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Evaluation of Medicinal and Medical Effects on Quality of Life in Patients with Hyperthyroidism Due to Graves´ Disease Graves病致甲状腺机能亢进患者生活质量的药物及医疗效果评价
Pub Date : 2021-07-27 DOI: 10.26655/JMCHEMSCI.2021.5.2
M. Shah-abadi, M. Heydari, Ehsan Goroei Sardu
Different observational studies and randomized trials attempted to show advantages as well as limitations of surgical approaches for improvement in patients’ quality of life (QOL) suffering hyperthyroidism caused by the Graves´ disease (GD). We aimed to systematically examine the impact of surgery (thyroidectomy) on different components of QOL in patients with GD. Two reviewers began to deeply search the various databases of article published including Medline, Web of knowledge, Google Scholar, Scopus, and Cochrane Central Register of Controlled Trials (CENTRAL) in the Cochrane Library for all eligible studies in accordance with the considered keywords. In final, seven articles were eligible for the final analysis that published between 2012 and 2019. The Comprehensive Meta-Analysis Software was employed for analysis. Assessing the level of quality of life using SF-36 tool showed significantly increase in both physical component score (weighted mean differences of 0.428, p <0.001) and psychological component score (weighted mean differences of 0.277, p <0.001) postoperatively compared with the baseline values. The assessment of QOL using the Thy PRO questionnaire also showed significantly improvement in total QOL score after surgery compared with before that (weighted mean differences of -1.466, p <0.001). We revealed considerably improving both physical and mental aspects of QOL following surgery in Graves’ disease.
不同的观察性研究和随机试验试图显示手术方法在改善Graves病(GD)引起的甲状腺功能亢进患者生活质量(QOL)方面的优势和局限性。我们的目的是系统地研究手术(甲状腺切除术)对GD患者生活质量不同组成部分的影响。两位审稿人开始深入搜索包括Medline、Web of knowledge、Google Scholar、Scopus和Cochrane Central Register of Controlled Trials (Central)在内的Cochrane Library中已发表文章的各种数据库,根据所考虑的关键词搜索所有符合条件的研究。最终,在2012年至2019年期间发表的七篇文章有资格进行最终分析。采用综合meta分析软件进行分析。使用SF-36工具评估生活质量水平显示,与基线值相比,术后身体成分评分(加权平均差值0.428,p <0.001)和心理成分评分(加权平均差值0.277,p <0.001)均显著增加。采用Thy PRO问卷评估患者的生活质量,术后总生活质量评分较术前有显著提高(加权平均差异为-1.466,p <0.001)。我们发现格雷夫斯病手术后身体和精神方面的生活质量都有显著改善。
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引用次数: 0
Harmony (和): Concepts and Practice of Health in Confucius Philosophy Provided for People with Diseases 和(译):孔子哲学中的健康理念与实践,为疾病之人提供
Pub Date : 2021-07-22 DOI: 10.26655/JMCHEMSCI.2021.5.1
Wenqin Huang, Yuhui Yang
The concepts and practices of health in Confucius philosophy may provide patients with a possible way to dealing with life. This study aimed at exploring Confucius's understanding of health, good life, and well-being related to harmony. Documentation analysis was used to examine the meaning of health-related to harmony in Confucius philosophy. A qualitative approach was employed to identify concepts and practices regarding harmony. This research revealed Confucius's understanding of health, good life, and well-being based on harmony, which may provide a life philosophy to patients, a new perspective on living with illness, and offers a possible way for patients to deal with challenges.
孔子哲学中的健康理念和实践可能为患者提供一种应对生活的可能方式。本研究旨在探讨孔子对健康、美好生活和与和谐相关的幸福的理解。本文采用文献分析的方法,考察孔子哲学中健康与和谐的内涵。采用定性方法来确定关于和谐的概念和实践。本研究揭示了孔子对健康、美好生活和和谐幸福的理解,为患者提供了一种人生哲学,一种新的与疾病共存的视角,为患者应对挑战提供了可能的途径。
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引用次数: 0
Clinical Management of Cardiovascular Care on the Basis of Big Data: Electronic Medical Records 基于大数据的心血管护理临床管理:电子病历
Pub Date : 2021-07-01 DOI: 10.26655/JMCHEMSCI.2021.4.11
Abramov Alexey Yurievich, Sharapova Olga Viktorovna, R.S.Goloshchapov-Aksenov Roman Sergeevich, Kicha Dmitry Ivanovich, Rukodayny Oleg Vladimirovich, Nazarov Aleksandr Mikhaylovich, Gerasimova Liudmila Ivanovna, Fomina Roza Vladimirovna
Electronic medical records are a source of large amounts of information about human health. This study aimed to investigate the role of big data electronic medical records of patients with cardiovascular diseases to improve the clinical management of cardiovascular care processes. The study was carried out in 2017-2020. The subjects of the study were patients with cardiovascular diseases (n=2525) and cardiovascular surgeons of the vascular surgery department (n=6), forming big data with the help of digitalization and data analysis information system Interin ProMIS. Efficiency was assessed based on the results of analytical studies of the department's economic indicators, risks of end-cardiovascular points (myocardial infarction, stroke, death, bleeding), repeated surgeries, patients' persistence to optimal drug therapy, and implementation of doctor's recommendations. The study estimated the degree of cognitive and physical load on medical personnel in connection with the use of electronic medical turnover in terms of working hours, and economic efficiency of inpatient treatment. The observation time was 24 months. Analytical, statistical methods of research were applied. Revenues of the department increased from 64180 to 113497 thousand rubles. The incidence of endpoint cardiovascular events made 0.5% during two years of follow-up. The number of cardiovascular patients supervised by surgeons decreased to 4 patients per day against the background of electronic document management, which reduced the degree of cognitive and physical load. Big data analytics of electronic medical records contributes to the development of effective strategies for clinical management of the processes aimed at improving the health of cardiovascular patients.
电子医疗记录是关于人类健康的大量信息的来源。本研究旨在探讨心血管疾病患者大数据电子病历在改善心血管护理过程临床管理中的作用。该研究于2017-2020年进行。研究对象为心血管疾病患者(n=2525)和血管外科心血管外科医生(n=6),借助数字化和数据分析信息系统Interin ProMIS形成大数据。效率的评估基于科室经济指标、心血管终点风险(心肌梗死、中风、死亡、出血)、重复手术、患者坚持最佳药物治疗以及医生建议的执行情况的分析研究结果。该研究估计了医务人员的认知和身体负荷程度与使用电子医疗周转(按工作时间计算)和住院治疗的经济效率有关。观察时间24个月。采用了分析、统计的研究方法。该部门的收入从64180卢布增加到11349.7万卢布。在两年的随访期间,终点心血管事件的发生率为0.5%。在电子文档管理的背景下,由外科医生监护的心血管患者减少到每天4例,这降低了认知和身体负荷的程度。电子病历的大数据分析有助于为旨在改善心血管患者健康的过程的临床管理制定有效战略。
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引用次数: 1
Vulvovaginitis in Girls: Clinico-Psychological Aspect 女孩外阴阴道炎:临床-心理方面
Pub Date : 2021-07-01 DOI: 10.26655/JMCHEMSCI.2021.4.12
Tolstova A.S., Labzina M.V., Labzina L. Ya, Tokareva N.G., Nechaikin A.S.
Women, particularly healthy women, need medical attention in order to carry out their sexual and reproductive functions safely and effectively. There has been a massive expansion of health technology and health systems in the second half of this century to provide women with many aspects of reproductive health care. There are numerous problems related to the impairment of women's reproductive health during the infancy or teenage years. The great importance among gynecological pathologies assigns to vulvovaginitis. It is the most frequent reason for visits to children's gynecologists. The development of the disease is promoted by anatomo-physiological features of a girl`s genital tracts before puberty, bacterial and viral agents, the neglect of personal hygiene rules, helminthic invasion, allergic disorders, endocrine pathology. During the course of medical-preventive and rehabilitation actions for vulvovaginitis in girls, a special approach requires psychological support, which is built on the root causes of their problems, and various health-related aspects, since in no other field is the relationship between psychology and physiology as close as in the field of sexuality and the reproductive health. Thus, the studying of clinical-psychological features of vulvovaginitis remains relevant since it helps to prevent critical consequences during the formation of the reproductive system.
妇女,特别是健康妇女,需要医疗照顾,以便安全有效地行使其性和生殖功能。在本世纪下半叶,保健技术和保健系统得到了大规模的扩展,以便向妇女提供生殖保健的许多方面。在婴儿期或青少年时期,有许多问题与妇女生殖健康受损有关。外阴阴道炎在妇科病理中占有重要地位。这是儿童去看妇科医生最常见的原因。女孩青春期前生殖道的解剖生理特征、细菌和病毒作用、忽视个人卫生规则、蠕虫入侵、过敏性疾病、内分泌病理都促进了该病的发展。在针对女孩外阴阴道炎的医疗预防和康复行动过程中,一种特殊的方法需要心理支持,这是建立在其问题的根源和各种健康方面的基础上的,因为在任何其他领域,心理和生理之间的关系都没有在性和生殖健康领域如此密切。因此,研究外阴阴道炎的临床心理特征仍然具有重要意义,因为它有助于预防生殖系统形成过程中的关键后果。
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引用次数: 0
Effect of Transcranial Magnetic Stimulation with Rehabilitation Program on Motor Function and ADL in Upper Extremity Ischemic Stroke: A Randomized Controlled Trials 经颅磁刺激与康复方案对上肢缺血性卒中运动功能和ADL的影响:一项随机对照试验
Pub Date : 2021-07-01 DOI: 10.26655/JMCHEMSCI.2021.4.1
Santri Raminda, I. Astuti, Umi Budi Rahayu
Ischemic stroke becomes the reason why some neural networks as well as cortico-subcortical excitability change either in the evidently spared contralateral hemisphere of the upper extremity or in the affected area. The processes are modulated through recent non-invasive brain stimulation techniques. In particular, a rehabilitation program and non-invasive instrument called transcranial magnetic stimulation (TMS) has already been implemented to examine the changes in brain plasticity caused by stroke and used as a therapeutic modality to securely increase the function of motor and activities of daily living (ADL). This study investigated the effect of low-frequency TMS with rehabilitation programs in post-ischemic stroke patients to improve the upper extremity's motor function. Randomized controlled trial was conducted in this study by dividing 11 patients into two groups which fulfilled the present inclusion criteria. Wolf Motor Function Test (WMFT) and Upper Extremity Fugl Meyer Assessment (UEFMA) were used to ADL of day 7 and to measure the levels of motor function, respectively. The study results showed a considerable difference in TMS with the rehabilitation program which was achieved on day seven on both groups. The total score of UEFMA and WMFT considerably increased from the condition before intervention (UEFMA intervention-control: 19.83-6.00; WMFT intervention-control: 20.67–4.00, p < 0.001). Therefore, low-frequency TMS with a rehabilitation program is recommended since it shows a considerable increase in the motor function of the upper extremity and ADL among the patients with post-ischemic stroke.
缺血性脑卒中成为某些神经网络以及皮质-皮质下兴奋性在对侧上肢或患处发生改变的原因。这些过程通过最近的非侵入性脑刺激技术进行调节。特别是,一种名为经颅磁刺激(TMS)的康复计划和非侵入性仪器已经被用于检查中风引起的大脑可塑性的变化,并被用作一种治疗方式,以安全地增加运动和日常生活活动(ADL)的功能。本研究探讨低频经颅磁刺激配合康复治疗对缺血性脑卒中后患者上肢运动功能的改善作用。本研究采用随机对照试验,将11例患者分为符合本纳入标准的两组。采用Wolf运动功能测试(WMFT)和上肢Fugl Meyer评估(UEFMA)分别测定第7天的ADL和运动功能水平。研究结果显示,经颅磁刺激与康复计划在第7天对两组都有相当大的差异。与干预前相比,UEFMA和WMFT总分显著提高(UEFMA干预控制:19.83-6.00;WMFT干预对照:20.67-4.00,p < 0.001)。因此,低频经颅磁刺激与康复方案是推荐的,因为它显示出上肢运动功能和ADL在缺血性卒中后患者中的显著增加。
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引用次数: 0
The Feasibility of Mobile Health Application “Me-Co Care” in Supporting Health Services in the Community 移动医疗应用“Me-Co - Care”支持社区医疗服务的可行性
Pub Date : 2021-07-01 DOI: 10.26655/JMCHEMSCI.2021.4.3
Slametiningsih Slametiningsih, Ninik Yunitri, H. Hendra, Radiatan Khlila, A. Kamil
The purpose of this research was to review the feasibility of the Me-Co Care to be applied in the community setting as well as its effect in increasing participant’s knowledge. This study was conducted in Jakarta, Indonesia, from July to November 2019 and used a pre-post-test without a control group design. Ninety-three participants recruited from five community health centres were assigned to use Me-Co Care. A paired t-Test was used to analyse the mean difference of knowledge before and after the intervention, while the feasibility of application was measured based on the percentage the five evaluation domains. The results showed significant improvement of participants’ knowledge after the intervention (mean different 1.67, 95%; CI 0.00-6.00, p-Value 0.000). Patient, caregiver, health volunteer, and mental health nurse found Me-Co Care a satisfied application to be used in community in terms of content, accuracy, format, easiness, and time-saving (ranged 79%-100%). This study revealed Me-Co Care as a potential application in enhancing the quality of mental health services in Jakarta, Indonesia.
本研究的目的是检讨在社区环境中应用Me-Co Care的可行性,以及其在增加参与者知识方面的效果。该研究于2019年7月至11月在印度尼西亚雅加达进行,采用了无对照组设计的前后测试。从五个社区保健中心招募的93名参与者被分配使用Me-Co Care。采用配对t检验分析干预前后知识的平均差异,以五个评价域的百分比衡量应用的可行性。结果显示,干预后参与者的知识水平显著提高(平均差异1.67,95%;CI 0.00-6.00, p值0.000)。患者、护理人员、健康志愿者和心理健康护士对Me-Co Care在内容、准确性、格式、简易性和节省时间等方面都感到满意(范围为79%-100%)。本研究揭示了Me-Co Care在提高印度尼西亚雅加达精神卫生服务质量方面的潜在应用。
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引用次数: 0
Relationship between Flat Foot and Lower Limb Muscle Activation among 12 Years Old Children 12岁儿童平足与下肢肌肉活动的关系
Pub Date : 2021-07-01 DOI: 10.26655/JMCHEMSCI.2021.4.9
A. Naufal, Tiara Fatmarizka, Umi Budi Rahayu, Durrotun Nafi’ah, Yayu Latifah, Rahmi Windhy Astari
Optimal leg muscle activity is one of the essential factors to maintain body stability.  The condition of the pedis arch could affect the musculoskeletal structure and biomechanics of the body. Furthermore, age and sex also affect the formations of the pedis arch. The objective is to determine the relationship between the degree of flat foot and the activation of the lower leg muscles in children aged 12 years old. The study was conducted using the correlational method with a Cross-Sectional approach. The sample of the study included 15 girls aged 12 years old. The independent variable was measured by the wet footprint test with Clarke's angle category method and the dependent variable was measured by sEMG. The results showed that there was no relationship between flat foot and lower leg muscle activation in children aged 12 years old (p>0.05) with p-value of 0.58, 0.462, and 0.642 for the activation of anterior tibial muscle, the medial gastrocnemius muscle, and the lateral gastrocnemius muscle, respectively. There was no relationship between the flat foot and the activation of lower leg muscles in children aged 12 years.
最佳的腿部肌肉活动是保持身体稳定的重要因素之一。足弓的状况会影响人体的肌肉骨骼结构和生物力学。此外,年龄和性别也会影响足弓的形成。目的是确定12岁儿童的平足程度和小腿肌肉的激活之间的关系。本研究采用相关方法和横断面方法进行。该研究的样本包括15名12岁的女孩。自变量采用Clarke's角度分类法湿足迹测试测量,因变量采用表面肌电信号测量。结果显示,12岁儿童平足与小腿肌肉激活无相关性(p < 0.05),胫骨前肌、腓肠肌内侧肌和腓肠肌外侧肌的激活p值分别为0.58、0.462和0.642。在12岁的儿童中,平足和小腿肌肉的激活之间没有关系。
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引用次数: 2
Anti-Inflammatory Activity of a New Dipharmacophore Derivative of Propionic Acid 一种新的丙酸双药效团衍生物的抗炎活性研究
Pub Date : 2021-07-01 DOI: 10.26655/JMCHEMSCI.2021.4.10
V. S. Slyusarenko, M. Korokin, S. Kovalenko, Aleksandr N. Stadnichenko, L. Korokina
This experimental laboratory animals research aimed at the anti-inflammatory activity of a new dipharmacophore derivative dexibuprofen and nebracetam when modeling an acute and chronic inflammatory reaction. The studied dipharmacophore compound based on dexibuprofen and nebracetam is indicated by the dexibuneb laboratory code and has the chemical formula (2S) -N - ((1-benzyl-5-hydroxypyrrolidin-3-yl) methyl) -2- (4-isobutylphenyl) propanamide. Dexibuneb was administered intragastrically at a dose of 80 mg/kg; dexibuprofen and nebracetam were administered intragastrically at a dose of 40 mg/kg. The minimum increase in paw edema was recorded in the group of animals treated with dexibuneb. It amounted to 33.61 ± 7.41 of the initial value, which is statistically significantly (p <0.05) less than the values both in the control group and in the groups treated with dexibuprofen nebracetam monotherapy. The use of dexibuneb reduced the increase in dry weight of the granuloma by 43.09% (p <0.05) relative to the increase in the control group. In this study, when studying the severity of the anti-inflammatory effect on acute and chronic inflammation models, we found a positive pharmacodynamic interaction of molecular fragments of various therapeutic orientations, combined in an innovative dipharmacophore compound with the laboratory name dexibuneb. Inhibition of paw edema after introducing carrageenan into the plantar aponeurosis and the increase in the mass of granulomas implanted in rat armpits was statistically significantly more pronounced in the groups of animals treated with dexibuneb than with dexibuprofen and nebracetam monotherapy.
本实验动物研究的目的是在模拟急性和慢性炎症反应时,新的双药效团衍生物德布洛芬和纳布西坦的抗炎活性。所研究的以德西布洛芬和纳布西坦为基础的双药效团化合物,其化学式为(2S) - n-((1-苄基-5-羟基吡咯烷-3-基)甲基)-2-(4-异丁基苯基)丙酰胺。德昔布以80 mg/kg的剂量灌胃给药;德西布洛芬和纳布西坦以40 mg/kg的剂量灌胃。脚掌水肿的最小增加记录是在用地外筋治疗的动物组。为初始值的33.61±7.41,低于对照组和单药治疗组,差异有统计学意义(p <0.05)。与对照组相比,使用德昔布可减少肉芽肿干重增加43.09% (p <0.05)。在本研究中,在研究急性和慢性炎症模型的抗炎作用的严重程度时,我们发现不同治疗方向的分子片段具有积极的药效学相互作用,结合在一种创新的双药效团化合物中,实验室名称为dexibuneb。在将卡拉胶引入足底腱膜后,对足跖水肿的抑制作用以及植入大鼠腋窝的肉芽肿肿块的增加,在使用地西布洛芬和纳布西坦单药治疗的动物组中具有统计学意义。
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引用次数: 1
Self-Care and Its Related Factors among Patients with Congestive Heart Failure in Surakarta, Indonesia 印度尼西亚泗水地区充血性心力衰竭患者的自我照顾及其相关因素
Pub Date : 2021-07-01 DOI: 10.26655/JMCHEMSCI.2021.4.7
D. Hudiyawati, Khumasyi Ainunnisa, Grahinda Riskamala
Self-care is an essential factor that affects the improvement of the health conditions of patients with heart failure. It is known that several variables affect self-care, including self-efficacy, family support, social support, distress, age, duration of illness. However, there are still few studies that have addressed these variables together. This study aimed to determine the factors that affect self-care among heart failure patients. This research used an analytic observational research design through a cross-sectional approach. The sampling method used an accidental sampling technique and resulted in 73 respondents who were selected based on pre-determined sample criteria. Participants were asked to fill out questionnaires, including self-care, self-efficacy, family support, anxiety, and demography variables. The data analysis included bivariate (Pearson) and multivariate regression analysis to estimate the correlation between self-care and self-efficacy, family support, anxiety, age, and disease length. 73 patients with heart failure in this study had an average self-care score of 31.33, which means that patients can do self-care well. From the five variables carried out in the multivariate analysis, there were only two variables (family support and self-efficacy) that had a significant effect on patient self-care. Family support is the main factor affecting self-care (β= 1,949, p= 0.000), followed by self-efficacy (β= 0.226, p= 0.001), then self-efficacy, where both had a positive correlation. The results indicated that a strategy is needed to improve self-care for heart failure patients, which includes family support and self-efficacy to achieve optimal results.
自我护理是影响心衰患者健康状况改善的重要因素。众所周知,有几个变量影响自我保健,包括自我效能、家庭支持、社会支持、痛苦、年龄、疾病持续时间。然而,仍然很少有研究将这些变量放在一起。本研究旨在探讨影响心力衰竭患者自我照顾的因素。本研究采用横断面分析观察研究设计。抽样方法采用偶然抽样技术,根据预先确定的抽样标准选出73名受访者。参与者被要求填写问卷,包括自我照顾、自我效能、家庭支持、焦虑和人口统计变量。数据分析包括双变量(Pearson)和多变量回归分析,以估计自我保健与自我效能、家庭支持、焦虑、年龄和疾病长度之间的相关性。本研究中73例心力衰竭患者的自我护理平均得分为31.33分,说明患者可以很好地进行自我护理。在多变量分析的五个变量中,只有两个变量(家庭支持和自我效能感)对患者自我护理有显著影响。家庭支持是影响自我护理的主要因素(β= 1949, p= 0.000),其次是自我效能感(β= 0.226, p= 0.001),然后是自我效能感,两者呈正相关。结果表明,需要采取包括家庭支持和自我效能感在内的策略来改善心力衰竭患者的自我护理,以达到最佳效果。
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引用次数: 6
A teleconference to increase nurses⇔ knowledge and attitudes to prevent and control COVID-19 infection 提高护士对预防和控制COVID-19感染的知识和态度的电话会议
Pub Date : 2021-07-01 DOI: 10.26655/JMCHEMSCI.2021.4.8
Indah Wahyuningsih, Fitria Endah Janitra, Rebriarina Hapsari, Sarinti Sarinti, Muhammad Mahfud, Failasuf Wibisono
This study aimed to determine the effects of a teleconference on nurses’ knowledge and attitudes in the prevention and control of COVID-19 infection. The present study employed a pre-post experimental design without a control group with a total of 60 nurses as participants. The study was conducted in three hospitals in Semarang city. The inclusion criteria were nurses who worked in the emergency unit, COVID-19 isolation units, and ICU, as well as those who were permanent nurses and were not on duty while receiving the intervention. Meanwhile, the exclusion criteria were nurses who had less than two-year work experience and were apprentice nurses. This study was conducted by providing the intervention on the prevention and control of COVID-19 infection via teleconferences. Data were collected using the knowledge and attitude questionnaire that had been tested for its validity and reliability. The data on knowledge and attitudes were analysed using the paired t-test, while the participants’ characteristics were presented descriptively in the frequency and percentage tables. The results indicated that there was an increase in the participants’ knowledge and attitudes. The paired t-test showed a significant value in the knowledge (p=0.000) and attitudes (p=0.005) after the provision of teleconferences for infection control (TIC). This research is a part of the communication and information technology research in nursing. Teleconferences can expand the understanding of information about infection prevention and control during the COVID-19 pandemic. © 2021 by SPC (Sami Publishing Company)
本研究旨在确定远程会议对护士预防和控制COVID-19感染知识和态度的影响。本研究采用前-后实验设计,无对照组,共60名护士作为研究对象。这项研究是在三宝垄市的三家医院进行的。纳入标准为在急诊科、COVID-19隔离病房和ICU工作的护士,以及在接受干预时不在值班的长期护士。排除标准为工作经验不足2年的护士和学徒护士。本研究采用远程会议方式对COVID-19感染的预防和控制进行干预。采用知识态度问卷收集数据,并对问卷进行效度和信度测试。知识和态度的数据使用配对t检验进行分析,而参与者的特征在频率和百分比表中描述。结果表明,参与者的知识和态度有所增加。配对t检验显示,提供远程会议感染控制(TIC)后,知识(p=0.000)和态度(p=0.005)具有显著值。本研究是护理通信与信息技术研究的一部分。电话会议可以扩大对COVID-19大流行期间感染预防和控制信息的了解。©2021 SPC (Sami Publishing Company)
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引用次数: 0
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