Objectives: The aim was to develop and validate the Communities Geriatric Mild Cognitive Impairment Risk Calculator (CGMCI-Risk), aiding community healthcare workers in the early identification of individuals at high risk of mild cognitive impairment (MCI). Methods: Based on nationally representative community survey data, backward stepwise regression was employed to screen the variables, and logistic regression was utilized to construct the CGMCI-Risk. Internal validation was conducted using bootstrap resampling, while external validation was performed using temporal validation. The area under the receiver operating characteristic curve (AUROC), calibration curve, and decision curve analysis (DCA) were employed to evaluate the CGMCI-Risk in terms of discrimination, calibration, and net benefit, respectively. Results: The CGMCI-Risk model included variables such as age, educational level, sex, exercise, garden work, TV watching or radio listening, Instrumental Activity of Daily Living (IADL), hearing, and masticatory function. The AUROC was 0.781 (95% CI = 0.766 to 0.796). The calibration curve showed strong agreement, and the DCA suggested substantial clinical utility. In external validation, the CGMCI-Risk model maintained a similar performance with an AUROC of 0.782 (95% CI = 0.763 to 0.801). Conclusions: CGMCI-Risk is an effective tool for assessing cognitive function risk within the community. It uses readily predictor variables, allowing community healthcare workers to identify the risk of MCI in older adults over a three-year span.

目的 总结帕金森患者睡眠障碍评估与护理干预的最佳证据,帮助帕金森病患者改善睡眠障碍,为临床护理工作提供参考.方法 系统检索国内外数据及相关网站中关于帕金森病患者睡眠障碍的所有证据,检索文献类型包括指南、专家共识、临床决策、证据总结、系统评价及最新的基础研究.检索时限为建库至2022年11月.由2名研究者对纳入文献的质量进行评价,对符合标准的文献进行资料提取与证据汇总.结果 共纳入10篇文献,包括临床决策3篇、指南2篇、系统评价3篇、专家共识2篇.总结了包括睡眠障碍筛查与评估、护理干预、教育和支持系统4个类别的23条证据.结论 该研究全面、科学地总结了帕金森病患者睡眠障碍评估与护理干预的最佳证据,可为临床医护人员提供循证依据,从而以科学的方法管理帕金森病患者的睡眠障碍,提高患者的生活质量.

总结1例佩里综合征患者的护理经验.护理重点为:做好有创呼吸机及无创呼吸机的序贯治疗管理;给予针对性心理护理;做好低体质量营养管理以及出院指导与随访.患者住院23 d后,携带无创呼吸机顺利出院;随访3个月,未发生严重的呼吸衰竭事件,恢复较好.

总结4例颈动脉支架成形术后发生脑高灌注综合征患者的护理经验.护理要点包括:密切监测神经系统相关症状,严格控制血压,做好早期癫痫发作的护理,以及相关的基础护理和加强偏瘫肢体的康复锻炼.4例患者经治疗和护理恢复良好,顺利出院.