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The impact of robotic surgery on postoperative recovery in a patient with prostate cancer: a systematic literature review 机器人手术对前列腺癌患者术后恢复的影响:系统性文献综述
Pub Date : 2024-05-22 DOI: 10.51798/sijis.v5isi1.770
Tatiana Lizbeth Guamán Ortiz, Daniela Monserrath Zúñiga Salgado, Tatiana Lissette Diaz Ramos, Lismey Dayanara Mena Sivinta, Paulina Noemí Montesdeoca Vásquez
Prostate cancer has become one of the most prevalent diseases globally, which affects millions of men, and is estimated to go up to 288.3 thousand patients in the U.S. in 2023. Therefore, its diagnosis and management process need innovations and continuous improvements to reduce morbidity and mortality rates. The advancement of robotic surgery, defined by its minimally invasive method, has changed the game. It is superior to open surgery practice, with fewer complications after the operation time, quicker recovery, and improved lifestyle. This systematic review rigorously and systematically analyzes studies of this kind and addresses the various operative outcomes, including wound complications, surgical site infections, and urinary and sexual functions. This systematic review will be explorative, aiming to establish the benefits of robotic surgery in terms of postoperative outcomes. We intend to contribute to the cardio-thoracic surgical literature by providing a comprehensive analysis of how this type of surgery affects the postoperative recovery of patients with prostate cancer, giving recommendations for future clinical care and research in this field.
前列腺癌已成为全球发病率最高的疾病之一,影响着数百万男性,预计到 2023 年,美国前列腺癌患者将增至 28.83 万人。因此,其诊断和管理过程需要创新和不断改进,以降低发病率和死亡率。以微创方法为定义的机器人手术的发展改变了游戏规则。它优于开腹手术,术后并发症更少,恢复更快,生活方式也得到了改善。本系统性综述对此类研究进行了严格而系统的分析,并探讨了各种手术结果,包括伤口并发症、手术部位感染、泌尿和性功能。本系统综述具有探索性,旨在确定机器人手术在术后效果方面的益处。我们希望通过全面分析机器人手术对前列腺癌患者术后恢复的影响,为该领域未来的临床治疗和研究提出建议,从而为心胸外科文献做出贡献。
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引用次数: 0
Protocol of exercises for home management of the hemiplegic patient 偏瘫患者居家管理锻炼方案
Pub Date : 2024-05-21 DOI: 10.51798/sijis.v5isi1.769
Silvana Beatriz Solíz Crespo, María Augusta Latta Sanchez, Gerardo Fernando Fernández Soto, Yajaira Mishell Sánchez Sánchez, Salome Gabriela Montesdeoca Ruiz
Background: Stroke represents the second cause of death and the first cause of disability in adults worldwide. Hemiplegia is the main sequel of ischemic stroke. It presents muscular alterations such as spasticity and lack of coordination. It also produces abnormalities in balance and gait, increasing the rate of falls. Physical rehabilitation through exercises is essential. There is not enough information for the caregiver to perform the exercises. Objective: to implement an exercise protocol to improve the home management of the hemiplegic patient that favors the reduction of spasticity and the risk of falls. Methods: It is a longitudinal, analytical study with a quantitative approach. It was developed in 15 people with hemiplegia by the Home Care Project for People with Disabilities of Palora Canton, Ecuador. The ages were from 20 to 64 years. The intervention was performed 3 times a week in each home. The Tinetti test and the Ashworth test were used for the initial evaluation. For the final evaluation, the Wilcoxon method was used. Results: a predominance was evidenced in the female gender 53.3% and the age range between 27 to 63 years 86.7% in the hypothesis testing of the Tinetti test (risk of falls) and Ashworth test (spasticity) where the results the value p<0.001 (asymptotic significance) With this data, the null hypothesis is rejected. Conclusions: It was determined that the exercise protocol for home management of the hemiplegic patient decreases the risk of falls and spasticity.
背景:中风是全球成人的第二大死因和第一大致残原因。偏瘫是缺血性中风的主要后遗症。它表现出肌肉改变,如痉挛和缺乏协调。它还会导致平衡和步态异常,增加跌倒率。通过锻炼进行身体康复至关重要。目前还没有足够的信息供护理人员进行锻炼。目的:实施一套运动方案,改善偏瘫患者的家庭管理,以减少痉挛和跌倒的风险。研究方法这是一项采用定量方法的纵向分析研究。厄瓜多尔帕罗拉州残疾人家庭护理项目对 15 名偏瘫患者进行了研究。他们的年龄从 20 岁到 64 岁不等。每周在每个家庭进行 3 次干预。初步评估采用了 Tinetti 测试和 Ashworth 测试。最终评估采用 Wilcoxon 方法。结果:在 Tinetti 测试(跌倒风险)和 Ashworth 测试(痉挛)的假设检验中,女性占 53.3%,年龄在 27 岁至 63 岁之间的占 86.7%。结论偏瘫患者居家管理运动方案可降低跌倒和痉挛风险。
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引用次数: 0
Advances in dilated cardiomyopathy evaluation via cardiac MRI diagnosis and prognosis: a literature review 通过心脏磁共振成像诊断和预后评估扩张型心肌病的进展:文献综述
Pub Date : 2024-05-21 DOI: 10.51798/sijis.v5isi1.768
Alex Fernando Abarca Real, Jessica del Rocio Flores Obregón, Magaly Morelia Sacancela Usiña, Juan José Martínez Saltos, Ronie Hugo Crespo Tonato
With a variety of aetiologies and clinical presentations, Dilated Cardiomyopathy (DCM) presents considerable hurdles for both diagnosis and treatment. Cardiac magnetic resonance imaging (CMR) has become a useful diagnostic technique for DCM, providing information on the anatomy, physiology, and tissue properties of the heart. Using both well-established and recently developed CMR techniques, this review investigates the function of CMR in the diagnosis and treatment of idiopathic DCM. Using reliable databases, a thorough search of the literature was carried out with an emphasis on papers released between 2014 and 2024. English-language literature examining the clinical uses of CMR in idiopathic DCM were included in the inclusion criteria. A vital component of the assessment of dilated cardiomyopathy (DCM) is cardiac magnetic resonance imaging (CMR), which provides thorough insights into the anatomy and function of the heart. Precise evaluation of tissue properties, ventricular function, and cardiac shape is made possible by CMR, which helps DCM patients get an accurate diagnosis and risk assessment. The use of advanced CMR methods, such as T1 mapping and late gadolinium enhancement (LGE) imaging, yields significant insights into the underlying aetiologies and myocardial fibrosis. Furthermore, customized prognostic evaluations are provided by CMR-based risk stratification algorithms that include many factors, improving clinical decision-making in DCM treatment. Continuous developments are expected to improve prognostic utility and accuracy, which will need efforts to lower prices and increase accessibility in order to achieve better patient outcomes and wider clinical usage
扩张型心肌病(DCM)的病因和临床表现多种多样,给诊断和治疗带来了相当大的困难。心脏磁共振成像(CMR)已成为诊断 DCM 的有效技术,可提供有关心脏解剖、生理和组织特性的信息。本综述利用成熟的和最新开发的 CMR 技术,研究了 CMR 在特发性 DCM 诊断和治疗中的功能。我们利用可靠的数据库对文献进行了全面检索,重点检索了 2014 年至 2024 年间发表的论文。纳入标准包括研究 CMR 在特发性 DCM 中临床应用的英文文献。心脏磁共振成像(CMR)是评估扩张型心肌病(DCM)的重要组成部分,它能深入了解心脏的解剖结构和功能。CMR 可以精确评估组织特性、心室功能和心脏形态,帮助 DCM 患者获得准确的诊断和风险评估。使用先进的 CMR 方法,如 T1 映射和晚期钆增强 (LGE) 成像,可以深入了解潜在的病因和心肌纤维化。此外,基于 CMR 的风险分层算法可提供定制的预后评估,其中包括多种因素,从而改善 DCM 治疗的临床决策。不断的发展有望提高预后的实用性和准确性,这就需要努力降低价格和提高可及性,以实现更好的患者预后和更广泛的临床应用。
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引用次数: 0
Recent advances in interventional cardiology for coronary artery disease: a systematic literature review 冠状动脉疾病介入心脏病学的最新进展:系统文献综述
Pub Date : 2024-05-14 DOI: 10.51798/sijis.v5isi1.767
Ana Paula Coronel Mite, Rafael Andres Mosquera-Ceprian, Christian Abraham Orellana Franco, Gabriela Samantha Meza Pacheco, José Mauricio Paredes Torres
Recent advancements and innovations in interventional cardiology have already revolutionized coronary artery disease (CAD) treatment and management. Interventional cardiology is a new hope for CAD patients because its evolution has improved disease symptoms. We aimed to explore the integration of diagnostic, therapeutic, and risk management innovations against CAD. In diagnostic advancements, we aimed to discuss the evolution of imaging techniques such as MRI, echocardiography, positron emission tomography (PET), and coronary computed tomography angiography (CCTA), focusing on their unique benefits in the early detection and assessment of CAD. Interventional techniques, notably percutaneous coronary intervention (PCI) innovations, have evolved, incorporating bioresorbable vascular scaffolds, drug-eluting stents, and advanced imaging technologies to enhance procedural success and patient outcomes. Moreover, post-PCI care advancements, including newer antiplatelet agents and PCSK9 inhibitors, have contributed to more personalized and effective CAD management strategies. This paper will also discuss significant strides made in interventional cardiology, underscoring a future where integrated approaches continue to advance patient care in CAD.
介入心脏病学的最新进展和创新已经彻底改变了冠状动脉疾病(CAD)的治疗和管理。介入心脏病学是冠心病患者的新希望,因为它的发展改善了疾病症状。我们的目标是探索针对 CAD 的诊断、治疗和风险管理创新的整合。在诊断方面,我们旨在讨论核磁共振成像(MRI)、超声心动图、正电子发射断层扫描(PET)和冠状动脉计算机断层扫描(CCTA)等成像技术的发展,重点关注它们在早期检测和评估 CAD 方面的独特优势。介入技术,尤其是经皮冠状动脉介入治疗(PCI)的创新技术也在不断发展,其中包括生物可吸收血管支架、药物洗脱支架和先进的成像技术,以提高手术的成功率和患者的治疗效果。此外,PCI 术后护理方面的进步,包括更新的抗血小板药物和 PCSK9 抑制剂,也有助于制定更加个性化和有效的 CAD 管理策略。本文还将讨论介入心脏病学取得的重大进展,强调综合方法将继续推进 CAD 患者护理的未来。
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引用次数: 0
Analysis of scientific production in nursing careers: a study from the Ecuadorian context 护理职业中的科研成果分析:厄瓜多尔背景下的一项研究
Pub Date : 2024-05-14 DOI: 10.51798/sijis.v5isi1.726
Valeria Isabel Espín López, Dayanara Elizabeth Vaca Valverde, Ana Gabriela Chango Masaquiza, Sonia Rebeca Tenelema Morocho, Fernanda Maricela Mora Morejon
Antecedentes: Este trabajo investigativo es un estudio sobre la producción científica de la investigación en Enfermería. Método: El objetivo del estudio es caracterizar la investigación y producción científica en enfermería de los docentes de la carrera de enfermería. Esto le permitirá obtener una comprensión completa y profunda del impacto de la investigación en el ámbito académico. Resultados: Entre los resultados se encuentran que la mayoría de las investigaciones científicas (55,4%) son cuantitativas, con un diseño descriptivo 72,2%, correlacional 12,2% y cuasiexperimental 12%. Aproximadamente, el 60,2% de las investigaciones fueron realizadas en adultos y el 12% en enfermeras respectivamente. Además, el 30,1% del total se refirió a publicaciones originales indexadas en Latindex y el 14,5% publicado publicaciones en revistas indexadas en Scopus. Conclusión: Es por ello que el análisis no se realiza en base al número de publicaciones anuales, sino que se realiza el análisis de la calidad de cada publicación, teniendo en cuenta su valor de impacto de la revista SJR (SCImago Journal Rank - SCOPUS) ; y consulta del JCR (Journal Citation Reports - WOS).
背景:本研究工作是一项关于护理科研成果的研究。方法:本研究的目的是描述护理教师的护理研究和科研成果的特点。从而全面深入地了解科研在学术领域的影响。结果:研究结果表明,大部分科研成果(55.4%)为定量研究,其中描述性设计占 72.2%,相关性设计占 12.2%,准实验性设计占 12%。约 60.2%的研究以成人为对象,12%的研究以护士为对象。此外,有 30.1%的研究涉及在 Latindex 中收录的原始出版物,14.5%的研究涉及在 Scopus 中收录的期刊。结论:这就是为什么不根据年度出版物数量进行分析,而是根据每份出版物的 SJR 期刊影响值(SCImago Journal Rank - SCOPUS)和 JCR(Journal Citation Reports - WOS)咨询对其质量进行分析的原因。
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引用次数: 0
Protocol for physiotherapeutic management of home care for elderly patients with hip and knee osteoarthritis 髋关节和膝关节骨关节炎老年患者家庭护理理疗管理规程
Pub Date : 2024-05-13 DOI: 10.51798/sijis.v5isi1.766
Vladimir Santiago Brito Sarabia, Victoria Estefanía Espín Pastor, Gerardo Fernando Fernández Soto, Andrea Carolina Calero Arévalo, Franklin Cashabamba Padilla
Background: Lower body musculoskeletal disorders are problems that affect muscles, bones, joints, tendons, ligaments, and nerves of the lower limbs. Osteoarthritis of the hip and knee is a degenerative disease that affects the cartilage of the hip and knee joints. It causes pain, stiffness, and limited movement. Objective: to implement a physiotherapy management protocol for home care for the elderly with osteoarthritis of the hip and knee, to improve functional capacity. Methods: a study was carried out with a 12-week intervention guideline on 20 participants with a mean age of 72 years. Weight was measured with a scale (omron) and height with a stadiometer (seca) in order to obtain the value of the Body Mass Index (BMI). The exercise guide consists of three phases: the first includes isometric exercises; the second involves isotonic and resistance exercises; and, the third includes balance exercises, gait re-education, reintegration into activities of daily living, a study with initial and final assessment, and instruments to measure functional capacity. The Short Physical Performance Battery (SPPB) was used. It consists of three tests (balance, walking, sitting and standing). The manual dynamometer measures muscle strength in lower limbs and the visual scale measures the perception of pain in the hip and knee. Results: the physical exercise guideline in elderlies with hip and knee osteoarthritis improved functional capacity increased muscle-strength, and pain perception. Conclusions: the exercise protocol increases the functional capacity of the elderly with osteoarthritis of the hip and knee, presenting adequate control in the lower body.
背景:下半身肌肉骨骼疾病是指影响下肢肌肉、骨骼、关节、肌腱、韧带和神经的问题。髋关节和膝关节骨关节炎是一种影响髋关节和膝关节软骨的退行性疾病。它会导致疼痛、僵硬和活动受限。目的:为患有髋关节和膝关节骨性关节炎的老年人实施家庭护理理疗管理方案,以提高其功能能力。方法:对平均年龄为 72 岁的 20 名参与者进行了一项为期 12 周的干预指南研究。用体重计(欧姆龙)测量体重,用测力计(赛康)测量身高,以获得身体质量指数(BMI)值。运动指南包括三个阶段:第一阶段包括等长运动;第二阶段包括等张和阻力运动;第三阶段包括平衡运动、步态再教育、重新融入日常生活活动、初步和最终评估研究以及功能能力测量工具。使用的是短期体能测试(SPPB)。它包括三项测试(平衡、行走、坐姿和站姿)。手动测力计测量下肢肌肉力量,视觉量表测量髋关节和膝关节的疼痛感。结果:对患有髋关节和膝关节骨性关节炎的老年人进行体育锻炼可提高其功能能力,增强肌肉力量和疼痛感。结论:运动方案提高了患有髋关节和膝关节骨性关节炎的老年人的功能能力,使其下半身得到充分控制。
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引用次数: 0
The influence of artificial intelligence in higher education based on four thematic axes: a bibliometric study 基于四个主题轴的人工智能对高等教育的影响:文献计量学研究
Pub Date : 2024-05-03 DOI: 10.51798/sijis.v5i2.764
Bimba Katiuska Carrión Montalván, Carlos German Pillajo Angos, Jaime Aurelio Castellanos Fonseca, Raúl Vega Aguaiza
The article presents a structured bibliometric study examining the impact of artificial intelligence (AI) in higher education across four thematic axes: AI in higher education, AI in education review, AI in the teaching-learning process, and AI tools applied to higher education. Research productivity and impact indicators are analyzed using data from major databases like Scopus, Web of Science, and ScienceDirect. Results reveal a significant increase in AI-related research output, particularly in machine learning, data mining, and learning analytics. The study highlights China and the United States as leading contributors to AI research in higher education. The findings highlight AI's evolving role in transforming higher education and the need for multidisciplinary research approaches to address emerging challenges and opportunities. However, limitations include the reliance on quantitative measures, the narrow temporal scope, and the limited focus on high-production countries. Future research should incorporate qualitative methods to explore practical applications and social impacts more comprehensively, consider a broader range of geographic contexts, and discuss ethical considerations around integrating AI into higher education.
文章介绍了一项结构化文献计量学研究,从四个主题轴线考察了人工智能(AI)在高等教育中的影响:高等教育中的人工智能、教育评论中的人工智能、教学过程中的人工智能以及应用于高等教育的人工智能工具。利用 Scopus、Web of Science 和 ScienceDirect 等主要数据库中的数据,对研究生产力和影响指标进行了分析。结果显示,人工智能相关研究成果大幅增加,尤其是在机器学习、数据挖掘和学习分析方面。研究强调,中国和美国是高等教育领域人工智能研究的主要贡献者。研究结果凸显了人工智能在高等教育变革中不断发展的作用,以及采用多学科研究方法应对新兴挑战和机遇的必要性。然而,研究的局限性包括对定量衡量标准的依赖、时间范围狭窄以及对高产国家的关注有限。未来的研究应纳入定性方法,以更全面地探讨实际应用和社会影响,考虑更广泛的地理背景,并讨论将人工智能融入高等教育的伦理考虑因素。
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引用次数: 0
Project-based learning approach on content mastery and cognitive skills: a pedagogical model for senior high school biology students 基于项目的学习方法对内容掌握和认知技能的影响:针对高中生物学生的教学模式
Pub Date : 2024-05-03 DOI: 10.51798/sijis.v5i2.763
Jhester S. Hornejas, Jose Antonio A. Guntalidad
The principal objective of this study was to determine the effectiveness of a project-based learning approach on the performance level and engagement experience of Senior High School Biology students. Quasi-experimental, specifically the One-Group-Pretest-Posttest Design was employed using mean percentage score and t-test as statistical tools in the treatment of data. The findings revealed that the mean percentage score of students across content areas and cognitive skills did not meet the expectations and were interpreted as being at the beginning level. Nevertheless, there is a significant difference between the pretest and posttest results covering content areas, namely: cells, biological molecules, and energy transformation. Likewise, a significant difference was revealed between the pretest and posttest scores throughout cognitive skills, such as comprehension, analysis, and application. The results suggest that the study can be very helpful to teachers of 21st-century learners so that they can have meaningful engagement in the class by exposing them to project tasks that develop their creativity, critical thinking skills, collaboration, ownership, and self-reflection. In addition, teachers should reinforce basic concepts, employ visual aids, foster active learning, stimulate critical thinking, and adopt an inquiry-based approach. They must also facilitate collaborative learning, ensure inclusivity, enhance project-based learning using models, cultivate metacognitive skills, and simplify complex concepts through scaffolding.
本研究的主要目的是确定基于项目的学习方法对高中生物学生的成绩水平和参与体验的有效性。在处理数据时,采用了准实验,特别是单组-预测-后测设计,使用平均百分比得分和 t 检验作为统计工具。研究结果显示,学生在不同内容领域和认知技能方面的平均百分比得分均未达到预期,被解释为处于初级水平。然而,在细胞、生物分子和能量转化等内容领域,前测和后测结果之间存在显著差异。同样,在理解、分析和应用等认知技能方面,前测成绩和后测成绩也存在明显差异。研究结果表明,这项研究对 21 世纪学习者的教师很有帮助,通过让他们接触项目任务,培养他们的创造力、批判性思维能力、协作能力、主人翁精神和自我反思能力,从而让他们在课堂上进行有意义的参与。此外,教师应强化基本概念,使用直观教具,促进主动学习,激发批判性思维,并采用探究式教学方法。他们还必须促进协作学习,确保包容性,利用模型加强基于项目的学习,培养元认知技能,并通过支架简化复杂的概念。
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引用次数: 0
Virtual scenarios in nursing to improve clinical education in students 虚拟护理场景改善学生的临床教育
Pub Date : 2024-05-03 DOI: 10.51798/sijis.v5isi1.765
Brenda Brigitte Pombosa Bravo, José Luis Herrera López
Background: The evaluation of the effectiveness of virtual scenarios in the clinical development of nursing students will bring significant changes in education, especially if it refers to the practical part, since in this case it will provide the knowledge demanded by each student and will favor the clarification of doubts in a more effective and almost real way. (2) Methods: Research with a quantitative approach, descriptive scope and cross-sectional observational design. (3) Results: Through the application of a survey for nursing students of basic training in which 4 parameters were analyzed in a survey of 16 questions, the same in which questions about the application of virtual scenarios to improve their clinical training were addressed. (4) Conclusion: Virtual reality effectively improves knowledge in nursing education because it is more effective than other methods of education in the areas of skills, satisfaction, confidence and performance time.
背景:对虚拟情景在护理学生临床发展中的有效性进行评估将给教育带来重大变化,特别是在实践部分,因为在这种情况下,虚拟情景将提供每个学生所需的知识,并有利于以更有效和近乎真实的方式澄清疑问。(2) 方法:定量研究、描述性研究和横断面观察研究。(3) 结果:通过对基础培训的护理专业学生进行调查,在 16 个问题的调查中对 4 个参数进行了分析,同样也解决了关于应用虚拟情景改善临床培训的问题。(4) 结论:虚拟现实技术能有效提高护理教育的知识水平,因为它在技能、满意度、自信心和表现时间等方面比其他教育方法更有效。
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引用次数: 0
Perceived quality of care in patients with high blood pressure in primary health care 高血压患者对初级医疗保健护理质量的认知
Pub Date : 2024-05-01 DOI: 10.51798/sijis.v5isi1.761
Joselin Elizabeth Serrano Aldaz, Grace Pamela López Pérez
Background: the study analyzed the quality of care perceived by patients with high blood pressure in a health center in Ecuador, considering dimensions such as accessibility, opportunity, continuity, comprehensiveness, and cultural competence of the services. Hypertension in older adults represents a public health problem in the region. Objective: To analyze the quality of care perceived in patients with Arterial Hypertension in Primary Health Care. Methods: quantitative, transversal, and descriptive design. The sample was 40 patients over 65 years of age with HTN. A validated 10-item questionnaire was applied to perceived quality in several dimensions: accessibility, opportunity, continuity, comprehensiveness, and cultural competence. Results: limitations were evident in the capacity to respond to urgent needs, lack of continuity in care by the same professional, deficiencies in mental health counseling, and moderate dissatisfaction with services. Conclusions: there are significant gaps in the quality of primary care for hypertensive patients regarding accessibility, opportunity, comprehensiveness, and cultural competence. Improvements are required in these areas to ensure more responsive and patient-centered care.
背景:该研究分析了厄瓜多尔一家医疗中心的高血压患者所感受到的医疗质量,考虑了服务的可及性、机会、连续性、全面性和文化能力等方面。老年人高血压是该地区的一个公共卫生问题。目的分析动脉高血压患者在初级医疗保健中感受到的护理质量。方法:定量、横向和描述性设计。样本为 40 名 65 岁以上的高血压患者。采用经过验证的 10 个项目的调查问卷,从可及性、机会、连续性、全面性和文化胜任能力等几个方面进行质量感知。结果:在应对紧急需求的能力、同一专业人员提供的护理缺乏连续性、心理健康咨询不足以及对服务的中度不满意等方面存在明显的局限性。结论:为高血压患者提供的初级医疗服务在可及性、机会、全面性和文化能力方面存在明显差距。需要在这些方面加以改进,以确保提供更加及时和以患者为中心的医疗服务。
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引用次数: 0
期刊
Sapienza: International Journal of Interdisciplinary Studies
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