Case reports,often overlooked in evidence-based medicine(EBM),play a pivotal role in healthcare research.They provide unique insights into rare conditions,novel treatments,and adverse effects,serving as valuable educa...Case reports,often overlooked in evidence-based medicine(EBM),play a pivotal role in healthcare research.They provide unique insights into rare conditions,novel treatments,and adverse effects,serving as valuable educational tools and generating new hypothesis.Despite their limitations in generalizability,case reports contribute significantly to evidence-based practice by offering detailed clinical information and fostering critical thinking among healthcare professionals.By acknowledging their limitations and adhering to reporting guidelines,case reports can contribute significantly to medical knowledge and patient care within the evolving landscape of EBM.This editorial explores the intrinsic value of case reports in EBM and patient care.展开更多
Cardiovascular disease is the most frequent diagnosis in elderly people and is the leading cause of death in both men and women older than 65 years. Every year in the United States more than 700,000 patients arriv... Cardiovascular disease is the most frequent diagnosis in elderly people and is the leading cause of death in both men and women older than 65 years. Every year in the United States more than 700,000 patients arrive at the emergency room with ST-segment elevation myocardial infarction(STEMI). About 60 percent of hospital admissions for AMI are of people older than 65 years. Their in-hospital, 1-month,and 1-year mortality is high. 1 In this article, we will provide a review on clinical trials that guide the management of STelevation myocardial infarction of the elderly patients.……展开更多
To describe the current aging population in China and globally,especially as it applies to age-related macular degeneration(AMD).To review the current standards of care for treating both wet(exudative)eAMD and dry(atr...To describe the current aging population in China and globally,especially as it applies to age-related macular degeneration(AMD).To review the current standards of care for treating both wet(exudative)eAMD and dry(atrophic)aAMD.And to introduce a model for experimentation that is based on the Age-Related Eye Disease Study(AREDS)using eye bank tissue.A literature search that outlines current aging populations,standards of clinical treatment as defined by large,multicenter,randomized clinical trials that present level-I data with a low risk for bias.An experimental model system of AMD is presented that enables scientific analysis of AMD pathogenesis by applying grading criteria from the AREDS to human eye bank eyes.Analysis includes proteomic,cellular,and functional genomics.The standard of care for the treatment of eAMD is currently defined by the use of several anti-vascular endothelial growth(anti-VEGF)agents alone or in combination with photodynamic therapy.Monotherapy treatment intervals may be monthly,as needed,or by using a treat-and-extend(TAE)protocol.There are no proven therapies for aAMD.AMD that is phenotypically defined at AREDS level 3,should be managed with the use of anti-oxidant vitamins,lutein/zeaxanthin and zinc(AREDS-2 formulation).By understanding the multiple etiologies in the pathogenesis of AMD(i.e.,oxidative stress,inflammation,and genetics),the use of human eye bank tissues graded according to the Minnesota Grading System(MGS)will enable future insights into the pathogenesis of AMD.Initial AMD management is with lifestyle modification such as avoiding smoking,eating a healthy diet and using appropriate vitamin supplements(AREDS-2).For eAMD,anti-VEGF therapies using either pro re nata(PRN)or TAE protocols are recommended,with photodynamic therapy in appropriate cases.New cellular information will direct future,potential therapies and these will originate from experimental models,such as the proposed eye bank model using the MGS,that leverages the prospective AREDS database.展开更多
Objective:Evidence-based practices(EBPs)have been taught to students by identifying the best evidence/evidence from research results.However,the experiences of Indonesian nurse preceptors in helping students implement...Objective:Evidence-based practices(EBPs)have been taught to students by identifying the best evidence/evidence from research results.However,the experiences of Indonesian nurse preceptors in helping students implement research findings have not been explored thoroughly.This study aimed to explore Indonesian nurse preceptors in guiding nursing students to use research findings.Methods:This study used interpretive phenomenology analysis that involves 9 nurse preceptors from hospitals in West Kalimantan,Indonesia.Semi-structured in-depth interviews were recorded and then transcribed verbatim.Results:Three themes were generated during the analysis:“types of student supervision,”“issues during supervision,”and“the need for research literacy and supervision.”Conclusions:Nurse preceptors need support to supervise the nursing students to use research findings.In addition to upgrading nursing skills,nurse preceptors must receive training in research and its utilization.Developing an appropriate strategy to assist students in using research findings will enhance the promotion of evidence-based nursing practices on a daily basis.展开更多
Component-based Chinese Medicine(CCM)stands as a pivotal endeavor in modernizing traditional Chinese medicine(TCM).By integrating classical TCM theories with modern scientific methodologies,CCM aims to achieve herbal ...Component-based Chinese Medicine(CCM)stands as a pivotal endeavor in modernizing traditional Chinese medicine(TCM).By integrating classical TCM theories with modern scientific methodologies,CCM aims to achieve herbal formulas with“defined components,clarified mechanisms,and controllable quality.”This approach not only transitions TCM development from empirical tradition to evidence-based science but also positions it for global recognition.Drawing on recent advancements in CCM,this editorial explores key insights and challenges shaping its trajectory.展开更多
Dear Editor,We read with a great interest the recently published systematic review by Shamsikhani and Hosseini titled,“Foot reflexology on nausea and vomiting:A systematic review.”[1]While the authors provided a com...Dear Editor,We read with a great interest the recently published systematic review by Shamsikhani and Hosseini titled,“Foot reflexology on nausea and vomiting:A systematic review.”[1]While the authors provided a comprehensive qualitative synthesis of six studies meeting their inclusion criteria,we believe that additional quantitative analysis would strengthen the evidence base for foot reflexology in managing nausea and vomiting.We conducted a complementary meta-analysis to provide quantitative evidence supporting the qualitative findings presented in the systematic review.展开更多
Thirty-six randomized controlled trials and two metaanalyses were reviewed. With respect to adult patients undergoing first orthotopic liver transplantation(OLT), steroid replacement resulted in fewer cases of overall...Thirty-six randomized controlled trials and two metaanalyses were reviewed. With respect to adult patients undergoing first orthotopic liver transplantation(OLT), steroid replacement resulted in fewer cases of overall acute rejection in the corticosteroid free-immunosuppression arm. Initial steroid administration for two weeks and early tacrolimus monotherapy is a feasible immunosuppression regimen without steroid replacement, although further investigations are needed in view of chronic rejections. No significant differences were noted between the treatment groups in terms of patient and graft survival independently of steroid replacement. Renal insufficiency, de novo hypertension, neurological disorders and infectious complications did not differ significantly among steroid and steroidfree groups. Diabetes mellitus, cholesterol levels and cytomegalovirus infection are more frequent in patients within the steroid group. With respect to diabetes mellitus and hypercholesterolemia, the difference was independent of steroid replacement. In relation to transplanted hepatitis C virus patients, mycophenolate mofetil does not appear to have a significant antiviral effect despite early reports. Male gender of donors and recipients, living donors, cold ischemia times, acute rejection, and early histological recurrence were related to the development of advanced hepatitis. There is sufficient scientific clinical evidence advocating avoidance of the ab initio use of steroids in OLT.展开更多
Dysmenorrhea refers to periodic abdominal pain,or radiating to lumbosacral region.For the severe case,it is intolerable,combined with nausea and vomiting sometimes.This disease is commonly seen in unmarried young wome...Dysmenorrhea refers to periodic abdominal pain,or radiating to lumbosacral region.For the severe case,it is intolerable,combined with nausea and vomiting sometimes.This disease is commonly seen in unmarried young women.Epidemiological studies have shown that dysmenorrhea is the most common gynecological disease,especially in young women[1].Acupuncture and moxibustion have a long history in the treatm ent of primary dysmenorrhea(hereinafter referred to as PD),and compared with medication,the advantages are presented in the treatment.Entrusted by the Standardization Working Committee of China Association for Acupuncture and Moxibustion(CAAM),Department of Acupuncture and Moxibustion,Dongzhimen Hospital,Beijing University of Traditional Chinese Medicine has undertaken the drafting of Evidence-Based Clinical Practice Guideline of Acupuncture and Moxibustion:Primary Dysmenorrhea(hereinafter referred to as the Guideline).The Guideline was issued in 2014 by CAAM.It summarizes the research achievements in acupuncture-moxibustion treatm ent for dysmenorrhea in recent decades and is intended to standardize the clinical regimen of treatm ent with acupuncture and moxibustion so as to improve the clinical effect.展开更多
Transplantation cannot be considered the most important therapeutic procedure for hepatocellular carcinoma （HCC）. In France, no more than 2% of patients with HCC undergo a transplantation. Randomized conb＇olled tri...Transplantation cannot be considered the most important therapeutic procedure for hepatocellular carcinoma （HCC）. In France, no more than 2% of patients with HCC undergo a transplantation. Randomized conb＇olled trial must assess the benefit to risk ratio of various potentially ＂curative＂ treatment procedures （transplantation, resection, radiofrequency ablation）.展开更多
The world pandemic due to coronavirus disease 2019,known as COVID-19,embodies a high rate of disease transmission that causes a critical hospitalization overload.As of May 15,2020,the disease has been the cause of mor...The world pandemic due to coronavirus disease 2019,known as COVID-19,embodies a high rate of disease transmission that causes a critical hospitalization overload.As of May 15,2020,the disease has been the cause of more than 4 million infections and more than 280000 deaths all over the world.At the beginning,we underestimated the disease;now,we have sufficient information and it is clear that it is not just a respiratory disease.In fact,if a prompt treatment is not initiated,the disease may evolve towards an abnormal immune response and cytokine storm with an important thrombophilic pattern.Therefore,we think that while waiting for certainties to be established by evidence-based medicine,it is not ethical to not try off-label therapies for some of the well-known drugs,as they could have some efficacy based on their mechanisms of action.展开更多
Consensus is evident among influential professional organizations （American Nurses Association, American College of Nurses, Institute of Medicine, National Council of State Boards of Nursing, World Health Organizatio...Consensus is evident among influential professional organizations （American Nurses Association, American College of Nurses, Institute of Medicine, National Council of State Boards of Nursing, World Health Organization, National Institute of Health, Quality Safety and Education for Nursing and the American Association of Critical Care Nurses） as to essential core competencies for healthcare providers. Although there is agreement among them, assessment and measurement of competence for RN＇s in transition is overly complex. Eleven benchmarks were developed as foundational criteria to determine readiness to practice through research of national healthcare organizations position statements on competency and subsequently cross walked with identified core competeneies. This article introduces the concept of evidence-based benchmarks as a mechanism to determine readiness to practice safely, competently and independently among novice and experienced nurses who are in transition.展开更多
<strong>Background: </strong>Successful implementation of evidence-based research into clinical practice was determined by four core elements, self-belief, the nature and level of evidence, the conductive ...<strong>Background: </strong>Successful implementation of evidence-based research into clinical practice was determined by four core elements, self-belief, the nature and level of evidence, the conductive context into which the study is to be implemented, and organizational factors facilitating the process. <strong>Aim: </strong>The current study aimed to examine barriers influencing evidence-based practice among critical care nurses in QATAR. <strong>Methods: </strong>A cross-sectional survey was utilized for the study resulting in data collected from 278 nurses during the period of Feb-2021 to March 2021 using the Barriers to Research Utilization Scale (BTRUS). The BTRUS consisted of data on various information sources utilized by nurses for support in practice, potential barriers for evidence-based practice, and perceived skills on applying research-based evidence. <strong>Result:</strong> The most significant organizational barriers were lack of time, lack of empowerment to change practice, lack of support from colleagues in implementing research evidence, and lack of access to research articles. Self-perceived barriers were irrelevance of research evidence to current practice, studies having methodological flaws, skepticism about research findings, a large amount of research evidence, and inability to understand statistics. The Nurse’s age, years of nursing practice, academic attainment, and organizational position influenced self-reported barriers and utilization of sources of Evidence. <strong>Conclusion:</strong> Organizational support, improved self-belief, and evidence-based practice expertise may reduce barriers to implementing research evidence in clinical Practice.展开更多
Objective: To observe the effect of evidence-based nursing in the clinical nursing of lung cancer patients undergoing chemotherapy. Methods: sample source: 100 patients who received lung cancer chemotherapy in our hos...Objective: To observe the effect of evidence-based nursing in the clinical nursing of lung cancer patients undergoing chemotherapy. Methods: sample source: 100 patients who received lung cancer chemotherapy in our hospital from December 2018 to December 2019 were equally divided into evidence-based group and conventional group according to the drawing method. The routine group was given routine clinical nursing, while the evidence-based group was given evidence-based nursing. The score of quality of life and the incidence of adverse reactions were compared between the two groups. Results: the scores of quality of life in the evidence-based group were higher than those in the conventional group (P < 0.05);the incidence of adverse reactions in the evidence-based group (4.00%) was significantly lower than that in the conventional group (24.00%) (x2 = 8.3056, P = 0.0039). Conclusion: the implementation of evidence-based nursing for lung cancer patients with chemotherapy can not only ensure the treatment effect, but also improve the quality of life of patients and reduce the probability of adverse reactions, which is worthy of promotion.展开更多
Objective: to explore the application value of evidence-based nursing in the nursing of gastrointestinal surgical pipeline. Methods: 106 patients who came to our hospital for gastrointestinal surgery were divided into...Objective: to explore the application value of evidence-based nursing in the nursing of gastrointestinal surgical pipeline. Methods: 106 patients who came to our hospital for gastrointestinal surgery were divided into control group and observation group. The control group was mainly routine nursing, and the observation group was mainly evidence-based nursing. Results: the rates of accidental extubation and unplanned extubation in the observation group were lower than those in the control group (P < 0.05);The total satisfaction of nursing in the observation group was higher than that in the control group (P < 0.05);The anxiety score, pain score and fear score of the observation group were lower than those of the control group (P < 0.05). Conclusion: in the nursing of gastrointestinal surgical pipeline, the application of evidence-based nursing can reduce the rate of accidental extubation and unplanned extubation, improve the overall satisfaction of nursing and improve the mental state.展开更多
Objective: to explore the nursing content and effect of evidence-based nursing service model in patients with myocardial infarction complicated with heart failure.Methods: 66 patients with myocardial infarction compli...Objective: to explore the nursing content and effect of evidence-based nursing service model in patients with myocardial infarction complicated with heart failure.Methods: 66 patients with myocardial infarction complicated with heart failure treated in our hospital from April 2020 to June 2021 were selected.They were divided into two groups according to basic nursing and evidence-based nursing.Basic nursing was used in the routine group and evidence-based nursing was used in the experimental group.The prognosis, curative effect, nursing service satisfaction and quality of life of the two groups were compared.Results: the intervention effect of the experimental group was significantly higher than that of the routine group (P < 0.05);The satisfaction of nursing service in the experimental group was significantly higher than that in the routine group (P < 0.05).Conclusion: evidence based nursing measures can be effectively applied to patients with myocardial infarction complicated with heart failure, can effectively improve the rescue effect of patients, and can significantly improve the quality of life and clinical nursing quality of patients, which is worthy of promotion.展开更多
Objective: to conduct a comprehensive and in-depth research and analysis on the practical application of predictive nursing and evidence-based nursing in anesthesia patients in the operating room. Methods: fifty eight...Objective: to conduct a comprehensive and in-depth research and analysis on the practical application of predictive nursing and evidence-based nursing in anesthesia patients in the operating room. Methods: fifty eight patients who underwent surgery in our hospital from 2017 to 2019 were selected as the subjects of this study. All patients were divided into two groups by random average grouping. Predictive nursing was adopted for the patients in the control group, while evidence-based nursing was adopted for each patient in the experimental group. The recovery time and complications of patients in the operating room in the two groups were comprehensively analyzed and studied. Results: there was no significant difference in recovery time and VAS score between the two groups. The probability of complications in the experimental group was lower than that in the reference group. Conclusion: evidence based nursing and predictive nursing can play a positive role in the rehabilitation of anesthesia patients in the operating room. After the completion of evidence-based nursing, the probability of complications is relatively low. In practice, it is also necessary to select appropriate nursing methods in combination with the actual situation and needs of patients.展开更多
Objective: to study and analyze the effect of evidence-based nursing in the nursing of cerebral infarction with hypertension. Methods: 82 patients with cerebral infarction complicated with hypertension were selected a...Objective: to study and analyze the effect of evidence-based nursing in the nursing of cerebral infarction with hypertension. Methods: 82 patients with cerebral infarction complicated with hypertension were selected and divided into study group and control group, with 41 cases in each group. Routine nursing was given to patients in the control group and evidence-based nursing was given to patients in the study group. The clinical effects of the two groups were observed and compared. Results: after evidence-based nursing, the study group was better than the control group in blood pressure and nursing effect, and the difference was statistically significant (P < 0.05). Conclusion: the application of evidence-based nursing in the nursing of patients with cerebral infarction complicated with hypertension can improve the blood pressure of patients, improve the nursing effect, and effectively promote the rehabilitation of patients. The clinical effect is significant, which is worthy of clinical application and promotion.展开更多
Objective: To study the effect of evidence-based nursing model on prevention of deep vein thrombosis in patients with traumatic fracture during perioperative nursing. Methods a total of 360 patients with lower extremi...Objective: To study the effect of evidence-based nursing model on prevention of deep vein thrombosis in patients with traumatic fracture during perioperative nursing. Methods a total of 360 patients with lower extremity traumatic fracture surgery were selected as the sample group in the orthopedic department of our hospital, and the age range was selected from January 2018 to January 2020. Methods: 360 patients were randomly divided into two groups: the general nursing group (n = 180), the evidence-based nursing group (n = 180). The patients in the general nursing group were given perioperative nursing according to the routine nursing mode, and the patients in the evidence-based nursing group were strictly implementing the evidence-based nursing process. Observe the statistical results of two indicators of lower extremity deep vein thrombosis and patients' satisfaction with nursing work in two groups of patients with different nursing methods. Results of the observation found that the incidence of deep venous thrombosis in patients with evidence-based nursing intervention was only 1.67%, which was significantly lower than that of 10.56% in the general nursing group (P < 0.05). The satisfaction rate of patients in general nursing group was only 62.78%, which was significantly different from that of evidence-based nursing group (92.22%) (P < 0.05). Conclusion the application of evidence-based nursing mode in perioperative period can effectively reduce the probability of deep vein thrombosis and promote the improvement of nursing satisfaction of patients, which is worthy of recommendation in clinical nursing work.展开更多
In this article, the authors hold that the evidence based medicine(EBM) is a new medical action produced at the historic moment in clinical practice, which is promoting development of the medicine and even the whole l...In this article, the authors hold that the evidence based medicine(EBM) is a new medical action produced at the historic moment in clinical practice, which is promoting development of the medicine and even the whole life science in a fully new train of thought and method. Further the briefly introduced contents are the effect of EBM, the difficulty of utilizing in the acupuncture clinical practice and how to resolve them. It is highly recommended that the doctors of the acupuncture science field should study EBM and its effect and difficulties in practice as earlier as possible, insistently assimilate new knowledge and keep abreast of the times’ progress to facilitate the further development of acupunctology.展开更多
文摘Case reports,often overlooked in evidence-based medicine(EBM),play a pivotal role in healthcare research.They provide unique insights into rare conditions,novel treatments,and adverse effects,serving as valuable educational tools and generating new hypothesis.Despite their limitations in generalizability,case reports contribute significantly to evidence-based practice by offering detailed clinical information and fostering critical thinking among healthcare professionals.By acknowledging their limitations and adhering to reporting guidelines,case reports can contribute significantly to medical knowledge and patient care within the evolving landscape of EBM.This editorial explores the intrinsic value of case reports in EBM and patient care.
文摘 Cardiovascular disease is the most frequent diagnosis in elderly people and is the leading cause of death in both men and women older than 65 years. Every year in the United States more than 700,000 patients arrive at the emergency room with ST-segment elevation myocardial infarction(STEMI). About 60 percent of hospital admissions for AMI are of people older than 65 years. Their in-hospital, 1-month,and 1-year mortality is high. 1 In this article, we will provide a review on clinical trials that guide the management of STelevation myocardial infarction of the elderly patients.……
基金This work was supported in part by NIH/NIA RO1 AG025392 NIH/NEI:RO1 EY022097,JoAnne Smith and Delta Airlines Charitable Donation,and an unrestricted grant from Research to Prevent Blindness to the Mayo Clinic,Department of Ophthalmology,Rochester,MN,USA.
文摘To describe the current aging population in China and globally,especially as it applies to age-related macular degeneration(AMD).To review the current standards of care for treating both wet(exudative)eAMD and dry(atrophic)aAMD.And to introduce a model for experimentation that is based on the Age-Related Eye Disease Study(AREDS)using eye bank tissue.A literature search that outlines current aging populations,standards of clinical treatment as defined by large,multicenter,randomized clinical trials that present level-I data with a low risk for bias.An experimental model system of AMD is presented that enables scientific analysis of AMD pathogenesis by applying grading criteria from the AREDS to human eye bank eyes.Analysis includes proteomic,cellular,and functional genomics.The standard of care for the treatment of eAMD is currently defined by the use of several anti-vascular endothelial growth(anti-VEGF)agents alone or in combination with photodynamic therapy.Monotherapy treatment intervals may be monthly,as needed,or by using a treat-and-extend(TAE)protocol.There are no proven therapies for aAMD.AMD that is phenotypically defined at AREDS level 3,should be managed with the use of anti-oxidant vitamins,lutein/zeaxanthin and zinc(AREDS-2 formulation).By understanding the multiple etiologies in the pathogenesis of AMD(i.e.,oxidative stress,inflammation,and genetics),the use of human eye bank tissues graded according to the Minnesota Grading System(MGS)will enable future insights into the pathogenesis of AMD.Initial AMD management is with lifestyle modification such as avoiding smoking,eating a healthy diet and using appropriate vitamin supplements(AREDS-2).For eAMD,anti-VEGF therapies using either pro re nata(PRN)or TAE protocols are recommended,with photodynamic therapy in appropriate cases.New cellular information will direct future,potential therapies and these will originate from experimental models,such as the proposed eye bank model using the MGS,that leverages the prospective AREDS database.
基金supported by Universitas Tanjungpura Pontianak,Indonesia(No.2377/UN22.9/PG/2022,2022)。
文摘Objective:Evidence-based practices(EBPs)have been taught to students by identifying the best evidence/evidence from research results.However,the experiences of Indonesian nurse preceptors in helping students implement research findings have not been explored thoroughly.This study aimed to explore Indonesian nurse preceptors in guiding nursing students to use research findings.Methods:This study used interpretive phenomenology analysis that involves 9 nurse preceptors from hospitals in West Kalimantan,Indonesia.Semi-structured in-depth interviews were recorded and then transcribed verbatim.Results:Three themes were generated during the analysis:“types of student supervision,”“issues during supervision,”and“the need for research literacy and supervision.”Conclusions:Nurse preceptors need support to supervise the nursing students to use research findings.In addition to upgrading nursing skills,nurse preceptors must receive training in research and its utilization.Developing an appropriate strategy to assist students in using research findings will enhance the promotion of evidence-based nursing practices on a daily basis.
文摘Component-based Chinese Medicine(CCM)stands as a pivotal endeavor in modernizing traditional Chinese medicine(TCM).By integrating classical TCM theories with modern scientific methodologies,CCM aims to achieve herbal formulas with“defined components,clarified mechanisms,and controllable quality.”This approach not only transitions TCM development from empirical tradition to evidence-based science but also positions it for global recognition.Drawing on recent advancements in CCM,this editorial explores key insights and challenges shaping its trajectory.
文摘Dear Editor,We read with a great interest the recently published systematic review by Shamsikhani and Hosseini titled,“Foot reflexology on nausea and vomiting:A systematic review.”[1]While the authors provided a comprehensive qualitative synthesis of six studies meeting their inclusion criteria,we believe that additional quantitative analysis would strengthen the evidence base for foot reflexology in managing nausea and vomiting.We conducted a complementary meta-analysis to provide quantitative evidence supporting the qualitative findings presented in the systematic review.
文摘Thirty-six randomized controlled trials and two metaanalyses were reviewed. With respect to adult patients undergoing first orthotopic liver transplantation(OLT), steroid replacement resulted in fewer cases of overall acute rejection in the corticosteroid free-immunosuppression arm. Initial steroid administration for two weeks and early tacrolimus monotherapy is a feasible immunosuppression regimen without steroid replacement, although further investigations are needed in view of chronic rejections. No significant differences were noted between the treatment groups in terms of patient and graft survival independently of steroid replacement. Renal insufficiency, de novo hypertension, neurological disorders and infectious complications did not differ significantly among steroid and steroidfree groups. Diabetes mellitus, cholesterol levels and cytomegalovirus infection are more frequent in patients within the steroid group. With respect to diabetes mellitus and hypercholesterolemia, the difference was independent of steroid replacement. In relation to transplanted hepatitis C virus patients, mycophenolate mofetil does not appear to have a significant antiviral effect despite early reports. Male gender of donors and recipients, living donors, cold ischemia times, acute rejection, and early histological recurrence were related to the development of advanced hepatitis. There is sufficient scientific clinical evidence advocating avoidance of the ab initio use of steroids in OLT.
基金State Administration of Traditional Chinese Medicine(Department of Policy,Regulation and Supervision)“Evidence-based clinical practice guideline of acupuncture and moxibustion:primary dysmenorrhea”:No.ZYYS-2009-0009-4Scientific Specific Project of China Base Business Construction for Clinical Research of Traditional Chinese Medicine,State Administration of Traditional Chinese Medicine:No.JDZX2015063
文摘Dysmenorrhea refers to periodic abdominal pain,or radiating to lumbosacral region.For the severe case,it is intolerable,combined with nausea and vomiting sometimes.This disease is commonly seen in unmarried young women.Epidemiological studies have shown that dysmenorrhea is the most common gynecological disease,especially in young women[1].Acupuncture and moxibustion have a long history in the treatm ent of primary dysmenorrhea(hereinafter referred to as PD),and compared with medication,the advantages are presented in the treatment.Entrusted by the Standardization Working Committee of China Association for Acupuncture and Moxibustion(CAAM),Department of Acupuncture and Moxibustion,Dongzhimen Hospital,Beijing University of Traditional Chinese Medicine has undertaken the drafting of Evidence-Based Clinical Practice Guideline of Acupuncture and Moxibustion:Primary Dysmenorrhea(hereinafter referred to as the Guideline).The Guideline was issued in 2014 by CAAM.It summarizes the research achievements in acupuncture-moxibustion treatm ent for dysmenorrhea in recent decades and is intended to standardize the clinical regimen of treatm ent with acupuncture and moxibustion so as to improve the clinical effect.
文摘Transplantation cannot be considered the most important therapeutic procedure for hepatocellular carcinoma （HCC）. In France, no more than 2% of patients with HCC undergo a transplantation. Randomized conb＇olled trial must assess the benefit to risk ratio of various potentially ＂curative＂ treatment procedures （transplantation, resection, radiofrequency ablation）.
文摘The world pandemic due to coronavirus disease 2019,known as COVID-19,embodies a high rate of disease transmission that causes a critical hospitalization overload.As of May 15,2020,the disease has been the cause of more than 4 million infections and more than 280000 deaths all over the world.At the beginning,we underestimated the disease;now,we have sufficient information and it is clear that it is not just a respiratory disease.In fact,if a prompt treatment is not initiated,the disease may evolve towards an abnormal immune response and cytokine storm with an important thrombophilic pattern.Therefore,we think that while waiting for certainties to be established by evidence-based medicine,it is not ethical to not try off-label therapies for some of the well-known drugs,as they could have some efficacy based on their mechanisms of action.
文摘Consensus is evident among influential professional organizations （American Nurses Association, American College of Nurses, Institute of Medicine, National Council of State Boards of Nursing, World Health Organization, National Institute of Health, Quality Safety and Education for Nursing and the American Association of Critical Care Nurses） as to essential core competencies for healthcare providers. Although there is agreement among them, assessment and measurement of competence for RN＇s in transition is overly complex. Eleven benchmarks were developed as foundational criteria to determine readiness to practice through research of national healthcare organizations position statements on competency and subsequently cross walked with identified core competeneies. This article introduces the concept of evidence-based benchmarks as a mechanism to determine readiness to practice safely, competently and independently among novice and experienced nurses who are in transition.
文摘<strong>Background: </strong>Successful implementation of evidence-based research into clinical practice was determined by four core elements, self-belief, the nature and level of evidence, the conductive context into which the study is to be implemented, and organizational factors facilitating the process. <strong>Aim: </strong>The current study aimed to examine barriers influencing evidence-based practice among critical care nurses in QATAR. <strong>Methods: </strong>A cross-sectional survey was utilized for the study resulting in data collected from 278 nurses during the period of Feb-2021 to March 2021 using the Barriers to Research Utilization Scale (BTRUS). The BTRUS consisted of data on various information sources utilized by nurses for support in practice, potential barriers for evidence-based practice, and perceived skills on applying research-based evidence. <strong>Result:</strong> The most significant organizational barriers were lack of time, lack of empowerment to change practice, lack of support from colleagues in implementing research evidence, and lack of access to research articles. Self-perceived barriers were irrelevance of research evidence to current practice, studies having methodological flaws, skepticism about research findings, a large amount of research evidence, and inability to understand statistics. The Nurse’s age, years of nursing practice, academic attainment, and organizational position influenced self-reported barriers and utilization of sources of Evidence. <strong>Conclusion:</strong> Organizational support, improved self-belief, and evidence-based practice expertise may reduce barriers to implementing research evidence in clinical Practice.
文摘Objective: To observe the effect of evidence-based nursing in the clinical nursing of lung cancer patients undergoing chemotherapy. Methods: sample source: 100 patients who received lung cancer chemotherapy in our hospital from December 2018 to December 2019 were equally divided into evidence-based group and conventional group according to the drawing method. The routine group was given routine clinical nursing, while the evidence-based group was given evidence-based nursing. The score of quality of life and the incidence of adverse reactions were compared between the two groups. Results: the scores of quality of life in the evidence-based group were higher than those in the conventional group (P < 0.05);the incidence of adverse reactions in the evidence-based group (4.00%) was significantly lower than that in the conventional group (24.00%) (x2 = 8.3056, P = 0.0039). Conclusion: the implementation of evidence-based nursing for lung cancer patients with chemotherapy can not only ensure the treatment effect, but also improve the quality of life of patients and reduce the probability of adverse reactions, which is worthy of promotion.
文摘Objective: to explore the application value of evidence-based nursing in the nursing of gastrointestinal surgical pipeline. Methods: 106 patients who came to our hospital for gastrointestinal surgery were divided into control group and observation group. The control group was mainly routine nursing, and the observation group was mainly evidence-based nursing. Results: the rates of accidental extubation and unplanned extubation in the observation group were lower than those in the control group (P < 0.05);The total satisfaction of nursing in the observation group was higher than that in the control group (P < 0.05);The anxiety score, pain score and fear score of the observation group were lower than those of the control group (P < 0.05). Conclusion: in the nursing of gastrointestinal surgical pipeline, the application of evidence-based nursing can reduce the rate of accidental extubation and unplanned extubation, improve the overall satisfaction of nursing and improve the mental state.
文摘Objective: to explore the nursing content and effect of evidence-based nursing service model in patients with myocardial infarction complicated with heart failure.Methods: 66 patients with myocardial infarction complicated with heart failure treated in our hospital from April 2020 to June 2021 were selected.They were divided into two groups according to basic nursing and evidence-based nursing.Basic nursing was used in the routine group and evidence-based nursing was used in the experimental group.The prognosis, curative effect, nursing service satisfaction and quality of life of the two groups were compared.Results: the intervention effect of the experimental group was significantly higher than that of the routine group (P < 0.05);The satisfaction of nursing service in the experimental group was significantly higher than that in the routine group (P < 0.05).Conclusion: evidence based nursing measures can be effectively applied to patients with myocardial infarction complicated with heart failure, can effectively improve the rescue effect of patients, and can significantly improve the quality of life and clinical nursing quality of patients, which is worthy of promotion.
文摘Objective: to conduct a comprehensive and in-depth research and analysis on the practical application of predictive nursing and evidence-based nursing in anesthesia patients in the operating room. Methods: fifty eight patients who underwent surgery in our hospital from 2017 to 2019 were selected as the subjects of this study. All patients were divided into two groups by random average grouping. Predictive nursing was adopted for the patients in the control group, while evidence-based nursing was adopted for each patient in the experimental group. The recovery time and complications of patients in the operating room in the two groups were comprehensively analyzed and studied. Results: there was no significant difference in recovery time and VAS score between the two groups. The probability of complications in the experimental group was lower than that in the reference group. Conclusion: evidence based nursing and predictive nursing can play a positive role in the rehabilitation of anesthesia patients in the operating room. After the completion of evidence-based nursing, the probability of complications is relatively low. In practice, it is also necessary to select appropriate nursing methods in combination with the actual situation and needs of patients.
文摘Objective: to study and analyze the effect of evidence-based nursing in the nursing of cerebral infarction with hypertension. Methods: 82 patients with cerebral infarction complicated with hypertension were selected and divided into study group and control group, with 41 cases in each group. Routine nursing was given to patients in the control group and evidence-based nursing was given to patients in the study group. The clinical effects of the two groups were observed and compared. Results: after evidence-based nursing, the study group was better than the control group in blood pressure and nursing effect, and the difference was statistically significant (P < 0.05). Conclusion: the application of evidence-based nursing in the nursing of patients with cerebral infarction complicated with hypertension can improve the blood pressure of patients, improve the nursing effect, and effectively promote the rehabilitation of patients. The clinical effect is significant, which is worthy of clinical application and promotion.
文摘Objective: To study the effect of evidence-based nursing model on prevention of deep vein thrombosis in patients with traumatic fracture during perioperative nursing. Methods a total of 360 patients with lower extremity traumatic fracture surgery were selected as the sample group in the orthopedic department of our hospital, and the age range was selected from January 2018 to January 2020. Methods: 360 patients were randomly divided into two groups: the general nursing group (n = 180), the evidence-based nursing group (n = 180). The patients in the general nursing group were given perioperative nursing according to the routine nursing mode, and the patients in the evidence-based nursing group were strictly implementing the evidence-based nursing process. Observe the statistical results of two indicators of lower extremity deep vein thrombosis and patients' satisfaction with nursing work in two groups of patients with different nursing methods. Results of the observation found that the incidence of deep venous thrombosis in patients with evidence-based nursing intervention was only 1.67%, which was significantly lower than that of 10.56% in the general nursing group (P < 0.05). The satisfaction rate of patients in general nursing group was only 62.78%, which was significantly different from that of evidence-based nursing group (92.22%) (P < 0.05). Conclusion the application of evidence-based nursing mode in perioperative period can effectively reduce the probability of deep vein thrombosis and promote the improvement of nursing satisfaction of patients, which is worthy of recommendation in clinical nursing work.
文摘In this article, the authors hold that the evidence based medicine(EBM) is a new medical action produced at the historic moment in clinical practice, which is promoting development of the medicine and even the whole life science in a fully new train of thought and method. Further the briefly introduced contents are the effect of EBM, the difficulty of utilizing in the acupuncture clinical practice and how to resolve them. It is highly recommended that the doctors of the acupuncture science field should study EBM and its effect and difficulties in practice as earlier as possible, insistently assimilate new knowledge and keep abreast of the times’ progress to facilitate the further development of acupunctology.
