移动医疗在脑卒中患者延续护理中的应用现状

介绍移动医疗在脑卒中患者延续护理中的必要性,总结移动医疗在脑卒中患者延续护理中用药、监测、康复知识、康复指导等方面的应用,提高脑卒中患者的康复效果.同时分析并指出了移动医疗目前存在的问题和其在脑卒中患者延续护理中应用的发展,以期为脑卒中患者开展延续护理提供更多参考.     

移动医疗在慢性阻塞性肺疾病患者延续护理中的现状与应用

介绍国内外各移动医疗干预方式在慢性阻塞性肺疾病患者延续护理中的应用现状,总结移动医疗在慢性阻塞性肺疾病患者延续护理中的应用效果,分析影响其使用的因素,以期为移动医疗在慢性阻塞性肺疾病患者延续护理中的发展提供参考。     

移动医疗在癌痛延续护理中的应用进展

对移动医疗在癌痛延续护理中的应用现状进行综述,阐述了癌痛延续护理对移动医疗的需求,介绍了移动医疗在癌痛延续护理中的应用领域,并对其可用性和应用效果进行分析与总结,提出有针对性的改进建议及未来发展方向,以期为运用移动医疗技术更好地服务于癌痛患者提供参考。     

移动信息技术在全膝关节置换术患者延续护理中的研究进展

移动通信技术的快速发展,促进了移动医疗在患者医疗保健中的应用。通过移动信息技术建立院外患者随访系统,实现便捷的延续护理,可以提高医疗资源利用率和患者治疗依从性。文章综述了移动医疗的发展、全膝关节置换术患者延续护理服务的需求现状,基于移动通信技术的延续护理服务的应用效果以及其局限性,以期为我国全膝关节置换术患者延续性护理干预提供参考依据。     

移动医疗在延续护理信息平台中的应用

全球经济急速发展后,随着慢性病高发、老龄化进程加快,患者对医疗服务的需求也逐渐向延续护理领域延伸。近年来,移动医疗在延续护理服务领域尤其是延续护理信息平台的建设发展中的优势已经逐渐突显,本文介绍了移动医疗在延续护理信息平台建设中的应用现状,为延续护理信息平台建设提供参考。     

移动医疗APP在延续护理中的应用效果与启示

介绍移动医疗APP的概念、在延续护理中的应用效果和启示,以期为移动医疗APP在延续护理领域的发展提供参考。     

移动医疗在维持性血液透析病人延续护理中的应用进展

介绍国内外各种移动医疗干预手段在维持性血液透析病人延续护理中的应用现状,分析现存问题,展望其未来发展前景,以期为移动医疗在维持性血液透析病人延续护理中的发展提供参考。     

移动医疗App应用于鼻咽癌患者延续护理的实践

目的评价移动医疗App应用于鼻咽癌患者延续护理的效果。方法将80例鼻咽癌患者按出院时间顺序分为对照组和观察组各40例,对照组采用常规延续护理,观察组采用移动医疗App进行延续护理,包括教会患者应用APP,推送鼻咽癌相关知识,医患、患患互动,健康状况分析和复查提醒等。结果干预3个月后观察组患者鼻塞、口干的发生率和严重程度均低于对照组(P0.01或P0.05);自我护理能力和希望水平评分均高于对照组(P0.01或P0.05)。结论应用移动医疗App进行延续护理,有助于减轻鼻咽癌患者放疗毒副反应,提高患者的自我护理能力和希望水平。     

移动医疗在结直肠癌幸存者护理中的研究进展(护理热点)

结直肠癌幸存者人数不断增加,其支持性照护需求处于较高水平,延续护理需求强烈。本文从移动医疗在结直肠癌幸存者护理中的研究现状和应用形式等方面进行综述,旨在为移动医疗在我国结直肠癌幸存者护理中的应用提供参考依据。     

乳腺癌化疗患者对延续护理App功能的需求调查

目的 调查分析乳腺癌化疗患者对延续护理App功能的需求状况和应用前景,以指导App的构建.方法 研究者自行设计调查问卷,对某三级甲等医院652例乳腺癌化疗患者进行问卷调查,问卷内容包括移动医疗App知晓度和对延续护理App主要功能的需求.结果 不同学历患者对移动医疗App知晓度差异无统计学意义(P>0.05);不同年龄阶段患者对移动医疗App知晓度差异有统计学意义(P<0.05,P<0.01),年龄越小,知晓度越高;患者对延续护理App主要功能的需求依次为:复诊预约(97.4%)、疾病咨询(96.3%)、预后随访(95.9%)、复诊提醒(94.6%)、康复指导(92.3%)、护理服务(91.7%)、互动交流(91.4%)、用药指导(87.9%)、健康资讯(87.3%).结论 乳腺癌化疗患者对移动医疗App知晓度较高,延续护理App市场需求较高,有较好的市场应用前景,可通过开发设计App为患者提供延续护理服务,创新延续护理模式,推进行业公益化发展.     

中西医结合治疗高血压性肾损害156例临床护理

目的:探讨中西医结合治疗高血压性肾损害患者的效果及护理方法。方法:将312例高血压性肾损害患者随机分为治疗组和对照组各156例,对照组采用常规西医治疗、护理,治疗组在对照组基础上给予中医治疗、护理。结果:治疗组总有效率92.31%,对照组为75.64%,两组比较差异有统计学意义(P<0.05)。结论:采用中西医结合治疗高血压性肾损害,及早发现病情变化,合理护理,可减缓病情进展。     

基于CiteSpace的延续护理研究热点与前沿可视化分析

目的了解延续护理研究的热点与前沿,为我国开展相关研究提供参考。方法通过Web of Science (WOS)核心数据库检索1988-2018年延续护理相关文献,采用CiteSpace V软件进行知识图谱绘制与分析。结果关于延续护理的文献年度发文量呈逐渐上升趋势,高产国家和机构相对比较集中,并且集中于欧美等发达国家及地区;研究热点不仅包括癌症及老年慢性疾病患者,同时也包括儿童护理干预模式及其效果的研究;研究趋势为重视居家护理以及基于循证延续护理模式研究。结论国外延续性护理研究相对比较成熟,研究方向呈现多样化趋势,我国可结合自身专业特点,以相关理论模型为指导,探寻患者需求,制定科学的、切实可行的延续护理内容,满足患者居家服务需求。     

延续性护理在癌症出院患者中的实践研究进展

延续性护理是为满足出院患者实际需要而提供的一种有序、协调、不间断的医疗保健服务,近年来已逐渐成为癌症出院患者健康照护研究的热点。本文从延续性护理的概念、在癌症出院患者中的实践现状以及延续性护理对癌症出院患者的影响等方面对国内外研究进展进行综述,为下一步构建适合我国癌症患者的延续性照护模式提供理论依据。     

Standardization of critical care management of non-critically ill patients with COVID-19

The large global outbreak of coronavirus disease 2019 (COVID-19) has seriously endangered the health care system in China and globally. The sudden surge of patients with severe acute respiratory syndrome coronavirus 2 infection has revealed the shortage of critical care medicine resources and intensivists. Currently, the management of non-critically ill patients with COVID-19 is performed mostly by non-intensive care unit (ICU) physicians, who lack the required professional knowledge, training, and practice in critical care medicine, especially in terms of continuous monitoring of the respiratory function, intervention, and feedback on treatment effects. This clinical problem needs an urgent solution. Therefore, here, we propose a series of clinical strategies for non-ICU physicians aimed at the standardization of the management of non-critically ill patients with COVID-19 from the perspective of critical care medicine. Isolation management is performed to facilitate the implementation of hierarchical monitoring and intervention to ensure the reasonable distribution of scarce critical care medical resources and intensivists, highlight the key patients, timely detection of disease progression, and early and appropriate intervention and organ function support, and thus improve the prognosis. Different management objectives are also set based on the high-risk factors and the severity of patients with COVID-19. The approaches suggested herein will facilitate the timely detection of disease progression, and thus ensure the provision of early and appropriate intervention and organ function support, which will eventually improve the prognosis.     

农村脑卒中病人康复期延续服务研究进展

阐述脑卒中延续护理的概述,综述农村脑卒中病人康复期延续服务研究进展,包括农村脑卒中康复期延续服务的必要性及延续服务模式、移动医疗应用程序(APP)在脑卒中康复期延续服务中的应用、医疗联合体在脑卒中延续服务模式中的作用,以期为农村脑卒中康复期病人延续服务提供依据。     

Integrating ethics and quality improvement: practical implementation in the transitional/ extended care setting

A major challenge in health care today is to provide high-quality care that results in the best outcomes possible for patients and residents within the limits of available resources. Throughout the past decade, there has been a call from ethicists for health care institutions to integrate the ethics and quality improvement processes. This article describes how a transitional/extended care facility integrated the quality improvement process within an ethical framework to achieve high-quality care while controlling cost.     

ICU患者存在的安全隐患及对策

阐述了ICU患者存在的安全隐患及管理。针对仪器设备、护理人力资源、用药安全及患者转出护理方面存在的不安全因素,提出制度管理、人力资源管理、药物风险管理和转出ICU过渡阶段护理等可行性管理对策,为ICU患者安全管理提供参考。     

Selected results of an evaluation study on a Viennese model project: discharge management in hospitals by home care nurses--the view of patients and their families

In recent years, demographic developments, changes in the financing of hospitals as well as demands for integrated care approaches by health and social policy makers have brought the issue of an improved hospital discharge management to the forefront. The article discusses results of an evaluation study of a Viennese model project on indirect discharge management at the Kaiser-Franz-Josef-Hospital in Vienna. The service coordinated at hospital level is provided by ambulant nurses for specific wards of the hospital. The data of the study show that the target group consists primarily of old patients with multiple illnesses requiring home care services as well as patients being transferred to nursing homes. The evaluation proves that patients and their families are highly satisfied with the service. Dedicated contact persons really provide crucial support to patients and relatives in this emotionally distressed transitional period, seeing their clients through difficult decisions. Discharge managers and clients jointly find out actual needs of the patient and discuss possible solutions considering available resources of the respective lay system and ways to strengthen it. The outcome is a tailor-made care package, coordinated across professional services, matching the patients' needs and resources. Moreover the study illustrates that concepts of transitional nursing care require extraordinary skills and competences on the part of the discharge manager, currently not covered by the Austrian curriculum for nurses.     

Variation in sepsis care: a wake-up call

There is important variation in the care of critically ill patients. While some of this variability is appropriate, and represents individually titrated care, residual variation indicates over- and under-use of precious resources and is clearly concerning. Recent advances in critical care medicine provide "road maps" to standardize care and use evidence-based medicine to improve patient outcomes. Knowledge about which therapies to use, and under what circumstances to use them, could form a basis for measuring the consistency and quality of our care processes. These simple process measures can be easily incorporated into daily rounds and serve to inform on the quality of our care.     

Health care cost of analgesic use in hypertensive patients

BACKGROUND: Hypertension is one of the most frequently diagnosed chronic medical conditions in the United States and imposes a substantial financial and social burden on Americans. OBJECTIVE: The aim of this study was to compare the cost of health care resources for hypertensive patients taking analgesics stratified by having controlled versus uncontrolled hypertension. METHODS: This was a retrospective, database analysis of data for managed-care patients in Maryland and Washington, DC, recorded from February 1, 1999, to July 31, 2001. Hypertensive patients who were taking analgesics were stratified by their hypertension control status using a claims-based algorithm. Annualized costs and differences in annualized costs calculated for the periods before and after the initiation of analgesics were compared by patient hypertension control status. RESULTS: Of the 9805 patients in the study (mean [SD] age, 49.8 [12.04] years), 2523 (25.73%) were categorized as having uncontrolled hypertension. The mean total annualized costs differed significantly between the controlled and uncontrolled hypertension groups by 2568 dollars (P < 0.001). The annualized costs for emergency-department visits and hospitalizations for uncontrolled hypertensive patients exceeded those for controlled hypertensive patients by 9.3% and 28.0%, respectively. The differences between the postindex- and preindex-period costs for health care resources were 1972 dollars with controlled hypertension and 2961 dollars with uncontrolled hypertension (P < 0.001). The results of linear regression, after adjustments were made for preindex costs and other covariates, indicated that patients with uncontrolled hypertension had significantly increased billed annualized costs (P < 0.001). CONCLUSIONS: These data suggest that the costs of health care resources were significantly higher for analgesic users with uncontrolled hypertension than for analgesic users with controlled hypertension. A considerable proportion of the cost differential was directly attributable to hypertension-related treatment care.