目的探讨加速康复护理模式对肺癌患者肺功能、心理状态及生活质量的影响。方法选取2022年6—12月在山东省聊城市人民医院实施胸腔镜肺癌根治术的90例患者为研究对象,其中2022年6—9月的患者纳入对照组,2022年10—12月的患者纳入试验组,...目的探讨加速康复护理模式对肺癌患者肺功能、心理状态及生活质量的影响。方法选取2022年6—12月在山东省聊城市人民医院实施胸腔镜肺癌根治术的90例患者为研究对象,其中2022年6—9月的患者纳入对照组,2022年10—12月的患者纳入试验组,各45例。对照组患者给予常规护理,试验组患者在对照组的基础上给予加速康复护理模式干预。记录两组患者围手术期康复指标、肺功能指标、心理评价指标和生活质量评价指标。结果两组患者出恢复室时疼痛评分比较,差异无统计学意义(P>0.05)。与对照组比较,试验组患者术后第1~3天疼痛评分和并发症发生率显著降低,术后引流管和尿管留置时间、排气时间、排便时间和住院时间显著缩短,护理满意度评分显著提升,差异有统计学意义(P<0.05)。与对照组比较,干预后试验组患者肺功能和生活质量量表(quality of life questionnaires core 30,QLQ-C30)评分显著提升,心理状态各项评分和疾病不确定感量表(mishel uncertainty in illness scale,MUSI)评分均有显著下降(P<0.05)。结论将加速康复护理模式应用于胸腔镜肺癌根治术患者管理中,可显著提高护理满意度评分、改善患者术后肺功能、心理状态和生活质量。此文的研究结果为肺癌患者长期康复护理标准制定提供了借鉴内容。展开更多
AgCl/Ti_(3)C_(2)@TiO_(2)ternary composites were prepared to form a heterojunction structure between AgCl and TiO_(2)and introduce Ti3C2 as a cocatalyst.The as-prepared AgCl/Ti_(3)C_(2)@TiO_(2)composites showed higher ...AgCl/Ti_(3)C_(2)@TiO_(2)ternary composites were prepared to form a heterojunction structure between AgCl and TiO_(2)and introduce Ti3C2 as a cocatalyst.The as-prepared AgCl/Ti_(3)C_(2)@TiO_(2)composites showed higher photocatalytic activity than pure AgCl and Ti_(3)C_(2)@TiO_(2)for photooxidation of a 1,4-dihydropyridine derivative(1,4-DHP)and tetracycline hydrochloride(TCH)under visible light irradiation(λ>400 nm).The photocatalytic activity of AgCl/Ti_(3)C_(2)@TiO_(2)composites depended on Ti_(3)C_(2)@TiO_(2)content,and the catalytic activity of the optimized samples were 6.9 times higher than that of pure AgCl for 1,4-DHP photodehydrogenation and 7.3 times higher than that of Ti_(3)C_(2)@TiO_(2)for TCH photooxidation.The increased photocatalytic activity was due to the formation of a heterojunction structure between AgCl and TiO_(2)and the introduction of Ti3C2 as a cocatalyst,which lowered the internal resistance,sped up the charge transfer,and increased the separation efficiency of photogenerated carries.Photogenerated holes and superoxide radical anions were the major active species in the photocatalytic process.展开更多
基于模块化多电平换流器(modular multilevel converter,MMC)的多端柔性直流配电网直流侧保护方案,目前主要针对其双极短路故障进行了研究,而单极接地故障同样会对系统稳定运行产生严重影响。鉴于此,该文提出了一种基于暂态电压Pearson...基于模块化多电平换流器(modular multilevel converter,MMC)的多端柔性直流配电网直流侧保护方案,目前主要针对其双极短路故障进行了研究,而单极接地故障同样会对系统稳定运行产生严重影响。鉴于此,该文提出了一种基于暂态电压Pearson相关性的单极接地故障保护方案。该方案利用电压变化率和低压作为启动和检测判据;根据正负极线路暂态电压Pearson相关系数在区、内外故障时的差异进行故障识别;并利用故障时刻的直流电压特性确定故障极。最后,在实时数字仿真器(real time digital simulator,RTDS)上搭建了基于MMC的四端柔性直流配电网模型。仿真结果表明:该方案不受过渡电阻、故障距离以及信号噪声的影响,且基于本地信息量、无需通信。展开更多
文摘目的探讨加速康复护理模式对肺癌患者肺功能、心理状态及生活质量的影响。方法选取2022年6—12月在山东省聊城市人民医院实施胸腔镜肺癌根治术的90例患者为研究对象,其中2022年6—9月的患者纳入对照组,2022年10—12月的患者纳入试验组,各45例。对照组患者给予常规护理,试验组患者在对照组的基础上给予加速康复护理模式干预。记录两组患者围手术期康复指标、肺功能指标、心理评价指标和生活质量评价指标。结果两组患者出恢复室时疼痛评分比较,差异无统计学意义(P>0.05)。与对照组比较,试验组患者术后第1~3天疼痛评分和并发症发生率显著降低,术后引流管和尿管留置时间、排气时间、排便时间和住院时间显著缩短,护理满意度评分显著提升,差异有统计学意义(P<0.05)。与对照组比较,干预后试验组患者肺功能和生活质量量表(quality of life questionnaires core 30,QLQ-C30)评分显著提升,心理状态各项评分和疾病不确定感量表(mishel uncertainty in illness scale,MUSI)评分均有显著下降(P<0.05)。结论将加速康复护理模式应用于胸腔镜肺癌根治术患者管理中,可显著提高护理满意度评分、改善患者术后肺功能、心理状态和生活质量。此文的研究结果为肺癌患者长期康复护理标准制定提供了借鉴内容。
基金This work was supported by the Opening Project of the Key Laboratory of Green Chemistry of Sichuan Institutes of Higher Education(LZJ2002)the Open Project of Chemical Synthesis and Pollution Control Key Laboratory of Sichuan Province(CSPC2016-3-2).
文摘AgCl/Ti_(3)C_(2)@TiO_(2)ternary composites were prepared to form a heterojunction structure between AgCl and TiO_(2)and introduce Ti3C2 as a cocatalyst.The as-prepared AgCl/Ti_(3)C_(2)@TiO_(2)composites showed higher photocatalytic activity than pure AgCl and Ti_(3)C_(2)@TiO_(2)for photooxidation of a 1,4-dihydropyridine derivative(1,4-DHP)and tetracycline hydrochloride(TCH)under visible light irradiation(λ>400 nm).The photocatalytic activity of AgCl/Ti_(3)C_(2)@TiO_(2)composites depended on Ti_(3)C_(2)@TiO_(2)content,and the catalytic activity of the optimized samples were 6.9 times higher than that of pure AgCl for 1,4-DHP photodehydrogenation and 7.3 times higher than that of Ti_(3)C_(2)@TiO_(2)for TCH photooxidation.The increased photocatalytic activity was due to the formation of a heterojunction structure between AgCl and TiO_(2)and the introduction of Ti3C2 as a cocatalyst,which lowered the internal resistance,sped up the charge transfer,and increased the separation efficiency of photogenerated carries.Photogenerated holes and superoxide radical anions were the major active species in the photocatalytic process.
文摘基于模块化多电平换流器(modular multilevel converter,MMC)的多端柔性直流配电网直流侧保护方案,目前主要针对其双极短路故障进行了研究,而单极接地故障同样会对系统稳定运行产生严重影响。鉴于此,该文提出了一种基于暂态电压Pearson相关性的单极接地故障保护方案。该方案利用电压变化率和低压作为启动和检测判据;根据正负极线路暂态电压Pearson相关系数在区、内外故障时的差异进行故障识别;并利用故障时刻的直流电压特性确定故障极。最后,在实时数字仿真器(real time digital simulator,RTDS)上搭建了基于MMC的四端柔性直流配电网模型。仿真结果表明:该方案不受过渡电阻、故障距离以及信号噪声的影响,且基于本地信息量、无需通信。
