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find Keyword "质量" 688 results
  • 加强急诊综合管理 提高急诊救护质量

    【摘要】 目的 探讨急诊护理的综合管理,提高急诊护士整体素质,全面提升急诊护理质量。方法 规范管理,设计操作流程图,规范护士的行为;加强培训考核力度,使护士熟练掌握急救技能,制定急救护理考核标准,并在急救护理管理中实施全面考核,提高急救护理管理质量。结果 通过实施急诊急救护理的全面考核,规范了急救护理的管理,护理质量明显提高。结论 加强急诊综合管理,提高急诊护理质量,提高患者满意度,树立医院良好形象。

    Release date:2016-09-08 09:37 Export PDF Favorites Scan
  • The Relationship between the 24-hour Ambulatory Pulse Pressure and Left Ventricular Mass Index in Elderly Patients with Essential Hypertension

    ObjectiveTo investigate the relationship of 24-hour ambulatory pulse pressure (24hPP) with left ventricular mass index (LVMI) in elderly essential hypertension patients. MethodsThe data of 110 elderly patients with essential hypertension from January to December 2012 were collected in the study. All patients received 24-hour ambulatory blood pressure monitoring and echoeardiographic examination 24hPP and LVMI were calculated according to the results of 24-hour ambulatory blood pressure monitoring and echocardiographic measurements. The patients were divided into group A [24hPP<60 mm Hg (1 mm Hg=0.133 kPa), n=70] and group B (24hPP≥60 mm Hg, n=40). ResultsThe 24-hour systolic blood pressure and 24hPP for patients in group B were significantly higher than those in group A (P<0.001). Compared with group A patients, the interventricular septal thickness, left ventricular posterior wall thickness, left ventricular mass and left ventricular mass index were significantly higher in group B (P<0.05). Pearson correlation analysis showed that 24hPP had a positive correlation with LVMI in the elderly essential hypertension patients (r=0.33, P<0.001). Multiple stepwise regression analysis showed that 24hPP was the main factor for the increase of LVMI in elderly essential hypertension patients (β=0.90, P<0.001). ConclusionThe 24hPP is positively correlated with LVMI in elderly essential hypertension patients. The 24hPP is an important risk factor for left ventricular structural damage in elderly essential hypertensive patients.

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  • Methodological quality assessment of clinical practice guidelines for cervical cancer in China from 2014 to 2018

    ObjectivesTo assess the methodological quality of clinical practice guidelines of cervical cancer in China published from 2014 to 2018.MethodsCNKI, WanFang Data, CBM, VIP, Medlive.cn, the National Guideline Clearinghouse, PubMed, The Cochrane Library and EMbase were searched for cervical cancer clinical practice guidelines published in China from January 1st, 2014 to December 31st, 2018. Four reviewers searched and selected the literature independently according to the inclusion and exclusion criteria and assessed the methodological quality of the included guidelines by using AGREE Ⅱ.ResultsA total of 9 guidelines were included. The average score for each area was: scope and purpose 75.47%, stakeholders’ involvement 35.09%, the rigor of development 43.70%, clarity of presentation 87.74%, applicability 80.76%, and editorial independence 0%.ConclusionsThe quality of cervical cancer clinical practice guidelines in China requires further improvement.

    Release date:2019-07-31 02:24 Export PDF Favorites Scan
  • An Educational Approach to Improving Healthcare Safety and Quality*

    提高医疗服务质量、确保病人安全是当前医学教育及培训面临的巨大挑战。今天的医生及医务工作者 应具备良好的沟通能力,掌握如何在临床实践中鉴别、预防和处理不良事件及接近过失事件(near misses),如何使 用当前获得的证据及相关信息,如何安全有效地在团队中工作,如何在实践中教授和学习病人安全知识,如何根据 认可的伦理原则服务公众。

    Release date:2016-09-07 02:10 Export PDF Favorites Scan
  • Progress in Evaluating Quality of Life in Postoperative Patients with Valvular Heart Disease Using SF-36 Health Survey

    Abstract: Quality of life (QOL) refers to an individual’s perception and subjective evaluation of their health and well-being, and has become an important index to evaluate the outcomes of clinical treatment in the last past decades. There are a large number of different instruments to evaluate QOL, and the 36-Item Short Form Health Survey (SF-36) is currently one of the most widely used instruments. In recent years, SF-36 has been used to evaluate QOL of valvular heart disease patients to investigate the risk factors those influence their postoperative QOL, provide more preoperative evaluation tools for clinical physicians, and improve postoperative outcomes of patients with valvular heart disease. However, it is now just the beginning to use SF-36 to examine QOL of valvular heart disease patients. Because of significant differences in sample size, follow-up period, country and culture, current research has some controversial results. This review focuses on the progress in evaluating QOL in postoperative patients with valvular heart disease using SF-36.

    Release date:2016-08-30 05:50 Export PDF Favorites Scan
  • 日间腹腔镜胆囊切除术的医疗质量管理

    近年来国内许多医院相继开展日间手术,其优点是缩短患者入院等待时间,减少住院时间,减轻经济负担。但是日间手术以“短、频、快”为特点,患者术后24 h出院,这势必增大医疗风险,因而必须建立科学的管理模式加强医疗质量管理,才能确保医疗安全。现介绍四川大学华西医院日间腹腔镜胆囊切除术医疗质量管理措施。

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  • Research progress of mitochondrial quality control in leukemia

    Mitochondrial quality control includes mechanisms such as mitochondria-derived vesicles, fusion / fission and autophagy. These processes rely on the collaboration of a variety of key proteins in the inner and outer membranes of mitochondria to jointly regulate the morphological structure and functional integrity of mitochondria, repair mitochondrial damage, and maintain the homeostasis of their internal environment. The imbalance of mitochondrial quality control is associated with leukemia. Therefore, by exploring the mechanisms related to mitochondrial quality control of various leukemia cells and their interactions with immune cells and immune microenvironment, this article sought possible targets in the treatment of leukemia, providing new ideas for the immunotherapy of leukemia.

    Release date:2024-12-27 02:33 Export PDF Favorites Scan
  • Research hotspots and trend analysis of Chinese literature on medical quality evaluation indicators in China

    Objective To analyze the research hotspots and trends of Chinese literature on medical quality evaluation indicators in China in recent years. Methods We searched for relevant Chinese literature on medical quality evaluation indicators on China National Knowledge Infrastructure from January 2000 to December 2024, and analyzed the annual publication volume, authors and institutions, research hotspots and frontiers. Results Finally, 177 articles were included in the literature. From 2000 to 2024, the number of Chinese literature on medical quality evaluation indicators in China showed a fluctuating upward trend, reaching 15 articles per year in both 2015 and 2024. The issuing units mainly included the National Institute of Hospital Administration, the School of Public Health of Peking University, Huazhong University of Science and Technology, etc. The publishing team mainly included author teams such as MA Xiemin, LIANG Minghui, XIA Ping, etc. The high frequency keywords and top 10 keywords for centrality ranking included medical quality, evaluation indicators, indicator system, Delphi method, evaluation, evaluation system, quality evaluation, indicators, clinical pathways, and hospital management. “Case classification” was the earliest emerging term in the study of medical quality evaluation indicators. In terms of burst intensity, the top 5 keywords for burst intensity included Delphi method, case classification, problem, data quality, and evidence-based evaluation. Conclusion The publishing institutions and research teams of Chinese literature on medical quality evaluation indicators in China are relatively loose, and there are still problems such as insufficient practical application of medical quality evaluation indicators and single research tools and methods.

    Release date:2025-04-27 01:50 Export PDF Favorites Scan
  • 运动干预对乳腺癌患者术后体能、心理及生活质量的影响(附3例报道)

    目的 探讨运动干预对乳腺癌患者术后体能、心理及生活质量的影响。 方法 回顾性分析笔者所在诊所对 3 例乳腺癌患者术后进行运动干预后的临床数据。 结果 3 例患者均完成了 3 次/周的运动训练。运动干预 12 次(4 周)时及运动开始至第3 个月时,除1例患者在运动干预至第12次时的生活质量评分有下降及1例患者因用药导致1 min心率回落速度降低外,3 例患者的体质量、心肺运动测试结果、功能性运动模式筛查结果、生活质量及心理状态均得到了改善。 结论 运动干预可能有利于乳腺癌患者术后的康复,待进一步积累病例验证。

    Release date:2018-08-15 01:54 Export PDF Favorites Scan
  • Influence of Evidence-based Nursing Intervention on the Treatment Effect and Quality of Life in Patients with Peritoneal Dialysis

    ObjectiveTo investigate the influence of evidence-based nursing intervention on the treatment effect and quality of life in patients with peritoneal dialysis. MethodSixty-four patients who underwent peritoneal dialysis between January 2013 and December 2014 in our hospital were randomly divided into control group (n=32) and intervention group (n=32) . The control group received routine nursing and the intervention group received evidencebased nursing intervention. Urea clearance index (KT/V), serum albumin and hemoglobin levels were detected for both groups of patients before and after nursing intervention. Generic Quality of Life Inventory (GQOLI)-74 scale was used to assess patients' quality of life. ResultsAfter nursing intervention, KT/V, serum albumin and hemoglobin levels in the intervention group were significantly higher than those in the control group (P<0.05) . The scores of such items as physical function, psychological function, social function and overall evaluation in the GQOLI-74 scale in the intervention group were significantly higher than those in the control group (P<0.05) . ConclusionsEvidence-based nursing intervention can effectively improve the treatment effect and quality of life in patients with peritoneal dialysis, which is worthy of clinical popularization and application.

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