对中国知识资源总库(CNKI)收录的医护康一体化相关文献的年度发文量、发表期刊、基金来源、文献作者以及关键词等进行可视化分析,直观展示目前该领域研究现状和研究热点,从而辨识和探测医护康一体化的基本动向和整体发展,为多学科交叉合作等方面的研究提供参考.

目的 观察综合面舌肌功能锻炼结合穴位电刺激对阻塞性睡眠呼吸暂停低通气综合征的临床疗效.方法 将56例患者按照随机数字表分为对照组与观察组,各28例.对照组采用常规药物治疗与护理,观察组在对照组基础上应用综合面舌肌功能锻炼结合穴位电刺激疗法.采用多导睡眠监测器监测患者干预前后睡眠情况.结果 干预后对照组夜间呼吸紊乱指数为(15.84±6.41)次/h,观察组为(10.65±3.27)次/h,比较差异有统计学意义(P<0.01).干预后对照组最低血氧饱和度为(84.79±4.02)％,观察组为(88.64±3.15)％,比较差异有统计学意义(P<0.01).结论 综合面舌肌功能锻炼结合穴位电刺激可改善阻塞性睡眠呼吸暂停低通气综合征患者通气功能,提高睡眠质量.

目的 了解抗击新型冠状病毒肺炎疫情一线护士的共情能力现状水平,分析其影响因素,为完善突发公共卫生事件的应对方案提供依据.方法 2020年2月22日-2月25日通过网络平台调查全国多省市医院抗击疫情一线的护士341名.调查内容包括一般资料、中文版杰弗逊共情量表(医护人员版)(JSE-HP).结果 341名一线护士JPE-HP量表平均总分为(82.74 ±8.62)分,处于中等水平.多元线性逐步回归分析显示,学历、护龄和工作强度是护士共情能力的影响因素(P＜0.05),护龄、学历、工作强度与共情能力呈显著正相关.结论 一线护理人员的共情能力处于中等水平,管理者需充分考虑护士自身多种因素对共情能力的影响,针对不同学历和护龄的护士个性化实施共情能力培养,并合理调节工作强度,降低疫情对护士共情护理能力的影响.

Objective To survey and research the drug resistance monitoring and application conditions of antibacterial of inpatients with urinary system infection. Methods The medical record data of 110 cases of inpatients with urinary system infection in our hospital from June 2014 to May 2015 were selected, and the survey data were obtained by self-design sur-vey table, and the urine bacteria culture microscopic examination results and resistance of main pathogens to common an-tibacterial were summarized, and the difference in the antibiosis use time between the drug-sensitive experiment group and the non-drug-sensitive experiment group was compared. Results The urine bacteria culture microscopic examination results showed that the gram-negative bacteria, gram positive bacteria and fungus were respectively 49.19%, 35.48 and 15.32%, and the pathogenic bacteria leading to the urinary system infection were different, and the antibacterial that the pathogenic bacteria were sensitive to was also different, and the drug treatment methods were also different, and the average use time of antibacterial in the drug-sensitive experiment group was (9.26±2.74) d, which was obviously lower than that in the non-drug-sensitive experiment group, and the difference had statistical significance, P<0.05. Conclusion The pathogenic bacte-ria leading to the urinary system infection are multiple, and the treatment for antibacterial according to the drug-sensitive experimental results contributes to reducing the use time of antibacterial.