随着家庭网络业务向高带宽、低时延、强交互方向演进,传统流量管理模式已难以满足用户体验质量(quality of experience,QoE)保障需求。针对用户行为不可见、QoE评估缺乏用户行为感知支撑、异常检测与服务优化割裂等核心挑战,提出基于深...随着家庭网络业务向高带宽、低时延、强交互方向演进,传统流量管理模式已难以满足用户体验质量(quality of experience,QoE)保障需求。针对用户行为不可见、QoE评估缺乏用户行为感知支撑、异常检测与服务优化割裂等核心挑战,提出基于深度包检测(deep packet inspection, DPI)技术的家庭宽带网络服务质量优化方案。该方案通过DPI构建细粒度用户行为画像,设计动态权重评估模型,形成从用户感知到服务的网络服务质量优化路径,并在某省级运营商实践中验证了该方案的可行性与有效性。展开更多
Purpose:The aim was to synthesize quantitative and qualitative research that identified the most effective educational strategies for nurse-led inhaler technique(IT)education in Chronic Obstructive Pulmonary Disease(C...Purpose:The aim was to synthesize quantitative and qualitative research that identified the most effective educational strategies for nurse-led inhaler technique(IT)education in Chronic Obstructive Pulmonary Disease(COPD)patients,as perceived by patients,healthcare providers,and nurses.Methods:A systematic literature search in Embase,PubMed,Cochrane Library,Web of Science,and CINAHL from 2018 to 30 June 2024 was conducted.In total,327 articles were identified.The results of 14 studies that met the inclusion criteria were synthesized.Data were analyzed with des-criptive and semi-quantitative methods to yield summarizing findings on the effectiveness of different educational strate-gies.All investigations had assessed patient adherence to IT.Results:Data indicated that nurse-led IT teaching strategies are effective in promoting IT adherence and correctness in COPD patients utilizing the personalized Teach-Back method.However,studies in disease control and comparison of patient IT satisfaction and self-efficacy need further investigation.Conclusion:The results of this study may contribute to the understanding of the most effective educational strategies in nurse-led IT education for COPD patients.The synthesized findings can be used for the development of new educational interventions and assessment instruments for IT adherence.展开更多
目的建立吸入用乙酰半胱氨酸溶液的药物利用评价(drug utilization evaluation,DUE)标准,并采用加权逼近理想解排序(technique for order preference by similarity to ideal solution,TOPSIS)法对吸入用乙酰半胱氨酸溶液的药物使用情...目的建立吸入用乙酰半胱氨酸溶液的药物利用评价(drug utilization evaluation,DUE)标准,并采用加权逼近理想解排序(technique for order preference by similarity to ideal solution,TOPSIS)法对吸入用乙酰半胱氨酸溶液的药物使用情况进行评价。方法采用回顾性评价的方法。依据吸入用乙酰半胱氨酸溶液说明书、国内外相关指南和共识、循证医学数据库以及国内外相关文献,制定该药的评价细则,并以此为标准,运用TOPSIS对解放军总医院第五医学中心2023年1月1日至2023年12月31日使用吸入用乙酰半胱氨酸溶液的197份病历进行回顾性评价。结果建立了吸入用乙酰半胱氨酸溶液的DUE标准,包括13个评价指标。通过对197份病历的评价,理想解相对接近度(C_(i))为1.0的病历共75份[38.07%(75/197)],0.8≤C_(i)<1.0的病历共26份[13.20%(26/197)],0.6≤C_(i)<0.8的病历共96份[48.73%(96/197)]。不合理问题主要表现在适应证、病程记录、治疗疗程、药物相互作用、重复用药等方面。结论基于TOPSIS对吸入用乙酰半胱氨酸溶液的使用合理性进行评价简便易行,且评价结果科学客观、合理规范。展开更多
文摘Purpose:The aim was to synthesize quantitative and qualitative research that identified the most effective educational strategies for nurse-led inhaler technique(IT)education in Chronic Obstructive Pulmonary Disease(COPD)patients,as perceived by patients,healthcare providers,and nurses.Methods:A systematic literature search in Embase,PubMed,Cochrane Library,Web of Science,and CINAHL from 2018 to 30 June 2024 was conducted.In total,327 articles were identified.The results of 14 studies that met the inclusion criteria were synthesized.Data were analyzed with des-criptive and semi-quantitative methods to yield summarizing findings on the effectiveness of different educational strate-gies.All investigations had assessed patient adherence to IT.Results:Data indicated that nurse-led IT teaching strategies are effective in promoting IT adherence and correctness in COPD patients utilizing the personalized Teach-Back method.However,studies in disease control and comparison of patient IT satisfaction and self-efficacy need further investigation.Conclusion:The results of this study may contribute to the understanding of the most effective educational strategies in nurse-led IT education for COPD patients.The synthesized findings can be used for the development of new educational interventions and assessment instruments for IT adherence.
文摘目的建立吸入用乙酰半胱氨酸溶液的药物利用评价(drug utilization evaluation,DUE)标准,并采用加权逼近理想解排序(technique for order preference by similarity to ideal solution,TOPSIS)法对吸入用乙酰半胱氨酸溶液的药物使用情况进行评价。方法采用回顾性评价的方法。依据吸入用乙酰半胱氨酸溶液说明书、国内外相关指南和共识、循证医学数据库以及国内外相关文献,制定该药的评价细则,并以此为标准,运用TOPSIS对解放军总医院第五医学中心2023年1月1日至2023年12月31日使用吸入用乙酰半胱氨酸溶液的197份病历进行回顾性评价。结果建立了吸入用乙酰半胱氨酸溶液的DUE标准,包括13个评价指标。通过对197份病历的评价,理想解相对接近度(C_(i))为1.0的病历共75份[38.07%(75/197)],0.8≤C_(i)<1.0的病历共26份[13.20%(26/197)],0.6≤C_(i)<0.8的病历共96份[48.73%(96/197)]。不合理问题主要表现在适应证、病程记录、治疗疗程、药物相互作用、重复用药等方面。结论基于TOPSIS对吸入用乙酰半胱氨酸溶液的使用合理性进行评价简便易行,且评价结果科学客观、合理规范。
