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  • 简介:AbstractPurpose:Venous thromboembolism (VTE) is a major health issue among hip fracture patients. This study aimed to develop an information platform based on a mobile application and then evaluate whether information platform-based nursing could improve patient's drug compliance and reduce the incidence of VTE in hip fracture patients.Methods:This study retrospectively analyzed hip fracture patients who were treated with conventional prevention and intervention methods for VTE (control group) between January 2008 and November 2012, and prospectively analyzed hip fracture patients who were treated with nursing intervention based on the information platform (study group) between January 2016 and September 2017. All the patients included in the both groups were hip fracture patients who had an age over 50 years, treated with surgery, and hospitalized ≥ 48 h. Patients were excluded if they admitted to hospital due to old fractures, had a severe bleeding after 72 h of admission, diagnosed with any type of VTE, or refused to participate in the study. The information platform was divided into medical, nursing, and patient interface. Based on the information platform, medical practitioners and nurses could perform risk assessments, monitoring management and early warnings, preventions and treatments, health educations, follow-up, and other aspects of nursing interventions for patients. This study compared essential characteristics, drug compliance, VTE occurrence, and mean length of hospitalization between the two groups. Besides, a subgroup analysis was performed in the study group according to different drug compliances. SPSS 18.0 software (IBM Corp., NY, and USA) was used for statistical analysis.Results:Altogether 1177 patients were included in the control group, and 491 patients in the study group. Regarding baseline data, patients in the study group had more morbidities than those in the control group (p < 0.05). The difference of drug compliance between the two groups was statistically significant (p < 0.001): 761 (64.7%) of the patients in the control group and only 30 (6.1%) patients in the study group had poor drug compliance. In terms of VTE, 10.7% patients (126/1177) in the control group had VTE, and the rate in the study group was 7.1% (35/491), showing a statistically significant difference (p = 0.02). Moreover, the average length of hospitalization in the study group was also significantly lower than that in the control group (10.4 days vs. 13.7 days, p < 0.001). Subgroup analyses of the study group showed that the incidence of VTE in patients with poor, partial, and good compliances were 56.7% (17/30), 5.8% (10/171), and 2.8% (8/290), respectively, revealing a significantly huge difference (p < 0.001).Conclusions:Poor drug compliance leads to higher VTE occurrence. The information platform-based nursing can effectively improve the compliance of hip fracture patients and thus considerably reduce the incidence of VTE. The mobile application may be an effective tool to prevent VTE in hip fracture patients.

  • 标签: Venous thromboembolism Hip fractures Information platform-based nursing Drug compliance Risk assessment and management
  • 简介:【摘要】二十世纪初,我国建设了比较完善的现代化排水系统。随着城市化的发展与进步,当下城市排水系统已经有了较大的发展,很多城市建设的合流制排水管道在当下依旧在使用。八十年代中后期,随着经济的发展和社会的进步,分流制城市排水系统被广大城市所认可,很多大城市也针对于这一类型的排水系统建设较为完善的现代化排水系统。虽然当下城市排水系统建设已经得到了迅速的发展,但是由于经济的发展和人口的增长,原有的城市排水系统出现了很多的问题。本文针对城市排水系统信息化管理平台的运行进行分析,希望可以通过本文的分析来为我国城市排水系统信息化工作起到参考的作用。

  • 标签: 城市排水系统 信息化管理 问题研究
  • 简介:摘要:近年来,我国航空情报部门一直致力于由AIS向AIM转变,提高航空情报数据发布质量。系统的更迭,上位文件的修订都是为了从数据用户的焦虑点出发,提高航空情报部门的运行效率,提供可靠的数字化产品。European control的EAD系统作为全球最大的一体化航空信息中央存储库,有不少方面值得我们借鉴。本文从航空情报原始资料上报的现状出发,结合EAD系统的动静态数据融合特点,浅谈航空情报原始资料上报的发展方向。

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