摘要：目的研究针对脑卒中患者及其家属的家庭干预方案的有效性。方法采用整群随机对照试验设计。2021年10月至2022年6月在泰国中部猜纳省抽取6个地区,分为实验组(3个地区)和对照组(3个地区),各招募了31个家庭,即31例新发脑卒中患者及家属(家庭照顾者和家庭成员)。以纽曼系统模型为框架,构建包含压力评估和基于家庭干预措施的脑卒中患者家庭干预方案。实验组实施脑卒中患者家庭干预方案,对照组接受常规护理。在基线、4周和12周后,分别对脑卒中后患者的功能状态、抑郁和并发症,家庭照顾者的护理负担和压力,以及家庭照顾者和家庭成员的家庭功能进行了评估。统计方法采用描述性统计、χ^(2)检验和重复测量方差分析等。结果实施家庭干预方案12周后,与对照组相比,脑卒中患者的功能状态改善,抑郁症状减轻,照顾者负担和压力减轻,家庭功能改善,差异均有统计学意义(P<0.05)。实验组有3例患者出现并发症,对照组有7例出现并发症。结论基于纽曼系统模型构建的脑卒中患者家庭干预方案对于改善泰国社区脑卒中患者状况、减轻家庭照顾者负担及改善其家庭功能有重要作用。可考虑延长该干预方案的持续时间,并评估其持续效果。

摘要：Objectives:This study was conducted to examine the differences between perceptions and practices of family-centered care among Thai pediatric ***:This mixed-methods study consisted of two phases,in the first phase,a descriptive comparative design using the Family-Centered Care Questionnaire-Revised(FCCQ-R)was administered to 142 pediatric nurses from a university hospital in Bangkok,*** the second phase,qualitative interviews were conducted with 16 pediatric nurses to gather complementary information regarding the major findings from the first ***:The results revealed that family strengths and individuality were rated the highest as the most important elements and the most frequent ***/professional collaboration was perceived as the least important element,while the design of the heath care delivery system was rated as the least frequent *** qualitative data revealed that the major reasons for suboptimal implementation included a common perception that family-centered care is a Western concept,nurses'weak attitudes towards their roles,and a shortage of ***:Nurses agreed that the identified elements of family-centered care were necessary but that they did not incorporate the concepts into their daily nursing practice to maintain their endorsement of the family-centered care *** study is needed to explore how family-centered care is understood and operationalized by Thai nurses and how hospital administration and environments can be modified to support this care model.

摘要：目的对泰国老年人肌少症的忠病率情况进行综述并确定相关因素。方法对PubMed、Embase、Scopus和泰国期刊引文索引(Thai-Journal Citation Index, TCI)数据库进行系统检索。检索文献的发表时间限定为2013年1月至2023年1月, 仅纳人观察性研究设计。使用澳大利亚乔安娜布里格斯研究所(Joanna BriggsInstitute, JBI)循证卫生保健研究中心关键评估工具评估研究质量。使用JBI SUMARI软件进行meta分析。该综述:方案已在PROSPERO注册(CRD42023420514)。结果共检索出308条文献,其中17项研究被纳人分析,共包括4 668名60岁及以上的老年人,男性1380名(29.6%),女性3 288名(70.4%)。泰国老年人肌少症的总体忠病率为20.7%(95%CI 14.4%~27.8%)。 基于研究场所的肌少症忠病率亚组分析显示,住院忠者为33.4%(95%CI 28.7%~38.3%), 门诊患者为23.2%(95%CI 12.5%-35.9%), 社区老年人为17.3%(95%CI 9.4%~26.8%)。高龄(0R 4.60 ,95% CI 3.07-6.91).男性(OR 2.30 ,95% CI 1.37-3.85). 低体重指数(OR 8.95 ,95%CI 6.05~ 13.25)和营养不良(OR 2.78,95% CI 2.09-3.70)是泰国老年人肌少症的关联因素。结论这项系统评价分析了文献中泰国老年人肌少症的总体忠病率和关联因素,对该国老年人肌少症的预防和管理具有重要参考意义。