BACKGROUND The theory of planned behavior(TPB)and whole-course nursing are mainly used for patients with cancer,chronic diseases,and other conditions that require longterm rehabilitation.There are few studies on disea...BACKGROUND The theory of planned behavior(TPB)and whole-course nursing are mainly used for patients with cancer,chronic diseases,and other conditions that require longterm rehabilitation.There are few studies on diseases,such as acute abdomen,for which patients urgently need surgery.Owing to the particularity of acute abdomen and limited preoperative preparation,patients and their families may not fully realize the significance of postoperative rehabilitation and the development of good treatment behavior.Therefore,this study used acute appendicitis as an entry point to explore the influence of TPB and the whole-process management of acute abdominal disease.AIM To examine the impact of TPB-based whole-process management on postoperative rehabilitation and complications in patients with acute appendicitis.METHODS A total of 180 patients enrolled between July 2023 and June 2024 were randomly assigned via computer-generated sequence into two groups in a 1:1 ratio,with 90 cases each.In the control group,17 cases withdrew,leaving 73 cases that ultimately received routine care.In the experimental group,6 cases withdrew,leaving 84 cases that ultimately received full-process TPB management.The postoperative rehabilitation and complications were compared between the two groups.RESULTS The first exhaust time,bowel sound recovery time,first defecation time,first postoperative ground movement time,and postoperative hospital stay were shorter in the experimental group than in the control group(P<0.05).The Visual Analog Scale scores of the experimental group were lower than those of the control group at 6 hours,12 hours,24 hours,and 48 hours postoperatively(P<0.05).The total incidence of complications was lower in the experimental group than in the control group(P<0.05).The total satisfaction rate of the experimental group was higher than that of the control group(P<0.05).In both groups,patients 48 hours postoperatively had lower Self-Rating Anxiety Scale scores than those preoperatively.The Self-Rating Anxiety Scale score of the experimental group at 48 hours was lower than that of the control group(P<0.05).CONCLUSION Whole-process management based on the TPB can shorten the postoperative recovery time in patients with acute appendicitis and reduce the incidence of pain and complications.展开更多
Objective To explore the effectiveness and value of constructing a whole-course management scheme for prostate cancer patients based on internet plus model.Methods Based on the principles of scientificity,practicabili...Objective To explore the effectiveness and value of constructing a whole-course management scheme for prostate cancer patients based on internet plus model.Methods Based on the principles of scientificity,practicability and humanization,the whole process management scheme was constructed,which included the patient end,the medical care end and the management end,with specific modules such as patient information management and health education.Before and after comparative study and case-control study were used to evaluate the effect of the scheme,and an evaluation index system was established from the aspects of patients'health status,treatment compliance,utilization efficiency of medical resources and patient satisfaction.Data were collected through questionnaire survey,medical record review and systematic data analysis.Results After the implementation of the program,the level of prostate specific antigen decreased significantly,the quality of life score improved,the implementation rate of treatment plan and the rate of taking drugs on time increased,the hospitalization time shortened,the repetition rate of examinations decreased,and the overall satisfaction of patients improved.However,factors such as patients'age,education level,economic status and Internet use ability will affect the effect of the scheme,and corresponding improvement measures are put forward in view of these factors.Conclusion The whole-course management scheme of prostate cancer patients based on internet plus model is scientific and effective,which can significantly improve patients'health status and treatment effect,and optimize the utilization of medical resources.However,it is necessary to pay attention to the influencing factors and make continuous improvement to better serve prostate cancer patients.展开更多
Due to the traditional thinking of project cost management and the lack of a set of perfect project cost management system in the specific management operation period of construction enterprises, and the construction ...Due to the traditional thinking of project cost management and the lack of a set of perfect project cost management system in the specific management operation period of construction enterprises, and the construction time of specific projects is generally long, different problems are prone to affect the project cost, so the project should have a set of management system to supervise the cost loss of the project from design to construction. For construction enterprises, only by continuously improving the core competitiveness of enterprises, reducing construction costs and improving the engineering cost level of construction enterprises, can they obtain certain profits in the fierce competition. Therefore, the project cost management and control is particularly important.展开更多
文摘BACKGROUND The theory of planned behavior(TPB)and whole-course nursing are mainly used for patients with cancer,chronic diseases,and other conditions that require longterm rehabilitation.There are few studies on diseases,such as acute abdomen,for which patients urgently need surgery.Owing to the particularity of acute abdomen and limited preoperative preparation,patients and their families may not fully realize the significance of postoperative rehabilitation and the development of good treatment behavior.Therefore,this study used acute appendicitis as an entry point to explore the influence of TPB and the whole-process management of acute abdominal disease.AIM To examine the impact of TPB-based whole-process management on postoperative rehabilitation and complications in patients with acute appendicitis.METHODS A total of 180 patients enrolled between July 2023 and June 2024 were randomly assigned via computer-generated sequence into two groups in a 1:1 ratio,with 90 cases each.In the control group,17 cases withdrew,leaving 73 cases that ultimately received routine care.In the experimental group,6 cases withdrew,leaving 84 cases that ultimately received full-process TPB management.The postoperative rehabilitation and complications were compared between the two groups.RESULTS The first exhaust time,bowel sound recovery time,first defecation time,first postoperative ground movement time,and postoperative hospital stay were shorter in the experimental group than in the control group(P<0.05).The Visual Analog Scale scores of the experimental group were lower than those of the control group at 6 hours,12 hours,24 hours,and 48 hours postoperatively(P<0.05).The total incidence of complications was lower in the experimental group than in the control group(P<0.05).The total satisfaction rate of the experimental group was higher than that of the control group(P<0.05).In both groups,patients 48 hours postoperatively had lower Self-Rating Anxiety Scale scores than those preoperatively.The Self-Rating Anxiety Scale score of the experimental group at 48 hours was lower than that of the control group(P<0.05).CONCLUSION Whole-process management based on the TPB can shorten the postoperative recovery time in patients with acute appendicitis and reduce the incidence of pain and complications.
文摘Objective To explore the effectiveness and value of constructing a whole-course management scheme for prostate cancer patients based on internet plus model.Methods Based on the principles of scientificity,practicability and humanization,the whole process management scheme was constructed,which included the patient end,the medical care end and the management end,with specific modules such as patient information management and health education.Before and after comparative study and case-control study were used to evaluate the effect of the scheme,and an evaluation index system was established from the aspects of patients'health status,treatment compliance,utilization efficiency of medical resources and patient satisfaction.Data were collected through questionnaire survey,medical record review and systematic data analysis.Results After the implementation of the program,the level of prostate specific antigen decreased significantly,the quality of life score improved,the implementation rate of treatment plan and the rate of taking drugs on time increased,the hospitalization time shortened,the repetition rate of examinations decreased,and the overall satisfaction of patients improved.However,factors such as patients'age,education level,economic status and Internet use ability will affect the effect of the scheme,and corresponding improvement measures are put forward in view of these factors.Conclusion The whole-course management scheme of prostate cancer patients based on internet plus model is scientific and effective,which can significantly improve patients'health status and treatment effect,and optimize the utilization of medical resources.However,it is necessary to pay attention to the influencing factors and make continuous improvement to better serve prostate cancer patients.
文摘Due to the traditional thinking of project cost management and the lack of a set of perfect project cost management system in the specific management operation period of construction enterprises, and the construction time of specific projects is generally long, different problems are prone to affect the project cost, so the project should have a set of management system to supervise the cost loss of the project from design to construction. For construction enterprises, only by continuously improving the core competitiveness of enterprises, reducing construction costs and improving the engineering cost level of construction enterprises, can they obtain certain profits in the fierce competition. Therefore, the project cost management and control is particularly important.
