目的:探索优化全科医学规范化培训住院医师(简称“全科住培医师”)能力教育培养模式,培养全面发展的全科医生。方法:2020年8月至2021年8月,选取在青岛大学附属医院参加规范化培训的全科医学住院医师共42人,根据年级不同,每个年级随机分...目的:探索优化全科医学规范化培训住院医师(简称“全科住培医师”)能力教育培养模式,培养全面发展的全科医生。方法:2020年8月至2021年8月,选取在青岛大学附属医院参加规范化培训的全科医学住院医师共42人,根据年级不同,每个年级随机分为两组,一组为观察组(思政、PBL联合step by step情景模拟法),一组为对照组(思政 + LBL教学法),共3个年级。观察组与对照组各21人。采用测验调查方式,主要通过命题考试、迷你临床演练评估(Mini-CEX)、360度测评、满意度问卷调查等方式。根据成绩比较各组对知识掌握熟练度及理论结合实践的能力等。结果:观察组(思政、PBL联合step by step情景模拟法教学法)在命题考试、360度测评结果均优于对照组(思政 + LBL教学法),差异有统计学意义(P 0.05)。结论:思政、PBL联合step by step情景模拟法教学法在全科医学住培医师优化能力培养中效果较好,值得推广,为全科医学的可持续发展奠定基础。展开更多
目的探讨糖尿病性亚临床周围神经病变进展为临床周围神经病变的危险因素。方法回顾性分析2017—2022年青岛大学附属医院收治的75例1型糖尿病周围神经病变患者的临床资料,包括年龄、性别、病程、体重指数(BMI)、吸烟史、家族史、合并糖...目的探讨糖尿病性亚临床周围神经病变进展为临床周围神经病变的危险因素。方法回顾性分析2017—2022年青岛大学附属医院收治的75例1型糖尿病周围神经病变患者的临床资料,包括年龄、性别、病程、体重指数(BMI)、吸烟史、家族史、合并糖尿病酮症酸中毒史(DKA)、合并视网膜病变、三酰甘油(TG)、总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、空腹血浆葡萄糖(FPG)、空腹C肽(FCP)、餐后2 h C肽(2 h CP)、糖化血红蛋白(HbA1c)、空腹胰岛素(FINS)、餐后2 h胰岛素(2 h INS)、胰岛素自身抗体(INS-Ab)、谷氨酸脱羧酶自身抗体(GAD-Ab)、尿酸(UA)、25-羟维生素D。根据患者是否具有临床症状分为糖尿病性亚临床周围神经病变组(33例)与临床糖尿病性周围神经病变组(42例),对单因素分析中差异有统计学意义的因素进行logistic回归分析。结果单因素分析结果显示,临床糖尿病性周围神经病变与病程、年龄、BMI、HDL-C、25-羟维生素D、合并视网膜病变有关,差异有统计学意义(P<0.05)。采用logistic回归模型进行多因素分析结果显示,病程长(β=0.002,OR=1.002,95%CI=1.001~1.003)是1型糖尿病亚临床周围神经病变进展为临床糖尿病性周围神经病变的独立危险因素(P<0.05);高水平25-羟维生素D(β=-0.013,OR=0.987,95%CI=0.981~0.994)是临床糖尿病性周围神经病变的独立保护因素(P<0.05)。结论病程长、低水平的25-羟维生素D可能导致临床糖尿病周围神经病变进展,因此及时检测和补充维生素D可能可以延缓临床糖尿病周围神经病变的进展。展开更多
目的:探讨脂蛋白相关磷脂酶A2 (lipoprotein-associated phospholipase A2,下称磷脂酶A2)与甘油三酯葡萄糖指数(Triglyceride-Glucose index,下称TyG指数)、甘油三酯葡萄糖身体质量指数(Triglyceride-Glucose-Body Mass Index,下称TyG-B...目的:探讨脂蛋白相关磷脂酶A2 (lipoprotein-associated phospholipase A2,下称磷脂酶A2)与甘油三酯葡萄糖指数(Triglyceride-Glucose index,下称TyG指数)、甘油三酯葡萄糖身体质量指数(Triglyceride-Glucose-Body Mass Index,下称TyG-BMI)与合并2型糖尿病的慢性冠状动脉综合征(Chronic Coronary Syndrome,下称CCS)患者冠状动脉Gensini评分及主要心血管不良事件(Major Cardiovascular Advertise Events,下称MACEs)的相关性。方法:回顾性收集2021年10月至2022年10月在青岛大学附属医院诊治的289例行非急症冠状动脉造影的2型糖尿病患者作为研究对象,按Gensini评分分为对照(非CCS)组69例(Gensini积分 = 0分)、低积分组77例(2.5分 ≤ Gensini积分 P P P P Objective: To explore the correlation of lipoprotein-associated phospholipase A2 (hereinafter referred to as phospholipase A2) on Triglyceride-Glucose index (hereinafter referred to as TyG index) and Triglyceride-Glucose-Body Mass Index (hereinafter referred to as TyG-BMI) in coronary Gensini score and Major Adverse Cardiovascular Events (hereinafter referred to as MACEs) in Chronic Coronary Syndrome (hereinafter referred to as CCS) patients combined with type 2 diabetes mellitus. Methods: 289 patients with type 2 diabetes mellitus who underwent non-emergency coronary angiography in the Affiliated Hospital of Qingdao University from October 2021 to October 2022 were retrospectively collected as study objects, and according to Gensini scores, there were 69 cases in the observation (non-CCS) group (Gensini score = 0), 77 cases in the low score group (2.5 points ≤ Gensini score P P P P < 0.05). ROC curve analysis showed that the areas under the ROC curve plotted with the combined application of serum phospholipase A2 and TyG index and TyG-BMI were 0.767 (95%CI 0.704~0.831) and 0.789 (95%CI 0.727~0.851), respectively. Phospholipase A2 combined with TyG index predicted the highest value of MACEs in CCS patients. Multi-factor Cox proportional risk model showed that changes in serum phospholipase A2 level and TyG index may be influencing factors for major cardiovascular adverse events in CCS patients with diabetes mellitus. Conclusion: Serum phospholipase A2 and TyG index are risk factors for the increase of coronary Gensini score, and the combination of phospholipase A2 and TyG index and TyG-BMI may have a certain predictive value for the occurrence of major cardiovascular adverse events in CCS patients combined with type 2 diabetes mellitus.展开更多
目的:探讨BOPPPS模式在护理教学领域中的应用现状、研究热点及其发展趋势。方法:通过中国知网检索截至2024年7月31日的文献,基于CiteSpace软件进行文献计量学分析。结果:共纳入符合条件的文献207篇,BOPPPS模式在护理教育领域的文献数量...目的:探讨BOPPPS模式在护理教学领域中的应用现状、研究热点及其发展趋势。方法:通过中国知网检索截至2024年7月31日的文献,基于CiteSpace软件进行文献计量学分析。结果:共纳入符合条件的文献207篇,BOPPPS模式在护理教育领域的文献数量逐年增长。发文量最多的作者是赵蓓蓓和张云萍,发表文献最多的机构和期刊分别为江苏护理职业学院和《卫生职业教育》。“护理教学”、“课程思政”、“临床教学”、“实践教学”、“线上教学”是较为核心的关键词,自2022年起,“虚拟仿真”、“情景模拟”、“翻转课堂”和“对分课堂”等开始成为新的研究热点。结论:BOPPPS模式在护理教学领域呈现广泛而深入的发展趋势,未来应继续探索其与新兴教育技术的结合,以进一步提升护理教学的质量。Objective: To explore the current application, research hotspots, and development trends of the BOPPPS model in nursing education field. Methods: Literature was retrieved from the China National Knowledge Infrastructure (CNKI) database up to July 31, 2024, and a bibliometric analysis was conducted using CiteSpace software. Results: A total of 207 eligible papers were included. The number of publications on the BOPPPS model in nursing education field has been increasing yearly. The most prolific authors were Beibei Zhao and Yunping Zhang. The institution and journal with the highest number of publications were Jiangsu College of Nursing and Health Vocational Education, respectively. The core keywords identified were “nursing education”, “curriculum ideology and politics”, “clinical teaching”, “practical teaching” and “online teaching”. Since 2022, new research hotspots have emerged, including “virtual simulation”, “scenario simulation”, “flipped classroom” and “bifurcated classroom”. Conclusion: The BOPPPS model shows a broad and deepening development trend in the field of nursing education field. Future research should continue to explore its integration with emerging educational technologies to further enhance the quality of nursing education.展开更多
文摘目的:探索优化全科医学规范化培训住院医师(简称“全科住培医师”)能力教育培养模式,培养全面发展的全科医生。方法:2020年8月至2021年8月,选取在青岛大学附属医院参加规范化培训的全科医学住院医师共42人,根据年级不同,每个年级随机分为两组,一组为观察组(思政、PBL联合step by step情景模拟法),一组为对照组(思政 + LBL教学法),共3个年级。观察组与对照组各21人。采用测验调查方式,主要通过命题考试、迷你临床演练评估(Mini-CEX)、360度测评、满意度问卷调查等方式。根据成绩比较各组对知识掌握熟练度及理论结合实践的能力等。结果:观察组(思政、PBL联合step by step情景模拟法教学法)在命题考试、360度测评结果均优于对照组(思政 + LBL教学法),差异有统计学意义(P 0.05)。结论:思政、PBL联合step by step情景模拟法教学法在全科医学住培医师优化能力培养中效果较好,值得推广,为全科医学的可持续发展奠定基础。
文摘目的探讨糖尿病性亚临床周围神经病变进展为临床周围神经病变的危险因素。方法回顾性分析2017—2022年青岛大学附属医院收治的75例1型糖尿病周围神经病变患者的临床资料,包括年龄、性别、病程、体重指数(BMI)、吸烟史、家族史、合并糖尿病酮症酸中毒史(DKA)、合并视网膜病变、三酰甘油(TG)、总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、空腹血浆葡萄糖(FPG)、空腹C肽(FCP)、餐后2 h C肽(2 h CP)、糖化血红蛋白(HbA1c)、空腹胰岛素(FINS)、餐后2 h胰岛素(2 h INS)、胰岛素自身抗体(INS-Ab)、谷氨酸脱羧酶自身抗体(GAD-Ab)、尿酸(UA)、25-羟维生素D。根据患者是否具有临床症状分为糖尿病性亚临床周围神经病变组(33例)与临床糖尿病性周围神经病变组(42例),对单因素分析中差异有统计学意义的因素进行logistic回归分析。结果单因素分析结果显示,临床糖尿病性周围神经病变与病程、年龄、BMI、HDL-C、25-羟维生素D、合并视网膜病变有关,差异有统计学意义(P<0.05)。采用logistic回归模型进行多因素分析结果显示,病程长(β=0.002,OR=1.002,95%CI=1.001~1.003)是1型糖尿病亚临床周围神经病变进展为临床糖尿病性周围神经病变的独立危险因素(P<0.05);高水平25-羟维生素D(β=-0.013,OR=0.987,95%CI=0.981~0.994)是临床糖尿病性周围神经病变的独立保护因素(P<0.05)。结论病程长、低水平的25-羟维生素D可能导致临床糖尿病周围神经病变进展,因此及时检测和补充维生素D可能可以延缓临床糖尿病周围神经病变的进展。
文摘目的:探讨脂蛋白相关磷脂酶A2 (lipoprotein-associated phospholipase A2,下称磷脂酶A2)与甘油三酯葡萄糖指数(Triglyceride-Glucose index,下称TyG指数)、甘油三酯葡萄糖身体质量指数(Triglyceride-Glucose-Body Mass Index,下称TyG-BMI)与合并2型糖尿病的慢性冠状动脉综合征(Chronic Coronary Syndrome,下称CCS)患者冠状动脉Gensini评分及主要心血管不良事件(Major Cardiovascular Advertise Events,下称MACEs)的相关性。方法:回顾性收集2021年10月至2022年10月在青岛大学附属医院诊治的289例行非急症冠状动脉造影的2型糖尿病患者作为研究对象,按Gensini评分分为对照(非CCS)组69例(Gensini积分 = 0分)、低积分组77例(2.5分 ≤ Gensini积分 P P P P Objective: To explore the correlation of lipoprotein-associated phospholipase A2 (hereinafter referred to as phospholipase A2) on Triglyceride-Glucose index (hereinafter referred to as TyG index) and Triglyceride-Glucose-Body Mass Index (hereinafter referred to as TyG-BMI) in coronary Gensini score and Major Adverse Cardiovascular Events (hereinafter referred to as MACEs) in Chronic Coronary Syndrome (hereinafter referred to as CCS) patients combined with type 2 diabetes mellitus. Methods: 289 patients with type 2 diabetes mellitus who underwent non-emergency coronary angiography in the Affiliated Hospital of Qingdao University from October 2021 to October 2022 were retrospectively collected as study objects, and according to Gensini scores, there were 69 cases in the observation (non-CCS) group (Gensini score = 0), 77 cases in the low score group (2.5 points ≤ Gensini score P P P P < 0.05). ROC curve analysis showed that the areas under the ROC curve plotted with the combined application of serum phospholipase A2 and TyG index and TyG-BMI were 0.767 (95%CI 0.704~0.831) and 0.789 (95%CI 0.727~0.851), respectively. Phospholipase A2 combined with TyG index predicted the highest value of MACEs in CCS patients. Multi-factor Cox proportional risk model showed that changes in serum phospholipase A2 level and TyG index may be influencing factors for major cardiovascular adverse events in CCS patients with diabetes mellitus. Conclusion: Serum phospholipase A2 and TyG index are risk factors for the increase of coronary Gensini score, and the combination of phospholipase A2 and TyG index and TyG-BMI may have a certain predictive value for the occurrence of major cardiovascular adverse events in CCS patients combined with type 2 diabetes mellitus.
文摘目的:探讨BOPPPS模式在护理教学领域中的应用现状、研究热点及其发展趋势。方法:通过中国知网检索截至2024年7月31日的文献,基于CiteSpace软件进行文献计量学分析。结果:共纳入符合条件的文献207篇,BOPPPS模式在护理教育领域的文献数量逐年增长。发文量最多的作者是赵蓓蓓和张云萍,发表文献最多的机构和期刊分别为江苏护理职业学院和《卫生职业教育》。“护理教学”、“课程思政”、“临床教学”、“实践教学”、“线上教学”是较为核心的关键词,自2022年起,“虚拟仿真”、“情景模拟”、“翻转课堂”和“对分课堂”等开始成为新的研究热点。结论:BOPPPS模式在护理教学领域呈现广泛而深入的发展趋势,未来应继续探索其与新兴教育技术的结合,以进一步提升护理教学的质量。Objective: To explore the current application, research hotspots, and development trends of the BOPPPS model in nursing education field. Methods: Literature was retrieved from the China National Knowledge Infrastructure (CNKI) database up to July 31, 2024, and a bibliometric analysis was conducted using CiteSpace software. Results: A total of 207 eligible papers were included. The number of publications on the BOPPPS model in nursing education field has been increasing yearly. The most prolific authors were Beibei Zhao and Yunping Zhang. The institution and journal with the highest number of publications were Jiangsu College of Nursing and Health Vocational Education, respectively. The core keywords identified were “nursing education”, “curriculum ideology and politics”, “clinical teaching”, “practical teaching” and “online teaching”. Since 2022, new research hotspots have emerged, including “virtual simulation”, “scenario simulation”, “flipped classroom” and “bifurcated classroom”. Conclusion: The BOPPPS model shows a broad and deepening development trend in the field of nursing education field. Future research should continue to explore its integration with emerging educational technologies to further enhance the quality of nursing education.
