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find Author "马秀清" 2 results
  • 临床路径在腹腔镜胆囊切除术中的应用和评价

    目的 探讨新型腹腔镜胆囊切除术住院临床路径在临床中应用和可行性及对医疗质量效益的影响。 方法 回顾性分析2010年4月-2011年3月因胆囊结石合并慢性胆囊炎住院拟行腹腔镜切除术患者60例,采用随机对照的方法将其分成两组,每组各30例。其中A组采用临床路径治疗,B组非临床路径治疗,比较两组患者平均住院日、平均住院费用、术前等待时间等指标在两组间有无差异。 结果 纳入临床路径患者住院费用比未纳入者有所下降,平均住院日、术前等待时间缩短,差异有统计学意义(P=0.000),而术后并发症发生两组间无明显差异。 结论 临床路径具有良好的实用性,能够在保证医疗安全的情况下提高各项医疗指标,提高医疗效益,值得进一步推广。

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  • Precise management of the elderly patients with osteoporosis based on remote Teach-back education

    Objective To investigate the application effect of remote Teach-back method on the precise management of elderly patients with osteoporosis (OP). Methods From June to September 2016, the elderly outpatients with OP were selected and randomly divided into the conventional treatment group and the remote Teach-back comprehensive treatment group. The remote Teach-back comprehensive treatment group was given the mobile Internet (WeChat) on the basis of conventional treatment to guide patients with remote OP treatment. The OP knowledge, OP self-efficacy, activities of daily living (ADL), bone mineral density (BMD) and other indicators were compared between the two groups after 12 months of treatment. Results A total of 80 elderly patients with OP were included, with 40 patients in each group. The comparison of the improvement values of the two groups showed that the remote Teach-back comprehensive treatment group was superior to the conventional treatment group in terms of exercise knowledge, calcium knowledge, exercise performance, ADL and BMD (P<0.05). Among them, the improvement in exercise knowledge intervention in the remote Teach-back group and the conventional treatment group were 1.870 (1.098, 2.870) and 0.670 (0.043, 1.283); the improvement values of calcium knowledge intervention in the two groups were 2.495 (1.860, 3.455) and 0.250 (–0.810, 0.705); the improvement values after exercise intervention in the two groups were 15.015 (10.490, 26.175) and 6.045 (1.405, 13.545); the improvement of ADL in the two groups were 13.565 (4.053, 23.768) and 2.245 (–4.953, 7.872); the improvement of lumbar 1-waist 4 BMD in the two groups were 0.155 (0.010, 0.313) g/cm2 and 0.045 (–0.095, 0.160) g/cm2; the hip BMD improvement values of the two groups were 0.130 (–0.023, 0.245) g/cm2 and 0.035 (–0.043, 0.165) g/cm2. There was no significant difference in OP knowledge between the two groups (P>0.05). Conclusions Remote Teach-back online education makes OP management more effective. Relying on the characteristics of rehabilitation education and rehabilitation training, we will establish an advantageous management model to prevent the occurrence of OP and fragility fractures and improve the quality of life.

    Release date:2018-10-22 04:14 Export PDF Favorites Scan
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