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        west china medical publishers
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        find Author "周茜" 7 results
        • 抗精神病藥物致過度鎮靜態患者護理一例

          Release date:2016-09-08 09:25 Export PDF Favorites Scan
        • 精神科門診患者的護理體會

          目的 總結交流精神科門診護理的特點與經驗。 方法 根據精神科患者人格特點和認知行為的特殊性,通過改善就醫環境,優化就醫流程;針對不同類型的精神疾病患者采用不同的應對處置技巧;強調和推行個體化服務模式;大力推廣健康教育等措施,改善和提高精神科門診護理質量與水平。 結果 就醫流程的優化,使門診候診時間大為縮短,減少了門診突發事件的幾率;不同的處置技巧,有效地控制和減少患者診治時段的沖動與焦慮;個性化的護理服務和健康教育,增進醫患間的溝通與交流,使患者得到更多的疾病知識指導,增強了治療依從性,患者和家屬滿意度提高。 結論 精神科門診護士不但要有扎實的專業知識和技能,高度的同情心,還須有敏銳的觀察力和良好的溝通技巧,為門診工作的順利開展、管理及干預策略的制定提供依據。

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        • 安全型靜脈留置針在改良電抽搐治療中的應用效果研究

          目的 探討安全型靜脈留置針在改良電抽搐治療中的應用效果。 方法 將2011年10月-2012年3月接受改良電抽搐治療患者按隨機抽樣原則分為對照組和觀察組,比較觀察兩組的意外脫管和藥物滲出、重新穿刺發生率和一個療程平均穿刺次數、局部淤青和靜脈炎的發生率、血液污染和針刺傷發生率以及藥物使用總量。結果 兩組患者靜脈炎和針刺傷發生率及每次藥物使用量的比較無統計學差異(P>0.05)、兩組患者意外脫管、藥物滲漏和重新穿刺發生率、局部淤青和一個療程平均穿刺次數、血液污染率比較有統計學差異(P<0.05),實驗組意外脫管、藥物滲漏和重新穿刺發生率、局部淤青和一個療程平均穿刺次數、血液污染率低于對照組。 結論 改良電抽搐治療過程中應用靜脈安全留置針,有利于保持治療的連續性、安全性和用藥的安全性,減少了穿刺次數,減少護士的職業暴露和有效保護患者的血管。

          Release date:2016-09-07 02:34 Export PDF Favorites Scan
        • A bio-inspired hierarchical spiking neural network with biological synaptic plasticity for event camera object recognition

          With inherent sparse spike-based coding and asynchronous event-driven computation, spiking neural network (SNN) is naturally suitable for processing event stream data of event cameras. In order to improve the feature extraction and classification performance of bio-inspired hierarchical SNNs, in this paper an event camera object recognition system based on biological synaptic plasticity is proposed. In our system input event streams were firstly segmented adaptively using spiking neuron potential to improve computational efficiency of the system. Multi-layer feature learning and classification are implemented by our bio-inspired hierarchical SNN with synaptic plasticity. After Gabor filter-based event-driven convolution layer which extracted primary visual features of event streams, we used a feature learning layer with unsupervised spiking timing dependent plasticity (STDP) rule to help the network extract frequent salient features, and a feature learning layer with reward-modulated STDP rule to help the network learn diagnostic features. The classification accuracies of the network proposed in this paper on the four benchmark event stream datasets were better than the existing bio-inspired hierarchical SNNs. Moreover, our method showed good classification ability for short event stream input data, and was robust to input event stream noise. The results show that our method can improve the feature extraction and classification performance of this kind of SNNs for event camera object recognition.

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        • Investigation and Analysis on the Nosocomial Infection in 1 621 Hospitalized Patients with Acute and Serious Schizophrenia

          ObjectiveTo investigate the incidence of nosocomial infection in acute and serious schizophrenic inpatients and its risk factors. MethodsBetween January 1st and December 31st, 2012, we investigated 1 621 schizophrenic patients on the status of nosocomial infections according to the hospital standard of nosocomial infection diagnosis. They were divided into infected group and uninfected group according to the survey results. The risk factors were analyzed by logistic regression method. ResultsTwenty-nine infected patients were found among the 1 621 patients, and the incidence rate was 1.79%. Among the nosocomial infections, the most common one was respiratory infection (79.31%), followed by gastrointestinal infection and urinary infection (6.90%). There were significant differences between the two groups of patients in age, hospital stay, positive and negative syndrome scale (PASS), combined somatopathy, the time of protective constraint, modified electraconvulsive therapy (MECT), using two or more antipsychotics drugs, using antibiotics and side effects of drugs (P<0.05). However, there were no statistical differences in gender, age classes, the course of disease, frequency of hospitalization and seasonal incidence of hospital infection (P>0.05). The results of multivariate analysis showed that hospital stay, positive symptom score, negative symptom score, the time of protective constraint, MECT, using two or more antipsychotics drugs and side effects of drugs were the main risk factors for nosocomial infection of inpatients with psychopathy (P<0.05). ConclusionBased on the different traits and treatments of acute and serious schizophrenia, a screening table of infections should be set. For the high risk group of nosocomial infection, effective measures should be taken to prevent and control the nosocomial infection of patients with schizophrenia.

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        • Effect of Drug Management Skill Training on Lightening the Family Burden of Schizophrenic Patients in the Recovery Period

          ObjectiveTo explore the effects of drug management skill training on lightening the family burden of schizophrenic patients in their recovery period. MethodsBetween December 2011 and December 2013, 101 patients with schizophrenia were randomly divided into experimental group (n=56) and control group (n=45). The experimental group was given drug management skill training, while the control group only received routine follow-up. The course of the research was six months. Both groups were assessed by the positive and negative syndrome scale on patients' psychological symptoms, and family burden scale of diseases was used to assess the burden of the family. ResultsCompared with the controls, patients in the experimental group improved more in their positive symptoms (t=2.692, P=0.008), negative symptoms (t=2.729, P=0.008), general psychopathology symptoms (t=3.231, P=0.002) and the whole psychiatric symptoms (t=3.870, P<0.001). Moreover, the degree of patients' symptom improvement was positively correlated with the degree of family burden lightening (r=0.44, P<0.001). ConclusionFor patients with schizophrenia, reasonable drug management skill training can effectively improve patients' medication compliance, promote treatment effect and lighten family burden.

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        • Robustness Analysis of Adaptive Neural Network Model Based on Spike Timing-Dependent Plasticity

          To explore the self-organization robustness of the biological neural network, and thus to provide new ideas and methods for the electromagnetic bionic protection, we studied both the information transmission mechanism of neural network and spike timing-dependent plasticity (STDP) mechanism, and then investigated the relationship between synaptic plastic and adaptive characteristic of biology. Then a feedforward neural network with the Izhikevich model and the STDP mechanism was constructed, and the adaptive robust capacity of the network was analyzed. Simulation results showed that the neural network based on STDP mechanism had good rubustness capacity, and this characteristics is closely related to the STDP mechanisms. Based on this simulation work, the cell circuit with neurons and synaptic circuit which can simulate the information processing mechanisms of biological nervous system will be further built, then the electronic circuits with adaptive robustness will be designed based on the cell circuit.

          Release date:2021-06-24 10:16 Export PDF Favorites Scan
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