Patient-Readiness for Discharge and 30-Day Adherence to Treatment After Coronary Stent Implantation.

This study aimed to explore the association between readiness for hospital discharge and 30-day adherence to treatment among patients with coronary heart disease who have undergone coronary stent implantation. A prospective, observational study design was adopted. A total of 153 participants were recruited from five cardiovascular units of a tertiary care teaching hospital in China. Data were collected using the Readiness for Hospital Discharge Scale, Morisky, Green, and Levine Adherence Scale, and Patients' Adherence to Treatment Questionnaire. The results showed that patient-readiness for discharge was high whereas the 30-day adherence to treatment remained suboptimal. Readiness for hospital discharge and medical history of hypertension were significantly associated with patients' 30-day adherence to blood pressure self-monitoring and control (p< .05). This study demonstrates the importance of paying attention to discharge preparation service as it may improve patients' 30-day adherence to treatment after coronary stent implantation.

Investigation of Daily Glucose Profile of Inpatients in Non-endocrinology Departments in Chinese Population.

Background: Inpatient hyperglycemia is associated with poor prognosis and increased hospitalization expenses. China has a large population of inpatients with hyperglycemia, but their glucose monitoring states (including preprandial, postprandial and bedtime glucose) are unknown, especially in non-endocrinology departments. Methods: In this cross-sectional study, 5,790 patients with hyperglycemia from 31 non-endocrinology departments were enrolled, and a total of 1,22,032 point-of-care blood glucose (POC-BG) records were collected. The "patient-day" unit of measure was used as a metric for the inpatient glucose. A total of 2,763 patients from endocrinology wards were included for the comparison of the improvement of glycemic management during hospitalization in non-endocrinology wards. Results: A total of 61.16% of patient-days had <4 POC-BG tests. Postprandial POC-BG was tested significantly less frequently than preprandial POC-BG (10.60% vs. 58.85% of all records, P < 0.001). The patient-day-weighted mean BG was higher in non-ICU wards than in the ICU (9.72 ± 3.37 vs. 9.00 ± 3.19 mmol/L, P < 0.001). The rate of hyperglycemia (BG >10 mmol/L) was 37.60% in all non-endocrinology wards (ICU vs. non-ICU: 33.19% vs. 39.17%, P < 0.001). In non-ICU wards, the rate of hyperglycemia (BG >10 mmol/L) was significantly higher in surgical wards than in medical wards (40.30% vs. 36.90%, P < 0.001). ICU had a significantly higher rate of achieving the blood glucose target than the non-ICU wards (32.50% vs. 26.38%, P < 0.001). In the non-ICU departments, medical wards had higher rate of achieving the blood glucose target than surgical wards (39.70% vs. 19.08%, P < 0.001). With increasing days of hospitalization, there was no improvement in glycemic control in non-endocrinology wards. The ICU had a significantly higher rate of hypoglycemia than non-ICU wards (4.62% vs. 3.73%, P < 0.05). In non-ICU wards, medical wards had a significantly higher rate of hypoglycemia than surgical wards (5.71% vs. 2.75%, P < 0.05). Conclusions: Both the frequency of BG monitoring and the daily glucose profile of inpatients in Chinese non-endocrinology departments were less than ideal and need to be urgently improved.

Self-Care Behavior of Hemodialysis Patients With Arteriovenous Fistula in China: A Multicenter, Cross-Sectional Study.

Improving the level of arteriovenous fistula (AVF) self-care behavior by people receiving hemodialysis is an effective way to reduce the occurrence of complications and mortality. The aim of this study was to assess the self-care behavior of Chinese patients undergoing hemodialysis with arteriovenous fistula. The assessment of self-care behaviors with arteriovenous fistula in hemodialysis (ASBHD-AVF, Portuguese version) was translated into Chinese using Brislin's translation model. The content validity was evaluated by six experts. Then we involved 301 hemodialysis patients with AVF to explore the construct validity of the Chinese version of ASBHD-AVF. Ultimately 216 patients from eight dialysis centers of general hospitals in China were recruited to evaluate the patients' self-care behavior about AVF. Measures included demographic questionnaire, and the Chinese ASBHD-AVF. The Chinese ASBHD-AVF that included 12 items has a good internal consistency (α = 0.865) and content validity (CVI = 0.979). Principal component analysis generated two factors which explained 53.525% of the total variance. About 69.9% of hemodialysis patients' AVF self-care behavior were at a low or moderate level. The level of self-care behavior and knowledge need to be improved. Nurses should give specific guidance according to the patients' own characteristics and different influence factors, in order to improve the recipients' self-care behavior.

[Echolocation sound waves, morphological features and foraging strategies in Hipposideros pratti].

Studies on the echolocation sound waves in different states (flying and hanging), morphological features and ecological processes (foraging strategies, foraging habitat and diet type) of Hipposideros pratti showed that H. pratti had CF (constant frequency)-FM (frequency modulated) echolocation sounds. There were some differences in dominant frequency (caused by Doppler compensating effect), pulse repetition rate, pulse duration and interpulse interval between the bats at flying and hanging. The dominant frequency, FM bandwidth, pulse duration and interpulse interval were lower, while the pulse repetition rate and duty cycle were higher at flying than at hanging. All the differences indicated that H. pratti could adopt specific echolocation sounds to adapt to specific environments and conditions to detect, approach and capture their preys successfully. On the basis of echolocation sound and field observation, it was concluded that H. pratti might search the preys at flying in the period of insect fastigium, and after the period, it might search the targets at hanging. The foraging habitat was near the tree crowns, and the preys consisted mainly of relatively large insects, such as beetles.