目的：建立携 T 管出院胆石症患者的延续性护理方案。方法在查阅文献、质性访谈的基础上初步构建干预框架，形成专家咨询问卷。通过德尔菲法对12名专家进行2轮咨询。结果2轮专家咨询问卷的有效回收率均为100%，2轮咨询的权威程度系数分...目的：建立携 T 管出院胆石症患者的延续性护理方案。方法在查阅文献、质性访谈的基础上初步构建干预框架，形成专家咨询问卷。通过德尔菲法对12名专家进行2轮咨询。结果2轮专家咨询问卷的有效回收率均为100%，2轮咨询的权威程度系数分别为0.87和0.89，2轮专家咨询的协调系数分别为0.42和0.43。经过专家咨询后确定的核心内容包括一级条目10条，二级条目35条，三级条目98条；最终确定的方案包括护理干预计划、随访过程中实施者应掌握的护理要点、健康教育手册使用3个方面。结论构建科学、有效的延续性护理干预方案使得医护人员在循证的基础上，按照规范的方案执行，保证护理服务的同质性。从而保证了患者出院后的生命安全。展开更多
Following the assumptions proposed by MESRI and ROKHSAR,the one-dimensional nonlinear consolidation problem of soil under constant loading is studied by introducing continuous drainage boundary.The numerical solution ...Following the assumptions proposed by MESRI and ROKHSAR,the one-dimensional nonlinear consolidation problem of soil under constant loading is studied by introducing continuous drainage boundary.The numerical solution is derived by using finite difference method and its correctness is assessed by comparing with existing analytical and numerical solutions.Based on the present solution,the effects of interface parameters,stress ratios(i.e.,final effective stress over initial effective stress,N_(σ))and the ratio c_(c)/c_(k)of compression index to permeability index on the consolidation behavior of soil are studied in detail.The results show that,the characteristics of one-dimensional nonlinear consolidation of soil are not only related to c_(c)/c_(k)and N_(σ),but also related to boundary conditions.In the engineering practice,the soil drainage rate of consolidation process can be designed by adjusting the values of interface parameters.展开更多
文摘目的：建立携 T 管出院胆石症患者的延续性护理方案。方法在查阅文献、质性访谈的基础上初步构建干预框架，形成专家咨询问卷。通过德尔菲法对12名专家进行2轮咨询。结果2轮专家咨询问卷的有效回收率均为100%，2轮咨询的权威程度系数分别为0.87和0.89，2轮专家咨询的协调系数分别为0.42和0.43。经过专家咨询后确定的核心内容包括一级条目10条，二级条目35条，三级条目98条；最终确定的方案包括护理干预计划、随访过程中实施者应掌握的护理要点、健康教育手册使用3个方面。结论构建科学、有效的延续性护理干预方案使得医护人员在循证的基础上，按照规范的方案执行，保证护理服务的同质性。从而保证了患者出院后的生命安全。
基金Projects(51678547,41672296,51878634,51878185,41867034)supported by the National Natural Science Foundation of China。
文摘Following the assumptions proposed by MESRI and ROKHSAR,the one-dimensional nonlinear consolidation problem of soil under constant loading is studied by introducing continuous drainage boundary.The numerical solution is derived by using finite difference method and its correctness is assessed by comparing with existing analytical and numerical solutions.Based on the present solution,the effects of interface parameters,stress ratios(i.e.,final effective stress over initial effective stress,N_(σ))and the ratio c_(c)/c_(k)of compression index to permeability index on the consolidation behavior of soil are studied in detail.The results show that,the characteristics of one-dimensional nonlinear consolidation of soil are not only related to c_(c)/c_(k)and N_(σ),but also related to boundary conditions.In the engineering practice,the soil drainage rate of consolidation process can be designed by adjusting the values of interface parameters.
