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CARE kV技术对冠状动脉CT血管成像辐射剂量的影响
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作者 沈心楠 周卓航 +3 位作者 王艺婷 王美淇 杨亚敬 张志伟 《CT理论与应用研究(中英文)》 2026年第1期129-134,共6页
目的:探讨CARE kV技术对冠状动脉CT血管成像(CCTA)辐射剂量的影响。方法:回顾性分析2023年12月至2024年12月于重庆医科大学附属第一医院行冠状动脉CTA(CCTA)检查的1529例患者的资料。所有检查均使用CARE kV技术,根据设备自动选择的管电... 目的:探讨CARE kV技术对冠状动脉CT血管成像(CCTA)辐射剂量的影响。方法:回顾性分析2023年12月至2024年12月于重庆医科大学附属第一医院行冠状动脉CTA(CCTA)检查的1529例患者的资料。所有检查均使用CARE kV技术,根据设备自动选择的管电压对患者进行分组。记录患者的辐射剂量数据:容积CT剂量指数(CTDI_(vol))、剂量长度乘积(DLP)、体型特异性剂量估计值(SSDE),基于DLP的有效剂量ED_DLP和基于蒙特卡罗模拟的有效剂量ED_Radimetrics,并以SSDE/CTDI_(vol)、ED_Radimetrics/ED_DLP表征不同剂量评价指标的差异。采用Kruskal-Wallis H检验结合Bonferroni校正进行组间比较,Spearman相关性分析评估管电压与剂量指标及比值的相关性。结果:根据实际使用的管电压将患者分为4组:70 kV组(n=815)、80 kV组(n=541)、90 kV组(n=67)、100 kV组(n=106)。各组间所有剂量指标(CTDI_(vol)、DLP、SSDE、ED_DLP、ED_Radimetrics)及剂量比值(SSDE/CTDI_(vol)、ED_Radimetrics/ED_DLP)差异均具有统计学意义。经Spearman分析,管电压与CTDI_(vol)(r_(s)=0.53,P<0.05)、DLP(r_(s)=0.49,P<0.05)、SSDE(r_(s)=0.54,P<0.05)、ED_DLP(r_(s)=0.49,P<0.05)、ED_Radimetrics(r_(s)=0.46,P<0.05)呈中等正相关,与SSDE/CTDI_(vol)呈弱负相关(r_(s)=−0.30,r_(s)<0.05),与ED_Radimetrics/ED_DLP呈微弱正相关(r_(s)=0.07,P<0.05)。结论:CARE kV技术可有效降低CCTA检查的辐射剂量。该技术应用下各剂量学指标与管电压呈中等正相关,证实管电压选择是剂量控制的关键变量。常规剂量指标CTDI_(vol)和ED_DLP系统性低估真实剂量,且低估程度与CARE kV选择的管电压的相关性较弱。推荐将SSDE和ED_Radimetrics纳入剂量管理体系,实现更精准的辐射防护和风险评估。 展开更多
关键词 care kV 冠状动脉计算机断层扫描 管电压 体型特异性剂量估计值 有效剂量
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Guided Care护理模式在不孕症IVF-ET助孕患者中的应用效果观察
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作者 邱琳琳 《四川生理科学杂志》 2026年第2期363-365,368,共4页
目的:探讨Guided Care护理模式在不孕症体外受精-胚胎移植(In vitro fertilization and embryo transfer,IVFET)助孕患者中的应用效果。方法:选取2022年12月至2024年12月于本院接受IVF-ET助孕治疗的92例不孕症患者作为研究对象,采用随... 目的:探讨Guided Care护理模式在不孕症体外受精-胚胎移植(In vitro fertilization and embryo transfer,IVFET)助孕患者中的应用效果。方法:选取2022年12月至2024年12月于本院接受IVF-ET助孕治疗的92例不孕症患者作为研究对象,采用随机数字表法分为对照组和观察组,各46例。对照组患者接受常规护理,观察组患者接受Guided Care护理模式,两组均持续护理2 m。比较两组心理状态、治疗依从性、生活质量以及护理满意度。结果:护理后,观察组抑郁-焦虑-压力量表(Depression Anxiety Stress Scales,DASS)各项评分均较对照组低,Morisky改良版服药依从性量表(Morisky Medication Adherence Scale,MMAS-8)评分、(The Mos 36-item Short Form Health Survey,SF-36)评分及护理满意度均高于对照组(P<0.05)。结论:Guided Care护理模式能够有效改善不孕症患者接受IVF-ET治疗期间的焦虑、抑郁情绪,增强其治疗依从性,对于顺利妊娠具有积极意义,从而获得更高的护理满意度。 展开更多
关键词 不孕症 Guided care护理 体外受精-胚胎移植 心理状态 治疗依从性
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Integrated Predictive Nursing Care for a Case of Imported Severe Malignant Malaria with Spontaneous Splenic Rupture
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作者 Na Bai Jing Wu +1 位作者 Lili Tian Wenting Li 《Journal of Clinical and Nursing Research》 2026年第1期181-192,共12页
A case of imported severe falciparum malaria with spontaneous splenic rupture was reported in this paper.The patient,an African migrant worker,developed hemolytic anemia,sepsis,thrombocytopenia,coagulation dysfunction... A case of imported severe falciparum malaria with spontaneous splenic rupture was reported in this paper.The patient,an African migrant worker,developed hemolytic anemia,sepsis,thrombocytopenia,coagulation dysfunction,liver failure,renal insufficiency,electrolyte disturbance and other clinical manifestations after returning to the local area.Plasmodium falciparum was found by peripheral blood smearscopy and was diagnosed as severe falciparum malaria.After standardized anti-malaria treatment,plasma exchange+cytokine adsorption therapy,the establishment of“forewarning-forewarning-prevention-emergency”predictive nursing management model,the establishment of an integrated nursing team,the division of medical care is clear,professional knowledge is complementary,after three months of regular follow-up,the patient has no malaria recurrence,no refire,the function of all organs returned to normal. 展开更多
关键词 Severe falciparum malaria Imported malaria Splenorrhagia Integration of health care Predictive care Plasma exchange Cytokine adsorption
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Research on the Optimal Allocation of Community Elderly Care Service Resources Based on Big Data Technology
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作者 Shuying Li 《Journal of Clinical and Nursing Research》 2026年第1期241-246,共6页
With the accelerating aging process of China’s population,the demand for community elderly care services has shown diversified and personalized characteristics.However,problems such as insufficient total care service... With the accelerating aging process of China’s population,the demand for community elderly care services has shown diversified and personalized characteristics.However,problems such as insufficient total care service resources,uneven distribution,and prominent supply-demand contradictions have seriously affected service quality.Big data technology,with core advantages including data collection,analysis and mining,and accurate prediction,provides a new solution for the allocation of community elderly care service resources.This paper systematically studies the application value of big data technology in the allocation of community elderly care service resources from three aspects:resource allocation efficiency,service accuracy,and management intelligence.Combined with practical needs,it proposes optimal allocation strategies such as building a big data analysis platform and accurately grasping the elderly’s care needs,striving to provide operable path references for the construction of community elderly care service systems,promoting the early realization of the elderly care service goal of“adequate support and proper care for the elderly”,and boosting the high-quality development of China’s elderly care service industry. 展开更多
关键词 Big data technology COMMUNITY Elderly care Service resources
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Effectiveness of a stepped self-care program for stroke survivors:A quasi-experimental study
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作者 Zihao Ruan Dan Wang +5 位作者 Wenna Wang Yongxia Mei Hui Wang Suyan Chen Qiushi Zhang Zhenxiang Zhang 《International Journal of Nursing Sciences》 2026年第1期45-52,I0004,共9页
Objectives This study aimed to evaluate the effectiveness of the stepped self-care program on the self-care,self-efficacy,and quality of life of stroke survivors.Methods This quasi-experimental study allocated 110 str... Objectives This study aimed to evaluate the effectiveness of the stepped self-care program on the self-care,self-efficacy,and quality of life of stroke survivors.Methods This quasi-experimental study allocated 110 stroke survivors from two neurology wards into an intervention group(n=55)who received the stepped self-care program and a control group(n=55)who received usual care from June to December 2023.The Self-Care of Stroke Inventory,Stroke Self-Efficacy Questionnaire,and the short version of the Stroke Specific Quality of Life Scale were administered at baseline(T0),immediately post-intervention(T_(1)),and at 1-month(T_(2))and 3-month(T_(3))follow-ups.Data were analyzed using repeated measures analyses of variance,and generalized estimating equations.Results A total of 48 participants in the intervention group and 50 participants in the control group completed the study.No statistically significant differences were observed at T0 in any of the measured indicators(all P>0.05).The study showed significant group,time,and group×time interaction effects across the assessed outcomes(all P<0.05).Follow-up between-group comparisons at T_(1),T_(2),and T_(3) indicated that the intervention group had significantly higher scores in self-care maintenance,self-care monitoring,self-care management,self-efficacy,and quality of life than the control group(all P<0.001).Conclusions The stepped self-care program significantly improved self-care behaviors,self-efficacy,and quality of life among stroke survivors.These findings support the broader implementation of this approach in post-discharge home self-care. 展开更多
关键词 Quality of life SELF-care SELF-EFFICACY Stepped care program STROKE
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Effects of Continuous Care on Children with Enterostomy and Their Families in China
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作者 Shanwei Li Ying Wang Yan Tang 《Journal of Clinical and Nursing Research》 2026年第1期400-408,共9页
Background:Continuous care for children with enterostomy and their families has been gaining popularity in China.Objective:To evaluate the feasibility of continuous care for children with enterostomy and their familie... Background:Continuous care for children with enterostomy and their families has been gaining popularity in China.Objective:To evaluate the feasibility of continuous care for children with enterostomy and their families in China.Methods:The PubMed,Web of Science,Embase,Cochrane Library,EBSCO,CNKI,CBM,VIP,and WanFang were searched for clinical trials until December 30,2025.Two reviewers independently searched articles,evaluated quality and extracted data.This review was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses(PRISMA).Results:33 studies involving 2774 participants were included.The meta-analysis showed that continuous care strategy can significantly reduce the incidence of complications in children with enterostomy(OR=0.20,95%CI=0.16-0.26,p<0.001,I2=0%),effectively improve the family caregiver ability for enterostomy(MD=-10.34,95%CI=-13.82 to-6.85,p<0.001,I2=99%),shorten the time for family members to replace stoma bags(MD=-13.57,95%CI=-19.66 to-7.49,p<0.001,I2=100%),and alleviate negative emotions such as anxiety(SMD=-1.80,95%CI=-2.36 to-1.23,p<0.001,I2=92%)and depression(SMD=-1.54,95%CI=-2.04 to-1.04,p<0.001,I2=89%)in the families of the affected children.Conclusions:Continuous care can reduce complications of enterostomy in children,improve the family caregiver ability for enterostomy and alleviate negative emotions of family members such as anxiety and depression. 展开更多
关键词 Continuous care Pediatric enterostomy Family members Enterostomy nursing META-ANALYSIS
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Exploration and Practical Research on the Construction Model of the Emergency Care System Based on the Concept of“Linkage”
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作者 Yan Li 《Journal of Clinical and Nursing Research》 2026年第1期138-144,共7页
Against the backdrop of continuous social development and growing public health demands,the efficiency and scientific nature of the emergency care system are of paramount importance.This paper focuses on researching t... Against the backdrop of continuous social development and growing public health demands,the efficiency and scientific nature of the emergency care system are of paramount importance.This paper focuses on researching the construction of an emergency care system based on the concept of“linkage”,delving into its theoretical foundations,exploring innovative construction models,and analyzing practical cases.The study indicates that an emergency care system under the“linkage”concept can effectively integrate resources and enhance efficiency,providing new insights for improving the construction of the emergency care system.It aims to promote the development of the emergency care system towards a more scientific,efficient,and collaborative direction. 展开更多
关键词 Linkage concept Emergency care system Construction model Practical cases
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A conceptual analysis of reflective supervision for creating a positive intensive care practice environment
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作者 Mpho Grace Chipu 《International Journal of Nursing Sciences》 2026年第1期88-95,共8页
Objectives This study aimed to explore and clarify the concept of reflective supervision as a professional self-care strategy to create a positive Intensive Care Unit(ICU)practice environment.Methods Walker and Avant... Objectives This study aimed to explore and clarify the concept of reflective supervision as a professional self-care strategy to create a positive Intensive Care Unit(ICU)practice environment.Methods Walker and Avant’s eight-step concept analysis approach was utilized to identify and define the attributes,antecedents,and consequences of reflective supervision in the ICU.An extensive literature search was conducted across various databases,including Google Scholar,CINAHL,PubMed.Articles published from 2005 to 2025 were identified.We followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses(PRISMA)2020 statement to indicate the included articles and extract related data based on relevance.Results Forty articles were included in the analysis.The identified attributes included the supervisor-supervisee relationship,effective communication,teamwork,collaborations,reflection,competencies,feedback,continuous support,and autonomous choice.The identified antecedents included participation,supportive supervision,flexibility,open-door policy,training,and motivation.Consequences impacting the success of reflective supervision were identified as promotion of resiliency,autonomy,work-life balance,self-awareness,increased self-esteem,professional development,critical thinking,increased job satisfaction,and enhanced commitment.Conclusions Reflective supervision is a complex professional self-care strategy that enhances ICU practice,by promoting nurses’well-being,self-awareness,therapeutic skills,and professional development. 展开更多
关键词 Concept analysis Intensive care Unit NURSING Positive environment Reflective supervision
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An investigation of nursing practices and processes and patient experiences in relation to virtual outpatient clinics in an acute care hospital–considerations for nurse managers
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作者 Elaine Harris Marian Hayden +4 位作者 Joanna Rea Patricia White Margaret McCann Leona Connolly Catherine McCabe 《Frontiers of Nursing》 2026年第1期33-42,共10页
Objective:Nurse-led virtual outpatient clinics are now a familiar component of healthcare delivery across many disciplines,including cancer care,or thopedics,rheumatology,and gastroenterology.However,establishing a nu... Objective:Nurse-led virtual outpatient clinics are now a familiar component of healthcare delivery across many disciplines,including cancer care,or thopedics,rheumatology,and gastroenterology.However,establishing a nurse-led vir tual clinic is challenging for nursing management,par ticularly regarding resources.We aimed to investigate nursing practices and processes and patient experiences in relation to vir tual outpatient clinics.Methods:This was a cross-sectional,descriptive study using mixed data collection methods.Patients(n=324)from 4 specialist clinics completed the Virtual Clinics Patient Satisfaction Questionnaire(VCSQ)survey.Five Nurse Specialists participated in a focus group interview.Results:Most participants(86.3%)reported being satisfied/very satisfied with the virtual clinics,particularly those that were nurse-led.Nurse specialists identified electronic health records(EHRs)and additional IT and administrative support as important for efficiency and effectiveness of the clinics.Conclusions:Nurse-led virtual clinics can be an effective and efficient way to provide care to patients.Nurse managers need to ensure supportive structures are in place,for example,dedicated administrators,IT support and infrastructure,education/training,and relevant policies/procedures.The success of nurse-led virtual services requires key infrastructure to support nursing staff and sustain this service. 展开更多
关键词 nursing informatics nursing management patient experiences virtual care remote health
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Nursing Care of a Child with Acute Fulminant Myocarditis Treated by Extracorporeal Membrane Oxygenation
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作者 Yuhua TONG Rong WANG Baoyi YANG 《Medicinal Plant》 2026年第1期43-45,共3页
This paper summarizes the nursing experience of a child with acute fulminant myocarditis.Key nursing measures include establishing a multidisciplinary team to jointly formulate diagnosis and treatment plans;implementi... This paper summarizes the nursing experience of a child with acute fulminant myocarditis.Key nursing measures include establishing a multidisciplinary team to jointly formulate diagnosis and treatment plans;implementing refined volume management,anticoagulation management,and ventilator management during extracorporeal membrane oxygenation;providing personalized nutritional support for the child;and strengthening the prevention and management of complications.After active treatment and nursing care,the child recovered well and was successfully transferred out of the intensive care unit. 展开更多
关键词 Extracorporeal membrane oxygenation Acute fulminant myocarditis Nursing care
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Application and Effectiveness Evaluation of Standardized Protective Care Procedures in Hydrofluoric Acid Operations within Dental Departments
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作者 Fengqun Yong 《Journal of Clinical and Nursing Research》 2026年第1期174-180,共7页
Objective:To evaluate the implementation effectiveness of standardized protective care procedures during hydrofluoric acid procedures in the dental department.Methods:This study was conducted from June 2023 to June 20... Objective:To evaluate the implementation effectiveness of standardized protective care procedures during hydrofluoric acid procedures in the dental department.Methods:This study was conducted from June 2023 to June 2025,selecting 90 patients who underwent hydrofluoric acid-related treatments in the outpatient dental department of this hospital during this period as subjects.Forty-five patients treated between June 2023 and June 2024 received conventional protective care(pre-intervention group),while 45 patients treated between June 2024 and June 2025 underwent the standardized protective care protocol(post-intervention group).Thirteen healthcare personnel participated in both pre-and post-intervention treatment phases.Based on the different nursing models,indicators such as the incidence of adverse events in patients and the exposure rate of healthcare personnel before and after implementation were compared to evaluate the effectiveness of the nursing intervention.Results:The incidence of oral mucosal irritation reactions in patients was lower after implementation,p<0.05.Compared with the pre-implementation period,the incidence of procedure-related adverse events decreased after implementation,p<0.05.There was a significant difference in the occupational exposure rate of healthcare personnel before and after implementation,with a higher rate observed before implementation(p<0.05).Post-implementation,healthcare personnel achieved higher compliance scores for pre-procedure preparation,intra-procedure protection,and post-procedure handling(p<0.05).Patient satisfaction with treatment was lower pre-implementation than post-implementation(p<0.05).Conclusion:Adherence to standardized protective care procedures during hydrofluoric acid operations by dental department staff in outpatient settings standardizes practitioner techniques,effectively prevents oral mucosal irritation in patients,reduces occupational exposure risks for staff,minimizes adverse procedural events,and consequently enhances patient treatment satisfaction.This demonstrates significant practical value. 展开更多
关键词 Standardized protective care procedures Dental department Outpatient clinic Hydrofluoric acid handling
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An Analysis of the Role of Integrated Medical and Elderly Care in the Management of Chronic Diseases among the Elderly
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作者 Yinchun Rui 《Journal of Clinical and Nursing Research》 2026年第1期254-260,共7页
In recent years,with the accelerating aging process of the population,China has entered an aging society,and the number of elderly patients with chronic diseases has been increasing.The traditional medical and elderly... In recent years,with the accelerating aging process of the population,China has entered an aging society,and the number of elderly patients with chronic diseases has been increasing.The traditional medical and elderly care service models can no longer fully meet their needs.The integrated medical and elderly care model has emerged as the times require.It organically combines medical resources with elderly care resources to provide comprehensive and continuous health management services for the elderly,becoming an important approach to solving the problems of chronic disease management among the elderly.In this regard,this paper first elaborates on the role of integrated medical and elderly care in the management of chronic diseases among the elderly,and then puts forward application strategies of integrated medical and elderly care in the management of chronic diseases among the elderly,in order to provide certain reference for relevant researchers. 展开更多
关键词 Integrated medical and elderly care The elderly Chronic disease management ROLE
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Take Care of Your Har
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作者 Ruth Devlin 《空中英语教室(初级版.大家说英语)》 2026年第1期25-28,56,53,共6页
Take care of your hair to help it stay clean,strong and healthy.Wash your hair when it gets dirty,but not too often.For most people,that means every two to three days.People with oily hair wash it every one to two day... Take care of your hair to help it stay clean,strong and healthy.Wash your hair when it gets dirty,but not too often.For most people,that means every two to three days.People with oily hair wash it every one to two days.Use a brush or comb to keep your hair neat and smooth.It's also important to be gentle so you don't pull or break your hair.Never go to bed with wet hair.It can break easily when you sleep.Dry it before bed! 展开更多
关键词 sleep hygiene hair damage washing frequency hair type scalp health hair care BRUSHING oily hair
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Root cause analysis from the perspectives of patients in primary care units:cases study of typical adverse drug events
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作者 Ping Gong Xing-Yang Chen +1 位作者 Qin Long Ting-Ting Zhou 《Frontiers of Nursing》 2026年第1期61-68,共8页
Objective:To identify the root causes of typical adverse drug events through the lens of patient experiences proposing novel strategies to mitigate preventable harm.Methods:A qualitative case study leveraging in-depth... Objective:To identify the root causes of typical adverse drug events through the lens of patient experiences proposing novel strategies to mitigate preventable harm.Methods:A qualitative case study leveraging in-depth interviews with patients and families,anchored by Interactive Patient Par ticipation Theory,to analyze 4 high-severity adverse drug events(ADE)cases.Cases were purposively sampled from 8 communities in China's National Adverse Event Monitor Center(2018-2023).Semi-structured interviews explored patient perspectives,with data analyzed via thematic coding and triangulation against clinical records.Results:Five interconnected themes emerged:(1)erosion of trust,(2)communication breakdowns,(3)information asymmetry,(4)environmental inadequacies,and(5)technological alienation.Notably,75% of participants had≤high school education,and 50% used≥7 medications daily,compounding ADE risks.Conclusions:We considered elements mentioned by theory,exploring trust,communication,information,and suppor t as the root causes.In addition,we added“adaptability to new technology”as an impor tant and necessary component.It is impor tant and necessary to analyze typical adverse drug events from the perspectives of patients. 展开更多
关键词 adverse drug events case study medication safety patients safety primary care units root cause analysis qualitative study THEORY
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Home-Based Care Service
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作者 XU JUNXING 《China Today》 2026年第3期70-72,共3页
Hebei Province has incorporated targeted assistance services for people with disabilities into livelihood projects,upgrading the quality and efficiency of support services for disadvantaged groups.THE living and nursi... Hebei Province has incorporated targeted assistance services for people with disabilities into livelihood projects,upgrading the quality and efficiency of support services for disadvantaged groups.THE living and nursing allowances provided by the Chinese government for people with disabilities who are unable to work are not only important components of China’s social security system which provide for the needs of its disabled,but also show China’s ability to guarantee the basic living standard and social fairness and justice for this group of people. 展开更多
关键词 livelihood projects home based care targeted assistance livelihood projectsupgrading people disabilities living nursing allowances targeted assistance services social security system
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Point-of-care antigen detection for porcine deltacoronavirus:Colloidal gold and fluorescent immunochromatographic test strips
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作者 Zezhao Cao Junchao Shi +9 位作者 Ruijie Hu Jun Xue Gaili Wang Zi Li Huabo Yu Wei Liu Wenqi He Hualei Wang Haili Zhang Yungang Lan 《Journal of Integrative Agriculture》 2026年第1期394-397,共4页
Highlights By conjugating the same anti-N monoclonal antibody(mAb4-mAb1)with colloidal gold or fluorescent microspheres,this study developed two rapid point-of-care antigen immunochromatographic strips for the detecti... Highlights By conjugating the same anti-N monoclonal antibody(mAb4-mAb1)with colloidal gold or fluorescent microspheres,this study developed two rapid point-of-care antigen immunochromatographic strips for the detection of porcine deltacoronavirus.The fluorescent microsphere-based lateral flow test strip demonstrated a sensitivity of 10^(1.7)TCID_(50)/0.1 mL,which is fourfold higher than that of the colloidal gold-based assay.Porcine deltacoronavirus(PDCoV)is a recently identified enteric coronavirus that causes an acute infectious disease in piglets,leading to diarrhea,vomiting,dehydration,and mortality(Hu et al.2015). 展开更多
关键词 enteric coronavirus point care antigen detection fluorescent microspheresthis immunochromatographic strips porcine deltacoronavirusthe fluorescent immunochromatographic test strips colloidal gold porcine deltacoronavirus
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基于CICARE沟通模式的分层管理对糖尿病患者心理状态及生活质量的影响
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作者 李倬怡 《医学临床研究》 2026年第1期106-109,113,共5页
【目的】探讨基于CICARE沟通模式的分层管理对糖尿病患者心理状态和生活质量的影响。【方法】选取2024年1月至12月在本院诊治的117例糖尿病患者,按照随机数字表法将患者分为对照组(接受常规护理,n=58)和观察组(接受基于CICARE沟通模式... 【目的】探讨基于CICARE沟通模式的分层管理对糖尿病患者心理状态和生活质量的影响。【方法】选取2024年1月至12月在本院诊治的117例糖尿病患者,按照随机数字表法将患者分为对照组(接受常规护理,n=58)和观察组(接受基于CICARE沟通模式的分层管理,n=59)。比较两组患者护理前及护理3个月后的心理状态[症状自评量表(SCL-90)评分]、疾病认知水平、自我管理行为[糖尿病自我管理行为量表(SDSCA)评分]及生活质量[糖尿病生存质量特异性量表(DSQL)评分]。【结果】护理3个月后,两组患者SCL-90、DSQL各维度评分均低于护理前,且观察组低于对照组;两组疾病认知水平及SDSCA评分高于护理前,且观察组高于对照组,差异均有统计学意义(P<0.05)。【结论】基于CICARE沟通模式的分层管理能有效改善糖尿病患者的心理状态和生活质量,提高患者疾病认知水平和自我管理能力,值得临床推广应用。 展开更多
关键词 糖尿病 护理 心理现象 生活质量
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Guide Care管理模式应用于帕金森病患者自我管理的效果
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作者 黄彦飞 李春林 +2 位作者 袁琼 顾秀莲 宁琪 《阿尔茨海默病及相关病杂志》 2025年第3期182-187,共6页
目的:探讨Guide Care管理模式应用于帕金森病患者自我管理的效果。方法:选取2021年11月至2022年12月在广西壮族自治区人民医院老年神经内科住院的帕金森病患者90例作为研究对象,按随机数字表法分为试验组(45例)和对照组(45例)。对照组... 目的:探讨Guide Care管理模式应用于帕金森病患者自我管理的效果。方法:选取2021年11月至2022年12月在广西壮族自治区人民医院老年神经内科住院的帕金森病患者90例作为研究对象,按随机数字表法分为试验组(45例)和对照组(45例)。对照组采用常规护理干预,试验组采用Guided Care管理模式干预。评估并比较两组患者自我管理能力、生存质量、病情进展及焦虑抑郁情况。干预时间持续6周。结果:试验组患者干预后自我管理3个维度(日常行为管理、管理认知和疾病管理)评分均高于对照组,试验组自我管理总分及日常行为管理总分均高于对照组,差异有统计学意义(P<0.001);两组帕金森病综合评分量表(unified-parkinson disease rating scale,UPDRS)各项评分均较治疗前降低,且试验组运动检查、日常生活活动、精神行为和情感评分均低于对照组,差异有统计学意义(P<0.001);干预后两组PDQ-39评分降低,且试验组评分低于对照组,差异有统计学意义(P<0.05);干预后试验组SAS和SDS评分显著低于对照组,差异有统计学意义(P<0.05)。结论:Guide Care管理模式可提高帕金森病患者的自我管理能力,改善患者的生活质量,延缓疾病进展。 展开更多
关键词 Guide care 帕金森病 自我管理 生活质量
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X-CARE技术可降低头颅CT辐射剂量:基于体型特异性剂量估算值
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作者 王帆 曹伟 +1 位作者 梁保辉 王静 《分子影像学杂志》 2025年第3期296-301,共6页
目的 分析头颅CT检查时分别使用固定管电流技术、CARE Dose 4D和X-CARE技术时对受检者辐射剂量和图像质量的影响,探求一种保护敏感器官的头颅CT扫描方案。方法 前瞻性收集2023年5月~2024年2月在徐州市第一人民医院接受头颅CT检查的90例... 目的 分析头颅CT检查时分别使用固定管电流技术、CARE Dose 4D和X-CARE技术时对受检者辐射剂量和图像质量的影响,探求一种保护敏感器官的头颅CT扫描方案。方法 前瞻性收集2023年5月~2024年2月在徐州市第一人民医院接受头颅CT检查的90例患者,将其随机分为A、B、C组,分别使用固定管电流技术、CARE Dose 4D和X-CARE技术,30例/组。在扫描时将热释光剂量计置于患者眼睛表面,比较分析不同组患者的容积CT剂量指数(CTDIvol)、体型特异性剂量估算(SSDE)值以及眼晶状体表面辐射剂量的差异性;由2位放射科医师采用双盲法依据五分制进行图像质量主观评分,利用图像噪声(SD)、信噪比(SNR)和主观评分比较不同组患者图像质量的差异。结果 3组的CTDIvol分别为49.61±0.40、33.85±3.20、32.40±3.11 mGy,SSDE分别为34.26±1.77、28.08±5.34、27.29±5.30 mGy,眼睛表面剂量分别为6.76±0.46、3.41±0.40、2.05±0.73 mSv。相比于使用固定管电流技术,使用CARE Dose 4D和X-CARE技术时辐射剂量CTDIvol分别降低31.76%和34.69%,SSDE分别降低36.55%和38.34%。SSDE较CTDIvol低10.78%。对于图像质量,使用CARE Dose 4D和X-CARE技术时图像的噪声和SNR均低于固定管电流组,但3组图像的主观性评分差异无统计学意义(P>0.05)。结论 相比于SSDE,CTDIvol低估了受检者实际的辐射剂量。X-CARE技术能够在保证图像质量的前提下,有效降低头颅CT扫描的辐射剂量,同时眼睛部分的敏感器官也能得到很好保护。 展开更多
关键词 care Dose 4D X-care 体型特异性剂量估算 辐射剂量 图像质量
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住院患者肠内营养相关性腹泻CARE管理模式的构建与应用 被引量:1
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作者 张昕悦 王颖 +4 位作者 杜玫洁 王玫 何梅 蔡悦 崔梦影 《护理学杂志》 北大核心 2025年第9期74-78,共5页
目的构建住院患者肠内营养相关性腹泻CARE管理模式并评价其应用效果。方法通过组建多学科管理团队,基于循证及现况调查和多轮专家咨询形成肠内营养相关性CARE管理模式,包括综合预防、准确评估、转介与决策、评价与监测4个维度。选取2021... 目的构建住院患者肠内营养相关性腹泻CARE管理模式并评价其应用效果。方法通过组建多学科管理团队,基于循证及现况调查和多轮专家咨询形成肠内营养相关性CARE管理模式,包括综合预防、准确评估、转介与决策、评价与监测4个维度。选取2021年5-7月行肠内营养支持的1085例住院患者作为对照组,给予常规护理措施;选取2022年11月至2023年2月的1083例住院患者作为观察组,实施肠内营养相关性CARE管理模式。比较两组肠内营养支持期间的腹泻发生率及CARE管理模式实施前后护士肠内营养知识及态度水平。结果对照组肠内营养相关性腹泻发生率为22.30%,观察组为13.48%,两组比较,差异有统计学意义(P<0.05)。CARE管理模式实施后,护士肠内营养相关性腹泻定义及态度得分显著提升(均P<0.05)。结论实施肠内营养相关性腹泻CARE管理模式能有效降低患者腹泻发生率,提升护士肠内营养相关性腹泻知识及态度水平。 展开更多
关键词 住院患者 肠内营养 腹泻 证据转化 营养干预 care管理模式 循证护理
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