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BACKGROUND: Urban barrier-free facilities are imperfect in China, but visually impaired people need barrier-free facilities urgently. OBJECTIVE: To understand the public’s cognition and problems about urban barrier-free facilities, and put forward improvement suggestions by researching the application status of barrier-free facilities in Shijiazhuang (taking tactile ground surface indicator as an example). METHODS: One hundred and eighteen citizens and 51 ordinary sanitation workers at Shijiazhuang were randomly selected, and underwent cognitive survey by questionnaire. Meanwhile, 60 visually impaired persons were tactile ground surface indicator using survey by questionnaire. RESULTS AND CONCLUSION: Most citizens, sanitation workers and visually impaired person have a certain understanding of tactile ground surface indicator, but the awareness rate is still low. Totally 7% citizens and 18% sanitation workers did not know the tactile ground surface indicator, and the travel rate of visually impaired people was extremely low, only 38% visually impaired person were able to travel frequently. More than 50% people thought that the tactile ground surface indicator had not actually effect. Only 19% citizens were more satisfied with the supervision, maintenance and maintenance of the tactile ground surface indicator. 56% visually impaired people believed that it had no practical effect, and 42% visually impaired people said that their travel range was less than 1 km. It means that the public cognition rate and the tactile ground surface indicator utilization rate are low. We also put forward improvement suggestions from three aspects: Strengthening publicity education and training, rehabilitation training for the visually impaired persons, strengthen construction and maintenance, so as to protect the rights and interests for disabled people, promote them return to society and improve their quality of life.
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Objective To explore the effects of cluster nursing intervention on cognitive improvement in the caregivers of senile dementia.Methods Totally 95 caregivers of senile dementia selected from a grade 3 A hospital in Chongqing City were employed the cluster nursing intervention.The Alzheimer's disease knowledge assessment (ADKS) scale was used to conduct the assessment before and after intervention.Results The ADKS total score before intervention in the caregivers of senile dementia was (19.970±2.216) points,which after intervention was (23.400± 1.270) points,the difference was statistically significant (P=0.000).The ADKS scores at high,middle and low score segmentations after intervention were significantly higher than those before intervention(P＜0.05),in which the difference between the low score segmentation and middle score segmentation was more significant.Conclusion The cluster nursing intervention has obvious improvement effect on the cognitive situation in the caregivers of senile dementia,especially for the group of lower ADKS scores.
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Objective To investigate the situation about cognitive performance of critical care staffs in nutrition therapy for mechanical ventilated chronic obstructive pulmonary disease (COPD) patients in county hospitals.Methods A chart of questionnaire about nutrition therapy was formulated according to the current guidelines.Critical care staffs from 12 hospitals of county-level of Hang Zhou city were enrolled.The role of staffs in management of nutritional therapy for patients was observed to assess their cognitive performance and influence factors were analyzed according logistic analysis.Results A total of 137 staffs were enrolled.Almost all of the staffs thought that nutrition therapy for ventilated COPD patients was very important.About 90％ of the staffs never heard about the use of NRS2002 (nutritional risk screening 2002)to evaluation COPD patients but the rate of using it was higher among senior staffs (OR =1.08,95％ CI:1.01-1.16,P =0.04).Most of staffs assess the nutritional status of patients according to biomarkers and other methods.However,doctors might assess nutritional status more often according to their experience.The majority of staffs did choose enteral nutrition for patients especially seen in doctors and senior staffs (OR =3.10 and1.13,95％ CI:1.27-7.55 and 1.03-1.23,both P =0.01).For those without malnutrition,senior staffs did not choose parenteral nutrition (OR =0.14,95％ CI:0.04-0.57,P =0.01).Besides,senior staffs did not continue the enteral nutrition in patients with unstable haemodynamics (OR =1.10,95％ CI:1.03-1.16,P =0.002).Most of staffs considered that the head piece of bed was raised up to 30-45 degree and gastric residual volume monitoring was very important.However,compared with nurses,the cognitive performance of doctors was poorer (OR =0.39,95％ CI:0.18-0.83,P =0.01).Most of staffs thought that the nutrition therapy implementation checklist was necessary but it was used in only 20％ institutions.The understanding and demand for nutritional knowledge was more urgent among doctors than nurses (OR =3.13 and 5.33,95％ CI:1.45-6.75 and 1.13-25.02,P =0.004 and 0.03).Conclusions Nutrition therapy was important for ventilated COPD patients,but the staffs were not very familiar with nutritional knowledge.The cognitive performance of medical staffs was influenced by their profession and experience of practice.
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OBJECTIVE:To provide reference for exploring the strategy of promoting TCM formula granules.METHODS:The questionnaire was designed to investigate the cognition and attitude of TCM practitioners from different grades to TCM formula granules in our university,and the investigation data were analyzed statistically.RESULTS:A total of 312 questionnaires were collected and 306 questionnaires were collected with recovery rate of 98.08％.Among them,305 questionnaires were effective with effective rate of 99.67％.46.89％ of interviewed practitioners were found to know and understand about TCM formula granule,52.46％ knew but did not understand;the higher the grade,the higher the proportion of the known and the better understanding (P＜0.05);the cognitive channels included diagnosis and treatment course (69.64％),took by others (65.02％),took by oneself (51.49％).TCM formula granules were easy to take without decoction (95.71％) and easy to carry (87.13％),the advantage of which had high popularity,but there was not much knowledge about other advantages.7.54％ of interviewed practitioners fully appreciated TCM formula granules and 69.18％ recognized them;the higher the grade,the higher the degree of recognition (P＜ 0.05).89.51％ were willing to learn more about TCM formula granules.60.98％ said they would prescribed TCM formula granules in the furure.Among the influential factors for the attitude of the practitioners to TCM formula granules,the three factors with the highest influence were the influence of the teachers,the influence of the patients and their own practice.CONCLUSIONS:The practice of TCM practitioners in our university in Beijing is not ideal for the cognition of TCM formula granules.There is still a great room for improvement in the attitude to TCM formula granules.The teachers and patients are key influential factors for the attitude to TCM formula granules.
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Objective To explore the effects of cluster nursing intervention on cognitive improvement in the caregivers of senile dementia.Methods Totally 95 caregivers of senile dementia selected from a grade 3 A hospital in Chongqing City were employed the cluster nursing intervention.The Alzheimer's disease knowledge assessment (ADKS) scale was used to conduct the assessment before and after intervention.Results The ADKS total score before intervention in the caregivers of senile dementia was (19.970±2.216) points,which after intervention was (23.400± 1.270) points,the difference was statistically significant (P=0.000).The ADKS scores at high,middle and low score segmentations after intervention were significantly higher than those before intervention(P＜0.05),in which the difference between the low score segmentation and middle score segmentation was more significant.Conclusion The cluster nursing intervention has obvious improvement effect on the cognitive situation in the caregivers of senile dementia,especially for the group of lower ADKS scores.