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Pub Date : 2019-08-29 DOI: 10.1136/ebnurs-2019-103185
R. Heale
10.1136/ebnurs-2019-103185 Health improvement Scotland Scottish Intercollegiate Guidelines Network (SIGN) British Guideline on the Management of Asthma https://www. sign. ac. uk/ sign158britishguidelineonthemanagementofasthma. html The guideline covers diagnosis and management of asthma in adults and children, and sections of the guideline are updated biennially. The 2019 update includes a complete revision of the section on monitoring asthma, including new information on predicting future risk of asthma attacks, and updates to the sections on pharmacological management of asthma, supported selfmanagement, nonpharmacological management of asthma, and management of acute asthma in adults and children. It also includes a new checklist of information for patients and carers.
10.1136/ebnurs-2019-103185健康改善苏格兰苏格兰校际指南网络(SIGN)英国哮喘管理指南https://www。的迹象。a. uk/ sign158英国快速管理指南。该指南涵盖成人和儿童哮喘的诊断和管理,指南的部分内容每两年更新一次。2019年的更新包括对哮喘监测部分的全面修订,包括预测未来哮喘发作风险的新信息,以及对哮喘的药物管理、支持的自我管理、哮喘的非药物管理以及成人和儿童急性哮喘管理部分的更新。它还包括一份新的信息清单,供患者和护理人员使用。
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引用次数: 0
EBN perspectives: nursing issues EBN观点:护理问题
Pub Date : 2019-08-29 DOI: 10.1136/ebnurs-2019-103186
L. Kidd, A. Twycross
EBN Perspectives brings together key issues from the commentaries in one of our nursing topic themes
EBN的观点汇集了关键问题的评论,在我们的护理主题之一
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引用次数: 2
Co-creation and co-production in health service delivery: what is it and what impact can it have? 卫生服务提供中的共同创造和共同生产:什么是共同创造和共同生产?它能产生什么影响?
Pub Date : 2019-08-28 DOI: 10.1136/ebnurs-2019-103184
D. Wolstenholme, L. Kidd, A. Swift
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: 5
Moderate-to-vigorous exercise is beneficial and can improve symptoms of fatigue and depression in young people with paediatric-onset multiple sclerosis and other demyelinating conditions 中度至剧烈运动是有益的,可以改善患有小儿多发性硬化症和其他脱髓鞘疾病的年轻人的疲劳和抑郁症状
Pub Date : 2019-08-28 DOI: 10.1136/ebnurs-2019-103117
K. McGuigan, C. McGuigan
Commentary on : Stephens S, Shams S, Lee J, et al . Benefits of physical activity for depression and fatigue in multiple sclerosis: a longitudinal analysis. J Pediatr 2019;209:226–32. https://doi.org/10.1016/j.jpeds.2019.01.040Paediatric-onset multiple sclerosis presents in childhood or adolescence with fatigue and depression common among those living with POMS.1 Fatigue and depression are often comorbid conditions that have been consistently …
评论:Stephens S, Shams S, Lee J,等。体育活动对多发性硬化症患者抑郁和疲劳的益处:一项纵向分析。中华儿科杂志(英文版);2019;39(2):444 - 444。https://doi.org/10.1016/j.jpeds.2019.01.040Paediatric-onset多发性硬化症表现为儿童期或青春期的疲劳和抑郁,在poms患者中很常见。
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引用次数: 1
Medication assisted therapy (MAT) for opioid use disorder (OUD) in youth improves outcomes and saves lives 青少年阿片类药物使用障碍(OUD)的药物辅助治疗(MAT)改善了结果并挽救了生命
Pub Date : 2019-08-28 DOI: 10.1136/ebnurs-2018-103053
P. O'Malley
Commentary on : Hadland SE, Bagley SM, Rodean J, et al . Receipt of timely addiction treatment and association of early medication treatment with retention in care among youths with opioid use disorder. JAMA Pediatrics . 2018;172(11):1029–1037. doi:10.1001/jamapediatrics.2018.2143.Rising morbidity and mortality for adolescents and young adults in the USA is a difficult health issue. Despite recommendations by …
评论:Hadland SE, Bagley SM, Rodean J,等。阿片类药物使用障碍青少年的及时成瘾治疗和早期药物治疗与护理保留的关系JAMA儿科学。2018, 172(11): 1029 - 1037。doi: 10.1001 / jamapediatrics.2018.2143。在美国,青少年和年轻人发病率和死亡率的上升是一个棘手的健康问题。尽管……
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引用次数: 1
Fathers get depressed too: lifestyle and relationship factors, stress and sleep quality are associated with depression in new fathers in the first 6 months postbirth 父亲也会抑郁:生活方式和人际关系因素、压力和睡眠质量都与产后6个月的新父亲抑郁有关
Pub Date : 2019-08-28 DOI: 10.1136/ebnurs-2019-103110
O. Oyelade, A. O. Olowe
Commentary on : Da Costa D, Danieli C, Abrahamowicz M, et al . A prospective study of postnatal depressive symptoms and associated risk factors in first-time fathers. J Affect Disord 2019;249:371–377.A central cause of depression is identified to be prenatal and postnatal stress.1 2 This, pre and postnatal stress, affects both the father and the mother of a baby, and the reaction of both parents to the stress is known to affect child's health and psychology.3 Da Costa et al ’s study4 aimed at determining the prevalence of depressive symptoms in …
评论:Da Costa D, Danieli C, Abrahamowicz M,等。初生父亲产后抑郁症状及相关危险因素的前瞻性研究[J]心理疾病学报,2019;29(1):371 - 377。抑郁症的主要原因是产前和产后压力。这种产前和产后压力对婴儿的父亲和母亲都有影响,而父母双方对压力的反应已知会影响儿童的健康和心理Da Costa等人的研究4旨在确定抑郁症状在…
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引用次数: 0
Study of nurses’ use of early warning scoring systems for patient deterioration highlights the need to strengthen nurses’ knowledge and confidence in their clinical judgement in using these tools 对护士使用患者病情恶化早期预警评分系统的研究强调了需要加强护士在使用这些工具时对临床判断的知识和信心
Pub Date : 2019-08-28 DOI: 10.1136/ebnurs-2019-103119
S. Rehman, P. Ali
Commentary on: Wood C, Chaboyer W, Carr P. How do nurses use Early warning scoring systems to detect and act on patient deterioration to ensure patient safety? A scoping review. Int J Nursing Studies 2019;94:166–178.The use of early warning scoring tools plays an important role in the identification and management of patients at risk of deterioration1 in acute and non-acute settings.However, the use of such tools in the practice setting and especially in non-acute settings, such as medical or surgical units, is not without …
评论:Wood C, Chaboyer W, Carr P.护士如何使用早期预警评分系统来发现患者病情恶化并采取行动以确保患者安全?范围审查。国际护理学杂志,2019;19(4):391 - 391。早期预警评分工具的使用在识别和管理急性和非急性环境中有恶化风险的患者中起着重要作用。然而,在实践环境中使用这些工具,特别是在非急性环境中,如医疗或外科单位,并非没有……
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引用次数: 0
What are cohort studies? 什么是队列研究?
Pub Date : 2019-08-22 DOI: 10.1136/ebnurs-2019-103183
D. Barrett, H. Noble
In 1951, Richard Doll and Austin Bradford-Hill commenced a ground-breaking research project by writing to all registered doctors in the UK to ask about their smoking habits. The British Doctors Study recruited and followed-up over 40 000 participants, monitoring mortality rates and causes of death over the subsequent years and decades. Even by the time of the first set of preliminary results in 1954, there was evidence to link smoking with lung cancer and increased mortality.1 Over the following decades, the study provided further definitive evidence of the health risks from smoking, and was extended to explore other causes of death (eg, heart disease) and other behavioural variables (eg, alcohol intake).The Doctors Health Survey is one of the largest, most ambitious and best-known cohort studies and demonstrates the value of this approach in supporting our understanding of disease risk. However, as a method, cohort studies can have much wider applications. This article provides an overview of cohort studies, identifying the opportunities and challenges they present to researchers, and the role they play in developing the evidence base for nursing and healthcare more broadly.Cohort studies are a type of longitudinal study —an approach that follows research participants over a period of time (often many years). Specifically, cohort studies recruit and follow participants who share a common characteristic, such as a particular occupation or demographic similarity. During the period of follow-up, some of the cohort will be exposed to a specific risk factor or characteristic; by measuring outcomes over a period of time, it is then possible …
1951年,理查德·多尔(Richard Doll)和奥斯汀·布拉德福德-希尔(Austin Bradford-Hill)开始了一项开创性的研究项目,他们写信给英国所有注册医生,询问他们的吸烟习惯。英国医生研究招募并跟踪了4万多名参与者,在随后的几年和几十年里监测死亡率和死亡原因。甚至在1954年第一批初步结果出炉的时候,就已经有证据表明吸烟与肺癌和死亡率增加有关在接下来的几十年里,这项研究为吸烟对健康的危害提供了进一步明确的证据,并扩展到探索其他死亡原因(如心脏病)和其他行为变量(如饮酒)。医生健康调查是规模最大、最雄心勃勃、最知名的队列研究之一,它证明了这种方法在支持我们理解疾病风险方面的价值。然而,作为一种方法,队列研究可以有更广泛的应用。本文概述了队列研究,确定了它们给研究人员带来的机遇和挑战,以及它们在更广泛地为护理和医疗保健发展证据基础方面发挥的作用。队列研究是一种纵向研究——一种在一段时间内(通常是多年)跟踪研究参与者的方法。具体来说,队列研究招募并跟踪具有共同特征的参与者,例如特定的职业或人口统计学相似性。在随访期间,一些队列将暴露于特定的风险因素或特征;通过衡量一段时间内的结果,就有可能……
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引用次数: 114
Is it really bursary or bust? Simon Stevens stirs the pot 真的是助学金还是破产?西蒙·史蒂文斯搅动着锅
Pub Date : 2019-08-21 DOI: 10.1136/ebnurs-2019-103182
A. Swift, A. Twycross
In England, the bursary for student nurses was removed in 2017 when they also became liable to pay tuition fees.1 The aim was to reduce the cap on student nurse numbers. While the cynics among us may think the real reason was to reduce the £1 billion spent on non-medical pre-registration education each year, the Council of Deans of Health (CoDH) supported the move. They argued that in addition to removing the cap on numbers the change in financing nurse education would leave student nurses better off financially during their pre-registration nursing course.2 The CoDH later acknowledged that the subsequent reduction in applicants was more than expected.3 The bursary was means-tested with a student living away from home, outside of London with no dependents entitled to £39664 per annum. Most pre-registration nursing courses run over 42 weeks per year (rather than the standard 30 weeks) meaning that students incur additional expenses as well as not having a long vacation over the summer to earn money. This results in many student nurses taking on additional debt. The take home message is that student nurses in England were struggling financially even before the bursary was removed.4–7 Indeed, since then hardship payments to student nurses have risen8 and financial hardship has been identified as one of the key reasons for student attrition from pre-registration courses.9 Under the new system, the maximum (means-tested) maintenance loan available for a student outside London is £8700 per year (£725 per month) plus the payment of tuition fees directly from the student loan company (SLC) to the relevant Higher Education Institute.It is indisputable that student loans provide greater income during the programme of study than the old system. However, there is a need for student loans to be repaid following …
在英国,2017年取消了学生护士的助学金,因为他们也有义务支付学费其目的是减少学生护士人数的上限。虽然我们当中的愤世嫉俗者可能认为真正的原因是为了减少每年10亿英镑用于非医疗预注册教育的支出,但卫生院长委员会(CoDH)支持这一举措。他们认为,除了取消人数上限外,护士教育资金的变化将使学生护士在注册前的护理课程中经济状况更好CoDH后来承认,随后申请人数的减少超出了预期该助学金是对住在伦敦以外的离家学生进行经济状况调查的,该学生没有家属,每年可获得39664英镑。大多数预注册护理课程每年超过42周(而不是标准的30周),这意味着学生要承担额外的费用,而且在夏天没有长假来赚钱。这导致许多学生护士承担了额外的债务。最重要的信息是,在助学金取消之前,英国的学生护士就已经在经济上挣扎了。事实上,从那时起,支付给护士学生的困难津贴有所增加,经济困难已被确定为学生从预注册课程中流失的主要原因之一在新制度下,伦敦以外的学生可获得的最高(经经济状况调查的)维持贷款是每年8700英镑(每月725英镑),再加上直接从学生贷款公司(SLC)向相关高等教育学院支付的学费。无可争辩的是,学生贷款在学习期间比旧制度提供了更多的收入。然而,学生贷款需要在以下情况下偿还……
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引用次数: 1
School asthma intervention programme effectively improved children’s knowledge and attitudes, and led to decreased hospital admission, length of stay and school absences 学校哮喘干预方案有效地改善了儿童的知识和态度,减少了住院率、住院时间和缺勤率
Pub Date : 2019-08-19 DOI: 10.1136/ebnurs-2019-103092
A. Saleh
Commentary on : Harris KM, Kneale D, Lasserson TJ, et al . School-based self-management interventions for asthma in children and adolescents: a mixed methods systematic review. Cochrane Database of Systematic Reviews 2019;1:CD011651. DOI: 10.1002/14651858.CD011651.pub2.Asthma is a …
评论:Harris KM, Kneale D, Lasserson TJ,等。以学校为基础的儿童和青少年哮喘自我管理干预:一项混合方法系统综述。Cochrane系统评价数据库2019;1:CD011651。cd011651.pub2 DOI: 10.1002/14651858.。哮喘是一种……
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引用次数: 3
期刊
Evidence Based Journals
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