首页 > 最新文献

Home Health Care Management and Practice最新文献

英文 中文
Cardiac and Pulmonary Diagnoses and Advance Care Planning in Home Health 家庭健康中的心肺诊断和预先护理计划
IF 1.1 Q4 NURSING Pub Date : 2022-01-21 DOI: 10.1177/10848223211073711
Sharon E. Bigger, L. Haddad, L. Glenn
Chronic cardiovascular and pulmonary diseases are prevalent in the US home health population. Heart failure and chronic obstructive pulmonary disease are both chronic and terminal, but they are not always perceived as serious illnesses with imminent death. Therefore, they provide a context for advance care planning that is distinct from the diagnostic contexts of cancer, end-stage renal disease, or dementia. Advance care planning is defined as a process that supports adults at any age or stage of health in understanding and sharing their goals, values, and preferences about future medical care, including the designation of a surrogate decision-maker. This study tests the hypothesis that US home health agencies with higher percentages of patients with chronic cardiovascular and pulmonary conditions have less robust advance care planning protocols. The Spearman correlation coefficient was r = 0.22 (S = 74684, P = .025, 1-tailed), which was statistically significant and an unexpected finding. The greater percentage of patients with chronic cardiac and pulmonary diagnoses in an agency, the more robust the advance care planning protocol was. This supports our previous findings and existing literature indicating that agencies may be using exacerbation events marked by acute care use as opportunities to initiate or repeat advance care planning.
慢性心血管和肺部疾病在美国家庭健康人群中普遍存在。心力衰竭和慢性阻塞性肺病都是慢性和晚期疾病,但它们并不总是被视为即将死亡的严重疾病。因此,它们为预先护理规划提供了一个不同于癌症、终末期肾病或痴呆症诊断背景的背景。预先护理计划被定义为支持任何年龄或健康阶段的成年人了解和分享他们对未来医疗保健的目标、价值观和偏好的过程,包括指定代理决策者。这项研究检验了这样一种假设,即美国家庭卫生机构的慢性心血管和肺部疾病患者比例较高,其预先护理计划方案不那么稳健。Spearman相关系数为r = 0.22 = 74684,第页 = .025,1-尾),这在统计学上是显著的,也是一个出乎意料的发现。在一个机构中,患有慢性心脏病和肺病的患者比例越大,预先护理计划方案就越稳健。这支持了我们之前的研究结果和现有文献,表明机构可能正在利用以急性护理使用为标志的恶化事件作为启动或重复提前护理计划的机会。
{"title":"Cardiac and Pulmonary Diagnoses and Advance Care Planning in Home Health","authors":"Sharon E. Bigger, L. Haddad, L. Glenn","doi":"10.1177/10848223211073711","DOIUrl":"https://doi.org/10.1177/10848223211073711","url":null,"abstract":"Chronic cardiovascular and pulmonary diseases are prevalent in the US home health population. Heart failure and chronic obstructive pulmonary disease are both chronic and terminal, but they are not always perceived as serious illnesses with imminent death. Therefore, they provide a context for advance care planning that is distinct from the diagnostic contexts of cancer, end-stage renal disease, or dementia. Advance care planning is defined as a process that supports adults at any age or stage of health in understanding and sharing their goals, values, and preferences about future medical care, including the designation of a surrogate decision-maker. This study tests the hypothesis that US home health agencies with higher percentages of patients with chronic cardiovascular and pulmonary conditions have less robust advance care planning protocols. The Spearman correlation coefficient was r = 0.22 (S = 74684, P = .025, 1-tailed), which was statistically significant and an unexpected finding. The greater percentage of patients with chronic cardiac and pulmonary diagnoses in an agency, the more robust the advance care planning protocol was. This supports our previous findings and existing literature indicating that agencies may be using exacerbation events marked by acute care use as opportunities to initiate or repeat advance care planning.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"34 1","pages":"252 - 257"},"PeriodicalIF":1.1,"publicationDate":"2022-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45654317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cultural Factors and Social Changes Affecting Home Healthcare in Iran: A Qualitative Study 影响伊朗家庭保健的文化因素和社会变化:一项定性研究
IF 1.1 Q4 NURSING Pub Date : 2022-01-11 DOI: 10.1177/10848223211072224
T. Kianian, V. Pakpour, V. Zamanzadeh, M. Lotfi, Ahad Rezayan, M. Hazrati, M. Gholizadeh
In Iran, home healthcare (HHC) is provided in a diverse socio-cultural context. Health professionals’ inadequate knowledge of the socio-cultural factors of the society can lead to poor quality HHC. Even so, the ways these factors influence HHC remain unclear. This study aimed to explore the effects of cultural factors and social changes on HHC in Iran. This qualitative study which follows a conventional content analysis approach was conducted in Tabriz, Iran. Eighteen individuals including nurses, home health directors, physicians, policy-makers, patients, and their families participated in the study. Participants were selected using purposive sampling. Data collection involved focus group discussion (FGD) and 16 semi-structured in-depth interviews. In order to analyze the data, Graneheim and Lundman’s techniques were used and data collection continued until saturation was reached. Five main themes emerged from the data analysis including cultural diversity issues, society’s understanding of HHC, shifting demographics affecting healthcare needs, transitioning from traditional to modern lifeways, and increasing unaffordability of healthcare. Health managers can improve the accessibility and acceptability of HHC services by identifying the socio-cultural needs of the society. Future research should develop and test patients and families’ cultural care models in the HHC setting.
在伊朗,家庭保健(HHC)是在不同的社会文化背景下提供的。卫生专业人员对社会文化因素的认识不足会导致低质量的HHC。即便如此,这些因素影响HHC的方式仍不清楚。本研究旨在探讨文化因素和社会变化对伊朗HHC的影响。这项采用传统内容分析方法的定性研究是在伊朗大不里士进行的。包括护士、家庭保健主任、医生、政策制定者、患者及其家属在内的18人参与了这项研究。参与者的选择采用有目的的抽样。数据收集包括焦点小组讨论(FGD)和16次半结构化深度访谈。为了分析数据,使用Graneheim和Lundman的技术,继续收集数据,直到达到饱和。数据分析中出现了五个主要主题,包括文化多样性问题、社会对HHC的理解、影响医疗保健需求的人口结构变化、从传统生活方式向现代生活方式的转变以及医疗保健负担能力的增加。卫生管理人员可以通过确定社会的社会文化需求来提高卫生保健服务的可及性和可接受性。未来的研究应开发和测试HHC环境下患者和家庭的文化护理模式。
{"title":"Cultural Factors and Social Changes Affecting Home Healthcare in Iran: A Qualitative Study","authors":"T. Kianian, V. Pakpour, V. Zamanzadeh, M. Lotfi, Ahad Rezayan, M. Hazrati, M. Gholizadeh","doi":"10.1177/10848223211072224","DOIUrl":"https://doi.org/10.1177/10848223211072224","url":null,"abstract":"In Iran, home healthcare (HHC) is provided in a diverse socio-cultural context. Health professionals’ inadequate knowledge of the socio-cultural factors of the society can lead to poor quality HHC. Even so, the ways these factors influence HHC remain unclear. This study aimed to explore the effects of cultural factors and social changes on HHC in Iran. This qualitative study which follows a conventional content analysis approach was conducted in Tabriz, Iran. Eighteen individuals including nurses, home health directors, physicians, policy-makers, patients, and their families participated in the study. Participants were selected using purposive sampling. Data collection involved focus group discussion (FGD) and 16 semi-structured in-depth interviews. In order to analyze the data, Graneheim and Lundman’s techniques were used and data collection continued until saturation was reached. Five main themes emerged from the data analysis including cultural diversity issues, society’s understanding of HHC, shifting demographics affecting healthcare needs, transitioning from traditional to modern lifeways, and increasing unaffordability of healthcare. Health managers can improve the accessibility and acceptability of HHC services by identifying the socio-cultural needs of the society. Future research should develop and test patients and families’ cultural care models in the HHC setting.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"34 1","pages":"175 - 183"},"PeriodicalIF":1.1,"publicationDate":"2022-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42933505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Pediatric Home Tracheostomy Care: The Importance of Knowledge Assessment 儿科家庭气管造口术护理:知识评估的重要性
IF 1.1 Q4 NURSING Pub Date : 2021-11-26 DOI: 10.1177/10848223211061718
W. Boonjindasup, Kusuma Syananondh, Prapasri Somboon, S. Sritippayawan
Assessment of caregiver knowledge is an essential part of home healthcare education for pediatric tracheostomy care, however, there is a paucity of evidence in long term. This study aims to determine how caregiver knowledge and misconceptions, as assessed by our knowledge test, changed over a 12-month period following our educational program and whether the test score was associated with any demographics of the caregivers and children with tracheostomy. A prospective cohort study was undertaken to evaluate the knowledge at 3 timepoints after tracheostomy education: baseline (T1), 6 months (T2), and 12 months (T3). Test scores were analyzed for trend and relationship with demographics. Items for which less than 80% caregivers gave correct responses at T1 were considered common misconceptions. Fifty-four caregivers were enrolled. Out of a maximum score of 25, the median (IQR) scores were 22 (21-23), 23 (22-24), and 23 (22-25), at T1, T2, and T3, respectively. The scores at T2 and T3 were significantly higher than at T1 (P ≤ .01). One common misconception “how to manage when suction got less secretion than expected” was found at all timepoints. Caregivers of children with >2 comorbidities scored slightly higher than those of children with 0 to 2 comorbidities (P = .01). In conclusion, our caregivers achieved high knowledge scores which increased over the 12-month study period potentially because of repeated assessment and practical experience. Common misconceptions and a factor associated with the knowledge were also identified. These advantages highlighted the importance of knowledge assessment for quality improvement.
评估护理人员的知识是儿科气管切开术护理家庭保健教育的重要组成部分,然而,缺乏长期的证据。本研究旨在确定护理人员的知识和误解是如何通过我们的知识测试评估的,在我们的教育计划后的12个月期间发生变化,以及测试分数是否与护理人员和气管切开术儿童的任何人口统计学相关。采用前瞻性队列研究评估气管切开术教育后3个时间点的知识:基线(T1)、6个月(T2)和12个月(T3)。分析考试成绩的趋势和与人口统计学的关系。在T1时,少于80%的护理人员给出正确回答的项目被认为是常见的误解。54名护理人员参与了研究。在最高25分中,T1、T2和T3的中位(IQR)分数分别为22(21-23)、23(22-24)和23(22-25)。T2、T3时评分显著高于T1时(P≤0.01)。在所有时间点上都发现了一个常见的误解“当吸痰分泌物少于预期时如何处理”。伴有>2合并症患儿的照顾者得分略高于伴有>2合并症患儿的照顾者得分(P = 0.01)。总之,我们的护理人员在12个月的研究期间获得了较高的知识得分,这可能是因为反复评估和实践经验。还确定了常见的误解和与知识相关的因素。这些优势突出了知识评估对质量改进的重要性。
{"title":"Pediatric Home Tracheostomy Care: The Importance of Knowledge Assessment","authors":"W. Boonjindasup, Kusuma Syananondh, Prapasri Somboon, S. Sritippayawan","doi":"10.1177/10848223211061718","DOIUrl":"https://doi.org/10.1177/10848223211061718","url":null,"abstract":"Assessment of caregiver knowledge is an essential part of home healthcare education for pediatric tracheostomy care, however, there is a paucity of evidence in long term. This study aims to determine how caregiver knowledge and misconceptions, as assessed by our knowledge test, changed over a 12-month period following our educational program and whether the test score was associated with any demographics of the caregivers and children with tracheostomy. A prospective cohort study was undertaken to evaluate the knowledge at 3 timepoints after tracheostomy education: baseline (T1), 6 months (T2), and 12 months (T3). Test scores were analyzed for trend and relationship with demographics. Items for which less than 80% caregivers gave correct responses at T1 were considered common misconceptions. Fifty-four caregivers were enrolled. Out of a maximum score of 25, the median (IQR) scores were 22 (21-23), 23 (22-24), and 23 (22-25), at T1, T2, and T3, respectively. The scores at T2 and T3 were significantly higher than at T1 (P ≤ .01). One common misconception “how to manage when suction got less secretion than expected” was found at all timepoints. Caregivers of children with >2 comorbidities scored slightly higher than those of children with 0 to 2 comorbidities (P = .01). In conclusion, our caregivers achieved high knowledge scores which increased over the 12-month study period potentially because of repeated assessment and practical experience. Common misconceptions and a factor associated with the knowledge were also identified. These advantages highlighted the importance of knowledge assessment for quality improvement.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"34 1","pages":"184 - 190"},"PeriodicalIF":1.1,"publicationDate":"2021-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44457397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Relationships Between Care Recipients’ Psychological Symptoms and Family Caregivers’ Depressive States 受照顾者心理症状与家庭照顾者抑郁状态的关系
IF 1.1 Q4 NURSING Pub Date : 2021-11-08 DOI: 10.1177/10848223211058814
Junko Hoshino, K. Tamakoshi, Y. Hori, H. Sakakibara
This cross-sectional study aims to clarify the relationship between the number of behavioral and psychological symptoms in long-term care recipients and family caregivers’ depressive states. Participants were 38 family caregivers who had provided care for their relatives for 6 years or more; they were recruited from in-home care settings in Aichi, Gifu, and Shiga Prefectures, Japan. Participants answered a self-administered questionnaire assessing their depressive state using the Japanese version of the Center for Epidemiologic Studies for Depression Scale (CES-D). They also answered questions inquiring about behavioral and psychological symptoms of care recipients, including resistance to care, irritability, and feelings of persecution. Using CES-D scores, 11 participants were categorized as depressed and 27 as non-depressed. Depressive symptoms were significantly greater in those with more behavioral and psychological symptoms, following adjustment for confounding factors. The odds ratio of being in a depressive state was 9.43 higher for those with more than 4 behavioral and psychological symptoms compared to those with none, showing a distinct threshold for the influence of behavioral and psychological symptoms on depressive state. Knowing the number of behavioral and psychological symptoms of care recipients may help quickly identify depressed caregivers and alleviate depressive symptoms.
本横断面研究旨在厘清长期照护者行为及心理症状数目与家庭照护者抑郁状态的关系。参与者为38名照顾亲属6年或6年以上的家庭照顾者;他们是从日本爱知县、岐阜县和滋贺县的家庭护理机构招募的。参与者用日本版的流行病学研究中心抑郁量表(CES-D)回答了一份自我管理的问卷,评估他们的抑郁状态。他们还回答了有关被照顾者的行为和心理症状的问题,包括对照顾的抗拒、易怒和受迫害的感觉。根据CES-D评分,11名参与者被归类为抑郁,27名被归类为非抑郁。在调整混杂因素后,行为和心理症状较多的患者抑郁症状明显加重。有4种以上行为和心理症状者抑郁的比值比比无行为和心理症状者高9.43,表明行为和心理症状对抑郁状态的影响具有明显的阈值。了解照顾者的行为和心理症状的数量可能有助于快速识别抑郁的照顾者并减轻抑郁症状。
{"title":"Relationships Between Care Recipients’ Psychological Symptoms and Family Caregivers’ Depressive States","authors":"Junko Hoshino, K. Tamakoshi, Y. Hori, H. Sakakibara","doi":"10.1177/10848223211058814","DOIUrl":"https://doi.org/10.1177/10848223211058814","url":null,"abstract":"This cross-sectional study aims to clarify the relationship between the number of behavioral and psychological symptoms in long-term care recipients and family caregivers’ depressive states. Participants were 38 family caregivers who had provided care for their relatives for 6 years or more; they were recruited from in-home care settings in Aichi, Gifu, and Shiga Prefectures, Japan. Participants answered a self-administered questionnaire assessing their depressive state using the Japanese version of the Center for Epidemiologic Studies for Depression Scale (CES-D). They also answered questions inquiring about behavioral and psychological symptoms of care recipients, including resistance to care, irritability, and feelings of persecution. Using CES-D scores, 11 participants were categorized as depressed and 27 as non-depressed. Depressive symptoms were significantly greater in those with more behavioral and psychological symptoms, following adjustment for confounding factors. The odds ratio of being in a depressive state was 9.43 higher for those with more than 4 behavioral and psychological symptoms compared to those with none, showing a distinct threshold for the influence of behavioral and psychological symptoms on depressive state. Knowing the number of behavioral and psychological symptoms of care recipients may help quickly identify depressed caregivers and alleviate depressive symptoms.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"34 1","pages":"167 - 174"},"PeriodicalIF":1.1,"publicationDate":"2021-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47099004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Impact of Physical Environment on the Cognitive Function of the Elderly: A Scoping Review of Cohort Studies 物理环境对老年人认知功能的影响:队列研究的范围综述
IF 1.1 Q4 NURSING Pub Date : 2021-11-08 DOI: 10.1177/10848223211058826
Jihye Kim, Ji-Yeong Lee, Jihye Park, Hakseong Kim, Ingyu Yoo
This review examined whether the physical environment can change the cognitive function of the elderly and categorized the specific environmental types. Four databases, CINAHL, Embase, PubMed, and PsycINFO, were searched for relevant literature published as of December 2020. The framework used was proposed by Arksey and O’Malley, which includes a 5-stage review process. A total of 12 studies were examined. The physical environments with similar characteristics, among all the environmental elements, were grouped together into 4 categories: residential density and road connectivity, limited living space, urban/rural, and care facilities. Residential density and road connectivity, limited living space, and care facilities were found to have a significant effect on the cognitive function of the elderly. However, there was no significant effect on the cognitive function of the elderly when comparing the urban and rural environments. Although studies on environments that affect the cognitive function of the elderly are still ongoing, the ones analyzing specific environments in detail are insufficient. With the increasing importance of the role played by the environment in the cognitive impairment of the elderly, detailed studies on specific environments among the various environmental factors surrounding the elderly, such as this study, should be conducted more actively.
本文探讨了物理环境是否会改变老年人的认知功能,并对具体的环境类型进行了分类。检索了截至2020年12月发表的相关文献,检索了CINAHL、Embase、PubMed和PsycINFO四个数据库。所使用的框架是由Arksey和O 'Malley提出的,其中包括一个5阶段的审查过程。总共检查了12项研究。在所有环境要素中,将具有相似特征的物理环境分为4类:居住密度和道路连通性、有限居住空间、城乡和护理设施。研究发现,居住密度和道路连通性、有限的居住空间和护理设施对老年人的认知功能有显著影响。然而,在比较城市和农村环境时,对老年人的认知功能没有显著影响。虽然环境对老年人认知功能影响的研究仍在进行中,但具体环境的详细分析还不够。随着环境在老年人认知障碍中的作用越来越重要,在老年人周围的各种环境因素中,应该更积极地对具体环境进行详细的研究,如本研究。
{"title":"The Impact of Physical Environment on the Cognitive Function of the Elderly: A Scoping Review of Cohort Studies","authors":"Jihye Kim, Ji-Yeong Lee, Jihye Park, Hakseong Kim, Ingyu Yoo","doi":"10.1177/10848223211058826","DOIUrl":"https://doi.org/10.1177/10848223211058826","url":null,"abstract":"This review examined whether the physical environment can change the cognitive function of the elderly and categorized the specific environmental types. Four databases, CINAHL, Embase, PubMed, and PsycINFO, were searched for relevant literature published as of December 2020. The framework used was proposed by Arksey and O’Malley, which includes a 5-stage review process. A total of 12 studies were examined. The physical environments with similar characteristics, among all the environmental elements, were grouped together into 4 categories: residential density and road connectivity, limited living space, urban/rural, and care facilities. Residential density and road connectivity, limited living space, and care facilities were found to have a significant effect on the cognitive function of the elderly. However, there was no significant effect on the cognitive function of the elderly when comparing the urban and rural environments. Although studies on environments that affect the cognitive function of the elderly are still ongoing, the ones analyzing specific environments in detail are insufficient. With the increasing importance of the role played by the environment in the cognitive impairment of the elderly, detailed studies on specific environments among the various environmental factors surrounding the elderly, such as this study, should be conducted more actively.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"34 1","pages":"221 - 228"},"PeriodicalIF":1.1,"publicationDate":"2021-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48569933","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Systematic Review of the Needs of Dementia Caregivers Across Care Settings 不同护理环境下痴呆症护理人员需求的系统评价
IF 1.1 Q4 NURSING Pub Date : 2021-10-28 DOI: 10.1177/10848223211056928
Anne Mueller, L. Thao, O. Condon, D. Liebzeit, Beth E Fields
The U.S. population of older adults living with dementia is projected to double by 2060. They rely on over 16 million family and unpaid caregivers to provide for their increasingly complex needs and care transitions. Caregivers frequently feel underprepared and without adequate support or access to resources. This systematic review seeks to identify the needs of family and unpaid caregivers of older adults living with dementia across various care settings in the U.S. A systematic search was conducted to identify articles pertaining to the needs of caregivers of older adults living with dementia. The data extraction tool was developed using aspects from the Care Transitions Framework and the Family Caregiver Alliance. Data were organized based on 3 domains of caregiver needs and the care setting(s) of the older adults living with dementia and their caregivers. A total of 31 articles were eligible for inclusion. The majority met the MMAT screening criteria, but more than half only met 2 or less of the 5 quality criteria. Caregivers’ needs were identified in the care settings of home/community-residing, assisted living, long-term care, skilled nursing, and memory care. Most articles either did not specify a care setting or included more than 1 and did not report the findings separately. Caregivers in each care setting, except memory care, identified needs in all 3 of the following domains: (1) social support—formal and informal, (2) confidence, competence, and strengths in the caregiving role, and (3) values and preferences.
预计到2060年,美国老年痴呆症患者的数量将翻一番。他们依赖超过16 数以百万计的家庭和无偿护理人员,以满足他们日益复杂的需求和护理过渡。护理人员经常感到准备不足,没有足够的支持或资源。这项系统综述旨在确定美国各种护理环境中老年痴呆症患者的家庭和无偿护理人员的需求。进行了系统搜索,以确定与老年痴呆症护理人员需求相关的文章。数据提取工具是利用护理过渡框架和家庭护理者联盟的各个方面开发的。数据是根据护理人员需求的3个领域以及患有痴呆症的老年人及其护理人员的护理环境进行组织的。共有31篇文章符合入选条件。大多数人符合MMAT筛查标准,但超过一半的人只符合5项质量标准中的2项或更少。在家庭/社区居住、辅助生活、长期护理、熟练护理和记忆护理等护理环境中确定了护理人员的需求。大多数文章要么没有具体说明护理环境,要么包括1篇以上的文章,也没有单独报告研究结果。除记忆护理外,每个护理环境中的护理人员都确定了以下三个领域的需求:(1)正式和非正式的社会支持,(2)在护理角色中的信心、能力和优势,以及(3)价值观和偏好。
{"title":"A Systematic Review of the Needs of Dementia Caregivers Across Care Settings","authors":"Anne Mueller, L. Thao, O. Condon, D. Liebzeit, Beth E Fields","doi":"10.1177/10848223211056928","DOIUrl":"https://doi.org/10.1177/10848223211056928","url":null,"abstract":"The U.S. population of older adults living with dementia is projected to double by 2060. They rely on over 16 million family and unpaid caregivers to provide for their increasingly complex needs and care transitions. Caregivers frequently feel underprepared and without adequate support or access to resources. This systematic review seeks to identify the needs of family and unpaid caregivers of older adults living with dementia across various care settings in the U.S. A systematic search was conducted to identify articles pertaining to the needs of caregivers of older adults living with dementia. The data extraction tool was developed using aspects from the Care Transitions Framework and the Family Caregiver Alliance. Data were organized based on 3 domains of caregiver needs and the care setting(s) of the older adults living with dementia and their caregivers. A total of 31 articles were eligible for inclusion. The majority met the MMAT screening criteria, but more than half only met 2 or less of the 5 quality criteria. Caregivers’ needs were identified in the care settings of home/community-residing, assisted living, long-term care, skilled nursing, and memory care. Most articles either did not specify a care setting or included more than 1 and did not report the findings separately. Caregivers in each care setting, except memory care, identified needs in all 3 of the following domains: (1) social support—formal and informal, (2) confidence, competence, and strengths in the caregiving role, and (3) values and preferences.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"34 1","pages":"133 - 147"},"PeriodicalIF":1.1,"publicationDate":"2021-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47266812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 7
Discharge Communications for Older Patients Between Hospital Healthcare Providers and Home Healthcare Providers: An Integrative Review 老年患者出院时医院和家庭医疗服务提供者之间的沟通:一项综合评价
IF 1.1 Q4 NURSING Pub Date : 2021-10-11 DOI: 10.1177/10848223211052031
Yeonsu Kim, M. Crandall, H. Byon
The increasing volume of our aging population is dramatically affecting the need for home care services. The discharge process from hospital to home can be fraught with communication challenges if critical information is not provided. The transition process can threaten patient safety and incur adverse patient health outcomes. However, little is known about how the communication occurs between hospital and home health providers. Therefore, this integrative literature review was conducted to (1) describe the discharge communication that is occurring for older patients between hospital and home healthcare providers and (2) summarize the limitations of current discharge communication. A systematic search was conducted using CINAHL, PubMed, Web of Science, and PsycINFO databases. Findings were categorized to address each aim. Seven studies were included for full reviews. Healthcare providers used a variety of communication methods, including: written information, phone calls, or in-person meetings to exchange the discharge information of older patients. Limitations in communications included excessive and incomplete discharge documents, lack of provider’s contact information, lack of trust in each other, and lack of bidirectional communications. The quality of discharge communications can improve by utilizing mediators and implementing standardized discharge documentation requirements. Overall, there was a lack of literature that described the methods and limitations of discharge communication for older patients between hospital and home care services. Further studies can be conducted to generate more evidence. Healthcare providers may improve the quality of discharge communication by addressing the suggested areas.
老龄化人口数量的增加极大地影响了对家庭护理服务的需求。如果不提供关键信息,从医院到家的出院过程可能充满沟通挑战。过渡过程可能威胁患者安全,并导致不良的患者健康后果。然而,人们对医院和家庭卫生服务提供者之间的沟通方式知之甚少。因此,进行这项综合文献综述是为了(1)描述医院和家庭医疗保健提供者之间老年患者的出院沟通,以及(2)总结当前出院沟通的局限性。使用CINAHL、PubMed、Web of Science和PsycINFO数据库进行了系统搜索。对调查结果进行了分类,以解决每一个目标。包括七项研究进行全面审查。医疗保健提供者使用了多种沟通方式,包括:书面信息、电话或面对面会议,以交流老年患者的出院信息。沟通方面的限制包括出院文件过多和不完整、缺乏提供者的联系信息、彼此缺乏信任以及缺乏双向沟通。通过利用调解员和执行标准化的出院文件要求,可以提高出院沟通的质量。总体而言,缺乏文献描述医院和家庭护理服务之间老年患者出院沟通的方法和局限性。可以进行进一步的研究以产生更多的证据。医疗保健提供者可以通过解决建议的领域来提高出院沟通的质量。
{"title":"Discharge Communications for Older Patients Between Hospital Healthcare Providers and Home Healthcare Providers: An Integrative Review","authors":"Yeonsu Kim, M. Crandall, H. Byon","doi":"10.1177/10848223211052031","DOIUrl":"https://doi.org/10.1177/10848223211052031","url":null,"abstract":"The increasing volume of our aging population is dramatically affecting the need for home care services. The discharge process from hospital to home can be fraught with communication challenges if critical information is not provided. The transition process can threaten patient safety and incur adverse patient health outcomes. However, little is known about how the communication occurs between hospital and home health providers. Therefore, this integrative literature review was conducted to (1) describe the discharge communication that is occurring for older patients between hospital and home healthcare providers and (2) summarize the limitations of current discharge communication. A systematic search was conducted using CINAHL, PubMed, Web of Science, and PsycINFO databases. Findings were categorized to address each aim. Seven studies were included for full reviews. Healthcare providers used a variety of communication methods, including: written information, phone calls, or in-person meetings to exchange the discharge information of older patients. Limitations in communications included excessive and incomplete discharge documents, lack of provider’s contact information, lack of trust in each other, and lack of bidirectional communications. The quality of discharge communications can improve by utilizing mediators and implementing standardized discharge documentation requirements. Overall, there was a lack of literature that described the methods and limitations of discharge communication for older patients between hospital and home care services. Further studies can be conducted to generate more evidence. Healthcare providers may improve the quality of discharge communication by addressing the suggested areas.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"34 1","pages":"125 - 132"},"PeriodicalIF":1.1,"publicationDate":"2021-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49061932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Exploring Barriers to the Development of Home Health Care in Iran: A Qualitative Study 探索伊朗家庭医疗发展的障碍:一项定性研究
IF 1.1 Q4 NURSING Pub Date : 2021-09-06 DOI: 10.1177/10848223211038510
T. Kianian, M. Lotfi, V. Zamanzadeh, Ahad Rezayan, M. Hazrati, V. Pakpour
Changes in society’s needs have increased individuals’ desire to be independent and receive health care at home. Home health care (HHC) is one of the main components of realizing these ambitions. However, there is a serious concern about the state of development of the HHC industry in Iran and the quality of its services. This study aims to explore the barriers to the development of HHC in Iran. This qualitative study with a conventional content analysis approach was conducted in Tabriz, Iran, from October 2019 to March 2020. Twenty-one key stakeholders including nurses, home health directors, physicians, policy-makers, patients, and their families participated in the study. Participants were selected using purposive sampling. Data were collected using a focus group discussion (FGD) and 18 semi-structured in-depth interviews and analyzed using Graneheim and Lundman’s techniques. Data collection continued until saturation was reached. Three main themes emerged from the analysis: quality management challenges, insufficient infrastructure and policy, and political issues. The findings show that applying standard strategies to monitor the quality of services, paying attention to infrastructure, and having a clear framework for policy-making are beneficial for the development of the HHC industry. Health managers can monitor and upgrade the quality of HHC services by defining standards and assessment indicators, as well as providing comprehensive data. It is suggested that legislators consider the principles of community-based accountability, justice, and accessibility their top priority. Moreover, policymakers need to develop a roadmap to reform policies to create the conditions for the development of this industry.
社会需求的变化增加了个人独立和在家接受医疗保健的愿望。家庭医疗保健是实现这些目标的主要组成部分之一。然而,人们对伊朗HHC行业的发展状况及其服务质量表示严重关切。本研究旨在探讨伊朗HHC发展的障碍。这项采用传统内容分析方法的定性研究于2019年10月至2020年3月在伊朗大不里士进行。包括护士、家庭卫生主管、医生、决策者、患者及其家人在内的21名关键利益相关者参与了这项研究。参与者是通过有目的的抽样选出的。使用焦点小组讨论(FGD)和18次半结构化深入访谈收集数据,并使用Graneheim和Lundman的技术进行分析。数据收集一直持续到饱和。分析得出三个主要主题:质量管理挑战、基础设施和政策不足以及政治问题。研究结果表明,采用标准策略来监测服务质量,关注基础设施,并制定明确的政策框架,有利于HHC行业的发展。卫生管理人员可以通过定义标准和评估指标以及提供全面的数据来监测和提高卫生和保健服务的质量。建议立法者将基于社区的问责、正义和无障碍原则视为首要任务。此外,政策制定者需要制定改革政策的路线图,为该行业的发展创造条件。
{"title":"Exploring Barriers to the Development of Home Health Care in Iran: A Qualitative Study","authors":"T. Kianian, M. Lotfi, V. Zamanzadeh, Ahad Rezayan, M. Hazrati, V. Pakpour","doi":"10.1177/10848223211038510","DOIUrl":"https://doi.org/10.1177/10848223211038510","url":null,"abstract":"Changes in society’s needs have increased individuals’ desire to be independent and receive health care at home. Home health care (HHC) is one of the main components of realizing these ambitions. However, there is a serious concern about the state of development of the HHC industry in Iran and the quality of its services. This study aims to explore the barriers to the development of HHC in Iran. This qualitative study with a conventional content analysis approach was conducted in Tabriz, Iran, from October 2019 to March 2020. Twenty-one key stakeholders including nurses, home health directors, physicians, policy-makers, patients, and their families participated in the study. Participants were selected using purposive sampling. Data were collected using a focus group discussion (FGD) and 18 semi-structured in-depth interviews and analyzed using Graneheim and Lundman’s techniques. Data collection continued until saturation was reached. Three main themes emerged from the analysis: quality management challenges, insufficient infrastructure and policy, and political issues. The findings show that applying standard strategies to monitor the quality of services, paying attention to infrastructure, and having a clear framework for policy-making are beneficial for the development of the HHC industry. Health managers can monitor and upgrade the quality of HHC services by defining standards and assessment indicators, as well as providing comprehensive data. It is suggested that legislators consider the principles of community-based accountability, justice, and accessibility their top priority. Moreover, policymakers need to develop a roadmap to reform policies to create the conditions for the development of this industry.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"34 1","pages":"83 - 91"},"PeriodicalIF":1.1,"publicationDate":"2021-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48034277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Impact of Home Care Services on Patient and Economic Outcomes: A Targeted Review 家庭护理服务对患者和经济结果的影响:一项有针对性的综述
IF 1.1 Q4 NURSING Pub Date : 2021-08-31 DOI: 10.1177/10848223211038305
I. Lizano-Díez, Sonia Amaral-Rohter, Lucía Pérez-Carbonell, S. Aceituno
Patient Support Programs (PSPs) reinforce patients’ care provided by health care professionals with the aim to improve adherence and patient empowerment. PSPs may include interventions such as home-based care, individualized medication counseling, support, training, and home delivery of medicines and/or devices. This study described these services and its impact on patient-reported outcomes and health care savings. We conducted an integrative literature review which was limited to publications from the last 10 years (2009-2019) and focused on diseases that require special support and/or parenteral administration. From 7040 total citations, we identified 64 home-based care services performed worldwide. Among the home-based care services, most were provided by nurses (n = 47/64; 73.4%) and addressed to cancer patients (n = 22/64; 34.4%); 23 out of 64 services (35.9%) incorporated telepharmacy. In general, home-based services and PSPs showed a positive impact on patients’ adherence to medication, patient satisfaction, and health-related quality of life. In addition, 14 (21.9%) services reported economic results, most of which showed that home therapy led to substantial cost savings.
患者支持计划(PSP)加强了卫生保健专业人员提供的患者护理,旨在提高依从性和患者赋权。PSP可能包括干预措施,如家庭护理、个性化药物咨询、支持、培训以及药物和/或设备的家庭交付。这项研究描述了这些服务及其对患者报告结果和医疗保健节省的影响。我们进行了一次综合文献综述,仅限于过去10年的出版物 年(2009-2019年),重点关注需要特殊支持和/或胃肠外给药的疾病。从7040次引用中,我们确定了全球范围内提供的64项家庭护理服务。在家庭护理服务中,大多数由护士提供(n = 47/64;73.4%),并针对癌症患者(n = 22/64;34.4%);64项服务中有23项(35.9%)包含远程制药。总的来说,家庭服务和PSP对患者的药物依从性、患者满意度和健康相关的生活质量有积极影响。此外,14家(21.9%)服务机构报告了经济结果,其中大多数表明家庭治疗可以大幅节省成本。
{"title":"Impact of Home Care Services on Patient and Economic Outcomes: A Targeted Review","authors":"I. Lizano-Díez, Sonia Amaral-Rohter, Lucía Pérez-Carbonell, S. Aceituno","doi":"10.1177/10848223211038305","DOIUrl":"https://doi.org/10.1177/10848223211038305","url":null,"abstract":"Patient Support Programs (PSPs) reinforce patients’ care provided by health care professionals with the aim to improve adherence and patient empowerment. PSPs may include interventions such as home-based care, individualized medication counseling, support, training, and home delivery of medicines and/or devices. This study described these services and its impact on patient-reported outcomes and health care savings. We conducted an integrative literature review which was limited to publications from the last 10 years (2009-2019) and focused on diseases that require special support and/or parenteral administration. From 7040 total citations, we identified 64 home-based care services performed worldwide. Among the home-based care services, most were provided by nurses (n = 47/64; 73.4%) and addressed to cancer patients (n = 22/64; 34.4%); 23 out of 64 services (35.9%) incorporated telepharmacy. In general, home-based services and PSPs showed a positive impact on patients’ adherence to medication, patient satisfaction, and health-related quality of life. In addition, 14 (21.9%) services reported economic results, most of which showed that home therapy led to substantial cost savings.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"34 1","pages":"148 - 162"},"PeriodicalIF":1.1,"publicationDate":"2021-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42976198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Effectiveness of a Home Based Training Program on Caregivers Knowledge in Managing Aggressive Behavior of Patients With Mental Illness 以家庭为基础的护理人员管理精神疾病患者攻击行为知识培训计划的有效性
IF 1.1 Q4 NURSING Pub Date : 2021-08-24 DOI: 10.1177/10848223211039448
K. Lata, T. A. Ajesh Kumar, D. Khakha, R. Deep
In India, more than 90% of the patient with chronic mental illness stayed with their family members. Approximately 77.4% of caregivers experience moderate to severe levels of aggression. The purpose of this study was to evaluate the effectiveness of caregiver-training program on knowledge in managing aggressive behavior of mentally ill at home. Research design was pre-experimental. Seventy two caregivers were recruited using purposive sampling technique. The caregivers knowledge was assessed at 3 time points with regard to training program; before, immediately (post-test 1), and after 1 month (±1 week; post-test 2). The baseline knowledge was reflective of the deficiencies existing in the management of aggression of the mentally ill by caregivers. The knowledge of caregivers regarding the management of aggressive behavior of mentally ill, increased after caregiver training program, from the pre-test score of 17.63 ± 3.3 to post-test 1 score of 23.26 ± 2.9, and slightly decreased post-test 2 score of 21.01 ± 3.3 at p < .05. Repeated measure analysis of variance (ANOVA) was done to compare the differences in knowledge score over time with Bonferroni adjustment. This home based caregiver training program helped caregivers to identify etiological factors of aggression, warning signs of aggression and use of de-escalation strategies to manage aggressive behavior of mentally ill. Training caregivers regarding aggression management will make caregiver proficient in practicing safe approach during handling of aggressive patient which will ensure the physical safety of the caregiver as well as of the patient and let the patient stay at home.
在印度,90%以上的慢性精神病患者与家人住在一起。大约77.4%的护理人员经历中度至重度的攻击。本研究的目的是评估护理人员培训计划在管理精神病患者在家中的攻击性行为方面的知识的有效性。研究设计是预先试验的。采用有目的的抽样技术招募了72名护理人员。在3个时间点对护理人员的培训计划知识进行了评估;在1之前、立即(测试后1)和之后 月(±1 周测试后2)。基线知识反映了护理人员在管理精神病患者攻击性方面存在的不足。护理人员对精神病患者攻击性行为的管理知识,在护理人员培训计划后从测试前的17.63分增加 ± 3.3至测试后1分23.26分 ± 2.9分,测试后2分略有下降,为21.01分 ± 3.3在p < .05.重复测量方差分析(ANOVA)用于比较Bonferroni调整后知识得分随时间的差异。这项基于家庭的护理人员培训计划帮助护理人员识别攻击性的病因、攻击性的警告信号以及使用降级策略来管理精神病患者的攻击性行为。对护理人员进行攻击性管理方面的培训将使护理人员在处理攻击性患者时熟练掌握安全方法,这将确保护理人员和患者的人身安全,并让患者待在家里。
{"title":"Effectiveness of a Home Based Training Program on Caregivers Knowledge in Managing Aggressive Behavior of Patients With Mental Illness","authors":"K. Lata, T. A. Ajesh Kumar, D. Khakha, R. Deep","doi":"10.1177/10848223211039448","DOIUrl":"https://doi.org/10.1177/10848223211039448","url":null,"abstract":"In India, more than 90% of the patient with chronic mental illness stayed with their family members. Approximately 77.4% of caregivers experience moderate to severe levels of aggression. The purpose of this study was to evaluate the effectiveness of caregiver-training program on knowledge in managing aggressive behavior of mentally ill at home. Research design was pre-experimental. Seventy two caregivers were recruited using purposive sampling technique. The caregivers knowledge was assessed at 3 time points with regard to training program; before, immediately (post-test 1), and after 1 month (±1 week; post-test 2). The baseline knowledge was reflective of the deficiencies existing in the management of aggression of the mentally ill by caregivers. The knowledge of caregivers regarding the management of aggressive behavior of mentally ill, increased after caregiver training program, from the pre-test score of 17.63 ± 3.3 to post-test 1 score of 23.26 ± 2.9, and slightly decreased post-test 2 score of 21.01 ± 3.3 at p < .05. Repeated measure analysis of variance (ANOVA) was done to compare the differences in knowledge score over time with Bonferroni adjustment. This home based caregiver training program helped caregivers to identify etiological factors of aggression, warning signs of aggression and use of de-escalation strategies to manage aggressive behavior of mentally ill. Training caregivers regarding aggression management will make caregiver proficient in practicing safe approach during handling of aggressive patient which will ensure the physical safety of the caregiver as well as of the patient and let the patient stay at home.","PeriodicalId":45762,"journal":{"name":"Home Health Care Management and Practice","volume":"34 1","pages":"109 - 116"},"PeriodicalIF":1.1,"publicationDate":"2021-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46009748","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Home Health Care Management and Practice
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1