护理本科毕业生核心能力综合评价指标体系的研究

Objective To probe into the structure of core competences of baccalaureate nursing graduates,structuring a system of indexes evaluation of baccalaureate nursing graduates' core competences.Methods Adopting Delphi method and AHP method to evaluate the items,layer structure,weights,connotation of the indexes system.All data were collected and statistically treated.Results After two rounds of consultations,built an index evaluation system of baccalaureate nursing graduates' core competences.Individual Authority Coefficient of all experts are 0.775～1.0;the level of concordance of experts' opinion about index is above of 91.9%,the coefficient of concordance is 0.84,CI or CR of the logic concordance of all indexs is less than 0.1.Conclusions The index evaluation system of baccalaureate nursing graduates' core eompetenees is built after two rounds of consultation,the experts have high authority and concordance,CI or CR of the logic concordance of all indexs is less than 0.1.the evaluation sysem is scientific and reliable.     

护理本科毕业生核心能力综合评价指标体系的研究

Objective To probe into the structure of core competences of baccalaureate nursing graduates,structuring a system of indexes evaluation of baccalaureate nursing graduates' core competences.Methods Adopting Delphi method and AHP method to evaluate the items,layer structure,weights,connotation of the indexes system.All data were collected and statistically treated.Results After two rounds of consultations,built an index evaluation system of baccalaureate nursing graduates' core competences.Individual Authority Coefficient of all experts are 0.775～1.0;the level of concordance of experts' opinion about index is above of 91.9%,the coefficient of concordance is 0.84,CI or CR of the logic concordance of all indexs is less than 0.1.Conclusions The index evaluation system of baccalaureate nursing graduates' core eompetenees is built after two rounds of consultation,the experts have high authority and concordance,CI or CR of the logic concordance of all indexs is less than 0.1.the evaluation sysem is scientific and reliable.     

护理本科毕业生核心能力综合评价指标体系的研究

Objective To probe into the structure of core competences of baccalaureate nursing graduates,structuring a system of indexes evaluation of baccalaureate nursing graduates' core competences.Methods Adopting Delphi method and AHP method to evaluate the items,layer structure,weights,connotation of the indexes system.All data were collected and statistically treated.Results After two rounds of consultations,built an index evaluation system of baccalaureate nursing graduates' core competences.Individual Authority Coefficient of all experts are 0.775～1.0;the level of concordance of experts' opinion about index is above of 91.9%,the coefficient of concordance is 0.84,CI or CR of the logic concordance of all indexs is less than 0.1.Conclusions The index evaluation system of baccalaureate nursing graduates' core eompetenees is built after two rounds of consultation,the experts have high authority and concordance,CI or CR of the logic concordance of all indexs is less than 0.1.the evaluation sysem is scientific and reliable.     

护理本科毕业生核心能力综合评价指标体系的研究

Objective To probe into the structure of core competences of baccalaureate nursing graduates,structuring a system of indexes evaluation of baccalaureate nursing graduates' core competences.Methods Adopting Delphi method and AHP method to evaluate the items,layer structure,weights,connotation of the indexes system.All data were collected and statistically treated.Results After two rounds of consultations,built an index evaluation system of baccalaureate nursing graduates' core competences.Individual Authority Coefficient of all experts are 0.775～1.0;the level of concordance of experts' opinion about index is above of 91.9%,the coefficient of concordance is 0.84,CI or CR of the logic concordance of all indexs is less than 0.1.Conclusions The index evaluation system of baccalaureate nursing graduates' core eompetenees is built after two rounds of consultation,the experts have high authority and concordance,CI or CR of the logic concordance of all indexs is less than 0.1.the evaluation sysem is scientific and reliable.     

护理本科毕业生核心能力综合评价指标体系的研究

Objective To probe into the structure of core competences of baccalaureate nursing graduates,structuring a system of indexes evaluation of baccalaureate nursing graduates' core competences.Methods Adopting Delphi method and AHP method to evaluate the items,layer structure,weights,connotation of the indexes system.All data were collected and statistically treated.Results After two rounds of consultations,built an index evaluation system of baccalaureate nursing graduates' core competences.Individual Authority Coefficient of all experts are 0.775～1.0;the level of concordance of experts' opinion about index is above of 91.9%,the coefficient of concordance is 0.84,CI or CR of the logic concordance of all indexs is less than 0.1.Conclusions The index evaluation system of baccalaureate nursing graduates' core eompetenees is built after two rounds of consultation,the experts have high authority and concordance,CI or CR of the logic concordance of all indexs is less than 0.1.the evaluation sysem is scientific and reliable.     

护理本科毕业生核心能力综合评价指标体系的研究

Objective To probe into the structure of core competences of baccalaureate nursing graduates,structuring a system of indexes evaluation of baccalaureate nursing graduates' core competences.Methods Adopting Delphi method and AHP method to evaluate the items,layer structure,weights,connotation of the indexes system.All data were collected and statistically treated.Results After two rounds of consultations,built an index evaluation system of baccalaureate nursing graduates' core competences.Individual Authority Coefficient of all experts are 0.775～1.0;the level of concordance of experts' opinion about index is above of 91.9%,the coefficient of concordance is 0.84,CI or CR of the logic concordance of all indexs is less than 0.1.Conclusions The index evaluation system of baccalaureate nursing graduates' core eompetenees is built after two rounds of consultation,the experts have high authority and concordance,CI or CR of the logic concordance of all indexs is less than 0.1.the evaluation sysem is scientific and reliable.     

护理本科毕业生核心能力综合评价指标体系的研究

Objective To probe into the structure of core competences of baccalaureate nursing graduates,structuring a system of indexes evaluation of baccalaureate nursing graduates' core competences.Methods Adopting Delphi method and AHP method to evaluate the items,layer structure,weights,connotation of the indexes system.All data were collected and statistically treated.Results After two rounds of consultations,built an index evaluation system of baccalaureate nursing graduates' core competences.Individual Authority Coefficient of all experts are 0.775～1.0;the level of concordance of experts' opinion about index is above of 91.9%,the coefficient of concordance is 0.84,CI or CR of the logic concordance of all indexs is less than 0.1.Conclusions The index evaluation system of baccalaureate nursing graduates' core eompetenees is built after two rounds of consultation,the experts have high authority and concordance,CI or CR of the logic concordance of all indexs is less than 0.1.the evaluation sysem is scientific and reliable.     

护理本科毕业生核心能力综合评价指标体系的研究

Objective To probe into the structure of core competences of baccalaureate nursing graduates,structuring a system of indexes evaluation of baccalaureate nursing graduates' core competences.Methods Adopting Delphi method and AHP method to evaluate the items,layer structure,weights,connotation of the indexes system.All data were collected and statistically treated.Results After two rounds of consultations,built an index evaluation system of baccalaureate nursing graduates' core competences.Individual Authority Coefficient of all experts are 0.775～1.0;the level of concordance of experts' opinion about index is above of 91.9%,the coefficient of concordance is 0.84,CI or CR of the logic concordance of all indexs is less than 0.1.Conclusions The index evaluation system of baccalaureate nursing graduates' core eompetenees is built after two rounds of consultation,the experts have high authority and concordance,CI or CR of the logic concordance of all indexs is less than 0.1.the evaluation sysem is scientific and reliable.     

护理本科毕业生核心能力综合评价指标体系的研究

Objective To probe into the structure of core competences of baccalaureate nursing graduates,structuring a system of indexes evaluation of baccalaureate nursing graduates' core competences.Methods Adopting Delphi method and AHP method to evaluate the items,layer structure,weights,connotation of the indexes system.All data were collected and statistically treated.Results After two rounds of consultations,built an index evaluation system of baccalaureate nursing graduates' core competences.Individual Authority Coefficient of all experts are 0.775～1.0;the level of concordance of experts' opinion about index is above of 91.9%,the coefficient of concordance is 0.84,CI or CR of the logic concordance of all indexs is less than 0.1.Conclusions The index evaluation system of baccalaureate nursing graduates' core eompetenees is built after two rounds of consultation,the experts have high authority and concordance,CI or CR of the logic concordance of all indexs is less than 0.1.the evaluation sysem is scientific and reliable.     

基于Delphi法筛选腰椎间盘突出症患者围手术期护理工作量项目的研究

目的 应用Delphi法筛选腰椎间盘突出症患者围手术期护理工作量项目,为开展单病种护理成本核算提供科学依据.方法 在文献查阅和专家小组讨论基础上初步设计护理工作量测量项目,然后运用Delphi法进行2轮专家咨询.结果 2轮专家咨询回收有效咨询表分别为35份和37份,有效回收率分别为89%和94%,充分反映专家对本研究的支持;2轮咨询专家权威系数均数分别为0.79、0.88,说明专家咨询结果可信度较高;2轮咨询术前/术中,术后护理项目专家总的协调系数分别为0.265/0.305/0.359和0.435/0.316/0.425,差异显著.表明该研究咨询专家的意见趋于一致,协调程度好.结论 科学有效地筛选腰椎间盘突出症患者围手术期护理工作量测量项目,能够准确测量该病种护理工作量,为进一步核算护理成本奠定基础.

Abstract：

Objective To screen nursing workload items in the perioperative period of lumbar disc herniation by using Delphi method for providing scientific basis in order to undertake nursing care cost calculation of single disease. Methods The measuring content of nursing workload was firstly designed on the basis of consulting literature and experts discussion,then two rounds of consultations were made with experts by using the Delphi method. Results Valid questionnaires collected back were 35 and 37,respectively, accounting for 89% and 94% in the two rounds of consultations with the experts,by which fully reflected the support of experts to the study. The average number of authoritative coefficients in the two rounds of consultations with the experts was respectively 0.79, 0.88,which indicated high reliability of the consulting. The overall coordination index for nursing care items in the preoperative/intraoperative/postoperative period of consulting experts respectively was 0.265/0.305/0.359 and 0.435/0.316/0.425, which had statistical significance and indicated the good coordination among the experts advice in determining the nursing care items and the desirability of the results. Conclusions Measurement items of nursing workload in perioperative period of lumbar disc herniation had been screened scientifically and reliably,which could accurately measure the nursing workload of the disease and lay the foundation for further accounting of nursing care cost.     

韶关市农村留守儿童孤独感状况调查

目的了解广东省韶关市农村地区留守儿童孤独感现状及其影响因素。方法对韶关市某地区两所农村小学3～6年级学生中的489名留守儿童采用儿童孤独量表和自编调查表进行问卷调查。结果17．6％留守儿童存在孤独感，不同性别孤独感发生率无差异性，不同年龄及不同年级间孤独感发生率差异均有极显著性（P〈0.01）；随年级增加，孤独感发生率呈下降趋势（X^2趋势=5．970，P〈0.05）。留守儿童孤独感与健康状况、学习成绩、学习困难程度、父母教育方式、父母间关系和老师教育方式等因素显著相关（P〈0.01～0．05）。结论农村地区留守儿童中存在一定程度的孤独感问题，老师和家长应以正确的态度和方法对待留守儿童，以减少其孤独感的发生。     

Determination of loss of quality of life

Physiatrists are a valuable resource in legal settings, where assessment of functional capacity to perform work and of future medical needs must be determined. Physiatrists help determine what future medical care is needed to restore and maintain an individual at the maximum level of life function. This article focuses on the use of a quality of life (QOL) rehabilitation model, rather than a medical model, for enhancing functional performance, modifying environments, and facilitating patient coping. We discuss use of the QOL model to describe and influence a patient's physical, psychological, cognitive, vocational/economic, and social/leisure domains.     

产科新生儿不同部位经皮测黄报警预值的可靠性观察

目的对比观察产科新生儿不同部位经皮胆红素（TCB）报警预值的可靠性。方法132例产科新生儿采取随机数字分组法分为正常产组和剖宫产组各66例,新生儿均于产后第4天同一时间点应用KJ8000经皮测黄仪分别测量额、胸、腹、额胸、额胸腹TCB值,TCB〉12．9mg／dl者,取得亲属同意抽取静脉血检测血清胆红素（SB）,对比分析不同部位TCB及其与sB值的差异。结果两组分别有17例或21例达到TCB报警预值。两组TCB或sB相同方法及相同部位比较,差异无统计学意义（P〉0．05）;两组TCB不同部位对比,额部值最低、胸部值最高,且与其他部位同组对比差异均有统计学意义（P〈0．01）;两组sB值对比差异无统计学意义（t=1．53,P〉0．05）,与不同部位TCB对比均以胸部数值差异无统计学意义（P〉0．05）,而与其他部位TCB两组差异均有统计学意义（P〈0．01）。结论正常产与剖宫产新生儿术后sB对比差异无意义;TCB动态监测以胸部结果更接近SB。     

The characteristics of interpretation of results of analysis of protein amount in urine of pregnant women

The adequacy of implementation of present proteinuria diagnostic thresholds under examination of pregnant women was examined. The analysis was applied to all urine samples of pregnant women from December 2009 to March 20010. The amount of protein in urine was concurrently evaluated by turbidimetric analysis with sulfosalicylic acid, colorimetric analysis with pyrogallol red, "dry chemistry" technology (the diagnostic strips). It is established that the mentioned techniques of analysis of protein in urine provide independent results. The results of colorimetric analysis are characterized by better precision and adequacy. However, in case of pregnant women the diagnostic threshold of protein concentration should be shifted from 0.120 to 0.150 g/l.     

超声评价放疗对颈动脉溃疡斑块形成的影响

目的 探讨超声在评价放疗对颈动脉溃疡斑块形成的影响的价值。方法 回顾性收集经病理学证实为头颈部肿瘤、放疗前后的颈动脉超声资料以及其他基线资料完整的患者93例,比较放疗前后放疗侧颈动脉和非放疗侧颈动脉粥样硬化斑块和溃疡斑块的总数量、平均内膜-中膜厚度、最大斑块面积、最大溃疡斑块的面积、最大溃疡口的面积。结果 放疗前后颈动脉超声检查的平均间隔时间为（6.1±1.9）年;放疗前放疗侧斑块总数量、平均内膜-中膜厚度、最大斑块面积、溃疡斑块的总数量、最大溃疡斑块的面积、最大溃疡口的面积与非放疗侧比较差异均无统计学意义（P均>0.05）;放疗后放疗侧斑块总数量、平均内膜-中膜厚度、最大斑块面积、溃疡斑块的总数量、最大溃疡斑块的面积、最大溃疡口的面积均较非放疗侧加重,差异有统计学意义（P均<0.05）。结论 放疗可导致头颈部肿瘤患者颈动脉粥样硬化斑块的形成和进展,且斑块具有易损性特点。