目的系统梳理新一轮医药卫生体制改革以来农村基本医疗卫生服务综合评价指标体系,基于PHCPI概念框架(primary health care performance initiative conceptual framework)探寻目前评价指标普遍关注的内容和可能被忽略的评价内容,为后续...目的系统梳理新一轮医药卫生体制改革以来农村基本医疗卫生服务综合评价指标体系,基于PHCPI概念框架(primary health care performance initiative conceptual framework)探寻目前评价指标普遍关注的内容和可能被忽略的评价内容,为后续科学、全面地评价农村基本医疗卫生服务提供参考依据。方法通过中国知网、万方数据知识服务平台、维普中文科技期刊数据库检索2009—2019年有关农村基本医疗卫生服务综合评价指标体系的文献,基于SPIDER规范制定纳入排除标准,采用批判评估技术方案对纳入文献进行质量评价,运用框架合成法,选取PHCPI概念框架对纳入的文献进行归纳和总结。结果共纳入25篇文献,总体质量良好。评价体系中的指标可分为5个一级领域、16个二级领域、24个三级领域指标。综合对比各领域对应指标的文献数,卫生资金、效率等领域对应指标的文献数较多,均有20篇左右的文献,高于其他多数领域;投入、产出和结果的相应领域中,近85%的领域对应指标的文献在15篇及以上;服务提供的各领域中,仅18%左右的领域对应指标的文献达到15篇,40%以上领域对应指标的文献未超过5篇。结论农村基本医疗卫生服务综合评价体系对经济效益相关指标关注度较高,投入、产出和结果多数领域的指标重合度较高,评价体系对服务提供领域的关注度较低且内容分散。今后可加强对社会效益和服务提供相关指标的探索,以全面、综合地评价农村基本医疗卫生服务。展开更多
BACKGROUND Sensory integration intervention is highly related to the child's effective interaction with the environment and the child's development.Currently,various sensory integration interventions are being...BACKGROUND Sensory integration intervention is highly related to the child's effective interaction with the environment and the child's development.Currently,various sensory integration interventions are being applied,but research methodological problems are arising due to unsystematic protocols.This study aims to present the optimal intervention protocol by presenting scientific standards for sensory integration intervention through meta-analysis.AIM To prove the effectiveness of sensory integration therapy,examine the latest trend of sensory integration studies in Korea,and provide clinical evidence for sensory integration therapies.METHODS The database of Korean search engines,including RISS,KISS,and DBpia,was used to search for related literature published from 2001 to October 2020.The keywords,“Children”,“Sensory integration”,“Integrated sensory”,“Sensorymotor”,and“Sensory stimulation”were used in this search.Then,a meta-analysis was conducted on 24 selected studiesRISS,KISS,and DBpia,was used to search for related literature published from 2001 to October 2020.The keywords,“Children”,“Sensory integration”,“Integrated sensory”,“Sensorymotor”,and“Sensory stimulation”were used in this search.Then,a meta-analysis was conducted on 24 selected studies.RESULTS Sensory integration intervention has been proven effective in children with cerebral palsy,autism spectrum disorder,attention deficit/hyperactivity disorder,developmental disorder,and intellectual disability in relation to the diagnosis of children.Regarding sensory integration therapies,1:1 individual treatment with a therapist or a therapy session lasting for 40 min was most effective.In terms of dependent variables,sensory integration therapy effectively promoted social skills,adaptive behavior,sensory processing,and gross motor and fine motor skills.CONCLUSION The results of this study may be used as therapeutic evidence for sensory integration intervention in the clinical field of occupational therapy for children展开更多
目的旨在对我国护士疼痛管理知识和态度进行分析、评价,以全面了解和评估当前我国护士疼痛管理的研究现状和护理实践中的局限性。方法系统检索PubMed、Embase、Cochrane Library、Web of Science、中国知网、万方数据库、维普中文科技...目的旨在对我国护士疼痛管理知识和态度进行分析、评价,以全面了解和评估当前我国护士疼痛管理的研究现状和护理实践中的局限性。方法系统检索PubMed、Embase、Cochrane Library、Web of Science、中国知网、万方数据库、维普中文科技期刊数据库,收集有关中国护士疼痛管理知识和态度的横断面研究,检索时间为建库至2023年6月。采用了美国卫生保健研究与质量机构(AHRQ)的质量评价标准对最终纳入文献的质量进行了严格评估,并运用Stata 15.1软件进行全面统计分析。结果本研究最终纳入35篇文献,涉及14146名护士。11篇文献为高质量文献,其余24篇文献质量均处于中等水平。结果显示,中国护士疼痛管理知识和态度问卷答对率为46%(95%CI:0.43~0.50)。亚组分析显示,研究生及以上学历、工作后继续接受疼痛教育、在肿瘤科工作的护士疼痛管理知识和态度问卷答对率越高,分别是56.70%(95%CI:43.80%~69.70%)、58.60%(95%CI:55.00%~62.20%)、58.90%(95%CI:45.20%~72.70%)。结论我国护士在疼痛管理领域的知识和态度普遍存在不足,提示护理管理者亟需认识到疼痛管理在整体护理质量中的重要性,有必要制订持续性的专业培训和教育计划,通过提供定期的疼痛管理知识更新,以提升护士对疼痛管理的认知和应对能力,进而提升护士专业素养,为疼痛患者提供更全面、人性化的治疗和关怀,从而改善疼痛患者的生活质量和治疗效果,进而提高整体护理质量。展开更多
文摘目的系统梳理新一轮医药卫生体制改革以来农村基本医疗卫生服务综合评价指标体系,基于PHCPI概念框架(primary health care performance initiative conceptual framework)探寻目前评价指标普遍关注的内容和可能被忽略的评价内容,为后续科学、全面地评价农村基本医疗卫生服务提供参考依据。方法通过中国知网、万方数据知识服务平台、维普中文科技期刊数据库检索2009—2019年有关农村基本医疗卫生服务综合评价指标体系的文献,基于SPIDER规范制定纳入排除标准,采用批判评估技术方案对纳入文献进行质量评价,运用框架合成法,选取PHCPI概念框架对纳入的文献进行归纳和总结。结果共纳入25篇文献,总体质量良好。评价体系中的指标可分为5个一级领域、16个二级领域、24个三级领域指标。综合对比各领域对应指标的文献数,卫生资金、效率等领域对应指标的文献数较多,均有20篇左右的文献,高于其他多数领域;投入、产出和结果的相应领域中,近85%的领域对应指标的文献在15篇及以上;服务提供的各领域中,仅18%左右的领域对应指标的文献达到15篇,40%以上领域对应指标的文献未超过5篇。结论农村基本医疗卫生服务综合评价体系对经济效益相关指标关注度较高,投入、产出和结果多数领域的指标重合度较高,评价体系对服务提供领域的关注度较低且内容分散。今后可加强对社会效益和服务提供相关指标的探索,以全面、综合地评价农村基本医疗卫生服务。
文摘BACKGROUND Sensory integration intervention is highly related to the child's effective interaction with the environment and the child's development.Currently,various sensory integration interventions are being applied,but research methodological problems are arising due to unsystematic protocols.This study aims to present the optimal intervention protocol by presenting scientific standards for sensory integration intervention through meta-analysis.AIM To prove the effectiveness of sensory integration therapy,examine the latest trend of sensory integration studies in Korea,and provide clinical evidence for sensory integration therapies.METHODS The database of Korean search engines,including RISS,KISS,and DBpia,was used to search for related literature published from 2001 to October 2020.The keywords,“Children”,“Sensory integration”,“Integrated sensory”,“Sensorymotor”,and“Sensory stimulation”were used in this search.Then,a meta-analysis was conducted on 24 selected studiesRISS,KISS,and DBpia,was used to search for related literature published from 2001 to October 2020.The keywords,“Children”,“Sensory integration”,“Integrated sensory”,“Sensorymotor”,and“Sensory stimulation”were used in this search.Then,a meta-analysis was conducted on 24 selected studies.RESULTS Sensory integration intervention has been proven effective in children with cerebral palsy,autism spectrum disorder,attention deficit/hyperactivity disorder,developmental disorder,and intellectual disability in relation to the diagnosis of children.Regarding sensory integration therapies,1:1 individual treatment with a therapist or a therapy session lasting for 40 min was most effective.In terms of dependent variables,sensory integration therapy effectively promoted social skills,adaptive behavior,sensory processing,and gross motor and fine motor skills.CONCLUSION The results of this study may be used as therapeutic evidence for sensory integration intervention in the clinical field of occupational therapy for children
文摘目的旨在对我国护士疼痛管理知识和态度进行分析、评价,以全面了解和评估当前我国护士疼痛管理的研究现状和护理实践中的局限性。方法系统检索PubMed、Embase、Cochrane Library、Web of Science、中国知网、万方数据库、维普中文科技期刊数据库,收集有关中国护士疼痛管理知识和态度的横断面研究,检索时间为建库至2023年6月。采用了美国卫生保健研究与质量机构(AHRQ)的质量评价标准对最终纳入文献的质量进行了严格评估,并运用Stata 15.1软件进行全面统计分析。结果本研究最终纳入35篇文献,涉及14146名护士。11篇文献为高质量文献,其余24篇文献质量均处于中等水平。结果显示,中国护士疼痛管理知识和态度问卷答对率为46%(95%CI:0.43~0.50)。亚组分析显示,研究生及以上学历、工作后继续接受疼痛教育、在肿瘤科工作的护士疼痛管理知识和态度问卷答对率越高,分别是56.70%(95%CI:43.80%~69.70%)、58.60%(95%CI:55.00%~62.20%)、58.90%(95%CI:45.20%~72.70%)。结论我国护士在疼痛管理领域的知识和态度普遍存在不足,提示护理管理者亟需认识到疼痛管理在整体护理质量中的重要性,有必要制订持续性的专业培训和教育计划,通过提供定期的疼痛管理知识更新,以提升护士对疼痛管理的认知和应对能力,进而提升护士专业素养,为疼痛患者提供更全面、人性化的治疗和关怀,从而改善疼痛患者的生活质量和治疗效果,进而提高整体护理质量。
