目的依据ISBAR理论,即身份确认(Identify)、现状(Situation)、背景(Background)、评估(Assessment)、建议(Recommendation)标准化沟通理论,建立重症监护室(intensive care unit,ICU)护理交班的指标并开发相关的智能护理交班系统(以下简...目的依据ISBAR理论,即身份确认(Identify)、现状(Situation)、背景(Background)、评估(Assessment)、建议(Recommendation)标准化沟通理论,建立重症监护室(intensive care unit,ICU)护理交班的指标并开发相关的智能护理交班系统(以下简称智能ICU-ISBAR护理交班系统),以提升护理交班规范性、交班效率和质量,为ICU护理交班提供标准化工具。方法通过文献回顾梳理ISBAR理论的核心要素及ICU护理交班的关键内容,初步拟定ICU护理交班指标初稿;采用德尔菲专家函询(20名)筛选并确认指标体系的核心维度和具体指标,并转化为智能ICU-ISBAR护理交班系统,进行应用效果评价。结果第一、二轮函询问卷的有效回收率均为100.00%,专家权威系数为0.83,Kendall协调系数W分别为0.127、0.166,指标重要性赋值分别为4.25~4.95分、3.90~5.00分,变异系数分别为0.05~0.19、0~0.22,最终构建的智能ICU-ISBAR护理交班系统包括6个一级指标和60个二级指标。临床应用效果显示,该系统的数据上传成功率达到96.67%,平均响应时间为1.80s;交班记录平均时间为(1.97±0.58)min/例;护士对交班质量满意度平均(4.47±0.25)分;对系统使用感受平均(4.75±0.08)分,12名护士认为该交班系统的实用性、便捷性、智能性较高。结论基于ISBAR理论构建的ICU护理交班指标客观、科学且严谨,具备结构性、标准性及专科特异性,由此开发的智能ICU-ISBAR护理交班系统能规范交班流程、减少信息遗漏、提高交班效率和质量,可能作为ICU护理的标准化交班工具。展开更多
A portable shape-shifting mobile robot system named as Amoeba Ⅱ（A-Ⅱ） is developed for the urban search and rescue application. It is designed with three degrees of freedom and two tracked drive systems. This robot...A portable shape-shifting mobile robot system named as Amoeba Ⅱ（A-Ⅱ） is developed for the urban search and rescue application. It is designed with three degrees of freedom and two tracked drive systems. This robot consists of two modular mobile units and a joint unit. The mobile unit is a tracked mechanism to enforce the propulsion of robot. And the joint unit can transform the robot shape to get high environment adaptation. A-Ⅱ robot can not only adapt to the environment but also change its body shape according to the locus space. It behaves two work states including the linear state （named as I state） and the parallel state （named as Ⅱ state）. With the linear state the robot can climb upstairs and go through narrow space such as the pipe, cave, etc. The parallel state enables the robot with high mobility on rough ground. Also, the joint unit can propel the robot to roll in sidewise direction. Two modular A-Ⅱ robots can be connected through jointing common interfaces on the joint unit to compose a stronger shape-shifting robot, which can transform the body into four wheels-driven vehicle. The experimental results validate the adaptation and mobility of A-Ⅱ robot.展开更多
目的分析SBAR标准化沟通模式在重症监护病房(intensive care unit,ICU)护理交接班中的应用效果。方法福建中医药大学附属人民医院ICU护理单元从2023年8月开始应用SBAR标准化沟通模式,以2023年3—7月收治的103例患者作为实施前,2023年8...目的分析SBAR标准化沟通模式在重症监护病房(intensive care unit,ICU)护理交接班中的应用效果。方法福建中医药大学附属人民医院ICU护理单元从2023年8月开始应用SBAR标准化沟通模式,以2023年3—7月收治的103例患者作为实施前,2023年8—12月收治的114例患者作为实施后,护理交接班工作均由22名护理人员完成。比较SBAR标准化沟通模式实施前后床旁交接班时间、中文版护士交接班评估量表(nursing assessment of shift report,NASR)、不良事件发生率、中文版评判性思维态度倾向性调查表(critical thinking disposition inventory-Chinese version,CTDI-CV)评分。结果实施后床旁交接班时间为(8.2±2.3)min,短于实施前的(11.3±2.8)min,差异有统计学意义(P<0.05)。护理人员CTDI-CV评分为(294.5±68.7)分,高于实施前的(231.2±50.8)分,且具备正性评判性思维倾向护理人员的占比高于实施前,差异有统计学意义(P<0.05)。实施后NASR交接班效率、患者安全护理、交接班协作与责任、提供患者需要信息评分分别为(8.0±1.3)分、(8.5±1.1)分、(20.4±2.9)分、(23.9±3.6)分,高于实施前的(5.8±1.7)分、(6.7±1.3)分、(15.3±3.7)分、(19.2±4.4)分,差异有统计学意义(P<0.05)。SBAR标准化沟通模式实施后不良事件总发生率为9.6%,低于实施前的22.3%,差异有统计学意义(P<0.05)。结论SBAR标准化沟通模式可提升ICU护理交接班工作效率与质量,减少不良事件,增强护理人员评判性思维。展开更多
In this paper, we consider operators arising in the modeling of renewable systems with elements that can be in different states. These operators are functional operators with non-Carlemann shifts and they act in Holde...In this paper, we consider operators arising in the modeling of renewable systems with elements that can be in different states. These operators are functional operators with non-Carlemann shifts and they act in Holder spaces with weight. The main attention was paid to non-linear equations relating coefficients to operators with a shift. The solutions of these equations were used to reduce the operators under consideration to operators with shift, the invertibility conditions for which were found in previous articles of the authors. To construct the solution of the non-linear equation, we consider the coefficient factorization problem (the homogeneous equation with a zero right-hand side) and the jump problem (the non-homogeneous equation with a unit coefficient). The solution of the general equation is represented as a composition of the solutions to these two problems.展开更多
文摘目的依据ISBAR理论,即身份确认(Identify)、现状(Situation)、背景(Background)、评估(Assessment)、建议(Recommendation)标准化沟通理论,建立重症监护室(intensive care unit,ICU)护理交班的指标并开发相关的智能护理交班系统(以下简称智能ICU-ISBAR护理交班系统),以提升护理交班规范性、交班效率和质量,为ICU护理交班提供标准化工具。方法通过文献回顾梳理ISBAR理论的核心要素及ICU护理交班的关键内容,初步拟定ICU护理交班指标初稿;采用德尔菲专家函询(20名)筛选并确认指标体系的核心维度和具体指标,并转化为智能ICU-ISBAR护理交班系统,进行应用效果评价。结果第一、二轮函询问卷的有效回收率均为100.00%,专家权威系数为0.83,Kendall协调系数W分别为0.127、0.166,指标重要性赋值分别为4.25~4.95分、3.90~5.00分,变异系数分别为0.05~0.19、0~0.22,最终构建的智能ICU-ISBAR护理交班系统包括6个一级指标和60个二级指标。临床应用效果显示,该系统的数据上传成功率达到96.67%,平均响应时间为1.80s;交班记录平均时间为(1.97±0.58)min/例;护士对交班质量满意度平均(4.47±0.25)分;对系统使用感受平均(4.75±0.08)分,12名护士认为该交班系统的实用性、便捷性、智能性较高。结论基于ISBAR理论构建的ICU护理交班指标客观、科学且严谨,具备结构性、标准性及专科特异性,由此开发的智能ICU-ISBAR护理交班系统能规范交班流程、减少信息遗漏、提高交班效率和质量,可能作为ICU护理的标准化交班工具。
基金National Natural Science Foundation of China(No. 60375029)National Hi-tech Research and Development Program of China(863 Program,No.2006AA04Z254)
文摘A portable shape-shifting mobile robot system named as Amoeba Ⅱ（A-Ⅱ） is developed for the urban search and rescue application. It is designed with three degrees of freedom and two tracked drive systems. This robot consists of two modular mobile units and a joint unit. The mobile unit is a tracked mechanism to enforce the propulsion of robot. And the joint unit can transform the robot shape to get high environment adaptation. A-Ⅱ robot can not only adapt to the environment but also change its body shape according to the locus space. It behaves two work states including the linear state （named as I state） and the parallel state （named as Ⅱ state）. With the linear state the robot can climb upstairs and go through narrow space such as the pipe, cave, etc. The parallel state enables the robot with high mobility on rough ground. Also, the joint unit can propel the robot to roll in sidewise direction. Two modular A-Ⅱ robots can be connected through jointing common interfaces on the joint unit to compose a stronger shape-shifting robot, which can transform the body into four wheels-driven vehicle. The experimental results validate the adaptation and mobility of A-Ⅱ robot.
文摘In this paper, we consider operators arising in the modeling of renewable systems with elements that can be in different states. These operators are functional operators with non-Carlemann shifts and they act in Holder spaces with weight. The main attention was paid to non-linear equations relating coefficients to operators with a shift. The solutions of these equations were used to reduce the operators under consideration to operators with shift, the invertibility conditions for which were found in previous articles of the authors. To construct the solution of the non-linear equation, we consider the coefficient factorization problem (the homogeneous equation with a zero right-hand side) and the jump problem (the non-homogeneous equation with a unit coefficient). The solution of the general equation is represented as a composition of the solutions to these two problems.
