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The challenges of being a student nurse and the advice proffered by peers 作为一名学生护士的挑战和同行提供的建议
Pub Date : 2019-11-22 DOI: 10.1136/ebnurs-2019-103226
A. Swift, A. Twycross
EBN engages through a range of Online social media activities to debate issues important to nurses and nursing. EBN Opinion papers highlight and expand on these debates.
EBN通过一系列在线社交媒体活动参与讨论对护士和护理重要的问题。EBN的意见文件强调并扩展了这些辩论。
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引用次数: 0
Frailty is a predictor of mortality in surgical emergency admissions among UK adults 虚弱是英国成年人外科急诊入院死亡率的一个预测指标
Pub Date : 2019-11-21 DOI: 10.1136/ebnurs-2019-103197
Megumi Nimura, G. Kojima
Commentary on: Hewitt J, Carter B, McCarthy K, et al . Frailty predicts mortality in all emergency surgical admissions regardless of age. An observational study. Age Ageing 2019;48:388–94. doi: 10.1093/ageing/afy217.Frailty is a term that has been well-established and associated with deteriorated capacity to maintain homoeostasis and vulnerability to stressors.1 Various studies have demonstrated the links between frailty and its adverse outcomes.2 3 While many of the previous studies focused on its negative impacts on older populations, evidence on frailty among emergency surgical patients is scarce. Hewitt et al 4 examined frailty status among …
评论:Hewitt J, Carter B, McCarthy K,等。在所有急诊外科入院患者中,不论年龄大小,虚弱都预示着死亡率。一项观察性研究。老年与老龄化2019;48:38 - 94。doi: 10.1093 / / afy217老化。脆弱是一个已经确立的术语,与维持体内平衡的能力恶化和对压力的脆弱性有关各种研究已经证明了虚弱与其不良后果之间的联系。虽然以前的许多研究都集中在它对老年人的负面影响上,但关于急诊手术患者虚弱的证据很少。Hewitt等人研究了……
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引用次数: 0
Personalised, patient-inclusive clinical medication reviews can reduce drug-related problems in older patients 个性化的、包括患者的临床用药审查可以减少老年患者的药物相关问题
Pub Date : 2019-11-21 DOI: 10.1136/ebnurs-2019-103162
Michelle Acorn
Commentary on : Verdoorn S, Kwint HF, Blom JW, et al . Effects of a clinical medication review focused on personal goals, quality of life, and health problems in older persons with polypharmacy: a randomised controlled trial (DREAMeR-study). PLoS Med 2019;16:e1002798. doi: 10.1371/journal.pmed.1002798.A CMR is a structured, critical examination of a patient’s medications with the objective of reaching an agreement about treatment, optimising medicine impact, minimising medication-related issues and reducing waste. Limited evidence exists on the CMR intervention ability to improve patient outcomes. The DREAMeR study looks at polypharmacy in older persons who can benefit from a patient-centred CMR focusing on personal goals, …
评论:Verdoorn S, Kwint HF, Blom JW,等。临床用药回顾的影响,重点是个人目标,生活质量,和老年人的健康问题与多种药物:一项随机对照试验(dreamer -研究)。中华医学杂志2019;16:e1002798。doi: 10.1371 / journal.pmed.1002798。CMR是对患者药物进行结构化的严格检查,目的是达成治疗协议,优化药物影响,最大限度地减少药物相关问题和减少浪费。关于CMR干预改善患者预后能力的证据有限。“梦想者”研究着眼于老年人的多药治疗,他们可以从以患者为中心、专注于个人目标的CMR中受益。
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引用次数: 1
Health discipline students face various direct and indirect types of risks and hazards during education in clinical placements 卫生学科学生在临床实习期间面临各种直接和间接的风险和危害
Pub Date : 2019-11-15 DOI: 10.1136/ebnurs-2019-103099
R. Booth, S. O'Connor
Commentary on: Graj E, Sheen J, Dudley A, et al. Adverse health events associated with clinical placement: a systematic review. Nurse Educ Today 2019;76:178–190. doi:10.1016/j.nedt.2019.01.024.The review completed by Graj et al 1 sought to explore the risks and hazards encountered by health discipline students during clinical placements. Primary research completed in this domain has suggested that students commonly face various types of abuse, violence and other health-related occupational hazards during formal training.2 Graj et al 1 sought to synthesise the body of the literature in an effort to better elucidate the various risks faced by health discipline students during education. …
评论:Graj E, Sheen J, Dudley A,等。与临床安置相关的不良健康事件:系统回顾。护理教育,2019;76:178-190。doi: 10.1016 / j.nedt.2019.01.024。Graj等人完成的综述1旨在探讨卫生学科学生在临床实习期间遇到的风险和危害。在这一领域完成的初步研究表明,学生在正式培训期间通常面临各种类型的虐待、暴力和其他与健康有关的职业危害Graj等人1试图综合文献主体,以更好地阐明卫生学科学生在教育过程中面临的各种风险。...
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引用次数: 0
Pedometer-based walking interventions provide sustained increases in physical activity levels, as well as reductions in cardiovascular events and fractures 以计步器为基础的步行干预提供了身体活动水平的持续增加,以及心血管事件和骨折的减少
Pub Date : 2019-11-15 DOI: 10.1136/ebnurs-2019-103195
Deepali Pavagadhi, J. Car
Commentary on : Harris T, Limb ES, Hosking F, et al . Effect of pedometer-based walking interventions on long-term health outcomes: prospective 4-year follow-up of two randomised controlled trials using routine primary care data. PLoS Med 2019;16:e1002836.Long-term diseases are a priority health concern globally, and associated with considerable disease burden,1 lowered quality of life,2 morbidity and mortality.1 2 Prompt and evidence-based approaches for the prevention and optimal management of long-term diseases are imperative. Although the association between physical inactivity and long-term disease has been well-established,1 evidence …
评论:Harris T, Limb ES, Hosking F,等。基于计步器的步行干预对长期健康结局的影响:使用常规初级保健数据的两项随机对照试验的前瞻性4年随访科学通报2019;16:e1002836。长期疾病是全球优先关注的健康问题,与相当大的疾病负担1、生活质量降低2、发病率和死亡率有关。对长期疾病的预防和最佳管理必须采取迅速和循证的方法。尽管缺乏运动与长期疾病之间的联系已经得到了证实,但有证据表明……
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引用次数: 0
Comorbidity is a risk factor for poor quality of life in people with dementia 合并症是痴呆症患者生活质量差的一个危险因素
Pub Date : 2019-11-15 DOI: 10.1136/ebnurs-2019-103161
Nicole Zhang
Commentary on: Nelis SM, Wu YT, Matthews FE, et al . The impact of co-morbidity on the quality of life of people with dementia: findings from the IDEAL study. Age Ageing 2019;48:361–7. doi: 10.1093/ageing/afy155.Dementia is an increasingly common health problem.1 Many individuals live with comorbidities and this is also true of those individuals with dementia. A recent editorial summarised the landscape of dementia and comorbidities through the following points: (1) comorbidities negatively influence QoL; (2) dementia …
评论:Nelis SM, Wu YT, Matthews FE,等。合并症对痴呆患者生活质量的影响:来自IDEAL研究的结果老龄化2019;48:361-7。doi: 10.1093 / / afy155老化。痴呆症是一种越来越普遍的健康问题许多人患有合并症,痴呆患者也是如此。最近的一篇社论通过以下几点总结了痴呆症和合并症的现状:(1)合并症对生活质量有负面影响;(2)痴呆……
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引用次数: 0
Nurses’ night shift performance improves through taking scheduled naps 护士通过定期小睡来提高夜班的表现
Pub Date : 2019-11-15 DOI: 10.1136/ebnurs-2019-103164
N. Izadi
Commentary on: Zion N, Schohat T. Let them sleep: the effects of a scheduled nap during the night shift on sleepiness and cognition in hospital nurses. J Adv Nurs 2019. doi: 10.1111/jan.14031. [Epub ahead of print 22 April 2019].Healthcare workers who work in rotating shifts may experience sleepiness and reduction of job performance.1 2 Further, several studies observed that night shifts can negatively affect physical, psychological well-being and patient safety.3 There are …
点评:让他们睡觉:夜班期间安排午睡对医院护士嗜睡和认知的影响。中华护理杂志2019。doi: 10.1111 / jan.14031。[2019年4月22日印前Epub]。轮班工作的医护人员可能会感到困倦和工作表现下降。此外,一些研究发现夜班会对身体、心理健康和患者安全产生负面影响有……
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引用次数: 0
Healthcare professionals must communicate with patients and relatives. They must enable informed, realistic and appropriate decisions in end-of-life pharmacotherapy 医疗保健专业人员必须与患者和家属沟通。他们必须在临终药物治疗中做出明智、现实和适当的决定
Pub Date : 2019-11-12 DOI: 10.1136/ebnurs-2019-103179
Amanda J Lee
Commentary on: Morin L, Wastesson JW, Laroche ML, et al . How many older adults receive drugs of questionable clinical benefit near the end of life? A cohort study. Palliat Med 2019;33:1080–90. doi: 10.1177/0269216319854013.Use of a variety of drugs (polypharmacy) is required to manage complex disease processes. At the end of life, the focus of ‘treatment’ changes from extending survival to symptom management—therefore, aims of treatments change, requiring different pharmaceutical …
评述:Morin L, Wastesson JW, Laroche ML,等。有多少老年人在临终前接受了临床疗效有问题的药物?一项队列研究。中华医学杂志2019;33:1080-90。doi: 10.1177 / 0269216319854013。需要使用多种药物(综合用药)来管理复杂的疾病过程。在生命的尽头,“治疗”的重点从延长生存时间转变为症状管理,因此,治疗的目的也发生了变化,需要不同的药物治疗。
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引用次数: 0
Cigarette smoking increases persistent pain intensity and interference, impairs function and sleep 吸烟增加了持续的疼痛强度和干扰,损害了功能和睡眠
Pub Date : 2019-11-08 DOI: 10.1136/ebnurs-2019-103174
F. Cox
Commentary on: Khan JS, Hah JM, Mackey SC. Effects of smoking on patients with chronic pain: a propensity-weighted analysis on the Collaborative Health Outcomes Information Registry. P ain 2019;160:2374–9.The association between cigarette smoking and lung cancer was described in epidemiological studies in 1950. Smoking remains a public health issue with a strong association between demographic and socioeconomic factors. Chronic pain is also related to working, socioeconomic and educational status.1 Nicotine is suspected as providing an antinociceptive (pain-relieving) effect, yet chronic smokers have an increased risk of persistent pain. Smoking cessation in people with no pain at baseline …
引用本文:王建军,王建军,王建军。吸烟对慢性疼痛患者的影响:基于协同健康结果信息登记的倾向加权分析。中国生物医学工程学报(英文版);2009;31(3):391 - 391。1950年的流行病学研究描述了吸烟和肺癌之间的联系。吸烟仍然是一个与人口和社会经济因素密切相关的公共卫生问题。慢性疼痛还与工作、社会经济和教育状况有关尼古丁被怀疑具有抗痛觉(缓解疼痛)的作用,然而长期吸烟者持续疼痛的风险增加。戒烟的人在基线没有疼痛…
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引用次数: 1
‘Use it or lose it’: the relationship between the frequency of word puzzle use and cognitive function “要么用,要么丢”:字谜使用频率与认知功能之间的关系
Pub Date : 2019-11-07 DOI: 10.1136/ebnurs-2019-103165
K. Harrison-Dening
Commentary on: Brooker H, Wesnes KA, Ballard C, et al . An online investigation of the relationship between the frequency of word puzzle use and cognitive function in a large sample of older adults. Int J Geriatr Psychiatry 2019;34:921–31. doi: 10.1002/gps.5033.A degree of cognitive decline is common in ageing; however, it can also be a precursor to mild cognitive impairment and dementia, such as Alzheimer’s disease (AD). The population is ageing, so …
评注:Brooker H, Wesnes KA, Ballard C,等。一项对大量老年人样本中字谜使用频率与认知功能之间关系的在线调查。中华老年精神病学杂志2019;34(4):921 - 931。doi: 10.1002 / gps.5033。随着年龄的增长,一定程度的认知能力下降是很常见的;然而,它也可能是轻度认知障碍和痴呆的前兆,比如阿尔茨海默病(AD)。人口正在老龄化,所以……
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