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Maternal weight status before pregnancy is strongly associated with offspring weight status in childhood 母亲孕前体重状况与子代儿童时期体重状况密切相关
Pub Date : 2019-09-19 DOI: 10.1136/ebnurs-2019-103178
R. Cooper, S. P. Pinto Pereira
Commentary on: Heslehurst N, Vieira R, Akhter Z, et al . The association between maternal body mass index and child obesity: a systematic review and meta-analysis. PLoS Medicine 2019;16:e1002817. doi: 10.1371/journal.pmed.1002817.Obesity is associated with adverse health outcomes across life. The rise in its global prevalence is therefore one of the most important public health challenges of our time.1 Obesity tracks across life and so interventions to reduce its prevalence and minimise its lifelong consequences need to commence early in life.2 Parental and offspring weight status are strongly associated,3 and it is recognised that intervening on these intergenerational associations may be …
评述:Heslehurst N, Vieira R, Akhter Z,等。母亲体重指数与儿童肥胖的关系:一项系统回顾和荟萃分析。科学通报2019;16:e1002817。doi: 10.1371 / journal.pmed.1002817。肥胖与一生中不利的健康结果有关。因此,其全球流行率的上升是我们这个时代最重要的公共卫生挑战之一肥胖贯穿一生,因此,降低其患病率并尽量减少其终身后果的干预措施需要在生命早期就开始父母和后代的体重状况密切相关,并且人们认识到干预这些代际关联可能是……
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引用次数: 0
More research is needed to understand how to provide optimal palliative dementia care to people living at home 需要更多的研究来了解如何为住在家里的人提供最佳的姑息性痴呆症护理
Pub Date : 2019-09-18 DOI: 10.1136/ebnurs-2019-103160
N. Kupeli
Commentary on: Miranda R, Bunn F, Lynch J, et al . Palliative care for people with dementia living at home: a systematic review of interventions. Palliat Med 2019;33:726-742. doi:10.1177/0269216319847092. Epub 2019 May 6.Dementia is a leading cause of death,1 and keeping people with dementia at home for longer is a key governmental goal. There is growing recognition that dementia is a terminal illness and a palliative care approach may be appropriate. The EAPC provides a comprehensive definition of palliative dementia care and a framework for outcomes of good end-of-life care.2 Palliative dementia care should be continuous, proactive person-centred care with timely …
评论:Miranda R, Bunn F, Lynch J,等。对居家痴呆患者的姑息治疗:干预措施的系统回顾。中华医学杂志2019;33:726-742。doi: 10.1177 / 0269216319847092。Epub 2019 5月6日。痴呆症是导致死亡的主要原因1,让痴呆症患者在家里呆更长时间是政府的一个关键目标。越来越多的人认识到痴呆症是一种绝症,姑息治疗方法可能是合适的。EAPC提供了姑息性痴呆护理的全面定义和良好的临终关怀结果的框架姑息性痴呆护理应该是持续的、积极主动的、以人为本的护理,并及时…
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引用次数: 0
Duration of antibiotic treatment for common infections frequently exceeds recommended guidelines, potentially impacting antimicrobial resistance 常见感染的抗生素治疗时间经常超过建议的指导方针,可能影响抗菌素耐药性
Pub Date : 2019-09-17 DOI: 10.1136/ebnurs-2019-103116
Nicole Zhang
Commentary on : Pouwels KB, Hopkins S, Llewelyn MJ, et al . Duration of antibiotic treatment for common infections in English primary care: cross sectional analysis and comparison with guidelines. BMJ 2019;364:l440. doi: 10.1136/bmj.l440The realisation that antibiotic overuse can be harmful has shaped modern global movements of antibiotic prophylaxis and stewardship. Furthermore, nursing has had an established role in this movement.1 As a result, adherence to guidelines for antibiotic treatment for numerous common infections is a …
评论:Pouwels KB, Hopkins S, Llewelyn MJ,等。英国初级保健中常见感染的抗生素治疗时间:横断面分析和与指南的比较。BMJ 2019; 364: l440。bmj doi: 10.1136 /。144 .认识到抗生素过度使用可能有害,形成了现代全球抗生素预防和管理运动。此外,护理在这一运动中发挥了既定的作用因此,对于许多常见感染,遵守抗生素治疗指南是一种……
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引用次数: 0
Enhancing the role of nursing in primary care facilitates task sharing and addresses human resource shortages to achieve optimal population health outcomes 加强护理在初级保健中的作用有助于分担任务并解决人力资源短缺问题,以实现最佳的人口健康结果
Pub Date : 2019-09-13 DOI: 10.1136/ebnurs-2019-103143
L. Scott, Courtney May
Commentary on : Karimi-Shahanjarini A, Shakibazadeh E, Rashidian A, et al . Barriers and facilitators to the implementation of doctor‐nurse substitution strategies in primary care: a qualitative evidence synthesis. Cochrane Database Syst Rev 2019.Globally, countries are faced with a chronic shortage of healthcare workers. The demand for healthcare services continues to grow with an ageing population and individuals living with chronic disease.1 Human resource shortages within primary healthcare systems lead to suboptimal health outcomes for populations, including increased maternal …
评论:Karimi-Shahanjarini A, Shakibazadeh E, Rashidian A,等。初级保健中实施医生-护士替代策略的障碍和促进因素:定性证据综合。Cochrane数据库系统Rev 2019。在全球范围内,各国面临着卫生保健工作者长期短缺的问题。随着人口老龄化和慢性病患者的增多,对医疗保健服务的需求持续增长初级卫生保健系统的人力资源短缺导致人群的健康结果不理想,包括孕产妇死亡率增加。
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引用次数: 1
It is time to consider labour companionship as a human rights issue 是时候把劳动陪伴视为一个人权问题了
Pub Date : 2019-09-12 DOI: 10.1136/ebnurs-2019-103127
H. Dahlen
Commentary on: Bohren MA, Berger BO, Munthe-Kaas H, et al . Perceptions and experiences of labour companionship: a qualitative evidence synthesis. Cochrane Database Syst Rev 2019;3:CD012449.There is now substantial evidence that companionship during labour leads to enhanced birth outcomes for women and babies. These benefits include: increased spontaneous vaginal birth, shorter duration of labour and decreased caesarean birth, instrumental birth, use of any analgesia, use of regional analgesia, low 5 min Apgar score and negative feelings about childbirth experiences.1 The choice of companionship during labour and birth is recognised by the WHO,2 White Ribbon Alliance …
评论:Bohren MA, Berger BO, Munthe-Kaas H,等。劳动陪伴的感知和经验:定性证据综合。Cochrane Database system Rev 2019;3:CD012449。现在有大量证据表明,分娩期间的陪伴可以提高妇女和婴儿的出生结果。这些好处包括:增加自然阴道分娩,缩短分娩时间,减少剖腹产,器械分娩,使用任何镇痛,使用局部镇痛,低5分钟Apgar评分和对分娩经历的负面情绪分娩和分娩期间陪伴的选择得到了世卫组织、白丝带联盟的认可……
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引用次数: 5
Nurses should be empowered to be proactively involved in family decision meetings on intensive care unit patient care decisions 护士应被授权积极参与重症监护室病人护理决策的家庭决策会议
Pub Date : 2019-09-11 DOI: 10.1136/ebnurs-2019-103089
Mohammad Khan
Commentary on: Pecanac K, King B. Nurse-Family Communication During and After Family Meetings in the Intensive Care Unit. J Nurs Scholarsh 2019;51:129–37Nurses are important members of the intensive care unit (ICU) team and evidence suggests that they should participate in the ICU family discussion by sharing information about the patient’s condition, advocating for the patient’s wishes, and helping patients and patients’ families understand the care plan. ICU family discussion is highly recommended to address the concerns of patients and patients’ families and explain the plan of …
评论:Pecanac K, King B.在重症监护病房的家庭会议期间和之后护士与家庭的沟通。护士是重症监护室(ICU)团队的重要成员,有证据表明,护士应该通过分享患者病情信息、倡导患者意愿、帮助患者和患者家属了解护理计划来参与ICU家属讨论。强烈建议ICU家庭讨论,以解决患者和患者家属的担忧,并解释…
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引用次数: 2
Fan therapy is a treatment option for relieving of chronic breathlessness 风扇疗法是缓解慢性呼吸困难的一种治疗选择
Pub Date : 2019-09-11 DOI: 10.1136/ebnurs-2019-103118
M. Ekström
Commentary on: Swan F, Newey A, Bland M, et al . Airflow relieves chronic breathlessness in people with advanced disease: An exploratory systematic review and meta-analyses. Palliat Med 2019;33:618-633. doi:10.1177/0269216319835393.Chronic breathlessness,1 is a major cause of suffering in people with severe disease. Treatment includes cardiorespiratory rehabilitation training, supplemental oxygen in hypoxaemia and low dose opioids in selected patients, but is often insufficient and new therapeutic options are needed. …
评论:Swan F, Newey A, Bland M,等。气流缓解晚期疾病患者的慢性呼吸困难:一项探索性系统回顾和荟萃分析。中华医学杂志2019;33:618-633。doi: 10.1177 / 0269216319835393。慢性呼吸困难是严重疾病患者痛苦的主要原因。治疗包括心肺康复训练,在低氧血症中补充氧气和在选定的患者中使用低剂量阿片类药物,但往往不足,需要新的治疗选择。…
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引用次数: 0
Being non-frail and having an elective procedure are the strongest predictors associated with functional recovery among older survivors of major surgery 在大手术后的老年幸存者中,非虚弱和选择性手术是与功能恢复相关的最强预测因素
Pub Date : 2019-09-07 DOI: 10.1136/ebnurs-2019-103152
K. Rolls, Lynette Mc Evoy, Matthew Ritcher, S. Frost
Commentary on: Becher RD, Murphy TE, Gahbauer, EA. et al . Factors associated with functional recovery among older survivors of major surgery. Ann Surg 2019; Feb 6. doi:10.1097/SLA.0000000000003233. [Epub ahead of print].Worldwide, the population is ageing and in the context of hospital care, the most problematic consequence of this is the clinical condition of frailty .1 Frailty develops as a result of age and or chronic disease-related decline in several physiological systems, leaving the individual vulnerable to minor stressor events (eg, change in medications, illness and surgery), leading to an acute deterioration in health and increasing the risk of adverse outcomes, in the hospital setting.1 …
评论:Becher RD, Murphy TE, Gahbauer, ea等。大手术后老年幸存者功能恢复的相关因素。Ann Surg 2019;2月6日。doi: 10.1097 / SLA.0000000000003233。[印前Epub]。在世界范围内,人口正在老龄化,在医院护理的背景下,最成问题的后果是虚弱的临床状况。1虚弱是由于年龄和/或与慢性疾病相关的几种生理系统衰退而产生的,使个人容易受到轻微压力源事件(例如,药物、疾病和手术的变化)的影响,导致健康急剧恶化,并增加了医院环境中不良后果的风险。1……
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引用次数: 0
Provider-level characteristics are significantly associated with the increased likelihood of mastectomy over conservative surgery among elderly women with breast cancer 在老年乳腺癌妇女中,提供者水平的特征与乳房切除术比保守手术的可能性增加显著相关
Pub Date : 2019-09-06 DOI: 10.1136/ebnurs-2019-103153
M. Ferdous, T. Turin
Commentary on: Boero IJ, Paravati AJ, Hou J, et al . The impact of surgeons on the likelihood of mastectomy in breast cancer. Ann Surg 2019;269(5):951-58. doi:10.1097/SLA.0000000000002698.Two of the major surgical treatment options available for invasive breast cancer include mastectomy and breast-conserving surgery (BCS). Recent studies have shown a better survival rate for BCS followed by radiation therapy compared with mastectomy, emphasising the importance of understanding the reasons behind choosing mastectomy …
评述:Boero IJ, Paravati AJ, Hou J,等。外科医生对乳腺癌乳房切除术可能性的影响。中华外科杂志(英文版);2019;36(5):951- 958。doi: 10.1097 / SLA.0000000000002698。浸润性乳腺癌的两种主要手术治疗方案包括乳房切除术和保乳手术(BCS)。最近的研究表明,与乳房切除术相比,BCS后放射治疗的生存率更高,强调了了解选择乳房切除术背后原因的重要性……
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引用次数: 0
Qualitative research shows that preferences for place of end-of-life care and death are shaped by the uncertainty of living with a life-limiting illness for patients and family caregivers and are neither synonymous nor stable 定性研究表明,对临终关怀和死亡地点的偏好是由患者和家庭照顾者生活在限制生命的疾病中的不确定性所决定的,既不是同义词,也不是稳定的
Pub Date : 2019-09-05 DOI: 10.1136/ebnurs-2019-103158
Jackie Robinson, M. Gott
Commentary on: Gerber K, Hayes B, Bryant C, et al . ‘It all depends!’: a qualitative study of preferences for place of care and place of death in terminally ill patients and their family caregivers. Palliat Med 2019; 33:802-811. doi:10.1177/0269216319845794Palliative care philosophy positions home as the …
评论:Gerber K, Hayes B, Bryant C,等。“看情况吧!”':一项关于临终病人及其家属照顾者对护理地点和死亡地点的偏好的定性研究。Palliat Med 2019;33:802 - 811。doi:10.1177/0269216319845794姑息治疗哲学将家定位为……
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引用次数: 2
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Evidence Based Journals
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