive surgery performed under general anesthesia between March 2020 and February 2023 and experiencing thirst were selected.In total,89 patients and 102 patients in the control and research groups received routine care and ERAS-based EBC plus ice stimulation therapy,respectively.The following data were comparatively analyzed:(1)Thirst degree(thirst intensity numerical rating scale)and thirst distress(TD)degree(TD scale);(2)Oral mucosal wetness;(3)Unstimulated whole salivary flow rate(UWSFR);(4)Adverse reactions(palpitation,fatigue,chapped lips,and nausea and vomiting);and(5)Nursing satisfaction.RESULTS After nursing,thirst degree and distress were statistically lower in the research group than in the control group.Additionally,compared with the control group,the research group exhibited a lower degree of oral mucosal wetness,higher UWSFR,fewer adverse reactions,and more total nursing satisfaction.CONCLUSION ERAS-based EBC plus ice stimulation therapy can effectively alleviate thirst in convalescent patients recovering from a digestive surgery performed under general anesthesia.It can alleviate xerostomia symptoms,reduce adverse reactions,and improve patient comfort.展开更多
Coastal dune is a common aeolian geomorphology in a sandy coast,which records the evolution process of the aeolian landscape system and reflects the complex interaction among land surface,atmosphere and ocean.Coast is...Coastal dune is a common aeolian geomorphology in a sandy coast,which records the evolution process of the aeolian landscape system and reflects the complex interaction among land surface,atmosphere and ocean.Coast is a sensitive area to global climate change.Restricted by chronology,most previous researches in China focused only on the cause of formation of coastal dunes.In recent years,the development of optically stimulated luminescence （OSL） dating provides a good method and acts as a carrier for coastal dunes to paleoclimate and paleoenvironmental studies.In this study,we selected an aeolian dune at the Anshan archaeological site,Fujian,China as the research object based on field observations.For determining their sedimentary stages and the primary influencing factors,we used the OSL dating method to construct a chronological framework for the aeolian dune.In addition,the sizes of grains were analyzed for identifying factors influencing the winter monsoon during the Medieval Warm Period （MWP） and the Little Ice Age （LIA） in this area.The results showed that the deposition of the aeolian dune was closely related to variations in the winter monsoon intensity.The changes of the winter monsoon were similar to the tendency of the East Asian winter monsoon,although there were several sub-fluctuations.From an overall perspective,the winter monsoon was strengthened during the MWP （1050–1300） .The results of a power spectrum analysis showed that the intensity of the East Asian winter monsoon is correlated with sunspot activity.展开更多
文摘BACKGROUND Thirst management in convalescent patients recovering from a digestive surgery performed under general anesthesia requires attention.A simple,practical,and safe method can effectively relieve thirst symptoms in such patients.AIM To evaluate the enhanced recovery after surgery(ERAS)-based evidence-based care(EBC)plus ice stimulation therapy for thirst management of convalescent patients following digestive surgery performed under general anesthesia.METHODS A total of 191 patients convalescing after digestive surgery performed under general anesthesia between March 2020 and February 2023 and experiencing thirst were selected.In total,89 patients and 102 patients in the control and research groups received routine care and ERAS-based EBC plus ice stimulation therapy,respectively.The following data were comparatively analyzed:(1)Thirst degree(thirst intensity numerical rating scale)and thirst distress(TD)degree(TD scale);(2)Oral mucosal wetness;(3)Unstimulated whole salivary flow rate(UWSFR);(4)Adverse reactions(palpitation,fatigue,chapped lips,and nausea and vomiting);and(5)Nursing satisfaction.RESULTS After nursing,thirst degree and distress were statistically lower in the research group than in the control group.Additionally,compared with the control group,the research group exhibited a lower degree of oral mucosal wetness,higher UWSFR,fewer adverse reactions,and more total nursing satisfaction.CONCLUSION ERAS-based EBC plus ice stimulation therapy can effectively alleviate thirst in convalescent patients recovering from a digestive surgery performed under general anesthesia.It can alleviate xerostomia symptoms,reduce adverse reactions,and improve patient comfort.
基金financially supported by the National Natural Science Foundation of China (41301012,41271031,U1405231)the Natural Science Foundation of Fujian Province (2013J01153)
文摘Coastal dune is a common aeolian geomorphology in a sandy coast,which records the evolution process of the aeolian landscape system and reflects the complex interaction among land surface,atmosphere and ocean.Coast is a sensitive area to global climate change.Restricted by chronology,most previous researches in China focused only on the cause of formation of coastal dunes.In recent years,the development of optically stimulated luminescence （OSL） dating provides a good method and acts as a carrier for coastal dunes to paleoclimate and paleoenvironmental studies.In this study,we selected an aeolian dune at the Anshan archaeological site,Fujian,China as the research object based on field observations.For determining their sedimentary stages and the primary influencing factors,we used the OSL dating method to construct a chronological framework for the aeolian dune.In addition,the sizes of grains were analyzed for identifying factors influencing the winter monsoon during the Medieval Warm Period （MWP） and the Little Ice Age （LIA） in this area.The results showed that the deposition of the aeolian dune was closely related to variations in the winter monsoon intensity.The changes of the winter monsoon were similar to the tendency of the East Asian winter monsoon,although there were several sub-fluctuations.From an overall perspective,the winter monsoon was strengthened during the MWP （1050–1300） .The results of a power spectrum analysis showed that the intensity of the East Asian winter monsoon is correlated with sunspot activity.
