Subjects: Geosciences >> Geography submitted time 2020-06-02 Cooperative journals: 《干旱区地理》
Abstract： 研究西北干旱半干旱区城市生态效率，对其经济、资源、环境的协调统一以及生态文明建设的推进具有重要的现实意义。以西北干旱半干旱区38个城市为研究对象，运用三阶段DEA方法客观地测度了各城市2005-2016年生态效率，同时运用ESDA方法全面分析了生态效率的区域差异。结果显示:干旱半干旱区城市生态效率普遍较低，并呈现正向全局空间自相关关系;热点区域主要以鸟鲁木齐、克拉玛依等为中心，冷点区域主要以平凉、固原等为中心，热点区域数量呈现先增后减再增的N形变动趋势，冷点区域数量则呈现先减后增再减的倒N形变动趋势。
Subjects: Medicine, Pharmacy >> Clinical Medicine submitted time 2024-05-14 Cooperative journals: 《中国全科医学》
Abstract： Background The lack of disease self-management awareness in patients after percutaneous coronary intervention（PCI）affects the prognosis，and the prognosis of patients with diabetes is worse. The establishment of chronic disease follow-up system and the collaborative management of the two diseases become the key to the rehabilitation of patients. Objective To construct a comorbidity follow-up model for patients with coronary heart disease complicated with diabetes after PCI based on the theory of chronic disease self-management and CICARE communication model，and to explore the application effect. Methods From January to April 2022，literature review，semi-structured interviews and expert correspondence were used to constructed a comorbidity follow-up model for patients with coronary heart disease complicated with diabetes after PCI. Patients with coronary heart disease complicated with diabetes who received PCI in the department of cardiology of Chu Hsien-I Memorial Hospital， Tianjin Medical University from May 2022 to December 2022 were selected as research subjects. They were divided into two groups by using the random number table method. The control group（77 cases）received routine follow-up，and the test group（78 cases）received comorbidity follow-up model. The scores of Coronary Heart Disease Self-Management Scale （CSMS）and other outcome indicators were compared between the two groups before discharge，3 months and 6 months after discharge. Results The positive coefficients of experts in the two rounds of expert correspondence were both 100%，the authority coefficient was 0.87，and the coordination coefficient was 0.310 and 0.334，respectively（all P<0.001）. The comorbidity follow-up model included three dimensions，11 modules and 30 contents. Finally，64 patients in each group completed the follow-up. There was an interaction between group and time on the scores of CSMS（F=150.504，P<0.001）. The scores of CSMS at 3 months and 6 months after discharge were higher than those before discharge（P<0.001），and the scores of the test group were higher than those of the control group（P<0.05）. After 6 months，the BMI of the test group was lower than that of the control group（P<0.05）. Conclusion The constructed comorbidity follow-up model after PCI was scientific and effective， which can improve the self-management behavior of patients after PCI and reduce BMI.
Hits
Hits
Downloads
Comment