期刊文献+
任意字段
题名或关键词
题名
关键词
摘要
作者
第一作者
机构
刊名
分类号
参考文献
作者简介
基金资助
栏目信息
共找到17篇文章
< 1 >
每页显示 20 50 100
已选0条
引用分析
参考文献
引证文献
 统计分析
检索结果
已选文献
显示方式：
Barriers and facilitators of the implementation of a leadership training program based on the Developing and Sustaining Nursing Leadership Best Practice Guideline:A qualitative study 认领 引用
1
作者 Mi Zhao Zhenhui Tao +3 位作者 Jialei Feng Li Song Yangliu Li Dong Pang 《International Journal of Nursing Sciences》 CSCD 2026年第3期273-281,共9页
Objectives This study aimed to identify barriers and facilitators influencing the implementation of a leadership training program based on the Developing and Sustaining Nursing Leadership Best Practice Guideline for n... Objectives This study aimed to identify barriers and facilitators influencing the implementation of a leadership training program based on the Developing and Sustaining Nursing Leadership Best Practice Guideline for nurse managers.Methods The descriptive qualitative study was conducted through semi-structured individual interviews at a tertiary hospital in Beijing,China.We selected 16 nurse managers who had participated in a leadership training program using a purposive sampling method with a maximum variation strategy from March to August 2024.The collected data were analyzed using thematic analysis.Results This study identified 7 barriers and 17 facilitators guided by the Consolidated Framework for Implementation Research(CFIR).Barriers were identified as:intervention characteristics(complexity of content,excessive content,challenging assignments after training,gap between theory and practice,and time-consuming),and inner setting(unclear training goals,mentor incompetence).Key facilitators emerged from:intervention characteristics(internally developed content,Best Practice Guideline with high level of evidence,focusing on leadership competency for manager,logically connected design),outer setting(meeting participants’needs,networking with leadership authority,peer pressure),inner setting(effective communication,supported teamwork,tension for change,fitting the participants’value),characteristics of individuals(intrinsic motivation,self-efficacy,beginning or mid-stage of change),and process(planning developed in advance,full motivation,feedback and team debriefing)domains.Conclusions This study identified drivers of implementation for a leadership training program in the Chinese context.These findings support the successful delivery of this program and can inform future leadership training and support improvements in nurse managers’leadership. 展开更多
关键词 Barriers Consolidated framework for implementation research Facilitators Nursing leadership Qualitative study Training program
暂未订购 下载PDF
Associated factors of professional identity among nursing undergraduates during COVID-19:A cross-sectional study 认领 引用 被引量：10
2
作者 Man Tang Yumie Sun +4 位作者 Kaili Zhang Ruzhen Luo Yanhui Liu Hongyu Sun Fang Zhou 《International Journal of Nursing Sciences》 CSCD 2022年第1期107-113,共7页
Objectives Professional identity plays an important role in the long-term development of nurses,and it will change when public health emergency occurs.The objective of this study is to investigate the factors associat... Objectives Professional identity plays an important role in the long-term development of nurses,and it will change when public health emergency occurs.The objective of this study is to investigate the factors associated with the professional identity of nursing undergraduates in the epidemic of COVID-19.Methods A cross-sectional survey design with convenience sampling was used.A total of 3,875 nursing undergraduates were recruited from seven universities across China from March to April 2020.A general information questionnaire was used to collect students’information,and the Professional Identity Questionnaire for Nurse Students was used to survey their professional identity during the early and later stages of the first wave of the COVID-19 epidemic.Results The score of professional identity in the later stage(59.49±12.41)was higher than that in the early stage(56.96±12.61).The stepwise regression indicated that several factors were associated with professional identity,including gender,residential area,major,impact of the epidemic on intention to work after graduation,reasons for choosing nursing major and students’scores of professional identity in early stage.Conclusions Nursing educators can utilize the positive impact of responding to public health emergencies to increase the professional identity of students.Meanwhile,educators should give those students with lower professional identity more targeted education to cultivate their professional identity after the occurrence of public health emergencies. 展开更多
关键词 COVID-19 Epidemics Nursing specialties Nursing students Professional identity Surveys and questionnaires
暂未订购 下载PDF
Feasibility and effects of remotely supervised aerobic training and resistance training in older adults with mild cognitive impairment:a pilot three-arm randomised controlled trial 认领 引用 被引量：2
3
作者 Xiuxiu Huang Shifang Zhang +9 位作者 Xiaoyan Zhao Xinrui Li Fulian Bao Yue Lan Yuyao Zhang Ran An Bei Li Fang Yu Yongan Sun Qiaoqin Wan 《General Psychiatry》 CAS CSCD 2025年第2期123-133,共11页
Background Evidence on the effects of different exercise interventions on cognitive function is insufficient.Aims To evaluate the feasibility and effects of remotely supervised aerobic exercise(AE)and resistance exerc... Background Evidence on the effects of different exercise interventions on cognitive function is insufficient.Aims To evaluate the feasibility and effects of remotely supervised aerobic exercise(AE)and resistance exercise(RE)interventions in older adults with mild cognitive impairment(MCI).Methods This study is a 6-month pilot three-arm randomised controlled trial.Eligible participants(n=108)were recruited and randomised to the AE group,RE group or control(CON)group with a 1:1:1 ratio.Interventions were delivered at home with remote supervision.We evaluated participants’global cognition,memory,executive function,attention,physical activity levels,physical performance and muscle strength of limbs at baseline,3 months(T1)and 6 months(T2)after randomisation.A linear mixed-effects model was adopted for data analyses after controlling for covariates.Tukey’s method was used for adjusting for multiple comparisons.Sensitivity analyses were performed after excluding individuals with low compliance rates.Results 15(13.89%)participants dropped out.The median compliance rates in the AE group and RE group were 67.31%and 93.27%,respectively.After adjusting for covariates,the scores of the Alzheimer’s Disease Assessment Scale-Cognitive subscale in the AE group decreased by 2.04(95%confidence interval(CI)−3.41 to−0.67,t=−2.94,p=0.004)and 1.53(95%CI−2.88 to−0.17,t=−2.22,p=0.028)points more than those in the CON group at T1 and T2,respectively.The effects of AE were still significant at T1(estimate=−1.70,95%CI−3.20 to−0.21,t=−2.69,p=0.021),but lost statistical significance at T2 after adjusting for multiple comparisons.As for executive function,the Stroop time interference in the RE group decreased by 11.76 s(95%CI−21.62 to−1.90,t=−2.81,p=0.015)more than that in the AE group at T2 after Tukey’s adjustment.No other significant effects on cognitive functions were found.Conclusions Both remotely supervised AE and RE programmes are feasible in older adults with MCI.AE has positive effects on global cognition,and RE improves executive function. 展开更多
关键词 cognitive function resistance exercise re interventions exercise interventions remotely supervised aerobic exercise ae aerobic training remote supervision randomised controlled mild cognitive
暂未订购 下载PDF
Development and validation of a clinical risk-prediction model for immune checkpoint inhibitor-related pneumonitis in patients with gastrointestinal cancer based on four machine learning algorithms 认领 引用
4
作者 Yixuan Wang Liyan Zhang +2 位作者 Zhenzhen Su Xuemin Lian Zhihao Lu 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 2025年第6期1020-1033,共14页
Objective:Immune checkpoint inhibitor-related pneumonitis(ICIP)is a common and potentially lifethreatening adverse event with non-specific symptoms.It is of significance to identify high-risk population of ICIP.Howeve... Objective:Immune checkpoint inhibitor-related pneumonitis(ICIP)is a common and potentially lifethreatening adverse event with non-specific symptoms.It is of significance to identify high-risk population of ICIP.However,existing prediction models for ICIP are often limited by their reliance on clinically inaccessible variables and homogeneous methodologies,hindering their clinical utility.This study aimed to develop a clinical riskprediction model for ICIP in patients with gastrointestinal(GI)cancer based on four machine learning(ML)methods.Methods:We conducted a retrospective analysis of data from GI cancer patients who received immune checkpoint inhibitors(ICIs)between 2018 and 2022 in Beijing Cancer Hospital.For each patient,36 clinical indicators associated with pneumonia risk were gathered.The dataset was split into training and testing sets in a ratio of 7:3.Variable selection was first performed using Least Absolute Shrinkage and Selection Operator(LASSO)regression.Subsequently,four ML algorithms:logistic regression(LR),random forest(RF),Support vector machine(SVM),and Adaptive Boosting(AdaBoost),were employed to develop and validate ICIP prediction models.The models'performance was assessed using sensitivity,specificity,precision,F1-score,and the area under the receiver operating characteristic curve(AUC)value.The optimal cutoff point for the best model was determined and a web-based tool was developed based on it.Results:We collected medical data from 1,101 GI cancer patients.Ten predictive variables were identified as significant:gender,age,treatment line,smoking index,drinking history,lung metastasis,neutrophil-to-lymphocyte ratio,platelet-to-lymphocyte ratio,hemoglobin,and albumin.After constructing and comparing four ML models,the RF model demonstrated best performance with an AUC of 0.899.The web-based tool for ICIP risk prediction is available at http://gffzzaa01ae71ba5c4f30sxkx60okfucwk6koq.ffgz.tsg.suse.edu.cn/business/pneumonia-prediction/#/home.Conclusions:We analyzed 36 clinical predictors of ICIP in 1,101 patients treated with ICIs,and 10 variables were included.The smoking index,albumin and hemoglobin emerged as novel predictors specific to GI cancers.Among the models constructed using four ML methods,the RF model showed the best performance.Additionally,a web-based tool was developed to facilitate the early clinical identification of populations at high risk of ICIP.Future directions include external validation of the model to enhance clinical usability. 展开更多
关键词 Clinical prediction model gastrointestinal cancer immune checkpoint inhibitor-related pneumonitis immune checkpoint inhibitors immune-related adverse events
暂未订购 下载PDF
Research-training needs of clinical nurses: A nationwide study among tertiary hospitals in China 认领 引用 被引量：28
5
作者 Xue Wu Xinjuan Wu +8 位作者 Yanhong Gao Limin Wang Jingfen Jin Yinglan Li Shouzhen Cheng Xianxiu Wen Aiping Wang Qingyin Li Shaomei Shang 《International Journal of Nursing Sciences》 CSCD 2019年第3期300-308,共9页
Objective: This study aimed to evaluate Chinese tertiary hospital nurses' research output,research ability,and their related training needs regarding scientific research methodology and analyze the relations among... Objective: This study aimed to evaluate Chinese tertiary hospital nurses' research output,research ability,and their related training needs regarding scientific research methodology and analyze the relations among them.Methods: A nationwide survey was conducted in China on a large sample of tertiary hospital nurses (n =27,335) recruited from 22 provinces,autonomous regions,and municipalities.A validated,self-designed questionnaire,consisted of a common questionnaire,the Science Research Skills Self-Rating Questionnaire (SRSQ) and the Scientific Research Training Needs Questionnaire (SRTNQ) were used to assess nurses' research output,self-rated research skills and research-training needs.Results: The nurses' scientific research participation rates (with 4.13%,7.85%,5.35%,and 2.04% in research projects,research attendance,papers published,and patent,respectively) and their self-rated research skills 25.00 (12.50,37.50) were very low.However,the research training needs were relatively high 53.12(37.50,75.00).Significant differences in research participation rates (research projects,research attendance,papers published,and patent),scientific research skills,and research-training needs were determined by age,highest education level,nursing experience,employment,technical title,administrative post,and clinical tutoring experience (P< 0.05).Female and male nurses had different research participation rates (only research projects and studies published) and scientific research skills (P < 0.05).Positive correlations were observed among research output,scientific research skills,and researchtraining needs (P < 0.01).Conclusions: Nurses' scientific research participation and self-rated research ability were below the optimal despite that they had relatively high research-training needs.Nurses should be provided further research training with tailored content to their characteristics and capacity. 展开更多
关键词 Nursing staff Hospital Nursing research Needs assessment
暂未订购 下载PDF
Strategic directions and actions for advanced practice nursing in China 认领 引用 被引量：14
6
作者 Martha N.Hill Judith Parker +2 位作者 Huaping Liu Yan Hu Guifang Guo 《International Journal of Nursing Sciences》 2017年第1期8-11,共4页
There is a need and opportunity for China to develop education and practice innovations given that advance practice nurses (APNs) improve health care and outcomes.The China Medical Board (CMB)China Nursing Network (CC... There is a need and opportunity for China to develop education and practice innovations given that advance practice nurses (APNs) improve health care and outcomes.The China Medical Board (CMB)China Nursing Network (CCNN) began planning for an Advanced Nursing Practice Program for education and career development that will facilitate CCNN's contributions to meeting national nursing policy priorities.This paper presents the discussion,recommendations and action plans developed at the inaugural planning meeting on June 26,2015 at Fudan University in Shanghai.The recommendations are:Develop standards for advanced nursing practice;Develop Master's level curricula based on the standards;Commence pilot projects across a number of University affiliated hospitals;and Prepare clinical tutors and faculty.The strategic directions and actions are: Develop a clinical career ladder system;Expand the nursing role from hospital to community;and Build a specialty nurse accreditation system. 展开更多
关键词 Advanced nursing practice China Nursing education Nursing practice Masters education Nursing specialists
暂未订购 下载PDF
Expert Consensus on the Care and Management of Patients with Cognitive Impairment in China 认领 引用 被引量：18
7
作者 Academy of Cognitive Disorders of China Yuliang Han +9 位作者 Jianjun Jia Xia Li Yang Lv Xuan Sun Shanshan Wang Yongjun Wang Zhiwen Wang Jintao Zhang Jiong Zhou Yuying Zhou 《Neuroscience Bulletin》 SCIE CAS CSCD 2020年第3期307-320,共14页
The cognitive disease consensus was prepared by panels of health and public representatives based on actual clinical practice in Geriatric Departments in Chinese hospitals and a systematic literature review.This conse... The cognitive disease consensus was prepared by panels of health and public representatives based on actual clinical practice in Geriatric Departments in Chinese hospitals and a systematic literature review.This consensus reflects the medical knowledge accumulated by those experts and provides information about professional medical care and advice.A multidisciplinary panel of specialists(neurologists,psychiatrists,and nursing specialists)reports an expert consensus on the medical knowledge accumulated from those experts and provides information about professional medical care and advice.The recommendations focus on the care and management of older adults with mild cognitive impairment,the objectives and methods of maintaining cognition and training,the assessments and measures of daily care for patients at different stages of dementia,the assessments and coping strategies for the behavioral and psychological symptoms of dementia,principles and suggestions for an appropriate living environment,arrangements for recreational activities,the care and management of patients with endstage dementia,and suggestions for addressing stress in caregivers. 展开更多
关键词 Consensus Healthcare Management Cognitive disorders
暂未订购 下载PDF
Quality of Life in Cancer Patients with Pain in Beijing 认领 引用 被引量：8
8
作者 Ping Yang Li-qiu Sun +2 位作者 Qian lu Dong Pang Yue Ding 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 2012年第1期60-66,共7页
Objective： To investigate the quality of life （QOL） of cancer pain patients in Beijing, and explore the effect of cancer pain control on patients＇ QOL. Methods： Self-developed demographic questionnaire, numeric r... Objective： To investigate the quality of life （QOL） of cancer pain patients in Beijing, and explore the effect of cancer pain control on patients＇ QOL. Methods： Self-developed demographic questionnaire, numeric rating scale and SF-36 questionnaire were used together among 643 cancer pain patients in 28 Grade 2nd to 3rd general hospitals and 2 Grade 3rd cancer hospitals. Results： The SF-36 eight dimensions scores ranged from 31.75 to 57.22 in these cancer pain patients. The t test and Wilcoxon rank sum test were used to compare the QOL between pain controlled （PC） group and pain uncontrolled （PUC） group, and the results showed that patients in PC group had the higher O, OL scores in 6 areas of SF-36 （P〈0.05）. Binary logistic regression results found that pain management satisfaction scores （P〈0.001）, family average personal monthly income （P=0.029）, current receiving chemotherapy （P=0.009） and cancer stage （P〈0.001） were the predictors to cancer pain controlled results. Conclusion： Cancer patients with pain in Beijing had poor QOL. Pain control will improve the QOL of cancer pain patients. 展开更多
关键词 Cancer patients Cancer related pain Quality of life （QOL）
暂未订购 下载PDF
A qualitative study on the experiences and attributions for resigned nurses with career plateau 认领 引用 被引量：4
9
作者 Hongmei Zhu Chunjuan Xu +1 位作者 Hua Jiang Mingzi Li 《International Journal of Nursing Sciences》 CSCD 2021年第3期325-331,I0006,共7页
Objectives:This study seeks to understand the experiences of nurses who resigned because of limited available career development opportunities and of the possible reasons for their resignation.Methods:Semi-structured ... Objectives:This study seeks to understand the experiences of nurses who resigned because of limited available career development opportunities and of the possible reasons for their resignation.Methods:Semi-structured interviews were conducted with nine clinical nurses who experienced limitations in the development of their careers and consequently left their jobs to elicit their feelings and reasons for leaving.The content analysis was used to analyze the interview data.Results:Two themes and four subthemes relating to the experiences and attributions of former nurses were identified.Nurses who experienced career plateau were disappointed with the current work and uncertainty about the future.The attribution of career plateau lies in unsatisfied personal needs and the absence of organizational support.Conclusions:Nurses had strong career plateau experiences before they left,and it caused a series of negative feelings in their practice.Establish a clear career development path and multi-dimensional support from the organization may be helpful to reduce the occurrence of career plateau,thus increasing the retention of nurses. 展开更多
关键词 Career plateau Nurses Organizations Phenomenology Turnover
暂未订购 下载PDF
Perforating and nonperforating indications in repeated surgeries for Crohn's disease 认领 引用
10
作者 Wei-Song Shen Xiao-Hui Huang +3 位作者 Rui-Qing Liu Chen-Yang Li Yi Li Wei-Ming Zhu 《World Journal of Clinical Cases》 SCIE 2022年第9期2733-2742,共10页
BACKGROUND Despite advances in medical therapy for Crohn’s disease(CD),most patients with CD require repeated resection surgeries.AIM To analyze the perforating and nonperforating indications of repeated CD operation... BACKGROUND Despite advances in medical therapy for Crohn’s disease(CD),most patients with CD require repeated resection surgeries.AIM To analyze the perforating and nonperforating indications of repeated CD operations and identify the anastomosis characteristics for postoperative CD.METHODS We retrospectively reviewed 386 patients who underwent at least one resection for CD between 2003 and 2013.Clinical characteristics of each surgery were collected.Univariate and multivariate analyses were performed to determine risk factors for recurrence.RESULTS The indication for reoperation in CD tends to be the same as that for primary operation,i.e.,perforating disease tends to represent as perforating disease and nonperforating as nonperforating.Concordance was found between the first surgery and second surgery in terms of the indication for the operation(P=0.006),and the indication for the third surgery was also correlated with that for the second surgery(P=0.033).Even if the correlation of surgical indications between repeated operations,the rate of perforating indication for the second and third surgeries was significantly higher than that of the first surgery.In addition,the presence of perforating CD was a predictor of recurrence for both the first and second surgeries.Moreover,anastomotic lesions were the most common sites of recurrence after the operation.Based on the importance of anastomosis,anastomosis might be a new type of disease location for the classification of postoperative CD.CONCLUSION CD not only has stable characteristics but also progresses chronically.Perforation is a progressive surgical indication for Crohn’s disease.For CD after surgery,anastomosis may be a new classification of disease location. 展开更多
关键词 Crohn’s Disease Anastomosis Perforation Nonperforating
暂未订购 下载PDF
Construction of a postpartum pelvic floor rehabilitation exercise programme based on the Delphi method 认领 引用
11
作者 Jingjing Gong Xiaowei LI +6 位作者 YiQian Chen Xiao-Ting Wei Lian-Hua Bai Hongmei Zhu Yang Yang Ying Zhao Xiaodan Li 《Gynecology and Obstetrics Clinical Medicine》 2025年第3期200-206,共7页
Background Pelvic floor dysfunction(PFD)affects women's health and quality of life seriously.Postpartum is a crucial stage and ideal opportunity for the prevention and treatment of PFD diseases.Therefore,it is ess... Background Pelvic floor dysfunction(PFD)affects women's health and quality of life seriously.Postpartum is a crucial stage and ideal opportunity for the prevention and treatment of PFD diseases.Therefore,it is essential to promote postpartum physical recoveryandeffectively improve the prevention and treatment effect of PFD through a simple,non-invasive and high-compliance pelvic floor rehabilitation programme during postpartum pelvic floorrehabilitation.Methods A literature review was conducted to develop the initial list of competencies which consisted of 23 items from six models.Two rounds of Delphi Surveys were conducted,inviting experts via email to rate the importance of each item and provide qualitative comments on their ratings.Consensus was predefined as a mean score of 4.0 or above and at least 75%agreement among the participants.Results The postnatal pelvic floor rehabilitation exercise programme developed in this study was guided by the holistic pelvic floor theory'proposed by Petros and Ulmsten.The effective recovery rate of the two rounds of expert consultation questionnaires was 100%.In the first round,some items were changed according to experts'opinions.In the second round,the expert authority coefficient was 0.819.The Kendall coefficient of expert opinion was 0.154(p<0.01).The final plan included 6 modules with 23 items.The postpartum pelvic floor rehabilitation exercise programme was formed,consisting of six exercises(APBKQS-exercise)such as abdominal breathing,pelvic exercise,bridge exercise,kneeling balance,quadrupedal stretching and supine hand-andkneeconfrontation.Conclusion The postnatal pelvic floor rehabilitation exercise programme constructed in this study integrates multiple exercises(APBKQS-exercise).Theexercise programme guided by the"holistic pelvic floor theory"incorporates the use of Women's Active Functional Fitness Equipment(WAFF)exercise air cushions to better achieve the purpose of alleviating joint pain,loosening contracture muscles,repairing pelvic floor muscles,strengthening abdominal core strength,and recovering body shape as soon as possible. 展开更多
关键词 Delphi method pelvic floor dysfunction holistic pelvic floor theory pelvic floor rehabilitation postpartum pelvic floor dysfunction pfd affects rehabilitation exercise programme literature review
Attitudes towards pain management in hospitalized cancer patients and their influencing factors 认领 引用 被引量：13
12
作者 Fangli Lou Shaomei Shang 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 2017年第1期75-85,共11页
Objective： To investigate patients＇ attitudes towards cancer pain management and analyze the factors influencing these attitudes.Methods： The self-developed Demographic and Disease-Related Information Questionnaire... Objective： To investigate patients＇ attitudes towards cancer pain management and analyze the factors influencing these attitudes.Methods： The self-developed Demographic and Disease-Related Information Questionnaires, Pain Management Barriers Questionnaire-Taiwan form（BQT）, and Pain Knowledge Questionnaire were administered to 363 pairs of hospitalized cancer patients and their caregivers from the oncology departments of 7 hospitals in Beijing, China.Results： The average patient score for attitudes towards pain management was 2.96±0.49. The dimension scores indicated good attitudes in three areas（scores 〈2.5）, ＂Desire to be good＂（2.22±1.04）, ＂Fatalism＂（2.08±0.81） and＂Religious fatalism＂（1.86±1.00）, and poor attitudes in six areas（scores ≥2.5）, ＂Tolerance＂（3.83±0.96）, ＂Use of analgesics as needed（p.r.n.）＂（3.73±1.01）, ＂Addiction＂（3.44±1.05）, ＂Disease progression＂（3.28±1.26）, ＂Distraction of physicians＂（3.16±1.07） and ＂Side effects＂（2.99±0.68）. Two factors were entered into the regression equation：the caregivers＇ attitudes towards cancer pain management and the patients＇ pain knowledge. These two factors explained 23.2% of the total variance in the patients＇ average scores for their attitudes towards cancer pain management.Conclusions： The patients＇ attitudes towards cancer pain management were poor and could be influenced by the caregivers＇ attitudes and the patients＇ pain knowledge, and thus need to be improved. 展开更多
关键词 Cancer patients cancer pain attitudes towards cancer pain management
暂未订购 下载PDF
Correlation of 4-month infant feeding modes with their growth and iron status in Beijing 认领 引用 被引量：15
13
作者 GONG Yu-hua JI Cheng-ye +2 位作者 ZHENG Xiu-xia SHAN Jin-ping HOU Rui 《Chinese Medical Journal》 SCIE CAS 2008年第5期392-398,共7页
Background Growth and development of infants has been an important topic in pediatrics for a long time. Infants must be provided with food containing all necessary nutrients. Breast milk is believed to be the most des... Background Growth and development of infants has been an important topic in pediatrics for a long time. Infants must be provided with food containing all necessary nutrients. Breast milk is believed to be the most desirable natural and cheapest food for well-balanced nutrition. But with the progress in the development of substitute food in developed countries, it is thought that formula milk can meet the requirement for infant growth. During early infancy, growth, as the most sensitive index of health, is therefore a critical component in evaluating the adequacy of breast-feeding, mixed-feeding and formula feeding. Iron status is another important index of infant health. Iron deficiency anemia remains the most prevalent nutritional deficiency index in infants worldwide. This study is to compare infants in Beijing at 4 months who are on three different feeding modes （breast feeding, mixed feeding and formula feeding） in physical changes and iron status. The results may provide new mothers with support in feeding mode selection, which will also be helpful to the China Nutrition Association in feeding mode education. Methods This is a cohort study. One thousand and one normal Beijing infants were followed regularly for 12 months. Body weight and horizontal length were measured. Hemoglobin, red blood cell counts, mean corpuscular volume, mean corpuscular hemoglobin and serum iron were analyzed at 4 months. Results The breast feeding percentage in the first 4 months was 47.9%. The feeding mode was not significantly related to maternal delivery age, education, labor pathway nor infant sex （P 〉0.05）. Infant boys and girls exclusively breast-fed from 0 to 4 months had the highest weight at 0-6 months. The anemia rate of breast-fed infant boys at 4 months was the highest. Conclusions Breast feeding should be given more emphasis. It is compulsory for new mothers to breast-feed their infants if possible. Social environment should also guarantee the requirement for breast feeding. Furthermore the normal values of hemoglobin, mean corpuscular volume and serum iron, which were originally used to judge children＇s iron deficiency anemia, might not be optimal for evaluating infants. There might be a need to develop sex-specific cutoff levels of hemoglobin, mean corpuscular volume and serum iron for infants. 展开更多
关键词 infant feeding mode growth and development hemoglobins
Factors associated with the extent of care-seeking delay for patients with acute myocardial infarction in Beijing 认领 引用 被引量：18
14
作者 吴瑛 张莹 +2 位作者 李遇秋 洪宝丽 黄从新 《Chinese Medical Journal》 SCIE CAS 2004年第12期1772-1777,共6页
Background Prehospital delay remains one of the main causes of reduced benefit of reperfusion therapy for patients with acute myocardial infarction (AMI) The largest proportion of prehospital delay involves the interv... Background Prehospital delay remains one of the main causes of reduced benefit of reperfusion therapy for patients with acute myocardial infarction (AMI) The largest proportion of prehospital delay involves the interval between the onset of symptoms and the decision to seek medical treatment The purpose of this study was to examine the factors associated with the extent of care seeking delay in Beijing for patients with AMI Methods A structured interview was conducted in 102 patients with AMI in eight hospitals in Beijing Results The mean decision time in patients with AMI was (204±43) minutes, and prehospital delay time was (311±54) minutes Only 34% of patients sought medical care within one hour and a further 36% of patients presented to one of the eight hospitals within two hours after onset Educational level, atypical presentation of AMI, and family members at the site where AMI occurred were associated with longer delay time in seeking medical assistance ( P <0 05, respectively), whereas the intensity of chest pain was inversely related to patients’ delay time ( P <0 01) Patients who perceived their family relationship as good, attributed their symptoms to AMI origin, knew the time dependent nature of reperfusion therapy, or used emergency medical service tended to seek medical care in a more rapid manner ( P <0 05, respectively) Conclusions Patients with AMI in Beijing delay seeking medical care to a great extent Health education to increase the level of awareness of the target population at increased risk of AMI, including patients and their family members, is probably beneficial to reduce patients’ care-seeking delay 展开更多
关键词 care seeking delay acute myocardial infarction
Factors associated with premenstrual syndrome of emergency nurse: A multicenter study in China 认领 引用 被引量：1
15
作者 Yiqian Chen Xin Yang +2 位作者 Xiaodan Li Xiaoting Wei Lianhua Bai 《Gynecology and Obstetrics Clinical Medicine》 2022年第4期199-202,共4页
Objective:To study the factors associated with premenstrual syndrome(PMS)in emergency department(ED)nurses.Methods:A multicenter cross-sectional study was conducted in female ED nurses in China.Data gathering question... Objective:To study the factors associated with premenstrual syndrome(PMS)in emergency department(ED)nurses.Methods:A multicenter cross-sectional study was conducted in female ED nurses in China.Data gathering questionnaires included the Daily Record of Severity of Problems,Chinese Nurses Stressor Scale,Social Support Rating Scale,and Self-Rating Anxiety Scale.All questionnaires were used to assess the symptoms prospectively over 2 months.Results:A total of 289 ED nurses were recruited.The incidence of PMS was 67.47%.The most common symptoms were tiredness(76.90%),anger(76.90%),restlessness(75.40%),snoring(69.20%).Univariate analysis showed that the BMI and occupational stress score was significantly higher,and the age was significantly younger in the PMS group compared with the non-PMS group.According to the multiple linear regression,the symptoms of PMS were positively associated with the occupational stress score and anxiety score,and negatively with the level of education received.Conclusions:occupational stress,anxiety,and education level may associated with the occurrence of PMS in ED nurses. 展开更多
关键词 Premenstrual syndrome Emergency department Nurse
Hepatocellular carcinoma recurrence in living and deceased donor liver transplantation:a systematic review and meta-analysis 认领 引用 被引量：8
16
作者 Hai-Ming Zhang Yue-Xian Shi +1 位作者 Li-Ying Sun Zhi-Jun Zhu 《Chinese Medical Journal》 SCIE CAS CSCD 2019年第13期1599-1609,共11页
Background:Although a number of technical problems and donor safety issues associated with living donor liver transplantation(LDLT)have been resolved,some initial clinical studies showed an increased risk of hepatocel... Background:Although a number of technical problems and donor safety issues associated with living donor liver transplantation(LDLT)have been resolved,some initial clinical studies showed an increased risk of hepatocellular car cinoma(HCC)recurrence in LDLT.This meta-analysis was conducted to assess differences in tumor recurrence between LDLT and deceased donor liver transplantation(DDLT).Methods:After systematic retrievals of studies about LDLT and DDLT for HCC,articles were selected with a rationale of emphasizing inter-group comparability.Results from multivariate analyses were combined and discussed together with univariate analyses.In subgroup analysis,the impact of organ allocation policy was taken into consideration.Results:Seven articles were included in the meta-analysis.Overall,a salient result that emerged from the seven studies was a significant increased risk of HCC recurrence in the LDLT group than in the DDLT group(P=0.01).The most significant increase in hazard ratio was found in studies where organs tended to be allocated to non-tumor patients.Conclusions:An increased risk for HCC recurrence in LDLT as compared with DDLT patients was found.The relatively shorter preoperative observation windows in LDLT may lead to fewer cases of HCC with invasive features being screened out,which may provide a possible explanation for the high rates of HCC recurrence. 展开更多
关键词 Living donor liver transplantation Deceased donor liver transplantation Hepatocellular car cinoma Meta-analysis
Urinary catheterization management after vaginal prolapse surgery:A national survey among Chinese urogynecologists and nurses 认领 引用 被引量：1
17
作者 Yiqian Chen Yi Liang +2 位作者 Xiaodan Li Xiuli Sun Jianliu Wang 《Gynecology and Obstetrics Clinical Medicine》 2022年第2期63-68,共6页
Background:Urinary catheterization after vaginal prolapse surgery can cause inconvenience for patients,elevate the risk of urinary tract infections,and potentially prolong the hospitalization.In China,there is no cons... Background:Urinary catheterization after vaginal prolapse surgery can cause inconvenience for patients,elevate the risk of urinary tract infections,and potentially prolong the hospitalization.In China,there is no consensus on the optimal time to remove the urinary catheter after vaginal prolapse surgery.Thus,it will be valuable to gain insight into the nationwide catheterization management after the vaginal prolapse surgery.Methods:From March to May 2020,an online questionnaire was shared and purposive non-probabilistic sampling was used to recruit the participants.The urogynecologists currently performing vaginal prolapse surgery and involved nurses were included in this study.Results:1363 urogynecologists and 436 nurses responded and 99.5%of them reported using transurethral indwelling catheters(TIC)for post-operative bladder drainage in their practices.The duration of initial catheterization after vaginal prolapse surgery was generally 1–7 days,with a median duration of 3 days for anterior colporrhaphy(AC)and anterior&posterior colporrhaphy(APC),and 2 days for other procedures.For the same type of surgery,the median duration of catheterization varied by region.For AC,it was shorter by 1 day in West China and South China(P<0.001);for PC,it was 2 days in most regions,while 1 day in East China(P<0.05);and for APC,it was 3 days in most regions,while 4 days in Northeast China(P<0.05).No statistically significant difference was found in duration of catheterization in hospital levels.Conclusions:The findings suggested that duration of catheterization after prolapse surgery varied greatly in China,potentially resulting in unnecessary prolonging of catheterization.Well-designed studies are urgently needed to optimize catheterization management after vaginal prolapse surgery in China. 展开更多
关键词 Pelvic organ prolapse Transurethral indwelling catheterization Urinary catheterization Vaginal surgery
已选0条
引用分析
参考文献
引证文献
 统计分析
检索结果
已选文献
上一页 1 下一页 到第 页
在线咨询 使用帮助 返回顶部 意见反馈